HSS4331 – International Health Theory

Nov 30, 2009 -- Post-Quiz, etc

Midterm

• Saturday Dec 19, 9:30AM-12:30PM– RGN 2005

• Format:– 1 essay question, which will be given beforehand– 1 short answer question based on your external

seminars

• The question for #1 will be given to you in the last class (Dec 7th) and posted online

1. In 2009, the Nobel Peace Prize was controversially awarded to what person?A.Nelson MandelaB.George W. BushC.Barack ObamaD.Al GoreE.The Dalai Lama

1. In 2009, the Nobel Peace Prize was controversially awarded to what person?A.Nelson MandelaB.George W. BushC.Barack ObamaD.Al GoreE.The Dalai Lama

117722

2. In early November, 2009, the people of Germany noted the 20th anniversary of what?A.The death of Adolf HitlerB.The fall of the Berlin WallC.The founding of NATOD.Germany’s entrance into the European UnionE.The assassination of Chancellor Angela Merkel

2. In early November, 2009, the people of Germany noted the 20th anniversary of what?A.The death of Adolf HitlerB.The fall of the Berlin WallC.The founding of NATOD.Germany’s entrance into the European UnionE.The assassination of Chancellor Angela Merkel

07525

1

3. Who is Dr. Abdullah Abdullah?A.One of the candidates in a recent Presidential election in AfghanistanB.Head of one of the larger semi-legal organ trafficking rings in IndiaC.The scientist who led the development of an experimental HIV vaccine in Africa, currently undergoing limited clinical trialsD.Recently appointed Deputy Director General of the World Health OrganizationE.Author of a controversial study recently published in The Lancet, about excess deaths in the wake of the US invasion of Iran

3. Who is Dr. Abdullah Abdullah?A.One of the candidates in a recent Presidential election in AfghanistanB.Head of one of the larger semi-legal organ trafficking rings in IndiaC.The scientist who led the development of an experimental HIV vaccine in Africa, currently undergoing limited clinical trialsD.Recently appointed Deputy Director General of the World Health OrganizationE.Author of a controversial study recently published in The Lancet, about excess deaths in the wake of the US invasion of Iran

49

7

10

7

10

4. On November 11, 2009, a joint report by the American Cancer Society and Global Smokefree Partnership was published. The report predicts that cancer deaths due to smoking will double in 12 years in what region or population?A.The CaribbeanB.ChinaC.IndiaD.AfricaE.Aboriginal communities in the Western hemisphere

4. On November 11, 2009, a joint report by the American Cancer Society and Global Smokefree Partnership was published. The report predicts that cancer deaths due to smoking will double in 12 years in what region or population?A.The CaribbeanB.ChinaC.IndiaD.AfricaE.Aboriginal communities in the Western hemisphere

6157748

5. Who is the current Director General of the World Health Organization?A.Margaret Chan B.Ban-ki Moon C.James Orbinski D.John Baird E.Aung San Suu Kyi

5. Who is the current Director General of the World Health Organization?A.Margaret Chan B.Ban-ki Moon C.James Orbinski D.John Baird E.Aung San Suu Kyi

27435134

6. In October, 2009, Desire Munyaneza, the first person to be convicted under Canada’s War Crimes Act, was sentenced to life imprisonment after a court found him guilty of seven charges relating to what?A.The Rwandan genocideB.The Sudanese (Darfur) genocideC.War crimes committed during the Congolese civil warD.The selling of counterfeit HIV drugs in sub-Saharan AfricaE.War crimes committed during the NATO peacekeeping activities in Somalia

6. In October, 2009, Desire Munyaneza, the first person to be convicted under Canada’s War Crimes Act, was sentenced to life imprisonment after a court found him guilty of seven charges relating to what?A.The Rwandan genocideB.The Sudanese (Darfur) genocideC.War crimes committed during the Congolese civil warD.The selling of counterfeit HIV drugs in sub-Saharan AfricaE.War crimes committed during the NATO peacekeeping activities in Somalia

40168

4

14

7. In December, 2009, representatives of 192 countries will meet in Copenhagen to discuss what?A.The on-going humanitarian crisis in DarfurB.The global threat of terrorismC.Pandemic influenzaD.Global food productionE.Climate change

7. In December, 2009, representatives of 192 countries will meet in Copenhagen to discuss what?A.The on-going humanitarian crisis in DarfurB.The global threat of terrorismC.Pandemic influenzaD.Global food productionE.Climate change

2

1101258

8. In November, 2009, this man’s war crimes trial at the World Court in The Hague was postponed till March, 2010, to give his new lawyer time to prepare. A.George W. BushB.Radovan KaradzicC.Wanderlei SilvaD.Slobodan MiloševićE.Ramush Haradinaj

