BMS 451 Lecture Notes - Lecture 4: World Health Organization, Streptococcal Pharyngitis, Miasma Theory
Document Summary
Broad street area of london, the site of a cholera outbreak in 1854, at least 600 died. Also site of the first epidemiological study. Places near brewery, no cases due to process of brewing cholera outbreaks routinely killed tens of thousands of people in london and other cities. English physician who pioneered the first epidemiological study. Conducted a series of interviews of houses with cholera deaths and built a profile of each one. Epidemic- concentrated in one small area- localized. Pandemic- affects many areas all over the country or world sporadic disease- occurs in random areas- no baseline public health monitoring. How we determine whether a sporadic, epidemic or pandemic disease is occurring. Many diseases are deemed reportable list of reportable diseases- those with asterix are immediately reportable, to initiate contact tracing/outbreak control causes of death have changed dramatically in the last 90 years.