Mar28 M2-Vaccines 1 Flashcards

1
Q

how idea of vaccines started

A

noticed people injected with cowpox were immune against small pox (which was much worse)

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2
Q

how do we choose what to vaccinate for + 2 examples

A

things for which we have no reliable treatment

  • diphtheria = 40% fatality rate
  • polio = 10% paralysis rate
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3
Q

things we vaccinate for and that are lethal

A

polio, diphtheria, tetanus, pertussis, chicken pox

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4
Q

small pox charact

A
  • now eradicated (bc is a disease of humans, if has animal reservoir, much harder)
  • infection rate 100% (sick person infects everyone in the room)
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5
Q

3 things vaccines do

A
  • stimulate immunity (get appropriate protection): is why we repeat the flu shot every year
  • stimulate memory
  • herd immunity
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6
Q

herd immunity def

A

low number of susceptible individuals + lot of vaccinated people around them = susceptible people are protected bc pathogen doesn’t circulate much

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7
Q

why should a parent care about herd immunity (and vaccinating their child to protect others)

A
  1. their child themself is susceptible (along with elderly and immunocompromised)
  2. if unvaccinated, may bring back disease from daycare and give it to younger sibling who can’t get vaccinated
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8
Q

killed or particulate vaccine def

A

mushed up the microbe and injected it. no chance of giving the disease

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9
Q

particulate vaccines used in what diseases

A

diphtheria and tetanus because are toxemias. the toxins generated by these bacteria are inactivated and given as a vaccine

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10
Q

problem with diphtheria vaccine (not really a problem)

A
  • diphtheria bacteria is still circulating
  • you get the bacteria, sore throat and cough
  • you don’t get diphtheria as a disease (don’t get the toxemia)
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11
Q

type of vaccines used for viruses and why

A
  • live viral vaccine

- need live virus to infect cells and then only this will stimulate CD8+ cells

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12
Q

example of live viral vaccine

A

polio vaccine

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13
Q

goal of a conjugated vaccine

A
  • conjugate piece of a pathogen that usually has a polysaccharide enveloppe to a piece of peptide from diphtheria or tetanus (that will be in vaccine anws)
  • T cells can be activated because recognize a peptide this way
  • activated T cell can tell the B cells that can recognize the enveloppe to make much more Abs (osponization, complement, cell mediated cytotoxicity) + memory B cells
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14
Q

why need conjugated vaccine

A
  1. without it, B cell acts in a manner called T INDEPENDENT RESPONSE. sees polysaccharide on the fat enveloppe and make Abs but NO MEMORY RESPONSE
  2. people below age 2 and over 70 don’t do a good immune response to these pathogens
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15
Q

what pathogens do we do a conjugated vaccine for

A

pneumococcus and meningococcus (deadly pathogens) that have a fat envelope covered with polysaccharides

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16
Q

passive immunity def and for who

A
  • give Abs to someone (prob = Abs have half-lives)
  • given to high risk people
  • passive immunity is what happens in first 6 months of life
17
Q

something particular in tetanus vaccination

A

-renew vaccination after 10 years because memory goes away

18
Q

pathogens you revaccinate for

A
  • tetanus
  • diphtheria
  • peumococcus (at age 50)
19
Q

only vaccine-preventable disease related to increased deaths bc of refusal of parents to vaccinate their children

A

pertussis

20
Q

who is at risk to get measles

A
  • children under 12 months of age

- immunocompromised people

21
Q

who gets rubella (only affects one group)

A

unborn children

22
Q

who should get vaccinated

A
  • children under age of 1 and elderly
  • adults on chemo or transplant
  • immunodeficiency pts
  • travelers
23
Q

biggest advantages of vaccination nowadays

A
  • herd immunity
  • reduce morbidity from pertussis
  • protect children under 1 year of age and especially under 6 months of age
24
Q

common side effects of vaccination

A
  • fever
  • irritability
  • rash
  • pain, myalgias
  • headache
25
Q

things that vaccines DON’T cause

A
  • autism
  • sudden infant death
  • brain damage