01 1-1 1-2 1-3 1-4 1-5
1. 2. 3. 1-1 (epidemiology) epidemiology epi(among) demos (people) logos(doctrine) 2
01 1. (epidemic) 2. (endemic) 3. (pandemic) (Severe Acute Respiratory Syndrome, SARS) 1-2 1. 2. 3. 3
4. 5. 2015 1-1 1-3 4
01 1-1 2015 1 (C00-C97) 46,829 199.6 128.0 2 (I01-I02.0, I05-I09, I20-I25, I27, I30-I52) 19,202 81.8 48.1 3 (I60-I69) 11,169 47.6 27.9 4 (J12-J18) 10,761 45.9 24.6 5 (E10-E14) 9,530 40.6 24.3 6 (V01-X59, Y85-Y86) 7,033 30.0 22.8 7 (J40-J47) 6,383 27.2 14.6 8 (I10-I15) 5,536 23.6 13.2 9 (N00-N07, N17-N19, N25-N27) 10 (K70, K73-K74) 4,762 20.3 11.8 4,688 20.0 13.6 1. 2. 2000 W.H.O. (2016) 5
1-4 Edward Jenner 1949 (small pox) (cow pox) 8 6 (Vaccination) John Snow 19 (Cholera) 19 William Farr (miasmatic theory) Farr John Snow 6
01 Lambeth Snow Lambeth 1-2 1-2 Southwark and Vauxhall Co. 40,046 1,263 315 Lambeth Co. 26,107 98 38 256,423 1,422 56 Data adapted from Snow J: One the mode of communication of cholera. In Snow on Cholera: A reprint of two papers by John Snow, M. D. New York, The commonwealth Fund, 1936. 1-5 7
1. (stage of susceptibility) 2. (stage of presymptomatic disease) 3. (stage of clinical disease) 4. (stage of disability) 5. (death) 1. (primary prevention) (1) 8
01 (2) 70~80% 2. (secondary prevention) 3. (tertiary prevention) (1) (2) 9
1. Epidemic means that a disease a. Occurs clearly in excess of normal expectancy b. Is habitually present in human populations c. Affects a large number of countries simultaneously d. Exhibits a seasonal pattern e. Is prevalent among animals 2. Regulation of the tobacco industry in order to reduce lung cancer injury is an example of: a. Primary prevention program b. Secondary prevention program c. Tertiary prevention program d. Program to reduce case-fatality rates e. Surveillance program 1. a. b. c. d. e. 2. a. b. c. d. e. 10
02 2-1 2-2 2-3 2-4
1. 2. 3. 2-1 2-1 (host) (agent) (environment) (vector) 12
02 2-1 1. (host) 2. (agent) 3. (environment) 4. (vector) 13
2-2 1. AIDS 2. 1. 2. (Severe Acute Respiratory Syndrome, SARS) 3. 14
02 2-3 (Epidemic Curve) X Y 2-2 (single exposure or infection) 2-3 (propagated or progressive infection) (person to person infection) 2-2 (epidemic curve) 15
2-3 (epidemic curve) (Incubation Period) (medium incubation period) 5~7 (Attack Rate) 16
02 food-specific attack rate) (Secondary Attack Rate) 1. (person to person spread) 2. 3. (index case) (Herd Immunity) 17
2-4 1. (1) A. B. C. (2) (3) 2. (epidemic curve) (spot map) 3. 12 4. (1) (2) 5. (1) (2) 18
02 6. (1) (2) (3) 19
1. The first table shows the total number of persons who ate each of two specified food items that were possibly infective with group A streptococci. The second table shows the number of sick persons (with acute sore throat) who ate each of the various specified combinations of the food items. Total Number of Persons Who Ate Each Specified Combination of Food Items Ate Tuna Did Not Eat Tuna Ate egg salad 75 100 Did not eat egg salad 200 50 Total Number of Persons Who Ate Each Specified Combination of Food Items and Who Later Became Sick (With Acute Sore Throats) Ate Tuna Did Not Eat Tuna Ate egg salad 60 75 Did not eat egg salad 70 15 (1) What is the sore throat attack rate in persons who ate both egg salad and tuna? a. 60/75 b. 70/200 c. 60/1435 d. 60/275 e. None of the above (2) According to the results shown in the preceding tables, which of the following food items (or combination of food items) is (are) most likely to be the infective item(s): 20