exam 4 Flashcards

(57 cards)

1
Q

What does the word malaria mean, and what does it refer to?

A

Malaria means “bad air,” referring to the ancient belief that the disease was caused by miasmas from swamps.

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2
Q

What symptom pattern is characteristic of malaria?

A

Periodic fevers—tertian (every 48 hours) and quartan (every 72 hours), depending on the Plasmodium species.

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3
Q

What ancient bodily fluid was malaria historically associated with?

A

Black bile, believed to be stored in the spleen, which was often enlarged in malaria patients.

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4
Q

Who introduced cinchona bark (quinine) to Europe and promoted its use?

A

Spanish Jesuits, notably Cardinal Johannes de Lugo, who gave it freely in Rome.

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5
Q

Why did Oliver Cromwell reportedly refuse treatment for malaria?

A

He refused quinine because it was known as “Jesuit bark,” due to anti-Catholic sentiment

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6
Q

What was surprising about the effectiveness of cinchona bark in Europe?

A

It treated malaria effectively, even though malaria wasn’t present where the bark was originally used (Andes).

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6
Q

What was surprising about the effectiveness of cinchona bark in Europe?

A

It treated malaria effectively, even though malaria wasn’t present where the bark was originally used (Andes).

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7
Q

Who first identified the malaria pathogen as a protozoan?

A

Charles Laveran, in 1880, while working in Algeria.

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8
Q

Why was Laveran’s discovery controversial?

A

Most scientists believed infectious diseases were caused by bacteria, not protozoa.

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9
Q

Who proved that mosquitoes transmit malaria?

A

Ronald Ross, in 1897, by finding Plasmodium in mosquito stomachs.

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10
Q

Which Italian scientist clarified that only female Anopheles mosquitoes transmit malaria?

A

Giovanni Battista Grassi.

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11
Q

What award did Laveran and Ross both receive?

A

The Nobel Prize—Laveran in 1907, Ross in 1902.

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12
Q

What was DDT, and why was it controversial?

A

A powerful insecticide used to kill mosquitoes; it caused environmental damage and resistance.

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12
Q

Who discovered artemisinin, a major modern anti-malarial drug?

A

Tu Youyou, a Chinese pharmacologist, in the early 1970s.

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13
Q

Why is artemisinin significant in malaria treatment?

A

It’s highly effective, even against drug-resistant strains; however, resistance to it is now emerging.

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14
Q

What modern strategies are being explored to combat malaria?

A

Genetic engineering of mosquitoes, vaccines, insect nets, and preventive medication.

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15
Q

What challenges does malaria vaccine development face?

A

Complex life cycle of the parasite, few commercial incentives, and technical difficulty.

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16
Q

Which species of Plasmodium is the most dangerous to humans?

A

Plasmodium falciparum.

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17
Q

When did malaria arrive in the Americas, and how?

A

Around 1600, via the transatlantic slave trade.

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18
Q

Name a historical explorer who contracted malaria.

A

David Livingstone, during his African expeditions.

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19
Q

What’s a modern precaution for travelers to malaria-prone regions?

A

Prophylactic medication, insect repellents, and mosquito nets.

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20
Q

What are the major symptoms of yellow fever?

A

Fatigue, nausea, fever, bleeding, and black vomit—often fatal.

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20
Q

What treatment did Benjamin Rush advocate for yellow fever?

A

Aggressive bloodletting and daily purging.

21
Q

What gives yellow fever its name?

A

It causes liver damage, leading to jaundice (yellowing of the skin).

