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Bacteria and Viruses Prokaryotes • Prokaryotes (from Old Greek pro- before + karyon- nucleus) are organisms without a cell nucleus or any other membrane-bound organelles. • Most are unicellular, but some prokaryotes are multicellular. • Prokaryotes have had a greater impact on the environment and on biological evolution than all other forms of life combined. Prokaryotic cells contain pili, a cell wall, capsule, and ribosomes, but no membrane-bound nucleus. • Prokaryotes are classified into two domains, Bacteria and Archaea. • Viruses are sometimes discussed in this category since they are neither prokaryotic nor eukaryotic, but more closely resemble prokaryotes. 2 ARCHAEA • Archaea are microscopic organisms which thrive in places too acidic, too salty, too cold, or too hot for most other organisms. Archaea are one of the most abundant cell types below 1,000 meters in the oceans. 3 ARCHAEA • 1. Methanogens: Use carbon dioxide for energy and make methane gas (flatulence) as a waste product. They cannot survive in an oxygen environment. They can live in animal bodies such as humans, cattle, and termites. Human intestinal gas is largely produced by Archaea in our intestines. Some live in swamps where the other microorganisms have used up all the oxygen, and they create “marsh gas”. They are used as decomposers in sewage treatment facilities. • 2. Extreme Halophiles: like excess salt; some live in the Great Salt Lake and the Dead Sea. • 3. Extreme thermophiles: like extreme temperatures (hot and cold). Examples are those living in sulfur-rich volcanic springs at 300°F, and the hot springs of Yellowstone National Park. Others live in the freezing temperatures of the deep sea or the Antarctic regions. 4 BACTERIA • Bacteria thrive almost everywhere; although they are microscopic, what they lack in size they more than make up in numbers. • Their collective biological mass (biomass) is at least 10 times that of all eukaryotes. The number of bacteria in a single handful of fertile soil is greater than the number of people who have ever lived. • They have even been discovered in rocks 2 miles below Earth's surface. 5 BACTERIA • They perform some of the essential ecological services such as the recycling of chemicals. • Only a minority of bacteria cause serious illness in humans. • We depend on them for our very survival, and biotechnology is beginning to harness the metabolic powers of these organisms for our benefit. • Improved sanitation, antibiotics, and education have greatly reduced the incidence of bacterial diseases. 6 BACTERIA • Most bacteria are unicellular, although some species grow in colonies. Their cells come in three basic shapes: spheres (cocci), rods (bacilli), and spirals. 7 BACTERIA • Bacteria are first classified by whether or not they absorb Gram stain, a purple colored dye. • Those that stain purple are called Gram positive bacteria, and those that do not absorb the dye are called Gram negative bacteria. 8 Gram Positive Gram Negative 9 Video • Bacteria Shape (3 mins) • Bacteria (2 mins) 10 BACTERIA • Gram-positive bacteria are normal inhabitants on our skin. • As long as there is no break in the skin, they do not cause disease. • However, if the skin is broken, they get into the wound and cause the typical redness, heat, and swelling of an infection. 11 BACTERIA • Gram-negative bacteria are normal inhabitants inside our large intestines. • We even need them to help digest and absorb our food. • Large numbers of Gram-negative bacteria are excreted in the feces. • If Gram-negative bacteria get on our hands and then onto our food and into our mouths, they get into the upper portion of our digestive tract, where they cause serious disease. 12 BACTERIA • The reason Gram-positives and Gram negatives react differently to the stain is because of differences in their cell walls and plasma membranes. • Bacteria also have certain cellular features that differ from eukaryotes. 13 PLASMA MEMBRANE • All cells (prokaryote and eukaryote) have a plasma membrane; it is a baggie-like structure that holds the organelles inside of the cell. • Any substance that can rupture the plasma membrane will kill the whole organism; therefore this structure is carefully studied. Alcohol, soaps, and other detergents easily rupture the plasma membrane of bacteria. • Gram negative organisms have an inner and an outer plasma membrane, whereas Gram positive organisms only have one plasma membrane. The inner from the outer plasma membrane in a Gram negative bacterium is separated by a cell wall. 14 GRAM NEGATIVE GRAM POSITIVE Plasma membrane Cell Wall Outer plasma membrane 15 Bacterial Cell Walls 16 16 Figure 3.13a Bacterial Cell Walls 17 17 Figure 3.13b BACTERIA • In Gram negative organisms only, the outer plasma membrane contains a special structure called a lipopolysachharide (LPS), which means it is made of lipids (fats) and many sugars (polysaccharides). • The LPS of the plasma membrane in bacteria is recognized as a foreign element by our immune system (white blood cells: WBC’s). 