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Descriptive Epidemiology Prof. Ashry Gad Mohamed Triads in epidemiology Person, place & time Agent, host, environment Person 1. Age Type of the disease Birth trauma Congenital anomalies Infectious diseases Degenerative diseases Clinical presentation Thyroxine defeciency Iodine deficiency DM TB Severity of the disease DM Whooping cough Pneumonia Fractures Mechanism Agents Degree of communicability Post infection immunity Latency paper Host Immunity Hormones Environment Exposure 2-Gender Genetic sex-linked diseases. Hormonal defieciency of female sex hormone Anatomical C cervix & prostate Exposure work, nursing 3-Race & familial tendency Family Genetic Vs common exposure. Race sickle cell anaemia 4-Scioeconomic status Education Behaviour Economy Environment, Access to health care facilities. Occupation Occupational diseases 5-Marital status Dangerous occupation Feeding Stress Place Geographic location temperature, humidity, winds, animals,,,etc. Geology Radioactive materials Hardness of water Chemical and physical environment Iodine in soil Sulpher dioxide Environmental sanitation Filth diseases Pools of water Availability of health services Vaccination Dtection Characteristics of the inhabitants Age, Sex………etc. Time Long term secular trend Steady trend towards increase or decrease over a long period of time. 1700 2000 Seasonal Influenza, meningitis, food poisoning. Cyclic pattern Measles in pre-vaccination era, RVF. Rapid fluctuation epidemics, weeks, days , hours.