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Principios de Epidemiologia. CDC.

Principios de Epidemiologia. CDC.

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Principios de Epidemiologia. Centros para el Control de Enfermedades. CDC. USA.
Principios de Epidemiologia. Centros para el Control de Enfermedades. CDC. USA.

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Published by: adalbertop on May 11, 2009
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Principles of Epidemiology
SELF-STUDY
Course SS1000
in Public Health Practice
Third Edition
An Introduction
to Applied Epidemiology and Biostatistics
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention (CDC)
Office of Workforce and Career Development
Atlanta, GA 30333

I ntroduction
Page ii
CONTENTS
Acknowledgments................................................................................................................v
Introduction...................................................................................................................... viii
Lesson One: Introduction to Epidemiology

Lesson Introduction......................................................................................................... 1-1 Lesson Objectives............................................................................................................ 1-1 Major Sections

Definition of Epidemiology....................................................................................... 1-2
Historical Evolution of Epidemiology....................................................................... 1-7
Uses.......................................................................................................................... 1-12
Core Epidemiologic Functions................................................................................ 1-15
The Epidemiologic Approach.................................................................................. 1-21
Descriptive Epidemiology....................................................................................... 1-31
Analytic Epidemiology............................................................................................ 1-46
Concepts of Disease Occurrence............................................................................. 1-52
Natural History and Spectrum of Disease................................................................ 1-59
Chain of Infection.................................................................................................... 1-62
Epidemic Disease Occurrence................................................................................. 1-72
Summary.................................................................................................................. 1-80
Exercise Answers........................................................................................................... 1-81
Self-Assessment Quiz.................................................................................................... 1-85
Answers to Self-Assessment Quiz................................................................................. 1-90
References...................................................................................................................... 1-93

Lesson Two: Summarizing Data

Lesson Introduction......................................................................................................... 2-1 Lesson Objectives............................................................................................................ 2-1 Major Sections

Organizing Data......................................................................................................... 2-2
Types of Variables..................................................................................................... 2-3
Frequency Distributions............................................................................................. 2-6
Properties of Frequency Distributions..................................................................... 2-10
Methods for Summarizing Data............................................................................... 2-14
Measures of Central Location.................................................................................. 2-15
Measures of Spread.................................................................................................. 2-35
Choosing the Right Measure of Central Location and Spread................................ 2-52
Summary.................................................................................................................. 2-58
Exercise Answers........................................................................................................... 2-59
Self-Assessment Quiz.................................................................................................... 2-65
Answers to Self-Assessment Quiz................................................................................. 2-70
References...................................................................................................................... 2-72

I ntroduction
Page iii
Lesson Three: Measures of Risk

Lesson Introduction......................................................................................................... 3-1 Lesson Objectives............................................................................................................ 3-1 Major Sections

Frequency Measures.................................................................................................. 3-2
Morbidity Frequency Measures............................................................................... 3-10
Mortality Frequency Measures................................................................................ 3-20
Natality (Birth) Measures........................................................................................ 3-38
Measures of Association.......................................................................................... 3-38
Measures of Public Health Impact........................................................................... 3-47
Summary.................................................................................................................. 3-50
Exercise Answers........................................................................................................... 3-51
Self-Assessment Quiz.................................................................................................... 3-55
Answers to Self-Assessment Quiz................................................................................. 3-61
References...................................................................................................................... 3-64

Lesson Four: Displaying Public Health Data

Lesson Introduction......................................................................................................... 4-1 Lesson Objectives............................................................................................................ 4-1 Major Sections

Introduction to Tables and Graphs............................................................................. 4-2
Tables......................................................................................................................... 4-3
Graphs...................................................................................................................... 4-22
Other Data Displays................................................................................................. 4-42
Using Computer Technology................................................................................... 4-63
Summary.................................................................................................................. 4-66
Exercise Answers........................................................................................................... 4-72
Self-Assessment Quiz.................................................................................................... 4-80
Answers to Self-Assessment Quiz................................................................................. 4-85
References...................................................................................................................... 4-88

Lesson Five: Public Health Surveillance
Lesson Introduction......................................................................................................... 5-1
Lesson Objectives............................................................................................................ 5-1

Major Sections
Introduction................................................................................................................ 5-2
Purpose and Characteristics of Public Health Surveillance....................................... 5-3
Identifying Health Problems for Surveillance........................................................... 5-4
Identifying or Collecting Data for Surveillance....................................................... 5-11
Analyzing and Interpreting Data.............................................................................. 5-21
Disseminating Data and Interpretation.................................................................... 5-32
Evaluating and Improving Surveillance................................................................... 5-36
Summary.................................................................................................................. 5-40
Appendix A. Characteristics of Well-Conducted Surveillance............................. 5-41

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