A public health agency is considering a policy that requires everyone over the age of 18 to be screened for a sexually transmitted (STD) infectious disease each year. This policy would be used to determine those who are positive vs. those who are negative. Those who test positive will be required to undergo treatment and disclose their diseases status to any former and future sexual partners.â

Question about this policy:

The only cost effective test available demonstrates a positive predictive value of less than 50%. What ethical and economic concerns do you have about using this test for screening the population for
and STD infection?

The answer should include this: Clear explanation of predictive value, nature of 50% predictive value (only 1 in 2 positive tests will be true), statements regarding ethical considerations of many false positives, costs of additional and repeat testing are present. Demonstrates understanding of the tendency to accept negative results without further testing or consideration of test validity.â

answers

watching

309

views

For unlimited access to Homework Help, a Homework+ subscription is required.

You have 0 free answers left.
Get unlimited access to 3.8 million step-by-step answers.

Get unlimited access

Already have an account? Log in

m7mdeljokerLv10

2 Jan 2023

Unlock all answers

Get 1 free homework help answer.

Already have an account? Log in

You have 0 free answers left.
Get unlimited access to 3.8 million step-by-step answers.

Get unlimited access

Already have an account? Log in

Reid WolffLv2

2 Mar 2019

Already have an account? Log in

Related questions

A public health agency is considering a policy that requires everyone over the age of 18 to be screened for a sexually transmitted (STD) infectious disease each year. This policy would be used to determine those who are positive vs. those who are negative. Those who test positive will be required to undergo treatment and disclose their diseases status to any former and future sexual partners.

Question about this policy: State two reasons to oppose such a policy. Use arguments related to the nature of STDs, health literacy, or validity measures of diagnostic test. Also, consider social science factors and ethical concerns.

Answer should include this: Clear statements regarding opposition for a mass screening program are given. At least two supporting statements for Con positions are given. Evidence of consideration of cost, privacy, sustainability, manpower, civil liberty is present

Question about this policy: State two reasons to favor such a policy. Use arguments related to the nature of STDs, health literacy, or validity measures of diagnostic test.

Answer should include this: Clear statements regarding support for a mass screening program are given. At least two supporting statements for Pro positions are given. Evidence of consideration of cost, privacy, sustainability, manpower, civil liberty is present

Part II 1.The California Occupational Mortality study data set was employed to assess mortality data for the years 1979-1981. A 2% sample of employed persons from the 1980 census of California was used. It contains the occupation of each person who had died. This study, like any occupation-based study, is restricted to the work life span as far as age of subjects is concerned. This study used ages 16-64 years. Certain persons, because of their source of work, were excluded as subjects: homemakers, retired persons, students, disabled, military personnel, etc. Only main-stream-type employment was used in this study to establish occupations at risk for heavy alcohol drinking. Using the Table below, answer the following:

1.What occupations are most vulnerable to acquiring cirrhosis of the liver from heavy drinking?

2.List several of the occupations identified by the research studies that are more vulnerable to alcohol-induced, cirrhosis related deaths and that have the highest mortality rates.

3. What are possible confounding variables for the research in occupations and heavy drinking that lead to fatal diseases?

4. Based on available research data, develop and construct a web of causation along with the appropriate decision trees for occupational group-related alcohol deaths.

Table. Alcohol Related Deaths in California, 1979-1981 Cirrhosis 5.5% Digestive organ cancers 5.7% Injuries 13.7% Suicide and homicide 5.% All other causes 64.9% 2. Zika and microcephaly Since May 2015,

Brazil has experienced a significant outbreak of Zika virus. In recent years, Brazilian officials reported an increase in the number of babies born with microcephaly.

1. Briefly describe what we know and what we do not know about Zika virus.

2. What has been done and what should be done to prevent Zika virus epidemic in US and world-wide?

Multiple Choice

5. Which of the following statements describes the major advantages of a randomized clinical trial? a. It avoids observer bias b. It lends itself to ethical justification c. It yields results replicable in other patients d. It rules out self-selection of participants to the different treatment groups d. It enrolls representative patients

6. A survey conducted in England revealed that of 224 families in which there had been a known case of poliomyelitis, 56 maintained parakeets as a family pet. In another British survey, 30 out of 99 poliomyelitis patients questioned kept parakeets. The inference that there is some relationship between the presence of a parakeet in a household and the occurrence of poliomyelitis among household members is a. Correct b. Incorrect because of failure to distinguish between incidence and prevalence c. Incorrect because a proportionate ratio is used when a rate is required to support the inference d. Incorrect because a failure to recognize a possible cohort phenomenon e. Incorrect because there is no control or comparison group.

7. An investigator determines the correlation coefficient between triglyceride levels and degree of atherosclerosis in sampled blood vessels to be +1.67. On the basis of this you would conclude that: a. Triglyceride level is a good predictor of atherosclerosis b. Triglyceride level is not a good predictor of atherosclerosis c. High triglyceride levels cause atherosclerosis d. Atherosclerosis cause high triglyceride levels e. The investigator has incorrectly determined the correlation coefficient

8. A screening test of known sensitivity and specificity is applied to two populations. The prevalence of the disease being screened for is 10% in population A and is 1% in population B. Which of the following is true? a. The percent of all negative tests that have false-negative results is lower in population A than in population B. b. Specificity is lower in population A than in population B. c. Reliability is higher in population A than in population B. d. The percent of all positive tests that have false-positive results is lower in population A than in population B. e. Specificity is higher in population A than in population B.

9. Serum cholesterol levels are obtained for four healthy men. The probability that all will fall below the 10th percentile of the distribution of cholesterol for healthy males is: a. 0.4 b. 1 â (0.1)4 c. (0.1)4 d. (0.9)4 e. Cannot be determined from these data

10. In a diabetes screening program, the screening level for a positive blood sugar level in test 1 is set at 160 mg/dl, and in test 2 at 130 mg/dl. The sensitivity is: a. Greater in test 1 b. Greater in test 2 c. Equal in test 1 and 2 d. Dependent on the size of the population being evaluated