CHAPTER 8 :
HUMAN HEALTH
AND
DISEASES
• Health:
• Health is defined as a state of complete physical,
mental and social well-being.
• When people are healthy, they are more efficient at
work. This increases productivity and brings
economic prosperity.
• Health also increases long life and reduces infant
and maternal mortality.
• The good health is maintained by balanced diet,
personal hygiene and regular exercise.
• The health is affected by –
1. Genetic disorders .
2. Infections.
3. Life style including Diet, rest and exercise. Drug
and alcohol abuse also affect our health adversely.
• Diseases are grouped into infectious and non-
infectious.
• Diseases which are easily transmitted from one
person to another are called infectious diseases.
• Diseases which are not transmitted from one
person to another are called non infectious
diseases..
• Cancer is the non-infectious that cause death.
• COMMON DISEASES IN HUMANS:
• organisms belonging to bacteria, viruses, fungi,
protozoans, helminths, etc., could cause diseases in
man. Such disease causing organisms are called
pathogens.
• TYPHOID:
• Pathogen: Salmonella typhi (bacterium)
• Organs affected: small intestine, migrate to other
organs through blood.
• Method of transmission: contamination of food and
water.
• Symptoms:
• High fever (390 to 400 C)
• Weakness, stomach pain, constipation, headache
and loss of appetite.
• Intestinal perforation may leads to death.
• Test: Typhoid fever could be confirmed by Widal
test.
• PNEUMONIA:
• Pathogen: Streptococcus pneumoniae and
Haemophilus influenzae.
• Organs affected: Alveoli of lungs, alveoli get filled
with fluid.
• Method of transmission: Inhaling the
droplets/aerosols released by infected person.
• Symptoms:
• Fever, chills, cough and headache.
• In severe cases the lips and finger nails turn gray to
bluish colour.
• COMMON COLD:
• Pathogen: Rhino viruses.
• Organs affected: nose and
respiratory passage
• Method of transmission:
• Direct inhalation of droplets from infected person.
• Through contaminated objects like pen, books, cups,
computer key board.
• Symptoms:
• Nasal congestion and discharge, sore throat,
hoarseness, cough. tiredness, etc.,
• It usually last for 3-7 days.
• MALARIA:
• Pathogen: Plasmodium. (P. vivax, P. malariae, P.
ovale, P. falciparum)
• Malignant malaria caused by P. falciparum is fatal.
• Organs affected: liver, RBC.
• Method of transmission: By biting of female
anopheles mosquito (vector)
• Symptoms: high fever and chill, fever occurs on
every alternate day, vomiting.
• life cycle of malaria parasite:
• The malarial parasite requires
two hosts – human and
Anopheles, to complete their
life cycle.
• Life cycle of plasmodium
starts with injecting
sporozoites through the bite
of infected female Anopheles
mosquitoes.
• The parasite initially
multiplied within the liver
cells and then attack the red
blood cells (RBCs) resulting in
their rupture.
• There is release of a toxic
substance called hemozoin
from the ruptured RBCs. It
is responsible for the chill
and high fever.
• From the infected human
the parasite enters into the
body of Anopheles
mosquito during biting and
sucking blood.
• Further development takes
place in the body of
Anopheles mosquitoes.
• The female mosquito takes
up gametocytes with the
blood meal.
• Formation of gametes and
fertilization takes place in
the intestine of mosquito.
• The zygote develops further
and forms thousands of
sporozoites.
• These sporozoites migrated
into the salivary gland of
mosquito.
• When the mosquito bite
another human sporozoites
are injected.
• AMOEBIASIS (Amoebic dysentery)
• Pathogen: Entamoeba histolytica a
protozoan parasite.
• Organs affected: large intestine of
man
• Method of transmission:
• House fly acts as mechanical carrier.
• Contamination water and food with
faecal matter.
• Symptoms:
• Loose motion and abdominal pain.
• Stools with excess mucous and
blood clots.
• ASCARIASIS:
• Pathogen: Ascaris lumbricoids
(nematode)
• Organs affected: intestine of
man
• Method of transmission:
Contaminated water,
vegetables, fruits.
