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General issues of Vaccine
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General issues of Tropical med.
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General issues of Travel med.
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Trematode (fluke, distoma)
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definition of outbreak by CDC
what to do when to investigate an outbreak
- Prepare for field work
- Establish the existence of an outbreak
- Verify the diagnosis
- Construct a working case definition
- Find cases systematically and record information
- Perform descriptive epidemiology
- Develop hypotheses
- Evaluate hypotheses epidemiologically
- As necessary, reconsider, refine, and re-evaluate hypotheses
- Compare and reconcile with laboratory and/or environmental studies
- Implement control and prevention measures
- Initiate or maintain surveillance
- Communicate findings
second attack rate (SAR)
- proportion of individuals who are exposed to an infectious agent who become ill
[math]\displaystyle{ SAR=\frac{number_of_becoming_ill}{number_of_exposed} }[/math]
reproduction number
basic reproduction number
- average number of secondary cases caused by a single primary case in a fully susceptible population
effective reproduction number
- actual number of secondary cases per single primary case
time course
- incubation period
- followed by symptomatic p.
- symptomatic p.
- latent (pre-infectious) p.
- followed by infectious p.
- infectious p.
- serial interval
- time from illness onset of primary case to illness onset of secondary case caused by primary case
- generation time
- time from infection of primary case to /u>infection of secondary case caused by primary case
SIR model
- S = susceptible
- I = infected
- R = recovered
- β = transmission coefficient (S→I)
- γ = recovery rate (I→R)