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Human biology
                                            Disease
      Microbes are of two types:
         • Pathogenic -- can cause disease in human
         • Non-pathogenic – does not cause disease in human e.g. E.coli
      Types of pathogenic disease in human:
                          Jul. 22nd
         • Bacterial – e.g. salmonella typhi causes typhoid
                            2012
         • Viral – e.g. HIV causes AIDS
         • Fungal – e.g. tinea causes athletes foot
      Types of disease:
         • Animal vectors
         • Air borne –through droplet infection
         • Water borne
         • Direct contact
         • Sexually transmitted
         • Food borne
      STD [sexually transmitted disease]
         • AIDS
         • Syphilis
         • Gonorrhea
      Immunity --- it is the ability of the body to resist infection
         • Natural active immunity --- it is a kind of immunity acquired when an individual is able to make its own
              antibody against the pathogen. The entry of which is natural.
         • Natural passive immunity --- it is a type of immunity acquired where the naturally occurring antibodies made
              against the pathogens are taken in form an outside source. The antibodies are not self made
         • Artificial passive immunity --- specific antibodies are directly injected into a person acquired form a different
              source. Provide immunity temporarily. The antibodies which are injected are called serum

    • Vaccine -- A vaccine is an immune biological substance which contains the live or dead form of the pathogen, which
    when injected provide lifelong immunity
    • Incubation period --- the period between becoming infected by germs and the appearance of the symptoms of
    disease
    • Vaccination – the process of injecting a person with a harmless [weakened or dead] form of a virus to stimulate the
    immune system to produce cells and proteins that will destroy that type of virus
    • Carrier – it is an individual which harbours the germs without showing signs and symptoms of the disease and
    unknown to discharge the multiplying germs through faeces and expiration.
    • Case – it is an individual suffering from a disease and showing signs and symptoms
    • Vector – a vector is an individual which is known the causative without itself getting infected.

•     Endemic disease – a disease which is always present in an area
•     Pendemic disease – a large –scale outbreak of disease which spreads from country to country
Human biology
                                          Disease
•   Epidemic disease -- a sudden outbreak of disease which spreads quickly through the population of an area
                                        Viral diseases
        •  What are the diseases caused by viruses?
    Influenza [flu],Jul. 22 AIDS, hepatitis, west Nile, measles, herpes, shingles, chicken pox,
                            nd
                     colds,
                      2012
    monkey pox, polio, small pox, Ebola & some cancers [Epstein barr]


        •   Common cold [influenza-‘flu]
    Causative agent – influenza virus [affects upper respiratory tract]
    The virus changes it s composition very rapidly by mutation. Thus it becomes resistant to medicines or vaccines. So
    successful vaccination against common cold is not easy

    Mode of transmission ---
    By air droplet infection: when a person suffering from common cold sneezes, coughs or even breaths they spread out
    a fine spray of pathogens. These pathogens enter into healthy person through the nose during breathing in and out
    and thus infect the person

    Treatment --- symptomatic treatment
    Influenza being a viral disease has got no curative treatment since the virus changes their genetic composition by
    mutation very rapidly. So no successful vaccine is available

    Prevention ---
    •   An infected person should cover the mouth while talking, sneezing and coughing with a handkerchief
    •   Avoid close contact with an infected person
    •   Do not use personal belongings of an infected person
    •   Avoid gathering and overcrowded and poorly ventilated places
    •   Treatment of the infected person helps eliminating the source of infection
    •   Health education
    •   Improvement of socio economic condition

        •   AIDS [acquired immune deficiency syndrome]
    Causative agent -- HIV [retrovirus] {human immune deficiency virus} – weakens the immune system
    Mode of transmission –
    It is transmitted through body fluid by:
    • Through sexual intercourse with multiple sexual partners and amongst homosexuals
    • Through blood transfusions
    • Through cuts and mucus membrane
    • Placental transmission from the mother to the baby
Human biology
                                      Disease
•   During surgical operation with infected instruments
Treatment --- symptomatic
Prevention ---
•   Avoid multipleJul. 22nd
                    sexual partners
•   Use sterilize surgical instruments
                      2012
•   Screen blood before transfusions
•   Avoid pregnancy if the person is sex worker
•   Use condom during sexual intercourse
•   Identify cases and isolate them
•   Use sterilize syringe [needle]
•   Avoid using same needles for different persons in hospitals and among drug abusers
•   Burn all the personal belongings of the infected person after death
•   Provide health education