18 BACTERIA • This makes it an antigen (something our immune system sees as foreign and needs to be destroyed). • The LPS unit is called an “O antigen”. One little piece of the LPS contains a substance called Toxin A. • If this toxin builds up in a human or animal, it can cause septic shock (blood poisoning) and death. • That is why an infection from a Gram negative organism is so dangerous. Christopher Reeves (Superman) died from this. 19 GRAM NEGATIVE O Antigen Inner plasma membrane LPS Cell Wall Toxin A (endotoxin) LPS Outer plasma membrane 20 CELL WALL • Prokaryotic cell walls maintain cell shape, provide physical protection, and prevent the cell from bursting in a hypotonic environment. • The cell wall is more complex in prokaryotes (bacteria) than in eukaryotes (plants). It keeps the organism from exploding from osmotic shock (too much water entering into the cell). • Unlike Archaea, bacterial cell walls contain a unique substance called peptidoglycan, which is a combination of peptide (protein) and glycan (sugar). 21 CELL WALL • Peptidoglycan is only found in bacteria, not in any other organism. Therefore, this structure is important to study because we can create antibiotics that attack peptidoglycan and it will not harm the cells of the patient. • Mycoplasma (causes TB or leprosy, depending on the species) is the only bacteria without a normal cell wall (its cell wall is 60% waxy). It is neither Gram-positive nor Gram-negative. It is called “Acid-fast” because it takes an acidic stain to color it. 22 CELL WALL • The cell wall of a Gram positive bacterium is different than a Gram negative bacterium, and the antibiotics to attack each type of cell wall are different. • Gram positive organisms have much more peptidoglycan than Gram negatives. • The peptidoglycan is what takes up the purple Gram stain. 23 CAPSULE • This is a protein sheath that covers the whole bacterium. Not every bacterium has a capsule; those that do are more resistant to our immune system. • Its purpose is to store nutrients and also to protect it from phagocytosis (ingestion) by our protective white blood cells which are trying to eat it and kill it. • Once the bacteria without a capsule is phagocytized (ingested), the white blood cell releases a sac of enzymes to dissolve it. Phagocytosis is inhibited by capsules. 24 CAPSULE • Sometimes, a white blood cell is able to phagocytize a bacterium with a capsule (for example a tuberculosis organism in the lungs). • The bacterium can then live inside the white blood cell because the capsule also protects it from the destructive enzymes. • The WBC now has become an infected host to the bacteria. The body will try to surround the infected WBC with calcium deposits to kill the WBC, but although the WBC dies, the bacteria go on living in this calcified nodule. • An x-ray of a TB patient will show these nodules in the lungs. 25 Capsule TB nodules 26 NUCLEOID • The region of a prokaryotic cell that contains the cell's DNA. • It is not enclosed in a membrane; it just stays together as a mass in the cell. 27 FLAGELLUM • Whip-like tail used for motility; it is difficult to see under the microscope in live cells, but you can see the bacteria swimming around. • The flagella contain a piece of material that our white blood cells recognize as foreign, so they attack the bacteria. This piece is called the H antigen. 28 FLAGELLUM • There is one strain of E. coli called O157.H7 (weird name!). • The letter “O” followed by a number indicates the type of LPS antigen and the H7 indicates the type of flagellar antigen. • This strain of E. coli is the main pathogen that you hear about on the news. It produces intestinal bleeding, especially in babies. It is found in cattle feces. 29 FLAGELLUM • If there is an outbreak of bleeding diarrhea that is traced to having eaten spinach at one restaurant, the Center for Disease Control (CDC) has to find out where that spinach came from and pull that product from the grocery store shelves because it probably did not have the fertilizer cleaned off it properly. 30 FLAGELLUM • Flagella come in various arrangements: • Peritricous: Many flagella all around the perimeter of the cell. • Lophotrichous: A group of flagella gathered at one end of the cell. • Amphitrichous: One flagellum coming out of each end of the cell. • Monotrichous: Only one flagellum, comes out of one end of the cell. 31 Names for flagella arrangement • Monotrichous • Lophotrichous • Amphitrichous • Peritrichous 32 Flagella Arrangement 33 Figure 4.7 PILI • Short, thin appendages that help prokaryotes adhere to surfaces, such as rocks or cells. 34 ENDOSPORES • When essential nutrients are depleted, certain Gram-positive bacteria form specialized resting cells called endospores. • An example is Clostridium, which causes diseases such as gangrene, tetanus, botulism, and food poisoning. • Another example is Bacillus, some species of which cause anthrax and food poisoning. 35 ENDOSPORES 36 Figure 4.21a Video • Cell Structure and Function (6 mins) 37 PROKARYOTES PLAY CRUCIAL ROLES IN THE BIOSPHERE • If humans were to disappear from the planet tomorrow, life on earth would go on for the prokaryotes. • However, if prokaryotes disappeared, plants, animals, and humans would not survive. • Cyanobacteria (blue-green algae) first gave Earth its oxygen-containing atmosphere. 