HIV and hepatitis Flashcards

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1
Q

How was hepatitis discovered during yellow fever vaccinations?

A

when individuals receiving the vaccine developed symptoms of hepatitis, leading to the identification of a different disease

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2
Q

what does yellow fever give you?

A

jaundice

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3
Q

When was the hepatitis vaccine developed?

A

1920
- Stabilised with human serum + containated with hepatitis, and therefore they developed hepatitis
+ this furthered our understanding that hepatitis is transmitted through the blood

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4
Q

What are the two types of hepatitis and their features?

A
  1. Infectious hepatitis - which spread from person to person from living in small areas and spaces
    + Short incubation period
    + Faecal-oral transmission
  2. Serum hepatitis
    - Longer incubation period
    - Serum transmission = this is hep b now
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5
Q

Describe the features of hep A and the spread, and symptoms

A
  1. Worldwide distribution
  2. Person to person
  3. Poor hygiene
  4. Unsafe water
  5. 14-28 day incubation
  6. Fever, malaise, abdo pain
  7. Jaundice (raised serum bilirubin)
  8. Dark urine (bilirubin in urine)
  9. Highly likely to recover
  10. Lifelong immunity following infection
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6
Q

How does hep B spread?

A
  1. Blood/body fluid transmission
  2. Mother to child during birth
  3. Sexual transmission
  4. IV drug abuse
  5. Tattoo/healthcare

300mil ppl
kills 1 mill ppl a year

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7
Q

Hepatitis B Infection Course

A
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8
Q

Hepatitis B
- What is the key antigen targeted in Hepatitis B vaccination?

A

HBSag (Hepatitis B surface antigen)

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9
Q

What antibodies do immunised individuals typically have?

A

anti-HBS antibodies

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10
Q

What antibodies do individuals who have been exposed to the Hepatitis B virus typically have?

A

both anti-HBS and anti-HBC antibodies.

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11
Q

What are the common modes of transmission for HIV

A
  1. Hepatitis B can be transmitted through blood, body fluids, and from mother to baby. Common modes include maternal transmission, unprotected sex, contaminated blood products, and needle stick injuries
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12
Q

What are NOT the modes of transmission for Hepatitis B?

A

Hepatitis B is not transmitted through normal contact, sharing food, cutlery, plates, cups, or condom-protected sex.

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13
Q

Describe Stage 1 of HIV infection

A

Stage 1 of HIV infection occurs 2-4 weeks after exposure and includes symptoms such as malaise, fatigue, muscle pain, fever, and lymphadenopathy

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14
Q

What characterizes Stage 2 of HIV infection?

A

Stage 2 of HIV infection lasts for months to years and is marked by increasing viral replication
- usually asymptomatic

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15
Q

What is the final stage of HIV infection?

A

The final stage of HIV infection is Acquired Immune Deficiency Syndrome (AIDS).

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16
Q

Which white blood cells does HIV affect?

A

HIV primarily affects CD4+ T cells, which are T helper cells that play a crucial role in the immune system’s ability to fight infections

17
Q

What is the role of CD8+ T cells in the immune system?

A

CD8+ T cells, also known as Killer T cells, play a role in killing tumor cells and infected cells

18
Q

Where does HIV replicate within the body?

A

HIV replicates within CD4+ cells

19
Q

What happens to the CD4 count during Stage 2 of HIV infection?

A

During Stage 2 of HIV infection, the CD4 count gradually declines

20
Q

What is the consequence of a declining CD4 count in HIV infection?

A

A declining CD4 count leads to increased immunocompromise in the affected person.

21
Q

How is AIDS defined in the context of HIV infection?

A

AIDS is defined as HIV infection in conjunction with a CD4+ count less than 200 per microliter

22
Q

What are some of the associated illnesses that accompany HIV infection when the CD4+ count is less than 200 per microliter, defining AIDS?

A

AIDS is associated with various illnesses, including lymphoma, Kaposi Sarcoma, and opportunistic infections such as candidiasis and other fungal, viral, and parasitic infections. The prognosis for individuals in Stage 3/AIDS is generally poor.

23
Q

What are some key parameters used to monitor HIV infection and treatment response?

A
  1. Viral load : quantity of virus in serum
  2. Effect on white blood cells
  3. Risk of infection
    CD4 count
    CD4/8 ratio
24
Q
A
25
Q

Challenges of HIV

A
  1. Long latent period
  2. Lack of universal testing
  3. Expensive treatment
  4. Impact of disease on family, local, national, regional economies