Professional Documents
Culture Documents
TOOLS OF MEASUREMENT
Utilities a) most readily available data b) monitoring occurrence of important infectious disease and outbreaks c) administrative purposes i) indicate load of illness ii) estimate resources needed
Ratio
Proportion
Rates
Used to : a) Characterize population b) Describe morbidity morbidity, mortality & fertility c) Measures occurrence of an event Value of NUMERATOR Ratio in whic in a population over time NOT INCLUDED in NUMERATOR INCLUDED Cases x 10n denominator IN DENOMINATOR Population at risk
MEASUREMENT OF
Morbidity
Mortality
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MEASURE OF MORBIDITTY
Definition of morbidity Departure from a state of physical or psychological well-being, resulting from disease, illness, injury or sickness, specially where the affected individual is aware of his or her condition
Terms of measurement
Uses a) describe disease load in the community to assist establishment of priorities b) provide more comprehensive & accurate & clinically relevant information for basic research c) starting point for etiological study for disease prevention d) monitoring & evaluation of disease control activkities
Commonly used
Number of persons
Illness experienced
Duration
Incidence rate
Attack rate
Prevalence rate
Recovery rate
Point prevalence
Period prevalence
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MEASURE OF MORTALITY
Definition of mortality rate Measure of frequency of occurrence of death in a defined population during a specified interval.
deaths population
x 10n
Uses a) explaining trends in overall mortality b) indicating priorities for health action & allocation of resources c) designing intervention programmes d) assessment & monitoring of public health problems & programmes
Commonly used
Crude death rate -Not a sensitive indicator -from all cases of deaths
Sex specific death rate Maternal mortality ratio Mortality associated with pregnancy, delivery & puerperium
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DESCRIPTIVE STUDIES
ANALYTICAL STUDIES
Individual-based
Case-control
Case series
Cross-sectional
Prospective
Retrospective
Descriptive Studies on frequency& distribution of known& possible of known& posible causes of disease in populations 1)provide information on the frequency of health states&possible causes 2)planning health promotion 3)planning health services & preventions Population Correlation Case report Individual-based Case Cross sectional series
Analytical strength of association between diseases& other factors with particular emphasis or whether such associations are causal
uses
types
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DESCRIPTIVE EPIDEMIOLOGY
USES
Information answered
PERSON
PLACE
TIME
Age
Sex
Marital status
Occupation
Social class
Behaviour
Religion
Ethnic group
International variations Eg: Breast cancer -Highest rate, Western countries -Lowest rate, Japan
Rural / urban variations Common in urban -chronic bronchitis, accidents, lung cancer, CVS disease, mental illness Common in rural -zoonotic diseases, snail transmitted helminths, bilharziasis -fertility&death rates esp infant&maternal mortality May be due to differences in: -population density -social class -quality of medical care -levels of sanitation -education & environmental factors
Local variations Eg: filth diseases, rheumatic fever, tb, scabies, nutritional deficiency diseases is higher in slummy areas of city
Propagated/ contagious
General characteristics peculiar to place 1) high frequency rates observed in all ethnics groups in the area 2) high frequency rates not observed in persons of similar background who not living in this area 3)healthy persons entering the area become ill with similar frequency those living there 4) inhabitants who leave the area do not show high rates of disease
Seasonal variations -URT infections in winter -GIT infections in summer dt i) warm wather ii) rapid multification of flies
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The study of distribution and determinants of diseases and health-related states or events in specified populations, and the application of this study to the prevention & control of diseases & other health problems
INTRODUCTION TO EPIDEMIOLOGY
SOURCES
study
specified population
Population statitistics
Vital records
Disease Register
Morbidity surveys
Record Linkage
Population census
Population estimates
Birth registration
Death registration
International
National
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