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CONTENT
7. Your Seminar
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NBHS 2332 Epidemiology
INTRODUCTION TO YOUR
PROGRAMME
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NBHS 2332 Epidemiology
Dear students,
This learning kit is one of the available learning kits that will guide you throughout
your learning adventure in this Bachelor of Medical and Health Sciences (BMHS)
programme. Take this learning kit as your guide and companion throughout this
module. Congratulations on your admission to this course!
Epidemiology is the study of the distribution and determinants of diseases and health
related events in specified populations. Students will generally study the spread of
diseases among humans using basic methods for infectious disease epidemiology while
planning for effective preventive and control measures.
This epidemiology module will prepare you with the basic science of public health that
you will need in your career as a future healthcare professional.
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NBHS 2332 Epidemiology
INTRODUCTION TO YOUR
LEARNING KIT
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NBHS 2332 Epidemiology
7. Your Seminars
(Seminar 1 – 4)
Seminars inclusive of lectures, tutorials, quizzes as well as audio-visual
materials (YouTube links) that maybe helpful to you to get the gist and
better understanding of each topic in this module.
Self-preparation prior attending to these seminars is strongly encouraged.
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NBHS 2332 Epidemiology
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NBHS 2332 Epidemiology
Dear students,
FACILITATOR
Email : nurhan_norris@oum.edu.my
Contact number :
INTRODUCTION:
The students are expected to attain further knowledge and in-depth understanding
through reading the suggested textbooks and recommended websites.
COURSE PURPOSE
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NBHS 2332 Epidemiology
As a result of successful completion of this course, the students will be able to:
CLO 2 Analyse the occurrence and causes of diseases affecting the human
population.
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NBHS 2332 Epidemiology
4 TB Epidemiology
Influenza: Virus and Disease, Epidemics and
Pandemics
CNS Viral Infections
6 STD Epidemiology
The Epidemiology of Hepatitis A, B, C, D and E
Infections
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NBHS 2332 Epidemiology
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NBHS 2332 Epidemiology
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NBHS 2332 Epidemiology
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NBHS 2332 Epidemiology
Dear students,
It gives you an overall picture of all the topics that you are going to explore for each
seminar. There will be four (4) seminars in total. Each seminar will have lectures /
tutorials, forum / group presentation and round table discussion related to the assigned
topics.
Seminar 2 Topic 2:
Modeling of Infectious
Disease
Vaccines - Impact,
Issues, and Challenges
Disease Eradication
Topic 3:
Nutrition &
Infection in
Developing
World
Epidemiology of
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NBHS 2332 Epidemiology
Diarrhoeal
Diseases
Seminar 3 Topic 4:
TB Epidemiology
Influenza: Virus and
Disease, Epidemics and
Pandemics
CNS Viral Infections Lectures, tutorials,
forum and group
Seminar 4 Topic 5: discussion
Meningococcal (via face to face
Disease: Global and online)
Problem, Local
Solutions
Epidemiology and
Control of Malaria
Topic 6:
Sexually Transmitted
Disease (STD) Epidemiology
Epidemiology of Hepatitis
A, B, C, D and E Infections
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NBHS 2332 Epidemiology
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NBHS 2332 Epidemiology
Dear students,
Please refer to the COURSES MENU in the myINSPIRE for the assignment questions.
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NBHS 2332 Epidemiology
SEMINAR 1
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NBHS 2332 Epidemiology
Dear students,
Welcome to Seminar 1.
The followings are the topics that will be discussed in this seminar.
Ice breaking
Introduction to course
Discussion on assignment
Overview of Microbiology;
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NBHS 2332 Epidemiology
Think
Epidemiological study searches for answers on how diseases spread over time, person
and place. Besides identifying the cause of the disease, we want to know what relevant
risk factors that contribute to disease development in some people but not in the others?
For infectious diseases, how do the diseases transmit from one person to another and
how risk behaviours can give rise to the disease incidence?
Prerequisite Reading
1. Celentano, D. D., Szklo, M. (2019). Gordis Epidemiology (Sixth edition). Elsevier
2. Heymann, D. L. (2014). Control of Communicable Diseases Manual (20th edition).
American Public Health Association.
3. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7176237/
Group Task
1. List and elaborate objectives of epidemiology.
2. Discuss the different types of communicable diseases and their importance.
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NBHS 2332 Epidemiology
Learning Outcomes
Think
Humans are exposed to numerous types of potential infectious agents such as bacteria,
viruses, parasites, fungi etc. in their daily lives. Vulnerable populations such as
children, the elderly and the immunocompromised particularly have higher risk of
contracting the infection with serious complications and death. How do we balance
between vulnerability and resilience within individuals and communities so that the
disease does not spread further causing an outbreak?
Prerequisite Reading
1. Webb, P., Bain, C., & Page, A. (2017). Essential epidemiology: an introduction for
students and health professionals (Thirdedition). Cambridge University Press.
2. Celentano, D. D., Szklo, M. (2019). Gordis Epidemiology (Sixth edition). Elsevier.
3. https://www.ncbi.nlm.nih.gov/books/NBK20370/
4. https://www.who.int/bulletin/volumes/83/10/792.pdf
Group Task
1. Discuss the different types of pathogens that contributed to major outbreaks in human
history and their lessons learnt.
2. Identify and discuss the criteria for causal association.
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SEMINAR 2
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NBHS 2332 Epidemiology
Dear students,
Welcome to Seminar 2.
The followings are the topics that will be discussed in this seminar.
Ice breaking
Introduction to course
Discussion on assignment
Disease Eradication.
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NBHS 2332 Epidemiology
Think
Ecological models of the ‘agent-host-environment’ interplay suit infectious disease
epidemiology well. Over the decades, interactions between those three important
elements have been supported by findings from epidemiological studies and laboratory
tests. However, new infectious diseases keep appearing with some of them causing
serious threat to public health. How do we modify the interaction in the ecological
model to lessen the threat and mitigate its impact?
Prerequisite Reading
1. Webb, P., Bain, C., & Page, A. (2017). Essential epidemiology: an introduction for
students and health professionals (Thirdedition). Cambridge University Press.
2. Celentano, D. D., Szklo, M. (2019). Gordis Epidemiology (Sixth edition). Elsevier
3. What Is the Epidemiologic Triangle? - Rivier Academics
Group Task
1. Present an ecological model with different types of communicable diseases.
2. Discuss on alternative interventions to modify ‘agent-host-environment’ interaction.
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NBHS 2332 Epidemiology
Learning Outcomes
Think
The extend of infectious disease in the population depends on the balance between
people who are susceptible and people who are immune against the disease. Waiting
for natural immunity to develop in the community will take time and may take place at
the expense of serious complications and deaths. In public health, vaccination is the
ultimate weapon in disease prevention, but, why there is a growing number of people
who are going against it nowadays?
Prerequisite Reading
1. Elmore, J. G., Wild, D. M. G., Nelson, H. D., Katz, D. L. (2020). Jekel’s
epidemiology, biostatistics, preventive medicine, and public health (Fifth
edition). Elsevier.
2. Celentano, D. D., Szklo, M. (2019). Gordis Epidemiology (Sixth edition). Elsevier.
3. Vaccines and immunization: What is vaccination? (who.int)
Group Task
1. Present and discuss past successful stories of vaccination in eradicating or
eliminating communicable diseases around the world.
2. Identify vaccine preventable diseases (VPD) with their listed vaccines under the
National Immunisation Program (NIP) in Malaysia and discuss the challenges in
facing anti-vaccination movement.
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NBHS 2332 Epidemiology
Think
In order to achieve goals in nutrition and health, the public need to be informed about
the issues, the risks and ways of managing them through dietary modification. In one
hand, underweight children (due to under nutrition or malnutrition) will lead to
growth retardation and low immunity which expose them to higher risk of getting
communicable diseases. On the other hand, overweight children will expose them to
risks of suffering from non-communicable diseases in the future. Advocating the
parents to strike the balance between the two for their growing children remains as a
great challenge!
Prerequisite Reading
1. Elmore, J. G., Wild, D. M. G., Nelson, H. D., Katz, D. L. (2020). Jekel’s
epidemiology, biostatistics, preventive medicine, and public health (Fifth
edition). Elsevier.