38 Cyanobacteria 39 PROKARYOTES PLAY CRUCIAL ROLES IN THE BIOSPHERE • Organic compounds are those which contain carbon. Carbon atoms always combine with other atoms, such as oxygen, hydrogen, and nitrogen. • Therefore, carbon dioxide, carbohydrates, proteins, enzymes, and lipids are all examples of organic compounds. • All of the atoms that make up all of the organic molecules in all living things were at one time part of the inorganic compounds in the soil, air, and water. Sooner or later, that is where those atoms will return. • Ecosystems depend on the continual recycling of chemical elements between the living and nonliving components of the environment, and prokaryotes play a major role in this process. 40 PROKARYOTES PLAY CRUCIAL ROLES IN THE BIOSPHERE • For example, prokaryotes function as decomposers by breaking down dead bodies, dead vegetation, and waste products such as feces. • During decomposition, the carbon, nitrogen, hydrogen, and oxygen are released back into the environment. • These elements are then absorbed by plants, which are eaten by herbivores (vegetarian animals), which are eaten by omnivores (meat eating animals) such as humans. • When the plants and animals die, the bacteria decompose the dead body or vegetation back into the original elements so that the cycle can begin again. 41 42 SYMBIOTIC RELATIONSHIPS • Certain species of prokaryotes have mutually beneficial associations with eukaryotes. • An ecological relationship between organisms of different species that are in direct contact is called symbiosis (from a Greek word meaning “living together”). • If one of the symbiotic organisms is much larger than the other, the larger is known as the host and the smaller is known as the symbiont. • Symbiotic relationships are categorized as either mutualism, commensalism, or parasitism. 43 SYMBIOTIC RELATIONSHIPS • Mutualism is the relationship where both symbiotic organisms benefit. • Commensalism is the relationship where one organism benefits while neither harming nor helping the other in any significant way. This type of relationship is very rare in nature. • Parasitism is the relationship where one organism, called a parasite, benefits at the expense of the host. 44 Mutualism 45 Commensalism 46 Parasitism 47 SYMBIOTIC RELATIONSHIPS • Humans depend on mutualistic prokaryotes. • For example, human intestines are home to about 1000 species of bacteria; their cells outnumber all human cells in the body by as much as 10 times. • Most of these species are mutualists, which digest food that our own intestines cannot break down. • Many of them also synthesize carbohydrates, vitamins, and other nutrients that we need that we cannot make ourselves, such as vitamin B12 and folate. 48 PATHOGENIC PROKARYOTES • Prokaryotes cause about half of all human diseases. • About 3 million people a year die of tuberculosis, and another 2 million die from various diarrheal diseases caused by other bacteria. • Some bacteria are spread by insects. About one million people a year die from malaria; every 30 seconds, one African child dies from this disease. 49 PATHOGENIC PROKARYOTES • In the United States, the most widespread disease carried by a pest is Lyme disease, caused by a bacterium carried by ticks (especially those found on deer). This disease starts as a large, ring-shaped rash around the tick bite, and progresses to arthritis, heart disease, and nervous system disorders if left untreated. 50 PATHOGENIC PROKARYOTES • Pathogenic bacteria usually cause disease by producing poisons which are classified as exotoxins or endotoxins. • An exotoxin is a protein secreted by the bacteria. Examples include bacteria that cause cholera and botulism. • An endotoxin is the toxin found on the LPS portion of the Gram-negative bacteria’s outer membrane (Toxin A). • In contrast to exotoxins, endotoxins are released only when the bacteria die and their cell walls break down. • An example is Salmonella, which can cause food poisoning or typhoid fever, depending on the species. 51 Salmonella enterica 52 Salmonella enterica 53 Infections associated with Enterobacteriaceae 54 PATHOGENIC PROKARYOTES • Since the 19th century, improvements in sanitation have greatly reduced the threat of pathogenic bacteria. • Antibiotics have also saved many lives and reduced the incidence of disease. • However, resistance to antibiotics is currently causing new strains of bacteria to evolve with immunity to these drugs. • Other environmental factors can occur that can cause the genes of bacteria mutate, turning normally harmless bacteria into fatal pathogens. 55 PATHOGENIC PROKARYOTES • E. coli, for instance, is ordinarily a harmless symbiont in the human intestines, but pathogenic strains that cause bloody diarrhea have emerged. • One of the most dangerous strains, called O157: H 7, was first discovered in 1982. • Today it is a global threat; in the United States alone there are 75,000 cases of this infection per year, often from contaminated beef or vegetables that have been fertilized with feces from contaminated cattle. • This particular strain has a gene that codes for an exotoxin that enables it to attach to the intestinal wall and extract nutrients. It is also highly resistant to antibiotics. 56 Escherichia coli Motile species Non-motile species 57 PATHOGENIC PROKARYOTES • Pathologic bacteria also pose a potential threat as weapons of bioterrorism. • In October 2001, endospores of Bacillus anthrax were found in envelopes mailed to members of the news media and the US Senate; 18 people developed anthrax and five died. • Other bacteria that could be used as weapons include those that produce botulism and black plague. 