chapter 6: disease challenge and strategies Flashcards

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1
Q

difference between emerging and re-emerging pathogens

  • examples of each
A

emerging (new)

  • a disease caused by a newly identified or previously unknown agent
  • e.g. covid-19

re-emerging (coming back)

  • a disease which reappears after a significant decline in its incidence
  • re-emerging diseases were once controlled but have increased to a level that causes significant health issues
  • e.g. monkey pox
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2
Q

define infectious disease

A

infectious diseases are transmitted from person to person through the transfer of a pathogen such as bacteria, viruses, fungi or parasites

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3
Q

difference between an epidemic and a pandemic

A

epidemic:

  • widespread infectious disease in an area at a particular time
  • a concern is that the disease may spread more widely and become a pandemic

pandemic:

  • global outbreak of a disease
  • it affects a high proportion of the population
  • uncontrolled spread of the pathogen occurs across a wide geographic area
  • community level outbreaks in at least two WHO regions
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4
Q

state the impact of European (infectious disease) arrival on Indigenous populations

A

European arrival caused epidemics for Aboriginal and Torres Strait Islander peoples

  • prior to European arrival there was little interaction between Indigenous peoples and Europeans
  • after settlement, they brought various new diseases and pathogens to populations that had no prior exposure
  • through this, it places a burden on their overall health and population –> decreases their population
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5
Q

explain why diseases introduced by Europeans had such a large impact on Indigenous Australians

A

western diseases were unknown in the Indigenous population

  • Indigenous populations had no immunity against them
  • large numbers of susceptible individuals –> results in low herd immunity
  • rapid spread of new infectious diseases and significant fatalities
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6
Q

describe physical methods to identify pathogens

A

physical methods can assist in identifying viruses based on size and shape

x-ray crystallography

  • which has determined the structure of many viruses

electron microscopy

  • which had given us images that distinguish various kinds of viruses
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7
Q

describe immunological methods to identify pathogens

A

immunological methods detect specific viral antigens of antibodies which allowed for the diagnosis of diseases

ELISA

  • a plate has antibodies attached on the test line
  • conjugated antibodies are free to move
  • when the conjugated antibodies bind to their specific antigen and the attached antibodies, a colour is observed —> indicted a positive test
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8
Q

describe how pathogens can be transmitted between individuals

A
  • airborne
  • respiratory (droplets)
  • food and water
  • sexually
  • animal and insect
  • health care
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9
Q

describe control measures to prevent or limit the spread of infectious disease

A
  • prevention – clean water, wash hands, safe sex, etc.
  • vaccination – reduce the number of hosts
  • medication – treat people to reduce transmission
  • surveillance – monitor outbreaks to act
  • modification of environment – drain ponds, mosquito nets
  • improving infection control standards – sterilisation of surfaces/objects, masks, quarantine, etc.
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10
Q

explain why identifying the host or reservoir is important in controlling the spread

A
  • they can also be used to help identify the correct treatment to be given to an infected
  • help enable preventative measures
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11
Q

describe 3 ways that antibiotics work

A
  • inhibition of cell wall synthesis –> stops cell wall from being produced
  • inhibition of protein synthesis –> stops bacteria from making proteins
  • cause injury to the plasma membrane
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12
Q

describe 3 ways that antivirals work

A

antivirals only act on viruses actively replicating

  • block entry of the virus into host cells
  • block fusion of virus with host cells
  • block uncoating
  • prevent replication of the viral genome
  • prevent releases of new viruses
  • stimulate host immune system
  • stops the virus from replicating
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13
Q

why are antibiotics not effective in treating viral infections

A

viral infections happen inside of the cell, so antibodies won’t be able to get rid of the cell but rather inactivate it.

  • it is also not effective because antibodies can’t reach the inside of the cell, just the outside.
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14
Q

what is in a vaccine

A

vaccines are substances that cause an immune response (active, artificial immunity)

  • vaccines work because your immune system makes antibodies and memory cells (specific to the pathogen injected with)

they can be pathogens that are:

  • live attenuated
  • inactivate
  • toxoin of bacteria
  • subunits of bacteria or viruses
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15
Q

explain how vaccines provide long-term immunity

A
  • memory cells remember the pathogen that has entered your body
  • if a pathogen enters the body, the body would already have an immune response against it because of the memory cells
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16
Q

explain why booster shots are needed for some vaccines

A

to remind the body’s immune system about the virus it needs to defend it against

17
Q

explain why diseases such as influenza need new vaccines each year

A

since there are mutations and the disease itself can evolve, new vaccines are needed to counterattack the new mutation of the disease

18
Q

define herd immunity

A

a form of indirect protection of population that applies only to contagious diseases

  • reduces the likelihood of infection for individuals who lack immunity
  • protection is created by the presence of immune individuals
19
Q

state two reasons that prevent some people from being vaccinated

A
  • there is no medical team that can assist with getting people vaccinated (no experience with giving vaccines)
  • there is not enough money to supply a place with vaccines
  • under the age limit in which it is safe to be vaccinated
  • immuncompromised people, elderly, pregnant people
20
Q

explain how herd immunity protects the unvaccinated

A

protection is created by the presence of immune individuals in the population hence protection is received by unvaccinated individuals

21
Q

describe monoclonal antibody

A

clones of antibodies that are made in a laboratory

  • they are antibodies desgined to target one specific antigen
  • made to help your immune system
22
Q

describe how monoclonal antibodies are made

A

produced by cell lines or clones obtained from animals that have been immunised with the substance

  • a mouse is injected with antigen X
  • this activates the production of its B cells, which produce antibodies against antigen X
  • to increase the concentration of these antibodies, repeat injections followed by a booster may be given
  • the spleen of the mouse is removed, placed in a culture medium and its cells after separated
  • mouse tumour cells that can constantly divide are added to the separated B cells. some B cells fuse with tumour cells to form new cells called hybridomas
  • this produces monoclonal antibody which required antibodies against the antigen can be harvested
23
Q

describe 3 ways in which monoclonal antibodies can act to treat cancer

A

1. stopping the growth of new blood vessels to cancers

  • MAB (avastin) binds to the growth hormones released by the cancer cell, stopping the growth of new vessels

2. signalling immune cells to attack cancer

  • some MABs bind to antigens on cancer cells
  • act as markers that attract immune cells to attack the cancer cells

3. blocking signals for cell divisions

  • MAB (herceptin) binds to these receptors, blocking them from receiving signals growth factors
  • this results in slow growth or no growth
24
Q

describe what an autoimmune disease is

A

when a person’s immune system attacks their own body

25
Q

explain how monoclonal antibodies can be used to treat autoimmune disease

A

MABs aim to reduce the immune response

  • attach to cytokines to prevent cell signalling and activation
  • attach to T cells, stopping them from getting into the brain/spinal cord and attacking the myelin sheath
  • bind to IgE to prevent allergies
  • might be possible to stop autoimmunity by using MABs to block certain MHC-II antigens
26
Q

what is cancer

A

uncontrolled growth to mutations in the DNA —> uncontrolled cell division