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state of complete physical, mental and social well-being and not merely the absence of disease or infirmity |
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concerned with protecting the health of entire populations. Populations can be small as a local neighborhood or as big as an entire community |
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promote and provide essential public health services/healthier and safer Indiana |
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infant mortality, adult smoking, adult obesity |
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Total HIV count in Indiana for 2012 |
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Total Chlamydia count for 2012/2013 |
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Total Gonorrhea count for 2012/2013 |
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Total Syphilis count for 2012/2013 |
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Public Health Veterinarians |
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Definition
investigate reports of zoonotic diseases |
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Definition
Diseases caused by infectious agents that can be transmitted between animals and humans |
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what fraction of diseases are reported to ISDH as zoonotic diseases |
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rabies prevention, parasites, fungal and bacterial infections |
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Large animal veterinarians |
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bacterial infections, antibiotic residues |
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USDA and FDA veterinary services |
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Definition
-inspect meat to insure wholesome -regulates drugs used in food producing animals -regulates food animal and pet food |
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Zoonotic disease examples |
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Definition
-rabies -vectorborne disease: tick borne, mosquito borne -influenze -milk borne disease: TB, Q Fever, brucellosis -Pork and Beef tapeworms (Toxocara canis) |
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Definition
-occurs naturally in central and west Africa -infects rodents, non-human primates, humans -case fatality rate in Africa-3% |
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contracted from sick prairie dogs in Wisconsin. in and WI patients had exposure to prairie dogs from a northern IL supplier. |
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Definition
Abrupt onset, moderate to high fever, rash, meningitis, encephalitis
-most fatal cases in people > 50 yrs old |
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West Nile Virus: Reservoir Hosts |
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-Isolated from wild birds (wetland and terrestrial species) -Birds are primary amplifier hosts -Migratory bird role in distribution and reintroduction of virus into northern latitudes |
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West Nile Transmission Routes |
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Definition
Mosquito Bites, Organ transplants, Blood transfusions, Breastfeeding, Transplacental, Occupational Exposure |
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Indiana West Nile Cases 2002 |
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Definition
11 deaths Median age 51 Median age death 72 Age range 2-89 years -293 confirmed |
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Indiana Human Rabies Cases |
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Definition
1900-1949 - 120 cases 1950 - 10 cases 1960-2006 60 encephalitis deaths |
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Definition
-virus infected saliva contaminating bite wounds, scratches, licks -aerosols in bat caves -medical procedures
Incubation period:3-8 weeks |
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three types of influenza virus |
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Definition
A,B,C
A and B cause seasonal epidemics |
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influenza identified by what? |
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Definition
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two influenza A circulating in humans |
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Spanish Flu Pandemic (1918-1919) |
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Definition
Cause: H1N1 30-50 million deaths worldwide 350K cases in Indiana with 10K deaths |
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Cause: H2N2 -1.5-2 million deaths worldwide |
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Cause: H3N2 -1 million deaths worldwide |
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H1N1 started where and how long did it take to spread worldwide? |
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-surveillance -investigate clusters of illness -provide education -coordinate mass vaccination -guide local health departments and other state agencies -coordinate with other states -heed federal guidance |
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vaccines not available and they appear as a nauturally occurring outbreak |
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Scale: Potential for far larger numbers of cases than normally handled Novelty: Probably will involve agents that are not routinely dealt with Criminal: Law enforcement authorities will be involved, as each case is a crime victim |
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Category A agents:
Variola Major |
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Public Health Interventions: |
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Definition
Means of tranmission-->portal of entry-->susceptible host--> infectious agent--> reservoirs--> portal of exit--> repeat |
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where is Guniea worm found |
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Definition
South Sadan, Mali, Chad, and Ethopia |
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Means of Transmission (4 F's) |
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Definition
Food, Feces, Fluids, Fomites |
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Life Cycle of Guinea Worm |
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Definition
1.Enters Body 2.Multiplies (in abdominal tissue) 3.Growing (3 feet long and moves through body mostly to lower limbs) 4.Leaves Body (emerges from blister it creates, causes pain) 5.Infesting the water 6.Infecting water fleas |
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