• Symptoms:
• Internal bleeding, muscular
pain, fever, anemia.
• Blockage of the intestinal
passage.
• FILARIASIS OR ELEPHANTIASIS:
• Pathogen: Wuchereria
(W.bancrofti and W. Malayi)
(nematode parasite)
• Organs affected: lymphatic
vessels of the lower limbs, genital
organs.
• Methods of transmission: biting
of infected female culex mosquito.
• Symptoms:
• Chronic inflammation of the
organs.
• Abnormal swelling of lower limb,
scrotum, penis.
• Hence the disease named as
elephantiasis or Filariasis.
• RING WORMS:
• Pathogen: Microsporum,
Trichophyton and
Epidermophyton (fungi)
• Organs affected: Skin, nails, folds
of skin, groin.
• Method of transmission:
• Acquired from the soil.
• Using towel, clothes or even
comb of infected individuals.
• Symptoms:
• Appearance of dry, scaly lesions in
skin nails and scalp.
• Lesion accompanied with intense
itching.
• PREVENTION AND CONTROL OF INFECTIOUS DISEASES:
• Maintenance of personal and public hygiene.
• Personal hygiene includes Consumption of clean drinking
water, food vegetable fruits. Keeping the body clean.
• Public hygiene includes Proper disposal of waste and excreta
• Periodic cleaning water reservoirs, pools.
• Avoiding close contact with the infected persons.
• For vector borne diseases controlling vectors and the
breeding places.
• Avoiding stagnation of water in and around residential areas.
• Use of mosquito nets.
• Window and doors must be fitted with wire mesh.
• All these precautions are use full for vector borne disease like
dengue and Chickungunya, malaria and filarial etc.
Immunity:
Immunity is the ability of an organism to resist infection or to
overcome infection.
• There are two types of immunity:
1. Innate (non-specific) Immunity.
2. Acquired (specific) Immunity.
• Innate or Non-specific Immunity: It is the inborn or natural
immunity.
It is of two types,
1. Surface barrier.
2. Cellular and Biochemical barrier.
• Surface barrier: It is the first line body defense. It includes the
external barriers that checks the entry of pathogens into
body.
• It is identified as physical barrier and Physiological (chemical)
barrier.
Physical barrier:
The important physical barrier are skin, hair and cilia of
nasal cavity, mucous lining and muscular action.
Skin:
• The skin prevents entry
of pathogens.
• The sweat produced by
sweat gland and oil
produced by sebaceous
gland are bactericidal
and fungicidal properties.
• Mucus lining: The mucus lining found in respiratory
tract, digestive tract, urinary tract and reproductive
tract secretes mucus. The mucus traps the microbes
and makes them immobilize.
Physiological barriers:
Chemical secretion like lysozymes, skin secretion, saliva
and ear wax forms physiological barriers.
Lysozyme:
• It is an antibacterial enzyme present in tears, nasal
secretion, saliva, and most of the body fluids. It lyses
the bacterial cell.
Skin secretion :
• The sweat and sebum has antibacterial and antifungal
properties. It avoids the growth of bacteria and fungus
on skin.
Saliva:
• The saliva contains lysozyme that lyses the
bacteria.
• Gut secretion:
• The gastric juice contains dil HCl. It kills the
microbes enters through food.
• Ear wax :
• The ear wax secreted in external auditory canal is
bactericidal in nature. It repels the insects. It
traps the dust.
Cellular and biochemical barrier:
It is the second line body defense. It includes
1. Phagocytes
2. Natural killer cells (NK cells)
3. Interferons.
4. Inflammatory response.
• Phagocytes: The process of engulfing and destroying
the microbe by some cells is called phagocytosis.
• The cells that involves in phagocytosis are called
phagocytes.
• The neutrophils and monocytes (macrophages)
types of WBC are the important phagocytic cells.
Process of phagocytosis
• Natural killer cells (NK
Cells):
• Natural killer cells are
non-phagocytic large
lymphocytes.
• It mainly recognizes
the viral infected cells
and tumor cells.
• It destroys them by
secreting cytolysin.
Hence these are called
killer cells.
• Interferon:
• Interferon are the antiviral glycoprotein
produced by viral infected animal cell. It
protects the neighboring cells from viral
infection.
