Host Parasite Flashcards

1
Q

HOW DO EPIDEMICS LIKE AIDS AND ZIKA GET STARTED?

A

-Africa’s AIDS Crisis and Resulting Orphans

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2
Q

Is the Zika Virus now an epidemic in North and South America?

A

wait for answer

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3
Q

MOST HUMAN DISEASES CAUSED BY MICRO-ORGANISMS INVOLVE A HOST-PARASITE RELATIONSHIP

A

•Parasite – an organism dependent on another organism for its existence;
–Term not limited to helminths and protozoans
–Terms not limited to organisms that have a detrimental effect on humans; includes beneficial microorganisms that colonize humans
•Host – the organism the parasite is dependent upon
•Infection – establishment of a host-parasite relationship by multiplication of the parasite in or on the host
•Disease – injury or abnormal finding in an organism which results in recognizable effects
–Morbidity - illness
–Mortality – death
–MMWR is a publication of the Center for Disease Control and Prevention (CDC)

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4
Q

INFECTIOUS VERSUS NON-INFECTIOUS DISEASES

A
  • infectious disease(morbidity [illness]) = one that results from an infection with an organism resulting from a parasite growing on a host.
  • a non-infectious disease = one that does not result from infection with an organism; e.g. broken leg, high blood pressure, toxic algae poisoning;
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5
Q

HOW DO WE BECOME INFECTED WITH MICRO-ORGANISMS?

A

•Reservoir- place where parasite normally lives and multiplies
–Soil
•usually saprophytic micro-organisms – free living; utilize dead organic material as nutrients;
•infection of humans and animals is accidental as opposed to parasites

–Nonhuman animals
•Called zoophilic micro-organisms; disease is a zoonosis
•particular animals are the usual hosts

–Other humans
   •Humans are the usual hosts for the micro-organism
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6
Q

PORTALSOF ENTRY

A
  • eye
  • ears
  • nose
  • mouth
  • anus
  • broken skin
  • placenta
  • vagina
  • urethra
  • mammary glands
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7
Q

Portals of Exit

A
  • eyes (tears)
  • nose (secretions)
  • mouth (saliva, sputum)
  • ear (ear wax)
  • broken (blood)
  • skin (flakes)
  • anus (feces)
  • urethra (urine)
  • seminal vesicle (semen & lubricating secretions)

IN FEMALES

  • mammary glands (milk, secretions)
  • vagina (secretions, blood)
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8
Q

MAIN ROUTES OF TRANSMISSION OF MICRO-ORGANISM FROM RESERVOIR TO HOST

A

•Respiratory route
–Reservoir is humans or animals
–Portal of exit is respiratory tract of infected human or animal
–Portal of entry is respiratory tract of uninfected human
–Fomites (inanimate vehicles) may be involved

•Fecal-oral route
–Reservoir is humans or animals
–Portal of exit is gastrointestinal tract of infected human or animal
–Portal of entry is mouth of uninfected human
–Fomites (vehicles) are usually involved: contaminated food, water, human hands

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9
Q

MAIN ROUTES OF TRANSMISSION OF MICRO-ORGANISM FROM RESERVOIR TO HOST

A

•Blood-borne route
–Reservoir is humans or animals
–Portal of exit is wound of infected human/animal
–Portal of entry is wound of uninfected human
–Insect vectors, and fomites are usually involved

•Contact route
–Reservoirs are humans, animals, and soil
–Portal of exit may be lesion (sore), body fluid of an infected person/animal
–Portal of entry usually a wound of uninfected person
–Fomites are frequently involved

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10
Q

VECTORS ARE ARTHROPODS THAT TRANSMIT MICROORGANISMS FROM RESERVOIR TO HOST

A

•Mechanical vector – transfers infectious agent passively with no multiplication within vector (this is why it is mechanical), e.g. housefly

•Biological vector – part of life cycle (multiplication) occurs within vector
–Insects (6 legs)
–Arachnids (8 legs)

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11
Q

COMMON FOMITES INVOLVED IN TRANSMISSION FROM RESERVOIR TO HOST

A
•Water, food
•Air
•Door knobs, banisters, bus/train poles
•Fabrics
   –Towels
   –Soiled tissues
•Needles
   –Injections
   –Tattoo/body piercing
•Eating utensils and toys
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12
Q

ARE ALL DISEASES CAUSED BY MICRO-ORGANISMS INFECTIOUS?

