Introduction to epidemiology and public health
LO: Describe the various sources of epidemiological data and the ways in which these data are used
Epidemiology
- Study of distribution and determinants of diseases among populations
- Used to plan and evaluate strategies to prevent illness and as a guide to the management of patients in whom disease has already developed
- Frequency and pattern of health events in a population
Mortality rate - frequency of occurrence of death in a defined population during a specified interval
Case fatality - deaths assigned to a specific cause during a given time interval, relative to total number of cases
Endemic - habitual presence of a disease within a given geographical area
Outbreak - sudden increase in occurrence of a disease
Epidemic - serious outbreak in a single community, population or region
Pandemic - epidemic which is spreading around the world
Collection of data
- Describe the burden/potential for disease
- Monitor changes in disease prevalence over time
- Detect sudden changes in disease occurrence
- Collect cause of death data - autopsy
Sources of data
- Birth/death certificates
- Census records
- Medical records
- Disease registries
- Insurance claims
- Surveys of individuals
- Public health department case reports
International classification of diseases (ICD)
- Common classification system
- Foundation for the identification of health trends and statistics globally
- Reporting diseases and health conditions
- Easy storage, retrieval and analysis of health information for evidence-based decision-making
- Sharing/comparing health information between hospitals, regions, settings and countries
- Data comparisons in the same location across different time periods
The global burden of disease (GBD)
- Most comprehensive worldwide observational epidemiological study to date
- Describes mortality and morbidity from major diseases, injuries and risk factors to health at global, regional and national levels
Public health
- Science of art of preventing disease through the organised efforts and informed choices of society, organisations and individuals
flowchart LR Problem --> A[Risk and preventive factors] A --> B[Develop and test prevention strategies] B --> C[Assure widespread adoption]