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Case Studies In Infection Control
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Book Synopsis Case Studies in Infection Control by : Meera Chand
Download or read book Case Studies in Infection Control written by Meera Chand and published by Garland Science. This book was released on 2018-01-09 with total page 276 pages. Available in PDF, EPUB and Kindle. Book excerpt: Case Studies in Infection Control has 25 cases, each focusing on an infectious disease, which illustrate the critical aspects of infection control and prevention. Scenarios in the cases are real events from both community and hospital situations, and written by experts. Although brief comments are included in relation to the organism, diagnosis, and treatment the main emphasis is on the case, its epidemiology, and how the situation should be managed from the perspective of infection control and prevention. Each case also has multiple choice questions and answers as well as listing international guidelines and references. All the cases will be an invaluable learning tool for anyone studying or practicing infection control.
Book Synopsis Case Studies in Infection Control by : Meera Chand
Download or read book Case Studies in Infection Control written by Meera Chand and published by Garland Science. This book was released on 2018 with total page 300 pages. Available in PDF, EPUB and Kindle. Book excerpt: Case Studies in Infection Control has 25 cases, each focusing on an infectious disease, which illustrate the critical aspects of infection control and prevention. Scenarios in the cases are real events from both community and hospital situations, and written by experts. Although brief comments are included in relation to the organism, diagnosis, and treatment the main emphasis is on the case, its epidemiology, and how the situation should be managed from the perspective of infection control and prevention. Each case also has multiple choice questions and answers as well as listing international guidelines and references. All the cases will be an invaluable learning tool for anyone studying or practicing infection control.
Book Synopsis Case Studies in Infectious Disease by : Peter Lydyard
Download or read book Case Studies in Infectious Disease written by Peter Lydyard and published by Garland Science. This book was released on 2021-04-25 with total page 609 pages. Available in PDF, EPUB and Kindle. Book excerpt: Case Studies in Infectious Disease presents forty case studies featuring the most important human infectious diseases worldwide. Written for students of microbiology and medicine this book describes the natural history of infection from point of entry of the pathogen through pathogenesis, followed by clinical presentation, diagnosis and treatment. Five core sets of questions are posed in each case. What is the nature of the infectious agent, how does it gain access to the body, what cells are infected, and how does the organism spread? What are the host defense mechanisms against the agent and how is the disease caused? What are the typical manifestations of the infection and the complications that can occur? How is the infection diagnosed and what is the differential diagnosis? How is the infection managed, and what preventative measures can be taken to avoid infection? This standardized approach provides the reader with a logical basis for understanding these diverse and medically important organisms, fully integrating microbiology and immunology throughout.
Book Synopsis Emerging Infectious Diseases by : Onder Ergonul
Download or read book Emerging Infectious Diseases written by Onder Ergonul and published by Academic Press. This book was released on 2014-05-13 with total page 420 pages. Available in PDF, EPUB and Kindle. Book excerpt: More than 30 newly emerged microorganisms and related diseases have been discovered in the past 20 years. Since these infections are so new, even infectious diseases experts and clinical microbiologists need more information. This book covers recently emerged infectious diseases based on real cases and provides comprehensive information including different aspects of the infections. Written in a ‘teaching’ style, this book is of interest to every medical specialist and student. Includes more than 35 emerging infection cases based on the following criteria:newly emerged or re-emergedrecently acquired significance in clinical practicerecently radically changed in case management Offers a balanced synthesis of basic and clinical sciences for each individual case, presenting clinical courses of the cases in parallel with the pathogenesis and detailed microbiological information for each infection Describes the prevalence and incidence of the global issues and current therapeutic approaches Presents the measures for infection control
Book Synopsis Best Practices in Infection Prevention and Control by : Barbara M. Soule
Download or read book Best Practices in Infection Prevention and Control written by Barbara M. Soule and published by Joint Commission Resources. This book was released on 2012 with total page 199 pages. Available in PDF, EPUB and Kindle. Book excerpt: Best Practices in Infection Prevention and Control: An International Perspective, Second Edition, a copublication of Joint Commission International and the Society for Healthcare Epidemiology of America (SHEA), is an essential infection prevention and control (IPC) resource for health care organizations. This fully updated edition provides thorough analysis of JCI's and other IPC requirements, as well as case studies, tips, and tools for increasing IPC compliance and patient safety.