• It mainly stimulates neighboring cells to
synthesis a protein that interfere with viral
replication. It also activates macrophages and
NK cells to recognize infected cells.
Interferon:
• Inflammatory response: It is the localized response
to injury, infection or irritation. The symptoms are
getting redness, swelling, pain, increasing body
temp etc.
• Acquired (specific) immunity:
• It is the defense mechanism acquired by healthy
person against specific pathogens and infection. It
forms the third line body defense.
• Lymphocytes are the important components
activating specific body defense.
• The two types of lymphocytes are T- lymphocyte
and B – lymphocyte.
• T – lymphocytes
• The undifferentiated
lymphocytes
originate from the
stem cells of bone
marrow,
• Some of them
migrate to thymus
gland and
differentiated into T-
lymphocyte. .
• B– lymphocytes:
• The undifferentiated
lymphocytes originate from
the stem cells of bone
marrow.
• some migrate to Bursa
equivalent and differentiated
into B-lymphocyte.
• Bursa equivalent is a
hypothesized lymphoid
tissue in bone marrow.
• (Bursa equivalent is found in
mammals, Bursa fabricius is
found in birds.)
• Antigen: Any foreign substance that enters our body
and stimulates immune response is called antigen.
Antigen has two properties:
• Antigenicity: It is the ability of an antigen to
generate specific immune response to produce
antibody.
• Immunogenicity.
• It is the ability of an antigen to react with specific
antibody.
• Biochemically antigens are proteins, large
polysaccharides, lipids, fatty acids or nucleic acids.
Sometimes entire pathogen acts as antigen.
Antibody or immunoglobin (Ig)
• The protein molecule that produced by B-
lymphocytes against a specific antigen is called
antibody.
• These are mainly classified in to 5 types. They
are, IgM, IgA, IgD,IgE, IgG. ( MADE-G)
• IgM is a pentamer and is a mega globulin. It is the
first reaches the injured site.
• IgA is the secretory antibody.
• IgD it binds to B - Lymphocytes and acts as a
surface receptor.
• IgE play imp role in allergy.
• IgG crosses placenta and protects foetus.
Structure of Antibody.
• Antibody is mainly known
as immunoglobulin. It is a
Y shaped made up of four
polypeptide chains.
• Among four chains two
are longer chains called
heavy chains.
• Two are smaller called
light chain.
• The four polypeptide
chains are held together
by di-sulphide bond.
• Each chain contains
constant and variable
region.
• In constant region the
amino acid sequence are
constant and same in all
antibodies.
• In variable region the
amino acid sequence
varies with different
antibodies.
• The variable region is
present at the tip of Y
arm forms antigen
binding site.
Role of B – lymphocytes:
• The lymphocytes produced at bone marrow
differentiates in bursa equivalent in to B –
lymphocyte.
• When the antigen enters in to the body number of B
– lymphocytes stimulated to produce antibody.
• Once the antigen specific antibody producing B –
lymphocyte activated, it multiplies rapidly to produce
number of cloned cells.
• The cloned B – lymphocytes differentiates in to
plasma cells. These cells produces specific antibody
against antigen in large quantity.
• The cloned B – lymphocyte that undifferentiated
remains as memory B cells. When the same antigen
enters again in future, memory cells response rapidly
to destroy them.
Cell mediated immunity ( CMI ): It is the
immunity mediated by T – lymphocytes.
Role of T – lymphocytes:
• The lymphocytes produced at bone marrow
differentiates in thymus in to T – lymphocyte. It
does not produce any antibody. It directly acts
on antigen.
• When the antigen enters in to the body, the
antigen specific T – lymphocyte stimulated and
becomes active.
• The activated T – lymphocyte multiplies rapidly
to produce number of cloned cells.
According to function of T – lymphocyte, these are
identified in to ,
• Killer T-cells: These T - cells recognizes specific
pathogen and destroys by lyses.
• Helper T – cells: These T – cells helps in
stimulating antigen specific B – cells to produce
antibody.
• Suppressor T – cells: These T – cells suppress the
immune response of both B and T cells, when
infection is controlled.