                    •   Poliomyelitis
Causative agent --- polio virus [it affects children between the age group of 0-5]
General information:
• This disease is becoming less common due to wide spread use of prophylactic immunization by oral vaccines.
• The polio virus attack the spinal cord, brain stem & cortex [CNS]
• The polio virus eats up the nerve cells
• Unfortunately, the nerve cells cannot regenerate / recover. So the damage done is permanent
• Polio vaccine is a live attenuated- vaccine
Incubation period – from seven to fourteen days
Mode of transmission ---
    •   By droplet infection
    •   Oro-faecal route – through contaminated finger, water, milk, food, flies
Symptoms –
The virus enters through the respiratory tract, i.e. though the nasopharynx. Ai the onset, there is a mild headache and
pyrexia. This is followed by neck stiffness and meningeal irritation. Paralysis may occur later.
Treatment ---
    •   In the early stages bed rest is required
    •   Paralysis is the greatest at the end of the 1 st week of the major disease
    •   Gradual recovery may take place for several months but any muscle showing no sign of recovery by the end
        of the month will not regain useful function
    •   Death may occur due to respiratory paralysis
Prevention – By oral vaccination between the age of 3 to 6 months and after one year
Oral vaccine --- small pox
Human biology
                                                 Disease
                                            Bacterial diseases
                                       •   Diseases caused by bacteria:
    Cholera, tuberculosis [TB], Lyme disease, pertussus, salmonella, staph infections, streep throat,
                   Jul. 22nd
    leprosy, tetanus, diphtheria, E. coli, flesh eating [necrotizing fasciitis] & rickets
            •   Cholera      2012

            Causative agent --- bacteria [vibrio cholerae]
            Mode of transmission – [water and food borne disease]
    Untreated sewage reaching a water source and the water consumed without proper treatment / chlorination
    Infected shell fishes or algae from water contaminated with untreated sewage
    Houseflies that sit on untreated sewage as well as food for humans and transmit bacteria into food
    Careless attendance of patients, contaminate themselves and spread the disease
   • Incubation period: 2-6 days
Sign and symptoms –
   •       Diarrhoea and vomiting
   •       Fever muscle cramps weakness and even death if not rehydrated
Treatment –
   •       ORS [oral rehydration saline]: to replace water and electrolytes lost during diarrhoea
   •       Antibiotic: e.g. tetracycline to kill bacteria. Drugs like-Chloren phenicol and sulphur diazole
Prevention of spread –
 • Prevent excess houseflies [since houseflies sit on sewage as well as human food] by:
        • Killing them with insecticides
        • Keeping the food covered / inside fridge
 • Hygiene disposal of faeces since patients pass bacteria in faeces
 • Supply of clean and safe drinking water since bacteria is transmitted in water
 • Isolation of the patient

       •    Tuberculosis [TB]
    Causative agent – Mycobacterium tuberculosis [they break down lung tissue]
    This bacterium is of 3 types:
        • Human type – causes pulmonary tuberculosis in lungs
        • Bovine type – cause TB in cattle
        • Atypical type – seen mostly in children
    • A carrier is more dangerous than a case
    • Carrier is an infected person showing no signs & symptoms
    • A carrier ca discharge the germs through the fingers, nails, and faeces to make them get infected unknowingly
    Mode of transmission –
Human biology
                                      Disease
•   By air borne droplet infection
•   When an infected person sneezes, sputum,, coughs, or even breaths, he spreads a fine spray of pathogens
•   The pathogens enter into the air and takes up a layer of moisture producing droplets
•   When a healthy personnd
                  Jul. 22 encounters these droplets through the nasal root is infected
•   Sputum from an 2012or sputum causative [positive] pulmonary TB patient to the primary source of infection.
                     open
•   Milk form infected cattle and its products are the source of infection


Symptoms ---
Persistent cough, breathlessness, fever, weight loss, generalized weakness
Treatment ---
•   Patient must be hospitalized because side effects in most cases are quite severe
•   Combinations of antibodies are given for six to nine months with enough vitamins & iron supplements
•   Common drugs are: Streptomycin, INH [isoniazide], and Rifanpicin


    Q: WHY A COMBINATION OF DRUGS ARE NECESSARY?
The TB bacteria like influenza virus can mutate to alter its structure or metabolism which makes an antibiotic less
effective or sometimes useless against the bacteria
Mutation makes the bacteria resistant against an antibiotic
This means that new antibiotics are to be used in a combination therapy to ensure effective treatment
Prevention –
•   Inject BCG vaccine to all new born
•   Pasteurized cattle milk before drinking
•   This makes the TB bacteria unable to adjust to the frequent fluctuations of temperature making them die
•   Avoid overcrowded places
•   Avoid poorly ventilated areas / housing
•   Maintain personal hygiene
•   Promote health education
•   Improvement of socio economic condition
    Added information –
•   TB is most common in amongst people who have a poor lifestyle quality
•   Suffering from some levels of poverty
•   They have poor / weak immune system which makes more vulnerable to develop TB

    •   Typhoid [bacterial disease]
Causative agent --- salmonella typhi
Mode of transmission --- by drinking water contaminated with human faeces, or by flies transferring the bacterium
form the faeces to food
Incubation period --- about 2 weeks
Human biology
                                       Disease

            Symptoms ---
A high fever, headaches, a cough, and a general feeling of being unwell
This disease develops over nd following weeks, when the patient suffers stomach cramps, constipation, or
                           the
                  Jul. 22
diarrhoea, vomiting and delirium [mental confusion]
                    2012
Diarrhoea leads to several dehydration

Treatment ---
Vaccines against typhoid are available, and antibiotics such as penicillin are effective against the bacteria. Oral
rehydration therapies are effective against the bacteria. Oral rehydration therapy is effective. In counteracting the
effects of dehydration caused by diarrhoea.

