SOLUTIONS
• Reportable "notifiable" diseases:
o Certain diseases, mostly infectious diseases, is required by law
to be reported as soon as they are diagnosed.
o Federal level - 60 diseases are notifiable by law. Some
examples are: Tuberculosis, measles, syphilis, etc. (complete
table on page 51-53 Table 4-2)
o Some states require additional reporting of other infectious
diseases (MA requires providers to report food poisonings and
toxicities-including mushroom toxicities, paralytic shellfish)
o List two other reportable
conditions:________________________ and
_________________________ that states may require a
provider to report
o What infectious disease is currently in the news that would be
considered a reportable disease _________________________
o Physicians, hospitals and clinical laboratories report these
illnesses to the local health department who in turn reports them
to the: ______________________ and ________________
Correct Answers Birth Defects
Cancer
Ebola
State Health Department
CDC
,Are case-control studies more efficient then Cohort Studies?
Why? Downfalls compared to cohort study?
How are these studies preformed? Correct Answers More
efficient then cohort Study because short amount of time to
complete up lease accurate than cohort.
These studies use a RETROSPECTIVE study method.
Investigators start with people that ALREADY have the disease
(cases) and looks back to determine exposure to
suspected/Hypothesized cause of diease.
CDC 1999 top ten list of public health achievements of the 20th
century
What are they?
What advancements led to these achievements? Correct
Answers -Routine use of vaccinations
-Improvements in motor vehicle safety
-Safer workplaces
-Control of infectious diseases
-Decline in deaths from cardiovascular disease
-Safer and healthier foods
-Healthier mothers and babies
-Access to family planning and contraceptive services
-Fluoridation of drinking water
-Positive trends in tobacco use
,Challenges for the twenty-first century Correct Answers
Renewed threats from infectious diseases
-Antibiotic resistance
-Foodborne pathogens
-Climate changes caused by overpopulation and economic
development
-Rising costs of medical care for the aging population
-Alcohol and illicit drug use
-Increasing prevalence of obesity
Cutbacks in resources and support for preventive activities
-The trend to cure/treat health problems rather than prevent them
Disparities in health care (access, quality)
-The necessity to coordinate public health efforts at various
levels of government, to develop public-private partnerships in
communities and to undertake strategic planning aimed at
achieving goals and objectives
Weaknesses in public health infrastructure revealed by events of
-9/11
-Workforce
-Information systems
-Laboratories
Organizational capacity
CHAPTER 1: PUBLIC HEALTH- Science, Politics, and
Prevention Correct Answers Objectives
-What is public health (PH)
- 3 core functions of PH
-Difference between PH and medical care
- The science and political of PH
, -6 disciplines of PH
-Prevention and intervention
5- step approach, 3 levels of prevention, chain of causation.
CHAPTER 2: WHY IS PUBLIC HEALTH
CONTROVERSIAL? Correct Answers Know difference
between social justice and market justice
Sources of controversy
-Economic
-individual liberty
-moral and religious concerns
-political interference with science
Chapter 3 Correct Answers Objectives - Understand and define
The role of government in public health in the United States
- Federal vs State vs Local Authority
How the law works : Federal, State and Local
How public health is organized and paid for in the United
States : Federal, State and Local
Nongovernmental role in public health
Determined by law
Government's public health activities must be authorized by
legislation at the federal, state, or local levels
The body of public health law is huge, consisting of all written
statements relating to health by any of the three branches of
government
Chapter 4- Epidemiology: The Basic Science of Public Health
Correct Answers Objectives:
• Define epidemiology