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6. Causation (or causality) deals with the relationship between cause and WHAT

  • effect
  • reaction

7. Indirect cause of disease:

  • an intervening variable that affects the disease
  • what is traditionally considered a causal relationship; direct response from the causal factor  disease/outcome

8. WHAT: exert a major effect in inducing disease. Often necessary causes…

  • primary cause
  • necessary cause
  • sufficient cause

9. Precipitating factors:

  • facilitate manifestation of a disease
  • associated with the definitive onset of disease
  • tend to aggravate the presence of a disease
  • increase the level of susceptibility in the host

10. Reinforcing factors:

  • tend to aggravate the presence of a disease
  • facilitate manifestation of a disease
  • increase the level of susceptibility in the host
  • associated with the definitive onset of disease

11. WHAT: a cause that produces an effect, e.g. pneumonia in calves (viral infection  secondary bacterial infection & suboptimal environmental factors)

  • necessary cause
  • sufficient cause
  • primary cause

12. WHAT: one without which the disease will not occur, e.g. Mycobacterium tuberculosis  paratuberculosis

  • necessary cause
  • sufficient cause
  • primary cause