Unit 4 - part 7 Viruses of medical importance: Vaccine-preventable viral disease (VPVD) Flashcards

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1
Q

what is the causitive agent of poliomyelitis

A

poliovirus types 1, 2, and 3 - all 3 can cause paralysis

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2
Q

what type of virus is the poliovirus

A

small ss RNA non-enveloped viruses

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3
Q

what family is the polio virus in

A

picornaviridae

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4
Q

what are the major reservoirs for polio

A

humans especially children

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5
Q

what are the modes of transmission for polio

A

PTP via feacl-oral route
contact with throat secretions
rarely spread by contaminated vehicles or formites

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6
Q

what is the Ro value for polio

A

5-7

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7
Q

what is the incubation period for polio

A

7-14 days

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8
Q

what is the period of communicability for polio

A

as long as the virus is excreted

1 week in the throat, 3 weeks in feces

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9
Q

4 phases of poliomyelitis pathogeneis

A

ailmentary phase
lymphatic phase
viremic phase
neurologic phase

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10
Q

what occurs in the ailmentary phase of polio

A
  1. virus replicates in the oropharyngeal and intestinal mucosa
  2. spreads to tonsils and multiplies in peyer’s patches, cervical and mesenteric nodes
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11
Q

what occurs in the lymphatic phase of polio

A

virus is absorbed into the bloodstream and spreads to the internal organs and lymph nodes

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12
Q

what are the two options in the viremic phase of polio

A
  1. no further of virus, pt. is asymptomatic or mild febrile

2. virus spreads to spianl cord and brain

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13
Q

if polio spreads to the spinal cord and brain what stage of pathogenesis occurs

A

neurologic phase

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14
Q

what occurs in the neurologic phase

A

paralysis

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15
Q

what are the 4 risk factors for polio

A
  1. living in the same house with an infected person
  2. unvaccinated and inadequately vaccinated people
  3. immunocompromised
  4. poor sanitation and hygeine
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16
Q

what does it mean when a disease has been eradicated

A

completely gone from earth

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17
Q

what does it mean when a disease is eliminated

A

gone at country level or continent level for at least 3 years

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18
Q

what are the S & S of polio

A
sore throat and vomiting
fever and headache
fatigue and muscle pain
stiffness of neck limbs and back
photophobia
flaccid and asymmetric paralysis
paralysis of respiratory muscles
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19
Q

what are common clinical features and complications of polio

A

quadrapeligic patient
paralysis
crawling
crouching gait

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20
Q

Polio vaccine used in canada is effective agaisnt what types of polio and what is it called

A
IPV (inactivated polio vaccine)
all 3 (trivalent)
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21
Q

what 3 countries is polio still present in

A

afganistan
nigeria
pakistan

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22
Q

what is AFM

A

acute flaccid myelitis
mostly seen in children
poliomyelitis-like symptoms

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23
Q

what is the causative agent for the influenza virus

A

types A and B viruses

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24
Q

what type genome does the influenza virus have

A

ss RNA enveloped virus with segmented genome

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25
Q

what family is the influenza virus from

A

orhtomyxoviridae

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26
Q

what is the major resevoir for influenza

A

aquatic birds but also circulate in among other animals such as pigs
humans are a major reservoir for 3 subtypes

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27
Q

what are the main modes of transmission for influenza

A

droplet and contact

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28
Q

what is the Ro value for influenza

A

1.27-1.8

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29
Q

what is the incubation period for the flu

A

average 2 days

1-4 days

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30
Q

what is the POC of the flu

A

day before symptom onset until about 4 days after (7-10 days or longer for children)

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31
Q

what are complications for inluenza

A

pneumonia
febrile seizure
hospitalizations
death

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32
Q

4 steps of parthogenesis of the flu

A
  1. aerosol incubation of virus
  2. replication in respiratory tract
  3. desquamation of mucus-secreting ciliated cells
  4. influenza syndrome
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33
Q

5 risk factors for the flu

A
age
immunocompromised
chronic illness
pregnancy
obesity (BMI >40)
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34
Q

what is the causative agent for measles

A

measles virus

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35
Q

what type of genetic make up is the measles virus

A

ss RNA enveloped virus

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36
Q

what type of spikes does the mealses virus have

A

H spikes - different from those of the influenza virus

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37
Q

what is the major reservoir for measles

A

humans

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38
Q

what is the major mode of transmission for measles

A

PTP via airborne, droples, nasal or throat secrtions or contact with fomites

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39
Q

what is the Ro value for measles

A

12-18 one of the most contagious disease

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40
Q

what is the IP for measles

A

14 days

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41
Q

what is the POC for measles

A

usually 4 days before and after rash appears

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42
Q

what are S & S for measles

A
high fever
cough 
runny nose
conjunctivitis 
kopliks spots
maculopapular rash
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43
Q

what does a maculopapular rash look like

A

small raised bumps may appear on top of the flat red spots - on face, neck, trunk, arms, legs and feet

