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SPH3105 

PREVENTION AND CONTROL OF NON-COMMUNICABLE DISEASES
   2018/2019, Semester 2
   Saw Swee Hock School of Public Health (Saw Swee Hock School of Public Health)
Modular Credits: 4
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Synopsis

TopNon-communicable diseases (NCDs) carry a global burden that has a significant impact on mortality, morbidity, quality of life, and productivity status of affected communities in developed and developing countries. These are largely preventable diseases that are linked to modifiable and metabolic risk factors.

This module gives an overview of the public health approach to NCDs across the continuum of identification of risk factors, surveillance and implementation of measures to prevent and manage disease.
 
Epidemiological concepts and principles of prevention and control for NCDs will be described, and applied to key diseases of global and local importance.

 

Learning Outcomes

Top

At the end of the module, students should be able to:

  1. Explain epidemiologic concepts such as the epidemiologic transition, levels of disease prevention, high-risk strategy and population strategy in the context of non-communicable diseases (NCDs).
  2. Describe how the risk factors contribute to the development of key NCDs.
  3. Relate the pathogenesis of key NCDs to their prevention and control. 
  4. Critically evaluate an existing local public health programme for NCD prevention and control in Singapore.
  5. Communicate verbal and written public health information in a professional manner.

Prerequisites

TopSPH2101 Public Health and Epidemiology

Syllabus

Top
  1. Introduction to NCDs and public health frameworks: an approach to NCDs
  2. Risk factors, prevention and control strategies for NCDs
  3. Types of studies on NCDs
  4. NCD surveillance
Epidemiology, pathogenesis, prevention (primary, secondary and tertiary) and control of:
  1. Diabetes mellitus
  2. Cardiovascular diseases
    • Myocardial infarction
    • Stroke
    • Hypertension
    • Dyslipidemia
  3. ​Cancers
    • Breast cancer
    • Cervical cancer
    • Colorectal cancer
    • Lung cancer
  1. Chronic respiratory conditions
  2. Mental health

Schedule

Top
Wk Date Session / Topic / Readings Deadlines
1 16 Jan 2019 Session 1: Introduction to non-communicable diseases, public health frameworks: an approach to NCDs
Readings:
Chapters 2 and 14 of Essential Epidemiology: An Introduction for Students and Health Professionals, 2nd ed. 2010

 
 
2 23 Jan 2019 Session 2: Risk factors, prevention and control strategies for NCDs
Readings:
Chapter 14 of Essential Epidemiology: An Introduction for Students and Health Professionals, 2nd ed. 2010

 
 
3 30 Jan 2019 Session 3: Types of studies on NCDs
Readings:
Chapters 4 and 5 of Essential Epidemiology: An Introduction for Students and Health Professionals, 2nd ed. 2010

 
 
4 6 Feb 2019 (CNY) No class; e-learning and hurdle (Non-communicable disease surveillance)
 
Readings:
  1. Chapters 3 and 12 of Essential Epidemiology: An Introduction for Students and Health Professionals, 2nd ed. 2010
  2. Brachman P.S. Public Health Surveillance. In: Bacterial Infections of Humans. A.S. Evans, P.S. Brachman (eds.). Springer Science+Business Media.
  3. Thacker SB, Stroup DF, Rothenberg RB, Brownson RC. Public health surveillance for chronic conditions: a scientific basis for decisions. Statistics in medicine. 1995 Mar 15;14(5‐7):629-41.
  4. Laura K. et al. Youth Risk Behavior Surveillance — United States, 2015. Morbidity and mortality weekly report. Surveillance summaries (Washington, D.C. : 2002), 06/2016; 65(6).
 
Hurdle IVLE quiz
5 13 Feb 2019 Session 5: Diabetes mellitus (DM)
Readings:
  1. Dornhorst and Merrin. Primary, secondary and tertiary prevention of non-insulin-dependent diabetes. Postgrad Med J. 1994;70:529-535.
  2. Atkinson MA, von Herrath M, Powers AC, Clare-Salzler M. Current concepts on the pathogenesis of type 1 diabetes—considerations for attempts to prevent and reverse the disease. Diabetes care. 2015 Jun 1;38(6):979-88.
 
6 20 Feb 2019 Session 6: Cardiovascular disease (CVD)
Readings:
  1. WHO. Global atlas on cardiovascular disease prevention and control: Policies, strategies and interventions. 2011. World Health Organization.
  2. WHO. Prevention of cardiovascular disease : guidelines for assessment and management of total cardiovascular risk. 2007. World Health Organization.
  3. Yusuf S, Hawken S, Ounpuu S, Dans T, Avezum A, Lanas F, et al. Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): case-control study. Lancet. 2004;364:937–52.
Individual assignment due
 
Recess 27 Feb 2019 Recess week  
7 6 Mar 2019 Session 7: Breast cancer
Readings:
Chapter 15 of Essential Epidemiology: An Introduction for Students and Health Professionals, 2nd ed. 2010

 
 
8 13 Mar 2019 Session 8: Cervical cancer
Readings:
WHO. 2014. Comprehensive Cervical Cancer Control: a guide to essential practice. 2nd edition.

 
 
9 20 Mar 2019 Sessions 9 and 10a: Colorectal and lung cancers
Readings:
  1. Arnold et al. Global patterns and trends in colorectal cancer incidence and mortality. Gut. 2016;0:1–9.
  2. Haggar and Boushey. Colorectal Cancer Epidemiology: Incidence, Mortality, Survival, and Risk Factors. Clin Colon Rectal Surg. 2009 Nov; 22(4): 191–197.
  3. Teo and Soo. Cancer Trends and Incidences in Singapore. Jpn J Clin Oncol 2013;43(3)219– 224.
  4. Öberg et al. Worldwide burden of disease from exposure to second-hand smoke: a retrospective analysis of data from 192 countries. Lancet. 2011;377(9760):139-146.
 
Brief proposal for group presentation due
10 27 Mar 2019 Session 10b: Chronic respiratory conditions
Readings:
Soriano et al. Global, regional, and national deaths, prevalence, disability-adjusted life years, and years lived with disability for chronic obstructive pulmonary disease and asthma, 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015. The Lancet Respiratory Medicine. 2017;5(9):691-706.

 
 
11 3 Apr 2019  Online quiz assessment  
12 10 Apr 2019 Session 11: Dementia 
Readings:
  
1. Subramaniam et al. General practitioner's attitudes and confidence in managing patients with dementia in Singapore.  Ann Acad Med Singapore 2018;47:108-118.
2. 
Subramaniam et al. Prevalence of dementia in people aged 60 years and above: results from the WiSE study. Journal of Alzheimer's Disease. 45;1127-1138.
Preliminary powerpoint slides due
13 17 Apr 2019 Session 12: Students’ project presentations / Wrap-up
 
 

Please note that the above schedule is subject to change. 

Assessment

TopThis is a 100% CA module with the following assessment components:
  • Class Participation 5%
  • Quiz 20% (Date is to be confirmed, it will take place during lecture time.)
  • Individual essay assignment 35%
  • Group Project 40% (including 5% peer review)

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