EPIDEMIOLOGICAL PROCESS

Definition:

ensemble of events (biological, environmental, socio economic! "#ic# contrib$te to t#e a%%earance an& s%rea&ing of &isease (#ealt# %roblem! in a %o%$lation

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E%i&emiological %rocess ' bio social com%le(:

biological element ) &isease (infectio$s %rocess, comm$nicable &isease, noninfectio$s &isease*noncomm$nicable &isease, #ealt# &isor&er! social element %o%$lation at ris+

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Infectio$s %rocess ) local an& general conse,$ences of micro macroorganism interaction Infectio$s &isease ) &isease ca$se& b- t#e %at#ogen agent, a %at#ogenic microorganism or to(ins, transmitte& from a %erson or an animal, to ot#er s$sce%tible %erson

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Infectio$s &isease occ$rs if:

microorganism ) %at#ogenic factors DMI #$man organism ) &efense mec#anisms (s$sce%tibilit-*resistence!

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Infection:

anatomic sit$s of infection center of contagion

so$rce of %at#ogenic agents (#$man, animal! area (con&itions for transmission! %o%$lation (s$sce%tibilit-! e(tra#$man so$rse, %at#ogenic agent, vector insect

nat$ral center of contagion

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Str$ct$re:

Determining factors .avo$ring factors

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Str$ct$re : determining (%rinci%al! factors

so$rce of %at#ogenic agents or ris+ factors ro$te*"a- of transmision s$sce%tible*rece%tive %o%$lation nat$ral factors (geogra%#ical, cosmic, climatological ) climate, "eat#er con&itions! social an& economic factors (living, "or+ing con&itions!

favouring (secon&ar-! factors

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Ca$se (et#iolog-!:

Infectio$s*comm$nicable &isease (ID*CD!

%at#ogenic agent MID ris+ factors

/oninfectio$s*noncomm$nicable (/ID*/CD!

c$m$lative &ose aggressive mi(t$res

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So$rce:

ID*CD ) so$rce for %at#ogenic agents

#$man e(tra#$man environment (nat$ral environment, "or+ing %lace! life st-le

/ID*/CD so$rce for ris+ factors

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0ransmission

ID*CD

"a- of transmission ro$te of transmission (air, "ater, soil, #an&s,etc1! ro$te of transmission

/ID*/CD

e(ogene (air, "ater, soil, foo&, #an&s, etc1! en&ogene (met#abolic, #ormonal &isor&ers, etc1!

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ID*CD

Rece%tive*s$sce%tible %o%$lation

/ID*/CD

2$lnerable*s$sce%tible %o%$lation

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Am%lif-ing factors for e%i&emiological %rocess ID*CD an& /ID*/CD:

nat$ral (environmental! factors economic factors social factors

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C#aracteristics (EP for ID*CD an& /ID*/CD!:

Screening Prevention

ID*CD ) general, s%ecial, s%ecific /ID*/CD ) %rimor&ial, %rimar-, secon&ar-, tertiar-

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C#aracteristics (EP for ID*CD an& /ID*/CD!:

Screening Prevention

ID*CD ) general, s%ecial, s%ecific /ID*/CD ) %rimor&ial, %rimar-, secon&ar-, tertiar-