Iceberg phenomonon is shown by -
Ans. is 'd' i.e., Influenza Icebarg of diseaseo Disease in a community may be compared with an iceberg. The floating tip of the iceberg represents what the physian sees in the community, i.e. clinical cases (Diagnosed case, symptomatic case or clinically apparent case).o The vast submerged portion of the iceberg represents the hidden mass of disease, i.e. latent, inapparent, presymptomatic and undiagnosed cases and carriers in the communityo The "waterline" represents the demarcation between apparent and inapparent disease.o Epidemiologist is concerned with Hidden portion of iceberg whereas clinician is concerned with tip of icebergo Screening is done for Hidden portion of iceberg whereas diagnosis is done for tip of icebergo Iceberg phenomenon of disease is not shown by rabies, tetanus and measles.o The clinician concerned only with the tip of iceberg, i.e symptomatic cases that are seen in clinical treatment, this can result in inaccurate view of the nature and causes of a disease results because the minority of the cases are studied (hidden cases submerged portion of ice berg is not studied) - Clinician's Fallacy.o Important diseases with a great deal of subclinical cases (and thus showing iceberg phenomenon) are : Rubella. Polio. Mumps, Japanese encephalitis. Influenza, diphtheria, Hepatitis A, and Hepatitis B.
Rabies
Measles
Tetanus
Influenza
Concept of disease causation