In the investigation of an epidemic, you compare the present frequency of the disease with the usual frequency at this time of the year in this community. This is done during which stage of the investigation?

Correct Answer: A

Rationale: The correct answer is A: Establishing the epidemic. During this stage, comparing the present disease frequency with the usual frequency helps determine if there is a significant increase, indicating an epidemic. This step is crucial for recognizing and confirming the outbreak. Testing the hypothesis (B) comes after the epidemic is established. Formulation of the hypothesis (C) involves developing a theory based on observations, not comparing frequencies. Appraisal of facts (D) occurs after data collection, not during the initial comparison.

Correct Answer: A

Rationale: The Mayor serves as the Chairman of the Municipal Health Board because they are the head of the local government and responsible for decision-making. The Mayor has the authority to oversee and lead various municipal departments, including public health. The Municipal Health Officer (Choice B) is responsible for implementing health programs but does not necessarily serve as the Chairman. The Public Health Nurse (Choice C) and Any qualified physician (Choice D) may have important roles within the health board but do not typically hold the position of Chairman.

Correct Answer: C

Rationale: The correct answer is C: Swaroop's index. Swaroop's index measures the proportion of deaths occurring after a certain age, typically 70 years old, providing a more accurate assessment of longevity than just reaching the average lifespan. Age-specific mortality rate (A) focuses on mortality at specific age groups, not overall longevity. Proportionate mortality rate (B) measures the proportion of deaths from a specific cause, not overall longevity. Case fatality rate (D) is the proportion of deaths from a specific disease, not a measure of overall longevity. In summary, Swaroop's index is the most appropriate statistic for assessing longevity beyond just reaching the average lifespan.

Correct Answer: B

Rationale: Certainly! The correct answer is B because primary facilities typically provide healthcare services on an outpatient basis, focusing on preventive care and initial treatment of common illnesses. This contrasts with secondary and tertiary facilities that offer more specialized and complex care. Choices A, C, and D are incorrect because primary facilities are not necessarily government-run, training facilities, or community hospitals, which are generally considered secondary facilities.

Correct Answer: B

Rationale: The correct answer is B: Ensure accessibility and quality of health. This is because the Department of Health's primary mission is to provide accessible and high-quality healthcare services to the population. This mission encompasses both ensuring that health services are within reach of all individuals and that the services provided are of the highest possible standard. Choices A, C, and D are incorrect because they do not fully capture the comprehensive mission of the Department of Health, which goes beyond just improving health status or setting a specific target year for health outcomes.

Correct Answer: A

Rationale: The correct answer is A: 1. With a total population of about 20,000, the ideal ratio is 1 midwife per 5,000 people. Currently, there are 3 midwives for 20,000 people (1:6,666). To reach the ideal ratio, the RHU needs 1 more midwife. Choice B, C, and D are incorrect because they would exceed the ideal ratio of 1 midwife per 5,000 people, leading to inefficiency and potentially underutilizing resources.

Correct Answer: C

Rationale: The correct answer is C: Foreseeable crisis. This is because the situation of a 6-year-old child entering school for the first time represents a significant life event that can lead to stress and adjustment challenges for both the child and the parents. A foreseeable crisis refers to an anticipated event that may disrupt the family's equilibrium and require adjustments. In this case, the transition to school is a major life change that can potentially impact the family dynamics and routines, making it a foreseeable crisis. Choice A (Health threat) is incorrect because there is no indication of any health-related issues in the scenario. Choice B (Health deficit) is also incorrect as there is no mention of any existing health problems within the family. Choice D (Stress point) is not as appropriate as choice C because it does not capture the anticipatory nature of the crisis and the potential impact on family functioning that a foreseeable crisis does.

Correct Answer: B

Rationale: The correct answer is B: Measles. Step 1: Presidential Proclamation No. 4 in the Philippines declared measles as a target for eradication. Step 2: Measles is a highly contagious viral disease that can lead to severe complications, making it a priority for eradication efforts. Step 3: Measles eradication efforts involve vaccination campaigns to achieve herd immunity. Summary: A, Poliomyelitis, and D, Neonatal Tetanus, are also targeted for eradication globally but not specifically declared in the Philippines. C, Rabies, is a viral disease transmitted through animal bites and is not typically targeted for eradication due to the complex nature of its transmission.

Correct Answer: B

Rationale: Step-by-step rationale: 1. Public health services are funded through taxes, so individuals indirectly pay for them. 2. The statement is false because although services are free at the point of use, taxpayers fund them. 3. Choice A is incorrect as it oversimplifies the funding mechanism. 4. Choice C is incorrect as the provision of public health services is not dependent on the specific service. 5. Choice D is incorrect as it implies variability in government policies, which is not relevant to the funding aspect.