IGIENE E MEDICINA PREVENTIVA

Degree course: 
Corso di Long single cycle degree (6 years) in MEDICINE AND SURGERY
Academic year when starting the degree: 
2018/2019
Year: 
4
Academic year in which the course will be held: 
2021/2022
Course type: 
Compulsory subjects, characteristic of the class
Credits: 
2
Period: 
Second semester
Standard lectures hours: 
24
Detail of lecture’s hours: 
Lesson (16 hours), Seminar (8 hours)
Requirements: 

The student should have a scientific background in statistics, research methodology, including knowledge of evidence-based medicine.

The exam consists of an oral examination. The objective of the examination is to verify the level of achievement of the previously indicated educational objectives, evaluating the level of knowledge and in-depth study of the topics addressed.
In particular, it will be evaluated the knowledge of the topics, the comprehension / discussion skills of the topics connected to it and the mastery of the scientific language proper to the field of reference and the clarity of expression. The vote is expressed in thirtieths (single vote of the integrated course Medicine and Public Health).

Assessment: 
Voto Finale

The course aims to provide the student with:
• The main knowledge on the determinants and the main risk factors that influence health, disease and the interaction between the human being and his physical and social environment, with attention to sex / gender differences;
• The essential notions on epidemiology for public health, health determinants, prevention of infectious and chronic-degenerative diseases, environmental and food hygiene, hospital hygiene.
• The essential notions related to epidemiology, health economics and the principles of health management and the habit of constantly updating knowledge and technical skills;
• The notions for correctly using, in health decisions, local, regional and national surveillance data, demographic and epidemiological data;
• The essential notions on the generalities of health systems, on the planning, organization and management of care processes in hospitals and territories, on health economics, recognizing the different roles and the relative responsibilities of the other professional figures that are part of the health personnel, participating in the provision of care to individuals, populations and communities;
• The bases for developing a scientific methodological approach, using the logics and tools of hygiene and public health, to actively participate in the planning and implementation of prevention interventions on the population and in the territory, promoting health and avoiding the disease;

INTRODUCTION TO PUBLIC HEALTH:
The concept of health; evolution of public health and current epidemiological scenario; public health instruments; prevention; fields of application
PART I - EPIDEMIOLOGY AND PREVENTION OF COMMUNICABLE DISEASES
1. Risk factors, sources and reservoirs of infection, mode of transmission;
2. Population Interventions: Vaccinations (programming, vaccination coverage, the problem of real and perceived effectiveness, misinformation and infohedemia), passive immunoprophylaxis, chemoprophylaxis, disinfection and sterilization, health surveillance and notification
3. Health management of SarCOV2 infection: Epidemiology, risk scenarios and specific prevention
4. Interventions in care facilities (Hospital hygiene): Healthcare-associated infections, HICs and procedures for the prevention of infections related to health care (hand washing, use of PPE, instrumentation management, environment), management of medical waste
5. Environmental hygiene and food hygiene
PART II - EPIDEMIOLOGY AND PREVENTION OF NON-COMMUNICABLE DISEASES
1. Risk factors, assessment of intervention priorities (effect, impact, modifyability);
2. Primary prevention interventions and tertiary: risk factors and specific interventions (smoking, alcohol, Mediterranean diet, physical activity)
3. Secondary prevention interventions - screenings: criteria, methodology, specific examples, current and new fields of application
4. Risk assessment: applications of risk scores in public health, new biomarkers – OMICS
5. Personalized Prevention (4S)
PART IV - THE MAIN SOURCES OF INFORMATION OF HEALTH DATA
1. Death registry and hospital discharge registry
2.Pathology registers: cancer registry, rare disease registry
PART V - THE HEALTH SYSTEM
1. Italian national and regional health organization
2. Hospital and territorial organization of the NHS (Companies, prevention departments, districts)
2. Elements of health planning and organization: national and regional health plans
2. Elements of health planning and organization: national and regional health plans
3. Definitions of health economics and management (evidence based practice, risk management, case management, quality of care, HTA
3. Exercise of evidence based practice: use of bibliographic databases

INTRODUCTION TO PUBLIC HEALTH:
The concept of health; evolution of public health and current epidemiological scenario; public health instruments; prevention; fields of application
PART I - EPIDEMIOLOGY AND PREVENTION OF COMMUNICABLE DISEASES
1. Risk factors, sources and reservoirs of infection, mode of transmission;
2. Population Interventions: Vaccinations (programming, vaccination coverage, the problem of real and perceived effectiveness, misinformation and infohedemia), passive immunoprophylaxis, chemoprophylaxis, disinfection and sterilization, health surveillance and notification
3. Health management of SarCOV2 infection: Epidemiology, risk scenarios and specific prevention
4. Interventions in care facilities (Hospital hygiene): Healthcare-associated infections, HICs and procedures for the prevention of infections related to health care (hand washing, use of PPE, instrumentation management, environment), management of medical waste
5. Environmental hygiene and food hygiene
PART II - EPIDEMIOLOGY AND PREVENTION OF NON-COMMUNICABLE DISEASES
1. Risk factors, assessment of intervention priorities (effect, impact, modifyability);
2. Primary prevention interventions and tertiary: risk factors and specific interventions (smoking, alcohol, Mediterranean diet, physical activity)
3. Secondary prevention interventions - screenings: criteria, methodology, specific examples, current and new fields of application
4. Risk assessment: applications of risk scores in public health, new biomarkers – OMICS
5. Personalized Prevention (4S)
PART IV - THE MAIN SOURCES OF INFORMATION OF HEALTH DATA
1. Death registry and hospital discharge registry
2.Pathology registers: cancer registry, rare disease registry
PART V - THE HEALTH SYSTEM
1. Italian national and regional health organization
2. Hospital and territorial organization of the NHS (Companies, prevention departments, districts)
2. Elements of health planning and organization: national and regional health plans
2. Elements of health planning and organization: national and regional health plans
3. Definitions of health economics and management (evidence based practice, risk management, case management, quality of care, HTA
3. Exercise of evidence based practice: use of bibliographic databases

IGIENE - Medicina Preventiva Sanità Pubblica – II edizione. W. Ricciardi, ed. Idelson Casa Editrice, 2013.

Carlo Signorelli. Igiene Epidemiologia Sanità Pubblica. Società editrice Universo, 2011

Lesson slides and supplementary materials, uploaded on the e-learning webpage

The course is based on lectures with slide presentation, examples, exercises and practical sections on the use of bibliographic databases on the web (PubMed), drawing of epidemiological studies, population surveys, meta-analysis.
There will be thematic lessons with experts in the field.
Examples from recent international literature will be used to supplement specific topics. To allow students the possibility of self-assessment, at the end of the course questionnaires with multiple choice questions could be proposed in the classroom. The tests are then analyzed and discussed in the classroom; They are not withdrawn by the teacher and have no weight for the final evaluation.

Copies of slides presented in classes are available on e-learning. The teacher is available for students on Tuesdays from 14:00 to 16:00, by appointment or via skype on Friday from 14.00 to 16.00.
Email:licia.iacoviello@uninsubria.it
Skype conct: licia.iacoviello

Professors

Parent course