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PH
Public Health and Preventive Medicine
               Harpreet Chahal and Xiaohe (Diana) Sun, chapter editors Arnav Agarwal and Priya Bapat, associate editors Danielle Jeong and Graham Mazereeuw, EBM editors
Dr. Barry Pakes and Dr. Andrew Pinto, faculty editors
Special thanks to Dr. Nikhil Rajaram (Occupational Health), Dr. Lisa Richardson (Indigenous Health), and Dr. Onye Nnorom (Black Health) for their contributions
Acronyms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  .2
Public Health Context  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .2
Public Health in Canada
Legislation and Public Health in Canada
Determinants of Health .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .3
Concepts of Health Vulnerable Populations Indigenous Health in Canada Disease Prevention
Measurements of Health and Disease
in a Population  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .9
Epidemiology . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Interpreting Test Results Effectiveness of Interventions
Types of Study Design .  .  .  .  .  .  . . . . . . . . . . . . . . . 13
Qualitative vs. Quantitative Observational Study Designs Experimental Study Designs Summary Study Designs
Methods of Analysis  .  .  .  .  .  .  .  . . . . . . . . . . . . . . . 16
Distributions
Data Analysis
Common Statistical Tests Causation
Assessing Evidence
Health Services Research  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 19
Continuous Quality Improvement Cost Analysis
Managing Disease Outbreaks .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 20
Definitions
Steps to Control an Outbreak Infection Control Targets
Environmental Health  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 22
Risk Assessment Air
Water
Soil
Food
Occupational Health  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 25
Taking an Occupational Health History Occupational Hazards
Workplace Legislation
Workplace Primary Prevention Workplace Health Promotion Workplace Secondary Prevention Workplace Tertiary Prevention
Appendix – Mandatory Reporting  .  .  .  .  .  .  .  .  .  .  . 26
Reportable Diseases
Other Reportable Conditions
References  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
For more detail on topics covered in this chapter, use website http://phprimer.afmc.ca/ as a resource
 Toronto Notes 2019 Public Health and Preventive Medicine PH1

























































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