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Chapter 13 Infectious and Noninfectious Conditions: Risks and Responsibilities Infectious and Noninfectious Conditions Risk Factors • Disease-causing agents = pathogens • Epidemics = widespread outbreak of a disease in a community/region • Virulent = invading organism’s ability to resist treatment • Mulitfactorial Disease = caused by several factors • host (weakened) + susceptible (agent for disease present) Risk Factors - You Can’t Control Heredity - parent’s longevity and you • diabetes / CHD • Chromosomal Disorders Aging - after 40 more susceptible to disease Environmental Conditions harmful elements (drugs, chemicals, sanitation, pollution) Immunolgical competence Risk Factors You Can Control Disease varies with socioeconomic status, culture, geographic location…. etc,etc. Stress Nutrition Physical Inactivity Substance Abuse High Risk Behaviours - you get the idea!!!! The Pathogen’s Routes of Invasion *disease-producing organism the "attackers" • Kissing / sexual relations / touching (direct or indirect) • Hands greatest source of transmission • Autoinoculate spread disease from one body part to another The Pathogen’s Routes of Invasion Airborne Contact • sneezing / breathing Food-borne Infection • E. coli bacteria Animal-borne • dogs/cats - bites / insects carried / feces Water-borne • drinking / washed food • Body - swimming / streams Bacteria single-celled organisms - plant-like / lacks chlorophyll most plentiful pathogen bacteria / causes disease by secreting toxins (poisonous). Three Types: • Cocci • Bacilli • Spirilla • 1000’s exist only approximately 100 cause disease in HUMANS Staphylococcal Infections: • present on our skin • break in epidermis allows staphylococcal to invade • infected wounds / acne • strep throat (severe sore throat) • scarlet fever, acute fever, sore throat, rash • rheumatic fever Toxic Shock Syndrome? Pneumonia: Pneumonia -bacterially caused….. • chronic cough, chest pain, chills, high fever, fluid accumulation in lungs. Legionnaire's Disease - bacterially generated disease • airborne transmission • symptoms similar to those of pneumonia. • Commonly misdiagnosed and given wrong treatment Tuberculosis: • bacterial infiltration of respiratory system • transmitted among people by breathing air infected by coughing or sneezing • symptoms: • persistent coughing, weight loss, fever, and spitting up blood • High Risk - fighting disease / HIV - Related Diseases Periodontal Diseases • Diseases of tissues surrounding the teeth • 3/4 of adults over 35years • result of poor teeth brushing/flossing • not getting regular check ups at dentist Viruses minute parasitic microbes that live inside another cell • 1/500th the size of bacteria • approx. 150 cause disease in humans • consist of protein structure - DNA or RNA • no capacity for cellular function (i.e. respiration/metabolism) • unable to reproduce on their own or outside the body • parasitic relationship within cells invaded Inject their DNA or RNA into Invaded Cell • take over cell reproductive process • instruct cells to produce new viral particles • viruses are released and enter other cells • viruses cannot reproduce outside of living cells • difficult to culture in lab detection and study difficult Treatment • treatment is difficult viruses withstand heat/radiation • some have incubation periods of several years • slow progression of symptoms. • Interferon - body’s protection against viruses The Common Cold Endemic (always present to some degree) • 100 + viruses cause it? • Colds can be caught via contact air-borne droplets, touching, mucus membrane contact Hands - frequent contact of hands to mouth / nose Treatment? Prevention Best Medicine! Keep Resistance levels high • good nutrition • physical activity • rest • stress reduction Got a cold! (getting cold doesn’t make you sick!) • bed rest / fluids / aspirin • most contagious first 24 hours • must run course 7 to 10 days Influenza (FLU): • Influenza (FLU) • viral disorder of respiratory tract • symptoms include aches, pains, nausea, fever, etc. • 3 forms • A - most virulent • B - 2nd most virulent • C - 3rd • Concern for Older Adults Infectious Mononucleosis: the "kissing disease” or "MONO" • symptoms = sore throat, fever, headache, chills, and continuous sense of weakness; • treatment: bed-rest, nutrition, and medications to control symptoms. Hepatitis virally induced inflammation of liver symptoms = fever, headache, nausea, and loss of appetite, jaundice, and diarrhea. Hepatitis A • "infectious hepatitis" • transmitted by fecaloral route, bad hygiene • persons in contact with children in daycare settings • persons who inject drugs Hepatitis B: "serum hepatitis" • transmitted by body fluids (blood, serum, saliva, semen, and vaginal fluids) • also transmitted by needle stick, contact with needles (drug users), and sexual contact • some patients may develop cirrhosis and/or cancer of the liver, and eventually death Mumps: • prior to 1968, fairly common among children • effective vaccine found in 1968 • incidence before 1968: 80/100,000 • incidence in 1984: 2/100,000 • greatest danger - sterility in men young adulthood • hearing loss Chicken Pox: • Many children contract disease / then remains dormant • skin eruptions that itch + blister • symptoms include fever, fatigue (17 days after exposure) • some lead to shingles Measles • viral disorder frequently affects young children • German measles (rubella) is a milder viral infection transmitted by inhalation • can move into bloodstream • causes a rash • not serious, except for pregnant women and newborns • fetus in 1st trimester may be born blind, deaf, retarded, or