Learning objectives
Provide the student with the basic tools and methodology to enable him/her to understand the concepts and contexts for the application of the prevention of infectious and chronic degenerative diseases as well as the fundamentals of the epidemiology applied (concept of risk factor, causality relationship, epidemiological studies)
Prerequisites
Curiosity for the world around us
Course unit content
Hygiene, Public Health and Epidemiology, represent the basis and the the applicative methodology of science of prevention and health promotion.
Full programme
DEFINITION OF HEALTH AND DETERMINANTS OF HEALTH / DISEASE
• Evolution of the definitions of health and the concept of a health-disease continuum
GENERAL PREVENTION OF INFECTIOUS DISEASES
GENERAL EPIDEMIOLOGY OF INFECTIOUS DISEASES
Microorganisms and us (saprophytes, commensals and pathogens), infection and disease; contagiousness, diffusivity, pathogenicity, virulence;
Sick and infected reservoirs and sources (humans - healthy, precocious, convalescent and chronic carriers);
MECHANISMS (WAYS) of transmission: direct, semi-direct, indirect transmission; vehicles and carriers.
Notification, Diagnostic Assessment, Isolation
DISINFECTION: main disinfectants and applications in the health sector
STERILIZATION main sterilization methods (critical, semi-critical and non-critical instruments)
ASEPSIS (maintenance of sterility)
ANTISEPSIS (killing and removal of pathogens)
ACTIVE AND PASSIVE IMMUNOPROPHYLAXIS: what are vaccines, main types, general theory of active immunization. Vaccination campaigns. Vaccinations for childhood, adolescence, adults and at-risk categories; Immunoglobulins
SPECIAL PREVENTION OF INFECTIOUS DISEASES: notes on etiology, epidemiology, prevention)
• Tbc, Influenza, Meningitis, Covid-19
• Hepatitis A, foodborne diseases and foodborne infections
• Hepatitis B, Hepatitis C, HIV / AIDS
HEALTHCARE-RELATED INFECTIONS: definition, epidemiology, risk factors, preventive measures.
ENVIRONMENTAL HYGIENE: Climate change and the impact on health; Water (resource and drinking water criteria), Air (atmospheric pollution), Soil (waste disposal)
The importance of measurement in epidemiology and public health; health indicators
THE "LEVELS OF PREVENTION": primary, secondary, tertiary and quaternary
OUTLINE OF GENERAL EPIDEMIOLOGY and PREVENTION OF NON-INFECTIOUS DISEASES (the Burden of disease, screening)
PREVENTION OF SOME CHRONIC-DEGENERATIVE DISEASES:
Neoplastic Pathology, Diabetes, Cardiovascular Disease
THE EPIDEMIOLOGICAL METHOD AND ELEMENTS OF DEMOGRAPHY
• Definition of epidemiology and the importance of the denominator (demographics)
• The main epidemiological measures:
• Proportions and rates,
• Prevalence and incidence,
• Relative risk, odds ratio,
The concept of causality, the Bradford Hill criteria of causality. Epidemiological studies (descriptive-analytical) and notes on randomized clinical trials.
Bibliography
Igiene e Sanità pubblica. Secrets, domande e risposte 2021. Editor Carlo Signorelli, IX edizione, Società editrice Universo.
Learning material used during the lessons provided by the teacher.
Teaching methods
Lectures will be held on-site in compliance with safety standards, provided that further instructions on the ongoing health emergency are not implemented. Supporting material will be available on the specific, student-reserved platform (Elly).
Assessment methods and criteria
The assessment of the educational objectives of the integrated course is done through a written test on the contents of the courses of General Hygiene and Epidemiology, Occupational Medicine and Radiation Protection. The test consists of 49 multiple choice questions, each accompanied by 4 answers. There are no penalties for incorrect answers or no answer. Failure to answer is equivalent to an incorrect answer.
Regarding Nursing in health promotion and education and therapeutic education, the students will be divided into groups, each group will have to produce a Health Project project (power point presentation) which will consequently be presented orally.
The final mark of the integrated course will derive from the weighted average of the marks of the 3 courses, and that failing one of the three courses will necessarily entail having to take all three tests again.
Students with SLD / BSE must first contact Le Eli-che: support for students with disabilities, D.S.A., B.E.S. (https://sea.unipr.it/it/servizi/le-eli-che-supporto-studenti-con-disabilita-dsa-bes
