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Tutorial 1: Patterns of Disease – Descriptive Epidemiology PLEASE DO NOT WRITE ON THIS QUESTION SHEET 1. In the early stages of a demographic transition, fertility rates are high and mortality rates are low. a. True b. False 2. The epidemiological transition describes the change in disease from high rates of communicable diseases and low rates of non-communicable diseases to low rates of communicable diseases and high rates of non-communicable diseases. a. True b. False 3. Which of the following statements about surveillance is correct. a. Active surveillance is not resource intensive b. Hospital discharge data is incomplete and may provide inaccurate information. c. Surveillance data provides a complete and accurate record of the disease burden in society. d. Surveillance is an epidemiological study design. Continued on the other side of the page . . . The figure above shows data on the incidence and mortality rates of malignant melanoma (a type of cancer) of the skin in New Zealand. The rates in the figure were calculated using information from the New Zealand Cancer Registry, along with population data. 4. Which of the following statements is correct? a. In 1969 the age standardised mortality rates of melanoma were the same for males and females. b. In 1988 the age standardised incidence rates of melanoma for females was approximately 33 per 100,000. c. In 1978 the age standardised incidence rate of melanoma for females was approximately 14 per 100,000. d. In 1983 the age standardised mortality rate of melanoma for males was approximately 16 per 100,000. 5. Which of the following statements is correct? a. Data monitored by the New Zealand Cancer Registry is sentinel surveillance b. The ageing population in New Zealand explains the increase in incidence of melanoma c. The figure shows that Maori have higher incidence rates of melanoma than non-Maori d. The rates of melanoma are increasing due to the increase in population size in New Zealand over time e. Incidence rates of melanoma in New Zealand are consistently higher than mortality rates