MBI 405 Lecture 2 (Dr. Carlin) – Flashcards

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Epidemiology
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The study of the various factors influencing the occurrence, distribution, prevention and control of disease, injury and other health-related events in a defined human population.

 

i.e: Where do they come from? How do they get to us?

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What is a reservoir? 

What are the 4 types of reservoirs?

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Continuing sources of disease

 

Water, Soil, Human, Animal

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Water Reservoirs
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Problem for us:
water contamination by feces and urine
Solution for us:
water treatment
sewage facilities
Problem for bug:
nutrient poor, salinity, temperature
Solution for bug:
VBNC
(
viable but not culturable state)
Vibrio cholerae
ETEC (Enterotoxic E. coli)
Campylobacter jejuni
Mycobacterium tuberculosis
Legionella pneumophila

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Soil Reservoirs
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Problem for us:
contact with soil
Solution for us:
avoid rusty nails and war
wash hands
immunize
Problem for bug:
desiccation
Solution for bug:
endospores
Bacillus anthracis
Clostridium botulinum
Clostridium tetani
Clostridium perfringens

 

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Human Reservoirs
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Problem for us:
avoiding infected humans
Solution for us:
immunization
quarantine
Problem for bug:
non-specific defenses
immune response
Solution for bug:
adhesins
evasins and evasion strategies 

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Animal Reservoirs
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Problem for us:
avoiding infected animals
animal products
Solution for us:
immunization and
quarantine
good animal husbandry
food handling
Salmonella enterica
Campylobacter
E. coli O157:H7
Problem for bug:
non-specific defenses
immune response
Solution for bug:
adhesins
evasins and evasion strategies
Salmonella enterica

 

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Horizontal Transmission
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Direct and Indirect
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Vertical Transmission
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Transplacental, During birth
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Direct Transmission
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direct methods: requires close or personal contact with infected individual
hand-shaking, kissing, sexual intercourse,
contact with feces
  (bacterial STIs,
gram -ve intestinal disease)
aerosols - exposure to droplets - mucus expelled during cough or sneeze
  (
Bordetella pertussis, Streptococcal sore throat)
exposure to infected animals
  (
Salmonella enterica, Bacillus anthracis)

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Indirect methods
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vehicles - consumption of contaminated food or water - poultry - source of Salmonella enterica, Campylobacter
fomites - inanimate objects that carry pathogens - drinking fountains, used tissues, door handles,phones, used syringes
vectors - insects, arthropods -
  mechanical - transports pathogen (
salmonellosis)
  biological - vector is diseased (
Lyme borreliosis)

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Communicable disease
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Transmissible among hosts
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Carrier
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Has recovered from disease but continues to shed organisms (Salmonella typhi)

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Contagious
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Pass among hosts with particular ease
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Noncommunicable
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acquired directly from environment, not easily transmitted to next host (Clostridium spp.)
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Endemic
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Occurs at a low level in a specific geographic area
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Epidemic
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A desease that breaks out in explosive proportions in a population
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Pandemic
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Worldwide epidemic
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Symbiosis
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A situation in which two populations of organisms interact in a close and permanent association
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Synergism
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two populations live together and accomplish what neither could alone
mitochondria and chloroplasts in eukaryotic cells
lichens: fungus and algae (green algae or cyanobacteria)

 

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Mutualism
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benefits both organisms
nitrogen-fixing bacteria living in plant root nodules
Lactobacillus in vagina
nutrients and production of acid environment
E. coli in intestine
supplies vitamin K and metabolizes otherwise indigestible foodstuffs
Streptococcal spp. in throat
provide “colonization resistance” to
Streptococcus pyogenes

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Commensalism
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one population benefits, the other neither benefits nor is harmed i.e., normal flora
bacteria that inhabit the skin, bacteria that inhabit intestine
benefit to host may be unrecognized
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Antagonism
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beneficial to one organism, harmful to the other
i.e., pathogens

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Infection
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Colonization of the body by a bacterium
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Disease (due to bacterium)
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Infection that produces signs and symptoms

  • Not all disease is due to infection
  • Infection does not always cause disease

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Signs
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Objective evidence of damage to the host

  • Fever, rash, vomiting

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Symptoms
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Subjective evidence of damage to the host

  • Headache, anorexia

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Normal Flora
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microorganisms that infect without causing disease
an example of symbiosis, either mutualism or commensalism
introduced in the birth canal and gradually acquired from environmental exposure
outnumber us 10:1

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Significance of Normal Flora
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  • Diseases
  • Host factors
  • Immunological significance
  • Nutritional significance
  • What leads to pathogenicity?

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Skin Normal Flora
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Staphylococcus

Micrococcus

Corynebacterium

Propionibacterium acnes


Enterics

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Oronasopharynx (ONP) Normal Flora
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alpha-hemolytic Strep

Corynebacterium

Micrococcus


Neisseria

Haemophilus

Bacteroides

Spirochaetes


Mycoplasma


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Gastrointestinal tract (GIT) Normal Flora
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Streptococcus

Enterococcus

Lactobacillus

Clostridium


Enterics

Bacteroides

Pseudomonas

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Urogenital tract (UGT) Normal Flora
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Streptococcus

Lactobacillus

 

Bacteroides

 

Mycoplasma

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Sterile Locations in body
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CSF, Blood, Synovial fluid, Lungs, Deep tissues
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Endocarditis caused by?
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Streptococcus viridans
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Dental caries caused by?
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Streptococcus mutans (sobrinus)

Streptococcus gordonii

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Abscesses caused by?
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Staphylococcus aureus
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