
- •Эпидемиологический надзор
- •Задачи эпиднадзора:
- •Функциональную структуру системы эпидемиологического надзора можно представить в виде последовательной цепи мероприятий:
- •Этапы эпидемиологической диагностики:
- •Tasks of эпиднадзора:
- •Epidnadzor is carried out in accordance with the complex-having a special purpose programs, developed specially for every нозоформы.
Epidnadzor is carried out in accordance with the complex-having a special purpose programs, developed specially for every нозоформы.
Any program includes:
purpose and tasks of the planned supervision, territory of эпиднадзора
group of population, undertaking under a supervision, and also duration of forthcoming period of supervision
character and volume of information, subject collection, sources of receipt of information (ЛПУ, clinical, microbiological, virologies, parasitology laboratories and other)
methods and переодичность collection of primary information, переодичность analysis of information, method of analysis of information, primary and final forms of tables and accounting, methods of presentation of reports.
An analysis of information is analytical methods of research
Purpose – to expose причинно-следственные connections in an epidemic process.
An epidemiology method is an aggregate of methodical receptions, allowing to estimate the structure of morbidity of population on the groups of diseases and нозоформам, and in regard to separate diseases – on territory, among the different groups of population, in time in order to unseal причинно-следственные connections in development and display of morbidity and ground of measures on the prophylaxis of morbidity and estimation of their efficiency..
Structure of epidemiology method – hypotheses about причинно-следственных connections are formulated and estimated with посмощью of methods (дескриптивных) of descriptive-evaluations and аналитеческих, estimated about proved by the analytical, experimental methods of research and mathematical design.
A purpose of descriptive-evaluation reception is a study of problems of medicine and prophylaxis on the forms of nosologies of diseases, and in regard to separate diseases – on territory, to the groups of population and in time.
Basic data get are documents of registrations and current, results of selective researches.
Infectious diseases are registered is a magazine of account of infectious morbidity, form 60. The infections of quarantines, tuberculosis, лепра and дерматовенерологические diseases, are subject a separate account.
Dvaosnovnykh analytical research method –
A case is control – based on comparison of information about the cases of hit under the action of the studied factor of patients and people, unbeing ill this disease.
Kogortnyy research method – the intensive indexes of morbidity are studied in cohorts which get and непопадают under the action of the studied factor.
An epidemiology diagnosis is a logical formula, containing the estimation of epidemiology situation and its determinant (reasons) on concrete territory, among the certain groups of population.
It is a section of epidemiology, reflecting the stages of estimation of epidemiology situation, directed on the exposure of причинно-следственных connections in an epidemic process.
At raising of epidemiology diagnosis explored:
indexes of morbidity, transmitter, death rate in time, among the different groups of population, prevalence of diseases on territory
properties of exciter, ways and factors of his transmission, immunological layer (structure) of population, are studied
natural and social factors are explored, providing saving and circulation of exciter in a period between epidemics, that in the period of his reservation, and in the period of origin of epidemic hearths.
efficiency of the carried out prophylactic and противоэпидемических measures is estimated.
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Stages of epidemiology diagnostics:
collection of information
formulation of working диагностичской hypothesis about причинно- connections of consequences in an epidemic process
statistical verification of working hypothesis
verification of accordance of working diagnostic hypothesis information of retrospective epidemiology analysis
formulation of final epidemiology diagnosis
development of recommendations on optimization of prophylactic and противоэпидемических measures.
development of prognosis of epidemiology situation.
A retrospective epidemiology analysis is an estimation of epidemiology situation for one or another last period of time taking into account time of risk, risk groups, territory of risk and risk factors..
An epidemiology prognosis is a foresight of epidemiology situation in one or another period of time taking into account the groups of risk, risk territory, time of risk and risk factors.