5 - Important Zoonotic Diseases Flashcards

1
Q

WHO’s definition of a zoonosis

A

an infectious disease that has jumped from a non-human animal to humans. The pathogen may be bacterial, viral or parasitic, or may involve unconventional agents and can spread to humans through direct contact or through food, water or the environment.

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2
Q

How many organisms are known to be pathogenic to humans? How many are zoonotic? Emerging?

A

1415 known

868 (61%) zoonotic

175 emerging

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3
Q

Stages of a zoonosis

A

Stage 1: agent only in animals
Stage 2: primary infection
Stage 3: limited outbreak
Stage 4: long outbreak
Stage 5: exclusive human agent

Slide 4** examples

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4
Q

Examples of important human diseases that no longer require animal reservoirs

A
  • measles (Cattle)
  • dengue (Monkeys)
  • malaria (Gorillas)
  • HIV (Chimps)
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5
Q

HIV-1 origin story

A

Comes from cross species transmission of related Simian Immunodeficiency viruses (SIVs) which are nonpathogenic in their natural hosts (chimps)
Transmission likely through bushmeat hunting

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6
Q

Lineages of HIV and which is most important

A

Groups M, N, O, P

HIV-M from SIVcpz in SE Cameroon: worldwide spread

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7
Q

HIV-M origin story

A

Emerged in Kinshasa
Infected blood/tissue of the residents dated back to 1959
Connects to SE Cameroon by river; likely went downriver

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8
Q

Yellow fever origin, reservoir and how it got to the new world

A

Africa, Monkeys
Slave trade caused dissemination of its primary vector, Aedes aegypti, into the new world

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9
Q

Describe yellow fever in the USA

A

150 000 people died
New York (1668), Boston (1691), Philly (1793)

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10
Q

How did Yellow fever impact the first world war?

A

Critical role in haitian independence, 2/3 mortality among 40,000 Napolean’s army

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11
Q

What is interesting about yellow fever in Brazil?

A

Not a typical urban outbreak (not Ae aegypti vectored): was in non-human primates and spilt over into humans living at edge of forest

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12
Q

Types of influenza, their differences

A

A: most severe human infection, is the type that is zoonotic

B and C: restricted to humans

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13
Q

How does influenza undergo genetic change?

A

Mutation and gene reassortment affecting the ability to attach to mucosa of specific species

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14
Q

The rapid genetic change in influenza results in…

A
  • antigenic drift (minor genetic change)
  • and antigenic shift (emergence of a very different virus)
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15
Q

How do birds affect influenza

A

Shorebirds are a key reservoir for influenza viruses
Migration flyways pass through densely populated human areas
They stopover and defecate, infect ducts/other waterfowl, which affect mammals which affect humans

Slide 15

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16
Q

Different cases of pandemic influenza

A
  • H1N1 Spanish influenza in 1918 (direct from avian host)
  • H1N1 Swine influenza in 2009 (viral reassortment in pigs)
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17
Q

MERS CoV stands for… Its host? Mortality? Outbreak?

A

Middle Eastern Respiratory Syndrome Coronavirus
Dromedary camels primary animal host

Outbreak in Saudi Arabia in 2012
35% mortality

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18
Q

Transmission of SARS-CoV-2

A

Can be infectious before symptoms are present
By air: large droplets 1-2meters
Fomites: contaminated inanimate objects?

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19
Q

Two steps in new SARS-CoV-2 variants

A

1: Mutation (highly mutable RNA virus)
2: Natural selection, mainly in favour of spike proteins that are more transmissible (more infectious virus outcompetes earlier strain)

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20
Q

Why is there potential for emergence of new coronaviruses from animals?

A
  • 9% of bats from Asia, Africa, Latin America carry at least one coronavirus
  • genetic recombination
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21
Q

Effects of West Nile Virus on humans

A

80% asymptomatic
20% West Nile Fever
<1% neuroinvasive disease

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22
Q

Vector and host of WNV. Describe them

A

Mosquito vector
Birds are amplifying hosts (jays, crows; minimal clinical infectious, high viremia)
Many vertebrates (including humans) are dead end hosts (low viremia; do not infect mosquitoes)

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23
Q

Where did WNV emerge? In the western hemisphere?

A

Uganda 1937

WH 1999 (NYC) through migratory birds and mosquitoes

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24
Q

Describe WNV in New York

A

Human encephalitis outbreak
High number of dead crows
Exotic birds at Bronx zoo developed encephalitis, vets identified WNV

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25
Q

Future spread of WNV in Canada

A

With increases temperatures, it is now found in Canada and likely to increase
Has been found in Quebec, Ontario most prominently

26
Q

Describe Q fever (agent? reservoir? transmission?)

