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Typhoid Mary case study Public Health Image Library #16877 Disease occurrence Suggested image: http://spot.pcc.edu/~jvolpe/b/bi234/lec/7_ disease/images/fig14.15_DiseaseTerms.jpg Endemic Always there Sporadic Occasional few cases Epidemic > Than usual in short period Pandemic Epidemic on >1 continent Reservoirs Include images of animals such as: Pigs http://www.ncagr.gov/research/cefs.htm Chickens http://www.123rf.com/photo_4908043_groupof-chickens-on-a-field-of-grass.html Bats http://www.wallpaperup.com/511593/BATS_mammal_b at_Chiroptera_flock_swarm.html Zoonoses Transmission -Eating -Wastes -Insects Reservoirs Humans Insert photo of large group of people. http://ww2.kqed.org/bayareabites/ wpcontent/uploads/sites/24/2012/08/ crowd-reggiewatts-people1000.jpg Nonliving Insert images of nonliving reservoir examples: Soil https://bonnieplants.com/library/w hy-does-ph-matter/ Fruits & Vegetables http://vitalitynutrition.com/2015/0 8/10-surprising-ways-you-aremaking-your-vegetables-lessnutritious/#prettyPhoto Water http://uwanutrition.com/water-canheal-or-kill/ Transmission--vehicle Aerosol Insert image of aerosol transmission: http://bepast.org/docs/pho tos/MDR%20tuberculosis/A erosolTransmission.jpg Insert image of glass of water: http://www.wa2.ca/?attach ment_id=13089 Waterborne Foodborne Insert image of plate of food. Several options here: http://cool-foodimage.com/plate-of-foodpicture.html Insert image of couple in bed: https://us.fotolia.com/Cont ent/Comp/8654634 Bodily fluids Transmission--vector Insert image of ticks: http://www.lawestvect or.org/tickbiology.htm Biological Insert image of mosquito: https://en.wikipedia.org/wi ki/Mosquito#/media/File:M osquito_2007-2.jpg Mechanical Insert image of food with flies on it. Example: http://pacechro nicle.com/healt handbeauty/20 13/11/23/fliesin-the-food-nothank-you/ Transmission—direct contact Insert image of biting child. http://www.nurturingachild.co m/why-do-children-bite-hitor-pinch-part-12/#prettyPhoto Biting Insert image of placenta. http://www.pitterpatter.com. my/wpcontent/uploads/2012/07/PRE GNANCY34.jpg via placenta Kissing, intercourse Insert image of couple kissing. http://thegrio.com /2012/08/02/kissin g-is-good-for-yourhealth-2/ Transmission—indirect contact via fomites Insert images of: Syringes http://drugfree.scdn1.secure.r axcdn.com/wpcontent/uploads/2015/03/Syri nges.jpg Person chewing on pen http://www.gettyimages.com/ detail/photo/getting-caughtup-in-his-work-businessroyalty-free-image/182056682 Money http://www.123rf.com/photo_ 2684146_americanmoney.html Transmission—droplet (contact) within 1 meter Insert image of droplet transmission via sneeze: http://www.whatifcolora do.com/scorm/coursefile s/BDIC/page3293.html Portals of Entry Categories: skin, mucous membranes, placenta Insert image of portals of entry: http://academic.pgcc.edu/~kroberts/Lecture/Chapter%2014/portals.html Parenteral: direct introduction (e.g. needle) Portals of exit Have to exit in order to spread infection! Insert image of portals of exit http://spot.pcc.edu/~jvolpe/b/bi234/lec/7_disease/images/fig14.11_PortalsOfExit.jpg Virulence factors—adhesins Insert image of bacterial adhesins: http://spot.pcc.edu/~jvolpe/b/bi234/lec/7_disease/images/fig14.5_PathogenAdhesion.jpg Virulence factors—extracellular enzymes Hyaluronidase and collagenase Coagulase and kinase Insert image of hyaluronidase, collagenase, coagulase, and kinase. https://www.google.com/search?noj=1&tbm=isch&sa=1&q=collagenase+and+hyaluronidase&o q=collagenase+and+h&gs_l=img.3.0.0i24.4798.6755.0.8183.17.14.0.1.1.0.105.776.8j2.10.0....0... 1c.1.64.img..6.11.778.wMdFBCMRTeY#imgrc=fwmtOsWxrFW61M%3A Virulence factors—toxins Exotoxin Endotoxin Insert image of bacterial endo- and exotoxins http://spot.pcc.edu/~jvolpe/b/bi234/lec/7_disease/images/fig14.9b_VirulenceFactors.jpg Virulence factors—antiphagocytic factors Phagocytosis blocked by capsule Incomplete phagocytosis Insert image of phagocytosis being blocked by capsule. http://image.slidesharecdn.com/ch14lecturepresentation-150831183309-lva1app6892/95/microbiology-ch-14-lecturepresentation-58-638.jpg?cb=1441046233 Stages of infectious disease Insert image of infectious disease stages. http://spot.pcc.edu/~jvolpe/b/bi234/lec/7_disease/images/fig14.10_DiseaseStages.jpg