Unit 3 - Communicable Diseases Part 3 Flashcards
influenza classified into subtypes based on combinations of Hemagglutinin (HA) and Neuraminidase (NA)
Influenza A
2 influenza A viruses currently circulating in humans
A(H1N1) and A(H3N2)
Meaning of “A(H1N1)”
the site of isolation, culture number, and year e.g. A/ Beijing/262/95 (H1N!)
lineages of Influenza B
Yamagata, Victoria
t/f: influenza B is the least stable with antigenic drift and antigenic shift of the H and N antigens producing new strains resposible for epidemics
false, Influenza B
it is the most stable with low pathogenicity (subclinical infection)
Influenza C\
Characterized by a sudden onset of fever, dry cough, headache, muscle and joint pain, severe malaise (feeling unwell), sore throat, and a runny nose (upper respiratory symptoms)
Influenza
in influenza, uncomplicated illness lasts about _ days
5
severe or secondary infection of influenza
pneumonia sequalae
people highly at risk of influenza
- young children <5 ,
- elderly >= 65
- pregnant women
- chronic medical conditions
- immunosupressive conditions
- healthcare workers
in Influenza, two types of transmission
- respiratory droplets
- direct contact
incubation period of influenza
1 - 5 days (mean of 2 days)
period of communicability of influenza
2 days before onset of symptoms to 5 days after
in the tropics, epidemics tend to occur in the ____
rainy season
while in temperate climates influenza is a disease of the ____ months
winter
in 2010, A(H1N1) ____ which had originated in Mexico in 2009, reached pandemic proportions with cases in all parts of the world but fortunately was not as severe as had been anticipated.
swine flu
years of spanish flu
1918
5 methods of diagnosis for influenza
Direct Immunofluorescence (DIF)
Enzyme-linked Immunosorbent Assay (ELISA)
Rapid Influenza Diagnostic Tests (RIDTs)
RNA amplification with Polymerase Chain Reaction (PCR) RT- PCR: method of choice in influenza-detection laboratories
treatment for influenza
no treatment, Antiviral agents
reduces the duration of fever and severity of symptoms
antiviral agents
valuable in reducing the development of secondary infection in vulnerable people
antivirals
most effective way to prevent the disease
vaccination
continuously monitors the influenza viruses circulating in humans and updates the composition of influenza vaccines twice a year
WHO Global Influenza Surveillance and Response System (GISRS)
Large family of viruses with widely-spaced projections or spikes on the outer surface of the envelope, suggestive of a solar corona.
Coronavirus