A
  • Infectious and communicable diseases – can be transmitted from one host (human or animal) to another
  • Infectious but not communicable – occurs with most micro-organisms whose reservoir is soil;

^^^ important to remember about the soil

•Neither infectious nor communicable – microorganisms multiply in an environmental reservoir and produce a toxin ingested by the human or animal; the microorganism does not establish a host-parasite relationship;
–Paralytic shellfish poisoning – eukaryotic algae (dinoflagellates) multiplying in water produce toxins taken up by shellfish
–Some types of food poisonings caused by bacteria

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13
Q

INFECTION MANIFESTATIONS

A

•Duration of disease in an individual
–Acute – disease comes on suddenly and patient generally recovers within a month or less
–Chronic – diseases comes on more slowly and may last for years or even a lifetime
–Subclinical (asymptomatic) infection – no disease develops

•Incubation period – time between infection and appearance of disease

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14
Q

“ICEBERG” CONCEPT OF INFECTION AND INFECTIOUS DISEASE

A

Above water:
- at the top death of host

Under water

  • classical and sever disease
  • moderate severity mild illness
  • infection w/o clinical illness (asymptomatic infection)

-important to know why it is called ice berg concept and know why it is called that (cuz the deeper you go the more complex it becomes)

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15
Q

TYPES OF DISEASE PATTERNS

A

•Extent of disease in a population
–Incidence – frequency of new cases in a population
–Prevalence – frequency of all existing cases including chronic cases

•Disease patterns
–Endemic - Prevalence in the population at a fairly high frequency; may be an acute or chronic disease
–Sporadic -Incidence/prevalence in the population at very low level and often absent for long periods; may be an acute or chronic disease
–Epidemic - Incidence in the population increases significantly and suddenly; usually acute but may be chronic
–Pandemic - An epidemic that becomes worldwide or at least continent wide; usually acute but may be chronic

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16
Q

ENDEMIC AND EPIDEMIC

A
  • shows that in 1977 and 1982-1991 there was an epidemic of measles
  • shows that an endemic diease can become epidemic (lack of vaccination can cause it)
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17
Q

SPORADIC

A

-times of random dieases

18
Q

PANDEMIC

A

-shows that new influenza was worldwide

19
Q

WHAT IS AN EMERGING DISEASE?

A

•New disease, new organism
–both never described before

•New disease, but already known organism
–Newly described disease found to be caused by a known organism

•Already known disease, new organism
–Well known disease found to be caused by a newly discovered organism

•Already known disease, already known organism
–A newly described connection made between a known organism and a known disease
–A reemerging disease because it stopped being prevalent for many years but now incidence is increasing significantly
–A disease and an organism that have been around for hundreds of years but are just coming to the attention of the developed world.

20
Q

Africa’s AIDS Crisisand Resulting Orphans

A

-pay attention

21
Q

1980 TOXIC SHOCK IS A NIGHTMARE: THE STORY OF A SURVIVOR

A
  • Tampon Alert - Exposing the Dangers of Toxic Shock Syndrome (caused by Staphylococcus aureus)
  • this is because the tampon was more absorbing but it was more abservive and it was causing cuts in the vagina and thus letting infections to go in)
22
Q

1982 Helicobactor pylori implicated in stomach ulcers and cancer

A
  • Smug as a bug
  • stomach ulcers being caused by something other than not eating, but discovered it was caused by a BRAND NEW organism
  • He was so sure he was right and conventional medical wisdom wrong about the cause of stomach ulcers that he swallowed bacteria to prove his point. Now once-sceptical peers are talking about a possible Nobel prize. MELISSA SWEET reports.
23
Q

1970: HUMAN CANCERS KNOWN TO BE CAUSED BY A MICROORGANISM (VIRUS)

A
  • Burkitt’s lymphoma
  • Nasopharyngeal carcinoma
  • Primary liver cancer
  • Cancer of the uterine cervix
  • Merkel cell carcinoma

-it was revolutionary to discover that cancer could be caused by viruses.

