The document discusses principles of disease prevention and control, describing the epidemiologic triangle of agent, host, and environment factors in disease transmission. It explains the stages of disease from susceptibility to recovery and the types of prevention for each stage - primary prevention aims to reduce new occurrences, secondary prevention reduces duration and severity, and tertiary prevention minimizes complications. Examples are given for prevention and control strategies across communicable and non-communicable diseases.
This presentation will help to get an insight into Epidemiological methods and describes details of Descriptive epidemiology. It will be useful to medical researcher as an initial input.
This presentation will help to get an insight into Epidemiological methods and describes details of Descriptive epidemiology. It will be useful to medical researcher as an initial input.
Measuring Health and Disease I: Introduction to Epidemiology Module GuideSaide OER Africa
This module was developed at the School of Public Health, University for the Western Cape for the Postgraduate Certificate in Public Health which was offered as a distance learning module between 2001 and 2008. It was designed to meet the growing need for an applied course in the measurement of a variety of health indicators and outcomes. Whether you manage a health programme, a health facility, or simply have to interpret health data in the course of your work, this module sets out to increase your capacity to deal with health and disease information. It aims to assist you in applying epidemiological knowledge and skills to a variety of Public Health problems such as:
Is your DOTS programme succeeding?
What does it mean if a TB prevalence is 850/100 000?
Is this a Public Health problem or not?
What is the “burden of disease” in different communities?
“Actions aimed at eradicating, eliminating, or minimizing the impact of disease and disability.”
The concept of prevention is best defined in the context of levels, traditionally called primary, secondary, and tertiary prevention.
The Presentation explains basic models of disease causation, to understand the etiology or causes of disease & altered production and helps to understand the applicability of causal criteria applied to epidemiological studies.
It gives all the important definitions used in infectious disease epidemiology and continues to elaborate on dynamics of disease transmission followed by prevention and control of infectious diseases.
Epidemiology is the study and analysis of the patterns, causes, and effects of health and disease conditions in defined populations. It is the cornerstone of public health, and shapes policy decisions and evidence-based practice by identifying risk factors for disease and targets for preventive healthcare. Epidemiologists help with study design, collection, and statistical analysis of data, amend interpretation and dissemination of results (including peer review and occasional systematic review). Epidemiology has helped develop methodology used in clinical research, public health studies, and, to a lesser extent, basic research in the biological sciences
natural history of the disease, primordial prevention, primary prevention, health promotion, specific protection, 8 early sign of cancer, targets of health education, secondary prevention, tertiary prevention, disability inclusion education, rehabilitation, levels of prevention, lastly question-answer session.
Measuring Health and Disease I: Introduction to Epidemiology Module GuideSaide OER Africa
This module was developed at the School of Public Health, University for the Western Cape for the Postgraduate Certificate in Public Health which was offered as a distance learning module between 2001 and 2008. It was designed to meet the growing need for an applied course in the measurement of a variety of health indicators and outcomes. Whether you manage a health programme, a health facility, or simply have to interpret health data in the course of your work, this module sets out to increase your capacity to deal with health and disease information. It aims to assist you in applying epidemiological knowledge and skills to a variety of Public Health problems such as:
Is your DOTS programme succeeding?
What does it mean if a TB prevalence is 850/100 000?
Is this a Public Health problem or not?
What is the “burden of disease” in different communities?
“Actions aimed at eradicating, eliminating, or minimizing the impact of disease and disability.”
The concept of prevention is best defined in the context of levels, traditionally called primary, secondary, and tertiary prevention.
The Presentation explains basic models of disease causation, to understand the etiology or causes of disease & altered production and helps to understand the applicability of causal criteria applied to epidemiological studies.
It gives all the important definitions used in infectious disease epidemiology and continues to elaborate on dynamics of disease transmission followed by prevention and control of infectious diseases.
Epidemiology is the study and analysis of the patterns, causes, and effects of health and disease conditions in defined populations. It is the cornerstone of public health, and shapes policy decisions and evidence-based practice by identifying risk factors for disease and targets for preventive healthcare. Epidemiologists help with study design, collection, and statistical analysis of data, amend interpretation and dissemination of results (including peer review and occasional systematic review). Epidemiology has helped develop methodology used in clinical research, public health studies, and, to a lesser extent, basic research in the biological sciences
natural history of the disease, primordial prevention, primary prevention, health promotion, specific protection, 8 early sign of cancer, targets of health education, secondary prevention, tertiary prevention, disability inclusion education, rehabilitation, levels of prevention, lastly question-answer session.
SOCIOECONOMIC STATUS SCALES:
KUPPUSWAMY SCLAE
B.G PRASAD SCALE
Position that an individual or family occupies with reference to prevailing average standards of cultural and material possessions, income and participation in group activity of the community.
