Download College of Micronesia

College of Micronesia
PO Box 159
Pohnpei, FM96941
Course title: Environmental Prevention and
Control of Disease
Department and number: PH 121
Course Description: This course equips students with knowledge and skills in the preparation of
information on communicable diseases for the use in the communities, with the support of public
health workers. The course will enable students to identify diseases, particularly infectious diseases;
identify and apply environmental methods for disease prevention; and control transmission to
humans and/or animal reservoirs.
Course Prepared By: Public Health Training
Program Faculty
Hours per Week
Lecture
3
State: Pohnpei, National Campus
No. of Week
x
16
Total Hours
=
48
Semester Credits
=
Total Semester Credits
Purpose of Course:
Prerequisite:

Degree Requirement
Degree Elective
Certificate
Other
3
3
X
None
This course also meets PLO#(S): NA
Signature, Chairperson, Curriculum & Assessment Committee
__________________________
Date approved
______________________________________
Signature, VPIA, COM-FSM
__________________________
Date approved
PH121 ENVIRONMENTAL PREVENTION
AND CONTROL OF DISEASE
RECOMMENDED BY CAC: 11/28/11
APPROVED BY VPIA: 12/14/11
A. PROGRAM LEARNING OUTCOMES (PLOs):
The student will be able to:
1. Recognize, describe and discuss the basic public health science facts and principles;
2. List and discuss the essential public health functions and their interrelationships at
community and district level;
3. Describe and discuss adult, children and family health issues;
4. Discuss and demonstrate an understanding and practice of some generic public health
competencies;
5. Demonstrate proper public health skills for public health practice in the community as
a state or local public health officer;
6. Discuss and demonstrate community and cultural sensitivity in the health care
environment;
7. Describe and discuss the health determinants and problems of adults, children and
families;
8. Demonstrate proper cardio-pulmonary resuscitation (CPR) and first aid techniques;
9. Demonstrate the ability and discuss how to make a community diagnosis based on the
determinants of health;
10. Identify and demonstrate good public health practice; and
11. Have had work experience at a public health facility at community and district levels.
B. STUDENT LEARNING OUTCOMES (SLOs) - GENERAL:
The student will be able to:
1. Demonstrate an understanding of the basic concepts of public health and
epidemiology, including those of demographic data, morbidity, mortality, and basic
microbiology.
2. Recognize the important classes of infectious diseases: occupational, zoonotic,
sexually transmitted infections (STIs), helminthes and vector-borne diseases, and the
manner through which these infections are transmitted to human.
3. Demonstrate and the interactions between host, infectious agent and the environment
in the development of infectious disease.
4. Identify appropriate measures to combat infections during natural disasters and to
contain transmission during epidemics.
5. Demonstrate the specimen collection procedures for mosquito larvae, water, food,
and sputum, and interpret the relevant test results; and develop communication skills
in sharing medical evidence.
SLO
1
2
3
4
5
PLO1 PLO2 PLO3 PLO4 PLO5 PLO6 PLO7 PLO8 PLO9 PLO10 PLO11
ID
D
ID
ID
D
ID
ID
D
ID
ID
D
ID
ID
D
ID
C. STUDENT LEARNING OUTCOMES (SLOs) – SPECIFIC
The student will be able to:
PH121 ENVIRONMENTAL PREVENTION
AND CONTROL OF DISEASE
RECOMMENDED BY CAC: 11/28/11
APPROVED BY VPIA: 12/14/11
General SLO 1. Demonstrate an understanding of the basic concepts of public health and
epidemiology, including those of demographic data, morbidity, mortality, and basic
microbiology.
Student Learning Outcome
Assessment Strategies
1.1. Define public health.
Group discussion and oral report
1.2. Discuss major achievements in the evolution of public
to be graded according to a
health in time.
specified rubric
1.3. Distinguish between the “old” public health and the
“new” public health.
Individual assignments
1.4. Describe, with examples, the major uses of
epidemiology.
Direct and multiple choice
1.5. List and describe the main demographic measures, i.e.
questions in examinations and
birth and death registrations, birth and death rates.
quizzes
1.6. Calculate morbidity rates (incidence, prevalence);
mortality rates (infant mortality rate [IMR], neonatal
mortality rate [NMR], disease-specific and mortality
rates).
1.7. Describe a disease notification system: its categories;
reporting requirements and operational mechanisms.
1.8. Identify observational patterns of some common
infectious diseases in the local context.
1.9. Discuss how these disease patterns might be affected by
environmental factors.
1.10. Outline the classification of causative agents, i.e.
bacteria, viruses, fungi, and protozoa.
1.11. Discuss the ecology and classification of organisms, the
interaction between organisms: independence, mutualism,
commensalisms, and parasitism.
1.12. Identify sites of colonization by indigenous microbes,
reservoirs of infection, and live and inanimate reservoirs.
General SLO 2. Recognize the important classes of infectious diseases: occupational, zoonotic,
sexually transmitted infections (STIs), helminthes and vector-borne diseases, and the manner
through which these infections are transmitted to human.
Student Learning Outcome
Assessment Strategies
2.1. Describe and discuss the etiology, mode of transmission, Group discussion and oral
occurrence pattern and epidemic potential of microorganism. reports to be graded according to
2.2. Identify and discuss the environmental impacts of the
a specified rubric
microorganisms and the disease is causes.
2.3. Propose possible environmental preventive and control
Direct and multiple choice
measures for the different infectious diseases.
questions in examinations and
quizzes
PH121 ENVIRONMENTAL PREVENTION
AND CONTROL OF DISEASE
RECOMMENDED BY CAC: 11/28/11
APPROVED BY VPIA: 12/14/11
General SLO 3. Demonstrate the interactions between host, infectious agent and the environment
in the development of infectious disease.