Prevention ---
Good sanitation and hygiene is essential.
It only spreads in places where human faeces or urine come in contact with the food or drinking water

Q: How are viruses treated?
• Vaccines which prevent the host from contracting the virus
• Antiviral drugs which treat the virus once contracted
• Viral diseases can be very difficult to treat because the viruses have no metabolism of their own. Hence
    antibiotics have no effect on them

            Q: How are bacteria transmitted?
             • Direct contact with an infected person
             • Contaminated food or water [salmonella, E. coli]
             • Dirty objects [tetanus]
             • Infected animals [rabies]
Q: How are bacteria harmful?
Terrorism, disease, tooth decay, food spoilage
Q: How are bacteria helpful?
Antibiotics, nitrogen fixing, food, tanning leather, breaking down waste products, digestion
Treatment for bacterial infections ---
Antibiotics : a chemical substance that stops the growth of some micro-organisms such as bacteria within the
body
 Or, they are compounds that block the growth and reproduction of bacteria
Sterilization : [heat] making something completely free of germs; or making an organism incapable of
reproduction
 Or, it is a way of destroying all bacteria by subjecting them to great heat
Pathogens : they are disease causing agents
Q: What are the 2 general ways that bacteria cause diseases?
Human biology
                                           Disease
 • Some damage the tissues of the infected organism directly by breaking them for food
 • Others release toxins that harm the body
 After infection, a pathogen must do three things to produce a disease:
 Attachment, entry [penetration], colonization
                       Jul. 22nd
 HOST – an organism2012 another organism lives and gets nourishment and protection
                         in which
 Food borne infections including salmonella can spread in 2 ways:
   • By not cooking food thoroughly E.g. raw eggs, newly laid eggs may be contaminated
   • By contaminating cooked meat form handling raw meat first
• Air borne infections are spread when an infected person coughs, sneezes, talks or breaths, as the pathogens are
    passed into the air in small droplets, saliva, mucus and water
• Insect bites can transmit pathogens through the saliva of the insect
After a person has been infected with a disease, there is an incubation period.
SIGN                                                        SYMpTOM
A sign of a disease is visible to other people. It can be   A symptom is not usually visible to other people. It is
seen heard or measured                                      what the patient experiencing as a result of the
                                                            disease, such as pain, chills, dizziness or nausea


FUNGAl DISEASES ---
Athletes foot                                               Thrush
Causative agent: tinea like ringworm                 Causative agent: Candida albicans
Symptoms –                                           Symptoms:
Forms white patches over the skin which are          Red inflammatory patches over the skin or moist
generally circular                                   mucus membrane e.g. mouth, vagina
May sometimes irritate
   • Athletes foot and thrush are most common in individuals who are known to go through a major surgery and
       taking a long term antibiotic course
   • Thrush is more common in hospitals
   • Thrush spreads through the infected bed sheets, pillow covers of the hospitals
  Mode of transmission ---
Through skin to skin contact e.g. 1. Sharing of foot wears & undergarments [socks, under wears, stockings, towels]
2. In public places e.g. gyms [gymnasium], foot mats [public toilets, food bath, sports changing room]
General information: fungi grows best in moist damp conditions
3. through infected pets
4. Sex workers [prostitutes]
Treatment ---
Anti – fungal ointments, tablets/ drugs
Prevention ---
        •    Avoid using personal belongings of infected individuals [undergarments]
Human biology
                                      Disease

    •   Avoid going to public places which is overcrowded
    •   Identify cases
    •   Treat infected pets
                  Jul. 22nd
    •   Avoid multiple sex partners
                    2012

                          Amoebic Dysentery [protozoan disease]
Causative agent: Amoeba (Entamoeba histolytica) – normally live harmlessly in the human intestine feeding on
food particles or bacteria
Mode of transmission:           1. Water Borne Disease
Drinking or washing fruits &salads water contaminated by untreated sewage.
                            2. Houseflies & cockroaches the transmit cyst of amoeba to food

Sign & symptoms:         1. Diarrhoea & vomiting
                              2.Ulceration & bleeding of the intestine
                              3. It can lead to kidney failure & death due to dehydration
Treatment: ORS [oral rehydration saline] to replace the water & electrolyte lost due to diarrhoea & vomiting.
Drugs like metronialozole followed by iodoquinol.
Prevention or spread:     1. Supply of clean & safe drinking water
                             2. Hygienic disposal of faeces
                              3. Proper sewage treatment
            4. Prevent houseflies & cockroaches reaching food by keeping food covered or in the refrigerator.
Q: How can dehydration lead to kidney failure?
    • Dehydration is the result of a loss of excessive salt & water
    • Dehydration leads to decrease of blood volume
    • The kidney purifies blood & to do so requires high pressure
    • Impure blood enters into the kidney via renal artery at a low pressure leads to the failure of kidney.


