1. Public Sector
2. Private Sector

• Federal
• State
• Local

• Overseeing
• Research
• NOT a lot of hands on

• Monitor communicable diseases
• "cause & effect"
• State Lab
• Responsible for Medicade funding

• Hands on Care
• WIC
• Family Planning
• STD testing
• Vaccinations
• Communicable disease follow up

CDC Follow up

Vaccinations

• Profit
• Nonprofit
• Volunteer (Red Cross, Family Planning)

Health Care Provider Organizations

• Ambulatory Health Care
  • Primary Health Care providers (no beds)
• Hospitals
• Long-term Care Facilities
  • Tertiary Care
    • Nursing Homes
    • Assisted Living
    • Rehabilitation

• >65
• Endstage Renal Failure
• Disability

• Type A
  • Hospital stays / Home health / Hospice
• Type B
  • Outpatient surgeries
• Type D
  • Pharmacuticals

• Low income
• Blind
• Disabled (but doesn't qualify for Medicare)

• Traditional
• HMO (Health Maintance Organizations)
• PPO (Preferred Provider Organizations)

• Host = Who
• Agent = What
• Environment = Where

• Primary
  • Preventing problem before it occurs
• Secondary
  • Early Detection and early cure
• Tertiary
  • Treating a disease that has already occured

• # of people who died @ any 1 time   (not specific to a certain cause)

• # of new cases @ a specific time (Acute)

• # of all cases @ a given point (Chronic)

• Birth records
• Deaths
• Marriages
• Divorces

• CDC
• Government Oversight

• Just the facts
  • Person
  • Place
  • Time

• Cause & Effect
• Prevention

• Infection Agent
• Reserviour
  • source of agent
    • Human or Animal
      • Ex: wounds, nares, GI tract
• Portal of Exit
  • Ex: Saliva, Stool, Secretions
• Mode of Transportation
  • Ex:  Hands, Fomite
• Portal of Entry
  • Ex:  Eyes, open wound, foley cath
• Susceptible Host

• Immunity from Self
  • All ready had the disease

• Get immunity from someone else
  • Immunization
  • Newborns from Mom
  • Immunogloblin

• Can be easily disseminated or transmitted from person to person
• Result in high mortality rate
• have potential for major public health impact
• Require special action for public health preparedness

• Cutaneous
• Inhalation (Most deadly)
• Gastrointestinal

Can Anthrax be spread person to person?

How is it treated?

1. No
2. Antibiotics

Types of Botulism

and

Which one does not happen naturally?

• Foodbourne
• Wound
• Infant
• Inhalation  (Does not happen naturally)

1. Is Botulism passed from person to person?
2. What does botulism do?
3. How is it treated?

• No
• Paralysis from head downward
• Airway management and antitoxin

Viral Hemorrhagic Fevers

1.  What causes

2.  What it does

3.  Treatment

• Cause dby viruses
• Pt bleeds; dies from mutli-system failure
• Supportive therapy only (It's a virus)

• Living Patterns
• Work Risks
• Atmospheric Quality
• Water Quality
• Housing
• Food Quality
• Waste Control
• Radiation Risks

• At one year old because that is when they start moving about.

• Microbiological Contamination
• Intentional Food Additives
• Unintentional Food Additives

• Landfills
• Toxic and Hazardous Waste Control

Blah, Blah, Blah (The liberal Agenda)

4 tips to reducing solid waste:

• Reduce
• Reuse
• Recycle
• Respond

• Asymmetry
• Border irregularity
• Color
• Diameter

• Mutliple
  • 2 - 100
• Mass Causualty
  • > 100

• Heroic Phase
• Honeymoon Phase
• Diallusionment Phase
• Reconstruction