2. Celentano, D. D., Szklo, M. (2019). Gordis Epidemiology (Sixth edition). Elsevier
3. Maslow's Hierarchy of Needs | Simply Psychology
Group Task
1. Discuss Maslow’s Hierarchy of Needs and identify various nutrient deficiencies
faced by populations in different geographical conditions.
2. Present statistics of body mass index (BMI) in Malaysian children and
recommend feasible solutions to prevent obesity in childhood.
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NBHS 2332 Epidemiology
Think
Globally, diarrhoea remains as one of the leading causes of death among children under
five years old. More than one in ten children, or about 800,000 of them, died due to
diarrhoea annually. What are the gaps in public health and other sectors that had led to
this enormous problem? Sometimes, cheaper solutions can be found locally through
innovation and creativity.
Prerequisite Reading
1. UNICEF/WHO (2009). Diarrhoea: Why Children Are Still Dying and What Can
Be Done.
2. Heymann, D. L. (2014). Control of Communicable Diseases Manual (20th edition).
American Public Health Association.
3. http://www.who.int/maternal_child_adolescent/documents/9789241598415/en
Group Task
1. Present and describe a diarrhoeal outbreak case study related to water street
pumps conducted by John Snow in Soho, England in 1854.
2. Present and discuss success stories of introducing boiled rice water replacing oral
rehydration salt (ORS) in treating children with diarrhoea in the developing
countries.
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NBHS 2332 Epidemiology
SEMINAR 3
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NBHS 2332 Epidemiology
Dear students,
Welcome to Seminar 3.
The followings are the topics that will be discussed in this seminar.
Ice breaking
Introduction to course
Discussion on assignment
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NBHS 2332 Epidemiology
Learning Outcomes
Think
For many centuries, TB has plagued human races on this planet. Signs of TB disease had
been found in mummies in Egypt dated back in 3,000 – 2,400 BC. In the 18th century, TB
was flourished in the United Kingdom following an industrial revolution which led to
an increase in urbanisation, poverty and unhygienic environment that were conducive
for the propagation of TB in England and Wales. Despite medical advent today, why TB
makes a comeback?
Prerequisite Reading
1. Webb, P., Bain, C., & Page, A. (2017). Essential epidemiology: an introduction for
students and health professionals (Thirdedition). Cambridge University Press.
2. Ministry of Health Malaysia (2016). National Strategic Plan for Tuberculosis
Control (2016 – 2020).
3. https://pubmed.ncbi.nlm.nih.gov/8660016/
Group Task
1. Present and discuss important public health measures implemented in England
and Wales in the 20th century that had contributed to declining trend of TB
mortality before the introduction of TB treatment.
2. Summarise successful stories of the National TB Control Programme in Malaysia.
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NBHS 2332 Epidemiology
Learning Outcomes
Think
A zoonosis is an infectious disease that is transmitted from animals to humans and vice
versa. In fact, some 60% of emerging infectious diseases reported around the world are
zoonoses. Moreover, 75% of new human pathogens detected in the last 30 years have
originated in animals. Therefore, operating wet markets with live domestic animals and
exotic wildlife are no longer safe in the present day. Sadly, humans hardly learn from
their past mistakes.
Prerequisite Reading
1. Webb, P., Bain, C., & Page, A. (2017). Essential epidemiology: an introduction for
students and health professionals (Thirdedition). Cambridge University Press.
2. Elmore, J. G., Wild, D. M. G., Nelson, H. D., Katz, D. L. (2020). Jekel’s
epidemiology, biostatistics, preventive medicine, and public health (Fifth edition).
Elsevier.
3. http://www.cdc.gov/onehealth/basics/index.html
Group Task
1. Compare similarities and differences between 1918 Spanish Flu, Influenza
A(H1N1) 2009 and COVID-19 Pandemics?
2. Present Nipah encephalitis outbreak in Malaysia in 1998 – 1999 and discuss the
lessons learnt.
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NBHS 2332 Epidemiology
SEMINAR 4
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NBHS 2332 Epidemiology
Dear students,
Welcome to Seminar 4.
The followings are the topics that will be discussed in this seminar.
Ice breaking
Introduction to course
Discussion on assignment
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NBHS 2332 Epidemiology
Learning Outcomes
Think
Meningitis is a devastating disease affecting the meninges of the brain and poses a
major public health challenge. Bacteria, viruses and fungi can cause meningitis but 12
serogroups of Neisseria meningitidis can cause epidemics. Known as meningitis belt in
sub-Saharan Africa, the disease affects mainly babies, preschool children and young
adults. Role of vaccination in halting the disease can’t be overemphasised!
