Paeds Vivas · preventive-and-community-paediatrics
Population health, epidemiology and prevention in paediatrics — branching viva
Viva on population definition, Rose strategy, Haddon matrix, herd immunity and low-value population testing.
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RACP DCEMRCPCH Clinical
Prompt
Clinical governance meeting: immunisation coverage 90% overall, 50% in one temporary-housing estate; rising toddler scalds; a company offers free multi-disease preschool blood panels; a parent on the consumer board says herd immunity means their child needs no vaccines.
Opening
Examiner prompt and strong answer — definition: Population health is the health outcomes of a defined group of children, including how those outcomes are distributed within the group. A 90% average with 50% in one estate fails the distribution test. [1] [7]
References8ShowHide
- [1]Kindig D What is population health? Am J Public Health, 2003.PMID 12604476
- [2]Rose G Sick individuals and sick populations Int J Epidemiol, 1985.PMID 3872850
- [3]Haddon W Jr Advances in the epidemiology of injuries as a basis for public policy Public Health Rep, 1980.PMID 7422807
- [4]Runyan CW Using the Haddon matrix: introducing the third dimension Inj Prev, 1998.PMID 9887425
- [5]Fine P Herd immunity: a rough guide Clin Infect Dis, 2011.PMID 21427399
- [6]Dobrow MJ Consolidated principles for screening based on a systematic review and consensus process CMAJ, 2018.PMID 29632037
- [7]Council on Community Pediatrics Poverty and Child Health in the United States Pediatrics, 2016.PMID 26962238
- [8]Størdal K Overtesting and overtreatment-statement from the European Academy of Paediatrics (EAP) Eur J Pediatr, 2019.PMID 31506723