Pandemic - answera global epidemic of disease that spreads to more than one
continent
Outbreak - answerthe occurrence of disease in excess of what would normally be
expected in a community, location, or time of year. May last a matter of days, weeks, or
years
Quarantine - answerThe separation and restriction of people who were exposed to
contagious disease to see whether they become ill
Isolation - answerseperation of sick people from those who are not ill
Disaster epidemiology - answerthe use of epidemiology to assess short- and long- term
health effects of disasters. Predict consequences of of future disasters.
Brings together various topic areas of epidemiology including acute, communicable
disease, environmental health, occupational health, chronic disease, injury, mental
health, and behavioral health
What causes new strains/outbreaks of disease - answerAntigenic Drift & Antigentic Shift
Antigenic Drift - answerSMALL CHANGES (mutations) in the genes of a virus that can
lead to surface protein changes
-happen continually over time as virus replicates
-Why people can get a virus (flu) more than once and why vaccines have to be updated
Antigenic Shift - answerAbrupt, MAJOR CHANGES in a virus, resulting in new surface
proteins that may affect humans
-happens less than the drift
-example: virus from an animal population now gains the ability to infect humans
Type A viruses - answerundergo both antigenic drift and shift
the only flu viruses known to cause PANDEMICS
Type B viruses - answerchange only by the more gradual process of antigenic shift
, Preparation and Actions for future Pandemics - answerCDC will request the public and
healthcare provides to decrease the spread of disease through isolation, closing
schools, and distance
-GOALS: maximize safety, meet basics of care, plan & education in place for infection
control
Pandemic Severity Index - answerCategory 1 (least deaths)-5 (most deaths) , based on
case fatality ratio
Implicit Bias - answerthoughts and feelings that we are unaware of or mistaken about
having a preference of aversion to a group of people
having an attitude towards people or associating with stereotypes without conscious
knowledge
unintended bias
Accommodation - answerto create an environment that accommodates health practices
and ritual from other cultures within a plan of care
Acculturation - answerDegree to which an individual from one culture has given up the
traits of that culture and adopted the traits of the dominant culture where they live
Assimilation - answerthe social, environments, and political integration of a cultural
group into a mainstream society to where they have emigrated
Cultural Competence - answerrespect for, and understanding of, diverse ethnic, and
cultural groups, their histories, traditions, beliefs, and value systems
Five Constructs of Cultural Competence - answer1. Cultural awareness
2. Cultural humility
3. Cultural knowledge
4. Cultural skill
5. Cultural desire
Cultural awareness - answerself-examination of one's own prejudices and biases
toward other cultures. An in-depth exploration of one's own cultural/ethnic background
Cultural Humility - answerA lifelong commitment to self-evaluation and self-critiques,
redressing the power of imbalances in patient-physician dynamic, developing mutually
beneficial relationships
Cultural knowledge - answerAn educational foundation around the various worldviews
of different cultures.
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