• Memory T – cells: These T – cells are
programmed to recognize and response to the
specific antigen that enters in future.

Chapter 8. Human health and disease.

  • 1.
    CHAPTER 8 : HUMANHEALTH AND DISEASES
  • 3.
    • Health: • Healthis defined as a state of complete physical, mental and social well-being. • When people are healthy, they are more efficient at work. This increases productivity and brings economic prosperity. • Health also increases long life and reduces infant and maternal mortality. • The good health is maintained by balanced diet, personal hygiene and regular exercise.
  • 4.
    • The healthis affected by – 1. Genetic disorders . 2. Infections. 3. Life style including Diet, rest and exercise. Drug and alcohol abuse also affect our health adversely. • Diseases are grouped into infectious and non- infectious. • Diseases which are easily transmitted from one person to another are called infectious diseases. • Diseases which are not transmitted from one person to another are called non infectious diseases.. • Cancer is the non-infectious that cause death.
  • 5.
    • COMMON DISEASESIN HUMANS: • organisms belonging to bacteria, viruses, fungi, protozoans, helminths, etc., could cause diseases in man. Such disease causing organisms are called pathogens. • TYPHOID: • Pathogen: Salmonella typhi (bacterium) • Organs affected: small intestine, migrate to other organs through blood. • Method of transmission: contamination of food and water.
  • 6.
    • Symptoms: • Highfever (390 to 400 C) • Weakness, stomach pain, constipation, headache and loss of appetite. • Intestinal perforation may leads to death. • Test: Typhoid fever could be confirmed by Widal test.
  • 7.
    • PNEUMONIA: • Pathogen:Streptococcus pneumoniae and Haemophilus influenzae. • Organs affected: Alveoli of lungs, alveoli get filled with fluid.
  • 8.
    • Method oftransmission: Inhaling the droplets/aerosols released by infected person. • Symptoms: • Fever, chills, cough and headache. • In severe cases the lips and finger nails turn gray to bluish colour.
  • 9.
    • COMMON COLD: •Pathogen: Rhino viruses. • Organs affected: nose and respiratory passage • Method of transmission: • Direct inhalation of droplets from infected person. • Through contaminated objects like pen, books, cups, computer key board.
  • 10.
    • Symptoms: • Nasalcongestion and discharge, sore throat, hoarseness, cough. tiredness, etc., • It usually last for 3-7 days.
  • 11.
    • MALARIA: • Pathogen:Plasmodium. (P. vivax, P. malariae, P. ovale, P. falciparum) • Malignant malaria caused by P. falciparum is fatal. • Organs affected: liver, RBC. • Method of transmission: By biting of female anopheles mosquito (vector)
  • 12.
    • Symptoms: highfever and chill, fever occurs on every alternate day, vomiting.
  • 15.
    • life cycleof malaria parasite: • The malarial parasite requires two hosts – human and Anopheles, to complete their life cycle. • Life cycle of plasmodium starts with injecting sporozoites through the bite of infected female Anopheles mosquitoes. • The parasite initially multiplied within the liver cells and then attack the red blood cells (RBCs) resulting in their rupture.
  • 16.
    • There isrelease of a toxic substance called hemozoin from the ruptured RBCs. It is responsible for the chill and high fever. • From the infected human the parasite enters into the body of Anopheles mosquito during biting and sucking blood. • Further development takes place in the body of Anopheles mosquitoes.
  • 17.
    • The femalemosquito takes up gametocytes with the blood meal. • Formation of gametes and fertilization takes place in the intestine of mosquito. • The zygote develops further and forms thousands of sporozoites. • These sporozoites migrated into the salivary gland of mosquito. • When the mosquito bite another human sporozoites are injected.
  • 18.
    • AMOEBIASIS (Amoebicdysentery) • Pathogen: Entamoeba histolytica a protozoan parasite. • Organs affected: large intestine of man • Method of transmission: • House fly acts as mechanical carrier. • Contamination water and food with faecal matter. • Symptoms: • Loose motion and abdominal pain. • Stools with excess mucous and blood clots.
  • 19.
