Tropical medicine - vector borne (mosquito) diseases Flashcards

week 8

1
Q

what are the 3 Mosquito vectors?

A

Anopheles

Adedes Aegyptii

Culex Annulirostris

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2
Q

What is the activity, breeding and vector for of Anopheles

A

Night biters

Outdoor
(marshes, mangroves and streams)

Malaria

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3
Q

What is the activity, breeding and vector for of Aedes Aegyptii

A

Day biters

Household

Dengue fever
Zika

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3
Q

What is the activity and vector for of Culex Annulirosiris

A

Dawn/dusk

Ross River Virus
Japanese Encephalitis

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4
Q

-How long are the intrinsic vs extrinsic incubation periods for Dengue fever?

A
  1. 3-14 days
    1. 8-12 days
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5
Q

How does dengue present?

A

Fever (2-7 days)
Vomiting
Severe headache

Macular/maculopapular rash
Petechiae

Retro-orbital eye pain
Muscle/ joint pain

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6
Q

What are the signs of severe dengue?

A

Plasma leakage –> shock/ fluid accumulation w resp distress

Haemorrhage

Organ impairment –> increased transaminases, LOC and heart impairment

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7
Q

How do you prevent a Dengue fever outbreak?

A

Early reporting

Protect cases from mosquitoes

Kill mosquitos (before extrinsic incubation finishes)

Wolbachia-infected mosquito release.

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8
Q

Wolbachia

A

= intracellular bacteria that manipulates repo of hosts

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9
Q

How do you prevent Dengue Fever?

A

Insecticides

Long clothing

Empty stagnant water

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10
Q

Why is Zika virus a danger to pregnant women?

A

Neurotropic (damage nervous system)

Microcephaly in babies

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11
Q

How does Zika Virus present?

A

Fever
Headaches

Rash

Joint pain
Red eyes

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12
Q

How is Japanese Encephalitis transmitted?

A

Mosquito vector = Culex Annulirostris

and

Animal reservoir (pigs + wild birds) –> human

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13
Q

What is the treatment for Japanese Encephalitis and why is it important to treat?

A

Jespect Vaccine (inactivated)

Imojev vaccine (live attenuated)

Importance: Can cause permanent neurological symptoms or death

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14
Q

What diseases belong to the Alphavirus family?

A

Ross River Virus

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15
Q

What are the vectors/ resivors for Ross River Virus and where are ecah found?

A

Culex Annulirostris (permanent fresh water)

Aedes Vigilax (salt marshes)

Aedes Notoscriptus (fresh water containers)

Animal revivors (marsupials and birds)

15
Q

What diseases belong to the Flavivirus family?

A

Zika virus and Dengue fever

16
Q

presentation of Ross River Fever

A

Polyarthralgia/ polyarthritis

Fever

Rash

Myalgia (joint pain)

17
Q

What are the long term effects of Ross River Virus?

A

Persistent joint pain and fatigue

18
Q

How do you prevent Ross River virus?

A

Avoid outdoors at dawn/dusk

Long clothing

Repellent

19
Q

Why is it problematic to diagnose Ross River Virus?

A

Over-diagnosed

false positives- unsure if Abs indicates current or past infection