...SOLOMON SMART KALUBA ID: UB28902SPU37458 PUBLIC HEALTH ASSIGNMENT: DEFINATION OF EPIDEMIOLOGY, ITS USE AND EXAMPLES OF SUCCESS DATE OF SUBMISSION: 5/02/2014. ANTLANTIC INTERNATIONAL UNIVERSITY HONOLULU, HAWAII Contents Introduction 2 The Historical Context 2 Recent developments in Epidemiology 2 Definition, scope and use of epidemiology 4 Distribution 5 Determinants 5 Health- related states or events 6 Specified populations 6 Application 7 Scope 7 Epidemiology versus Public Health 7 Causation of diseases 8 Achievements in Epidemiology 9 Small pox 9 Methyl Mercury Poisoning 10 Rheumatic Fever and Rheumatic Heart Disease 11 Iodine Deficiency Disease 11 Tobacco use, Asbestos and Lung Cancer 12 Hip Fractures 12 HIV/AIDS 13 Global AIDS epidemic 1990–2003 13 SARS 14 Conclusion 15 Bibliography 16 Introduction This essay provides a brief summary of what epidemiology is, what it is used for and discusses the major successes epidemiologist have contributed towards control and eradication of major epidemics. The discussion will also touch on the historical context and development of the emergency of epidemiology as a science and art, and give example of some of the people that greatly contributed to the achievement scored in epidemiology studies and applications. The Historical Context Epidemiology originated from the Hippocrates` observation more than 200 years ago who identified environmental factors to have an influence...
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...WHO Guidelines on Hand Hygiene in Health Care: a Summary First Global Patient Safety Challenge Clean Care is Safer Care a WHO Guidelines on Hand Hygiene in Health Care: a Summary © World Health Organization 2009 WHO/IER/PSP/2009.07 All rights reserved. Publications of the World Health Organization can be obtained from WHO Press, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel.: +41 22 791 3264; fax: +41 22 791 4857; e-mail: bookorders@who.int). Requests for permission to reproduce or translate WHO publications – whether for sale or for noncommercial distribution – should be addressed to WHO Press, at the above address (fax: +41 22 791 4806; e-mail: permissions@who.int). The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. All reasonable...
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...Running Head: Research Critique Part 1 1 Research Critique Part 1 CLABSI in the Pediatric Oncology Population Cathy Frederick Grand Canyon University NRS-433V Introduction to Nursing Research October 11, 2015 Research Critique Part 1 2 Purpose of the Research This paper will perform a research critique on a qualitative research study published in the Infection Control and Hospital Epidemiology, March 2013, Vol. 34, No.3. The study was presented with contributions from multiple individuals, Dr. A. Gaur, Dr. D, Bundy, C. Gao, PhD, Dr. E. Werner, Dr. A. Billett, Dr. J. Hord, Dr. J. Siegel, Dr. D. Dickens, C. Winkle, RN., and Dr. M. Miller. The research was to identify the host and organism characteristics of the hospital-acquired condition, central line-associated bloodstream infections (CLABSIs) in pediatric hematology/oncology patients. Problem Statement CLABSIs increase the risk for increased mortality and morbidity, extended hospital stays, and raises the overall cost of healthcare. Children’s Hospital Association Hematology-Oncology Quality Transformation Collaborative Project (CHAHQTCP), was a qualitative research project that began on November 1, 2009 and ended July 31, 2011. This project was initiated to identify the contributing factors to blood stream infections (BSI) in pediatric hematology patients. The goal of this research was to reduce CLABSIs by 50%. To be included, the CLABSI needed occur 48 hours after being hospitalized or...
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...Thesis Statement and Annotated Bibliography Thesis Statement: Studies indicate that occurrences of adult and pediatric cancer in the United States are on the rise and are caused by increased parental and prenatal environmental exposures and both adults and children whose lifestyles lack a healthy diet and physical activity. Annotated Bibliography American Cancer Society (2014) Diet and Physical Activity: What’s the cancer connection? Retrieved from: http://www.cancer.org/cancer/cancercauses/dietandphysicalactivity/diet-and-physical-activity The American Cancer Society has been a leading organization in cancer prevention and awareness for over a century. They contribute to the fight against cancer in a variety of ways to include advocating and creating laws to prevent and treat cancer, investing in cancer fighting research, and helping those who are diagnosed with cancer cope and treat their illness. The information in this article states that there is indeed a link between cancer and poor diet and physical inactivity. The article provides several interventions and mitigating strategies an individual can take to manage risk of cancer due to a lack of exercise and heathy diet. This article is key in validating the second point in the thesis statement as a cause of cancer. National Cancer Institute (NCI) (2014) Cancer in Children and Adolescence. Retrieved from: http://www.cancer.gov/cancertopics/factsheet/Sites-Types/childhood NCI is a part of the U.S....
