GENERAL AND APPLIED HYGIENE (INTERDISCIPLINARY)
Learning outcomes of the course unit
In line with the guidelines of the "Institute for International Medical Education (IIME), Task force for Assessment" and, at the national level, of the Schools of Medicine Presidents’ Permanent Conference, the course aims at providing students with knowledge and understanding of the main themes in hygiene and public health. At the end of the course the students should be able to describe and assess the main determinants of health and to understand the importance of protecting and promoting health at the community level. In addition, they should be able to apply the acquired knowledge and understanding in epidemiologic methods in order to read and interpret scientific literature as well as in healthcare management in order to assess health systems’ features. The course also aims at providing students with the ability to gather and interpret relevant data to inform judgments that include reflection on relevant public health issues and with the ability to communicate ideas, problems and solutions to both specialist and non-specialist audiences. Last but not least, the course aims at providing student with solid learning and study methods that can be transferred to other fields of study as well as to professional life.
Semeiotics and Microbiology.
Course contents summary
General and applied hygiene
• Epidemiology and healthcare organization
• The National Health Service.
Determinants of health and determinants of disease.
Prevention, surveillance and control of health risks.
Vaccine-preventable diseases and other infectious diseases.
Environment and health.
1. General concepts of hygiene, health, and health education
• General health status of population, healthcare and health promotion
• Different types of prevention (primary, secondary, tertiary prevention)
• Health education: planning, management and intervention evaluation
• Health legislation. Globalisation and health
2. Health planning and organization - Health economy and management
• International health management (role of WHO)
• Organization of Italian Health System and Regional Health settings: from Law 833/1978 to devolution of NHS
• Hospital and local organization of NHS (Aziende, Dip. prevenzione, distretti)
• Principal components of health scheduling: national and regional health programmes
• Introduction to health economics and health organization: how to organize, production benefits and costs
• Health economics: efficiency and efficacy, equity, healthcare and health policy
• Organization: systemic analysis, organization variables, organization planning, clinical autonomy, tailor-made performances.
• Health coordination process: local health enterprise budget, main planning tools, budget estimation.
3. Epidemiological methods
• History and application of epidemiology. Sources of statistical-epidemiological data
• Descriptive epidemiological measures: crude rate, specific and standardized rate
• Epidemiological risk measures, cause-effect interpretation
• Ecological studies, cohort studies, case-control studies, case series studies
• Experimental studies and preventive trials. Validation of new drugs and vaccines
• Study design, data collection, ethical and privacy issues
• Classification and data analysis. Quality evaluation of data, epidemiological biases
4. Epidemiology of general prevention of infectious diseases Host-guest relationship,
infection sources and reservoirs, transmission mode
• Notification, default measures, diagnosis of infectious diseases
• Sterilization, disinfection and disinfestation
• Vaccine preventable diseases. Types of vaccines, strategies and vaccine schedules, passive immunoprophylaxis and chemoprophylaxis
5. Epidemiology and specific prevention of infectious diseases
• Epidemiology and prevention of airborne diseases
• Epidemiology and prevention of sexually transmitted disease and parenteral transmission
• Epidemiology and prevention of faecal-oral transmitted diseases
• Epidemiology and prevention of vector borne diseases and zoonoses
• Epidemiology and prevention of vertical-transmitted diseases
• Emerging and remerging infectious diseases.
• Travel medicine and Bioterrorism
• Epidemiology and prevention of nosocomial and opportunistic infections
• Immunization policies and schedules for infants, adolescents and adults
6. Non infectious diseases: epidemiology and prevention
• Major risk factors of chronic diseases and their prevention
• Screening: theoretical concepts and their application in Italian PH System
• Epidemiology and prevention of cardiovascular diseases
• Epidemiology and prevention of malignant tumours
• Epidemiology and prevention of other most important non infectious diseases
• Epidemiology and prevention of alcohol and substance abuse
• Epidemiology and prevention of road, domestic and work accidents
7. Environment and Health
• Environmental politics and energy systems
• Air, climate and atmospheric pollution: health effects
• Ionizing and non-ionizing radiation: health effects
• Indoor environment: microclimate, indoor
• Barbuti S, Bellelli E, Fara GM, Giammanco G. Igiene e medicina preventiva (4° ediz). Monduzzi, Bologna, 2011.
• Signorelli C: Igiene, epidemiologia e sanità pubblica (Secrets, VI EDIZIONE). SEU, Roma, 2017
The course will be taught through frontal lectures as well as through case reports and interactive sessions that allow students to be faced with real word challenges and to understand how epidemiology and public health instruments are relevant and powerful across-the-board in health.
Assessment methods and criteria
Oral and written exam.
Written exams in itinere (multiple choice questions, MCQs) and one oral exam on the material covered up in class.
Written exams will assess students’ learning and understanding during the course; the oral exam will assess students’ critical analysis, communication skills and synthesis ability at the end of the course.