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44
Q

what are the 4 risk factors for measles

A

lack or incomplete vaccination
international travel
vitamin A deficiency
immunocompromised

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45
Q

what is the measles vaccine commonly offered with

A

measles mumps and rubella

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46
Q

what is the measles vaccine made up of

A

attenuated (weakened) live viruses

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47
Q

what does attenuation mean

A

a process to make the live viruses non-pathogenic

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48
Q

what is the causative agent of mumps

A

mumps virus

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49
Q

true or false: measles and mumps are both part of the same family paramyxoviridae

A

true

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50
Q

what is the major reservoir of mumps

A

humans

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51
Q

what is the mode of transmission of mumps

A

droplet spread and direct contact with saliva of infected persons

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52
Q

what is the Ro value for mumps

A

4-7

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53
Q

what is the incubation period for mumps

A

16-18 days

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54
Q

what is the POC for mumps

A

7 days before the onset of parotitis to 9 days afterwords

55
Q

what are the S&S of mumps

A
fever
headache
muscle aches
fatigue
parotitis
56
Q

what is parotitis (as seen in mumps)

A

swollen and tender salivary glands under the ears on one or both sides

57
Q

what are 4 complications of mumps

A

orchitis
oophoritis
meningitis and encephalitis
pancreatitis

58
Q

what is orchitis (seen in mumps)

A

swelling of testes in 20-30% of post pubertal males (rarely causing infertility)

59
Q

what is oophoritis (seen in mumps)

A

swollen ovaries, seen in about 5% of post-pubertal females

60
Q

what is rubella commonly referred to as

A

german measles

61
Q

what is the causative agent for rubella

A

rubella virus

62
Q

what type of virus is rubella

A

ss RNA eveloped virus

63
Q

what family is rubella in

A

togaviridae

64
Q

what is the MR for rubella

A

humans

65
Q

what is the MT for measles

A

PTP via droplet spread and direct contact with nasopharyngeal secreiona

66
Q

what is the Ro value for measles

A

6-7

67
Q

what is the Ip for rubella

A

14-17 days

68
Q

whats the POC for rubella

A

7 days before the onset of rash to 4 days or longer afterwards

69
Q

what are the S&S of rubella

A

similar to those of measles except:
low grade fever
absence of Koplik’s spot
rash - less intensely red

70
Q

where is the rubella virus developed

A

nasopharynx

71
Q

once the rubella virus is developed in the nasopharynx where can it spread to

A
respiratory tract
skin
lymph nodes
joints 
placenta or fetus
72
Q

the rubella virus in the respiratory tract can cause what symptoms

A

sore throat

cough

73
Q

rubella virus spread to the skin what symptoms do you experience

A

rashes and lesions

74
Q

the rubella virus in joints what S& S occur

A

mild arthralgia

arthrtitis

75
Q

what S & S would you expect if rubella spread to the pacenta or fetus

A

pacentitis

fetal damage

76
Q

A woman infecd with rubella during the first 3 months of pregnancy has up toa a____% chance of giving birth to a baby with congenital rubella syndrom

A

90%

77
Q

congenital rubella syndrome can lead to what four problems

A

blindness
deafness
heart disease
other birth defects

78
Q

what is the causative agent for hepatitus B

A

hepatitits B virus

79
Q

what is the major resevoir for hep B

A

humans esp. chronic carriers (people who have been infected greater than 6 months)

80
Q

what is the mode of transmission for hep B

A

PTP via contact with blood and body fluids (IV drug use, needle-stick, contaminated blood supply/products, sex and congenial transmission

81
Q

what is the Ro value for hep B

A

2.4

82
Q

What is the IP for HBV

A

2-3 months

83
Q

what is the POC for HBV

A

as long as the infected erson is shedding the virus

84
Q

what are the two different types of HBV

A

acute

chronci

85
Q

what percentatge of HBV infections are acute

A

90-95%

86
Q

chronic HBV infection is most likely the resutl of

A

infection at/around birth

87
Q

What are the S&S of HBV

A
fever
N/V
fatigue
abdominal & joint pain
dark urine
jaundice
88
Q

what are 3 complications associated with HBV

A

cirrhosis

liver cancer

89
Q

what type of vaccine is used for HBV

A

recombiant DNA product containing the surface antigen HBsAg

90
Q

antibodies made against the ______ confers protect against

A

HBsAg

91
Q

does HCV have a vaccine?

