chapter 22 module 8 Flashcards
22.1 One Health
the concept that the health of humans, animals, and the environment (including plant life and ecosystems) should be viewed in a holistic (all-inclusive) way is called One Health
disruption of an environment can lead to transmission of pathogens to animals
and humans
evolution of new microbial traits can occur in response to changes in the environment
Global Mixing Bowl
human activities in particular can promote the emergence of infectious diseases, for example through ecological disturbances and movement of animals
ie. influenza viruses; mixing of strains of influenza viruses in birds, swine, and humans results in the evolution of new recombinant strains with the potential to spread globally every year
we use term “mixing bowl” b/c within last few decades humans have created an incredible array of unique opportunities and challenges for microbes
ie. we fly across continents quickly (with out microbes)
ie. we use antimicrobial drugs that put selective pressure on microbes
ie. we transport microbes across oceans in ships
- -> the result has been the dawn of a new era of emerging and reemerging diseases
Emerging and Reemerging Infectious Diseases - 2020
Babesiosis - protozoan tick-borne disease
Bartonella henselae - bacterial cat scratch disease
Candida auris - fungal disease causing local and bloodstream infections (multiply drug-resistant)
Chikungunya and Mayaro - two arbovirus diseases that have recently moved into the Americas
C. difficile - endospore-forming bacterium causing severe GI infection
SARS-CoV-2 - acute resp distress, damage to other organ systems
Ebola virus disease - hemorrhagic ever; large epidemic in 2014-2015
Ehrlichiosis - tickborne bacterial disease
Elizabethkingia - common environmental bacterium causing HAIs
Lassa fever - viral hemorrhagic fever; currently confined to Africa
Leishmaniasis - protozoan disease of skin and tissue
Marburg virus - viral hemorrhagic fever, similar to Ebola
Measles - threatens to reemerge b/c of lower vax rates
MERS - Middle East resp syndrome
Mumps - threatens to reemerge; partially due to lower vax rates
Nipah Virus - encephalitis and resp illness; Asia and Africa
SARS - sudden acute resp syndrome, emerged suddenly in 2003
Shiga-toxin producing E. coli - foodborne and water-borne infection
Zika Virus - mosquito-borne illness affecting fetuses most severely
patterns of newly emergent infectious diseases
often reflect contemporary demographic and environmental changes – more people living closer together and in greater contact with wild and domesticated animals, and habitat destruction
–> another issue is the multipurpose use of resources – such as using the same water for waste disposal, irrigation, and human consumption
over the past 4 decades, the rate of infectious disease emergence has increased in both humans and animals
22.2 Animals and Infectious Disease: Zoonoses
zoonosis describes the transfer of disease-causing microorganisms from animals to humans
worldwide diseases that humans acquire from animals result in millions of cases illness, and perhaps a million deaths each year
however, we also recognize that microbes can transfer back and forth between animals and humans
over the last three decades, approx. 75% of newly emerging human diseased have been zoonotic
likely 1 million vertebrate diseases and many more to discover
once introduced to human populations, some zoonotic agents can spread from human to human - in some cases causing global pandemics
ie. HIV/AIDS originated as a chimpanzee retrovirus, that jumped species and adapted itself to human-to-human transmission
Lyme Disease
classic example of zoonosis
- in 1976 a number of children living near Lyme, Connecticut began developing arthritis-like symptoms
- because arthritis is not infectious, an underlying microbial cause was suspected
- –> soon recognized as bacterial infection caused by spirochete Borrelia burgdorferi and given name Lyme Disease
now most commonly reported arthropod-borne illness in US and Europe, and is also found in Asia
- ->lifecycle of bacterium involves ticks, small mammals, and large mammals
- ->more highly populated areas push houses to be built closer to woods which is good for ticks to come in contact with humans
- ->increases in temperature in recent decades in some areas = increased population of ticks
- ->warmer conditions mean that larval ticks are more likely to survive to maturity
COVID-19
seems to originally have been a bat virus and then cycled in intermediate mammalian hosts before jumping to humans in 2019
- -> new to humans so no adaptive immunity
- -> many measures taken, including social distancing: decreasing the density of people in the same space to limit transmission
- -> a factor pushing high transmissibility is that it can be spread asymptomatically or presymptomatically
–> flattening the curve as to not overwhelm and exceed healthcare capacity
22.3 The Environment and Infectious Disease
Clean Water and Infectious Disease
every drop of water we drink contains thousands of microbes
large population of world does not have access to safe drinking water
–> WHO reports that more than 1 billion people lack access to clean water and 2.6 billion lack access to basic sanitation
poor water sanitation and lack of safe drinking water take a greater human toll than war and terrorism
- waterborne diarrheal diseases along cause great burden
- U.N. reports that 4000 children die each day as a result of infectious diseases acquired by drinking contaminated water
