Communicable Diseases Flashcards

1
Q

Describe the term ‘communicable disease’ and give examples of some communicable diseases.

A

A communicable disease is a disease that can be spread from one living thing to another, or through the environment.

Examples include: HIV, COVID-19 and chickenpox/shingles.

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2
Q

How are communicable diseases spread?

A

An infectious agent is transmitted from a source to a susceptible host.

Communicable diseases can be spread:

From one living thing to another, e.g., HIV (human to human)
Through the environment, e.g., lyme disease (animal to human)

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3
Q

Why are communicable diseases major causes of mortality worldwide?

A

Primary effects of communicable diseases include diarrhoea (results in dehydration, especially in children) and acute respiratory problems.

Secondary effects include trauma and malnutrition.

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4
Q

What is the ‘communicable period/window of infection’?

How can the window of infection be controlled/reduced?

A

The time required for the infectious agent to be transmitted from the reservoir to the susceptible host.

Improvements in personal and social hygiene e.g., hand washing and mask wearing
Greater awareness of health and disease.

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5
Q

What are the two types of communicable diseases?

Give an example of each type.

A

Emerging infectious diseases e.g., COVID-19

Re-emerging infectious diseases e.g., Tuberculosis

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6
Q

Describe the term ‘emerging infectious disease’.

A

Diseases that appear for the first time.

OR

Diseases that have previously occurred but emerge in a population where they have not been previously reported.

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7
Q

Describe the term ‘re-emerging infectious disease’.

A

Diseases that are familiar and caused by well understood infectious agents that were once under control or in decline, but are now increasing in incidence.

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8
Q

Why might re-emerging infectious diseases increase in incidence?

A

Resistance to drugs e.g., antibiotic resistance

Gain new footholds in the population e.g., people not getting vaccinated.

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9
Q

Describe the term ‘pathogen’, and describe how pathogens cause disease.

A

A pathogen is an organism that causes disease.

Pathogens cause disease when they invade, multiply and destroy body cells.

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10
Q

What are the four types of pathogenic organisms?

A

Bacteria, Virus, Protozoa and Fungi

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11
Q

Describe a virus and give an examples of viral infections.

A

A virus is a piece of genetic material encased in a protein coat.

Viral infections include:

  • COVID-19
  • HIV
  • Polio
  • Meningitis
  • Rabies
  • Smallpox
  • Influenza
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12
Q

How does a virus infect a host?

A

A virus cannot reproduce without the assistance of a host.

  • virus attaches to a host cell
  • viruses genetic material enters the host cell
  • cell is ‘hijacked’ to make viral genetic material and proteins
  • new viruses form inside host cell
  • cell bursts open and dies
  • copies of the virus are released and infect other host cells in the same way.
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13
Q

Describe bacteria and give an example of a bacterial infection.

A

Bacteria are single celled organisms that come in three forms:

  • bacilli (rod shaped)
  • cocci (spherical)
  • helical (spiral)

Bacteria can infect any part of the body:

  • genitalia (STI’s and UTI’s)
  • gastrointestinal system (gastritis and food poisoning)
  • respiratory system (pneumonia).
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14
Q

Describe protozoa and give an example of a protozoan infection.

A

Protozoans are parasites that are infectious to humans, that occur in many different structures e.g., amoeba (can change shape) and paramecium (fixed and complex structure).

Protozoan infections include:

  • Malaria
  • Toxoplasmosis
  • Amoebic Dysentery
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15
Q

Briefly describe fungi and give an example of a fungal infection including symptoms)

A

Fungi are plant-like organisms that commonly cause diseases of the skin and mucous membranes.
Fungal infections are also called mycosis.

Fungal infections include:

  • Athletes foot
  • Ringworm
  • Vaginal yeast infection

Symptoms include:

  • scaly skin
  • redness
  • itchiness
  • blistering
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16
Q

What are the two modes of transmission for communicable diseases?

Describe each.

A

Direct contact and indirect contact.

Direct contact is transmission from direct contact with an infected person.

  • sexual contact
  • mother to unborn baby through placenta

Indirect contact is transmission without being in close contact with an infected person.

  • touching a contaminated object
  • inhaling respiratory droplets (airborne)
  • via vectors or parasites
  • via contaminated food and water
  • blood/open wound e.g. blood transfusion
17
Q

Describe some common symptoms of communicable diseases.