A

no

92
Q

is their treatment available for HCV

A

yes, sofosbuvir inhibits viral replication of the enzyme

sofosbuvir in combination with other drugs have shown high cure rates

93
Q

What is the causative agent for human papilloma virus (HPV)

A

> 120 types

94
Q

what type of virus is the HPV virus

A

ds DNA non-enveloped virus

95
Q

what family is the HPV virus

A

papilomavirdae

96
Q

what is the MR for HPV

A

humans

97
Q

what is the MT for HPV

A

PTP via direct contact shed such as sexual intercourse for genital warts and skin to skin contact or sharing of contaminated formites

98
Q

what is the Ro for HPV

A

0.52

99
Q

what is the IP for HPV

A

2-3 months

100
Q

what is the POC for HPV

A

unknown

101
Q

True or False most HPV infections are symptomtatic

A

false they are asymptomatic

102
Q

infection resolved by immune response for HPV within a year?

2 years?

A

one year: 70%

90% within 2 years

103
Q

What are the 6 complications of HPV

A
cancer of:
cervix
vagina
penis
anus
rectum
throat
104
Q

What are 4 risk factors for HPV

A

increasing number of lifetime sexual partners and early age of sexual activity
risk of HPV infection
immunocompormised
co-infection with chlamydia and possibly HSV

105
Q

The HPV vaccine is made from

A

subunit vaccines made by recombinant DNA technology

106
Q

What is chickenpox caused by

A

varicella zoster virus *VZV

107
Q

shingles is considered a ____ infection of what virus

A

latent

varicella zoster virus

108
Q

what type of virus is varicella zoster virus

A

ds DNA enveloped virus

109
Q

what is the MR for chickenpox

A

humans

110
Q

what is the MT of chickenpox

A

PTP via droplets and direct contaact with vesicular fluid of blisters on people with chickenpox or shingles

111
Q

what is the Ro value for chickenpox

A

7-12

112
Q

what is the IP for chickenpox

A

12-21 days

113
Q

what is the POC for chickenpox

A

4-8 days before lesions appear and 4-5 days after crusting

114
Q

what are the S&S of chickenpox

A
rash
fever
fatigue
headache
loos of appetite
115
Q

what type of rash appears in chickenpox

A

itchy, fluid filled blisters that eventually turn into scabs

116
Q

what are the risk factors for chicken pox

A

age (infants, adolescents and adults)
unvaccinated persons
immunocompromised
pregnancy

117
Q

what are 4 complications of chickenpox

A

secondary bacterial skin infections
pneumonia
encephalitis
sepsis

118
Q

Chickenpox and shingles vaccine contains

A

live attenuated viruses

119
Q

what % of children vaccinated with the chickenpox or shingles still get breakthrough varicella

A

15-20%

120
Q

what vaccine is used for people who are over 60 for protection against chickenpox and shingles

A

herpse zoster vaccine

14X more potent

121
Q

what is the causative agent for rotavirus diarrhea

A

rotavirus

122
Q

what type of virus is the rotavirus

A

ds DNA non-enveloped virus

123
Q

what family is hte rotavirus from

A

reoviridae

124
Q

what is the MR for rotavirus

A

probably humans

125
Q

what is the MT for rotavirus

A

PTP via contact with formites including food and water contaminated feces and possibly respiratory droplets

126
Q

what is the Ro value for rotavirus diarrhea

A

17.6-19.2

127
Q

what is the IP for rotavirus

A

1-3 days

128
Q

what is the POC for rotavirus

A

up to 8 days

129
Q

what are the 4 signs of gastroenteritis caused by rotavirus

A

fever
stomach pain
vomiting and watery diarrhea
loss of appetite

130
Q

what are the risk factors for rotaviru

A

age 3-35 months old
immunocompormised
children in care settings
adults caring for children

131
Q

what seasons is it more common to contract the rotavirus

A

winter and spring

132
Q

what are the two common complications of rotavirus

A

hospitalizations and severe dehydration

133
Q

in canada, about ____% of all severe cases of childhood diarrhea and vomiting can be attributed to rotavirus

A

20

134
Q

what is provided to children for free to prevent rotavirus

A

oral vacccine

2 attenuated live vaccines available in canada (monovalent and pentavalent)