Unit 3 - Communicable Diseases Part 1 Flashcards
4 known infectious agents
Bacteria, Fungi, Virus, Parasites
is a condition that results when a microbe can invade the body, multiply, and cause injury or disease.
Infection
Some pathogenic microbes cause infections that are communicable (able to spread from per- son to person)
Communicable pathogens
microbe that can cause disease
true pathogen
organisms that can become pathogenic once host immunity is low/is present in body location that is unusual for the microbe to be present
Opportunistic Pathogen
Microbe that is normally present in body locations; not usually causing infection
Microbiota/Normal Flora
In-charge with the investigation and control of various diseases, especially those that are communicable and have epidemic potential
An agency of the U.S. Department of Health and Human Services
Centers for Disease Control and Prevention (CDC)
4 postulates of robert koch
- present in all cases of the disease
- isolated from the diseased host andgrown in pure culture
- pathogen from the pure culture mustcause the disease when inoculated into a healthy, susceptible laboratory animal
- pathogen must bereisolatedfrom the new host andshown to be the sameas the originally inoculated pathogen
Chain of Infection: virus, bacterium, or parasite that causes the disease in humans.
Pathogen
Chain of Infection: place where the pathogen lives and multiplies
Reservoir
Chain of Infection: way to travel from one host to another, or from a reservoir to a new host, method to travel from reservoir to susceptible individual
mode of transmission
Chain of Infection: Body part where pathogen can lodge/enter the host
Entry Pathways
Chain of Infection: Person with low/altered immunity that receives the pathogen
Susceptible Host
Chain of infection: way an infectious agent is able to leave a reservoir host.
Exit pathway
exposure of infected body fluids such as blood or saliva
Direct contact
pathogens remain on surfaces that were in contact with an infected person
Indirect contact
infectious agents are found in contaminated food and water that are ingested
FOod and water borne
pathogens are spread when an infected person coughs or sne
Airborne
infectious agents are usually transmitted through a bite of an infected insect carrying the infective agents of the organisms
Vector borne
meaning of malaria
“bad air”
Malaria is caused by ____ parasites of the genus _____
apicomplexan parasites of genus plasmodium
Percentage: falciparum
60.80%
percentage: vivax
14.10%
percentage: ovale
3.70%
percentage: malariae
2.50%
Falciparum Stages in Man
Schizont, Trophozoite, gametocute
Falciparum stages in mosquito
zygote, ookinete, oocyst, sporozoite
recommended mosquito repellent contains ____% of N,N-Diethyl-meta-toluamide (DEET)
20-35%
treat the mosquito net with the insecticide ___
permethrin
spray ___ or a similar insecticide in room
pyrethrin
ABCDE of malaria prevention: swiss cheese model
A - Awareness, B - Bite prevention, C- chemoprophylaxis, D - early Diagnosis and effective treatment, E - emergency standby treatment kits
acute diarrheal disease that can kill within hours if left untreated
cholera
T/f: Researchers have estimated that each year there are 1.3 million to 4.0 million cases of cholera, and 21 000 to 143 000 deaths worldwide due to cholera (1).
TRUE
up to 80% of cholera cases can be successfully treated with ______ solution
Oral rehydration solution (ORS)
Severe cholera cases will need rapid treatment with ___ and ___
IV fluids and antibiotics
World’s longest running pandemic since 1961 was due to ___
cholera
cholera’s infectious agent
bacterium vibrio cholerae
incubation period of cholera
2 hours to 5 days
bacteriu vibrio cholerae in feces can be contagious for up to ___ days
14 days
Ebola virus is formerly known as ebola ____
haemorrhagic fever
Shepherd’s crook morphology, ”U” or “6” shape
Ebola Virus pathogen
4 types of ebola
bundibugyo, sudan, tai forest, zaire
most dangerous of the known EVd - causing virus
zaire ebola virus
animal imported in the PH from US starting the infection of ebola reston
cynomolgus monkeys (long-tailed macaque)
high mortality rate among pigs in the PH led to the discovery of ___
ebola reston virus
t/f: ebola reston has high pathogenicity to humans
false, low
t/f: in ebola reston.Virus strain can infect humans without causing disease
TRUE
highly virulent ebola virus requiring maximum containment for lab work for biosafety level 4
filovirus
natural/reservoir host of ebola
bats (fruit bats)
Human consumption of ___ has been linked to animal-to-human transmission of Ebola
bushmeat
t/f: filovirus infection are not immunosuppressive
FALSE
fever of ebola virus is usually higher than ___ celcius
38.3
death from ebola virus is often due to ___ from fluid loss which is called ___
low blood pressure;hypovolemic shock
ebola virus spread by ____ with blood and other body fluids
direct contact
body fluids transmitting ebola
saliva, mucus, vomit, feces, breast milk, urine, and semen
according to WHO, only people who are very sick are able to spread ebola disease through ___ and through ___
saliva and large droplets
___% of the cases of Ebola infections in Guinea during the 2014 outbreak are believed to have been contracted via unprotected contacts with infected ___ during Guinean burial rituals.
69%;corpse
t/f: The virus is able to survive on objects for a few days in a dried state, and can survive for a few hours within body fluids outside of a person.
false, few hours on dried, few days within fluids
t/f: In women who have been infectedwhilepregnant, the virus persists in the placenta, amniotic fluid and fetus
TRUE
t/f: In women who have been infectedwhile breastfeeding, the virus does not persist in breast milk.
false, it persist
in ebola, August 2014, the WHO reported that ___ percent of the dead have been healthcare workers
10
___ has the Highest mortality rate of all the viral hemorrhagic fevers
ebola
mortality rate of ebola
25-90%
average case fatility rate of ebola
50%
The largest outbreak to date was the Ebola virus epidemic in _____, which caused a large number of deaths in Guinea, Sierra Leone, and Liberia
west africa
in the 2013 - 2017 west african outbreak, On ____ date the WHO declared the epidemic an international public health emergency
August 8 2014
in the 2013 - 2017 west african outbreak, On ____ date the WHO declared the end of the outbreak
July 2 2017
On _____ the World Health Organization reported that “the Democratic Republic of Congo reported 39 suspected, probable or confirmed cases of Ebola between April 4 and May 13, including 19 deaths. Continuous outbreak…
May 14, 2018
the first known outbreak of EVD (Sudan virus)
sudan outbreak in 1976
second outbreak (Democratic Republic of the Congo) (Zaire ebolavirus)
Zaire Outbreak in 1976
the first person infected with the ebola disease was the village’s ____ who was originally believed to have malaria
headmaster
4 methods of diagnosis of ebola
Enzyme-Linked Immunosorbent Assay (ELISA)
Reverse Transcriptase Polymerase Chain Reaction (RT-PCR) assay
Electron Microscopy
Virus Isolation by Cell Culture
specimens for diagnosis of ebola
whole blood, oral fluid specimen
laboratory findings for ebola:
low WBC count, platelet count, elevated liver enzymes
routine diagnostic management for ebola
Automated or semi-automated nucleic acid tests (NAT)/ PCR
t/f: there is no specific antiviral therapies available yet
TRUE
3 treatments available for ebola
Maintaining renal function and electrolyte balance
Supportive care-rehydration with oral or IV fluids
Combating hemorrhage and shock
what is the experimental ebola vaccine
rVSV - ZEBOV
returning travelers and healthcare workers shoudl follow local policies for surveillance and monitor health for ___ days
21 days