MAS 160 A1 Infectious Disease 3-02
MAS 160 A1 Infectious Disease 3-02 MAS 160A1
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This 3 page Class Notes was uploaded by Farron Shanahan on Wednesday March 2, 2016. The Class Notes belongs to MAS 160A1 at University of Arizona taught by Antonio L. Estrada in Winter 2016. Since its upload, it has received 97 views. For similar materials see MAS160A1 American Indian Medicine and Wellness in American Studies at University of Arizona.
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Date Created: 03/02/16
Infectious Diseases 3-‐2-‐2016 1) Infectious Diseases Patterns a) Endemics i) Diseases that affect particular people in a certain area b) Pandemics i) Worldwide/country affected c) Epidemics i) Widespread occurrence in a community at a particular time, over and above normal levels, scary 2) What are Infectious Diseases i) Caused by organisms (bacteria, virus, fungi…) ii) Passed from person to person iii) Transmitted from insect bites iv) Contaminated food/water th b) Mortality decreased during 20 century (medical care, vaccines, sanitation…), but increased in 1980s due to the emergence of AIDS c) Causes of death i) Pneumonia, influenza highest at 11.8 percent of total deaths over 100 years ago ii) Now it is heart disease at 740.6 for every 100,000 iii) Lower resp. infections higher in AI/AN children iv) H1N1 disproportionally affected minorities v) A.I. and African Americans had more infectious disease hospitalizations than non Hispanic whites in Arizona vi) Highest Hospitalization Rates for AI (1) Lower resp. tract infection (2) Septicemia d) Comorbidity is a significant problem for AI i) Pneumonia at 21% ii) Hypertension at 16.4% e) Number one comorbidity for each age group i) (0-‐19) Pneumonia ii) (20-‐49) Tobacco Use Disorder iii) (50+) Hypertension 3) What are Emerging Infectious Diseases? a) Newly appeared or has been known for some time but is rapidly increasing i) Ebola, HIV/AIDS, Hep C, Influenza A (bird flu), Legionella pneumophilia 4) Sociodemographic differences a) AI have higher death rates than non Hispanic whites b) Higher infectious disease rates for both me n and women c) 68.5 (total) 98.7(Southwest) 38.6(east) rate of infectious disease mortality for AI AN 5) Tuberculosis a) Caused by bacteria b) Drug resistance is a major issue c) 1999-‐2009 TB death rate was higher for AI/AN, highest for those 65+ 6) HIV/AIDS for AI/AN a) Three categories i) HIV infection ii) HIV infection then diagnosis of AIDS iii) Cocurrent diagnosis of HIV infection and AIDS b) 1,945 with AIDS died (end of 2010) th c) 9 leading cause (25-‐34) d) Men have higher mortality rate e) Higher than NWH f) Men (Man to man) 75% g) Female (Heterosexual 63%, injection drug use) nd 7) STI: 2 highest for AI/AN for all a) Chlamydia i) Bacteria, second highest rates in AI/AN b) Gonorrhea 2 i) 700,000 people infected yearly , second highest rates for AI/AN c) Syphilis i) Bacteria, direct contact with a sore, 14,000 in 2011, third highest rates for AI/AN, second in AZ d) Congenital Syphilis i) En-‐utero or at birth, hish risk pregnancy if syphilis goes untreated, 4 highest for AI/AN 3