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− | Analytic epidemiological studies aim to investigate and identify factors associated with the presence of disease within populations, through the investigation of factors which may vary between individual members of these populations. These factors can be classified as one of the components of the 'epidemiological triad' of '''Host, Agent and Environment''': | + | Analytic epidemiological studies aim to investigate and identify factors associated with the presence of disease within populations, through the investigation of factors which may vary between individual members of these populations. These factors can be classified as one of the components of the 'epidemiological triad' of '''Host, Agent and Environment''', many of which are closely interrelated with each other: |
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| =='''Host factors'''== | | =='''Host factors'''== |
− | These include all the characteristics of the individual animal which affect the occurrence of disease, and include 'innate' characteristics such as '''sex''', '''breed''', '''genetics''' or '''species''', as well as 'acquired' characteristics such as '''age''', '''nutritional status''', '''previous exposure to pathogens''' and '''stage of pregnancy'''. Age is a common example of a host factor which can impact upon disease susceptibility - for example, older animals | + | These include all the characteristics of the individual animal which affect the occurrence of disease, and include 'innate' characteristics such as '''sex''', '''breed''', '''genetics''' or '''species''', as well as 'acquired' characteristics such as '''age''', '''nutritional status''', '''previous exposure to pathogens''' and '''stage of pregnancy'''. |
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| =='''Agent factors'''== | | =='''Agent factors'''== |
− | Of course, these factors are only applicable in the case of diseases with causative or associated agents (which may include prions, viruses, bacteria, protozoa and transmissible cancers). Features of the agent which affect the levels of disease within an infected population include '''pathogenicity''' (the ability of the agent to produce disease) and '''virulence''' (the severity of the resultant disease), along with characteristics of the life cycle of the pathogen such as '''incubation period''' (the time between infection and disease), '''latent period''' (the time between infection and infectiousness) and the '''infectious period''' (the duration over which the pathogen can be transmitted to others). | + | Of course, these factors are only applicable in the case of diseases with causative or associated agents (which may include prions, viruses, bacteria, protozoa and transmissible cancers). Features of the agent which affect the levels of disease within an infected population include '''infectivity''' (the ability of the agent to establish infection), '''pathogenicity''' (the ability of the agent to produce disease) and '''virulence''' (the severity of the resultant disease), along with characteristics of the life cycle of the pathogen such as '''incubation period''' (the time between infection and disease), '''latent period''' (the time between infection and infectiousness) and the '''infectious period''' (the duration over which the pathogen can be transmitted to others). It is important to note that many of these characteristics are as much characteristics of the host as of the agent, and indeed this relationship is often dynamic - with host characteristics impacting upon agent characteristics and vice versa. |
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| =='''Environment factors'''== | | =='''Environment factors'''== |
− | This category includes a wide variety of factors, encompassing managemental, climatic and ecological features. | + | This category includes a wide variety of factors which are neither directly associated with host or agent characteristics, and encompasses managemental, climatic and geographical features, amongst others. Again, the relationship with other factors is dynamic, and environmental characteristics such as the population density of susceptible animals the availability of water sources, and the ambient temperature can all have a large impact on host and agent characteristics. |
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| + | =='''Causation'''== |
| + | The ultimate aim of most analytic studies is to demonstrate evidence of a causative association between a factor of interest and a disease. Definitively establishing a causal connection between an exposure and disease is very difficult, due to the complex interplay between different host, agent,and environmental factors, as well as many diseases being multifactorial in nature. |
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| =='''Analytic studies'''== | | =='''Analytic studies'''== |
− | Analytic studies may compare exposure to these factors in animals with disease to those without, or may compare the occurrence of disease amongst 'exposed' animals to 'unexposed' animals. Although there are considerable difficulties in establishing causation of disease, the results of these studies can provide useful evidence regarding possible risk factors. | + | Analytic studies may compare exposure to these factors in animals with disease to those without, or may compare the occurrence of disease amongst 'exposed' animals to 'unexposed' animals. Although there are considerable difficulties in establishing causation of disease, the results of these studies can provide useful evidence regarding possible risk factors for disease. Although it is important to carefully consider the source population when undertaking these studies, the results may be able to be extrapolated out to a wider population than for descriptive studies. One example is that of the association between smoking and lung cancer - although the prevalence of lung cancer in the UK is likely to be very different from that in Mongolia, the association between smoking and development of lung cancer in both of these countries is likely to be similar. |
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| [[Category:Veterinary Epidemiology - Introduction|D]] | | [[Category:Veterinary Epidemiology - Introduction|D]] |