Book Synopsis Natural Ventilation for Infection Control in Health-care Settings by : Y. Chartier
Download or read book Natural Ventilation for Infection Control in Health-care Settings written by Y. Chartier and published by World Health Organization. This book was released on 2009 with total page 132 pages. Available in PDF, EPUB and Kindle. Book excerpt: This guideline defines ventilation and then natural ventilation. It explores the design requirements for natural ventilation in the context of infection control, describing the basic principles of design, construction, operation and maintenance for an effective natural ventilation system to control infection in health-care settings.
Book Synopsis Infection Control for Advanced Practice Professionals by : Denise M. Korniewicz, Ph.D, RN, FAAN
Download or read book Infection Control for Advanced Practice Professionals written by Denise M. Korniewicz, Ph.D, RN, FAAN and published by DEStech Publications, Inc. This book was released on 2013-10-01 with total page 264 pages. Available in PDF, EPUB and Kindle. Book excerpt: Presents best practices for infection prevention and control in advanced practice Emphasizes team approach for infection control Case study provided for each chapter This professional reference combines research on the best practices for infection control in clinical settings with essential information for advanced practice nurses and physician assistants. The book is organized by healthcare settings, and the coverage ranges from small practice offices to large hospitals and medical institutions. Each chapter is prefaced by a case study which is then incorporated into the theoretical material of the chapter as a continuing illustration. This format provides a reader-friendly instructional resource for advanced practice certifications and staff development. From the Foreword "At last is published a long-needed text for advanced practice nurses (APNs), providing them with the information essential to the care of essentially every patient they will encounter. Infection Control for Advanced Practice Professionals fills a void in the literature and recognizes the importance of a team approach to the prevention of infections in the variety of care settings in which APNs are practicing. The book is particularly timely and relevant because it appropriately places infection prevention solidly within the larger patient safety movement and affirms that preventing infections is everybody's concern. In acute care settings, for example, infection control has occasionally been relegated to the infection prevention specialist (e.g., infection control nurse or hospital epidemiologist) or the infection control committee. This has shown to be ineffective in any setting. It is those who "touch" the patients and oversee their care who must assume the responsibility for preventing untoward events such as infections. While not all infections are preventable, there is indeed room for improvement. This comprehensive reference is a first and essential step in that direction!" Elaine Larson, PhD, RN, FAAN, CIC Anna C. Maxwell Professor of Nursing Research Associate Dean for Research School of Nursing Professor of Epidemiology Joseph Mailman School of Public Health Columbia University Editor, American Journal of Infection Control TABLE OF CONTENTS Foreword Preface List of Contributors 1. Principles of Infection Control Joan Hebden 1.1. Case Presentation 1.2. Essential Content for Infection Control Skills 1.3. Creating and Sustaining a Culture of Safety 1.4. The Measurement of Performance 1.5. Team-led Performance Initiatives 1.6. Monitoring and Feedback 1.7. Creating an Action Plan for Performance Improvement 1.8. Making a Business Case for HAI Prevention 1.9. Interpretation/Application of Infection Control Data 1.10. Patient Safety and Health System Issues 1.11. Summary Points 1.12. References 2. Safe Infection Control in the Workplace Carol Patton and Denise M. Korniewicz 2.1. Case Presentation 2.2. Essential Content for Safe Infection Control in the Workplace 2.3. Employer Standards for Bloodborne Pathogen Precautions 2.4. Personal Protective Equipment (PPE) 2.5. Sharps Injuries 2.6. Designing Programs of Healthcare Worker Safety 2.7. Surveillance and Behavioral-based Performance of Healthcare Workers 2.8. Creating a Culture of Safe Infection Control Practices 2.9. References 3. Patient Safety and the Chain of Infection Joan Hebden 3.1. Case Presentation 3.2. Essential Content for Infection Control Skills 3.3. Interpretation/Application of Infection Control Data 3.4. Patient Safety and Health System: Infection Control Practices 3.5. Summary Points 3.6. References 4. Essentials of Epidemiologic Measures and Data Interpretation Maher M. El-Masri and Davy Tawadrous 4.1. Case Presentation 4.2. Measures of Disease Frequency 4.3. Measures of Disease-exposure Association 4.4. Statistical Probability (P. Value) 4.5. Clinical Versus Statistical Significance 