Communicable diseases

Communicable Disease
• Diseases that are spread from one
person to the other.
• Diseases that are “catching”
• Diseases that are caused by germs
or pathogens.
Examples of pathogens include: viruses, bacteria,
p parasitic worms and fungi.

Modes of Transmission
• Direct Contact: Exposure to infected
body fluids such as blood or saliva.
• Vectors/Reservoirs: Germs are spread
by an animal or insect, usually through a
bite.

Cont..
• Food and Water: Food and water can
become contaminated with germs and
people can get sick when they eat or drink
them.
• Airborne: Germs are spread through the
air, for example when someone coughs or
sneezes.
• Indirect contact: Pathogens remain on
surfaces that were in contact with an

Examples :
 Chicken pox
 Diphtheria
 Filariasis
 AIDS
 Poliomyelitis
 Malaria
 Measeles
 Tuberculosis
 Tetanus
 Rabies
 Sexually transmitted diseases

Chicken pox
• Chicken pox is a common disease caused by the
varicella zoster virus (VZV) which is a member of
the herpes virus family.
• Usually occurs during childhood (normally 5-9) , but
you can get it at any time in your life.
Symptoms:
• small fever, body aches and loss of appetite.
• Within 1or 2 day, the rash appears, begins as red
spots which then form blisters and spreads to the
rest of the body.

Prevention
• There are no actual cures for it ,but you can
get a vaccine shot to help prevent it.
• Baths with uncooked oatmeal, baking soda, or
cornstarch can help relieve itching.
• Tylenol is used for fever or pain relief.
(Aspirin should be avoided.)
• Antiviral drugs such as Acyclovir may be
prescribed.
• You can put Calamine lotion on the pocks to
help stop the itching.

Diphtheria
• It is caused by bacteria Corynebacterium
diphtheriae .
Symptoms: Sore throat, Low fever, Swollen
neck glands, Airway obstruction and breathing
difficulty, Shock.
Modes of Transmission:
• Solely among humans, spread by droplets
• Secretions, direct contact, Poor nutrition
• Low vaccine coverage among infants &
children.

Prevention
• Sanitary: Reduce carrier rate by use of vaccine.
• Immunological: A vaccine (DPT) prepared from an
alkaline formaldehyde inactivated toxin (i.e.
toxoid) is required. Passive immunization with
antitoxin can be used for patients.
• Chemotherapeutic: Penicillin, erythromycin or
gentamicin are drugs of choice.

Filariasis
Infection caused by 3 closely related Nematodes-
• “Wuchereria bancrofti”
• “Brugia malayi”
• “Brugia timori”
Symptoms: Filarial fever, Lymphangitis, Lymphadenitis,
Elephantiasis of genitals/legs/arm, Filarial arthritis,
Chyluria.
Mode of transmission: Transmitted by the bite of
infected mosquito responsible for considerable
sufferings.

Prevention
• Treating the infection by Cooling the leg, drying,
exersice.
• Treatment and prevention of Lymphoedema.
• Drugs effective against filarial parasites-
1. Diethyl Carbamazine citrate (DEC)
2.Ivermectin
3.Albendazole
4.Coumarins compound

AIDS
• Acquired Immunodeficiency Syndrome”
• HIV (Human immunodeficiency virus) is the virus that
causes AIDS
• Disease limits the body’s ability to fight infection due to
markedly reduced helper T cells.
• Patients have a very weak immune system (defense
mechanism)
Symptoms: Fever, Headache, neuropathy, Sores, Rashes,
Nausea, Vomitting.
Mode of Transmission: Sharing Needles, Unsterilized
blades, Unprotected Intercourse, Mother to Baby.

Prevention
Some ways to protect urself-
 Monogamous Relationship.
 Protected Sex.
 Sterile needles.
 New shaving/cutting blades.
Anti-retroviral drugs are used-
 AZT (Zidovudine).
 Viramune (Nevirapine).
 Norvir (Ritonavir).

Poliomyelitis
Poliomyelitis is a highly infectious disease caused by
three serotypes of poliovirus.
Symptoms: febrile illness, aseptic meningitis,
paralytic disease, and death.
Modes of Transmission:
• Oral-oral infection:
- direct droplet infection
• Faeco-oral infection:
– Food-borne (ingestion)
– Hand to mouth infection.

Prevention
General prevention:
• Health promotion through environmental sanitation.
• Health education (modes of spread, protective
value of vaccination).
Active immunization:
– Salk vaccine (intramuscular polio trivalent killed
vaccine).
– Sabin vaccine (oral polio trivalent live attenuated
vaccine).

Malaria
It is caused by four Plasmodium species-
Symptoms: Chills, Fever, Internal fever, Body
ache.
Mode of transmission: It is transmitted by
female anopheles mosquito, sporozoites
injected with saliva & enter circulation then
infected person.
•P. falciparum
•P. vivax
•P. malariae
•P. ovale

Life cycle of malaria parasite
 sporozoites injected
during mosquito
feeding.
 invade liver cells.
 exoerythrocytic
schizogony.
 merozoites invade
RBCs.
 gametocytes infective
for mosquito.
 fusion of gametes in
gut.
 sporozoites invade
salivary glands.