A

Coxiella burnetii (coccobacillus)

Zoonosis with main reservoirs: cattle, sheep, goats

Aerosol transmission (sheep placenta); travels distances, remains suspended in the air

27
Q

Where is Q fever found

A

Worldwide (except Antarctica, Arctic, NZ)

28
Q

Describe the Q fever outbreak in the Netherlands

A

2007-2012
Largest outbreak
4,000 confirmed, 40,000 estimated human cases
Abortion storms started in 2005
75X increase in goat populations leading up to outbreak
Living within 2km of dairy goat farm = infected

29
Q

How does wind affect Q fever

A

Wind patterns/speed/direction affect who is infected
Areas around Marseille have high prevalence bc winds blow over rural areas/farmland

30
Q

Slide 40-42

A

Just read

31
Q

Most human cases are caused by what kind of Brucellosis? What kind of agent? The reservoir is…

A

B melitensis
Bacteria
Reservoir is goat, SHEEP, cattle, camel, buffalo

32
Q

Where is Brucellosis emerging

A

China
Increased livestock over time period to meet meat demand
Spatial relationship between livestock and cases

33
Q

How is Brucella an animal husbandry issue?

A

Abortion
Risk of animal products given to humans (humans infected through consumption of unpasteurized dairy products)

34
Q

How does Brucella affect human health

A

High morbidity: fever, weakness, sweats, weight loss, infection of liver/spleen, bone, joint
Can last days to months
Diagnosis difficult
Antibiotic treatment effective

35
Q

Transmission of Brucellosis

A
  • unpasteurized dairy products
  • undercooked meats
  • infected animal secretions entering wounds, eyes, aerosolization
  • lab work
36
Q

Human-human transmission of brucellosis

A

Extremely rare but: vertical, breastfeeding, sexual, blood transfusion

37
Q

How to prevent brucellosis

A

Address the reservoir (cull infected)
Abattoir/slaughterhouse safety education (ventilation)
Immunization (animal vaccine prohibited in Canada)
Downstream measures: pasteurize milk products

38
Q

Parasites of interest

A
  • Trichinosis
  • Leptospirosis
  • Fasciola
  • Babesiosis
  • Toxoplasmosis
39
Q

Parasite, reservoir, human symptoms and treatment for trichinosis

A

Helminth that invades muscle and other tissue following ingestion of infected, uncooked meat

Reservoirs: pigs, bears, other mammals

Symptoms: severe muscle pain and fever, fatality

Treatment: supportive (adult and immature worms do not survive very long)

40
Q

Prevention of trichinosis

A

Avoid feeding of potentially infected meat to pigs
Inspection of meat
Adequate cooking or freezing of meat, especially pork or bear

41
Q

Causative agent, illness, reservoir of Leptospirosis

A

Leptospira (spirochete)
Febrile illness
Reservoir: rodents, dogs, cattle

42
Q

Transmission of Leptospirosis

A

cutaneous exposure (cuts/breaks in skin) to contaminated fresh water, damp soil

43
Q

Why is Leptospirosis an issue

A
  • non-specific clinical illness
  • diagnosis difficult
  • ubiquitous in warm parts of the world
44
Q

Describe Fasciola in animals

A

Significant disease in sheep, cattle
Causes physical wasting, sheep liver rot

45
Q

Describe fasciola in humans

A

Fever, abdominal pain
Difficult diagnosis (from stool)

46
Q

Prevention of Fasciola

A

Control in domestic animals: snail, de-worming of grazing animals, animal vaccine in development

Avoidance of uncooked water plants in endemic areas

47
Q

Why is Fasciola resurging

A

Due to overwintering of infected snails with climate change

48
Q

Distinctive issues of fasciola

A
  • health problem for herd animals
  • human health concern
  • foodborne via plant consumption
49
Q

Babesiosis is caused by… Transmitted through? Reservoirs?

A

Babesia microti (protozoan red blood cell parasite)

Transmitted by Ixodid tick (like Lyme disease)

Deer, bovine, rodent reservoirs

50
Q

Babesia is the #1 what-related disease in the US?

A

Transfusion

51
Q

Prevention of babesia

A

Tick avoidance and repellant

52
Q

Agent of Toxoplasmosis. Clinical effect in humans

A

Toxoplasma gondii (protozoan parasite)

Mostly asymptomatic (latency*). Can reactivate in immune suppressed
Congenital syndrome if acute infection in pregnancy
Rarely, eye disease

53
Q

Toxoplasma hosts and transmission

A

Felids are definitive hosts, food animals are intermediate hosts

Transmission through consumption of uncooked meats, contact with cat feces, mother to child

54
Q

Toxoplasma prevention

A

Cook meat
Careful handling cat feces
Screening/treatment of pregnancy women

55
Q

Toxoplasmosis issues

A
  • latency
  • congenital infections
  • pet related
  • food borne
56
Q

What agent causes Chagas disease? It is an…

A

Trypanosoma cruzi

Immigrant disease (traditionally seen in rural poor)

57
Q

Clinical effects of chagas disease

A

Most asymptomatic
Symptomatic = fatal gastrointestinal or cardiac disease after many years of infection

58
Q

Vector of chagas disease, describe it

A

Reduvid bug (kissing bug)

Bite domestic, peridomestic and wild animals
Live in mud walled, thatch roofed huts
Bite at night, transmission if from infected bug FECES

59
Q

Characteristics of the reduvid bug that favour control

A
  • highly susceptible to insecticides
  • low reproductive rate
  • low genetic variability
60
Q

Other routes of transmission of chagas disease

A

Transfusion
Perinatal transmission (mother to child)
Oral transmission (crushed bug ingested)

61
Q

Issues with chagas disease

A
  • multiple routes of transmission
  • long latent period
  • wild/domestic animal reservoirs
  • poor treatment