58 Anthrax, Oct 2001 59 PROKARYOTES IN RESEARCH AND TECHNOLOGY • On a positive note, we reap many benefits from the metabolic capabilities of bacteria. • For example, humans use bacteria to convert milk to cheese and yogurt. • Modern research includes using bacteria genes inserted into plants to make them resistant to insects. 60 61 PROKARYOTES IN RESEARCH AND TECHNOLOGY • Prokaryotes are also the principal agents in bioremediation, the use of organisms to remove pollutants from soil, air, or water. • For example, they are used to decompose the organic matter in sewage, converting it to material that can be used as fertilizer. • Other bioremediation applications include using bacteria to break down radioactive waste and clean up oil spills. 62 Bacteria and Oil Spills 63 PROKARYOTES IN RESEARCH AND TECHNOLOGY • In the mining industry, prokaryotes help recover metals from ores. • Bacteria are used to assist in the extraction of 30 billion kg of copper each year. • They are also used to extract gold; one factory in the African nation of Ghana produces one million kg of gold concentrate a day-- about half of Ghana’s foreign exchange. 64 Gold Mining with Bacteria 65 PROKARYOTES IN RESEARCH AND TECHNOLOGY • Through genetic engineering, humans can now modify bacteria to produce vitamins, antibiotics, insulin, and other hormones and products. • Research is underway to produce bacteria that can produce large amounts of hydrogen to reduce dependence on fossil fuels. 66 Video • GMO foods by viruses (9 mins) 67 VIRUSES • Viruses were first discovered in 1883 when a German scientist was studying a disease that stunted the growth of tobacco plants. • He found that a diseased leaf could transmit the disease to a healthy plant, but he could not find any bacteria present. • This indicated that there was an organism smaller than a bacterium that was causing the disease. • It was not until 1935 that these infectious particles were identified and called “viruses”. 68 Tobacco Virus 69 VIRUSES • These are the smallest of all microbes; hundreds of viruses can fit inside one bacterium! • They are acellular (no cells) and they do not have their own metabolism; they use host cells for metabolism and replication. • They do not have a nucleus, and their genetic material is incomplete: It consists of a core of a fragment of either DNA or RNA (not both), surrounded by a protein coat. • Therefore, viruses can only replicate when they are living in a host cell; they use the host’s genetic material. 70 71 Virus 72 Video • Viruses Invading (2 mins) • Virus Plasmids (5 mins) 73 VIRUSES • A virus that does not contain its own DNA will use its RNA as a template to transcribe the hosts DNA into genetic material they can use to replicate. • Viruses are classified as being DNA viruses or RNA viruses. • The RNA viruses don’t have stable genes and they mutate frequently. • The most famous example of an RNA virus is AIDS. • 74 VIRUSES • Viruses are obligate intracellular (must live inside host cell) parasites (live at the expense of the host, which it weakens or kills). • Even when you kill a virus, it can leave behind an active particle that can cause disease. • Viruses attack by injecting their DNA or RNA into a cell and starting a genetic take over of the cell. • Viral biotechnology includes techniques enabling scientists to use viruses to obtain genes from one organism and transfer them into another organism. 75 Virus Attack 76 VIRUSES ARE HOST SPECIFIC • Since a virus does not have metabolic enzymes, ribosomes, and other equipment for making proteins, an isolated virus is merely a packaged set of genes in transit from one host cell to another. • Each type of virus can infect only a limited range of host cells. 77 VIRUSES ARE HOST SPECIFIC • Viruses identify their host cells by a “lock and key” fit between proteins on the outside of the virus and molecules on the surface of cells. 78 VIRUSES ARE HOST SPECIFIC • A few viruses have a large number of hosts they can infect. • West Nile virus, for example, can infect mosquitoes, birds, horses, and humans. • Most viruses have a host range so narrow they can only infect a single species. • For example, measles and polio only infect humans. Furthermore, most viruses are so host-specific that they usually only affect particular tissues. • Human cold viruses infect only the cells lining the upper respiratory tract, and the AIDS virus only binds to certain types of white blood cells. 79 Video • Flu Attack: How a virus invades your body • (4 mins) 80 VIRAL PATHOGENS • Diseases caused by viral infections afflict humans, agricultural crops, and livestock worldwide. • Examples of viral diseases in humans range from the deadly HIV to the common cold virus. • Hepatitis A is a virus that can remain viable (living) even outside of the host for long periods of time; it spreads through fecal contamination (food workers who do not wash their hands after a bowel movement). 81 VIRAL PATHOGENS • Viruses that seemed to appear suddenly in our society are referred to as emerging viruses. • HIV, the AIDS virus appeared in San Francisco in the early 1980’s. • The deadly Ebola virus appeared in 1976 in Central Africa, causing hemorrhagic fever. • The West Nile virus appeared in 1999 in the United States and causes encephalitis, inflammation of the brain. • In 2002, the SARS virus appeared in China, causing severe acute respiratory syndrome. • Viruses can also infect plants. More than 2000 types of viral diseases of plants are known, and together they account for the loss of $15 billion a year due to crop destruction. 