Notes for Public Health GI Geography migration and disease burden Disease burden concept, measurement, pattern, Use

e and prob of routine health data Geographical variation of disease Assess health impact of disease on pop. Level monitor risk (health), compare health loss due to diff risk and disease, guide policies and strategies (in health and other sector), support decision on priority actions, estimate changes in disease burden and avoidable diseas burden, analyze cost-effectiveness of intervention. Assess measure health event Fatal = mortality, non fatal event = hosp. care, primary care; fatal + non-fatal = QALY (quality adjusted life yrs) and DALY (disability adjusted life yrs) Mortality rate= measure of no. of death in a pop. Scaled to size of pop per unit time. (deaths per 1000 ppl per year) Crude death rate = total no. of deaths per year per 1000 pop at risk of dying in the middle of the year (early / later = more variable pop size), not consider death cause, Specific mortality rate age specific, sex specific (rate of death occurring subgroup of the pop, crude rate inadequate to describe conditions which are heavily loaded at the extremes of life. Cause / disease specific death rate of individual causes of death. Standardized rates? Measures of Morbidity Healthcare utilization data (hospital based data, primary care data), surveillance data, registration of disease (eg CA registry), pop. Based health info (health surveys) Measure disease occurrence: Incidence rate new events occur in pop. Measure rate of occurrence of new cases. Incidence count Incidence risk = proportion: [new cases in specified time period / pop. size under consideration (initially disease free)] Incidence rate = rate (no. of case per 100000 person year Prevalence = proportion of ppl in a pop who have the disease at a specified time.

Notes for E