    • ASCARIASIS: • Pathogen:Ascaris lumbricoids (nematode) • Organs affected: intestine of man • Method of transmission: Contaminated water, vegetables, fruits. • Symptoms: • Internal bleeding, muscular pain, fever, anemia. • Blockage of the intestinal passage.
  • 20.
    • FILARIASIS ORELEPHANTIASIS: • Pathogen: Wuchereria (W.bancrofti and W. Malayi) (nematode parasite) • Organs affected: lymphatic vessels of the lower limbs, genital organs. • Methods of transmission: biting of infected female culex mosquito. • Symptoms: • Chronic inflammation of the organs. • Abnormal swelling of lower limb, scrotum, penis. • Hence the disease named as elephantiasis or Filariasis.
  • 21.
    • RING WORMS: •Pathogen: Microsporum, Trichophyton and Epidermophyton (fungi) • Organs affected: Skin, nails, folds of skin, groin. • Method of transmission: • Acquired from the soil. • Using towel, clothes or even comb of infected individuals. • Symptoms: • Appearance of dry, scaly lesions in skin nails and scalp. • Lesion accompanied with intense itching.
  • 22.
    • PREVENTION ANDCONTROL OF INFECTIOUS DISEASES: • Maintenance of personal and public hygiene. • Personal hygiene includes Consumption of clean drinking water, food vegetable fruits. Keeping the body clean. • Public hygiene includes Proper disposal of waste and excreta • Periodic cleaning water reservoirs, pools. • Avoiding close contact with the infected persons. • For vector borne diseases controlling vectors and the breeding places. • Avoiding stagnation of water in and around residential areas. • Use of mosquito nets. • Window and doors must be fitted with wire mesh. • All these precautions are use full for vector borne disease like dengue and Chickungunya, malaria and filarial etc.
  • 23.
    Immunity: Immunity is theability of an organism to resist infection or to overcome infection. • There are two types of immunity: 1. Innate (non-specific) Immunity. 2. Acquired (specific) Immunity. • Innate or Non-specific Immunity: It is the inborn or natural immunity. It is of two types, 1. Surface barrier. 2. Cellular and Biochemical barrier. • Surface barrier: It is the first line body defense. It includes the external barriers that checks the entry of pathogens into body. • It is identified as physical barrier and Physiological (chemical) barrier.
  • 24.
    Physical barrier: The importantphysical barrier are skin, hair and cilia of nasal cavity, mucous lining and muscular action. Skin: • The skin prevents entry of pathogens. • The sweat produced by sweat gland and oil produced by sebaceous gland are bactericidal and fungicidal properties.
  • 25.
    • Mucus lining:The mucus lining found in respiratory tract, digestive tract, urinary tract and reproductive tract secretes mucus. The mucus traps the microbes and makes them immobilize. Physiological barriers: Chemical secretion like lysozymes, skin secretion, saliva and ear wax forms physiological barriers. Lysozyme: • It is an antibacterial enzyme present in tears, nasal secretion, saliva, and most of the body fluids. It lyses the bacterial cell. Skin secretion : • The sweat and sebum has antibacterial and antifungal properties. It avoids the growth of bacteria and fungus on skin.
  • 26.
    Saliva: • The salivacontains lysozyme that lyses the bacteria. • Gut secretion: • The gastric juice contains dil HCl. It kills the microbes enters through food. • Ear wax : • The ear wax secreted in external auditory canal is bactericidal in nature. It repels the insects. It traps the dust.
  • 27.
    Cellular and biochemicalbarrier: It is the second line body defense. It includes 1. Phagocytes 2. Natural killer cells (NK cells) 3. Interferons. 4. Inflammatory response. • Phagocytes: The process of engulfing and destroying the microbe by some cells is called phagocytosis. • The cells that involves in phagocytosis are called phagocytes. • The neutrophils and monocytes (macrophages) types of WBC are the important phagocytic cells.
  • 28.
  • 29.
    • Natural killercells (NK Cells): • Natural killer cells are non-phagocytic large lymphocytes. • It mainly recognizes the viral infected cells and tumor cells. • It destroys them by secreting cytolysin. Hence these are called killer cells.
  • 30.
