I give up i have one day - just learn this Flashcards

1
Q

What is Biosecurity?

A
  • Movement & management of animals
  • Movement & management of people
  • Management of vectors, fomites, etc.
  • Management of the environment
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2
Q

Routine biosecurity

A

everyday control of disease spread

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3
Q

Emergency biosecurity

A

in the face of a specific threat

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4
Q

What are the organisations that make up the International initiatives: the ”Quadripartite”

A

FAO, OIE, WHO and UNEP

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5
Q

Biosafety and Biosecurity

A

Biosafety protects people from nasty germs – biosecurity protects germs from nasty people

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6
Q

Dual Use Research of Concern (DURC)

A

Legitimate scientific purpose, but possible misuse.

Re-emergence of eradicated threats e.g. polio

Misuse e.g. influenza virus

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7
Q

Clinical Biosecurity

A

Usually referred to as “Infection Control”

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8
Q

Biohazard

A

Biological substance that poses a threat – human health,
animal health, agricultural production, trade, etc.
* Typically derived from a biological entity, not just a
hazard to a biological entity

Main types of significance:
* Infectious, including genetic
* Pests
* Chemical

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9
Q

Biosafety

A
  • The safe handling and containment of biohazards
  • Protection of people from biological hazards
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10
Q

Biocontainment

A
  • Physical and operational mechanisms to prevent release of or exposure to biohazards
  • Mainly refers to labs, mainly microbiological
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11
Q

Intentional Misuse

A

Bioweapons
Biowarfare
Bioterrorism
Biodefense

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12
Q

Isolation levels

A

– Individual level: suspect cases until diagnosis established
– Herd level: New animals kept separate before mixing with rest of herd
– National level: Animals coming from countries where disease are endemic (e.g. rabies)

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13
Q

Legacy of Rinderpest

A
  • Establishment of 1st veterinary school: Lyon, 1762
  • Creation of the World Organization for Animal Health (WOAH, ex-OIE), 1924
  • 2nd disease eradicated globally
  • Basis of mass animal quarantine and vaccination campaigns
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14
Q

Approaches: Costs & Benefits

A
  1. prevention (save most cost)
  2. eradication
  3. containment
  4. asset-based protection
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15
Q

Drivers for Biosecurity Adaptation

A

o Increasing use of ‘clean & green’ marketing
o Accelerating globalisation & global trade & travel
o Technical improvements in surveillance & diagnosis
o Increasingly intensive agriculture
o Habitat destruction, climate change, etc.
o EIDs & agro/bioterrorism

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16
Q

Pre-border, border, post-border

A

pre-border:
* Engage with international trade regulations
* diagnosis, RA surveillance, response)
* Relationships
* Awareness campaigns

border:
- Classical “quarantine”
- Transport & import controls
- Inspection and seizure/treatment (some pre-border)
- Import RA & certification
- Surveillance (e.g. NAQS)

post-border:
- Early detection & response
- Surveillance (e.g. abattoir)
- Proof of freedom programs
- Reporting (State, National, International)
- Risk factor analysis

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17
Q

Typical Vaccine Components

A

Antigen
- Whole pathogen/component of pathogen
Adjuvant
- Create danger signals
Route of vaccination
- Intramuscular (IM), Intranasal, Oral

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18
Q

Whole “Cell” Vaccine

A
  • Whole bacterium or virus
    – Whole bacterium plus toxin
    – Inactivated/split

+Adjuvant

Advantages
– No risk of disease
– Not affected by prior exposure
– Multivalent
– Cost effective

Disadvantages
– Multiple doses (3 to 4 weeks)
– Antibody response

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19
Q

Toxoid Vaccine

A
  • Bacterial toxin
  • Inactivated

+Adjuvant

Advantages
– No risk of disease
– Not affected by prior exposure
– Multivalent
– Cost effective

Disadvantages
– Multiple doses (3 to 4 weeks)
– Antibody responses

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20
Q

Subunit Vaccine

A
  • A component of the pathogen
  • Identification
  • Purified, expressed, synthesised

+adjuvant

Advantages
– No risk of disease
– Not affect prior exposure
– Multivalent

Disadvantages
– Multiple doses (3 to 4 weeks)
– Antibody responses
– Costly to produce

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21
Q

Modified Live Vaccine

A

Antigen”
– Complete pathogen
– Serial passage
– Natural variant

NO ADJUVANT

Advantages
– Mimics infection without disease
– Balanced immune response
– Single-dose (mostly)

Disadvantages
– Reversion to virulence
– Cold chain requirements
– Prior exposure
– Immunocompromised animals

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22
Q

Genetically Modified Vaccine

A

“Complete” pathogen

NO ADJUVANT

Advantages
– Mimics infection without disease
– Balanced immune response
– Single-dose
– Engineer safety controls
– Multivalent

Disadvantages
– Reversion to virulence
– Cold chain requirements
– Prior exposure
– Immunocompromised animals
immune response

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23
Q

mRNA Vaccine

A
  • Genetic code
  • Produced by host cells

NO ADJUVANT

Advantages
– Antigen integrity
– Not affected by prior exposure
– Scalable
– Flexible

Disadvantages
– New
– Multidose
– Cold chain requirements
– Innate immunity

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24
Q

Immune Responses

A

Innate immune response
– Rapid with a short duration
– Not pathogen specific

Adaptive immune response - antibody
– Slow to develop with long duration
– Matures to generate specific antibodies to antigens
– Extracellular impact on pathogen
– Easy to measure

Adaptive immune response – cell mediated
– Slow to develop with long duration
– Intracellular impact on pathogen
– Difficult to measure