with congenital heart defects FUNGI • single or multi-celled organisms • moldy breads, cheeses, and mushrooms • (vaginal yeast infection), athlete's foot, ringworm, and jock itch • treatment: keep infected area dry and clean, and treat with antifungal antibiotics PROTOZOA • single-celled microscopic animals that release enzymes and toxins • destroying cells or interfering with their function • tropical diseases (malaria) • treatment: relieve the symptoms, replace lost blood or fluid, and drug therapy PARASITIC WORMS • multi-cellular animals • attack specific tissues/organs and compete with host for nutrient • problem in developing countries • entering the body via uncooked meats • treat with drugs/surgery. Your body’s Defenses: Keeping You Well • Physical and Chemical Defenses • Skin • Sweat - enzymes that destroy microorganisms • body pH levels (normal pH 7.0 can change) • body temperature(fever) • lining in the tracts of the body, trap / engulf • cilia move particles out of body tears, nasal secretions, ear wax and others The Immune System: Your Body Fights Back • Antigens: invader causing immune response • Antibodies:individually matched to specific antigens / work to destroy and/or lessen impact of antigen body recognizes size/shape of antigen • White Blood Cells (lymphocytes): they protect against foreign agents; responsible of antigen-antibody response - Macrophages - phagocytic cell-eating cell Protection • B-lymphocytes (B-cells) • T- lymphocytes (T-cells) • Killer T - Cells directly attack infected or malignant cells • Memory B & T cells respond faster to the same pathogen Fever & Pain • An increase in body temperature decreases the the efficacy of the pathogen • Stimulates White Blood Cell production • High temperature and be dangerous to the host • Pain (a warning signal) - persistent pain can be an indicator of disease Sexually Transmitted Infections • STI’s - Infectious diseases transmitted via some form of intimate, usually sexual contact • Modes of Transmission • Use condoms / quality / check expiration date STIs • Chlamydia - Bacterially caused STI of the urogenital tract • Conjunctivitis: Serious inflammation of the eye / pathogens / irritants (chlamydia) Pelvic Inflammatory disease (PID) • various infection of the female reproductive tract STIs • Gonorrhea - most common STI in Canada - if untreated can cause sterility • Syphilis - widespread, progresses through phases - if untreated serious results • Chancre - sore at syphilis infection site STIs • Public Lice (“crabs”) • parasites that inhabit body areas….. Genitals • Verneral Warts • warts that appear in genital area, anus…..human papilloma viruses • Vaginitis - set of symptoms characterized by vaginal itching, swelling, and burning STIs • Trichomoniasis - protozoan infection / foamy-yellowish discharge + unpleasant odor • Genital Herpes -STI from herpes simplex virus type two • Acquired immune deficiency syndrome (AIDS) extremely virulent sexually transmitted disease / effects immune system • Human Immunodeficiency Virus (HIV) virus that causes AIDS Noninfectious Diseases Respiratory Disorders • Allergy-Induced Problems -occurs as the body attempts to rid the body of antigen/allergens • Antibodies • Histamines - dilate blood vessels / increase mucus secretions / produce allergy symptoms • Hay Fever - chronic respiratory disorder - ragweed / pollen Respiratory Disorders • Asthma - chronic respiratory disorder - attacks of wheezing, shortness of breath, and coughing spasms • Emphysema - respiratory disease / alveoli distend or rupture / dysfunctional • Chronic Bronchitis respiratory disorder / bronchial tubes inflamed & swollen / function impaired Neurological Disorders • Headaches - almost everybody experiences them usually not too bad • Tension Headache - muscle contractions or tension in neck or head • stress, chemicals, sleep, menstruation • relaxation, hot water treatments, “holistic treatments” Neurological Disorders • Migraine - localized headaches from alternating dilation & constriction of blood vessels • Epilepsy - neurological disorder / abnormal Sex-Related Disorders Premenstrual Syndrome (PMS) - a series of physical and emotional symptoms that appear prior to their menstrual period Endometriosis:abnormal development of endometrial tissue outside the uterus resulting in serious side-effects Hysterectomy - Surgical Removal of the Uterus Fibrocystic Breast Condition common/noncancerous condition where breasts contain fibrous or liquid filled cysts Digestion - Related Disorders • Insulin - hormone produced in pancreas / required for CHO metabolism • Diabetes - disease / pancreas can produce sufficient insulin • Hyperglycemia - High blood sugar • Ulcerative colitis - inflammatory disorder / affects mucus membranes large intestines……with bloody diarrhea Digestion - Related Disorders • Irritable Bowel Syndrome (IBS) nausea, gas, pain, or diarrhea / certain foods • Diverticulosis - bulges in wall of intestines / irritation + infection • Peptic ulcer - damage to stomach or intestine lining / juices Musculoskeletal Diseases • Arthritis - painful inflammation of the joints • Osteoarthritis - degeneration of bones and joints / progressive / “wear & tear” • Rheumatoid arthritis- serious inflammatory joint disease • Lupus - immune system attacks body……antibodies destroy or injure organs • Low Back Pain - age, body posture, body type, strength/fitness, psychological factors - occupational risks Musculoskeletal Diseases • Low Back Pain - age, body posture, body type, strength/fitness, psychological factors occupational risks • Prevention 90% from lumbar region - being careful, know proper technique and physically fit to perform lifts