Flashcards in Global Health Deck (54)
Name 4 potentially life threatening acute tropical infections
P. Falciparum malaria
Where is travellers diarrhoea most common? %?
India (1 week risk 54%)
What is the ABCD of malaria advice?
Aware of risk (fever up to 6 months after return)
Bite avoidance (DEET insect repellant, nets, long sleeves dawn till dusk)
Chemoprophylaxis compliance (duration, SE, cost)
Name the 3 most commonly used malaria prophylaxis treatments
Malarone (proguanil +atovaquone)
How many vaccinations are covered by the green book?
What vaccinations are often legally required?
Yellow fever, meningococcus ACWY, Polio
List 5 common travel vaccines
What vaccines are legally required for the Hajj pilgrimage?
Polio & yellow fever if from a country at risk
What is Ebola?
A viral haemorrhagic fever
Name the 6 most affected countries by Ebola
Guinea, Sierra Leone, Liberia, Senegal, Nigeria, Mali
Signs and symptoms of Ebola
Weakness (more fatal)
Dizziness (more fatal)
Diarrhoea (more fatal)
Treatment of Ebola
What was the likely viral reservoir for Ebola?
Peak incidence of infection (age) for Ebola?
Incubation period? Death? (Ebola, %)
Fatality? (%, Ebola)
How was it transmitted? (Ebola)
Through contact with bodily fluids
What made the outbreak worse? (Ebola)
Delayed recognition and response
Fear & distrust of authorities
Limited sanitation and overcrowding
Long incubation, no vaccine and no treatment
Poor infrastructure and healthcare resources
What are emerging infections driven by?
Increased global travel
Environmental and climate change (deforestation, flooding, drought, urbanisation)
Political instability and breakdown of public health measures
Widespread antibiotic use
Decline in immunisation
What is MERS?
Middle eastern respiratory sydrome
Camels likely host
Mainly in Saudi Arabia
Name the last 3 influenza pandemics
2006 novel H1N1 swine flu
H5N1 avian flu, Hong Kong
H7N9 avian flu, Far East
What species of mosquito spreads malaria?
How many types of malaria are there?
What type of malaria is the most deadly? Deaths a year?
P. Falciparum, 0.5mill deaths a year
Where are most deaths from P. Falciparum located?
Sub Saharan Africa:
Kenya, Angola, Zambia, Tanzania, Sierra Leone
What stage of plasmodium parasite is inoculated into the blood stream by the mosquito?
What stage of the plasmodium is found in liver cells?
How long is the liver multiplication stage?
What stage of the plasmodium enters the bloodstream from the liver?