in many developed countries water is disinfected and tested and a filtration system is used or treatment with chlorine
boil water advisories come out when there is a breach in the water delivery system and the quality of water can not be ensured
Pathway for water purification = coagulation, sedimentation, filtration(sand, gravel, charcoal), disinfection(chlorine, UV light), distribution
Indicator bacteria
routine bacterial monitoring of potable waters involves testing for INDICATOR BACTERIA, that is microorganisms normally found in mammalian GI tracts, whose presence would indicate likely contamination with fecal matter
testing for pathogens of concern like protozoa: Giardia and Cryptosporidium; bacteria like Salmonella, Shigella, Vibrio, and Campylobacter; viruses like Hep A and Norwalk – would be hard because it may not provide the necessary margin of safety given the large volumes of water that are distributed
intestinal bacteria most useful in the routine monitoring of microbial pollution are gram-negative rods called coliforms (E. coli and similar bacteria), which ferment lactose and produce gas
–> when significant numbers of coliform bacteria or fecal streptococci are detected the water is not considered safe to drink
important to differentiate between coliforms that can be naturally found in soils and uncontaminated water (Klebsiella, Enterobacter, Citrobacter) AND fecal coliforms that live mainly in human and animal intestines
–> although most E. coli strains are not pathogenic, they almost always come from a mammal’s intestinal tract so their presence in a sample is a clear indicator of fecal contamination
Biosensors: new tech developed that detects structures on specific microbes and transmit electrical or physical signals that are easily read (uses PCR, genome techniques, or electrochemical signaling)
what is tested for in water
side from microorganisms, chemical levels (ie. lead)
Microbial Contamination of the Food Chain
E. coli outbreaks from beef are caused when cattle are infected
E. coli outbreaks associated with vegetables are generally triggered when crops are watered with unclean water containing fecal matter, or possibly when infected animals or birds have access to the crops
food can also carry harmful microbes
- Hep A virus can be transmitted through food or water contaminated with human fecal matter
- -> Hep A numbers are very high in areas where there is no sewage treatment, and have especially high numbers in developing countries and rural areas (in rural areas of South Africa, the seroprevalence is 100% - this means everyone in that area is infected, but some are asymptomatic and just carriers
Global Climate Change and Biology
over past 40 years, the concentrations of carbon dioxide and methane in the atmosphere have increased
- -> now at highest level since the first humans set foot on earth
- -> as a result climate is changing, and the compounds are absorbing long-wavelength energy coming from Earth’s surface and reflect some of it back to earth, WARMING EARTH LIKE A GREENHOUSE
climate change can be detected in weather: more rainfall and generally higher average temperatures over the year with more variable weather patterns
in some areas increased rainfall will lead to increases in some pathogens and vectors of infectious disease
ie. Vibrio cholerae, for example, thrives in warm water
ie. mosquito populations will likely increase in areas with more rainfall and the incidence of infectious diseases like yellow fever and malaria will increase (potentially by several hundred million)
Hantavirus outbreak in 1993:
- weather phenomenon El Nino, warming trend that originates over the Pacific Ocean, caused wetter weather conditions, which led to an increase in pine nut population
- ->pine nuts are a favorite delicacy of deer mice, by the spring and summer of 1993 there was a very large pop. of deer mice which are the reservoir for hantavirus and their feces or urine exposed to humans = disease and potentially death
- note interconnectedness of environment, plant world, animal world, and humans
22.4 Microbes to the Rescue
non-disease-causing microbes are of extreme importance in saving us from the wastes and pollutants we produce
Liquid Waste Treatment - Sewage
each year trillions of gallons of human waste released into environment
-low levels of human wastes can be accommodated b/c natural waters have self purification capacities
naturally occurring nonpathogenic microbes in those ecosystems can degrade the wastes
- -> when waters are overwhelmed by concentrated inputs of organic matter a high amount of oxygen is required
- exhaustion of the dissolved oxygen occurs and water becomes putrid and septic = pathogens also spread
so to minimize this happening,
- -> rural and suburban areas with relatively low population densities rely on septic tanks (containers into which sewage flows)
- the solid material settles and is subject to microbial decomposition and the liquid, with its greatly reduced organic content, is allowed to overflow and is distributed through a series or perforated pipes into the surrounding area
- -> as long as the houses are far enough a part, the reduction in organic matter is sufficient to reduce concentrations or organic matter being released to levels that can be accommodated without causing harm
- but these systems are not good for largely populated areas
some cities pump sewage away into offshore areas of the ocean away from shellfish beds and sometimes into agriculture fields away from the city
-some have extensive sewage treatment plants