Community medicine 1

A.Y. 2020/2021
Overall hours
MED/17 MED/35 MED/42 MED/50
Learning objectives
To be acquainted with infectious diseases, including those sexually transmitted, epidemiology, legislation and preventive-educational methods for community health
To acquire the ability to identify the infectious risks and to intervene for the supervision and protection of hygienic conditions in families, schools and assisted communities
To be acquainted with the most important pathologies of dermatological interest and the main preventive measures in the field of oncological dermatology
To be acquainted with the principles and rules concerning the hospital hygiene, prevention and control of hospital- and community-acquired infections
To be acquainted with the methods and techniques of prevention and of healthcare-social-educational ntegrated assistance
To become aware of the effects on health due to the exposure to environmental pollutants
To acquire the methodologies to empower the individual and the community towards the environment
To acquire the ability to use the scientific literature by selecting accredited sources
To acquire the ability to use web 2.0 as a tool to inform and educate the population and health professionals
Expected learning outcomes
Demonstrate the knowledge of the infectious diseases and the healthcare related infections, the ability to identify the infectious risk
Demonstrate the knowledge of the main dermatological diseases
Demonstrate the knowledge of the effects on health due to the exposure to environmental pollutants
Demonstrate the ability to use scientific literature using accredited sources and the web.2 as an information and education tool for the population and health professionals
Course syllabus and organization

Single session

lessons only in TEAMS platform
Prerequisites for admission
There are no prerequisites
Assessment methods and Criteria
The exam consists of a written and an oral test
The exam is held for all modules of the integrated course on the same day.
Infectious diseases
Course syllabus
Flow of infectious diseases signalling (immediate/delayed)
Mainf - regional information system
Surveillance, prevention, prophylaxis, control of tuberculosis within Lombardy
Mantoux - intradermal reaction (with execution exercise)
Integrated surveillance system for measles and rubella
Prevention and control of invasive bacterial diseases that can be prevented with vaccination
Emerging infectious diseases: vectorial diseases
Analysis of real infectious diseases cases (practical exercise)

General concepts about infectious diseases
General epidemiology (for examples )way of transmission
Infectious diseases' diagnosis
Infectious diseases' notification
Isolations' Measures
Parenteral/sexual, fecal, respiratory transmission of infectious diseases (HIV, HBV,HAV, HCV, cholera, typhus, TBC, pneumonia, flu)
Exanthematic diseases
Bacterical and viral meningitis and encephalitis
Tovxplasmosis, Cytomegalovirus herpesvirus diseases
Diseases transmitted by vectors
Teaching methods
Frontal Lessons
Teaching Resources
Moroni M, Antinori S, Vullo V. Manuale di Malattie Infettive, II Edizione , EDRA-Elsevier 2015
Hygiene and public health
Course syllabus
Relationship between health and the environment
Biological monitoring
ADI Acceptable daily intake calculation
Definition of an acceptability limit of a substance in an environmental matrix
Environmental Impact Assessment
Indoor pollution and sick building syndrome
Soil pollution and hazardous waste disposal methods
Teaching methods
Frontal lessons
Teaching Resources
Slides used during lessons
· CDC Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings (2007)
· WHO Guidelines on Hand Hygiene in Health Care: First Global Patient Safety Challenge Clean Care Is Safer Care.Geneva: World Health Organization; 2009
· Filmato Le infezioni in agguato
· Diapositive delle lezioni
Dermatological and venerological diseases
Course syllabus
Anatomy and physiology of the skin. Skin lesions. Impetigo. Pediculosis. Scabies. Melanoma
Teaching methods
Frontal Lessons
Teaching Resources
Core Curriculum Dermatologia. A. Rebora e S. Veraldi
Applied medical techniques
Course syllabus
Web 2.0 in Medicine
a. ECM Continuing Medical Education
b. Podcast
c. Wiki
d. Feed RSS
- WHAT to look for when conducting an accredited biomedical scientific literature search
EBM and Systematic reviews of scientific literature
- HOW to search for scientific literature
Descriptors, Keywords, MESH terms and free words
The thesaurus
Boolean operators
Wildcard characters
- Bibliographic sources
Review sources
Biomedical databases, Pubmed, Medline

