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Basic Epidemiology
VM 608 Midterm
51
Veterinary Medicine
Professional
04/05/2012

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Term
Define epidemiology
Definition
the study of how disease is distributed in populations and the factors that influence or determine the distribution
Term
Primary Prevention
Definition
protecting the non-infected
Ex:vaccination, biosecurity, closed herd
Term
Secondary Prevention
Definition
detecting pre-clinical dsease
Ex:reducing severity, complications, preventing spread
Term
Tertiary Prevention
Definition
reducing the impact of clinical disease
Ex: treatment, therapy, rehab
Term
John Snow
Definition
retrospective study on outbreak of Cholera in London
lesson is that a disease outbreak can be stopped by understanding disease patterns, witho specific knowledge of the causative agent(s)
Term
Define endemic
Definition
the usual (habitual) occurrence of a disease within a given area
Term
Define sporadic
Definition
separate or scattered disease incidents occurring at a low frequency
Term
Define epidemic/outbreak
Definition
more disease than expected for a given time and place
Term
Define pandemic
Definition
epidemic affecting several continents
Term
Incubationary carrier
Definition
pre-clinical harborer of disease
many organism being shed
Term
Convalescent carrier
Definition
an animal which continue to harbor and shed organisms for a variable period of time following recovery
Term
Transient carrier
Definition
subclinical but may shed organisms for variable periods
Term
Chronic carrier
Definition
these animals shed organisms for long periods of time continuously or intermittently
Term
Reservoir
Definition
any animal (including humans), arthropod, plant, soil, or inanimate matter in which an infectious agent normally lives and multiplies or on which it depends primarily for survival and reproduces in such a way that it can be transmitted to a susceptible host
Term
Nidus
Definition
a localized reservoir that persists over a very long time period
Term
Vehicle
Definition
an object, substance, or non-receptive living being serving as an intermediary in transmitting a pathogen from the organism hosting it to a receptive host
Term
Vector
Definition
a living creature which, because of its ecological relationship to others, acquires a pathogen from one living host and transmits it to another
Term
Fomite
Definition
an object or material that is not in itself harmful, but on which pathogens may be conveyed
Term
Incubation period
Definition
the time between exposure to the pathogen and the onset of clinical signs
Term
Latent infection
Definition
an in-apparent infection that has the potential to develop signs of disease. The triggering mechanism may be an altered host response
Term
Source of infection
Definition
the animal, person, or object from which an infectious agent passes immediately to the host (not necessarily synonymous with reservoir).
Term
Intrinsic Host Factors (6)
Definition
Species
Age
Breed
Gender
Physiological State
Disease history
Term
Extrinsic Host Factors (2)
Definition
Use
Husbandry
Term
Agent Factors (6)
Definition
Infectivitiy
Infectiousness
Pathogenicity
Virulence
Host Range
Viability
Term
Environmental Factors
Definition
Temperature, barometric pressure, radiation, oxygen concentration, precipitation, humdity, wind, etc.
Macrometeorology
Micrometeorology
Presence of reservoirs, vectors, herd immunity
Term
Direct Aerosol Transmission
Definition
Expiratory droplets: produced by cough, sneeze, or snort (>10 microns, short airborne life, 3 ft. projection, 40,000 per sneeze or cough, most evaporate before hitting the ground. Deposited into respiratory tree according to size.
Term
Indirect Aerosol Transmission
Definition
Droplet nuclei: truly airborne. Evaporated remains of expiratory droplets and other fluids. Smaller than 5 microns. Settle very slowly (permanently suspended). Inhaled into alveoli. Ten times more infectious than expiratory droplets.
Term
Recipe for Disease Spread
Definition
A causative agent capable of infecting the host
A reservoir or source of the agent
A mode of escape from the reservoir or immediate source
A mode of transmission to the new potential host
A mode of entry into the new host
A susceptible host
Term
Disease
Definition
An abnormality of structure and/or function that interferes with the well-being of the individual animal. Also any condition resulting in suboptimal production, growth or efficiency
Term
Clinical Disease
Definition
Outward manifestation of disease (signs or symptoms)
requires tertiary prevention
Term
Pre-clinical Disease
Definition
Not yet clinically apparent, but destined to be
requires secondary prevention
Term
Subclinical Disease
Definition
Not clinical and not destined to be
requires primary prevention
Term
Herd Immunity
Definition
Susceptible animals are a relatively well protected in a herd by reducing the probability that they will come in contact with a “shedding” animal.
If there is continuous introduction of susceptible animals adequate herd immunity will never be achieved.
The frequency of contact among susceptibles is the most critical factor.
Term
Outbreak Investigation Steps
Definition
1.Establish that an epidemic exists
2.Verify the diagnosis
3.Survey known cases
4.Formulate tentative hypotheses
5.Plan and conduct detailed epi investigation
6.Assemble and analyze data
7.Test hypotheses
8.Formulate conclusions
9.Implement controls
10.Prepare report
Term
Index Case
Definition
the first recognized case of a disease in an outbreak
Term
[image]
Definition
Point Source Exposure
Term
[image]
Definition
Propagated Outbreak
Term
[image]
Definition
Common Source with Intermittent Exposure
Term
[image]
Definition
Continuous Exposure
Term
Minimum incubation period
Definition
the time between exposure and the first set of cases
Term
Average incubation period
Definition
the time between exposure and the first peak of cases
Term
Retrospective Cohort
Definition
– Determine exposures among each individual in the entire population at risk. Then determine whether or not disease occurred in each individual
Term
Case-Control Study
Definition
– Identify a group of individuals from the population at risk with the disease and find out about their exposures. Then find a similar group of individuals from the same population at risk without the disease and find out about their exposures
Term
Retrospective Cohort necessities
Definition
Members of the cohort are easily identifiable
Members of the cohort are easily accessible
Exposure is rare
There may be multiple diseases involved
Term
Case-Control Study necessities
Definition
Used when identifying the entire cohort would be too costly or time consuming
The illness is rare
Term
Attack Rate in the Exposed
Definition
Attack rate in the exposed = A / (A + B)
= number who are BOTH exposed and diseased divided by the total number exposed
Term
Attack Rate in the Unexposed
Definition
Attack rate in the unexposed = C / (C + D)
= number who are diseased and NOT exposed divided by the total number NOT exposed
Term
Infectiousness
Definition
the ease with which the agent is transmitted from one host to another
Term
Virulence
Definition
the degree of pathogenicity
Term
Pathogenicity
Definition
the ability to produce disease
Term
Herd Immunity
Definition
resistance of an at risk population to an attack by a disease to which a large proportion of the members of the group are immune
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