Infectious Disease Flashcards

1
Q

Describe human evolution in relation to pathogens

A

Humans generations are 25 years apart whereas pathogens are a couple of days
pathogens replicate faster than us and so evolve more to overcome vaccines and medication

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2
Q

name 3 origins of human infections

A

inherited from ancestors
from wildlife
from livestock

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3
Q

what changes have recently caused an increase in transmission?

A

larger population = increase density of people

travel by plane = perfect incubation period for pathogen and long distant transmission

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4
Q

define prevalence

A

frequency of a disease in a population at a given point in time.
used to measure the burden of disease
NUMBER OF CASES/ NUMBER OF PEOPLE

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5
Q

define incidence

A

the number of new cases in a given population in a set amount of time

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6
Q

how do we measure incidence?

A

define a set time
define a set population
need an accurate test to measure new cases

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7
Q

define mortality

A

the number of deaths from a specific disease
(normally per 1000 people per year)
DEATHS IN A GIVEN TIME/ POPULATION AT START

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8
Q

define morbidity

A

the number of people who suffer from ill health
Measured using GCS
Can help determine treatment that should be given

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9
Q

name the 6 main infectious diseases

A
lower respiratory diseases 3.9
HIV/AIDS 2.8
diarrhoea diseases 1.8 
tuberculosis 1.6
malaria 1.2
measles 0.6
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10
Q

HIV

A

epidemic in 1982
integrase inhibitor is used to treat.
using 3 treatments at once

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11
Q

malaria

A

plasmodium virus has many different antigens so it is difficult to target the virus

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12
Q

ebola

A
slow transmission 
symptoms before become infectious 
spread by body fluids 
3685 cases and 1841 deaths 
Incubation period =2-21 days
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13
Q

zika virus

A

emerge in south America
children with microcephaly
came from rhesus monkeys

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14
Q

what is the basic reproductive number?

A

number of secondary cases from the a single primary case
less than one = EXTINCTION
Affected by: incubation period, how quickly infectiousness decays

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15
Q

preventing influenza

A

reduce mortality and morbidity

buy time for vaccine to be developed

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16
Q

When is an epidemic stable?

A

When mortality = incidence

17
Q

SAR event

A

2003

Started in bats

18
Q

West Nile virus

A

1999
Started in birds
High infectious rate
Caused 19000 illnesses and 750 deaths

19
Q

Where is the highest mortality rate?

A

Swaziland 30.83 /1000 deaths per year

20
Q

What percentage of mortality is due to malnutrition in third world countries

A

58

21
Q

Where are infectious diseases the leading cause of death?

A

Sub Saharan Africa

22
Q

How many people die each year?

A

57 million

Of these 15% are children under 5

23
Q

How many people are eligible for ART

A

29.5 million

24
Q

What fraction of infectious diseases are said to be zoonotic?

A

60-70%

25
Q

MERS

A

688 cases and 282 deaths