A

Symptoms vary widely between diseases but common symptoms include:

  • Tiredness
  • Loss of appetite
  • Coughing/Sneezing
  • Weight loss
  • Raised temperature
  • Rash
18
Q

Name the four stages of disease.

A

Stage 1 - Incubation stage
Stage 2 - Prodromal stage
Stage 3 - Illness Stage
Stage 4 - Recovery stage

19
Q

Describe the incubation stage.

A

Lasts 2 days to 2 weeks.

It is the time between the pathogen entering the host and onset of symptoms.

Body shows no outward sign of infection.
Body recognises a pathogen and recruits immune system to find it and report back.

Pathogen is low in numbers and weak in strength.
Pathogen is hiding and trying to replicate/get stronger.

20
Q

Describe the prodromal stage.

A

This is the most contagious stage!
Infected person not unwell enough to isolate e.g., stay off work.school.

Mild symptoms develop:

  • sore throat
  • runny nose
  • mild fever
  • general aches & pains

Body is making antibodies to fight the pathogen.
White blood cells begin destroying the pathogen.

Pathogen has spread in the body and increased in strength and number.
Pathogen is aggressively attacking body cells and taking over tissues.

21
Q

Describe the illness stage.

A

Infection reaches its peak.

Doctor can identify cause of disease based on symptoms.

All components of the immune system are in full attack to fight the pathogen.

Body is extremely tired due to high WBC count and low RBC count!

Pathogen is decreasing in strength as weaker ones are destroyed by immune system.

22
Q

Describe the recovery stage.

A

Disease is overcome by the immune system.

Body is in a weakened state and extremely vulnerable to re-infection as immune cells are low in number and fighting the remaining pathogens.

Extremely important to continue antibiotics/drugs at this stage.

Body is fighting the last remaining pathogens.
Body is rebuilding its WBC defence and replenishing RBC count.

Pathogen is either completely destroyed or will reinfect the body in the prodromal stage.

Can cause death to vulnerable people e.g., infants, immunosuppressed, elderly.

23
Q

List some modern conditions that favour the spread of communicable diseases.

A
  • global travel
  • centralisation of food processing
  • globalisation of food supply
  • population growth, urbanisation and overcrowding
  • mental health deterioration (high cortisol levels)
  • deforestation
  • human behaviour e.g., drug use, sexual behaviour
  • increased use of antimicrobial agents e.g., sanitiser and antibiotics
  • use of pesticides
  • war and conflict situations
24
Q

What are the four levels of prevention of communicable diseases?

A
  • primordial prevention
  • primary prevention
  • secondary prevention
  • tertiary prevention
25
Q

Describe primordial prevention.

A

Avoiding the development or emergence of risk factors in areas/amongst populations where they are not yet observed.

26
Q

Describe primary prevention.

A

The action taken to avoid the occurrence of disease and remove the possibility of disease occurring.

  • increasing host resistance
  • inactivating the agent
  • interrupting chain of infection
  • restricting the chain of infection e.g., isolation, quarantine, hygiene.
27
Q

Describe secondary prevention.

A

Halting the progression of the disease from its early stage to a more severe stage.
Preventing complications of the disease.

  • early recognition
  • prompt treatment
  • protecting others in community
28
Q

Describe tertiary prevention.

A

Preventing or delaying the consequences of the advanced disease.

  • treatment of symptoms
  • prevention of avoidable complications of disease
  • preventing recurrence
29
Q

What are the four methods of managing a communicable disease outbreak?

A

Preparation

  • outbreak response plan
  • laboratory support
  • stocks of antibiotics/vaccinations

Detection

  • surveillance system to collect, analyse and interpret data
  • inform WHO and ministry of health

Response

  • confirm outbreak
  • activate the outbreak control team
  • investigate to outbreak
  • control the outbreak

Evaluation

  • assess effectiveness of control measures
  • change health policy if needed
  • write outbreak report
30
Q

Describe disease control.

A

disease control is the ongoing operations aimed at reducing:

  • incidence and duration of disease
  • risk of transmission
  • consequence of infection
  • financial burden

focuses mainly on primary and secondary prevention.

31
Q

What is the ‘ring immunisation’ isolation method?

A

Surrounding an infected individual with a barrier of immune individuals i.e., vaccinated individuals.