82 VACCINATION VERSUS ANTIBIOTICS • A vaccine is a harmless piece of a pathogenic microbe (like a piece of flagella from a bacterium) that will stimulate the body's own immune system to mount a natural attack against the whole pathogen. • Vaccines can prevent some viral infections, but antibiotics are ineffective for treatment of a viral infection. • Antibiotics work by interfering with cell wall synthesis or metabolism; since viruses don’t have these things, they are not effective. 83 VACCINATION VERSUS ANTIBIOTICS • There are medicines that treat but don’t cure viruses, such as acyclovir for Herpes Simplex 1. In other words, viruses are very difficult to kill with medicines. • It is better to get a vaccine to prevent serious viral diseases. • The reason there is no cure for the common cold is that there are millions of different viruses that cause it. • If we made a vaccination for one cold virus, you would still catch another cold from a million different viruses. 84 Video • Bacteria and Viruses (5 mins) 85 HOW MICRO-ORGANISMS CAUSE DISEASE • BARRIERS TO ENTRY: The skin serves as a tremendous protection against invasion by disease-causing organisms. • There is nothing that can get through unbroken skin. So why do we have those paper toilet seat covers? There is nothing you can catch from a toilet seat as long as you don’t have an open wound on your buttocks. • Mucous membranes are also a protective barrier, but some organisms thrive on the moisture and can invade those sites. 86 TRANSMISSION 87 TRANSMISSION • DIRECT CONTACT: is when you must come in contact with the body fluids or lesions of an infected person. An example is catching herpes from kissing someone with a cold sore. • AIRBORNE transmission is when the organism is suspended in the air and carried by moisture away from the host. An example is catching a cold after someone with a cold sneezed in the same room before you walked in. • It takes 3 days to incubate a cold virus. 88 TRANSMISSION • VEHICLE transmission is when the organism falls onto an inanimate object and lives there until picked up by another host. • An example is a cold virus that you catch from using a public telephone. You can also get Salmonella food poisoning from getting raw chicken juices on a kitchen counter. • If you don’t clean it up and it gets in your mouth, you can get really sick. Cooking thoroughly kills bacteria from meat products. 89 TRANSMISSION • VECTOR transmission is an animal that carries the disease from one host to another. An example is getting malaria from a mosquito. • A PATHOGEN is an organism that causes disease. • An OPPORTUNISTIC PATHOGEN only causes disease when they have an opportunity. We have many types of bacteria on our body that don’t cause disease as long as they stay where they belong. 90 TRANSMISSION 91 Mary Mallon (right) in 1931. First diagnosed as carrier in 1907. Quarantined and then released in 1910. Went back to work as a cook in 1914 at a NYC hospital. Quarantined permanently to North Brother island in 1915. www.pbs.org 92 ReynoldsUnwrapped.com offers FANTASTIC, inexpensive daily email subscriptions, where you can receive a HILARIOUS new cartoon every day, and it is a MARVELOUS idea for a UNIQUE gift for your family and friends as well. That is how I learned about this...one of my fellow teachers gave me a subscription as a birthday present. He also has FUNNY greeting cards and BEAUTIFUL paintings for sale as well. You can also get reprints suitable for framing, or originals. Here is more info about his work and a YOUTUBE video. https://nccnews.expressions.syr.edu/?p=11515 93 TRANSMISSION • The intestinal bacteria that help us digest our food. If they get from the colon to an area of broken skin, they will cause a serious infection. • That’s why it is so important to wash your hands after going to the bathroom. If you do wash your hands, but then touch a contaminated door handle when you leave the bathroom, everywhere you touch in the outside world gets contaminated. • Then everyone who touches what you touch is also contaminated. Eventually, someone will then touch their eye or mouth and the 94 organism can get in. TRANSMISSION • Another opportunistic type of bacteria is called staphylococcus, or “staph” for short. • They normally are found all over the outside of our skin, but they usually cannot get in. • Every time you get even a small paper cut, you should wash it with soap and water and put TRIPLE ANTIBIOTIC OINTMENT on it and a Band-Aid (USE PROPER TECHNIQUE) and it will heal in three days instead of ten days. 95 96 TRANSMISSION • This ointment kills staph and other common skin organisms. • Neosporin ointment kills only one type of bacteria, but Triple Antibiotic has Neosporin plus two other types of antibiotics. • The proper way to put on bandaid is to apply the ointment to the Band-Aid, and then the Band-Aid to the wound without touching your fingers to the ointment or the sterile Band-Aid pad. 97 Cutaneous Disease • Various skin conditions including scalded skin syndrome, impetigo, folliculitis, and furuncles 98 TRANSMISSION • One of the major reservoirs that the Staph organisms hide out is in the nose. That’s why your mother always told you not to pick you nose! • Everything you touch after that is spreading Staph germs. Not washing hands is the major cause of food poisoning. • Food poisoning such as Salmonella is frequently caused from having raw chicken juices left on the kitchen counter. When the bacteria from the juices get into other food, you get food poisoning. • Also, cutting boards in the kitchen should be made of a material that does not have any nooks and crannies in it (like plastic), or bacteria will lodge there. 