        Bilharzia (parasitic disease)
        Schistosoma causes bilharziasis. It is a parasite flatworm.
        Life-cycle: The adult Schistosoma lives in the hepatic portal vein or blood vessels leading to the bladder.
        The male is larger than the female so the male carries the female on it. Eggs are laid in the blood vessel.
        The eggs have a spiny covering. As the eggs mature it vibrates &penetrates the wall of the blood vessel &
        enters the blood stream. They are excreted out of the body along with the urine & faeces.
        The eggs are released in fresh water. The egg hatches producing the miracicluim larvae which cannot
        survive if they do not enter a snail & are released. If the cerceriac larvae have to survive it has to enter a
        human body with 1 to 2 days. They can enter the human body by:
                     1. If untreated water is swallowed.
Human biology
                                        Disease
                         2. It can also penetrate the skin of the ankle by enzyme reaction.
    The larvae first enters the lymphatic system & then into the venous system & eventually into the circulation. It
   takes about 23 days for the larvae to become an adult. The adult then establishes it on the blood vessels.
  Treatment: Give anti-bioticnddrugs
                      Jul. 22
  1. Nilodin       2.Miracil-D
                        2012
   Prevention / Control-
• Mapping an area for the sources of water with which people comes in contact. If snails are found they should be
checked for containing schistosoma larvae.
• Water should be chlorinated, filtered & boiled before drinking
• Walking barefooted into the water should be avoided and children should be given proper health education.
• Fresh water should be avoided from coming in contact with untreated water
• Prevent growth of weeds on which snails feed.


                               Malaria [protozoan disease/ parasitic disease]
Causative agent: plasmodium [a protozoa]—single celled organism
Plasmodium has 2 hosts—
Primary host: female anopheles mosquito
Secondary host: human
     The 4 species of plasmodium which are responsible for causing malaria are—
Plasmodium vivax: causes tertian malaria
Plasmodium falciparum: causes malignant malaria
Plasmodium malariae: causes quantum fever
Plasmodium ovale: it is very rare and little is known about it

Mode of transmission: female anopheles mosquito transmits plasmodium in her saliva when she sucks blood from
humans
Symptoms: alternating cold sweats and fever, vomiting, joint pains and anemia

      Adult insect                          Egg




            Pupa                        Larvae

  How we can control the spread of malaria?
  We can control the spread of malaria by controlling the vectors of plasmodium. Female anopheles mosquito is the
  vector of transporting malaria from one host to another.
  The vectors can be controlled by the following ways:
Human biology
                                         Disease
Method                                 purpose
• Spraying oil on stagnant water       Oil floats on water and prevents the larvae and egg form respiring since air
   and swampy grounds                  cuts air coming in contact [the oil cuts the oxygen supply into the water]
• Spraying insecticides like DDT       It blocks the trachea of the mosquito causing suffocation. It kills the mosquito
                  Jul. 22nd
                                       [ drawback: the mosquito can easily mutate to change its genetic composition
                     2012              to become resistant to an insecticide]
•   Removing stagnant water /          Stops the breeding of mosquito
    increasing the speed of slow       Mosquitoes lay egg in stagnant water. Why?
    water                              The eggs of mosquito are very fragile so they easily break and flow away in
                                       flowing water. So to avoid this, mosquitoes lay their eggs in stagnant water.
•   Keep the surroundings clean        Mosquito cannot take shelter [loses habitat]
    [clearing the bushes]
•   Avoid littering
•   Use mosquito nets while going      Mosquito can’t penetrate through the nets and bite to cause malaria
    to sleep
•   Take anti-malarial drugs when
    visiting to places where malaria
    A epidemic
•   Use mosquito repellence            Keeps away / repels the mosquito
•   Cover or conceal doors and         Prevents mosquito from entering the house
    cover the windows with net

 Two cells which are attacked by the malaria parasite:
Liver cell& the red blood cells
What is plasmodium?
It is a protozoa which lives on the blood stream of humans.

How is the disease malaria transmitted form one person to another?
A female anopheles mosquito bites an infected person by piercing the mouth piece into the person’s skin
The mosquito secretes saliva to prevent blood clotting and ensure continuous sucking of blood
As a result, the mosquito harbours the disease inside
The malarial parasites spreads anywhere between 2 weeks and several months in the person’s liver before the next
stage in the life cycle infects RBC
Then well known symptoms appear altering cold sweats and fever

Symptoms: mild headache, shivering fever, sweating fever, general body aching, high temperature
Treatment: antimalarial drugs
What are the three harmful effects of female anopheles mosquito?
       • It sucks blood
       • It spreads malaria
Human biology
                                        Disease
        • It irritates human
 Q: Mosquitoes have a high reproductive rate. Why?
     • Adult mosquitos have a very short life span of only seven days
     • They haveJul. 22nd eggs to ensure the continuation of their generation
                    to lay lot of

                       2012                Gonorrhoea [bacterial disease]
It is a sexually transmitted disease
Causative agent: Neisseria gonorrhea
Mode of transmission:
It is transmitted by sexual contact only
Less than 50% of female is suffering from the disease which does not show any symptom
They harbour the bacteria in the vagina as the vaginal secretion contains it
It is transmitted to a healthy male during sexual intercourse.
The disease affects the urinary and the genital system

