Microbial Disease and Epidemiology Flashcards

Germ Theory of Disease

•Ignasz Semmelweis (Germ Theory of Disease)

Robert Koch (Germ Theory of Disease)

Koch’s Postulates (Germ Theory of Disease)
•Microorganism that causes disease
•Pathogen
•Causes disease in healthy individuals
•True Pathogen
- Does not normally cause disease
- Takes advantage of compromised host
•Opportunistic Pathogen
•The presence of microbes in or on the body
•Contamination
•When organism evades body’s external defenses, multiplies, and becomes established in the body
•Infection
•Illness due to presence of toxins, but not growth of organism
•Intoxication
•Altered normal body function
•Disease
•Presence of disease
•Morbidity
•death due to disease
•Mortality
•Subjective characteristics of disease felt only by the patient
•Symptoms
• Objective manifestations of disease observed or measured by others
•Signs
•Lack of symptoms
•Asymptomatic
•Illness due to a microbial pathogen
Infectious Disease

•Infective dose (ID)
Stages of Infectious Disease
- •Incubation period
- •Prodromal period
- •Illness
- •Decline
- •Convalescence


- Study of the patterns of transmission and causes of disease
- Public health issues
- CDC and WHO
Epidemiology
- 1854 London cholera outbreak
- Tracked incidence of disease in relation to water sources
- Determined cholera was being transmitted via water sources connected to Thames river

•John Snow
•Total number of cases in a population
•Prevalence
•Number of new cases in a population in a given period of time
•Incidence
•Increased incidence over what is expected for a particular time and place
•Outbreak
- Constant incidence/prevalence of a disease in a given area
- Prevalence is never zero
•Endemic Disease
- Very small numbers, occurs occasionally
- Prevalence usually zero
•Sporadic Disease
•Disease is not typically transmitted from host to host
•Non-communicable disease
•Disease that is transmitted from person to person
•Communicable disease
•Highly communicable disease
•Contagious disease
- Outbreak that covers a wide, but geographically isolated, area
- Increased incidence
•Epidemic Disease
•Worldwide epidemic
•Pandemic Disease

- Endemic disease
- Sporadic disease
- Epidemic
- Pandemic

•Common source or Point source (Epidemic)

•Propagated (Epidemic)
•Where pathogens are maintained as a source of contamination
Reservoir
•Nonliving reservoirs
- Soil
- Water
•Living reservoirs
- Animals
- Human

•Zoonoses or Zoonotic Disease (Animal reservoirs)

Human reservoirs

•Asymptomatic carrier (Human reservoirs)

•Passive carrier (Human reservoirs)
•Three major types of transmission
- Contact transmission
- Vehicle transmission
- Vector transmission

•Direct contact (Contact Transmission)

•Indirect contact (Contact Transmission)

•Droplet (Contact Transmission)



Vehicle Transmission

Vector Transmission

•Biological vector (Vector Transmission)

•Mechanical vector (Vector Transmission)
•Infections acquired while receiving health care at a facility
Health-care Associated Infections (HAI)
•Types of HAIs
- Exogenous
- Endogenous
- Iatrogenic
•Pathogen acquired from the health care environment
•Exogenous (HAI)
•Pathogen arises from normal microbiota due to factors within the health care setting
•Endogenous (HAI)
•Results from medical practitioner – doctor, surgeon, etc.
•Iatrogenic (HAI)
What is the similarity between a true pathogen and an opportunistic pathogen? How are they different?
- Similarities
- Consists of a microorganism that causes disease
- Differences
- True pathogens make healthy individuals sick
- Opportunistic pathogens need a host with a compromised immune system to cause illness
- Opportunistics pathogens normally don’t cause diseas in healthy individuals
What is contamination? How is that different from infection?
- Contamination is the presence of microbes in or on the body
- Infection is when the contaminate evades body’s external defenses, multiplies, and becomes established in the body
What is meant by carrier?
What types of jobs would be most at risk of acquiring a zoonotic disease?
Zookeepers, circus clowns, lion tamers
When you go to a health care provider, they check for signs and symptoms of disease. How are these similar, how are they different? Which on is subjective, which one is objective?
Describe what a person experiences during the major stages of disease.
- Incubation
- Prodrome
- Illness
- Decline
- Convalescence
- Incubation - no signs or symptoms of disease
- Prodrome- vague, general symptoms (ex: sniffles, aches, fever)
- Illness- most severe signs and symptoms (ex: vomitting, diarrhea)
- Decline- declining signs and symptoms
- Convalescence- no signs or symptoms
What are Koch’s postulates?