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38 Cards in this Set
- Front
- Back
epidemiology
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how diseases spread
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etiology
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causes and origins of disease
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endemic
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always present, but not public health concern
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epidemic
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spike in occurrence, public health concern
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pandemic
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global increase in number, public health concern
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Vibrio cholerae
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toxin alters sodium pump in intestinal cells = fluid loss, entry is oral, colonizes in small intestine, John Snow and pump handle
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index case
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first person to become ill
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defenses against microbes
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chemical barriers (lysozyme in sweat and tears), skin, immune response
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What microbe does really well in colonizing the gut?
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E. coli
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commensals
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organisms that are benign, don't cause disease, part of the defense system, sometimes symbiotic
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pathogen
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cause disease, needs to penetrate host defenses to cause disease, some can infect host but not cause disease
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describe the general mechanism pathogens taken to cause disease
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exposure to pathogen --> adherence to skin, mucous membranes --> invasion, penetration through epithelium --> colonization and growth--> toxicity OR invasiveness (some start locally and eventually invade further parts) --> disease
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T/F: path to cause disease is the same among all organisms
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false
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infection
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pathogen that enters and begins growth; not disease
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disease
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any deviation from normal health; due to damage of host
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primary pathogen
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cause disease in normally healthy human
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opportunistic pathogen
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not problem to healthy host, but if host compromised, immune system can't protect itself and becomes susceptible for attack
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example of opportunistic pathogen
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AIDS virus
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pathogenicity
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organisms ability to cause disease
ex: easy to get the cold but not the chicken pox |
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infectivity
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how easily it causes disease
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infectious dose
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minimal number of organisms to cause disease; cholera = millions of bacteria; typhoid = hundreds of bacteria
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why difference in infectious dose?
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ability of organism to colonize host; cholera sensitive to stomach acid, so needs millions to successfully colonize whereas typhoid is resistant to acid so doesn't need as much
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Hep A virus
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causes irritation, fever, fatigue, common in low sanitation; transmitted via fecal matter, low infectious dose
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why ok to eat fish but not shellfish
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shellfish are filterfeeders, so will get accumulation of Hep. A
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virulence
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how severe a disease is; measured by mortality
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lethal dose
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number of organisms to kill 50% of test population
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virulence of common cold
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low virulence, high infectivity
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virulence of ebola
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high virulence, high infectivity
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portal of entrance of Clostridium tetani
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breaks skin, enters wound, produces spores, (can be facultative or strict anaerobes), spores germinate in anaerobic condition
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how to differentiate e. coli from gut and pathogenic e. coli
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virulence factors
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virulence factors
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toxins, attachment (pili or other proteins), capsules, invasins (help colonization), proteins that invade immune system
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pathogenicity islands
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chromosomes or plasmid
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pathogen mode of transfer to other cells
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horizontal gene transfer such as conjugation, transduction
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uniqueness of pathogenicity islands
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different GC/AT ratios than rest of genome, groups of genes bordered by unique sequences that seem foreign
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adhesins
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attachment dealing with virulence factors; bind to specific target sites
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pili or fimbriae
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adhesins, used for attachment; very specific to particular pathogen; type I binds to mannose host, type III binds to red blood cells, type IV attaches and does twitch motility; composed of repeating subunits
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Neisseria gonorrheae
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invades host, attachment, retraction of pilus
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spreading factors of invasins and function
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hyaluronidase (holds cell together by depolymerizing hyaluronic acid), collagenase (breaks down collagen), streptokinase (converts plasmonogen to plasmin)
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