HESA 5320 Lecture Notes - Lecture 1: Smoking Cessation, Cholera, Nicotine Patch
14 Jan 2018
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Document Summary
What is epidemiology: measuring distribution of disease in populations, measuring determinants towards the causes. Informing the development of interventions and assessing their effects, to prevent or reduce disease and improve health. Managerial epidemiology application of epidemiological methods to questions of interest to health services administrators and policy makers; supports evidence- informed decision-making. 9 transitions with public health implications: demographic, epidemiological, urban, energy, economic, nutrition, biological, cultural, democratic. Greatest burden of disease tends to be smoking, poor diet, lack of exercise, etc. Epidemiologic triad: environment (climate, housing, healthcare settings, travel, agent (viruses, bacteria, fungi, parasites, host (human, animal, all interlinked with disease* Individual disease prevention: smoking cessation (e. g. nicotine patch: population disease prevention: cessation infrastructure, fewer new smokers; reduce exposures/opportunities, health promotion: comprehensive tobacco control. Rose"s curve intervening to shift and squish: shifting the whole population into a lower risk category benefits more individuals than shifting high risk individuals into a lower risk category.