99 TRANSMISSION • What’s the worst place in the house for germs? The kitchen sponge. • Another bad place is a toothbrush. They should be discarded every three months, and stored away from a 6’ radius of the toilet (splash zone). Put them in a cabinet or drawer but let them dry out. 100 TRANSMISSION • Regarding using hydrogen peroxide (H2O2) to pour on a wound, keep in mind that it is not a germ killer at all. • When it comes in contact with blood products, the H2O2 splits its bond and the oxygen comes off and leaves water behind. The oxygen bubble rises up and can mechanically cleanse the wound from small debris particles. • It is good to use after a gravel burn or when there is dirt in the wound. Soak the wound first so the tissues swell and force out some of the dirt. Then pour on some hydrogen peroxide, pat it dry, put on some antibiotic ointment and a Band-Aid. • Don’t use iodine or mercurochrome, because it causes scar tissue. 101 TRANSMISSION • Adults with runny noses leave cold viruses on about 35 percent of objects they touch, such as telephones, door handles and television controls. • An hour after someone leaves a virus-infected droplet on a surface, it can be picked up 60 percent of the time. And 24 hours later, 33 percent chance of picking it up. • You have to get the virus on your fingertip and then you stick it in your own nose and your own eye. • Common sites for cold viruses are the light switch, a pen, faucet handles, the door handle, the TV remote and the telephone. 102 TRANSMISSION • Is a dog’s mouth cleaner than a human’s? • Actually, dogs have lots of bacteria in their mouth, but they are species-specific, so they can’t live on us. • It’s much worse to kiss another human than an animal. 103 TRANSMISSION • Another thing that people tend to do wrong is to put baking soda in their shoes or socks to absorb moisture. • They figure it’s good for the refrigerator; it should be good for a shoe. • But what do you think the problem is with this? Where there is a dark, warm, moist environment, there will be bacteria. • Baking soda is a food, so putting it on a fungus infection or a place where bacteria live is just feeding them! Use baby powder instead; that’s not a food product. 104 Other Microbiology Concerns • • • • • • • Leaving mayonnaise in the sun for four hours Plastic vs. wood cutting boards Cutting raw chicken and leaving the juice Proper way to clean kitchen counters Use the dishwasher or microwave to sterilize things Household products that have toxic fumes Anti-freeze tastes like sugar water, but will kill: keep away from children • Household Hazards for children • Can you catch diseases from a toilet seat? 105 SEXUALLY TRANSMITTED DISEASES (STDS) 1. VIRUSES A) HIV / AIDS B) Herpes Infections C) Hepatitis Infections 2. BACTERIA A) Chlamydia B) Gonorrhea C) Syphilis 3. Other Organisms that cause Sexually Transmitted Diseases A) Trichomonas B) Fungi and Yeast C) Lice 106 HIV / AIDS • HIV / AIDS (acquired immunodeficiency syndrome): Caused by a virus that infects white blood cells. • Prevalence • About 40 million people worldwide have become infected with HIV, and of these, 12 million have died of AIDS. A new HIV infection occurs every 15 seconds, the majority in heterosexuals. Most infected people live in Africa (66%) where it is believed HIV infections first began, but new infections are now occurring at the fastest rate in Southeast Asia and India. • In the United States, HIV infections are more prevalent among African Americans and Hispanics. Everyone who is sexually active or who use IV drugs are at risk. 107 HIV 108 HIV / AIDS • Symptoms of an HIV Infection • It attacks white blood cells to destroy a person’s immune system. During the initial phase, there are no symptoms and the blood test is negative, yet the person is highly infectious. • Several months to several years after infection, symptoms begin with swollen lymph nodes, severe fatigue, fever with night sweats, and diarrhea are present. If the virus enters the brain there will be loss of memory, inability to think clearly, loss of judgment, and/or depression. • Persons with AIDS die from opportunistic diseases, not from the HIV infection itself. An opportunistic infection is when a bacteria that frequently lives on our body without causing disease but will cause disease if given the opportunity. One opportunity that can present itself is when the immune system is weakened. 109 HIV / AIDS • Treatment • There is no cure for AIDS, but they can be given therapy that usually consists of two drugs that prevent mutation of the virus to a resistant strain. • Unfortunately, if the virus is the resistant strain, there is no drug therapy. 