History and Causation Flashcards

1
Q

Plagues in medieval Europe

A

Life expectancy at birth in the middle ages was 33 yrs because Babies, children, teens died from infectious diseases

  • Common diseases include dysentery, malaria, diphtheria, flu, typhoid, smallpox, leprosy, bubonic plague
  • Causes of disease were unknown and people were mostly helpless. Plagues were punishment by god
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2
Q

Edward Jenner and smallpox vaccine

A

English doctor and scientist who developed the smallpox vaccine (world’s first vaccine)

Known as the father of immunology

“Saved more lives than the work of any other human”

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3
Q

Smallpox

A
  • Two virus variants: Variola major and Variola minor
  • Characteristic fluid-filled blisters
  • Transmission between people via contaminated objects
  • High mortality rate of 30%, killed hundreds of millions of people
  • Eradicated in 1980 by vaccination (only exists now within labs in US and Russia)
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4
Q

Smallpox within Whistlebury (1796)

A

Jenner observed that milkmaids were less likely to acquire the smallpox infection. He assumed that all professionals were equally likely to be exposed.

Milkmaids spent time with cows who could be carrying cowpox. Cowpox and smallpox similar, so milkmaids close contact gave them immunity because Cowpox is not dangerous to humans and is cleared by immune system… led to the development of the smallpox vaccine

Experimentation: James Phipps (8 year old boy given cowpox, and then exposed to smallpox later but he had immunity). Very Unethical but led to vaccine!

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5
Q

Miasma theory

A

Idea that disease caused my miasma (bad air) from rotting organic matter or environment (contaminated water, foul air, poor hygienic conditions)

Major obstacle of scientific understanding of infectious disease as they did not know where microorganisms came from. Believed there was no transmission between people, no microscopic agent, and disease prevention was all about avoidance.

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6
Q

What theory replaced miasma theory?

A

Germ theory of disease

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7
Q

Louis Pasteur and Robert Koch

A

Two biggest contributors to the germ theory of infectious disease

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8
Q

Pasteurization of Milk

A

Diseases of wine, beer, and milk lead to economic losses so Pasteur heated liquids that killed the bacteria and fungi (called pasteurization).

Determined that diseases caused by microorganisms in both beverages and believed in humans as well

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9
Q

How did Pasteur disprove spontaneous generation?

A

Pasteur disproved this by using broth, heat, and open vs swan necks on containers. Boiled broth to ensure nothing within liquid. Open neck=spoiled by microbes. Swan neck= unspoiled. Proved that microbes came from outside

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10
Q

Pasteur’s contributions

A
  1. pasteurization of milk
  2. disproved spontaneous generation
  3. discovered bacteria that caused anthrax = spores
  4. discovered bacteria causing cholera
  5. discovered bacteria causing TB
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11
Q

Koch’s postulates

A
  1. Diseased animals have microbes. Healthy Animals do not have microbes
  2. Microbes must be isolated from a diseased individual and grown in culture
  3. Cultured organism/disease should cause the disease when introduced to a healthy animal
  4. Microbes must be re-isolated from the inoculated, diseased experimental host and identified as being identical to the original specific causative agent
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12
Q

Exceptions to Koch’s postulates

A
  1. Asymptomatic Carriers
  2. Not all pathogens can be cultured
  3. Not all organisms exposed to the infectious agent will acquire the infection (ie. Immunity)
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13
Q

Discovery of viruses

A
  • Caused issues with Koch’s postulates and germ theory since viruses could not be seen under a light microscope.
  • Discovered by working on Tobacco Mosaic Disease (TMD)
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14
Q

Research on TMD

A
  1. Blended TMD leaves, passed through filter still caused disease which means it is a very small bacterium or toxin
  2. Diluted blended leaves still resulted in infectious agent that could replicate and was not a toxin
    *** Infectious Agent that was extremely small and could replicate = “VIRUS”
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15
Q

How were viruses able to be seen?

A

Electron microscope in 1931, critical step for virology

Showed that TMV was made from proteins and nucleic acids and that it was a particle

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16
Q

1918 influenza pandemic

A
  • Caused by H1N1 influenza A virus but cause was unknown until 1930s
  • 500 million people in 4 waves; 17 million-50 million people died (took out 5% population)
17
Q

Richard Pfeiffer role in influenza pandemic

A

He isolated bacteria, H. influenzae from influenza patients and believed that that was the cause. BUT many flu patients did not have the bacteria and blame was put on poor culture skills. Since it wasn’t the cause the antisera and vaccines did not work.

Pfeiffer worked under Koch so its stature obstructed progress determining real cause, because he was renowed in the area and everyone just took his word for it.

18
Q

Richard Shope and influenza in pigs

A

Influenza-like disease in pigs in Iowa in 1918 and 1929 which caused severe pneumonia. Shope discovered that infected pigs had Haemophilus influenzae suis (HIS) and a filterable agent (virus) .

Just HIS did not cause disease, filterable agent caused weak symptoms. Together, they caused severe pneumonia which showed that combination of pathogens are sometimes needed.

19
Q

Virus caused human influenza lab experiment example

A

UK researchers took samples from pharyngeal secretions from human influenza patients, and introduced them to ferret animal model.
- Filterable virus from the humans lead to influenza-like disease in ferrets. Ferrets developed antibody response which protected them from re-infection.
- A researcher exposed to a sick ferret developed the flu
- In 1943, virus was observed under EM

20
Q

Lessons learned from 1918 influenza pandemic and Koch’s postulates

A
  • Importance of communication between medical doctors and veterinarians (One health) – swine and humans similar virus
  • Difficult to meet Koch’s postulate rules when disease caused by combination of infectious agents
  • Human-adapted pathogens may not cause infection in animal models
  • Pfeiffer being well known in the field held back advancements within the field because people weren’t questioning it
21
Q

Problems with Koch’s postulates

A
  1. Many pathogens do not follow the postulates
  2. Viruses did not meet Koch’s postulates
    - Viruses needed to be cultured in animal cell media (not lifeless)
  3. Disease can have multiple etiological agents (virus and bacteria combined)
  4. Infected animals develop antibody response to pathogens
    - Must be able to include antibody response as evidence for a causal relationship

**Postulates were adapted for viruses in 1937 by Thomas Rivers

22
Q

Length of incubation period and causation

A

Incubation period= interval between exposure and appearance of disease

  • Some pathogens have long incubation periods (could be years) which can make it very hard to determine causation.
    Ex. HIV 10 yrs in humans
    Ex. Oncoviruses yrs
23
Q

Oncoviruses

A

Viruses that cause cancer in hosts

Ex. Papilloma viruses, hepatitis viruses, herpesviruses, retroviruses
Ex. shope papilloma virus, MMTV, FeLV

24
Q

ASLV and RSV

A

Cause sarcomas and lymphomas in chickens. Can inject tumour filtrate into chickens and they will develop cancer.

25
Q

2 mechanisms that oncoviruses use to cause cancer

A
  1. Viral genome contains cancer promoting oncogenes
  2. Integration of viral genome into host genome disrupts cancer-suppressing oncogenes
26
Q

Lessons learned from oncoviruses

A
  • Incubation period from some viruses is years
  • Infection with oncoviruses can result in cancer years later
  • Infectious agents can cause unexpected diseases
  • Many types of cancer have a viral origin
  • Dogmatic thinking impedes progress (cancers cannot be infectious)
27
Q

Importance of PCR, DNA and RNA sequencing

A

Revolutionized pathogen discovery, even further than histological stains, microscopes and culture media did years before