     Treatment: isolate the patient and hospitalize if necessary. There is no immunity to gonorrhoea
     Give antibiotics like; penicillin, tetracycline, Ampicillin
     Prevention of spread:
         • Avoid infected person
         • Use condom during intercourse
         • Avoid multiple partners
         • Maintain a healthy sexual life
         • Identify cases and provide treatment
         • Health education
         • Improvement of socio economic condition
         • Maintenance of personal hygiene
     Symptom:
•   The 1st symptoms in men are pain and a discharge of pus from the urethra. In women, there may be similar
    symptoms or no symptoms at all
•   In men, the disease leads to the blockage of the urethra and to sterility
•   A woman can pass the disease to her child during her child birth.
•   The bacteria in the vagina invade the baby’ eyes and cause blindness.


                              Syphilis [bacterial disease]
    It is a sexually transmitted disease
    Causative agent: Treponema pallidum
    Incubation period: 1 week to 3 months
Human biology
                                             Disease
         Symptoms: in the 1st stage of the disease, a lump or ulcer appears on the penis or vulva, 1 week to 3 months
         after being infected. The ulcer usually heals without any treatment after about 6 weeks. By this time bacteria
         have entered the body and may affect any tissue or organ. There may be a skin rash, a high temperature and
         swollen lymph nodes. But the symptoms are variable and the infected person may appear in good health for
                         Jul. 22nd
         many years.
                           2012

                         Added information: if the disease is not treated in the early stages, the bacteria will in time
         cause inflammation almost anywhere in the body. They can do permanent damage to the blood vessels, heart or
         brain leading paralysis or insanity. In pregnant woman, the bacteria can get across the placenta and infect the
         fetus.
         Treatment: penicillin will cure syphilis. But unless it is used in the early stages of the disease, the bacteria may
         do permanent damage.
     pREvENTING FOODS FROM BECOMING CONTAMINATED ---
         House files: house flies must be prevented from carrying pathogens to food.
         There are 4 main ways to do this—
     •   Keep all unwrapped food in fly-proof containers such as refrigerators or larders.
     •   Enclose all food waste in fly proof dustbins so that the flies cannot pick up the bacteria.
     •   Never leave human faeces were flies can reach them [if faeces cannot be flushed into the sewage system, they
          must be buried]
     •   Destroy houseflies, wherever possible, in the places where they breed, such as rubbish tips and manure heaps.
          Processing:
     •   Cooking destroys any bacteria present in food
     •   Refrigeration and freezing slow down or prevent bacterial reproduction
     •   Dehydration, pickling, canning and irradiation are methods of preserving food
     •   These processes destroy the bacteria which might cause disease. They also stop the food from going bad.
     Describe the ways in which the body prevents bacteria from entering the
     bloodstream
      Skin
•    The dead confined later of the skin is very hard and tough which resists bacterial invasion
•    Bacteria cannot enter into the body through the skin
•    The skin also reduces the chances of mechanical injury into the body
•    The skin has sebaceous glands which secretes sebum. Sebum keeps the skin supple & waterproof. And it is mildly antiseptic
         Inhalation
•    The walls of the trachea contains cilia and mucus
•    Cilia by its to and fro motion distributes the mucus around the trachea
•    The mucus traps the dust and germs of the inhaled air
•   The lining of the nasal cavity also has ciliated cells and film of moisture which also traps the dust and germs of the air
    inhaled by the nose.
Human biology
                                        Disease
Stomach
The germs which enter the stomach through the food source is killed by the concentrated hydrochloric acid secreted by the
walls of the stomach
Eyes                Jul. 22nd
The eyes secrete tears which keep the conjunctiva moist, wash it clean
                      2012
The tears are antiseptic in nature which prevents bacterial invasion
                     How some organisms enter into the body?
    • Nose: [dry air borne spores or microbes in droplets of moisture]
Common cold, influenza, pneumonia, tuberculosis, scarlet fever, whooping cough, chicken pox, measles, poliomyelitis, small
pox, anthrax, leprosy, typhoid fever

   • Mouth: [organisms in food, and water or on the fingers]
Dysentery, food poisoning, parasitic worms, cholera, tuberculosis, typhoid fever, poliomyelitis

   • Insect bites:
Malaria [female anopheles mosquito], sleeping sickness [tsetse fly], yellow fever [aedes mosquito], bubonic plague [fleas],
Secondary infection of bites by bacteria and viruses

    • Skin: [damaged or undamaged]
Tetanus [through cut], rabies [bite of infected dogs and other animals], small pox [direct contact with infected skin],
ringworm and athlete’s foot [fungal infections], some nematode worms [ore through skin]

   • Reproductive:
Venereal diseases [syphilis and gonorrhoea]

Diseases are often caused by organisms which live as parasites. A parasite is an organism which obtains its food from the
living body of another organism called their host; but not all parasites harm their host. Most humans, for example, have a
parasitic bacterium, ESCHERISCHIA COLI, living harmlessly in their intestines. Parasites which harm their hosts are said to
pathogenic, or pathogens

