question
what is intimately related
answer
Ill health and poverty
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why is measuing poverty and health hard
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because theres no real definition of health
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what was used before disease impact measures
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child mortality rates
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earliest study of population health
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john graunt bill of mortality
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QALYs (quality-adjusted life years)
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assess amount of healthy life lived
Disease factor x age of death
Disease factor x age of death
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DALYs (disability-adjusted life years)
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amount of life lost due to ill health
YLL (expected life- age of death) + YLD (disability % x Years)
YLL (expected life- age of death) + YLD (disability % x Years)
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earliest record of health
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head count by the romans
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king david
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population census in mud, didnt account for ill health
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Agustus
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roman, first known census but problems because imprecise
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earl of essex
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submit record of deaths each week as early system for plauge
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charles
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made bills of mortality which recorded deaths each week as early warning system
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john graunt
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first atempt to measure population health, bills of mortality
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William Farr
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applied stats to prove infected water can be a cause of disease
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Doll and Hill
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proved main cause of lung cancer is smoking
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global burden of disease
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importance of chronic disease were adressed, used DALYs to study burden of disease
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easier migration
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made diseases spread easier
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reasons to measure health
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early warning of disease
project monitoring and evaluation
population health surveillance
health planning
project monitoring and evaluation
population health surveillance
health planning
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good health targets
answer
reduce MMR to 70 per 100 000 births
end preventable deaths of new and under 5
neonatal mortality to 12 per 1000 and under 5 to 25 per 1000
end preventable deaths of new and under 5
neonatal mortality to 12 per 1000 and under 5 to 25 per 1000
question
incidence
answer
number of new cases of a given disease that developed in a specific timee
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prevalence
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how much disease there is in a population at a given time
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rate
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the number of times an eveent happens in a population over a given time span
question
in epidemiology its easier to
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identify and count disease that people at risk
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vital statistics
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population count
mortality registration
birth registration
mortality registration
birth registration
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global monitoring systems
answer
MDGs
SDGs
Health metrics network
Global burden of disease
SDGs
Health metrics network
Global burden of disease
question
leading cause of maternal death
answer
postpartum hemorrhage
can be avoided 3rd stage
can be avoided 3rd stage
question
ban kimon
answer
global stratgy to address womens and children's health
Every woman every child
Every woman every child
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every second matters
answer
utirne ballon tamponade
condom, urinary catheter, syringe, one way valve and string
condom, urinary catheter, syringe, one way valve and string
question
How to measure burden of disease
answer
measure health expediencies and health gaps
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Disability Free Life Expectancy (DFLE)
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measure health expectancies, people were either alive and well or alive and unwell
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HALE or DALE
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replaced DFLE
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HALE
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adjusts for severity of a disability using self reported data