110 HIV / AIDS • Transmission of HIV • The largest group of people with AIDS in the United States is homosexual men, but the largest population of new cases are intravenous drug users and heterosexuals. • Women now account for 20% of all newly diagnosed cases of AIDS. An infected woman can pass HIV to her unborn children or to a newborn through milk. Transmission at birth can be prevented if she takes AZT, and delivers by C section. • HIV is spread in body fluids, such as blood, from one person to another. (Blood transfusions are now tested for the presence of HIV, so risk of contracting an infection in this manner is now considered very unlikely). 111 Herpes • The herpes viruses cause various illnesses. Chicken pox and mononucleosis (Epstein-Barr) are examples of a herpes virus. • However, only the herpes simplex virus is sexually transmitted. They infect mucosal linings such as the mouth and vagina. • There are two types of herpes simplex viruses: type 1 usually causes cold sores and fever blisters, while type 2 more often causes genital herpes. • However, oral sex with someone with a fever blister can cause genital herpes and oral sex with someone with genital herpes can cause fever blisters. 112 Herpes • Cold Sores and Fever Blisters • Cold sores are usually contracted during childhood from a smooch from a well-meaning adult with a cold sore. • The sores heal and break out again during times of stress throughout the person’s life. • The stress can be from emotional stress, illness, menstruation, high fever, colds, or exposure to sunlight. • These sores are infectious for at least three to four days until the sores begin to heal. • Contact with the sores or any contaminated object can cause the virus to be 113 transmitted. Herpes cold sores 114 Herpes • Genital Herpes • Genital herpes is what causes genital warts. • All warts are caused from a virus. A regular wart on the hands or plantar wart on the feet is harmless, but they can spread, get bigger, and cause discomfort. • Genital herpes is a sexually transmitted wart. • Over one million persons a year become infected, but not everyone goes in for treatment. • It is caused from having intercourse with someone who has genital herpes, or from having oral sex with someone with a cold sore. 115 Genital Herpes 116 Herpes • • • • • Transmission and Symptoms In some people there are no symptoms, so many people don’t know they have them. They start as a tingling or itching sensation before blisters appear on the genitals. Once the blisters rupture, they leave painful ulcers that may take as long as three weeks or as little as five days to heal. The blisters may be accompanied by fever, some burning on urination, swollen lymph nodes in the groin, and in women, a copious vaginal discharge. As with cold sores, the blisters come back from the same stress situations. A newborn can become infected by passage through the birth canal so they have to be delivered by C-section. Genital warts are associated with cancer of the genitals. Teenagers with multiple sex partners are very susceptible to genital warts, and more cases of cancer of the cervix are being seen among this age group. 117 Herpes • Treatment • There is no cure for genital herpes. • There are some pills or ointments that disrupt the reproduction of the virus and so relieve the initial symptoms at the first sign of outbreak, but it will always come back later. • They can be temporarily removed by surgery, freezing, acid, or laser. • However, as with all warts, there is a high likelihood of reoccurrence. • Even after treatment, the virus can be transmitted because the wart may look gone, but it lingers in the subdermal tissues. • Therefore, abstinence or use of a condom is necessary. 118 119 Hepatitis • There are several types of hepatitis. There is no cure, but there is a vaccine. • Hepatitis A • This is a virus you get when you or a food worker doesn’t wash the hands after going to the bathroom, and then you eat. It can also be sexually transmitted through oral/anal contact. 120 Hepatitis Hepatitis B • This is the form that is primarily spread by sexual contact or sharing needles by drug users. • Only about 50% of infected persons have flu-like symptoms, including fatigue, fever, headache, nausea, vomiting, muscle aches, and dull pain in the upper right of the abdomen. Jaundice, a yellowish cast to the skin, can also be present. Some persons have an acute infection that lasts only three to four weeks. Others have a chronic form of the disease that leads to liver failure and a need for a liver transplant. • • 121 Hepatitis • Since there is no treatment for an HBV infection, prevention is imperative by a vaccine, which is safe and does not have any major side effects. This vaccine is now on the list of recommended immunizations for children. • • Hepatitis C • This is the form you get from infected blood. It is very serious and can lead to chronic hepatitis, liver cancer, and death. 122 Hepatitis A 123 Hepatitis B 124 Hepatitis C 125 BACTERIA • Bacterial diseases are controlled by preventing transmission and by antibiotics. Abstinence or monogamous relations (always the same partner) with someone who is free of an STD will prevent transmission. • Otherwise, the use of a condom and avoidance of oral/genital contact is recommended. 126 Chlamydia • Chlamydia is the leading STD in the United States. There are about 6 million new cases per year. • Five times more women than men go in for treatment for this because women have more symptoms and men who are infected don’t know it. • Chlamydia is easily treated with antibiotics. 