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01.2. Phase II

iv. Communicable Diseases – (Lectures - 20 hours + Tutorials - 3 hours)

Learning Objectives

Content

Activity

Time

Define epidemic, endemic and

pandemic

Describe notification of communicable diseases

Definition of terms indicated

Different types of epidemics

Definition of incubation and communicable periods

Epidemiological transition

List Groups A & B notifiable diseases

Lecture/

Clerkship

1

Describe the notification system

Describe the notification system

Role of medical practitioner treating the patient

Role of MOH / Role of PHI

 

1

Describe investigation of an epidemic

List the steps

Lecture

1

Describe control and prevention of diarrhoeal diseases

Epidemiology – Global and Local

Diarrhoeal Disease Program –

Objectives and strategies

Management of diarrhoea

Definition of diarrhoea

Asses dehydration state – A.B.C plan

3 rules of home management of diarrhoea: Prevention of dehydration

Nutrition during diarrhoeal episode and thereafter Referral when relevant

When to use antibiotics

Prevention of diarrhoea

Safe food, Safe water, Good personal hygiene

Sanitary facilities, Measles immunization

Lecture

1

Describe management of upper respiratory tract infections

Acute respiratory tract infections

Epidemiology – global and local

ARI program – objectives and strategies

Management

Assessment of a child with respiratory difficulty

Classification according to severity

When to refer

Treatment

Prevention

Identify risk factors

Ear Infections

Management of the child with an ear infection / sore throat

Assess, Classify, Treatment/ Prevention

Lecture

 

Describe control and prevention of Tuberculosis

Importance as a public health problem

Epidemiology

National Program for Tuberculosis

Control and Chest Diseases –

Objectives

Organizational structure

Diagnosis

Treatment-regime + DOTS programme

Notification and follow up

Role of immunization with BCG

Lecture/

Clerkship

1

Describe control and prevention of Leprosy

Importance as a public health problem

Epidemiology

Role of ALC – current situation

Control activities

Diagnosis and treatment regimes

Lecture

1

Describe control and prevention of JE

Importance of JE as a public health problem

Epidemiology

Details of Vector

Control activities carried out in Sri Lanka at present

Immunization

Lecture/

Clerkship

½

Describe control and prevention of Dengue/ DHF

Importance of Dengue/DHF as a public health problem

Epidemiology

Vector and transmission with life cycle

Control activities

Identification of cases

Management plan

Lecture/

Clerkship

½

Describe control and

prevention of Leptospirosis

Epidemiology

Preventive measures

Lecture

½

Describe control and prevention of Cholera

Epidemiology

Control measures :

Hospital – cases

Handling of dead bodies

Community -Preventive measures

Lecture

½

Describe control and preventive measures of Measles

Public health importance

Goals & targets/strategies

Epidemiology, Clinical features

Lecture

½

Describe preventive measures for Tetanus (NS)

Neonatal tetanus: Objectives,

targets and strategies

Epidemiology, Clinical aspects

Prevention

Adult tetanus:

Public health importance

Epidemiology & clinical aspects

Prevention

Lecture

½

Describe control and preventive measures for Polio

Public health importance

Polio eradication program –

objectives, targets and strategies

Epidemiology

AFP surveillance

Lecture/

Clerkship

1

Describe control and prevention of Diphtheria

Epidemiology

Clinical features

Prevention

Lecture

½

Describe control and prevention of Pertussis

Epidemiology

Clinical features

Prevention

Lecture

½

Describe control and prevention of Sexually Transmitted Infections (STII)

Epidemiology

Control – syndromic management

Prevention

Lecture

1

Describe control and prevention of HIV/ AIDS and develop skills in counseling

Public health importance

Epidemiology

National program –objectives, targets and strategies

Counseling – pre and post test, primary, secondary and supportive

Universal precautions

Human rights issues

HIV/TB interactions

Lecture

1

Describe control and prevention of Rabies

Epidemiology

National program – objectives, targets and strategies

Prevention of canine rabies

Management plan of a dog bite

Administration of immunoglobulin

Post exposure vaccination

Lecture

1

Describe control and prevention of Plague

Epidemiology /historical events

International notification

Routine control measures

Control measures during outbreaks

Lecture

½

Describe control and prevention of Chicken pox

Epidemiology

Control measures including vaccination/chemotherapy

Lecture

½

Describe control and prevention of enteric fever

Epidemiology

Control measures, Prevention

Lecture

½

Describe control and prevention of filariasis

Epidemiology

Diagnosis

Anti filariasis campaign – objectives, targets and strategies

Case detection and management,

Vector control

Mass chemotherapy – health education

Management of disability

Lecture/

Clerkship

1

Describe control and prevention of malaria

Epidemiology- ecological aspects

Anti malarial campaign objectives, targets and strategies

Malaria in pregnancy, Treatment regime and drug resistance

Prevention of malaria in travelers

Roll back malaria Initiative

Control activities / Eradication strategy

Lecture

2

Describe control and prevention of hepatitis A, E, B, C.

Epidemiology

Public health importance

Control measures

Prevention{active and passive vaccination )

Lecture

½

Describe prevention of Congenital Rubella Syndrome

Epidemiology

Public health importance

Prevention

Lecture

½

Describe prevention of Mumps

Epidemiology

Prevention

Lecture

½

 

RECOMMENDED READING MATERIAL

  • National Programme for Tuberculosis Control and Chest Diseases 2005, ‘General Manual for Tuberculosis Control’, Ministry of Health, Sri Lanka.

  • Weekly Epidemiological Report, Epidemiology Unit, Ministry of Health, Colombo.

  • Quarterly Epidemiological Bulletin, Epidemiology Unit, Ministry of Health, Colombo.

  • Department of Health Services Sri Lanka, 2006, ‘Public Health Services’, in Annual Health Statistics, pp. 42 – 68, Medical Statistics Unit, Department of Health Services, Sri Lanka.

  • Website of Epidemiology Unit - http://www.epid.gov.lk/

CONNECT WITH US

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Faculty of Medicine,
University of Kelaniya,
P.O Box 6,
Thalagolla Road,
Ragama,
Sri Lanka

  • Tel :  +94 11 2953411

  • Tel :  +94 11 2961140

  • Email:  publichealth@kln.ac.lk

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