4.6. Summary Points 4.7. References 5. Infection Control in Acute Care Settings Jeanne Hinton Siegel 5.1. Case Presentation 5.2. Essential Content for Infection Control 5.3. Hand Hygiene 5.4. Engineering Controls 5.5. New Monitoring Techniques 5.6. Use of Isolation to Prevent the Spread of Infections 5.7. Review of Healthcare Environments 5.8. Advanced Practice Professionals' Roles in Public Health 5.9. References 6. Infection Control in Critical Care Settings Mary Wyckoff 6.1. Case Presentation 6.2. Essential Content for Infection Control 6.3. Hospital Acquired Infections in Critical 6.4. Attributable Cost of Hospital Acquired Infections 6.5. How to Effectively Process Change 6.6. Conclusion and Summary Points 6.7. References 7. Infection Control in the Emergency Department Settings Michelle Wright 7.1. Case Presentation 7.2. Essential Content for Infection Control Skills 7.3. Precautions 7.4. Unknown Illness 7.5. Biochemical Agents 7.6. Trauma 7.7. Travel 7.8. Equipment Sharing 7.9. Patient Mobility 7.10. Overcrowding 7.11. Empirical Antibiotic Therapy 7.12. Novel Approaches 7.13. Summary Points 7.14. References 8. Infection Control in Primary Care Settings Carol Patton and Denise M. Korniewicz 8.1. Case Presentation 8.2. Essential Content for Infection Control Skills 8.3. Creating the Culture of Infection Control in Primary Care Settings 8.4. Strategies for Best Practices for Infection Control in Primary Care Settings 8.5. Summary Points 8.6. References 9. Infection Control Principles for Long-term Care Environments Judith Seltzer and Denise M. Korniewicz 9.1. Case Presentation 9.2. Essential Content for Infection Control Skills 9.3. General Environmental Issues (Wheelchairs, Hand Rails, Walkers, Cleaning Rooms) 9.4. Regulatory Measures 9.5. Summary Points 9.6. References 10. Infection Control in the Home Jeanette Adams 10.1. Case Presentation 10.2. Essential Content for Infection Control Skills 10.3. Health Care Providers 10.4. Multidrug-Resistant Organisms 10.5. Interpretation/Application of Infection Control Data 10.6. Discussion about Patient Safety and Health System Issues Related to ICP 10.7. Summary Points 10.8. References 11. Infection Control Practice in Mental Health Settings James Weidel 11.1. Case Presentation 11.2. Environment of Care of the Psychiatric/Mental Health Facility 11.3. Limited Access to Supplies 11.4. Linen and Clothing 11.5. Provider-Patient Interaction 11.6. Food Safety 11.7. Patient Handling of Food 11.8. Sanitation and Housekeeping 11.9. Risk Factors Associated with Infection Among Psychiatric Patients 11.10. Isolation 11.11. Transmission Based Precautions 11.12. Restraints and Infection Control 11.13. Conclusion 11.14. Summary Points 11.15. References 12. Infection Control in Ambulatory Surgical Centers Judith Seltzer 12.1. Case Presentation 12.2. Essential Content for Infection Control in Ambulatory Surgical Settings 12.3. Regulatory Influences 12.4. Infection Control Monitoring 12.5. Active Participation 12.6. Long-term Infection Control Principles in Ambulatory Surgical Settings 12.7. Summary Points 12.8. References 13. Infection Control in the Community Jeanette Adams 13.1. Case Presentation 13.2. Essential Content for Infection Control Skills 13.3. Food Borne Infections 13.4. Prevention of Infectious Diseases 13.5. Methicillin Resistant Staphylococcus Aureus (MRSA) 13.6. Clostridium Difficile (C-diff.) 13.7. Human Immunodeficiency Virus (HIV) 211 13.8. Interpretation/Application of Infection Control Data 13.9. Discussion about Patient Safety and Health System Issues Related To ICP 13.10. Summary Points 13.11. References 14. Infection Control for Emergency Mobile Health Units Michelle Wright 14.1. Case Presentation 14.2. Essential Content for Infection Control Skills 14.3. Vector Borne Illnesses 14.4. Overcrowding 14.5. Personnel Safety 14.6. Medically Trained Volunteers 14.7. Untrained Volunteers 14.8. Interpretation/Application of Infection Control Data 14.9. Patient Safety and Health System Issues 14.10. Summary Points 14.11. References 15. Future Issues in Monitoring for Safe Infection Control Practices Denise M. Korniewicz 15.1. Case Presentation 15.2. Essential Content Infection Control of the Future 15.3. Future Engineering Controls 15.4. Safety Through Knowledge 15.5. Future Patient Participation, Public Awareness and Patient Advocacy 15.6. Summary Points 15.7. References Index
Book Synopsis Case Studies in Public Health by : Theodore H. Tulchinsky