8. In November, 2009, this man’s war crimes trial at the World Court in The Hague was postponed till March, 2010, to give his new lawyer time to prepare. A.George W. BushB.Radovan KaradzicC.Wanderlei SilvaD.Slobodan MiloševićE.Ramush Haradinaj

44272181 omitted

9. In what year is Canada is scheduled to withdraw the bulk of its troops from Afghanistan?A.2010 B.2011 C.2012 D.2013 E.2014

9. In what year is Canada is scheduled to withdraw the bulk of its troops from Afghanistan?A.2010 B.2011 C.2012 D.2013 E.2014

2413352

10. After the May, 2009, conclusion of civil war lasting over two decades, the government of this country has just agreed to release the remaining 136,000 refugees forced to live in government refugee camps.A.Democratic Republic of CongoB.NicaraguaC.Sri LankaD.The former YugoslaviaE.Sudan

10. After the May, 2009, conclusion of civil war lasting over two decades, the government of this country has just agreed to release the remaining 136,000 refugees forced to live in government refugee camps.A.Democratic Republic of CongoB.NicaraguaC.Sri LankaD.The former YugoslaviaE.Sudan

2424548

How did you do?

How did you prepare?

Mean=6Median=6Mode=6

Also given to the general public:

http://www.deonandan.com/2009/11/current-events-quiz.html

0/10 1/10 2/10 3/10 4/10 5/10 6/10 7/10 8/10 9/10 10/10

1 (professor)             OK        

2 (professor)             OK        

Peter (Consultant)                   OK  

Nick (statistician)                 OK    

Andrew (policy analyst)                     OK

Dave (research assistant)                 OK    

EW (hospital admin)               OK      

3 (prof)                 OK    

zP (MPH student)             OK        

NM(insurance)           OK          

Rondi (journalist)                     OK

Natasha (risk management)               OK      

Bekkie (Gloabl Health/midwife)                   OK  

Nick (doctor)               OK      

Neil (professor)                 OK    

Pak (Dir, Comp Network)                 OK    

John(engineer)                   OK  

Graham (professor)                 OK    

Kevin (Physiotherapy)           OK          

bhash (it guy)           OK          

Kathy (Admin Coordinator)                 OK    

Meesh                   OK  

Jay (documentaries)             OK        

Michele (development student)                 OK    

Miatta (student)                   OK  

Ajay (cousin)           OK          

Premal (student)               OK      

Dawn (CPA)         OK            

Interpreter                   OK  

meera (doc)             OK        

EK Hornbeck2                 OK    

Kathleen (consultant)                   OK  

allan kessing                     OK

Octavio (doc)               OK      

Mowgli (Senior Planning Advisor)              OK      

Ann (Program Manager)               OK      

Sarah (Military)                 OK    

4 (prof)                 OK    

Patricia (scientist)                   OK  

Count 0 0 0 0 1 4 5 7 11 8 5

Mode=8Mean=7.5

What to do for the next quiz?

Pandemic Influenza

Timeline of human flu pandemics:

Etc Etc

Definitions

Epidemic

Pandemic

The appearance of more cases of a disease than would have otherwise been expected.

An epidemic that occurs in many places in the world.

The Flu Virus

• In general we talk about 2 genes/enzymes:– H – Hemagglutinin (entry into cells)– N – Neuraminidase (making new viruses)

• Hence HxNy– H5N1 = avian flu– H1N1 = swine flu– etc

Where Does It Come From?

• Most flus are zoonoses• Originate from communities with close

associations with animals (poultry and swine)

Shift Vs Drift

• Antigenic Drift– Random mutations in the genes– H and N antigens change shape, therefore

confounding your immune system– Hence drift is responsible for us needing a new

seasonal flu shot each year

• Antigenic Shift– A more profound genetic change in H and N that

allows the virus to jump from one species to another

Types of Shift

• Shift 1– Eg: A bird flu and a human flu enter the same

body and swap genes -> new flu

• Shift 2– No genetic change, just a sudden ability to jump

species

• Shift 3– No genetic change, but an ability to jump from a

bird/pig to intermediate host to a human

Antigenic SHIFT is responsible for the scary pandemics

Why Is Pandemic Flu Important?

• 1918 Flu was one of the most lethal epidemics ever known to humans

• It can shut down economies• It can affect the most vulnerable• H1N1 known for targeting the young and

healthy• It is airborn• See: www.cdc.gov/eid/content/15/12/pdfs/09-1232.pdf

Video

PBS Nova special on the 1918 Pandemic, 13 minutes:

http://download.deonandan.com/video/1918 Flu.wmv

Made for kids, and is about the Avian flu mostly (made before 2009), but gives the basics