Prevention
• Use a spray containing permethrin on clothing.
• Apply insect repellents regularly in cream, spray
or gel form that contain diethyltoluamide (DEET).
• Use coils and mats impregnated with insecticide in
closed rooms to repel the mosquitoes.
• Malaria prophylaxis are taken.
• Anti-malarial drugs are used such as chloroquine.

Measeles
• It is caused by agent- RNA virus (Paramyxo
virus family, genus Morbillivirus )
• Symptoms: Diarrhea, Pneumonia, Convulsions,
SSPE (sub acute sclerosing panencephalitis).
• Modes of transmission: Transmitted by
Droplet infection 4 days before and 4 days
after rash.

Prevention
• Live attenuated measles virus (Edmonston-zagreb strain)
Propagated on human diploid cell. (0.5 ml of vaccine)
• Measles vaccine has to be given at 9 months.
• If Measles vaccine is given a 3 months gap is advisable to
give MMR vaccine.
• The vaccine should be reconstituted with the diluent
supplied (Sterile water for injection) using a sterile Auto
disabled syringe with needle.
• After reconstitution the vaccine should be used
immediately.
• If the vaccine is not used immediately then it should be
stored in the dark at 2° - 8°C for no longer than 8 hours.

Tuberculosis
• “Tuberculosis is defined as an infectious disease
caused by a bacterium Mycobacterium T.B. ; that
most commonly affects the lungs.”
• Symptoms: Slight fever, night sweats, weight
loss fatigue.
• Modes of transmission: tuberculosis is an
airborne disease able to be passed from one
person to another.

Prevention
• Your doctor may prescribe a medicine called
isoniazid to prevent the tuberculosis infection
from developing into the active disease and making
you feel sick.
• If you contract TB of the abdominal or of the
extra- pulmonary you may have the choice of a
mainstay therapy that takes a course of 9-12
months in order to complete.
• Surgery is generally reserved for patients with
obstruction of vital organs.

Tetanus
• A Neurological disease characterised by
increased muscle tone & spasms Caused by
CLOSTRIDIUM TETANI.
• It is found worldwide in soil, in inanimate
environment, in animal faeces & occasionally
human faeces.

Cont.
• Symptoms: muscle rigidity, dysphagia,
rigidity, spasm, trismus, hyperpyrexia.
• Mode of transmission: Infection is acquired
by contamination of wounds with tetanus
spores.

Prevention
• Goal is to eliminate the source of toxin, neutralize the
unbound toxin & prevent muscle spasm & providing support -
support
• Admit in a quiet room in ICU
• Continuous careful observation & cardiopulmonary
monitoring.
• Minimize stimulation.
• Protect airway.
• 2 preparations : combined vaccine : DPT.
monovalent vaccine : plain / formol
toxoid tetanus vaccine.

Rabies
• Rabies is a viral disease that causes acute
encephalitis in warm blooded animals, it can
be transmitted to humans from other
species.
• The rabies virus infects the CNS, cause
disease in brain & death.
• Symptoms:
Partial paralysis, anxiety, insomnia, confusion,
agitation, abnormal behavior, terror,
and hallucinations, progressing to delirium.

Contd.
• Modes of transmission:
Rabies may also spread through exposure to
infected domestic animals, groundhogs,
bears, raccoons and other wild carnivorans.
Small rodents such as squirrels
hamsters, guinea pigs, gerbils, chipmunks
rats and mice.

Prevention
• Vaccinating dogs, cats, rabbits, and ferrets
against rabies.
• Keeping pets under supervision.
• Not handling wild animals or strays.
• Contacting an animal control officer upon
observing a wild animal or a stray, especially if
the animal is acting strangely.
• If bitten by an animal, washing the wound with
soap and water for 10 to 15 minutes and
contacting a healthcare provider to determine if
post-exposure prophylaxis is required.

Sexually transmitted disease
• STDs are diseases and infections which are capable
of being spread from person to person through:
– sexual intercourse
– oral-genital contact or in non-sexual ways.
– IV drug
• Some STD’s are:
Chlamydia.
Gonorrhea.
Syphilis.
Candidiasis – Yeast Fungus.

Contd.
• Symptoms:
1. Sores.
2.Blood in urine.
3.Burning sensation when urinating.
4.Rashes.
5.Itching.
6.Warts.
7.Unusual discharge.
• Modes of transmission:
sexual intercourse
oral-genital contact or in non-sexual ways.
IV drug

Prevention
• Abstinence.
• Know your partner
• Limit your partners.
• Visit your doctor.
• Always look.
• Keep clean.

Thank youThank you
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Communicable diseases

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