Download or read book Case Studies in Public Health written by Theodore H. Tulchinsky and published by Academic Press. This book was released on 2018-03-12 with total page 605 pages. Available in PDF, EPUB and Kindle. Book excerpt: Case Studies in Public Health contains selected case studies of some of the most important and influential moments in medicine and epidemiology. The cases chosen for this collection represent a wide array of public health issues that go into the makeup of what can be termed the New Public Health (NPH), which includes traditional public health, such as sanitation, hygiene and infectious disease control, but widens its perspective to include the organization, financing and quality of health care services in a much broader sense. Each case study is presented in a systematic fashion to facilitate learning, with the case, background, current relevance, economic issues, ethical issues, conclusions, recommendation and references discussed for each case. The book is a valuable resource for advanced students and researchers with specialized knowledge who need further information on the general background and history of public health and important scientific discoveries within the field. It is an ideal resource for students in public health, epidemiology, medicine, anthropology, and sociology, and for those interested in how to apply lessons from the past to present and future research. Explores the history of public health through important scientific events and flashpoints Presents case studies in a clear, direct style that is easy to follow Uses a systematic approach to help learn lessons from the past and apply them to the present
Book Synopsis Infectious Diseases Case Study Approach by : Jonathan Cho
Download or read book Infectious Diseases Case Study Approach written by Jonathan Cho and published by McGraw Hill Professional. This book was released on 2020-04-03 with total page 165 pages. Available in PDF, EPUB and Kindle. Book excerpt: Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product. A new case-based approach to teaching infectious disease pharmacotherapy to pharmacy students Reflecting the growing demand for healthcare providers versed in infectious disease pharmacotherapy, this innovative new text provides an essential examination of the subject through patient cases seen in actual practice. Assuming little prior knowledge of infectious diseases on the reader’s part, the text covers both common and uncommon presentations, as well as disease states not found in similar textbooks. Infectious Diseases: A Case Study Approach includes multiple-choice questions along with detailed explanations for both correct and incorrect answer choices, and valuable insight into each disease state. With this valuable resource, pharmacy students will learn how to apply pharmacotherapy concepts to real-world situations. Features: • Coverage of myriad disease states, including bacterial infections, prosthetic joint infections, bite wounds, encephalitis, and sexually transmitted diseases • Students will learn how to apply concepts to real-world situations • Includes enlightening clinical pearls for numerous disease states • Multiple-choice questions with complete answers, and more
Book Synopsis Infectious Disease by : Nandini Shetty
Download or read book Infectious Disease written by Nandini Shetty and published by John Wiley & Sons. This book was released on 2009-04-03 with total page 664 pages. Available in PDF, EPUB and Kindle. Book excerpt: “... a fun and readable book that engages the imagination and retains the interest of the clinically oriented reader while conveying an understanding of the direct implications of molecular characteristics of infectious agents to the practice of medicine..” –Emerging Infectious Diseases, January 2010 “... provides a valuable overview of the basic principles and issues pertaining to the pathogenesis and prevention of infectious diseases. The illustrations, the chapter summaries with relevant information, and the case studies are all particularly useful for the targeted readers. The book is well designed and manages to convey the general concepts of the various aspects of infectious diseases without overwhelming the reader with too much information... recommended for students, trainees, or physicians who desire a well-illustrated textbook that is easy to read and that addresses the basic aspects of infectious disease.” –Clinical Infectious Diseases, 2010 The study of infectious diseases has undergone major changes since its infancy when it was largely a documentation of epidemics. It has now evolved into a dynamic phenomenon involving the ecology of the infectious agent, pathogenesis in the host, reservoirs and vetors, as well as the complex mechanisms concerned in the spread of infection and the extent to which this spread occurs. Rapid globalization has led to unprecedented interest in infectious diseases worldwide and their effect on complex population dynamics including migration, famine, fire, war, and terrorism. It is now essential for public health officials to understand the basic science behind infectious disease and, likewise, students studying ID must have a broader understanding of the implications of infectious disease in a public health context as well as clinical presentation and prevention. The clear demand for an integrated approach has led to the publication of this text. Check out the student companion site at www.wiley.com/go/shettyinfectiousdisease