How pathogens cause disease?
Once inside the body, some pathogens release poisonous chemicals called toxins. Most toxins are proteins and are bi-
products of the parasite’s metabolism. They produce disease symptoms in the host like high temperature, headache, and
vomiting.
Symptoms do not appear immediately a pathogen enters a host. There is an interval called the incubation period before
symptoms appear, during which germs multiply rapidly or larger parasites develop to full size.
Some parasites, including nematode worms and insects, bore through host tissues causing wounds which may then become
infected by bacteria and viruses. This is called secondary infection.
Human biology
                                       Disease
                Salmonella food poisoning
Outline: One of the commonest causes of food poisoning is the toxin produces by the bacteria salmonella typhimurium S,
Enteritidis or some varieties of Escherichia coli.
These bacteria live in the 22nd
                    Jul. intestines of cattle, pigs’ chickens and ducks without causing disease symptoms.
Humans however, may develop food poisoning if they drink milk or meats or eggs which are contaminated with salmonella
                       2012
bacteria from the alimentary canal of an infected animal.
Intensive methods of animal rearing may contribute to a spread of infection unless care is taken to reduce the exposure of
animals to infected faeces.

Causative agent: salmonella typhimurium S. enteritidis or some verities of Escherichia coli [E.coli]
Mode of transmission: infection is most likely if untreated milk is drunk [contaminated milk], meat is not properly
cooked, or cooked meat is contaminated with bacteria transferred from raw meat.

Symptoms: diarrhoea, vomiting and abdominal pain
Incubation period: 12 to 24 hours after eating the contaminated food
Treatment: although the symptoms are unpleasant, the disease is not serious and does not need treatment with drugs.
Elderly people and very young children however may be made very ill by food poisoning.

Prevention: the salmonella bacteria are killed when meat is cooked or milk is pasteurized. Or to more accurate—to avoid
the disease, all milk should be pasteurized and meat should be thoroughly cooked. People such as shop assistants and cooks
should not handle cooked food at the same time as they handle raw meat. If they must do so, they should wash their hands
thoroughly between the 2 activities.


                    IGCSE SpECIFICATION                    -disease
 Students should know what the main effects of the diseases mentioned in this section are but a
 detailed knowledge of symptoms is not required.
 Students will be assessed on their ability to:

 a) The general course of a disease.
 (i) Recall the methods of infection, incubation, signs and symptoms.
 (ii) Understand the difference between endemic and epidemic diseases.

 b) Diseases caused by pathogenic microorganisms.
 (i) Viruses: recall a brief description of their structure and reproduction. Recall methods of
 transmission, treatment and prevention of spread of influenza, poliomyelitis and AIDS
 (Human Immuno-deficiency Virus — HIV).
 (ii) Bacteria: recall a brief description of their structure, nutrition and reproduction.
 (iii) Bacteria as pathogens: recall methods of transmission, treatment and prevention of
 spread of typhoid, tuberculosis and gonorrhoea.
 (iv) Fungi: recall methods of transmission, treatment and prevention of spread of thrush and
 athlete’s foot.
Human biology
                                       Disease

c) Diseases caused by other parasites.
(i) The parasite schistosoma: recall its nutrition and life cycle.
Recall the worldwide effects of the disease schistosomiasis (Bilharzia.), including
                   Jul. 22nd
methods of preventing its spread.
(ii) Understand the relationships between: mosquito and malarial parasite; housefly and
                      2012
typhoid bacillus.

d) Explain the role of these vectors in transmitting causative agents of disease and the
treatment and prevention of spread of the disease and its vector.

e) Defence
(i) Immunity: understand that it can be natural and artificial, both active and passive, with
reference to diseases.
(ii) Vaccines: explain what a vaccine is and how it works.
(iii) Understand the antibody/antigen reaction.
(iv) Recall the sources and role of antibiotics.

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IGCSE human biology-- chap: disease....by T@NV!R

