How many cases of gastroenteritis are estimated to have occurredworld-wide last year (if it is early in the year and the statisticsare not yet available, then state the previous year and itsstatistics)?
How many cases of gastroenteritis are estimated to have occurredworld-wide last year (if it is early in the year and the statisticsare not yet available, then state the previous year and itsstatistics)?
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You are the public health official! Review the following casestudy and discuss how you should proceed as anepidemiologist.
Case study: Over 30 children younger than three years of agedeveloped gastroenteritis after visiting a local water park. Thesecases represented 44% of the park visitors in this age group on theday in question. Older individuals were not affected. The causativeagent was determined to be a member of the bacterial genusShigella. The disease resulted from oral transmission to thechildren.
Based only on the information given, can you classify this outbreakas an epidemic? Why or why not? If you were an epidemiologist, howwould you go about determining which pools in the water park werecontaminated?
MEDICAL HISTORY (Hx)
The patient is a female, age 19. She was admitted to the hospital for prolonged diarrhea. The patient is an anthropology major attending school in Madison, WI. She is in a monogamous relationship and is sexually active. She is allergic to wasp and bee venom. She has a family history of Alzheimerâs disease. She lives with one roommate in student housing. She does not own any pets herself; however, she often cares for her roommateâs turtle (a red-eared slider). Over her most recent spring break, she took several short trips. First, she and her boyfriend went camping in the woods for a night. A few days later, she and her roommate spent six days in Cancun, Mexico, with several other friends. During the last few days of her trip, she began to feel unusually tired and occasionally nauseous, with abdominal cramping and increased flatulence. Following her return to the US, the frequency of her bowel movements increased from roughly once every day, to an average of four times a day. Also, her bowel movements have become loose, off-colored (pale), and occasionally watery. She has lost roughly 5 lbs since returning from her trip. Neither her roommate nor boyfriend has shown any signs of illness.
Select all conditions that could reasonably apply to your patient.
shigellosis |
salmonellosis |
typhoid fever |
cholera or noncholera Vibrio infection |
a form of bacterial gastroenteritis or bacterial-associated diarrhea |
Helicobacter peptic ulcer disease |
mumps |
a form of hepatitis |
viral gastroenteritis |
mycotoxin or aflatoxin poisoning |
giardiasis |
cryptosporidiosis |
Cyclospora diarrheal infection |
amoebic dysentery |
tapeworms |
hydatid disease |
nematode infection |