Global Health, FINAL Flashcards


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1

List 3 strategies that Maldives used to achieve their goal of eliminating LF.

1) vector control, eliminating mosquito breathing sites

2) 12-week treatment plan (rather than previous 12 day regimen)

3) blood sampling to track cases

2

Adult schistosomes live _______________________.

in blood vessels

3

An immune response to schistosome eggs cause most of the morbidity associated with schistosomiasis; adult worms don’t cause much damage.

true

4

Schistosomiasis can be contracted by ______________________.

having skin contact with water contaminated with human waste

5

How do schistosome eggs enter the environment?

In urine or feces, and they hatch when they reach a freshwater body, such as a river, lake, or stream

6

The following play a role in the transmission of schistosomiasis: (choose all that apply).

freshwater snails

non-human primates

7

Schistosomiasis can affect infants and children as well as people in every other life stage.

true

8

In an endemic location, swimming in water that’s contaminated with human waste is a risk factor for schistosomiasis.

true

9

MDA is a major control strategy for both schistosomiasis and LF.

true

10

Improved access to water and sanitation infrastructure are important prerequisites to help reduce the burden of schistosomiasis.

true

11

Lymphatic filariasis (LF) cases occur in multiple countries, including those in Asia, Africa, and South America.

true

12

The following play a role in the transmission of LF: (choose all that apply).

mosquitos

13

Highly visible symptoms of LF mainly occur due to: (choose the single best response)

a large number of infective mosquito bites over the course of many years

14

Even without external LF symptoms, there may still be damage to lymphatic vessels and kidneys, and also changes to the immune system, even in children.

true

15

In the obstructive phase of LF, elephantoid organs develop and the disease is often highly visible.

true

16

LF may be accompanied by feelings of shame, fear, and embarrassment and may result in social exclusion.

true

17

The GPELF called for elimination of LF by the year 2020, but that target was not met. The new proposed target is __________.

2030

18

For LF, the drugs that would be used for MDA vary based on other parasites that are endemic in a particular location.

true

19

The GPELF calls for: (choose the single best response)

Both MDA to reduce the transmission of LF and clinical care for people who have disease symptoms

20

Morbidity associated with LF can include hydrocele and swelling of the legs and breasts.

true

21

_________________ is the main parasite associated with female genital schistosomiasis.

S. haemtobium

22

Schistosomiasis is now known to be associated with increased risk of transmitting and contracting HIV.

true

23

Scientists currently think there is a high likelihood that schistosomiasis may contribute to an increased risk of some cancers, such as bladder cancer, colorectal cancer, and liver cancer.

true

24

FGS can affect the following parts of a person’s anatomy (choose all that apply):

Fallopian tubes

Cervix

Ovaries

Uterus

Vulva

25

At a population scale, FGS is somewhat difficult to detect because of limitations of equipment, personal, and the lack of an accepted and standardized definition.

true

26

A __________________ causes trachoma.

bacterium

27

he microbe that causes trachoma is called ________________________

chlamydia trachomatis

28

Briefly describe the SAFE strategy.

S - surgery to correct the position of the eyelashes (trachomatous trichiasis)

A- antibiotics to clear the infection

F- facial cleanliness, face washing to remove eye and nose mucus that will attract flies

E- environmental improvement, particularly by improving access to water and sanitation (toilet facilities, cutting down on fly breeding)

29

A large proportion of cardiac deaths among young adults in Latin America are due to Chagas’ disease.

true

30

There is a vaccine currently in use for Chagas’ disease.

false

31

Chagas’ disease is mainly transmitted by a____________________.

triatomine

32

When Chagas’ disease is transmitted, the vector injects saliva that carries the parasite.

false

33

Sleeping under insecticide-treated bednets at night can help protect against malaria, but bednets don’t help address Chagas’ disease.

false

34

Most people infected with Trypanosoma cruzi will eventually die from the disease.

