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Infectious Diseases Presented by: M. Alvarez Adapted from:M. Arias, C. Goedhart, and M.Burke What is an Infection? A harmful invasion and spread of foreign species, or pathogen, in a host. VIRUS Small pox, measles, influenza, Ebola PRIONS Cow’s disease BACTERIA Tuberculosis, pneumonia, salmonella, anthrax FUNGUS Athlete’s foot, ring worm PROTISTS Malaria, toxoplasmosis, Algae Infectious Agents Worldwide mortality due to infectious diseases Estimated number of people in the world living with HIV/AIDS in 2008 Spread of Disease & Transmission Infection in one person can be transmitted to others T S Susceptible Immune Sub-clinical P S S T Clinical Cases Patient “Zero” – the first case identified Primary – the case that brings the infection into a population Secondary – infected by a primary case Tertiary – infected by a secondary case Transmission of Pathogens •Direct contact •Indirect contacts •Air •Objects •Vectors Routes of transmission Direct Indirect Skin-skin Herpes type 1 Mucous-mucous Food-borne STI Across placenta toxoplasmosis Through breast milk Salmonella Water-borne Hepatitis A Air-borne Chickenpox HIV Sneeze-cough Influenza Vector A carrier of an infectious agent Ex. Malaria Parasite carried by Mosquito Factors Influencing Disease Transmission Agent Environment • Weather • Infectivity • Housing • Pathogenicity • Geography • Virulence • Occupational setting • Antigenic stability • Air quality • Survival • Food • Age • Sex Host • Genetics • Behaviour • Nutritional status • Health status What is Epidemiology? Epidemiology is the science of discovering causes of illness and injury in populations. Epidemiology studies are used to control and prevent health problems. Number of Cases of a Disease Disease Patterns Endemic Epidemic Time Endemic Transmission occur, but the number of cases remains constant Epidemic The number of cases increases Pandemic When epidemics occur at several continents – global epidemic Outbreak Investigation Basic steps in an outbreak investigation: 1) Gather information and confirm existence of outbreak 2) Confirm diagnosis 3) Establish a case definition – a standard set of criteria for identifying who has the disease 4) Perform descriptive studies 5) Develop and test hypotheses 6) Implement control and prevention 7) Report findings The Spread of Infectious Disease an epidemiological simulation Objective: This activity will simulate the spread of an infectious disease. Our simulation will show how an infectious disease can spread from one infected person to other people, who in turn infect others. Hypotheses 1. How many people will be infected after two rounds of interactions? _______ 2. How many people will be infected after three rounds of interactions?_______ Procedure 1. Obtain a cup labeled A filled with a clear solution (body fluid). Only one person in the class will have a cup that has been “infected”. Do not drink from the cup. 2. In this part of the activity, you will interact with two other students. To interact with another student, pour all of your solution into your partner’s cup, then have your partner pour half of the mixed solution into your cup. Then move to another part of the classroom and interact with a second student. 3. Repeat step 2 with cup B, this time interacting with four students. 4. Your teacher or I will come around and put an “infection indicator” in your cups. If you have exchanged solutions an infected person, you are now infected and your solution will turn pink. Data Cup A Your vial # _______ Name 1st partner 2nd partner Your results______ Vial # Dinner Results Data Cup B Your vial # _______ Name 1st partner 2nd partner 3rd partner 4th partner Same from cup A Same from cup A Your results______ Vial # Dinner Results Analysis Questions 1. Who was patient zero?______________________ 2. How many students in the class were infected after two rounds of interactions?_____ 3. How many students in the class were infected after four rounds of interactions?_____ 4. Was your hypothesis correct?_________________ 5. How many people do you think would be infected if you had ten interactions? Explain. 6. What kind of mathematical model best explains your data (i.e. is the pattern random, linear, etc.)? 7. List three infectious diseases you have heard of and how they are transmitted. 8. What are some ways you can prevent the spread of an infectious disease?