Unit 4 - part 7 Viruses of medical importance: Vaccine-preventable viral disease (VPVD) Flashcards
what is the causitive agent of poliomyelitis
poliovirus types 1, 2, and 3 - all 3 can cause paralysis
what type of virus is the poliovirus
small ss RNA non-enveloped viruses
what family is the polio virus in
picornaviridae
what are the major reservoirs for polio
humans especially children
what are the modes of transmission for polio
PTP via feacl-oral route
contact with throat secretions
rarely spread by contaminated vehicles or formites
what is the Ro value for polio
5-7
what is the incubation period for polio
7-14 days
what is the period of communicability for polio
as long as the virus is excreted
1 week in the throat, 3 weeks in feces
4 phases of poliomyelitis pathogeneis
ailmentary phase
lymphatic phase
viremic phase
neurologic phase
what occurs in the ailmentary phase of polio
- virus replicates in the oropharyngeal and intestinal mucosa
- spreads to tonsils and multiplies in peyer’s patches, cervical and mesenteric nodes
what occurs in the lymphatic phase of polio
virus is absorbed into the bloodstream and spreads to the internal organs and lymph nodes
what are the two options in the viremic phase of polio
- no further of virus, pt. is asymptomatic or mild febrile
2. virus spreads to spianl cord and brain
if polio spreads to the spinal cord and brain what stage of pathogenesis occurs
neurologic phase
what occurs in the neurologic phase
paralysis
what are the 4 risk factors for polio
- living in the same house with an infected person
- unvaccinated and inadequately vaccinated people
- immunocompromised
- poor sanitation and hygeine
what does it mean when a disease has been eradicated
completely gone from earth
what does it mean when a disease is eliminated
gone at country level or continent level for at least 3 years
what are the S & S of polio
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
what are common clinical features and complications of polio
quadrapeligic patient
paralysis
crawling
crouching gait
Polio vaccine used in canada is effective agaisnt what types of polio and what is it called
IPV (inactivated polio vaccine) all 3 (trivalent)
what 3 countries is polio still present in
afganistan
nigeria
pakistan
what is AFM
acute flaccid myelitis
mostly seen in children
poliomyelitis-like symptoms
what is the causative agent for the influenza virus
types A and B viruses
what type genome does the influenza virus have
ss RNA enveloped virus with segmented genome
what family is the influenza virus from
orhtomyxoviridae
what is the major resevoir for influenza
aquatic birds but also circulate in among other animals such as pigs
humans are a major reservoir for 3 subtypes
what are the main modes of transmission for influenza
droplet and contact
what is the Ro value for influenza
1.27-1.8
what is the incubation period for the flu
average 2 days
1-4 days
what is the POC of the flu
day before symptom onset until about 4 days after (7-10 days or longer for children)
what are complications for inluenza
pneumonia
febrile seizure
hospitalizations
death
4 steps of parthogenesis of the flu
- aerosol incubation of virus
- replication in respiratory tract
- desquamation of mucus-secreting ciliated cells
- influenza syndrome
5 risk factors for the flu
age immunocompromised chronic illness pregnancy obesity (BMI >40)
what is the causative agent for measles
measles virus
what type of genetic make up is the measles virus
ss RNA enveloped virus
what type of spikes does the mealses virus have
H spikes - different from those of the influenza virus
what is the major reservoir for measles
humans
what is the major mode of transmission for measles
PTP via airborne, droples, nasal or throat secrtions or contact with fomites
what is the Ro value for measles
12-18 one of the most contagious disease
what is the IP for measles
14 days
what is the POC for measles
usually 4 days before and after rash appears
what are S & S for measles
high fever cough runny nose conjunctivitis kopliks spots maculopapular rash
what does a maculopapular rash look like
small raised bumps may appear on top of the flat red spots - on face, neck, trunk, arms, legs and feet
what are the 4 risk factors for measles
lack or incomplete vaccination
international travel
vitamin A deficiency
immunocompromised
what is the measles vaccine commonly offered with
measles mumps and rubella
what is the measles vaccine made up of
attenuated (weakened) live viruses
what does attenuation mean
a process to make the live viruses non-pathogenic
what is the causative agent of mumps
mumps virus
true or false: measles and mumps are both part of the same family paramyxoviridae
true
what is the major reservoir of mumps
humans
what is the mode of transmission of mumps
droplet spread and direct contact with saliva of infected persons
what is the Ro value for mumps
4-7
what is the incubation period for mumps
16-18 days