Epidemiology Of Viral Diseases Flashcards

1
Q

Describe virus epidemiology.

A

-study of determinants, freq, dynamics, distribution of viral disease in pop

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2
Q

Describe why we should study epidemiology of viral diseases.

A

Risk of inf/disease in animals & their pop is determined by:
1. Characteristics of virus (ex. Genetic variation from evolution)
2. Host & host pop (ex. Passive, innate, acquired resistance)
3. Behavioral, environmental, ecological factors that affect virus transmission from one host to another

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3
Q

Describe the role of epidemiology in viral diseases.

A
  1. ID & clarify the role of viruses in the etiology of diseases
  2. Understand the interaction of viruses w environmental determinants of disease
  3. Determining factors affecting host sus
  4. Unravel modes on viral disease transmission
  5. Study impact of viral disease on health, economy, society
  6. Study role of inf pathogens in pathogenesis of chronic non communicable disease like oncogenic virus in cancer
  7. Lg scale testing of vaccines & drugs (ex. Clinical trials)
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4
Q

Describe how epidemiology helps.

A
  1. Adv our understanding of nature of diseases
  2. Alert & direct disease treatment, control & prevention activities
  3. Provide early warning system & track disease
  4. Assess economic & social impacts of disease
  5. Assess efficacy & cost of disease control & prevention programs
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5
Q

Describe the different rates based on outcome of disease in population.

A
  1. Case fatality rate: # or % of deaths in clinically ill animals
    -animal pop = 100
    -sick pop = 25
    -dead pop = 10
    -case fatality rate = 10/25 x 100 = 40%
  2. Mortality rate: # or % of animals in pop that die
    -animal pop = 100
    -sick pop = 25
    -dead pop = 10
    -mortality rate = 10/100 x 100 = 10%
  3. Morbidity rate: % of animals in pop that develop CS to a virus over time (duration of outbreak)
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6
Q

Describe incidence VS prevalence based on duration/freq of occurrence.

A
  1. Incidence: # of new cases in a pop
    -‘attack rate’ = measure of occurrence of inf/disease in pop over time
    -useful for describing acute disease of short duration
  2. Prevalence: # of occurrences of disease (old & new), inf, or related attributes (antibodies) in a pop at a particular time
Prevalence
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7
Q

Describe the 4 different types of viral diseases.

A
  1. Sporadic
    -occur occasionally, singly, or scattered in a irregular manner
  2. Enzootic (endemic in humans)
    -constant presence in a geographic area or pop
  3. Epizootic (epidemic in humans)
    -more cases of a viral disease than expected in a area or pop over a period of time
    -peaks in disease incidence that exceed endemic/enzootic baseline or expected incidence of disease
  4. Panzootic (pandemic in humans)
    -wide area affecting lg portion of pop
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8
Q

Describe asymptomatic carriers.

A

-animals that have contracted an inf viral disease but no CS
-shed virus & transmit disease to others
>continuous of intermittent

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9
Q

Describe the different types of asymptomatic carriers.

A
  1. Incubatory (acute)
    -shed virus during incubation period of diease
  2. Convalescent (chronic)
    -shed virus during recovery from disease
  3. In apparent
    -carrier state may exist w an inf that’s in apparent thruout its course
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10
Q

Describe contagious disease VS exotic disease.

A
  1. Contagious
    -disease spread from 1 person/organism to another by direct or indirect contact
    >period of contagiousness = time during an inf animal sheds virus
  2. Exotic
    -disease not known to occur in a geographical area
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11
Q

Describe the 2 methods to study epidemiology of viruses.

A
  1. Seroepidemiology
    -use of serological data as basis of epidemiological investigation as determined by diagnostic serological techniques
  2. Molecular epidemiology
    -use of molecular biological data as basis of epidemiological investigation of viral diseases
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12
Q

Describe the transmission of viruses.

A

Horizontal: most viruses spread of inf agent from one person/animal or group to another
1. Contact
A) direct
>bites, licking, coitus, droplets
B) indirect
>airborne, fomites
2. Vector
>mechanical or biological
3. Vehicle borne
4. Iatrogenic
5. Nosocomial

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13
Q

Describe contact transmission.