· Influence of the environment on health
· Environmental toxicology
·Risk assessment
· Exposure and biological indicators
· environmental emergencies
·Air pollution
· Indoor pollution
· Environmental allergens
· Urban Health
. Soil pollution
· Agriculture and food contaminants
· Water pollution
Mineral water legislation for human consumption
Teaching methods
Frontal lessons
Challenge by learning
Circle time
Teaching Resources
· Barbera E. et al. (2013) Social media e promozione della salute: perché utilizzarli, in che modo e come valutarne l'impatto; Dors Regione Piemonte
· Ciotti F. Roncaglia G. Il mondo digitale: introduzione ai nuovi mediaedizioni la terza roma 2000
· Institute for the Future for the University of Phoenix Research Institute (2011), "future Work Skills 2020".
· O.M.S., (1998). Glossario della Promozione della Salute.
· O.M.S., (2006). Aggiornamento del Glossario O.M.S. della Promozione della Salute: nuovi termini.
· Regione Piemonte. Dors - Una Interpretazione Salutogenica Della Carta Di Ottawa. Tratto da:
· Santoro, E. (2013). I social Media, le apps e la trasformazione della comunicazione, della formazione e dell'assistenza in sanità. Prog Med 104(5): 179-180.
· Santoro E. (2007) Il web 2.0: dalla partecipazione alla in-formazione
· Santoro E. (2010) L'evoluzione di Internet per assistenza, formazione e ricerca: potenzialità e limiti del web 2.0; GIMBEnews; Luglio-Agosto 2010; vol.3 n.4; 37-38
· Sillence E. et al. (2007) "How do patients evaluate and make use of online health information?" Social Science & Medicine
· Tosco E. (2013) "I social network sono setting di promozione della salute?"; Sintesi ed adattamento dell'articolo di Julia Loss, Verena Lindacher, Janina Curbach "Online social networking sites—a novel setting for health promotion?; Health & Place
· Trombini A. (2013) Medicina 2.0: come il web trasforma il rapporto tra medico digitalizzato e paziente informato - Università di Bologna- Scuola di Lettere e Beni Culturali - Corso di Laurea in Scienze della Comunicazione Pubblica, Sociale e Politica. Rel. Prof.ssa Lalli, P. a.a.2012-2013 (inedito)
· Auxilia F., Pontello M. Igiene e sanità pubblica: Salute e ambiente. A cura di Bertazzi P.A., Grappasonni I. Piccin Nuova Libraria, Padova 2017.
1 Introduzione. L'influenza dell'ambiente sulla salute. Meccanismi biologici ed evidenze epidemiologiche -TUTTO
2 Tossicologia ambientale: concetti generali sulla valutazione del rischio -TUTTO
3 Valutazione dell'esposizione ambientale e professionale - NO da "I metodi di prelievo" PAG. 47 A 56 SI' Paragr. 3.2.2 E NO DA PAG.58 A 62, SI' Paragr. 3.3
4 Il monitoraggio biologico - NO DA PARAG. 4.3 A 4.3.8
5 Inquinamento dell'aria e salute -TUTTO
6 Indoor Air Quality (IAQ) e comfort negli ambienti confinati non industriali -TUTTO
7 Ambiente e allergie: valutazione dell'esposizione ambientale
e occupazionale - NO DA PAG 191 A 198
8 L'inquinamento del suolo -TUTTO
9 Salute rurale (agricoltura e zootecnia) - NO PARAG. 9.4 e NO da Parag. 9.6.5 a fine capitolo
10 L'acqua - NO PARAGR. 10.5.5
11 Acque ad uso umano -TUTTO
12 Acque fluviali - NO da pag 397 a fine capitolo
13 Acque reflue - No paragr. 13.1.1 e NO da paragr. 13.2.1 a 13.2.4
14 Legislazione in tema di risorse idriche - SOLO 14.2 Acque minerali naturali
· Buffoli, Capolongo, Odone, Signorelli Salute e Ambiente: Igiene edilizia, urbanistica e ambientale EdiSES
2 Sostenibilità ambientale e Urban Health (da pag. 59 a 68)
8 Sicurezza ed emergenze ambientali -TUTTO
· Multi-Touch Book: Cellulare senza rischi, consigli per l'uso
Slide docente
Applied medical techniques
Lessons: 40 hours
Dermatological and venerological diseases
Lessons: 10 hours
Hygiene and public health
MED/42 - HYGIENE AND PUBLIC HEALTH - University credits: 2
Lessons: 20 hours
Infectious diseases
MED/17 - INFECTIOUS DISEASES - University credits: 2
Lessons: 20 hours
Professor: Riva Agostino