Week 3 Role of mosquito II Dengue Disease transmission / Effect of temperature Flashcards

1
Q

Define:

a) Mechanical Transmission b) Biological Transmission

A

a) Physical transfer of a pathogen to a host

b) Replication and/or development must occur in the vector prior to transmission

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2
Q

Explain Cyclodevelopmental transmission

A

Agent must undergo developmental changes in vector prior to transmission
Agent does NOT replicate

Example: filarial parasites develop within the mosquito

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3
Q

Explain Propagative transmission

A

Agent must replicate in the vector prior to transmission
Additional development does not occu
Example: Yersinia pestis replicates but does not undergo development in fleas

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4
Q

Explain Cyclopropagative transmssion

A

Agent undergoes both replication and development in the vector prior to transmission
Example: Plasmodium species replicate and undergo several stages of development in the mosquito

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5
Q

Define : Vector competence

A

Ability of a given vector to acquire, maintain, and transmit infectious agents
Many arthropod-borne diseases are highly species specific

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6
Q

Important mosquito borne diseases

A

Malaria
Dengue
Japaneese encephalitis
West Nile encephalitis

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7
Q

a) Where are common places Dengue occurs?

b) Who are the primary hosts?

A

a) Occurs in Tropical and sub-tropical regions
~2.5 billion at risk for infection
50-100 million infections/year
Endemic in >100 countries

b) Humans are the primary host

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8
Q

Mosquitos that transmits Dengue and facts about them

A
1- Ades aegypti mosquito
Adapted to urban communities
Prefers to feed on humans
Prefers to feed indoors
Often feeds on multiple sources 
Feeds during the day
2 hours after dawn and before sunset
Breeds in containers
Sufficient viremia in humans to infect mosquito
2- Ades alpopictus
Asian tiger mosquito
Less adapted to urban environment
Borders vegetative areas
Can survive colder climate
Very aggressive, daytime feeder
Will feed on humans and other mammals
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9
Q

What cell types get infected by Dengue?

A
Dendritic cells
Monocytes/macrophages
B-cells
Endothelial cells
Hepatocytes
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10
Q

What are the 3 variations of Dengue?

A

Dengue Fever
Dengue Hemorrhagic Fever (DHF)
Dengue Shock Syndrome (DSS)

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11
Q

What are some of the symptoms of Dengue fever?

Why is it known as “ break bone fever” ?

A
High Fever
Leukopenia
Thrombocytopenia
Arthralgia
Myalgia
Petechial rash

The person infected by Dengue experiences severe pain all over the body, often described as, as bad as pain generated from a bone fracture, but all over the body accompanied by very painful headaches.

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12
Q

What are the symptoms of Dengue Hemorrhagic Fever ?

A
Abdominal pain
Cyanosis
Bleeding gums
Increased vascular permeability
Vascular leakage
Hemorrhaging in GI tract
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13
Q

What are the symptoms of Dengue Shock Syndrome ?

A

Decreased blood pressure
Narrow pulse pressure
Rapid pulse

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14
Q

What are the 4 Dengue serotypes?

A

DEN-1
DEN-2
DEN-3
DEN-4

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15
Q

History of Dengue

A

First reports around 1770 in Asia, Africa, and North America
Periodic epidemics re-occurred every 10-40 years
Current pandemic began in SE Asia during WWII and was connected with movement of military equipment and water storage facilities
Epidemics increased in SE Asia since WWII where
multiple serotypes were present
DEN3 was most common, there were 900,000 cases of DHF and DSS in Taiwan from 1958-90
Since 1980 epidemics in East Africa have increased
All four serotypes were detected but little severe disease emerged.
In West Africa there were cycles of Dengue in monkeys.
Later on the disease spread to spread to Pacific Islands

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16
Q

Dengue in the Americas

A

Dengue in the Americas was probably introduced by the slave trade
In the 1940-50s, vector control programs eliminated vector in most places

17
Q

What are some factors that led to spread of Dengue?

A

Movement of military personnel
Urbanization and increased habitat for the vector
International travel
Evolution of infectious agents ( Flavivirus)
Certain strains are more likely to be associated with severe disease

18
Q

a) What are methods of dengue diagnosis?

b) What are the treatments for Dengue?

A

a)Test for antibodies against dengue antigens
Test for dengue RNA (RT-PCR)
Virus isolation
b)Fluid replacement therapy is critical for DHF and DSS patients
Platelet transfusions

19
Q

Method of prevention

A

Vector control

20
Q

How climate change can influence the incidence of Dengue?

A

Ades aegypti cannot survive winters below 50 degrees F
Increased temperature can shortened extrinsic incubation period and it is predicted that as the temperature in temperate regions increase, the range of Ades aegypti will increase