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PRESENTED BY
T.MAGLIN ANUSHA
M.SC(N) II nd yr
CSI JACON
EPIDEMIC
ENDEMIC
PANDEMIC
Eg.malaria,polio
Eg.small pox,swine flu
INTRODUCTION
DEFINITION:
WHO_ Epidemiology is the study of distribution and
Determinants of health related states or events
(including diseases) and the application of this study
to the control of diseases and other health problems
EPIDEMIOLOGICAL
APPROACH
TO
INVESTIGATING
DISEASE
PROBLEMS
Presence of diseases is
confirmed
Both in TIME AND
SPACE
Implementation of series of field
Experiments are performed under
Controlled conditions
Result produced by above
Investigations are analysed
Control of the diseases are examined
Knowledge of the epidemiology
of the Diseases is used to explore
Ensure that the measures are being
Properly applied
SOURCES OF
INFORMATION
IN
EPIDEMIOLOGY
TIME DISTRIBUTION
PLACE DISTRIBUTION
PERSON DISTRIBUTION
DETERMINANTS OF DISEASES
PREVENTION ANDSOCIAL
MEASURES
Diseases ,time
Place ,person
DISCRIPITIVE EPIDEMIOLOGY
WHEN
WHERE WHO WHAT
ANALYTICAL EPIDEMIOLOGY
Is concerened with the search for cause
RETROSPECTIVE
STUDIES
PROSPECTIVE
STUDIES
EXPERIMENTAL EPIDEMIOLOGY
Environment is manipulated or
controlled to test a particular hypothesis
MORBIDITY
INCIDENCE PREVELANCE
(NEW CASES) ( NEW AND OLD CASES
COMBINED)
INCIDENCE RATE
Is a measure of diseases that allows determine
a persons probability of being diagnosed with a diseases
During a given period of time
INCIDENCE Numbers of peop who get a diseases (new cases) in a
specified period
RATE =
Sum of the length of time during which each person in
Pop is at risk
n
PREVELANCE
Is a measure of diseases that allows us to
determine a persons likelihood of having a diseases
number of peop.with the diseases or condition at
a specified time
Prevelance
Rate = number of peop.in the pop at risk at the X10n
specified time
ADVANTAGES;
Express
social
burden of
the
diseases
Readily
available
DISADVANTAGES:
Influcenced by numbers of factors (Skill of the doctor or
availability of Some
 diagnostic tools-accuracy of diagnoses,
availability and level Of medical care or health awareness o
population part of the Cases are not notified)
MORTALITY:
Mortality is another term for death.A mortality
Rate Is the number of deaths due to a disease divided
by the total population
A CRUDE DEATH Total num of deaths in a year,
RATE = 1000 individuals
ASSESSING THE COMMUNITY’S HEALTH
-What are
the health
problem
-Where
-which
-Causes for
increasing
-Data
collected
andanalysed
-Making
individual
Decision-
available
on risk
factors
-Searching
for causes
-Aiming to
design
appropriate
health
action
CORE FUNCTIONSOF EPIDEMIOLOGY IN
HEALTH CARE DELIVERY
Health survelliance is the system of ongoing health checks.
Health survelliance is the systemic montoring of at ‘RISK’
Staff for any adverse effects of works on their health as it
relates to their duties
STEPS IN SURVELLIANCE
Occurance of health related event
Case confirmation
reporting
Reporting to responsible public
Health agency
Control and prevention
activities
Feedback to
stakeholders
Active survelliance
Passive survelliance
Sential survelliance
USES
 Admission,discharge and transfer
 patient assess record
 physician order entry
 documentation
 pharmacy preparation
 communication
ADVANTAGES
AND
DISADVANTAGES
PLANNING
APPLICATION TO DATA COLLECTION
PUBLIC HEALTH PROGRAMS
DISSEMINATION DATA MANAGEMENT
AND COLLECTION
INTERPRETATION
ANALYSIS
HEALTH PLANNER
CARE GIVER
CASE FINDER
EDUCATOR
COUNSELLOR
ADOVACATE
EPIDEMIOLOGIST
MANAGER
GROUP LEADER
CASE MANAGER
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Epidemiology and mortality,morbidity slideshare