Book Synopsis Biofilms in Infection Prevention and Control by : Steven L. Percival
Download or read book Biofilms in Infection Prevention and Control written by Steven L. Percival and published by Academic Press. This book was released on 2014-01-30 with total page 394 pages. Available in PDF, EPUB and Kindle. Book excerpt: Biofilms in Infection and Disease Control: A Healthcare Handbook outlines the scientific evidence and rationale for the prevention of infection, the role biofilms play in infection control, and the issues concerning their resistance to antimicrobials. This book provides practical guidance for healthcare and infection control professionals, as well as students, for preventing and controlling infection. Biofilms are the most common mode of bacterial growth in nature. Highly resistant to antibiotics and antimicrobials, biofilms are the source of more than 65 percent of health care associated infections (HCAI), which, according to the WHO, affect 1.4 million people annually. Biofilms are involved in 80 percent of all microbial infections in the body, including those associated with medical devices such as catheters, endotracheal tubes, joint prostheses, and heart valves. Biofilms are also the principle causes of infections of the middle-ear, dental caries, gingivitis, prostatitis and cystic fibrosis. Importantly, biofilms also significantly delay wound healing and reduce antimicrobial efficiency in at-risk or infected skin wounds. Provides specific procedures for controlling and preventing infection Includes case studies of HCAI, and identifies appropriate treatments Presents national government standards for infection prevention and control Includes extensive references and links to websites for further information
Author :National Health and Medical Research Council (Australia) Publisher : ISBN 13 :9781864965223 Total Pages :33 pages Book Rating :4.9/5 (652 download)
Book Synopsis Caring for People who Sniff Petrol Or Other Volatile Substances by : National Health and Medical Research Council (Australia)
Download or read book Caring for People who Sniff Petrol Or Other Volatile Substances written by National Health and Medical Research Council (Australia) and published by . This book was released on 2011 with total page 33 pages. Available in PDF, EPUB and Kindle. Book excerpt: These guidelines provide recommendations that outline the critical aspects of infection prevention and control. The recommendations were developed using the best available evidence and consensus methods by the Infection Control Steering Committee. They have been prioritised as key areas to prevent and control infection in a healthcare facility. It is recognised that the level of risk may differ according to the different types of facility and therefore some recommendations should be justified by risk assessment. When implementing these recommendations all healthcare facilities need to consider the risk of transmission of infection and implement according to their specific setting and circumstances.
Download or read book Outbreak written by Rodney P. Anderson and published by John Wiley & Sons. This book was released on 2020-05-12 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: Outbreak: Cases in Real-World Microbiology, 2nd Edition, is the newest edition of this fascinating textbook designed for introductory microbiology students and instructors. Thoroughly revised, this collection of case studies of real-world disease outbreaks, generously illustrated in full color, offers material that directly impacts college-level students, while the book's unique presentation offers instructors the flexibility to use it effectively in a number of ways. More than 90 outbreak case studies, organized into six sections according to the human body system affected, illustrate the wide range of diseases caused by microbial pathogens. The studies are presented at differing levels of difficulty and can be taught at all undergraduate levels. Each case study includes questions for students to think about, discuss, and answer, and the book includes an appendix that directs students to the specific reference material on which each case was based, providing the opportunity to investigate further and to apply the reference content to the case being studied. Each of the six sections of the book concludes with a College Perspective and a Global Perspective case study. The College Perspective provides a direct and practical link between the microbiology course and the daily lives of students. The Global Perspective connects students with outbreaks that have occurred in countries around the world to facilitate understanding of the social, religious, economic, and political values at play in the treatment and prevention of infectious disease. At the end of every section, detailed descriptions offer concise yet complete information on each disease involved in that section.
