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History of Infectious Disease Outbreaks
People and Plagues
Edward J. Young, M.D.
Section of Infectious Diseases
Baylor College of Medicine
Michael E. DeBakey VA Medical Center
Outbreaks
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Plague (Yersinia pestis)*
Cholera (Vibrio cholerae)*
Yellow Fever*
Malaria (Plasmodium species)
Tuberculosis (Mycobacterium tuberculosis)
Influenza
AIDS (Human Immunodeficiency Virus)
West Nile Virus*
Ebola *
Middle East Respiratory Syndrome (MERS-CoV)
CONDITIONS CONDUCIVE TO PLAGUES
• Pathogen (microorganism)
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Virus, Bacterium, Fungus, Parasite, other
• Reservoir
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Animal, Human, Bird, Fish, other
• Vector
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Arthropod, Flea, other
• Environment (conditions)
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Unsanitary, War, Famine, Deforestation, Travel, Poor hygiene, Poverty, Crowds,
Disasters (eg. flood, earthquake, etc.)
PLAGUE
Yersinia pestis
Bubonic
Septicemic
Pneumonic
Alexandre Yersin
Kitasato Shibasaburo
General Shiro Ishii
Unit 731 (Harbin, China)
CHOLERA
Vibrio cholerae
Filippo Pacini (1812-1883)
Robert Allen Phillips, MD
YELLOW FEVER
Carlos Finlay, MD (1833-1915)
Max Theiler, MD
Ebola virus disease
Ebola hemorrhagic fever
Ebola Epidemic Statistics
2014-2015
Total cases
26,628
Deaths
11,020
Ebola Treatment & Prevention
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Isolation (quarantine) of infected cases
Modification of traditional practices
ZMapp (monoclonal antibodies)
MIL77
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Vaccine in trials