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1. Epidemiology *the study of the distribution and determinants of health and disease in
popu-
lations.
2. Endemic disease *habitual presence of disease within a given geographic area
3. Epidemic *Occurrence in a community of a group of illnesses of similar nature in
excess of
what would normally be expected. Amount of disease depends on #
susceptible (at risk) and # not susceptible by way of immunization,
past disease or genetics.
4. Pandemic *worldwide epidemic
5. Outbreak *group of persons exposed to common agent
types: *point-exposed over a brief period of time
Common *intermittent-exposed over a long period of time.
source
*spreads gradually from person to person.
6. Outbreak
types: *common source and from person to person.
Propagated
7. Outbreak 1. Define the epidemic
types: Mixed --cases, population at risk, determine attack rate, primary case, secondary
epidemic case, secondary attack rate.
2. Look for the time-place interactions of cases, persons
8. Outbreak
3. Look for combinations of variables
Investi-gation
4. Develop hypothesis
Steps
5. Recommend control measures
9. Attack rate *number of people at risk who develop the disease/number of people
at risk
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10. Primary case *the person who gets the disease form the source
11. Secondary Case *the person who gets the disease from the primary case.
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12. Secondary *person to person spread
attack rate *number of persons who got sick via the primary case/number of
persons exposed to primary case.
13. Incidence *measure of risk (new cases)
14. Prevalence *measure of the burden of disease in a community (new and pre-
existing cases)
*point prevalence: at a specific point in time
*period prevalence: during a specific period of time.
15. Morbidity *the occurrence of disease in populations; the number of cases of a
particular
disease reported within a particular society and within a particular period
of time.
16. Mortality *proportion in a population that dies during a specified period.
17. Case Fatality *measures the severity of disease.
(CF) or fatality *it is the ratio of deaths within a designated population of people with a
rate particular condition, over a certain period of time.
*prevent the disease from occurring (e.g. immunization)
18. Primary
preven-tion
*modify the severity of the extent of the disease (e.g. better access to
19. Secondary emergency care)
preven-tion
20. Tertiary prevention *rehabilitation; measures to prevent reoccurrence of disease.
21. Descriptive demiology
epi-
22. Types of descrip-tive studies
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