24
Q

REEMERGENCE OF DIPHTHERIA IN BELARUS AFTER COLLAPSE OF THE SOVIET UNION

A

pay attention

-rememgence of a known dieases by a known organism, after the fall of the USSR, in Belium, there was a lack of vaccination which led to an outbrust in diphtheria

25
Q

WHAT DETERMINES THE BALANCE BETWEEN HOST AND PARASITE?

LEARN TERMS

A

•Aspects of parasitic microorganism
–Descriptive vocabulary
•Pathogenicity, virulence – ability of a species of organism to cause disease
•Pathogenesis – the disease process or mechanism
•Pathogenic, virulent – capable/incapable of causing disease; non-pathogenic, avirulent – incapable of causing disease
•Pathogen– an organism capable of causing disease; non-pathogen – organism incapable of causing disease
•Opportunist – a microorganism which does not usually cause disease but may occasionally cause disease, especially in immunocompromised hosts

26
Q

•Aspects of the parasitic microorganism (m-o) (cont.)

A

–Disease-causing mechanisms of microorganisms
•Invasiveness
–Spread by direct extension – invasion into healthy tissue directly adjacent to the site of primary infection

–Metastasis – spread of an infection, via blood or lymph, to distant sites not adjacent to the site of primary infection
     Viremia –presence of viruses in blood or lymph
     Bacteremia – presence of bacteria in blood or lymph 
     Fungemia – presence of fungi in blood or lymph
     Parasitemia – presence of protozoans or helminths in blood or lymph 
    Septicemia – presence of any type of m-o or toxin in the blood (blood poisoning)
  • Toxigenicity – ability of the mirco organism (m-o) to produce a potent toxin (poisonous substance)
  • Hypersensitivity - ability of the m-o to elicit a detrimental aspect of the host’s immune response
27
Q

HOST’S GENETIC COMPOSITION

A

•Species level

  • host genetic composition is a very important determinant of whether or not a person will become infected or not
  • exp: sickcle cell anemina resisteance to maleria . how was the sickle cell -allele selected for evoultion??? the sickel cell alle (one amino acid muation) causes the hemogolon protiens to be a different shape > the altered hemoglobin CANNOT be infected by milaria

•Human variation – mutations can lead to disease resistance or susceptibility

28
Q

AGE OF HOST

A
  • the very young (lack of exposure to stimulate immunity)
  • the very old (declining immune system)

-age of host also determines whether or not they will be infected very young (lacking adpaptive/acquired immunity) and old people (because their T-cells count is going down)

29
Q

HORMONAL BALANCE OF HOST

A

•Level of glucocorticoids too high; depresses host’s immune system (however they are also used as medication)
–Host is receiving glucocorticoid as a medication
–Host is emotionally stressed

•Level of female hormones elevated
–Increase in vaginal yeast infections

•Level of male hormones elevated
–Increase in acne

30
Q

COMPROMISED ORGAN SYSTEMS

A

•Congenital
–Abnormal anatomy, e.g. urinary tract

•Injury to
–Lungs from smoking
–Other organs due to cancer growths (can put pressure on the organs)

-many people are born with compromised organ systems

  • pic on slide 30 shows compromised kidneys (an array of various affected kidney problems)
  • a lot of people don’t know they have it until they have a urinary tract infection (
31
Q