    • Interferon: • Interferonare the antiviral glycoprotein produced by viral infected animal cell. It protects the neighboring cells from viral infection. • It mainly stimulates neighboring cells to synthesis a protein that interfere with viral replication. It also activates macrophages and NK cells to recognize infected cells.
  • 31.
  • 32.
    • Inflammatory response:It is the localized response to injury, infection or irritation. The symptoms are getting redness, swelling, pain, increasing body temp etc. • Acquired (specific) immunity: • It is the defense mechanism acquired by healthy person against specific pathogens and infection. It forms the third line body defense. • Lymphocytes are the important components activating specific body defense. • The two types of lymphocytes are T- lymphocyte and B – lymphocyte.
  • 33.
    • T –lymphocytes • The undifferentiated lymphocytes originate from the stem cells of bone marrow, • Some of them migrate to thymus gland and differentiated into T- lymphocyte. .
  • 34.
    • B– lymphocytes: •The undifferentiated lymphocytes originate from the stem cells of bone marrow. • some migrate to Bursa equivalent and differentiated into B-lymphocyte. • Bursa equivalent is a hypothesized lymphoid tissue in bone marrow. • (Bursa equivalent is found in mammals, Bursa fabricius is found in birds.)
  • 35.
    • Antigen: Anyforeign substance that enters our body and stimulates immune response is called antigen. Antigen has two properties: • Antigenicity: It is the ability of an antigen to generate specific immune response to produce antibody. • Immunogenicity. • It is the ability of an antigen to react with specific antibody. • Biochemically antigens are proteins, large polysaccharides, lipids, fatty acids or nucleic acids. Sometimes entire pathogen acts as antigen.
  • 36.
    Antibody or immunoglobin(Ig) • The protein molecule that produced by B- lymphocytes against a specific antigen is called antibody. • These are mainly classified in to 5 types. They are, IgM, IgA, IgD,IgE, IgG. ( MADE-G) • IgM is a pentamer and is a mega globulin. It is the first reaches the injured site. • IgA is the secretory antibody. • IgD it binds to B - Lymphocytes and acts as a surface receptor. • IgE play imp role in allergy. • IgG crosses placenta and protects foetus.
  • 37.
    Structure of Antibody. •Antibody is mainly known as immunoglobulin. It is a Y shaped made up of four polypeptide chains. • Among four chains two are longer chains called heavy chains. • Two are smaller called light chain. • The four polypeptide chains are held together by di-sulphide bond.
  • 38.
    • Each chaincontains constant and variable region. • In constant region the amino acid sequence are constant and same in all antibodies. • In variable region the amino acid sequence varies with different antibodies. • The variable region is present at the tip of Y arm forms antigen binding site.
  • 40.
    Role of B– lymphocytes: • The lymphocytes produced at bone marrow differentiates in bursa equivalent in to B – lymphocyte. • When the antigen enters in to the body number of B – lymphocytes stimulated to produce antibody. • Once the antigen specific antibody producing B – lymphocyte activated, it multiplies rapidly to produce number of cloned cells. • The cloned B – lymphocytes differentiates in to plasma cells. These cells produces specific antibody against antigen in large quantity. • The cloned B – lymphocyte that undifferentiated remains as memory B cells. When the same antigen enters again in future, memory cells response rapidly to destroy them.
  • 42.
    Cell mediated immunity( CMI ): It is the immunity mediated by T – lymphocytes. Role of T – lymphocytes: • The lymphocytes produced at bone marrow differentiates in thymus in to T – lymphocyte. It does not produce any antibody. It directly acts on antigen. • When the antigen enters in to the body, the antigen specific T – lymphocyte stimulated and becomes active. • The activated T – lymphocyte multiplies rapidly to produce number of cloned cells.
  • 43.
    According to functionof T – lymphocyte, these are identified in to , • Killer T-cells: These T - cells recognizes specific pathogen and destroys by lyses. • Helper T – cells: These T – cells helps in stimulating antigen specific B – cells to produce antibody. • Suppressor T – cells: These T – cells suppress the immune response of both B and T cells, when infection is controlled. • Memory T – cells: These T – cells are programmed to recognize and response to the specific antigen that enters in future.