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...impact (including prognosis of future pollution and prognosis of health impact), assessment of impact, recommendations, communication of results, and evaluation of the overall procedure. The concept was applied to a project of extending a waste disposal facility and to a city bypass highway project. Currently, the coverage of human health aspects in environmental impact assessment still tends to be incomplete, and public health departments often do not participate. Environmental health impact assessment as a tool for health protection and promotion is underutilized. It would be useful to achieve consensus on a comprehensive generic concept. An international initiative to improve the situation seems worth some consideration. (Epidemiology 1999;10:618625) Keywords: impact, health impact assessment, environment impact assessment, environmental management, evaluation, health protection, health promotion. Context The term "environmental impact assessment" usually denotes the attempt to predict and assess the impact of development projects on the environment. First introduced as a formal procedure in the United States,' a variety of approaches now...
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...Hepatitis C in Egypt Summary Cairo, May 2013 Suez Cement Title 1 Background Worldwide, 130–170 million persons are living with chronic hepatitis C virus (HCV) infection , which, if left untreated, can result in cirrhosis and liver cancer. Egypt has the largest burden of HCV infection in the world, with a 10% prevalence of chronic HCV infection among persons aged 15–59 years (*). HCV transmission in Egypt is associated primarily with inadequate infection control during medical and dental care procedures. In response, the Egyptian Ministry of Health and Population (MOHP) in 2001 implemented a program to reduce health-care–associated HCV transmission and in 2008 launched a program to provide care and treatment. Infection control programs implemented in 2001 at MOHP facilities resulted in improvements in infection control practices and a decrease in the annual incidence of HCV infection among dialysis patients from 28% to 6%. Through June 2012, a total of 23 hepatitis treatment facilities had been established in Egypt, providing care and treatment to nearly 190,000 persons with chronic HCV infection. Despite these programs, Egypt continues to face an ongoing hepatitis C epidemic * El-Zanaty F, Way A. Egypt demographic and health survey 2008. Cairo, Egypt: Ministry of Health, El-Zanaty and Associates, and Macro International; 2009. Available at http://www.measuredhs.com/pubs/pdf/fr220/fr220.pdf . Accessed July 18, 2012. Suez Cement 2 Findings Egypt has...
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...An APIC Guide 2008 Guide to the Elimination of Catheter-Associated Urinary Tract Infections (CAUTIs) Developing and Applying Facility-Based Prevention Interventions in Acute and Long-Term Care Settings About APIC APIC’s mission is to improve health and patient safety by reducing risks of infection and other adverse outcomes. The Association’s more than 12,000 members have primary responsibility for infection prevention, control and hospital epidemiology in healthcare settings around the globe. APIC’s members are nurses, epidemiologists, physicians, microbiologists, clinical pathologists, laboratory technologists and public health professionals. APIC advances its mission through education, research, consultation, collaboration, public policy, practice guidance and credentialing. Look for other topics in APIC’s Elimination Guide Series, including: • • • • Catheter-Related Bloodstream Infections Clostridium difficile Mediastinitis MRSA in Long-Term Care Copyright © 2008 by APIC All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without prior written permission of the publisher. All inquires about this document or other APIC products and services may be addressed to: APIC Headquarters 1275 K Street, NW Suite 1000 Washington, DC 20005 Phone: 202.789.1890 Email: APICinfo@apic.org Web: www.apic.org ISBN: 1-933013-39-7 ...
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...Articles Amniotic-fluid embolism and medical induction of labour: a retrospective, population-based cohort study Michael S Kramer, Jocelyn Rouleau, Thomas F Baskett, K S Joseph, for the Maternal Health Study Group of the Canadian Perinatal Surveillance System Summary Lancet 2006; 368: 1444–48 See Comment page 1399 Department of Paediatrics and Department of Epidemiology and Biostatistics, McGill University Faculty of Medicine, Montreal, QC, Canada (Prof M S Kramer MD); Maternal and Infant Health Section, Division of Surveillance and Epidemiology, Public Health Agency of Canada, Ottawa, ON, Canada (J Rouleau); Department of Obstetrics and Gynaecology, Dalhousie University, Halifax, NS, Canada and IWK Health Centre, Halifax, NS, Canada (Prof T F Baskett MB); and Department of Obstetrics and Gynaecology and Department of Paediatrics, Dalhousie University, Halifax, NS, Canada and IWK Health Centre, Halifax, NS, Canada (K S Joseph MD) Correspondence to: Dr Michael S Kramer, The Montreal Children’s Hospital, 2300 Tupper Street (Les Tourelles), Montreal H3H 1P3, QC, Canada michael.kramer@mcgill.ca Background Amniotic-fluid embolism is a rare, but serious and often fatal maternal complication of delivery, of which the cause is unknown. We undertook an epidemiological study to investigate the association between amniotic-fluid embolism and medical induction of labour. Methods We used a population-based cohort of 3 million hospital deliveries in Canada between 1991 and 2002 to assess...
