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Course Description:
This course begins with a review of public health surveillance systems (PHSSs), their components and functions. Emphasis is placed on the fundamental role of a PHSS in detecting possible disease outbreaks. Students will learn the basic concepts and principles of outbreak identification and management. Basic principles on evaluation and possible solutions for improvement of public health surveillance systems, particularly those of the Pacific, are also discussed.
A. PROGRAM LEARNING OUTCOMES (PLOS):
The student will be able to:
B. STUDENT LEARNING OUTCOMES (SLOS) - GENERAL
The student will be able to:
SLO |
PLO 1 |
PLO 2 |
PLO 3 |
PLO 4 |
PLO 5 |
PLO 6 |
PLO 7 |
PLO 8 |
PLO 9 |
PLO 10 |
PLO 11 |
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D |
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3 |
ID |
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D |
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4 |
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I = Introduced
D = Demonstrated
M = Mastered
C. STUDENT LEARNING OUTCOMES (SLOS) – SPECIFIC
The student will be able to:
General SLO 1: Understand how Public Health Surveillance (PHS) works, including the basic surveillance wheel.
Student Learning Outcomes |
Assessment strategies |
1.1 Explain the use of epidemiology in PHS and its interaction with PHS. |
Group discussion and oral reports to be graded according to a specified rubric |
1.2 Describe the applications of epidemiology, using pacific- based examples. |
Group discussion and oral reports to be graded according to a specified rubric |
1.3 Explain, with examples, the basic epidemiological measures |
Group discussion and oral reports to be graded according to a specified rubric |
1.4. Describe the surveillance wheel: sequential components, mechanism of work, sectors involved, their functions and responsibilities. |
Group discussion and oral reports to be graded according to a specified rubric |
General SLO 2: Get familiar with current PHSS operated in Micronesia and in the Pacific.
Student Learning Outcomes |
Assessment strategies |
2.1. Describe how the PHSS in Micronesia and the Pacific operate. |
Group discussions and oral reports to be graded according to a specified rubric
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2.2. List the obligations undertaken by public health services in Micronesia, as per the Law on Public Health, Safety and Welfare. |
Group discussions and oral reports to be graded according to a specified rubric
|
2.3. Describe some of the data collection systems in common usage, such as Notifiable Diseases (ND) and Consolidated Monthly Returns (CMR). |
Group discussions and oral reports to be graded according to a specified rubric
|
2.4 Discuss, analyze, and evaluate the components of a PHSS; suggest possible solutions for improvements. |
Group discussions and oral reports to be graded according to a specified rubric
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2.5. Perform the basic steps in the evaluation of a PHSS performance. |
Group discussions and oral reports to be graded according to a specified rubric
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General SLO 3: Be conversant with the basic steps in the management of an outbreak of a communicable disease and apply these steps to a practical situation.
Student Learning Outcomes |
Assessment strategies |
3.1 Describe some milestone events in the history of outbreak investigation. |
Group discussions and oral reports to be graded according to a specified rubric
|
3.2 List and explain the nomenclature of outbreak investigation. |
Group discussions and oral reports to be graded according to a specified rubric
|
3.3. Identify and discuss different channels through which a disease outbreak is recognized. |
Group discussions and oral reports to be graded according to a specified rubric
|
3.4. State the purposes of outbreak investigation. |
Group discussions and oral reports to be graded according to a specified rubric
|
3.5. List and explain the steps in a classical outbreak Investigation. |
Group discussions and oral reports to be graded according to a specified rubric
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3.6. Explain how epidemiological concepts and skills are employed in each step. |
Group discussions and oral reports to be graded according to a specified rubric
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3.7. Explain what a case definition is; the classification of case definitions. |
Group discussions and oral reports to be graded according to a specified rubric
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3.8. Demonstrate how descriptive epidemiology is applied in outbreak investigation, i.e. the use of line listings, epidemic curves, spot maps, etc. |
Group discussions and oral reports to be graded according to a specified rubric
|
3.9. Construct epidemic curves; explain their different trends according to disease natural history and mode of transmission |
Group discussions and oral reports to be graded according to a specified rubric
|
3.10.Demonstrate how analytic epidemiology is applied in outbreak investigation. |
Group discussions and oral reports to be graded according to a specified rubric
|
3.11.Explain, calculate, and interpret odds ratios (OR) and attack rates (AR). |
Group discussions and oral reports to be graded according to a specified rubric
|
3.12.Discuss the importance of disseminating the investigation findings. |
Group discussions and oral reports to be graded according to a specified rubric
|
General SLO 4: Know some of the possible modes of intervention to prevent the spread of disease outbreaks and how they vary with the natural history of diseases.
Student Learning Outcomes |
Assessment strategies |
4.1 Describe the basic principles and strategies to control the occurrence and transmission of communicable diseases. |
Groups discussions and oral reports to be graded according to a specified rubric |
4.2. Describe and explain the chain of infection as the interaction between agent-host-environment. |
Groups discussions and oral reports to be graded according to a specified rubric |
4.3. Discuss the field epidemiology triangle: person-place-time. |
Groups discussions and oral reports to be graded according to a specified rubric |
4.4. Evaluate the efficacy of the implemented control measures. |
Groups discussions and oral reports to be graded according to a specified rubric |
4.5. Discuss the prominent problems of approaches to non-communicable diseases control. |
Groups discussions and oral reports to be graded according to a specified rubric |
General SLO 5. Understand the relationship between a PHSS and the detection of disease outbreaks.
Student Learning Outcomes |
Assessment strategies |
5.1. Demonstrate some common diseases under surveillance in Micronesia and the Pacific. |
Groups discussions and oral reports to be graded according to a specified rubric |
5.2. Present and discuss the current surveillance and most recent outbreak investigations of some of the following
diseases, as applicable:
|
Groups discussions and oral reports to be graded according to a specified rubric |
5.3. Perform three standard exercises on outbreak investigations, selected from: Measles, Hemorrhagic Fever, and Bladder Cancer in Chemical Workers, Dysentery in Pilgrims and others, as relevant. |
Groups discussions and oral reports to be graded according to a specified rubric |
D. COURSE CONTENT
F. REQUIRED TEXT AND COURSE MATERIALS
Ed Souares Y. (1998). Public health surveillance in the pacific. Noumea: SPC. (or most recent edition).
Arias KM. (2000). Quick reference to outbreak investigation and control in health care facilities (1st Ed.). Burlington, Massachusetts: Jones and Bartlett. (Or most recent edition).
G. REFERENCE MATERIALS
Beaglehole R., Bonita R., Kjellstrom T. (2007). Basic epidemiology (2nd Ed.). Geneva, Switzeland: World Health Organization. (or most recent edition).
Gregg MB. (2008). Field epidemiology (3rd Ed.). London, England: Oxford University Press. (or most recent edition)
Donaldson RJ., Donaldson LJ. (1993). Essential public health medicine. Newbury, England: Petroc Press. (or most recent edition).
Handouts data on disease outbreaks; FSM Law on Public Health, Safety and Welfare; ND and CMR report form.
H. INSTRUCTIONAL COST
none
I. EVALUATION
none
J. CREDIT BY EXAMINATION
None
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