An Epidemic in the Community

To prepare for this Discussion, visit the CDC Wonder site in this week’s resources. Investigate the incidence and prevalence of TB in your community (Travis County in Austin, TX). What information did you find? Analyze how your community compares to county (Travis), state (Texas), or national (United States) data for the same topic. Was the incidence and prevalence of each higher or lower than you expected?

Consider the following scenario: This is Debbie’s first year working as a nurse at the local health department in a rural county. Most of her days are spent in the clinic seeing clients who often do not have health insurance.

Over the past month, Debbie has noticed that several young Hispanic men have come to the health department, each diagnosed with tuberculosis. Debbie is concerned about what the outbreak of tuberculosis among the migrant workers could mean for the community. Through a community health profile, Debbie identifies the group of migrant farm workers as being at highest risk for contracting tuberculosis.

Using the Epidemiologic Triangle concept, consider the relationship among causal agents, susceptible persons, and environmental factors. Then, respond to the following:

• As a BSN-prepared community health nurse, what steps should Debbie take next?
• Considering economic and social considerations within the community, what are the primary, secondary, and tertiary interventions that Debbie might use in managing this outbreak?
• Can similar interventions be applied to your community and its TB prevalence?
• What considerations need to be addressed within your community that are different form Debbie’s community?

 This should be a 3-paragraph (at least 250–350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ≤ 5 years old). 

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This is a Turnitin assignment:

.Gonorrhea

.Dengue Fever

.Giardiasis Acute

1.  Choose 3 population based communicable illness and prepare an analysis discussing how this 3-communicable illness affect your community and how they were identified and a plan of action to contained them base on healthy people 2020.  

2.  Presentation must be in APA format word document, Arial 12 font attach to the forum/thread in the assignment tab and turnitin with a minimum of 1000 words (excluding first and references page) with a minimum of 3 evidence based references (excluding the class textbook) no older than 5 years are required.  The assignment must include the zip code of the city or county chosen.  Follow the APA example paper that was sent to you at the beginning of the course for guidance.  Make sure references are use according to APA guidelines and electronic references must be from reliable sources such as CDC.  Once again, the assignment will be posted in turnitin under the tab epidemiology assignment to verify originality and on the discussion tab of the blackboard under forum/thread epidemiology assignment. 

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 Which epidemiological study design would you use to evaluate an  intervention in your practice (Providing PrEP to prevent HIV acquisition)? Provide a description of the chosen  population and the identified intervention (population is college age adults in a metropolitan city). Provide support as to why  you believe that the design you chose is the best option including the  strengths and weaknesses of the design you have chosen. 

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INSTRUCTIONS:

1.  Go to http://www.healthypeople.gov/2020/default.aspx and review the Healthy People 2020 initiative.  Pay close attention to the objectives, goals and the indicators.

2.  Using the Hialeah public health department (33012) identify an epidemiological and surveillance data related to population based communicable illnesses (Influenza, Sexually Transmitted Diseases and Tuberculosis). 

4. Prepare an analysis discussing how these 3-communicable illnesses affect your community and how they were identified and a plan of action to contained them base on healthy people 2020.

5.  Presentation must be in APA format word document, Arial 12 font with a minimum of 1000 words (excluding first and references page) with a minimum of 3 evidence based references (excluding the class textbook) no older than 5 years are required.  The assignment must include the zip code of the city or county chosen. Make sure references are use according to APA guidelines and electronic references must be from reliable sources such as CDC.  Once again, the assignment will be checked to verify originality.

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 The Centers for Disease Control and Prevention reported the percentage of children who had abnormal cholesterol levels according to body weight. Among biys, the percentages of abnormal cholesterol levels for normal, weight, overweight, and obese persons were approximately 15%, 25%, and 45%, respectively. Among girls, the corresponding percentages were approximately 15%, 25%, and 44%, respectively. Based on these data, is there a relationship between gender and cholesterol levels? How does body weight relate to cholesterol levels? Please use statistical terms (ex. frequency, distribution, mean, variance, standard deviation, range, variance, correlation, etc.) in your responses. 

instructions:

 (5) Each of the responding message and feedback message must be composed properly  so that  i. they directly answer the leading question (in the responding message) and  present your agreement or disagreement (in the feedback message);  ii. each message has 100 and 250 words (excluding reference list or web link);  iii. each message starts with a topic sentence (clearly state the main idea of the  message);  iv. each message displays a positive attitude as described in 5. Professionalism;  v. each message is well supported by at least one reliable source (Books, peer‐ reviewed professional journals, websites of U.S. governments, higher education,  non‐profit organizations, etc.  No .com sources except peer reviewed professional  journals.  Typically acceptable sources are from .gov, .edu, .org.  Wikipedia,  WedMD, or alike are not acceptable.  When a website is used, the complete direct  link must be provided.);  vi. each message displays the number of words at the end of the message in  parentheses.  

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