Exam 1: Overview of Epidemiology: Concepts and History

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The epidemiology triangle, or triad, is traditionally comprised of three factors: host, infectious agent, and the environment.

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Search the CDC Current Outbreak List, found at HYPERLINK "https://www.cdc.gov/outbreaks/index.html" https://www.cdc.gov/outbreaks/index.html. Choose a current outbreak listed and discuss ways one might use primary, secondary, and tertiary prevention measures to reduce the impact of the disease.

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Answers will vary, especially related to the disease chosen. However, students should address primary prevention- including health education, prevention, and promotion-as a means to prevent transmission of the disease. For example, the outbreak of hepatitis A among people experiencing homelessness and those who use drugs is a listed outbreak. Primary prevention of hepatitis includes vaccination, education about transmission, and promoting safe practices. Secondary prevention includes screening those who are listed as at risk for symptoms of hepatitis A. Tertiary prevention will include treatment of those who have been exposed but have not received the vaccination. Additionally, treatment would include management of symptoms for those who contract hepatitis A.

Epidemiology offers a systematic approach to study the distribution and determinants of various health-related events in order to improve the health of a population. In which additional setting is epidemiology applicable?

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In the field of epidemiology, which factor is used to analyze the distribution of a health related event, state, or process?

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__________ examines the "why" and "how" aspects of health-related events by posing hypotheses about relationships and using statistical tests that include a comparison group.

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Determinants are the numerous factors that influence health. Which option is considered to be a determinant?

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Population growth is consistent when a population experiences deaths due to perennial epidemics, plagues, famines, and wars because fertility tends to remain high.

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Socrates is credited with first using the term "epidemic" in relation to diseases that could occur to people within a country.

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Discuss the impact a lack of herd immunity might have on a population.

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The public health nurse notices the presence of disease affecting a large number of people, extending over large areas and crossing international boundaries. Which is the correct epidemiological term applied to the nurse's findings?

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Aspects of primary prevention include both _______ and _______ primary prevention.

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Omran identifies three major stages in Proposition Two, which poses that a long-term shift occurs in mortality and disease patterns that results in the gradual displacement of pandemics of infection. Which is a major stage identified in this proposition?

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In what ways can each factor in the epidemiology triangle contribute to an outbreak?

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