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Clinical Epidemiology and Decision Making Case Study

Need assistance in 4-8 pages with the following:

"The Pew Center on Global Climate Change reported in September 2011 that the number of flood damages in the Northeast continues to rise. In Wilkes-Barre, PA, 75,000 people were evacuated as the Susquehanna River crested at a record of 42.7 feet. An estimated 5,400 homes and business suffered some sort of flood damage during that event, and 124 sewage treatment plants were affected by the flood, with 14 of them spilling raw sewage into waterways. Reports indicate that mold infestation, which can cause adverse health effects, is now a major concern among residents in Pennsylvania and New York. One organization, the Pennsylvania Department of Environmental Protection, will be preparing a report for citizens in the affected areas on this issue. "

1.Need assistance formulating a plan on how to use clinical epidemiology to guide opinions and actions on dealing with this issue.
2. Need assistance proposing three (3) types of molds that could develop from flood damage and the associated health risks with each type of mold.
3. Need assistance outlining a plan to communicate key information to health practitioners who will most likely treat the symptoms of mold.Need assistance including a timeline when this outbreak can be expected.
4. Need assistance comparing three (3) methods that could be used to decrease mold or exposure to mold. Need assistance including the advantages and disadvantages of each method.
5. Need assistance formulating three (3) talking points the Pennsylvania Department of Environmental Protection can use when addressing the concerns of the community on health risks associated with mold and what preventative measures can be taken avoid contracting this infection.
6. Need assistance suggesting the type of study used to evaluate the long-term effects of mold exposure and the reasoning behind your selection.
- Four (4) quality academic resources are needed

Solution Preview

The attached document is not intended as a homework assignment completion. I will be uploading the last section related to research tonight, when I have a chance to gather more scholarly resources. Will also attach reference page formatted.

Use of Epidemiology in Planning

The aim of health care is to alleviate, or to at least reduce, the level of disease within the
community. Epidemiology can assist in determining the proper or most sound course of action,
based on what is known about how disease develops and how disease is distributed in a specific
population. Exploring risk factors and considering what existing research suggests, in terms of
how eradication of disease may be approached are some methods of developing treatment plans,
for health organizations. However, development of plans of action require careful consideration
of all available data from all reputable sources, and the conditions or context in which the data
was obtained and applied (The Annapolis Center, nd). In other words, those who make
decisions affecting the health of a community must consider how existing research data will
apply to the current situation. Opinions on treatment plan options should be based on sound
clinical approaches, rather than on personal views or beliefs on how to approach health

Identifying Disease Causing Molds

Flooding brings about many health concerns related to sanitation and disease brought
about by existing water or moisture, where it does not generally exist. Among the major
concerns are bacteria that grow as a result of lack of clean water or due to overflow of raw
sewage, and molds that grow as a result of moisture and inability to remove it from environments
where is should not linger. There are many types of molds associated with moisture and
conditions brought about by flooding. Three types of molds brought about by flooding, which
could present health problems are: Stachybotrys atra, Aspergillus, and Cladosporium.
Stachybotrys is a rarer mold that often accompanies Cladosporium and Aspergillus. All three
molds particularly favor wet cellulose, which is present in walls of most structures. They are
considered mycotoxins, which are toxic to humans when inhaled or ingested. Due to flooding
conditions, the risks of health problems for mycotoxins by either route is possible, though
disease due to inhaled organisms is more likely when molds are present in high numbers in the
home. Symptoms of disease to exposure and characteristics of each type of mold is listed in the
chart below.


Mold growth can occur in as little as 24 to 48 hours, up to 10 days. However, in many
Cases mold growth occurs rapidly in optimal conditions. Therefore, it is important for health
Practitioners to be prepared to treat patients with illness related to mold exposure and to ...

Solution Summary

Clinical epidemiology and decision making case study are examined.