  • 1. Human biology Disease Microbes are of two types: • Pathogenic -- can cause disease in human • Non-pathogenic – does not cause disease in human e.g. E.coli Types of pathogenic disease in human: Jul. 22nd • Bacterial – e.g. salmonella typhi causes typhoid 2012 • Viral – e.g. HIV causes AIDS • Fungal – e.g. tinea causes athletes foot Types of disease: • Animal vectors • Air borne –through droplet infection • Water borne • Direct contact • Sexually transmitted • Food borne STD [sexually transmitted disease] • AIDS • Syphilis • Gonorrhea Immunity --- it is the ability of the body to resist infection • Natural active immunity --- it is a kind of immunity acquired when an individual is able to make its own antibody against the pathogen. The entry of which is natural. • Natural passive immunity --- it is a type of immunity acquired where the naturally occurring antibodies made against the pathogens are taken in form an outside source. The antibodies are not self made • Artificial passive immunity --- specific antibodies are directly injected into a person acquired form a different source. Provide immunity temporarily. The antibodies which are injected are called serum • Vaccine -- A vaccine is an immune biological substance which contains the live or dead form of the pathogen, which when injected provide lifelong immunity • Incubation period --- the period between becoming infected by germs and the appearance of the symptoms of disease • Vaccination – the process of injecting a person with a harmless [weakened or dead] form of a virus to stimulate the immune system to produce cells and proteins that will destroy that type of virus • Carrier – it is an individual which harbours the germs without showing signs and symptoms of the disease and unknown to discharge the multiplying germs through faeces and expiration. • Case – it is an individual suffering from a disease and showing signs and symptoms • Vector – a vector is an individual which is known the causative without itself getting infected. • Endemic disease – a disease which is always present in an area • Pendemic disease – a large –scale outbreak of disease which spreads from country to country
  • 2. Human biology Disease • Epidemic disease -- a sudden outbreak of disease which spreads quickly through the population of an area Viral diseases • What are the diseases caused by viruses? Influenza [flu],Jul. 22 AIDS, hepatitis, west Nile, measles, herpes, shingles, chicken pox, nd colds, 2012 monkey pox, polio, small pox, Ebola & some cancers [Epstein barr] • Common cold [influenza-‘flu] Causative agent – influenza virus [affects upper respiratory tract] The virus changes it s composition very rapidly by mutation. Thus it becomes resistant to medicines or vaccines. So successful vaccination against common cold is not easy Mode of transmission --- By air droplet infection: when a person suffering from common cold sneezes, coughs or even breaths they spread out a fine spray of pathogens. These pathogens enter into healthy person through the nose during breathing in and out and thus infect the person Treatment --- symptomatic treatment Influenza being a viral disease has got no curative treatment since the virus changes their genetic composition by mutation very rapidly. So no successful vaccine is available Prevention --- • An infected person should cover the mouth while talking, sneezing and coughing with a handkerchief • Avoid close contact with an infected person • Do not use personal belongings of an infected person • Avoid gathering and overcrowded and poorly ventilated places • Treatment of the infected person helps eliminating the source of infection • Health education • Improvement of socio economic condition • AIDS [acquired immune deficiency syndrome] Causative agent -- HIV [retrovirus] {human immune deficiency virus} – weakens the immune system Mode of transmission – It is transmitted through body fluid by: • Through sexual intercourse with multiple sexual partners and amongst homosexuals • Through blood transfusions • Through cuts and mucus membrane • Placental transmission from the mother to the baby
  • 3. Human biology Disease • During surgical operation with infected instruments Treatment --- symptomatic Prevention --- • Avoid multipleJul. 22nd sexual partners • Use sterilize surgical instruments 2012 • Screen blood before transfusions • Avoid pregnancy if the person is sex worker • Use condom during sexual intercourse • Identify cases and isolate them • Use sterilize syringe [needle] • Avoid using same needles for different persons in hospitals and among drug abusers • Burn all the personal belongings of the infected person after death • Provide health education • Poliomyelitis Causative agent --- polio virus [it affects children between the age group of 0-5] General information: • This disease is becoming less common due to wide spread use of prophylactic immunization by oral vaccines. • The polio virus attack the spinal cord, brain stem & cortex [CNS] • The polio virus eats up the nerve cells • Unfortunately, the nerve cells cannot regenerate / recover. So the damage done is permanent • Polio vaccine is a live attenuated- vaccine Incubation period – from seven to fourteen days Mode of transmission --- • By droplet infection • Oro-faecal route – through contaminated finger, water, milk, food, flies Symptoms – The virus enters through the respiratory tract, i.e. though the nasopharynx. Ai the onset, there is a mild headache and pyrexia. This is followed by neck stiffness and meningeal irritation. Paralysis may occur later. Treatment --- • In the early stages bed rest is required • Paralysis is the greatest at the end of the 1 st week of the major disease • Gradual recovery may take place for several months but any muscle showing no sign of recovery by the end of the month will not regain useful function • Death may occur due to respiratory paralysis Prevention – By oral vaccination between the age of 3 to 6 months and after one year Oral vaccine --- small pox