Vaccination
* Ideally a balance of all of the above
* Reality, many vaccines generate strong antibody responses

25
Immune response to vaccination
“Tradition” vaccine – Two or more doses – Strong antibody response – Limited cell mediated response – Interval to protection Modified live vaccine (attenuated) – Infects – Single dose – Balanced immune response – Shorter interval to “protection”
26
Passive surveillance
The data comes to you e.g. Abattoir meat inspection
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Active Surveillance
You go towards the data e.g. A serological survey A farmer questionnaire
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Representative system
sampling at abbatoirs
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Targeted system
targeting selected populations
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Risk-based system
targeting populations most at risk
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Case system
Targets a defined health-related event e.g. notifiable diseases
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Syndromic system
(“before diagnosis”) For early detection, evaluation of event impact Based on existing activity data, real-time collection, analysis and interpretation data
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Farmer reporting system +and -
Ads: - Good coverage of the animal population - Most animals are seen by owners frequently (in contrast in a survey only a very small proportion of the population is examined usually only one) - Relative inexpensive (farmers need to contact the veterinarian anyway, so the main extra cost is related to collecting the information for surveillance) Disads: - Farmers might nor observe their animals properly - Farmers might not recognise signs of disease - Farmers might be afraid to report disease, because of the fear of negative consequences (tax claim, culling) - Farmers might be unable to report the disease if they live in remote areas - There might be a failure within the veterinary service to report the disease to the higher veterinary authorities
34
Real increase in outbreak
- Increase in population size - Changes in population characteristics - Random variation
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Artificial Increase
* Increased dx * Contamination of dx * New testing protocol * Changes in reporting procedures
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Deductive reasoning
- Use general theory to predict cases - Review what is already known and formulate a hypothesis, collected data to test the null hypotheses, leading to a confirmation (or not) of the original theory
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Inductive Reasoning
- Generalize from observations and develop scientific laws – Based on repeated observations, detection of patterns, formulation of tentative hypotheses to explore, and finally general conclusions
38
Koch’s postulates
1. The agent must be present in every case of the disease. 2. The agent has to be isolated and grown in pure culture. 3. The agent must cause specific disease. 4. Once isolated that agent must reproduce the disease and must be recovered from experimentally infected animals. anthrax and tuberculosis are the only 2 to rlly work with these - many disadvantages
39
Hill’s Criteria
1. Strength - Strong associations are more likely to be causal 2. Consistency - Consistent findings in studies using different methods and different populations 3. Specificity - Specificity is established when a single putative cause produces a specific effect 4. Temporality - The cause must precede effect. This is the only absolutely essential criterion 5. Biological gradient - ‘Dose - response’ relationship 6. Plausibility - Association makes ‘biological sense’, i.e. agrees with currently accepted understanding of processes (current knowledge/beliefs). 7. Coherence - Relates to absence of conflicting information 8. Experiment - Research that is based on experiments will make a causal inference more plausible 9. Analogy - A commonly accepted phenomenon in one area that can be applied to another area
40
Evan’s Concept
1. Elimination of the cause should decrease the frequency of occurrence 2. Prevention/modification of the host response should decrease the disease
41
Host-Agent-Environment Triangle (epidemiological triad)
Host, Agent, Environment
42
Limitations of the epidemiological triangle
1.Does not account for the temporal (time) sequence of events 2. Does not show how factors may be interlinked 3. Overemphasis on agent factors (not appropriate for toxins/noninfections agents)
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Component cause model
Sufficient, Necessary and Component Causes
44
Causal Diagram
Positive association: if A increases also B increases (or the higher the value of A the more likely B is to occur) Negative association: if A increases B decreases (or the higher the value of A the less likely B is to occur)
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One Health (the 5 C’s)
1. Consensus 2. Collaboration 3. Coordination 4. Commitment 5. Cooperation
46
Q fever
1. causative organism is the spore forming, obligate intracellular bacterium Coxiella burnetti.
47
Virulence
describes severity of disease produced by different strains of an infectious agent in the same host type
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Epidemiological triad
host, pathogen, environment
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Pathogenicity
severity of disease of the same agent strain in populations of other host types
50
Host classifications
1. Reservoir Host - serve as a habitat for the infectious agent and are a common source of infection to other species 2. Definitive host - a species in which a parasite undergoes the sexual phase of reproduction 3. Intermediate Host - one in which the infectious agent undergoes development, and possibly replication, without sexual reproduction 4. Paratenic Host - one in which the agent is transferred mechanically, ie without further development.
51
Modes of Transmission
1. Vertical - from mother to fetus 2. Horizontal - from peer to peer 3. Nosocomial - from originating in hospital 4. Iatrogenic - caused by medical examination or treatment
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The force of infection
Y = m x (I / N) x t m : “mixing” rate (contact pattern) I / N : proportion of contacts with infectious hosts t : probability of transmission of the infection once a contact is made between an infectious host and a susceptible host
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Speed of clinical disease onset
1. Peracute (fastest) 2. Acute 3. Subacute 4. chronic 5. subclinical
54
Latent and Incubation period
E-I Latent period (A): from exposure to onset of agent shedding Incubation period (B): from exposure to onset of clinical signs B-A = Prodormal period: disease process has begun but it is not clinically apparent
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Carrier state
Carrier state animals remain infected but are not always infectious
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Arboviruses
JE, RRV, MVE, Kunjin, West Nile Dengue, Chikungunya, Yellow Fever
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Flavivirus'
MVE, West Nile, JVE, Dengue
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Alphavirus'
Ross River and Barmah Forest
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Ross River Virus
Host: humans - not dead end Reservoir: Fruit bats, possums Vector: mozzie