Societies and communities have various methods of dividing themselves into classes, which form a hierarchy of power and prestige, which defines the functional interrelationships.
Societies and communities have various methods of dividing themselves into classes, which form a hierarchy of power and prestige, which defines the functional interrelationships.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
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New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
2. Relationship between agent, host and
environment and human in diseases
transmission
Discuss the principles of disease prevention
Describe methods of control and prevention
used for communicable diseases
Definition: diseases
prevention, control, elimination, eradication
, extinction, isolation and quarantine
Examples
3.
4. Traditional model of infectious disease
causation.
Three components: an external agent, a
susceptible host, and an environment that
brings the host and agent together.
6. AGENT FACTORS
◦ Biological – bacteria, virus, parasites, fungi
◦ Physical – physical forces, heat, radiation, noise
◦ Chemical – contaminants, poisons, drugs, allergens
◦ In general, agents must be present for disease to
occur .
7. HOST FACTORS
◦ Intrinsic factors that influence an individual’s
exposure, susceptibility, or response to a causative
agent.
◦ Example: age, race, sex, socioeconomic
status, behaviors, nutritional status etc.
8. ENVIRONMENTAL FACTORS
◦ Extrinsic factors which affect the agent and the
opportunity for exposure.
◦ Example; physical factors such as geology, climate
and physical surroundings; biologic factors such as
insects that transmit the agent; and socioeconomic
factors such as crowding, sanitation, and the
availability of health services.
9. HOST
AGENT Increasing ability in agent to
cause infection in host
ENVIRONMENT
AGENT
Increase susceptible host
HOST in the community
ENVIRONMENT
10. HOST
Changes in environment that cause
agent transmission
AGENT ENVIRONMENT
AGENT
Changes in the environment that
increase the host susceptibility to
the disease
ENVIRONMENT HOST
11.
12.
13. Using Avian flu as an example of the chain of infection;
The pathogen is the H5N1 virus.
The reservoir is wild migratory waterfowl.
The pathogen exits the wild fowl through the faeces.
It is transmitted through direct contact with infected materials.
It enters the susceptible host, in this case, humans, through direct
contact with mucous membranes or through small droplet nuclei.
14.
15. Onset of
Exposure Symptoms
Incubation period
Pathologic
changes Time of diagnosis
Stage of Stage of Stage of Stage of
susceptibility Subclinical Disease Clinical Disease Recovery,
Disability, or
Death
Stages in the natural history of disease
16. Corresponds to time during which the
etiologic agent is present within the body
but has not yet caused signs or symptoms
Both infectious and noninfectious diseases
are characterized by subclinical stages of
disease.
In infectious diseases – incubation period
In noninfectious diseases – latent period or
induction period
17. Incubation periods vary considerably according to
agent-disease pairs
Some diseases have
◦ short incubation periods e.g. cholera 24-48 hour,
◦ intermediate e.g. chickenpox 2-3 weeks
◦ extended e.g. AIDS 10 years
Latency Period for NCD :
◦ Leukemia due Hiroshima atomic bomb 2-12 years
◦ Occupational associated bladder tumors in GB 5-40 years
Variability in incubation and latency can be due to
differences in host susceptibility, pathogenicity of
the agent, and dose exposure.
18. Begins with patient’s first symptoms and
ends with either recovery, disability and
death
Depending on host factors, access to health
care, and the diagnostic certainty of the
clinician in charge, the lag between the
onset of symptoms and diagnosis may vary
considerably.
The onset of symptoms - not the time of
diagnosis – marks the beginning of the
clinical stage of disease
19. Infectivity
refers to the proportion of exposed persons
who become infected.
Pathogenicity
refers to the proportion of infected persons
who develop clinical disease.
Virulence
refers to the proportion of persons with
clinical disease who become severely ill or
die.
20.
21. Disease prevention covers measures not only
to prevent the occurrence of disease, such as
risk factor reduction, but also to arrest its
progress and reduce its consequences once
established
22. Disease prevention efforts can be classified
according to the stage of disease they are
applied:
◦ Primary prevention
◦ Secondary prevention
◦ Tertiary Prevention
23. Directed toward the stage of
susceptibility, before the pathogen
establishes itself in the body
Goals :
◦ to prevent disease from occurring
◦ reducing its incidence and prevalence in the
community
◦ Example: needle exchange programs to prevent the
spread of HIV, vaccination programs, smoking
cessation campaign
24. Stages in the natural
Onset of history of
Exposure Symptoms disease and type of
prevention
Incubation period
Pathologic
changes Time of diagnosis
Stage of Stage of Stage of Stage of
susceptibility Subclinical Disease Clinical Disease Recovery,
Disability, or
Death
Secondary
Prevention: Tertiary
Primary
Intended to Prevention:
Prevention: Level of
reduce Intended to
Intended to
reduce new duration and reduce Prevention
severity complications
occurrences
and disabilities
25. Directed toward the subclinical
stage, people who carry the agent in their
bodies but are not yet symptomatic
Goal:
◦ To reduce the expression or severity of the disease
once it emerges.