A

spread of inf agent by direct/indirect contact
1. Direct
-actual physical contact between inf & sus (ex. Licking, rubbing, biting)
-sexual
-droplet: transmission of virus in droplet nuclei (saliva or mucus) that travel less than 1m from source to sus host
>sneeze, cough
short distance travel so not considered as air borne
2. Indirect
-via fomites: inanimate object/substance thats contaminated w inf agent & capable of transmitting inf organisms from one individual to another
>ex: shared eating containers, bedding, dander, restraint device, vehicles, clothing, improperly sterilized surgical equipment, syringes, needles
-air borne: spread of inf agent by droplet nuclei in dust that travel more than 1m from the inf to the sus host

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14
Q

Describe vector transmission.

A

‘Arthropod borne transmission’
-arthropod vectors carry the virus from inf host to sus host

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15
Q

Describe a mechanical transmission example.

A

-mosquitos & other biting insects are mechanical vectors for fowlpox virus

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16
Q

Describe biological transmission.

A

-arthropod vector acquires virus by feeding on blood of viremic animal
-replication of ingested virus initially in insects gut -> spread to salivary gland takes days = ‘extrinsic incubation period’
-virions in salivary secretions of vector are inj into new animal host during blood meals
-helps virus to cross species barriers

17
Q

Describe transovarial VS trans-stadial transmission in biological transmission.

A
  1. Transovarial
    -virus transmitted from mother tick thru inf eggs to next gen of ticks
  2. Trans-stadial
    -virus transmitted from larva or nymph to next stage of development (nymph or adult)
    -not transmitted vertically (mother tick to egg & next gen)
    -ex: tick borne flavivirus
18
Q

Describe arboviruses in biological transmission.

A

-class of virus transmitted to humans by arthropods like mosquitos & ticks

19
Q

Describe the types of transmission cycles in arboviruses.

A
  1. Enzootic (sylvatic or jungle cycle)
    -natural transmission of virus between wild animals/birds (vertebrate hosts) & primary insect vectors
  2. Epizootic (rural cycle)
    -virus transmitted between non wild or domestic animals & primary or accessory insect vectors
  3. Urban cycle
    -virus cycle between humans & insect vectors
20
Q

Describe the different host & vectors in arboviruses.

A
  1. Amplifying host
    -level of virus can become high enough that an insect vector like a mosquito that feeds on it will prob become infectious
  2. Dead end host or incidental host
    -host from which inf agents aren’t transmitted to other sus hosts
    -develop sufficient viremia to be picked up by insect vectors
  3. Bridge vector
    -arthropod that acquires virus from inf wild animal & transmits agent to human or secondary host
21
Q

Describe common vehicle transmission.

A

-fecal contamination of food & water supplies (fecal-oral)
-virus contaminated meat or bone products

22
Q

Describe iatrogenic transmission.

A

inf transferred during medical or surgical practice
1. Intro of pathogens by contaminated instruments (non sterile) or contaminated body surface
>ex: spread of equine inf anemia virus via multiple use syringe & needles
2. Intro of pathogen thru contaminated prophylactic or therapeutic preparations

23
Q

Describe nosocomial transmission.

A

-while animal is in vet clinic
-hospital acquired infection

24
Q

Describe vertical transmission.

A

-inf that is transferred from dam to embryo or fetus or newborn before, during, or shortly after partition
-EX: colostrum, milk, fecal contamination of teats

25
Q

Describe zoonotic transmission.

A

‘Zoonosis’
-inf that are transmissible from animals to humans

26
Q

Describe mechanisms of survival of viruses.

A

Ex: virus that are transmitted by respiratory route have low environmental stability where as those transmitted by fecal-oral route have higher stability

27
Q

Describe herd immunity.

A

-immunity that occurs when vaccination of a sig large portion of pop/herd provides a measure of protection for individuals who have not developed immunity

28
Q

Describe the course of a typical infectious disease.

A
  1. Incubation
    -between inf & onset of CS
    -animals are infectious before they become sick
  2. Prodromal
    -first signs & feelings of illness (early symptoms)
    -before appearance of characteristic symptoms of disease
  3. Acute
    -disease at it’s height = severe CS
  4. Decline
    -CS begin to subside
  5. Convalescent
    -body gradually returns to its pre diseased state & health is restored