Learning outcomes of the course unit
At the end of this course student should have acquired a knowledge of different health indicators, general health situation of industrialised and transition countries, basic concept of prevention and epidemiological methods which enable students to read and interpret scientific papers. Students should also proof to have acquired fundamental knowledge of the prevention of infectious and non-infectious diseases, general concepts of health organization, health policies and health economics; to have understood principal aspects, hospital hygiene, food and nutrition in relation to public health and the relation between environment and health. A special attention is given to the vaccine-preventable diseases.
Semeiotica e Metodologia Clinica;-Farmacologia;-Anatomia Patologica
Course contents summary
The integrated course in HYGIENE, PUBLIC HEALTH AND HEALTH POLICIES is organized in the following modules:
• General and applied concepts of Hygiene, Preventive Medicine and Public health
• Epidemiological methods
• Healthcare management, National Health Service and primary care
• Business economics
• Ethics and bioethics
The course is structured into subsequent themes (some of them covered in the Semeiotics course).
The first theme (**) is on the epidemiology and the general prophylaxis of communicable diseases. In particular, students will learn about direct and indirect prophylaxis, chemoprophylaxis and vaccines.
The second theme is on health assessments. In particular, students will be taught epidemiologic methods and will learn about health indicators and surveillance systems.
The third theme is on health policy and management, health economics and primary care organization. In particular, students will learn about the National Health Service, public health and law, healthcare organization and ethics.
The fourth theme is on the determinants of health. In particular, students will learn about the epidemiology of diseases at high-socioeconomic impact, modifiable and non-modifiable risk factors, preventive medicine, predictive medicine, screenings, health promotion and public health strategies.
The fifth theme is on vaccine-preventable diseases. In particular, students will learn about vaccine-preventable childhood diseases, vaccine preventable diseases in older adults, the National Immunization Program schedule and vaccines-preventable cancers. In addition, students will be taught about immunization strategies and vaccine calendars guidelines.
The sixth theme in on surveillance and the control of health risk factors. In particular, students will learn about non-vaccine preventable diseases, food-borne outbreaks, international travels and heath, health emergencies, public health and disasters, injury prevention, behavioral disorders and addictions.
The seventh theme is on environmental health. In particular, students will learn about environmental risk factors and sustainable development. In addition, students will be taught about the integrated water cycle and health-related elements in architecture and city planning (eg concept of healthy buildings.)
(**) covered in the Semeiotics course
The course of HYGIENE, PUBLIC HEALTH AND HEALTH POLICIES includes all the aspects of epidemiology, general prevention, epidemidemiology of communicable and non communicable diseases, environment and health (air pollution, water, indoor, wastes), health organization and health planning. This course also treats bioethics, professional ethics as well as a “general practice” which includes a practical application of basic concepts of health organization and programming.
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
• • 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, 2011.
Teaching materials of Health economics and management, bioethics and general practise will be eventually published on the web site of the course.
1-Codice di Deontologia Medica (2006)
2-Manuale della Professione Medica Deontologia etica normativa (CG Edizioni Medico Scientifiche)
3-Su sito FNOMCeO (fomceo.it) manuali dei corsi FNOMCeO ECM-FAD
Assessment methods and criteria
Oral exam and written tests