The University class has the following learning outcomes: to acquire specific knowledges and competences in the field of the hygiene applied to the "indoor" and "outdoor" environments, to the places of job, to the hygiene of the foods and the nutrition, to the community medicine, to the preventive medicine, rehabilitative and social medicine, to the epidemiology, to the public health, to the management in health, to the "risk management", to the planning management of health system, to the promotion of the health education.
Frontal lessons.
-General Concepts about Hygiene and Epidemiology. Health status of a population. Primary, secondary and tertiary levels of prevention. Health education. Elements of demography and health statistics.
-General epidemiology: epidemiological methodology, sources of epidemiological data. Main measures used in epidemiology (frequency, prevalence, incidence, crude rates and specific). Epidemiological Studies: descriptive, analytical, and experimental methodologies.
-Epidemiology and prevention of infectious diseases. Epidemiology: etiological agents. Temporal and spatial distribution of infectious diseases (sporadic, endemic, epidemic, pandemic). Sources and reservoirs of infection. Healthy and unhealthy carriers. Ways of transmission: direct infection, vehicles, carriers. Infectious diseases transmitted by air, fecal-orally, parenterally and sexually-transmitted diseases. General prophylaxis: notification, epidemiological investigation, diagnostic direct and indirect isolation. Prophylactic measures relating to: a) the man and the community (vaccine, serumprophylaxis, immunoglobulins, and chemo-antibiotic prophylaxis) b) vehicles of infection (sterilization and disinfection by physical and chemical methods) c) carriers of infection (disinfection by mechanical means, physical, chemical).
-Environmental hygiene and foods. Hygiene of the air: chemical and physical characteristics, urban air pollution (sources, contaminants, effects), prevention. Water for human use: physical, chemical and microbiological tests, correction of water aimed to human consumption. Urban waste water: study of the characteristics and methods of treatment and disposal. Municipal solid waste: classification, characteristics, methods of collection and disposal. Food: food-borne infections and food poisoning.
-Epidemiology and prevention of non-infectious diseases. Epidemiology: etiology, risk factors, distribution and frequency of non-infectious diseases of social interest in Italy. Prevention: primary (strengthening defenses, behavior modification, action on the environment), secondary (massive and selective screenings), tertiary (therapy, rehabilitation and reintegration). The main non-infectious chronic diseases: cardiovascular disease, cancer. Cervical cancer: epidemiology and prevention (PAP smears and anti-human papilloma virus vaccine). Screening tests for secondary prevention of cervical cancer, breast cancer and colon-rectal carcinoma in Liguria.
- Marinelli P et al:“Igiene Medicina Preventiva e Sanità Pubblica”, Ed. Piccin.
- Barbuti S et al: “Igiene”, Ed. Monduzzi.
- Crovari P e Principi N: “Le vaccinazioni”, Ed. Pacini.
- Bartolozzi G: “Vaccini e vacinazioni”, Ed. Masson
- Pencheon D et al: “Manuale Oxford della pratica in sanità pubblica”, Centro Scientifico Editore.
Ricevimento: Students will be received by telephone appointment.
ANNA MARIA SCHITO (President)
LAURA STICCHI (President)
ANDREA ORSI
Written test.
Written test consists in an open question.
