"Jill Gallin,"
Jill Gallin, CPNP
Assistant Professor of Clinical Nursing

Definitions

Recent Epidemics in the United States

DefinitionsNumbers and Rates

3 Important Kinds of Rates

3 Important Types of Rates

Crude & Specific Rates

Reporting Births, Deaths, & Diseases

Sources of Standardized Data
U.S. Census
conducted every 10 years, enumeration of population
Statistical Abstract of the U.S.
statistics on social, political, & economic organization
Vital Statistics
statistical summaries of records of major life events

Sources of Standardized Data
Morbidity & Mortality Weekly Reports (MMWR)
lists cases of notifiable diseases in the U.S.
National Health Surveys
health interviews of people
clinical tests, measurement, and physical examinations
survey of places where people receive medical care
NHIS   NHANES   BRFSS    YBRS    NHCS

Standardized Measurements of Health Status
Mortality Statistics
Life Expectancy
Years of Potential Life Lost
Disability-Adjusted Life years
Disability-Adjusted Life ExpectancyEpidemiological Study MeasuresEpidemiological StudiesEpidemiological StudiesEpidemiological Studies

Types of Diseases        Examples

Causative Agents for Diseases & InjuriesCommunicable Disease Model

Chain of Infection

Chain of Infection

Chain of Infection
is the habitat in which an infectious agent normally lives & grows
Human:  symptomatic  or  asymptomatic
Animal:  called zoonoses
Environmental:  plants, soil, and water

Chain of Infection
is the path by which an agent leaves the source host

Chain of Infection
Modes of Transmission
       Direct
            - Direct contact
            - Droplet spread
       Indirect
            - Airborne
            - Vehicleborne
            - Vectorborne

Chain of Infection

Chain of Infection

Noncommunicable Disease Model

Noncommunicable Disease Model

Noncommunicable Disease Model

Prioritizing Prevention & Control Efforts
Leading Causes of Death
Years of Potential Life Lost
Economic Cost to Society

Prevention, Intervention, Control, and Eradication of Diseases
Prevention
primary
secondary
tertiary
Intervention
which is defined as taking of action during an event
Control
general term used in the containment of disease
Eradication
total elimination of the disease

Levels of Prevention
Primary Prevention
is the forestalling of the onset of illness or injury during the pre-pathogenesis period (before the disease process begins)
Secondary Prevention
is the early diagnosis and prompt treatment of diseases before the disease becomes advanced and disability becomes severe
Tertiary Prevention
 is to retrain, reeducate, and rehabilitate the patient who has already incurred disability