Book Synopsis Animal Health at the Crossroads by : National Research Council
Download or read book Animal Health at the Crossroads written by National Research Council and published by National Academies Press. This book was released on 2005-12-17 with total page 287 pages. Available in PDF, EPUB and Kindle. Book excerpt: The confirmed case of "mad cow" disease (BSE) in June 2005 illustrates the economic impact of disease outbreaks, as additional countries closed their markets to U.S. beef and beef products. Emerging diseases also threaten public health-11 out of 12 of the major global disease outbreaks over the last decade were from zoonotic agents (that spread from animals to humans). Animal Health at the Crossroads: Preventing, Detecting, and Diagnosing Animal Diseases finds that, in general, the U.S. animal health framework has been slow to take advantage of state-of-the-art technologies being used now to protect public health; better diagnostic tests for identifying all animal diseases should be made a priority. The report also recommends that the nation establish a high-level, authoritative, and accountable coordinating mechanism to engage and enhance partnerships among local, state, and federal agencies, and the private sector.
Book Synopsis Germs and governance by : Anne Marie Rafferty
Download or read book Germs and governance written by Anne Marie Rafferty and published by Manchester University Press. This book was released on 2021-04-20 with total page 192 pages. Available in PDF, EPUB and Kindle. Book excerpt: Germs and governance brings together leading historians, practitioners and policy makers to consider the past, present and future of hospital infection control. Combining historical case-studies with practitioner experiences, this volume offers a new understanding of the emergence of theories of germ transmission and containment and how these theories played out in real-world environments, networks and professional organisations. Exploring the historical context in which technologies like gloves were developed and popularised, as well as how relationships between communities and hospitals, doctors and nurses, and the emerging role of hospital bacteriologists have shaped infection control practices, the collection emphasises the diverse contexts in which ideas about germs, infection and safety circulated. The volume also addresses the historical neglect of the critical role of nurses in the development and success of infection control measures.
Book Synopsis Guidelines on Core Components of Infection Prevention and Control Programmes at the National and Acute Health Care Facility Level by : World Health Organization
Download or read book Guidelines on Core Components of Infection Prevention and Control Programmes at the National and Acute Health Care Facility Level written by World Health Organization and published by . This book was released on 2017-01-31 with total page 92 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health care-associated infections (HAI) are one of the most common adverse events in care delivery and a major public health problem with an impact on morbidity, mortality and quality of life. At any one time, up to 7% of patients in developed and 10% in developing countries will acquire at least one HAI. These infections also present a significant economic burden at the societal level. However, a large percentage are preventable through effective infection prevention and control (IPC) measures. These new guidelines on the core components of IPC programmes at the national and facility level will enhance the capacity of Member States to develop and implement effective technical and behaviour modifying interventions. They form a key part of WHO strategies to prevent current and future threats from infectious diseases such as Ebola, strengthen health service resilience, help combat antimicrobial resistance (AMR) and improve the overall quality of health care delivery. They are also intended to support countries in the development of their own national protocols for IPC and AMR action plans and to support health care facilities as they develop or strengthen their own approaches to IPC. These are the first international evidence-based guidelines on the core components of IPC programmes. These new WHO guidelines are applicable for any country and suitable to local adaptations, and take account of the strength of available scientific evidence, the cost and resource implications, and patient values and preferences.
Book Synopsis Essential Case Studies in Public Health by : Katherine Hunting
Download or read book Essential Case Studies in Public Health written by Katherine Hunting and published by Jones & Bartlett Publishers. This book was released on 2011-07-12 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt: Essential Case Studies in Public Health: Putting Public Health into Practice is a unique compilation of twenty-one cases based on real life events and problems. Written by over forty public health faculty members and practitioners, these cases vividly illustrate how professionals across various disciplines tackle public health challenges. Covering a wide range of topics and issues from HPV vaccines as school entry requirements to implementing community-based water systems in rural Honduran communities to a mumps epidemic in Iowa, this text helps students apply a wide range of knowledge and skills relevant to public health outbreak investigation, policy analysis, regulatory decision-making and more. Important Notice: The digital edition of this book is missing some of the images or content found in the physical edition.