21
What cargo was blamed for the 1819 Cádiz yellow fever outbreak?
Sugar from Brazil.
22
What 1793 epidemic devastated Philadelphia?
A yellow fever outbreak that killed 5,000 people.
23
Who stayed to treat patients during the 1793 Philadelphia epidemic?
Dr. Benjamin Rush.
24
What group played a crucial role during the Philadelphia epidemic?
African American volunteers who buried the dead.
25
What was the “Dead House” in 1793 Philadelphia?
A storage area for corpses awaiting burial.
25
: What was Philadelphia’s response to the epidemic in 1799?
Creation of the Lazzaretto quarantine station.
26
How was yellow fever thought to spread before mosquito theory?
Via miasma or "bad air"—Hippocratic theory.
27
Why did Finlay’s experiments fail to prove transmission?
He didn’t allow enough time for mosquito incubation (~10 days).
27
Why did yellow fever hit Europeans harder than locals?
Locals had partial immunity; Europeans were immunologically naïve.
28
Who proposed mosquitoes transmit yellow fever?
Cuban doctor Carlos Finlay (1881).
29
What vector did Finlay suspect in yellow fever transmission?
Female Aedes aegypti mosquitoes.
30
What bacteriologist wrongly claimed yellow fever was bacterial?
Giuseppe Sanarelli, who used unethical human experiments.
31
Who confirmed mosquitoes transmit yellow fever?
Walter Reed and his team.
32
What did Jesse Lazear do that led to his death?
He was bitten by an infected mosquito during experiments.
33
How did Reed test fomite transmission?
Volunteers slept in soiled bedding/clothes—none got sick.
33
What did Reed prove using filtered serum from infected patients?
Yellow fever is caused by a virus, not bacteria.
34
How was mosquito transmission tested?
Infected mosquitoes bit volunteers—most got sick.
34
What public health measures followed Reed’s findings?
Mosquito control: nets, traps, kerosene on water.
35
What major construction project succeeded due to mosquito control?
Completion of the Panama Canal (1904–1913).
36
Who found yellow fever could infect monkeys?
Adrian Stokes, confirming non-bacterial nature.
37
Who discovered yellow fever could infect mice?
Max Theiler, allowing easier lab research.
38
What major breakthrough did Max Theiler achieve?
Created a successful yellow fever vaccine (1937), won Nobel Prize.
39
What tool finally let scientists see viruses directly?
The electron microscope (1930s).
40
What is the hypothesized reason the 1918 flu was so deadly to young people?
A "cytokine storm"—an overreaction of the body's immune system—may have caused severe symptoms in young, healthy people.
41
How did the 1918 flu pandemic affect young adults, and why was this unusual?
The flu had an unusually high mortality rate among healthy young adults (20–40), which was atypical compared to other influenza outbreaks that usually hit the very young and old hardest.
42
What key challenges did public health officials face during the 1918 flu pandemic?
Lack of infrastructure, scientific understanding of viruses, and effective treatments, along with wartime censorship and communication breakdowns.
43
Why is the 1918 flu referred to as the "Spanish flu"?
Spain's free press reported on the outbreak more openly than in other countries during WWI, making it seem like Spain was the epicenter.
44
How did the fear of tuberculosis influence clothing and social behavior?
Emphasis on cleanliness and ventilation influenced fashion (e.g., less layering), furniture design (easy-to-clean surfaces), and even attitudes about morality and purity.
44
What were some design and architectural responses to tuberculosis in the early 20th century?
Sanatoriums emphasized fresh air, sunlight, white surfaces, and sterile environments—an influence that spread into modernist design (e.g., white walls, large windows).
45
What role did DDT play in post-WWII public health?
It was used to kill mosquitoes carrying malaria and lice carrying typhus, dramatically reducing disease in war-torn areas—though later controversial for environmental reasons.
46
Why was the treatment and prevention of yellow fever so difficult before the 20th century?
The role of mosquitoes as vectors wasn’t understood until the work of Carlos Finlay and later confirmed by Walter Reed’s experiments.
46
How did the discovery of the mosquito vector for yellow fever change public health approaches?
It led to vector control strategies (like eliminating standing water), which significantly reduced yellow fever cases in places like Havana and the Panama Canal Zone.
47
How did modernist architecture reflect anxieties about disease?
It emphasized hygiene, openness, and light—often featuring smooth, white surfaces, large windows, and minimalism to combat the spread of illness.