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Epidemiology · Public Health

Epidemiology: Vaccine and Immunization Concepts

Vaccine effectiveness, herd immunity, and immunization program concepts tested at the introductory public health level.

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What is vaccine effectiveness?
A measure of how well a vaccine performs in preventing disease under real-world conditions
What is vaccine efficacy?
A measure of how well a vaccine performs in preventing disease under the controlled conditions of a clinical trial
What is herd immunity?
Indirect protection from infectious disease that occurs when a sufficient proportion of a population is immune, reducing disease spread
What is the herd immunity threshold?
The minimum proportion of a population that must be immune to interrupt sustained disease transmission
What factor primarily determines the herd immunity threshold for a given disease?
The basic reproduction number (R0) of the pathogen
What is the basic reproduction number (R0)?
The average number of secondary infections produced by one infected individual in a fully susceptible population
What is active immunity?
Immunity produced by a person's own immune system in response to an antigen, such as through infection or vaccination
What is passive immunity?
Immunity provided by receiving antibodies from another source, such as maternal antibodies or immune globulin
What is a live attenuated vaccine?
A vaccine containing a weakened form of a live pathogen that stimulates a strong, durable immune response
What is an inactivated (killed) vaccine?
A vaccine containing a pathogen that has been killed and cannot replicate, often requiring booster doses
What is an mRNA vaccine?
A vaccine that delivers genetic instructions for cells to produce a viral protein, triggering an immune response
What is a subunit vaccine?
A vaccine containing only a specific piece of the pathogen, such as a protein, rather than the whole organism
What is a conjugate vaccine?
A vaccine that links a weak antigen, such as a bacterial polysaccharide, to a stronger carrier protein to improve immune response, especially in young children
Why are live attenuated vaccines generally contraindicated in immunocompromised individuals?
Because the weakened pathogen could potentially cause disease in someone unable to mount a normal immune response
What is vaccine hesitancy?
A delay in acceptance or refusal of vaccination despite the availability of vaccine services

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