Exam 2 Flashcards
Respiratory disease
SARS
Acute disease
SARS
Geographic origin of SARS?
Guandong Province (Southern China)
City WOW associated as earliest case of SARS?
Fushan
Newly emerging disease developed from a previously unknown disease agent
SARS
Hot zones of SARS?
China, Hanoi, Hong Kong, Singapore, and Canada
Spread by close contact with an infected person? (coughing and sneezing)
SARS
What was central to global diffusion of SARS?
Global air traffic
Origin of SARS “outbreak”?
Horseshoe bat
What was responsible for the control/elimination of SARS?
Global public health
If ____ reemerges it will be a seasonal disease
SARS-CoV
Interesting characteristic about SARS?
Superspreaders
In addition to respiratory also attacks the gastrointestinal and other organ tracts
SARS
SAR injury?
- Cellular destruction due to viral replication
- Immune hyperactivity
- Pulmonary epithelial destruction
What is immune hyperactivity?
- Cytokine overproduction
- Macrophage concentration
What is pulmonary epithelial destruction?
Alveolar damage
Any non-antibody proteins (ex-lymphokines)
Cytokines
Released by cell population on contact with a specific antigen
Cytokines
Intercellular mediators
Cytokines
Declared contained July 9, 2003
SARS
The precise coronavirus that caused SARS is mostly contained within _____laboratories
BSL-4
Acute respiratory infection due to influenza virus
Influenza
Highly contagious with any contact with secretions or infected person
Influenza
Incubation period of influenza?
1-5 days
Communicability of influenza?
1-2 days before clinical signs. 4-5 days after onset
Timing of Influenza?
Peak Dec-March
Some strains of ____cause more severe illness than others
Influenza
Symptoms of influenza?
- Sudden onset
- Fever, headache, muscle aches, severe weakness
- couch, sore throat, difficulty breathing
- In children vomiting and diarrhea
Type____ Influenza infects animals
A
Type ____ Influenza is responsible for pandemics
A
Type____ Influenza is seasonal Influenza epidemics
B
Type____ Influenza is mild, no concern
C
Type____ and ____ Influenza infect only humans no pandemics
B,C
Global Surveillance to select strains for annual vaccines is tracked by?
Inflenza virus antigentic drift
What is antigenetic drift?
Small changes resulting in mutations that change surface proteins, therefore producing new strains that previous infection doesn’t recognize
Source of InfluenzaA virus?
Birds
Pandemic originating in Kansas?
1918-1919 pandemic
Unique characteristic about 1918-1919 pandemic?
Caused high mortality rates among healthy individuals
Caused ~50million deaths
1918-1919 pandemic
Called the “Mother of all Pandemics”
1918-1919 pandemic
A zoonotic disease?
Plague
Etiologic agent responsible is yersinia pests bacterium
Plague
Etiologic agent for the plague?
Yersinia pestis bacturium
Common animal reservoir for Plague?
Rat
Vector of the Plague?
flea-Xenopysylla cheopis
How do humans get plague from flea?
Moves from gut into human where it suppresses T-lymphocyte activation when it gets in the blood
3 strands of Yersinia pestis bacterium?
- Orientalis
- Medievalis
- Antiqua
When it can live within and outside host cells?
Facultative intracellular pathogen
Killed an estimated 25-40 million people
Black Death
Group responsible for bringing plague into Europe?
Merchants (italian) trading with Asia-brought rats with fleas
Modern highest population loss of the Black Death?
France
3 forms of plague?
- Septicemic
- Bubonic
- Pnuemonic
3 “great” pandemics?
- Justinian
- Black Death
- Bombay plague
Origin of Justinian plague?
Middle East and Mediterranean
Time period of Justinian plague?
6th-8th Century
Origin of Black Death?
Northern China
Origin of Bombay Plague?
Yunnan Province China
Time period of Black Death?
14th-19th Century
Plague appeared in US in 19th Century?
Bombay plague
Acquired Immunodeficiency Syndrome?
AIDS
HIV-__isolated in 1984
1
HIV-__isolated in 1986
2
Slow virus with a long incubation period?
Lentivirus
____ have enveloped RNA genetic material
HIV
HIV1 and 2 are ___% similar
40
From 1981-2014 ______ have died from AIDS related causes
36 million
____million people living with HIV globally in 2014
37 million
Incubation period for HIV?
7 years
Supposed cause of HIV?
Simian immunodeficiency virus from chimpanzees
Progress of HIV infection?
- Acute infection
- Chronic lymphadenopathy
- Sub-clinical immune dysfunction
- Systemic immune deficiency
1981 scientist to identify HIV-1?
Anthony Fauci
1983 scientist that discovers AIDS related virus LAV?
Lue Montagnier
1985 scientists(2) that identify HTLV-III?
Robert Gallo and Anthony Fauci
Milder and less virulent HIV?
2
Reasons for rapid pandemic development?
- World Airline Routes
- Blood and blood products industry
- Global diffusion of intravenous drug use