false

35

For Chagas’ disease, experts believe that vector control is one key aspect of the strategy to address Chagas’ disease in Latin America.

true

36

One effective strategy to prevent transmission of Chagas’ disease is through screening blood and organs that are being donated.

true

37

It’s possible to diagnose and treat people for Chagas’ disease during pregnancy.

true

38

Since vertical/congenital transmission is impossible for the organism that causes Chagas’ disease, screening babies is unnecessary.

false

39

Trachoma is endemic in countries in Africa, Central America, South America, Asia, and the Middle East, and it's also present in Australia.

true

40

With trachoma, the eyelashes may touch the eyeball and scratch it if scar tissue develops on the interior of the eyelid

true

41

Due to biological differences, women are about 4 times as likely as men to be blinded by trachoma.

false

42

What is the leading cause of blindness worldwide from an infectious agent?

trachoma

43

Two drugs (Benznidazole and Nifurtimox) to treat Chagas’ disease have been used for decades because both are safe and effective, but it would be ideal to develop new drugs in case of drug resistance in the future.

false

44

For advanced Chagas' disease, there is currently a recommendation to not offer treatment.

true

45

The word “malnutrition” includes the following:

undernutrition

overweight

obesity

micronutrient deficiencies

46

The following are commonly measured using standardized growth charts:

stunting

wasting

underweight

overweight

obesity

47

The “first 1000 days” refers to the time between when a child is born until shortly before their 3rd birthday.

false

48

The new (2021) Lancet series of papers referred to in this unit on “Maternal and Child Malnutrition” categorized nutrition interventions as follows: (choose all that apply

being from the healthcare sector or from outside of the healthcare sector

being "direct" or "indirect"

49

“Stunting” refers to: (choose the single best response)

low height for age

50

“Wasting” refers to: (choose the single best response)

low weight for height

51

Stunting tends to occur most at the following time: (choose the single best answer)

in the first 3 months after birth

52

Wasting at birth and wasting in the first 3 months of life are relatively prevalent in LMICs.

true

53

Between 2000 and 2015, stunting has _________________ in LMICs. (choose the single best response)

improved slightly

54

Stunting is generally more prevalent in LICs than in MICs

true

55

Zinc supplements should be given when a child has diarrhea.

true

56

Evidence strongly shows that adequate birth spacing can help improve the nutrition status of children.

true

57

Low iron intake and low intake of Vitamin B-12 can both causes forms of anemia.

true

58

Foods that contain high amounts of essential micronutrients such as iron, Vitamin B-12, Vitamin A, and iodine are often expensive, perishable (they spoil easily and quickly), and require refrigeration.

true

59

Iodized salt has been an enormously beneficial program, as well as being very cost-effective.

true

60

Stunting can prevent people from achieving their full mental and physical potential.

true

61

Geographically, ______________ is the global region most heavily impacted by stunting and wasting, as of approximately 2015.

South Asia

62

In comparison with other low-income countries, India has a much higher prevalence of wasting.

true

63

As of 2021, only high-income countries are expected to fully meet the 10 nutrition targets set by the 2012 World Health Assembly.

false

64

There is currently strong evidence to suggest that promotion of breastfeeding is a positive way to improve child nutrition.

true

65

One general trend we’ve seen with global data on malnutrition is that we don’t yet have enough information about the nutrition of school-aged children (kids over 5 years) and adolescents.

true

66

We have good evidence to recommend the following strategies to improve maternal and/or child nutrition

Therapeutic zinc supplementation for diarrhea

Small-quantity lipid-based nutrient supplements for kids

Ready-to-use supplementary food for acute malnutrition

Family planning and birth spacing

ITNs

Large-scale food fortification

67

Iron-deficiency anemia can be caused by the following:

Loss/removal of more RBCs than are replaced by the body

Inability to absorb dietary iron

Food sources don’t have enough iron

Pregnancy and menstruation, which come with increased demand for iron

Breastfeeding, which comes with increased demand for iron