morbid, morbidity, caseload, inequalities, multimorbidity, Morbidity and Mortality Weekly Report, transmissibility,

Below is a condensed version of Dr. Fauci’s conversation with Michael Barbaro, edited for clarity.

At what point did you realize that the coronavirus was going to be of an entirely different speed and scale than AIDS, Ebola, SARS, H1N1 or swine flu?

It became clear to me that we could potentially be dealing with a global catastrophe somewhere in the middle of January, when it was clear that China was seeing not only extremely efficient transmissibility, but also a disturbing degree of morbidity and mortality.

Confusion and Staff Troubles Rife at I.R.S. Office in Ohio
By NICHOLAS CONFESSORE, DAVID KOCIENIEWSKI and MICHAEL LUO
Alienated from the broader Internal Revenue Service culture and given little direction, specialists in a Cincinnati office struggled with the caseload of groups seeking tax exemptions.
Dr Salisbury suggests that general practitioners in more deprived areas should have lower caseloads to account for higher levels of multiple morbidity.
He also says that in hospitals, those with multimorbidity should be assigned to a generalist consultant who would be responsible for co-ordinating their care.


 The Scottish Government's Health Secretary, Nicola Sturgeon, said: "We are working in partnership with NHS, primary-care providers and patients, as well as the research community, so that we have effective systems in place to address the needs of people with multiple health conditions and to reduce these health inequalities."



Morbidity and Mortality Weekly Report

morbid
adjective DISAPPROVING
too interested in unpleasant subjects, especially death:
a morbid fascination with death

morbid━━ a. 不健全な, 病的な; 【医】病気の; 気味の悪い. morbid anatomy　病理解剖学.

Morbidity ━━ n. 不健全; （一地方の）罹(り)病率.
生病；罹病率 生病或不健康的狀態。生病或受傷者占某人口的比率。

Mortality死亡；死亡率 ---會死亡終究是人類的本質，在某一人口中死亡的比例或因某特定原因死亡的比例。

美國疾病管制局著名的感染症状況與監視之報告：Morbidity and Mortality Weekly Report (MMWR)。發病率與死亡率週報

感染症を始めとする各種疾病や米国の人口動態統計などの週報のほか、各種勧告、ガイドライン、サーベイランス事業の報告などを掲載する。毎週金曜日に更新。

(サーベイランス 【surveillance】 〔サーベランスとも〕
見張り。監視。監視制度。)

Surgery, too, has a standardized mechanism to learn from errors. In contrast to aviation, the analysis is not done by a large investigative body, but in individual hospitals, where surgical departments routinely hold "mortality and morbidity" conferences to analyze mistakes.
Atul Gawande, a surgeon at Brigham and Women's Hospital in Boston, who described the process in his book "Complications: A Surgeon's Notes on an Imperfect Science" (Metropolitan Books, 2002兩本中文 一個外科醫師的修煉 開刀房裡的沉思(Better) ), said in an interview that surgery had moved from a field that lost many patients to one where problems arise less than 3 percent of the time "only by being willing to examine failures and to benefit from them."
The model is a simple one, he said. But it depends on confidentiality and an internal culture that does not assign blame. "It is a culture," he said, "that accepts a sort of contradictory proposition that error is unacceptable, but that it is going to happen."



The high profile of the one-in-166 number has been driven by increased
public-awareness campaigns about autism from the government and
advocacy groups. In 2004, the CDC, the Department of Health and Human
Services, the American Academy of Pediatrics and other groups issued
an alert (Autism A.L.A.R.M.) to doctors citing the 1-in-166 stat and
advising on how to screen for cases. Since then, the CDC has
reaffirmed the number in an online fact sheet (where it cited the
broad range of estimates) and in a May report in its Morbidity and
Mortality Weekly Report -- the latter was based on parents'
self-reporting of their doctors' diagnoses. Meanwhile, an even more
recent U.K. study published over the summer in the Lancet found a rate
of children with autism of between one in 110 and one in 70.

mor·bid (môr'bĭd)
adj.

1. 1. Of, relating to, or caused by disease; pathological or diseased.
   2. Psychologically unhealthy or unwholesome: "He suffered much from a morbid acuteness of the senses" (Edgar Allan Poe).
2. Characterized by preoccupation with unwholesome thoughts or feelings: read the account of the murder with a morbid interest.
3. Gruesome; grisly.

[Latin morbidus, diseased, from morbus, disease.]

morbidly mor'bid·ly adv.
morbidness mor'bid·ness n.


mor·bid·i·ty (môr-bĭd'ĭ-tē)
n., pl., -ties.

1. The quality of being morbid; morbidness.
2. The rate of incidence of a disease.

• 発音記号[mɔːrbídəti]

[名][U]

1 病的状態［性質］；病気にかかっていること.

2 ((またa 〜))（ある病気の）死亡率；（ある地方の）罹患(りかん)率.


caseload

noun

the number of cases with which a doctor, lawyer, or social worker is concerned at one time.

cáselòad[cáse・lòad][名]（裁判所・行政機関・ソシアルワーカーなどの）取り扱い件数.