Epi Dermi Ology
Epi Dermi Ology
Epi Dermi Ology
Girish Patel, Nabila okanga ,keola MD 1 Epidemiology and biostatics Dr. Kumar Sukhraj
Epidemic Epidemics are defined as the occurrence of cases in excess of what is normally expected in a community or region.
HOW TO IDENTIFY
The number of cases needed to define an epidemic varies according to the agent, the size, type and susceptibility of population exposed, and the time and place of occurrence. The identification of an epidemic also depends on the usual frequency of the disease in the area among the specified population during the same season of the year.
CAUSES
Increased virulence Introduction into a novel setting Changes in host susceptibility to the infectious agent
TYPES
POINT SOURCE OUTBREAK affected individuals had an exposure to a common agent. affected individuals develop the disease over a single exposure and incubation course EXAMPLE- cholera
Propagated outbreak The disease spreads person-to-person. Affected individuals may become independent reservoirs leading to further exposures
Example--SARS was first recognized as a global threat in March 2003. It spread rapidly to 26 countries, affecting adult men and women, with a fifth of all cases occurring among health-care workers
Endemic
An infection is said to be endemic in a population when that infection is maintained in the population without the need for external inputs. example, chickenpox is endemic (steady state) in the UK but malaria is not.
Pandemic
Definition--'an epidemic occurring worldwide, or over a very wide area, crossing international boundaries and usually affecting a large number of people. Pandemic should be infectious because A disease or condition is not a pandemic merely because it is widespread or kills many people. E.g. Cancer Some example of pandemic disease are typhus, cholera, Influenza, malaria, yellow fever, tuberculosis,
Phase 5: Spread of disease between humans is occurring in more than one country of one WHO region. Phase 6: Community-level outbreaks are in at least one additional country in a different WHO region from phase 5. A global pandemic is under way.