◦ Example; treating asymptomatic HIV infected pts
with combination of antiviral agents, screening for
cervical cancer and breast cancer to detect the
diseases in their early stages.
26. Stages in the natural
Onset of history of
Exposure Symptoms disease and type of
prevention
Incubation period
Pathologic
changes Time of diagnosis
Stage of Stage of Stage of Stage of
susceptibility Subclinical Disease Clinical Disease Recovery,
Disability, or
Death
Secondary
Prevention: Tertiary
Primary
Intended to Prevention:
Prevention: Level of
reduce Intended to
Intended to
reduce new duration and reduce Prevention
severity complications
occurrences
and disabilities
27. Directed toward the clinical stage
Goal :
◦ To prevent or minimize the progression of the
disease or its sequelae
◦ Example; screening people with diabetes for
diabetic retinopathy in order to promptly treat the
progression of blindness
28. Stages in the natural
Onset of history of
Exposure Symptoms disease and type of
prevention
Incubation period
Pathologic
changes Time of diagnosis
Stage of Stage of Stage of Stage of
susceptibility Subclinical Disease Clinical Disease Recovery,
Disability, or
Death
Secondary
Prevention: Tertiary
Primary
Intended to Prevention:
Prevention: Level of
reduce Intended to
Intended to
reduce new duration and reduce Prevention
severity complications
occurrences
and disabilities
29.
30. Control:
◦ The reduction of disease
incidence, prevalence, morbidity or mortality to a
locally acceptable level as a result of deliberate
efforts;
◦ Continuous intervention measures are required to
maintain the reduction.
◦ Example: diarrhoeal diseases.
31. Isolation
◦ In epidemiology isolation refers to a procedure
used in communicable disease control. It consists
of a separation of cases (persons or animals) for
a disease's period of communicability.
◦ The cases are isolated in a specific location and
under conditions that minimize the risk of direct
or indirect transmission of the infectious agents
to those who may be susceptible
32. Quarantine
◦ Quarantine is defined as a restriction of the
activities of healthy persons or animals who have
been exposed to a communicable disease.
◦ The aim is to prevent transmission of the disease
from potentially infected persons to healthy
persons during the incubation period.
◦ Quarantine can take two forms:
absolute or complete quarantine, which consists of a
limitation of freedom for a period equal to the longest
usual incubation period of the disease;
modified quarantine, which involves selective or partial
limitation of movement, based on known differences in
susceptibility.
33. Elimination of disease:
◦ Reduction to zero of the incidence of a specified disease in
a defined geographical area as a result of deliberate efforts;
continued intervention measures are required. Example:
neonatal tetanus.
Elimination of infections:
◦ Reduction to zero of the incidence of infection caused by a
specific agent in a defined geographical area as a result of
deliberate efforts; continued measures to prevent re-
establishment of transmission are required. Example:
measles, poliomyelitis.
Eradication:
◦ Permanent reduction to zero of the worldwide incidence of
infection caused by a specific agent as a result of deliberate
efforts; intervention measures are no longer needed.
Example: smallpox.
34. Extinction:
◦ The specific infectious agent no longer exists in
nature or in the laboratory.
35. Endemic - means a disease occurs continuously
and with predictable regularity in a specific area or
population .
Epidemic - a widespread outbreak of an infectious
disease where many people are infected at the
same time.
Outbreak - an epidemic limited to localized
increase in the incidence of a disease, e.g., in a
village, town, or closed institution
Pandemic - an epidemic occurring worldwide, or
over a very wide area, crossing international
boundaries, and usually affecting a large number
of people.
36. Cholera (V. cholerae)
Primary prevention
◦ Health education
◦ Management of water supply, sanitation and food
hygiene
◦ Vaccine?
Secondary prevention
◦ Early detection and treatment (ORS and antibiotic)
Tertiary prevention
◦ Rehabilitation
37. Dengue fever
Primary prevention
◦ Health education
◦ Environment sanitation, human behaviour
◦ Mosquitoe net, bed nets,Vaccine?
Secondary prevention
◦ Early detection and treatment
◦ Isolation or quarantine?
Tertiary prevention
◦ Prevent/reduce complication
◦ rehabilitation
38. •Host immunity
•Vaccine?
Dengue Prevention using the •Protective Behaviour
agent, host, environment model
Host
Agent Environment
•Dengue serotype •Aedes breeding
•Sanitation
•Community behaviour
•Climate