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...Since the late 1970s, many studies have reported on the prevalence of fetal alcohol syndrome ( FAS) , alcohol-related birth defects ( ARBD) , and alcohol-related neurodevelopmental disorders (ARND) . The three main types of research methods used in these studies are passive surveillance, clinic-based studies, and active case ascertainment. This article describes each of these methods, including their strengths and weaknesses, and summarizes the estimated prevalence of FAS produced by each of these approaches. The maternal risk factors associated with FAS and other alcohol-related anomalies include advanced maternal age, low socioeconomic status, frequent binge drinking, family and friends with drinking problems, and poor social and psychological indicators. Overall, the available literature points to a prevalence rate of FAS of 0.5 to 2 cases per 1,000 births in the United States during the 1980s and 1990s. KEY WORDS: fetal alcohol syndrome; prevalence; epidemiological indicators; alcohol-related neurodevelopmental disorder; birth defects; statistical estimation; data collection; clinical aspects; population dynamics; risk factors; research in practice; research quality Establishing the prevalence 1 (1 See the sidebar on page 160 for the definition of prevalence as it is used in this article.) and other epidemiological characteristics of fetal alcohol syndrome ( FAS) , alcohol-related birth defects ( ARBD) , and alcohol-related neurodevelopmental disorder ( ARND) 2 (2 FAS is...
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...Jimma specialized hospital. Dr Tadiwos Hailu By Advisors: 1-Dr.Daniel yilma [M.D] 2-Birtukan Tsehayneh [Bsc. Msc.] September, 2012 Jimma Ethiopia i Abstract summary Background: Sepsis is a final pathway of infectious disease in critically ill patients. It is highly fatal condition. Though many researches are undertake in pathophysiology, epidemiology and management of sepsis in developed nation ,very limited information is available in low incomes countries where infections are prevalent. Objective: The objective of the study was to determine the prevalence and outcome of sepsis and its prognostic factors in patients admitted to Jimma University Specialized Hospital. Method: Patients with systemic inflammatory response due to infections were studied using prospective cohort study design for four month period in Jimma University hospital. A structured questioner was used to collect data on socio demographic feature of the patient and clinical feature, outcome and prognostic factors . Data was cleaned, edited and entered to SPSS window for analysis. The survival analysis and determination of prognostic factors was done using Cox regression model. The value of p < 0.05 was considered statistically significant. Result: The prevalence of sepsis, severe sepsis, septic and refractory shock in the study population was 14%.7.8%,2.1% and 1.4% with their associated all cause mortality of at the end of 28 days are 35.8%,44.1%,68.8% and 88.9% respectively. The clinical variables...
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...The New England Journal of Medicine: Incidence of Childhood Obesity in the United States General Summary: Childhood Obesity is a growing epidemic in the United States. Prevalence data has been documented; however, gaps in the incidence study still exist. Thus, a study was conducted on data from the National Longitudinal Study of Adolescent Health in order to track the incidence of obesity. The National Center for Educational Statistics selected a nationally representative cohort using probability sampling. Children who were starting kindergarten in the fall semester of 1998 were followed up until they reached the eight grade for data collection; cumulative incidence shows the 9-year risk of obesity. Variables were selected such as height, weight, parent-reported age, sex, race, ethnic group, socioeconomic status, and birth weight. Study showed that although the prevalence of obesity increased with age, incident obesity was highest at the youngest ages and declined through eighth grade. The lowest cumulative incidence according to socioeconomic factors was among children from wealthy families and the highest was among children from the middle socioeconomic quintile. Importance of Article: Childhood Obesity is an important concern for the community and this article does a great job detailing why. Childhood Obesity affects more than 30 percent of children, making it the most common chronic disorder for children. Today, more and more children are being diagnosed with diabetes...