Prerequisite Reading
1. Elmore, J. G., Wild, D. M. G., Nelson, H. D., Katz, D. L. (2020). Jekel’s
epidemiology, biostatistics, preventive medicine, and public health (Fifth edition).
Elsevier.
2. Heymann, D. L. (2014). Control of Communicable Diseases Manual (20th edition).
American Public Health Association.
3. https://www.who.int/health-topics/meningitis#tab=tab1
Group Task
1. List and explain the steps taken in meningococcal outbreak investigation and control.
2. Present previous large meningococcal meningitis outbreaks among Hajj and
Umrah pilgrims in the Kingdom of Saudi Arabia (KSA) and discuss the lessons
learnt.
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NBHS 2332 Epidemiology
5.2 Malaria
Learning Outcomes
Think
Globally, about 229 million cases of malaria with 409,000 deaths were reported in 2019
mainly from African countries which contribute to 94% of all malaria cases and deaths.
Children aged under 5 years old are accounted for 67% of all the deaths. Malaysia is not
spared from malaria as outbreaks have been reported in previous years in Sabah and
Sarawak as well as some pockets in Peninsular Malaysia. Believe it or not, the most
deadly creature in the world that had killed so many people is mosquito!
Prerequisite Reading
1. Elmore, J. G., Wild, D. M. G., Nelson, H. D., Katz, D. L. (2020). Jekel’s
epidemiology, biostatistics, preventive medicine, and public health (Fifth edition).
Elsevier.
2. Heymann, D. L. (2014). Control of Communicable Diseases Manual (20th edition).
American Public Health Association.
3. https://www.who.int/news-room/fact-sheets/detail/malaria
Group Task
1. Present plasmodium knowlesi malaria case report and highlight its differences from
other types of malarial plasmodium.
2. Explain and compare the steps for vector control between Anopheles (for malaria)
and Aedes (for dengue) mosquitoes.
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NBHS 2332 Epidemiology
Learning Outcomes
Think
More than a million STDs are acquired every day! There are about 376 million new
infections of chlamydia, gonorrhoea, syphilis and trichomoniasis combined have been
reported globally. Furthermore, STDs such as syphilis and herpes simplex caused by
HSV type 2 can increase the risk of HIV acquisition. HIV alone has claimed almost 33
million lives so far and continues to be a major public health issue!
Prerequisite Reading
1. Elmore, J. G., Wild, D. M. G., Nelson, H. D., Katz, D. L. (2020). Jekel’s
epidemiology, biostatistics, preventive medicine, and public health (Fifth edition).
Elsevier.
2. Heymann, D. L. (2014). Control of Communicable Diseases Manual (20th edition).
American Public Health Association.
3. https://www.who.int/news-room/fact-sheets/detail/sexually-transmitted-infections-(stis)
Group Task
1. Present and discuss the different types of STDs, their risk factors and complications.
2. Discuss and recommend on how to empower teenage girls to say, “No to Sex”?
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NBHS 2332 Epidemiology
6.2 Hepatitis
Learning Outcomes
Think
Hepatitis is an inflammation of the liver which can cause serious complications and
death. About 325 million people in the world live with Hepatitis B and/or C but the
majority of them are inaccessible to diagnostic testing and health care services. The
World Health Organisation (WHO) aims to reduce new Hepatitis infections by 90% and
deaths by 65% between 2016 and 2030. Are we ready for the challenge?
Prerequisite Reading
1. Elmore, J. G., Wild, D. M. G., Nelson, H. D., Katz, D. L. (2020). Jekel’s
epidemiology, biostatistics, preventive medicine, and public health (Fifth edition).
Elsevier.
2. Heymann, D. L. (2014). Control of Communicable Diseases Manual (20th edition).
American Public Health Association.
3. https://www.who.int/health-topics/hepatitis#tab=tab1
Group Task
1. Present and discuss the different types of Hepatitis, their risk factors and complications.
2. Based on experience from other countries, summarise best practices in implementing
Hepatitis Control Programme.
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