FUNCTIONING OF HOST’S IMMUNE SYSTEM

A

•Immunosuppressed - main group of patients developing nosocomial (hospital acquired) infections
–Cortisone medications (this will depress host immune system)
•Allergy
•Autoimmune disease
•To prevent transplant rejection
–Cancer chemotherapy – kills cells of the immune system (makes people more suspitable to other diseases)
–Alcohol and drug abuse – depress activity of phagocytic cells (innate immunity)

32
Q

FUNCTIONING OF HOST’S IMMUNE SYSTEM

A

•Immunodeficient
–Congenital due to genetics
•The entire immune system or major arms of it are non-functional
•Ability to respond to certain specific microorganisms is impaired
-think about the little boy in the bubble
–Acquired
•Due to a virus (HIV) that reduces the immune system’s ability to function
•Due to aging

33
Q

HOST’S NUTRITIONAL STATUS

A
  • starvation compromises function of the immune system

- people who are starving makes people more suspitable to disease

34
Q

HOST’S LIFESTYLE

A
  • people who wash their hands are less likely to get diseases
  • smoking makes it worse
  • unprotected sex (makes you more susceptiable to disease
  • alcohol can compromise your exposure
35
Q

MICROBIOME (ENDOGENOUS MICROBES) ALREADY PRESENT ON HOST

A

•Beneficial effects
–May compete with pathogens for nutrients (so they outcompete pathogens)
–May produce substances that inhibit growth of pathogens
–May produce beneficial nutrients, e.g. vitamin K

-important role in defending us against pathogens

36
Q

MICROBIOME (CONTINUED)

A

•Harmful effects
–May form biofilms
•may reduce the effectiveness of hygienic preventive measures, e.g. plaque on teeth
•May prevent antibiotics from reaching pathogenic bacteria colonizing artificial body parts, e.g. heart valves, stents….. they heart valves and stents can get infected and clogged them
–May cause disease in immunosuppressed individuals

37
Q

EVOLUTION OF THE HOST-PARASITE RELATIONSHIP

A

•CONCEPT:Relationships among species can evolve just as individual species can evolve.

•How parasitic organisms adapt to survive in their host
–Survive longer between individual hosts
–Use additional species as alternate hosts
–Develop a long incubation period so spread by asymptomatic hosts is possible
–Change in virulence, usually to become less virulent

38
Q

EVOLUTION OF THE HOST-PARASITE RELATIONSHIP (continued)

A

•How hosts evolve to better tolerate their parasites

–Natural selection for humans who have genes for greater resistance creates a more resistant population

39
Q

EFFECT OF AGRICULTURE ON HOST-PARASITE RELATIONSHIP

A
•Infectious agents originally acquired from domesticated animals
     –Cattle
           •Measles virus
           •Mycobacterium tuberculosis
          •Smallpox virus
           •Corynebacterium diphtheriae
     –Pigs
           •Influenza virus
           •Bordetella pertussis 
    –Birds
           •Plasmodium falciparum (malaria)
40
Q

EFFECT OF HUNTER-GATHERER CULTURE ON HOST-PARASITE RELATIONSHIP

A

•Infectious agents originally acquired from wild animals
–African bush meat
•HIV evolved from SIV (simian immunodeficiency virus)
•Ebola virus from a fruit bat virus?
–Asian wildlife
•SARS virus from civet

-they type of food we eat can impact why we get infected and with what we get infected

41
Q

HOW DO EPIDEMICS LIKE AIDS AND ZIKA GET STARTED?

A
  • it is usually by a mixing of populations that didn’t mix before
  • opens transportation (for HIV) that were sex workers and had sex with truck drivers
  • contact with people that weren’t in contact before

-zika invovled interaction btw people who were generally isolated but many diff countries are going to africa to develope it and it cause whole new situation where people who are immune to zika is transferred to people who aren’t

42
Q

Which of the following is NOT parasite?

A

A.) The saprphytic form of the fungs that causes valley fever?

B.) A tapeworm living in your stomach

C.) The benficial microoragisms living in that (mircobiomen) that is helpful to your mouth

D.) all the above

ANS: A