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In descriptive epidemiology, data that describe the occurrence of the disease are collected by various methods from all relevant sources. The data are then collated by time, p

In descriptive epidemiology, data that describe the occurrence of the disease are collected by various methods from all relevant sources. The data are then collated by time, place, and person. Four-time trends are considered in describing the epidemiologic data.

The secular trend describes the occurrence of disease over a prolonged period, usually years; it is influenced by the degree of immunity in the population and possibly nonspecific measures such as improved socioeconomic and nutritional levels among the population. For example, the secular trend of tetanus in the United States since 1920 shows a gradual and steady decline.

The second time trend is the periodic trend. A temporary modification in the overall secular trend, the periodic trend may indicate a change in the antigenic characteristics of the disease agent. For example, the change in antigenic structure of the prevalent influenza A virus every 2 to 3 years results in periodic increases in the occurrence of clinical influenza caused by a lack of natural immunity among the population. Additionally, a lowering of the overall immunity of a population or a segment thereof (known as herd immunity) can result in an increase in the occurrence of the disease. This can be seen with some immunizable diseases when periodic decreases occur in the level of immunization in a defined population.

The third time trend is the seasonal trend. This trend reflects seasonal changes in disease occurrence following changes in environmental conditions that enhance the ability of the agent to replicate or be transmitted. For example, food-borne disease outbreaks occur more frequently in the summer, when temperatures favor the multiplication of bacteria. This trend becomes evident when the occurrence of salmonellosis is examined on a monthly basis.

The fourth time trend is the epidemic occurrence of disease. An epidemic is a sudden increase in occurrence due to prevalent factors that support transmission.

A description of epidemiologic data by place must consider three different sites: where the individual was when the disease occurred; where the individual was when he or she became infected from the source; and where the source became infected with the etiologic agent. Therefore, in an outbreak of food poisoning, the host may become clinically ill at home from food eaten in a restaurant. The vehicle may have been an undercooked chicken, which became infected on a poultry farm. These differences are important to consider in attempting to prevent additional cases.

The third focus of descriptive epidemiology is the infected person. All pertinent characteristics should be noted: age, sex, occupation, personal habits, socioeconomic status, immunization history, presence of underlying disease, and other data.

lace, and person. Four-time trends are considered in describing the epidemiologic data.

The secular trend describes the occurrence of disease over a prolonged period, usually years; it is influenced by the degree of immunity in the population and possibly nonspecific measures such as improved socioeconomic and nutritional levels among the population. For example, the secular trend of tetanus in the United States since 1920 shows a gradual and steady decline.

The second time trend is the periodic trend. A temporary modification in the overall secular trend, the periodic trend may indicate a change in the antigenic characteristics of the disease agent. For example, the change in antigenic structure of the prevalent influenza A virus every 2 to 3 years results in periodic increases in the occurrence of clinical influenza caused by a lack of natural immunity among the population. Additionally, a lowering of the overall immunity of a population or a segment thereof (known as herd immunity) can result in an increase in the occurrence of the disease. This can be seen with some immunizable diseases when periodic decreases occur in the level of immunization in a defined population.

The third time trend is the seasonal trend. This trend reflects seasonal changes in disease occurrence following changes in environmental conditions that enhance the ability of the agent to replicate or be transmitted. For example, food-borne disease outbreaks occur more frequently in the summer, when temperatures favor the multiplication of bacteria. This trend becomes evident when the occurrence of salmonellosis is examined on a monthly basis.

The fourth time trend is the epidemic occurrence of disease. An epidemic is a sudden increase in occurrence due to prevalent factors that support transmission.

A description of epidemiologic data by place must consider three different sites: where the individual was when the disease occurred; where the individual was when he or she became infected from the source; and where the source became infected with the etiologic agent. Therefore, in an outbreak of food poisoning, the host may become clinically ill at home from food eaten in a restaurant. The vehicle may have

been an undercooked chicken, which became infected on a poultry farm. These differences are important to consider in attempting to prevent additional cases.

The third focus of descriptive epidemiology is the infected person. All pertinent characteristics should be noted: age, sex, occupation, personal habits, socioeconomic status, immunization history, presence of underlying disease, and other data.