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Title: HSS4331


1
HSS4331 International Health Theory
Nov 30, 2009 -- Post-Quiz, etc
2
Midterm
  • Saturday Dec 19, 930AM-1230PM
  • 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

3
  • 1. In 2009, the Nobel Peace Prize was
    controversially awarded to what person?
  • Nelson Mandela
  • George W. Bush
  • Barack Obama
  • Al Gore
  • The Dalai Lama

4
  • 1. In 2009, the Nobel Peace Prize was
    controversially awarded to what person?
  • Nelson Mandela
  • George W. Bush
  • Barack Obama
  • Al Gore
  • The Dalai Lama

1 1 77 2 2
5
(No Transcript)
6
  • 2. In early November, 2009, the people of Germany
    noted the 20th anniversary of what?
  • The death of Adolf Hitler
  • The fall of the Berlin Wall
  • The founding of NATO
  • Germanys entrance into the European Union
  • The assassination of Chancellor Angela Merkel

7
  • 2. In early November, 2009, the people of Germany
    noted the 20th anniversary of what?
  • The death of Adolf Hitler
  • The fall of the Berlin Wall
  • The founding of NATO
  • Germanys entrance into the European Union
  • The assassination of Chancellor Angela Merkel

0 75 2 5 1
8
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9
  • 3. Who is Dr. Abdullah Abdullah?
  • One of the candidates in a recent Presidential
    election in Afghanistan
  • Head of one of the larger semi-legal organ
    trafficking rings in India
  • The scientist who led the development of an
    experimental HIV vaccine in Africa, currently
    undergoing limited clinical trials
  • Recently appointed Deputy Director General of the
    World Health Organization
  • Author of a controversial study recently
    published in The Lancet, about excess deaths in
    the wake of the US invasion of Iran

10
  • 3. Who is Dr. Abdullah Abdullah?
  • One of the candidates in a recent Presidential
    election in Afghanistan
  • Head of one of the larger semi-legal organ
    trafficking rings in India
  • The scientist who led the development of an
    experimental HIV vaccine in Africa, currently
    undergoing limited clinical trials
  • Recently appointed Deputy Director General of the
    World Health Organization
  • 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
11
(No Transcript)
12
  • 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?
  • The Caribbean
  • China
  • India
  • Africa
  • Aboriginal communities in the Western hemisphere

13
  • 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?
  • The Caribbean
  • China
  • India
  • Africa
  • Aboriginal communities in the Western hemisphere

6 15 7 7 48
14
(No Transcript)
15
  • 5. Who is the current Director General of the
    World Health Organization?
  • Margaret Chan
  • Ban-ki Moon
  • James Orbinski
  • John Baird
  • Aung San Suu Kyi

16
  • 5. Who is the current Director General of the
    World Health Organization?
  • Margaret Chan
  • Ban-ki Moon
  • James Orbinski
  • John Baird
  • Aung San Suu Kyi

27 4 35 13 4
17
(No Transcript)
18
  • 6. In October, 2009, Desire Munyaneza, the
    first person to be convicted under Canadas War
    Crimes Act, was sentenced to life imprisonment
    after a court found him guilty of seven charges
    relating to what?
  • The Rwandan genocide
  • The Sudanese (Darfur) genocide
  • War crimes committed during the Congolese civil
    war
  • The selling of counterfeit HIV drugs in
    sub-Saharan Africa
  • War crimes committed during the NATO peacekeeping
    activities in Somalia

19
  • 6. In October, 2009, Desire Munyaneza, the
    first person to be convicted under Canadas War
    Crimes Act, was sentenced to life imprisonment
    after a court found him guilty of seven charges
    relating to what?
  • The Rwandan genocide
  • The Sudanese (Darfur) genocide
  • War crimes committed during the Congolese civil
    war
  • The selling of counterfeit HIV drugs in
    sub-Saharan Africa
  • War crimes committed during the NATO peacekeeping
    activities in Somalia

40 16 8 4 14
20
(No Transcript)
21
  • 7. In December, 2009, representatives of 192
    countries will meet in Copenhagen to discuss
    what?
  • The on-going humanitarian crisis in Darfur
  • The global threat of terrorism
  • Pandemic influenza
  • Global food production
  • Climate change

22
  • 7. In December, 2009, representatives of 192
    countries will meet in Copenhagen to discuss
    what?
  • The on-going humanitarian crisis in Darfur
  • The global threat of terrorism
  • Pandemic influenza
  • Global food production
  • Climate change

2 1 10 12 58
23
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24
  • 8. In November, 2009, this mans war crimes trial
    at the World Court in The Hague was postponed
    till March, 2010, to give his new lawyer time to
    prepare.
  • George W. Bush
  • Radovan Karadzic
  • Wanderlei Silva
  • Slobodan Miloševic
  • Ramush Haradinaj

25
  • 8. In November, 2009, this mans war crimes trial
    at the World Court in The Hague was postponed
    till March, 2010, to give his new lawyer time to
    prepare.
  • George W. Bush
  • Radovan Karadzic
  • Wanderlei Silva
  • Slobodan Miloševic
  • Ramush Haradinaj

4 42 7 21 8 1 omitted
26
(No Transcript)
27
(No Transcript)
28
  • 9. In what year is Canada is scheduled to
    withdraw the bulk of its troops from Afghanistan?
  • 2010
  • 2011
  • 2012
  • 2013
  • 2014

29
  • 9. In what year is Canada is scheduled to
    withdraw the bulk of its troops from Afghanistan?
  • 2010
  • 2011
  • 2012
  • 2013
  • 2014

2 41 33 5 2
30
(No Transcript)
31
  • 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.
  • Democratic Republic of Congo
  • Nicaragua
  • Sri Lanka
  • The former Yugoslavia
  • Sudan

32
  • 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.
  • Democratic Republic of Congo
  • Nicaragua
  • Sri Lanka
  • The former Yugoslavia
  • Sudan

24 2 45 4 8
33
(No Transcript)
34
How did you do? How did you prepare?
35
Mean6 Median6 Mode6

36
(No Transcript)
37
Also given to the general public http//www.deon
andan.com/2009/11/current-events-quiz.html
38
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
Mode8 Mean7.5
39
What to do for the next quiz?
40
Pandemic Influenza
41
Timeline of human flu pandemics
42
(No Transcript)
43
(No Transcript)
44
(No Transcript)
45
Etc Etc
46
Definitions
The appearance of more cases of a disease than
would have otherwise been expected.
Epidemic Pandemic
An epidemic that occurs in many places in the
world.
47
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

48
Where Does It Come From?
  • Most flus are zoonoses
  • Originate from communities with close
    associations with animals (poultry and swine)

49
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

50
Types of Shift
  • Shift 1
  • Eg A bird flu and a human flu enter the same
    body and swap genes -gt 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

51
Antigenic SHIFT is responsible for the scary
pandemics
52
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.pd
    f

53
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
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