127 Chlamydia • Symptoms • At first there may be no symptoms, but after 1-3 weeks there may be a mild burning sensation on urination and a mucous discharge in vagina. Unfortunately a physician mistakenly may diagnose it as a urinary tract infection and prescribe the wrong type of antibiotic; until they realize the medicine is not working, the person is still contagious. • If the infection spreads to the ovaries, she’ll get pelvic inflammatory disease (PID) results. This is a very painful condition with no treatment and no cure. It also causes sterility. The woman has to live with this severe pain for the rest of128her life. Chlamydia • If a newborn comes through the birth canal of a women with Chlamydia, its eyes become infected and results in blindness. • This is the leading cause of blindness in third-world countries. That is sad, because all it requires are some eye drops in the infant right after birth, and it will prevent this. This STD is easily cured with tetracycline. • The leading cause of blindness in newborns is from Chlamydia infections in their eyes after passing through an infected birth canal. • Adults can get it in their eyes, too, if they touch an infected area and rub their eyes. Eye infections cause blindness. 129 Chlamydia 130 Gonorrhea • Gonorrhea was at an all-time high in 1978, but it’s going down now. • Women using birth-control pills or an IUD have a greater risk because they cause the genital tract to be more receptive to pathogens. 131 Gonorrhea • Symptoms • Unlike Chlamydia, gonorrhea symptoms are more obvious in men than in women. Men have pain on urination and a milky urethral discharge three to five days after contact. • In women, there are usually no symptoms until after it spreads to the ovaries, again causing PID (a million women a year get this). Since PID scars up the area around the ovaries, pregnancy can result in an ectopic pregnancy (implantation outside of the womb). • Oral/genital contact can cause infection of the mouth, throat, and the tonsils. Gonorrhea can spread to internal parts of the body, causing heart damage or 132 arthritis. Gonorrhea 133 Gonorrhea • Transmission and Treatment • The chances of getting a gonorrheal infection are good. Women have 50—60% risk, while men have a 20% risk of contracting the disease after even a single exposure to an infected partner. • Painful urination usually indicates gonorrhea. • Gonorrhea is easily cured using antibiotics. 134 Syphilis • Syphilis is caused by a bacterium that has a tail and can move, so it is particularly nasty. • Syphilis has three stages. • Primary stage: an ulcerated sore with hard edges appears at the site of infection. The ulcer heals itself, but it is just gearing up for the next stage. • Secondary stage: the bacteria spread throughout the body and a skin rash forms all over, although it is not itchy. Again, it heals itself, but the worst is on its way. • Tertiary stage: lasts until the patient dies. It weakens the arteries, causing aneurysms, and is known for attacking the brain. Symptoms include mental impairment, blindness, and insanity. Henry VIII died from syphilis. 135 Primary Syphilis • Symptoms include: – Chancre that should heal by itself in 3-6 weeks • painless – – – – genitals Mouth Skin rectum • Enlarged lymph nodes near the chancre 136 Secondary Syphilis • Spotted rash all over • Fever • general ill feeling • loss of appetite • muscle aches • joint pain • enlarged lymph nodes • hair loss may occur. 137 Tertiary Syphilis • Cardiovascular syphilis causes aneurysms or valve disease • Central nervous system disorders (neurosyphilis) • Infiltrative tumors of skin, bones, or liver (gumma) 138 Syphilis • Diagnosis and Treatment • Diagnosis of syphilis can be made by blood tests and microscopic examination of fluids from lesions. • It is easily cured by penicillin, but once it enters the last stage, there is no cure and is fatal. 139 Other Organisms that cause Sexually Transmitted Diseases • A) Trichomonas is a single cell parasite which is transmitted sexually and causes severe itchiness a woman’s vagina. Men are usually asymptomatic (no symptoms). • B) Fungi and Yeast are pathogens from the plant kingdom. When a woman takes an antibiotic while using birth-control pills, it disrupts the normal balance of bacteria, and allow normal yeast there to cause an infection. • C) Lice are insects that can infect the hair of humans. Head lice are well known for infecting the hair of schoolchildren; lice on the pubic hair are called “crabs”, and are sexually transmitted and also can be contracted by contact with an infected person’s clothing or bedding. They suck blood from their host and cause severe itching, particularly at night. The pubic hair, underarm hair, and even the eyebrows can be infected, and it can be self-diagnosed by examination of the hair. Protozoa, yeast, worms, and lice are all easily treated with antibiotics and disinfection of 140 sheets and clothing. Trichomonas 141 Fungus Infection 142 Lice 143 Sexually Transmitted Diseases • Prevention is still the best way to manage STDs. • The use of a condom along with a spermicide that contains nonoxynol-9 • The avoidance of oral/genital contact • Have a monogamous relationship • Don’t have sex with someone who has a STDs • Don’t have sex with an intravenous drug user. 144 145