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/