Module 5.2 (Viral Infections and COVID 19) Flashcards

1
Q

Describe the structure of viral particles

A

GENOME: single/double RNA/DNA
CAPSID: protein coat
OUTER ENVELOPE: derived from membrane of host cell
VIRAL PROTEINS: allow virus to interact with receptor proteins on host cell

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2
Q

Explain the process of viral infection

A

ATTACHMENT: to host receptor proteins grants them access into cell
UNCOATING, SYNTHESIS, TRANSLATION, ASSEMBLY: every virus has different mechanisms (all need host machinery)
RELEASE: different process

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3
Q

Define epidemic

A

Widespread occurence of infectious disease in community for period of time

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4
Q

Define pandemic

A

Widespread occurence of infectious disease worldwide/over large area over long period of time

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5
Q

Give an overview of the 1918 Influenza pandemic

A

3 waves (2nd wave especially lethal)
1/3 population infected
50-100 million people died (2-5% of pop.)
Origins unknown
Deaths common in young healthy adults

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6
Q

Theory of 1918 influenza mechanism of action

A

Overactive inflammatory response
Secondary pneumonia
Tissue damage
Death

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7
Q

How did indigenous communities protect themselves from the 1918 flu pandemic?

A

Not letting anyone into community during outbreak

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8
Q

Give an overview of COVID 19

A

Caused by SARS-CoV-2 with spike proteins

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9
Q

Explain the SARS-CoV-2 mechanism of action

A

ENTRY: oral/nasal cavity
ATTACHMENT: enter lungs attaching (lock and key) to ACE2 allowing virus into cell
REPLICATION: virus hijacks machinery of host to self replicate
RELEASE
INFECTION: virons infect other tissues/people

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10
Q

How do ACE2 receptors affect symptoms?

A

ACE2 receptors on many different cell types allow for wide range of symptoms

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11
Q

Define a variant under monitoring

A

Large number of mutations
Evidence of community transmission

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12
Q

Define a variant of interect

A

Growth advantage over other variants
Genetic changes known to affect virus characteristics

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13
Q

Define a variant of concern

A

Meet VOI criteria
Also meets one of following;
- detrimental change in severity
- large impact on health care system
- decrease in effectiveness of vaccine

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14
Q

What are the vulnerable populations in pandemics?

A
  • Long term care residents
  • Low socioeconomic status
  • Racism
  • Addiction
  • Mental Health
  • Food security
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15
Q

Similarities in 1918 Flu and COVID 19

A
  • sudden onset
  • multiple waves
  • mutations
  • large number of patients overwhelm healthcare system
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16
Q

How is COVID 19 different from 1918 Flu?

A

Rapid development of vaccines
Vaccine strategies (age, vulnerable)

17
Q

What are the different COVID 19 vaccines?

A

Viral vector (Astrazeneca, Johnson&Johnson)
mRNA (Pfizer-BioNTech, Moderna)
Whole virus (Novavax, Anhui Zhifei Longcam)
Virus-Like Particles (Medicago)

18
Q

Explain the mechanisms of the viral vector vaccine

A

Use unrelated harmless virus to deliver gene sequence for protein of virus of interest

19
Q

Explain the mechanisms of the mRNA vaccine

A

Synthetic portion of mRNA that codes for piece of protein found in virus

20
Q

Explain the mechanisms of the whole virus vaccine

A

Live/weakened/killed version of the virus exposes body’s immune system to virus without risking serious disease response

21
Q

Explain the mechanisms of the protein subunit vaccine

A

Harmless piece of infectious virus as antigen to generate immunity

22
Q

Explain the mechanisms of the virus-like particles vaccine

A

Plants/bacteria used to grow virus-like particles that have surface antigens on them
Non-infectious, have no genetic info

23
Q

Future management of disease

A

MEDICAL INNOVATION
- new screening tools
- prescription drug/vaccine development
PUBLIC HEALTH INITIATIVES
- recognizing/addressing health care disparities
- patient communication