Student Learning Outcome
Assessment Strategies
3.1. Define and describe the “chain of infection” – the
Group discussion and oral report
interaction between “infectious agent – host – environments”. to be graded according to a
3.2. Distinguish the following terms: endemic, sporadic,
specified rubric
epidemic, and pandemic.
3.3. Explain how an infectious disease outbreak might be
Individual assignments
recognized.
3.4. Discuss how the environment may play its part in the
Direct and multiple choice
occurrence of a disease outbreak.
questions in examinations and
3.5. Conduct a focused discussion on the disease
quizzes
transmission via vectors, such as mosquitoes, flies, fleas,
lice, bedbugs, cockroaches, rats and mice; and propose
relevant control measures.
General SLO 4. Identify appropriate measures to combat infections during natural disasters and
to contain transmission during epidemics.
Student Learning Outcome
Assessment Strategies
4.1. Describe how environmental aspects might be used
Group discussion and oral
during outbreak investigation, i.e. hypothesis generation,
reports to be graded according to
testing and confirmation; initiation of further environmental
a specified rubric
measures and studies to contain the outbreak.
4.2. Identify disease implications, particularly the
Individual assignments
environmental implications of disease outbreaks and/or
natural disasters.
Direct and multiple choice
4.3. List the steps in the implementation of preventive
questions in examinations and
measures, particularly those of environmental application.
quizzes
4.4. Describe the steps to control patients, contacts and the
immediate environment in the context of a disease outbreak
and/or a natural disaster.
General SLO 5. Demonstrate the specimen collection procedures for mosquito larvae, water,
food, and sputum, and interpret the relevant test results; and develop communication skills in
sharing medical evidence.
Student Learning Outcome
Assessment Strategies
5.1. Identify relevant specimens and describe
Group discussion and oral report to be graded
the relevant sampling procedures/ techniques,
according to a specified rubric
i.e. food, water, soil, and plant.
5.2. Demonstrate communication skills in
Direct and multiple choice questions in
sharing medical facts and disease information
examinations and quizzes
with other public health workers and the
community at large.
PH121 ENVIRONMENTAL PREVENTION
AND CONTROL OF DISEASE
RECOMMENDED BY CAC: 11/28/11
APPROVED BY VPIA: 12/14/11
D. COURSE CONTENTS
1. History of public health and epidemiology – An overview
a. Definitions of public health and epidemiology
b. Major achievements of public health
c. Public health and globalization
d. Major uses of epidemiology
e. The role of epidemiology in the broad arena of public health
2. Demographic data, morbidity and mortality
a. Demographic measures
1.1 Birth/ death registration
1.2 Birth rates
1.3 Death rates
b. Calculation of morbidity and mortality frequencies
2.1 Morbidity rates: incidence, prevalence
2.2 Mortality rates: infant mortality rate; neonatal mortality rate; disease-specific
mortality rates,
c. Disease notification system
d. Common infectious diseases
e. Impact of environmental factors on the disease patterns
3. Microbiology
a. Classification of causative agents
b. Ecology and classification of organisms
c. Mechanism of infections
4. Common communicable diseases
a. Disease etiology
b. Mode of transmission
c. Occurrence patterns and epidemic potential
d. Environmental impact and environmental preventive and control measures of:
 Bacterial infections
 Viral infections
 Parasite infections
 STIs and HIV/AIDS
5. Disease outbreaks
a. Chain of infection
b. Disease pattern-related terms:
 Endemic
 Sporadic
 Epidemic/ outbreak
 Pandemic
c. Environment and its impact on disease outbreak
d. Transmission of vector-borne diseases
e. Environmental control measures
f. Disease outbreak investigation - environmental aspects
6. Disaster management – actions in emergencies
a. Environmental implications of disease outbreaks and natural disasters
b. Implementation of environmental preventive measures
PH121 ENVIRONMENTAL PREVENTION
AND CONTROL OF DISEASE
RECOMMENDED BY CAC: 11/28/11
APPROVED BY VPIA: 12/14/11
c. Control of patients, contacts and the immediate environment in disease outbreaks and
natural disasters
d. Sampling specimens, techniques and procedures
e. Sharing and communicating medical evidence and disease information
E. METHODS OF INSTRUCTION
1. Lectures: in-class lectures, followed by group discussions and activities relevant to the
topics presented.
2. Group presentations: students’ presentations on selected readings and group discussion/
activities.
F. REQUIRED TEXT(S) AND COURSE MATERIALS
Haymann D.L.(2004). Control of communicable diseases manual (18th Ed.).Washington,
DC: American Public Health Association (APHA). (or most recent edition).
G. REFERENCE MATERIALS
Bres B. (1986). Public health action in emergencies caused by epidemics – A practical
guide. Geneva: World Health Organization (WHO). (or most recent edition)
Lucas A.O. and Giles HM. (1984). A short textbook of preventive medicine for the
tropics (2nd Ed.). London: Hodder Arnold. (or most recent edition).
WHO (1986). Early detection of occupational diseases. Geneva: WHO. (or most recent
edition).
H. INSTRUCTIONAL COST
None
I. EVALUATION
None
J. CREDIT-BY-EXAMINATION
None
PH121 ENVIRONMENTAL PREVENTION
AND CONTROL OF DISEASE
RECOMMENDED BY CAC: 11/28/11
APPROVED BY VPIA: 12/14/11