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...Disease Classification Structures Health care information systems cover a wide range of issues dealing with the supervision and use of biomedical information. Health information systems are central support tools in the administration of health care services. An acceptable health information system is important not only for evaluating the health needs of populations but also for preparation and for application of health interventions. It is equally imperative in the assessment of programs. The goal of information systems is to create an appropriate working environment. This is done by providing initial and going training, allocating resources, and by managing unintended consequences (Wager, Lee & Glaser, 2009). This summary will examine disease classification information structures necessary for reimbursement and epidemiological data collection. Discussions will describe disease classification, analyze reasons why it was selected, and explain how it is applicable to work, review the benefits of the systems and also discuss the negative draw backs of the system. To begin discussions will focus on defining disease classification structures. Disease Classification Structures Disease classification structures are essential to health care. The International Classification of Disease Ninth Revision (ICD-9) is a classification system developed by the World Health Organization (WHO) to categorize diseases. ICD-9 collects data on disease and in the United States the ICD-9...
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...Clostridium the most common food-borne diseases worldwide resulting from the contamination food. It is one of the most common causes of reported food-borne diseases in the United States. Although several Staphylococcal enterotoxins (SEs) have been identified, SEA, a highly heat-stable SE, is the most common cause of SFD worldwide. Outbreak investigations have found that improper food handling practices in the retail industry account for the majority of SFD outbreaks. However, several studies have documented prevalence of S. aureus in many food products including raw retail meat indicating that consumers are at potential risk of S. aureus colonization and subsequent infection. Presence of pathogens in food products imposes potential hazard for consumers and causes grave economic loss and loss in human productivity via food-borne disease. Symptoms of SFD include nausea, vomiting, and abdominal cramps with or without diarrhea. Preventive measures include safe food handling and processing practice, maintaining cold chain, adequate cleaning and disinfection of equipment, prevention of cross-contamination in home and kitchen, and prevention of contamination from farm to fork. This paper provides a brief overview of SFD, contributing factors, risk that it imposes to the consumers, current research gaps, and preventive measures. Clostridium difficile was first described as part of the normal microbiota in stool samples from healthy infants in 1935 (59)...
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...Assignment 1: Issues in Public Health- Nosocomial Infections Nosocomial infections are defined simply as hospital-acquired infections. These infections are not present initially and typically occur within 48 hours of a patient’s admission, within 3 days of discharge or approximately 30 days after an operation. (Inweregbu, Dave & Pittard, 2005) Not just in the United States, but also globally, such infections are rising significantly with no solutions available currently. And, though it is exceedingly difficult to gather reliable information, especially within smaller countries, it has been shown that hundreds of millions of individuals are impacted by such infections each year. Nosocomial infections are an endemic globally with high incidence in both developed and undeveloped countries. Such infections are particularly pertinent in both ICU and NICU patients. In America, it is typical to find that 4.5% of patients will fall ill to such infections when taking the entire population into consideration. European countries see a prevalence rate of approximately 7.1% when considering the population as a whole. These rates will become higher when looking at a sample such as the ICU or NICU where rate of infection can range from 30%-51%, taking into consideration, the longer the stay the greater the risk. (World Health Organization) However, when considering the low and middle-income populations of underdeveloped countries, these rates are considerably higher. It is estimated...
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...Agricultural Research Priority : Vision- 2030 and beyond Sub-sector: Livestock Professor Dr. A.M.M. Tareque And Dr. Shah Md. Ziqrul Haq Chowdhury Bangladesh Agricultural Research Council Farmgate, Dhaka April 2010 Research Priority in Agriculture and Vision Document-2030 and beyond Table of Contents Sl. No. 1 2 3 4 Subject Methodology/Work plan Terms of Reference (TOR) of the Group Leader Executive Summary Vision Document 2030 and beyond: Livestock Research in Bangladesh Background Review of the past Plans Targets: Achievable goals of livestock sub-sector under Vision 2021; Bangladesh for Resolution of Crisis and a Prosperous Future” Problems/Constraints Research Areas Commodity wise Research Priority Large Ruminants (Cattle and Buffalo) Small Ruminants (Goat and Sheep) Poultry Common to livestock health and production Hill Research Conclusion References Page No. 2 2 3 5 5 6 7 5 11 13 8 9 10 11 12 13 14 15 16 17 13 15 18 19 24 27 30 31 33 33 1 Research Priority in Agriculture and Vision Document-2030 and beyond Methodology/Work plan Twelve Experts Team have been formed in BARC in connection with the preparation of Vision Document–2030 and beyond vide letter No.ARC/P&E/103/2008/1540, dt. 29-10-09. Livestock Sub-sector group composed of Professor Dr. A.M.M. Tareque, as Group Leader and Dr. Shah Md. Ziqrul Haq Chowdhury, CSO (Livestock), BARC, as Member-Secretary. The work started with the convening of a day long workshop on SPGR priority setting...
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