← Detective's Desk
0/6 sections complete done☰ All chapters
The Shoe-Leather Files/Chapter 5
05

Speaking the Language

Core vocabulary from CDC's Principles of Epidemiology in Public Health Practice glossary: tap a term to reveal its definition

Measuring How Much Sickness

Morbidity

The amount, or rate, of illness in a population.

Mortality

The rate of death in a population.

Case fatality rate

Of everyone who gets a disease, the percentage who die from it.

Incidence

The number (or rate) of new cases of a disease that occur in a population during a set time period.

Prevalence

The number of existing cases (new + old) of a disease in a population at a given time.

Attack rate

A special kind of incidence used during outbreaks: the percentage of an exposed group that becomes ill.

Secondary attack rate

Among susceptible contacts of a known case, the share who get sick within one incubation period. The primary case is left out of the math.

Neonatal mortality rate

Deaths of babies under 28 days old per 1,000 live births.

Infant mortality rate

Deaths of babies under 1 year old per 1,000 live births.

Perinatal mortality rate

Stillbirths (fetal deaths at 28+ weeks) plus deaths in the first 7 days, per 1,000 births.

Maternal mortality rate

Deaths of mothers from pregnancy or childbirth causes, per 100,000 live births.

Labeling How Much Disease Is "Normal"

Sporadic

A disease that occurs occasionally and irregularly, with no predictable pattern.

Endemic

The constant, expected, baseline level of a disease that is normally present in an area or population.

Hypoendemic

A consistently low level of disease, so few people build immunity.

Hyperendemic

Persistently high levels of disease, above the usual endemic baseline.

Holoendemic

A high level of infection that starts early in life, so most children are infected and most adults are immune (malaria in parts of Africa).

Cluster

A group of cases grouped in time and place that seem greater than expected: even if the "normal" number isn't precisely known.

Outbreak

An increase in cases above what's normally expected, usually in a limited geographic area.

Epidemic

The same idea as an outbreak: more cases than expected, but often used for a larger area or population.

Pandemic

An epidemic that has spread across several countries or continents, affecting a large number of people.

People, Places & Infection

Agent

The "thing" that causes disease: a bacterium, virus, chemical, or other cause.

Protozoa

Single-celled eukaryotes, either free-living or parasitic: historically called "one-celled animals." Plasmodium (malaria) and Giardia are examples.

Antigen

Any substance the body recognizes as foreign (like a toxin, or a marker on the surface of a pathogen or transplanted organ) that triggers the immune system to make antibodies against it.

Etiology

The cause (or set of causes) of a disease.

Pathogenicity

An agent's ability to cause disease once it has infected someone.

Virulence

An agent's ability to cause severe disease.

Host

The person (or animal) that an agent infects.

Reservoir

The natural "home" where an agent normally lives, grows, and multiplies: a person, animal, or part of the environment.

Vector

A living carrier (usually an insect or animal) that transports an agent from one host to another (e.g., mosquitoes and malaria).

Fomite

An inanimate object (a doorknob, a towel) that carries an agent from one person to another.

Zoonosis

An infectious disease that can pass from animals to humans (rabies, Salmonella from pet turtles).

Iatrogenic

Illness or harm caused by medical treatment itself (a drug side effect, an infection from surgery).

Nosocomial

An infection picked up in a hospital or other health-care setting.

Teratogen

An agent that causes birth defects when a fetus is exposed during pregnancy (Zika virus, rubella, alcohol, thalidomide).

Vehicle

A nonliving object or substance, like contaminated food or water, that carries an agent to a new host.

Carrier

A person infected with an agent who can spread it, whether or not they show symptoms themselves.

Index case

The first case of a disease that comes to investigators' attention. It isn't always the first person who got sick (that's the primary case), so the index case isn't necessarily "patient zero."

Susceptible

Lacking the immunity or resistance needed to fight off an infection, and therefore at risk of becoming a case.

Herd immunity

When enough of a population is immune to a disease that it can no longer spread easily: indirectly protecting even those who aren't immune.

Public Health Action

Surveillance

The ongoing, systematic collection, analysis, and use of health data to guide public health decisions and action.

Risk

The probability, or chance, that a health event (like getting a disease) will happen.

Quarantine

Separating and restricting the movement of people who may have been exposed to a contagious disease, to see if they become sick.

Isolation

Separating people who are already sick with a contagious disease from those who are healthy.

Notifiable disease

A disease that health-care providers and labs are legally required to report to public health authorities.

✓ Check Yourself

Tap each question to check your answer · 0 of 3 opened

Q7Malaria is caused by what type of infectious agent?
A protist (parasite), spread by mosquito vectors.
Q8A disease that is always present at a low, expected level in a specific area is described as what?
Endemic. (If that baseline level becomes persistently higher than usual, it's called hyperendemic.)
Q9A patient develops a bloodstream infection from a catheter placed during surgery. Is this iatrogenic, nosocomial, or both?
Both. It was caused by medical treatment (iatrogenic) and picked up in a hospital (nosocomial).