  • 4. Human biology Disease Bacterial diseases • Diseases caused by bacteria: Cholera, tuberculosis [TB], Lyme disease, pertussus, salmonella, staph infections, streep throat, Jul. 22nd leprosy, tetanus, diphtheria, E. coli, flesh eating [necrotizing fasciitis] & rickets • Cholera 2012 Causative agent --- bacteria [vibrio cholerae] Mode of transmission – [water and food borne disease] Untreated sewage reaching a water source and the water consumed without proper treatment / chlorination Infected shell fishes or algae from water contaminated with untreated sewage Houseflies that sit on untreated sewage as well as food for humans and transmit bacteria into food Careless attendance of patients, contaminate themselves and spread the disease • Incubation period: 2-6 days Sign and symptoms – • Diarrhoea and vomiting • Fever muscle cramps weakness and even death if not rehydrated Treatment – • ORS [oral rehydration saline]: to replace water and electrolytes lost during diarrhoea • Antibiotic: e.g. tetracycline to kill bacteria. Drugs like-Chloren phenicol and sulphur diazole Prevention of spread – • Prevent excess houseflies [since houseflies sit on sewage as well as human food] by: • Killing them with insecticides • Keeping the food covered / inside fridge • Hygiene disposal of faeces since patients pass bacteria in faeces • Supply of clean and safe drinking water since bacteria is transmitted in water • Isolation of the patient • Tuberculosis [TB] Causative agent – Mycobacterium tuberculosis [they break down lung tissue] This bacterium is of 3 types: • Human type – causes pulmonary tuberculosis in lungs • Bovine type – cause TB in cattle • Atypical type – seen mostly in children • A carrier is more dangerous than a case • Carrier is an infected person showing no signs & symptoms • A carrier ca discharge the germs through the fingers, nails, and faeces to make them get infected unknowingly Mode of transmission –
  • 5. Human biology Disease • By air borne droplet infection • When an infected person sneezes, sputum,, coughs, or even breaths, he spreads a fine spray of pathogens • The pathogens enter into the air and takes up a layer of moisture producing droplets • When a healthy personnd Jul. 22 encounters these droplets through the nasal root is infected • Sputum from an 2012or sputum causative [positive] pulmonary TB patient to the primary source of infection. open • Milk form infected cattle and its products are the source of infection Symptoms --- Persistent cough, breathlessness, fever, weight loss, generalized weakness Treatment --- • Patient must be hospitalized because side effects in most cases are quite severe • Combinations of antibodies are given for six to nine months with enough vitamins & iron supplements • Common drugs are: Streptomycin, INH [isoniazide], and Rifanpicin Q: WHY A COMBINATION OF DRUGS ARE NECESSARY? The TB bacteria like influenza virus can mutate to alter its structure or metabolism which makes an antibiotic less effective or sometimes useless against the bacteria Mutation makes the bacteria resistant against an antibiotic This means that new antibiotics are to be used in a combination therapy to ensure effective treatment Prevention – • Inject BCG vaccine to all new born • Pasteurized cattle milk before drinking • This makes the TB bacteria unable to adjust to the frequent fluctuations of temperature making them die • Avoid overcrowded places • Avoid poorly ventilated areas / housing • Maintain personal hygiene • Promote health education • Improvement of socio economic condition Added information – • TB is most common in amongst people who have a poor lifestyle quality • Suffering from some levels of poverty • They have poor / weak immune system which makes more vulnerable to develop TB • Typhoid [bacterial disease] Causative agent --- salmonella typhi Mode of transmission --- by drinking water contaminated with human faeces, or by flies transferring the bacterium form the faeces to food Incubation period --- about 2 weeks
  • 6. Human biology Disease Symptoms --- A high fever, headaches, a cough, and a general feeling of being unwell This disease develops over nd following weeks, when the patient suffers stomach cramps, constipation, or the Jul. 22 diarrhoea, vomiting and delirium [mental confusion] 2012 Diarrhoea leads to several dehydration Treatment --- Vaccines against typhoid are available, and antibiotics such as penicillin are effective against the bacteria. Oral rehydration therapies are effective against the bacteria. Oral rehydration therapy is effective. In counteracting the effects of dehydration caused by diarrhoea. Prevention --- Good sanitation and hygiene is essential. It only spreads in places where human faeces or urine come in contact with the food or drinking water Q: How are viruses treated? • Vaccines which prevent the host from contracting the virus • Antiviral drugs which treat the virus once contracted • Viral diseases can be very difficult to treat because the viruses have no metabolism of their own. Hence antibiotics have no effect on them Q: How are bacteria transmitted? • Direct contact with an infected person • Contaminated food or water [salmonella, E. coli] • Dirty objects [tetanus] • Infected animals [rabies] Q: How are bacteria harmful? Terrorism, disease, tooth decay, food spoilage Q: How are bacteria helpful? Antibiotics, nitrogen fixing, food, tanning leather, breaking down waste products, digestion Treatment for bacterial infections --- Antibiotics : a chemical substance that stops the growth of some micro-organisms such as bacteria within the body Or, they are compounds that block the growth and reproduction of bacteria Sterilization : [heat] making something completely free of germs; or making an organism incapable of reproduction Or, it is a way of destroying all bacteria by subjecting them to great heat Pathogens : they are disease causing agents Q: What are the 2 general ways that bacteria cause diseases?
  • 7. Human biology Disease • Some damage the tissues of the infected organism directly by breaking them for food • Others release toxins that harm the body After infection, a pathogen must do three things to produce a disease: Attachment, entry [penetration], colonization Jul. 22nd HOST – an organism2012 another organism lives and gets nourishment and protection in which Food borne infections including salmonella can spread in 2 ways: • By not cooking food thoroughly E.g. raw eggs, newly laid eggs may be contaminated • By contaminating cooked meat form handling raw meat first • Air borne infections are spread when an infected person coughs, sneezes, talks or breaths, as the pathogens are passed into the air in small droplets, saliva, mucus and water • Insect bites can transmit pathogens through the saliva of the insect After a person has been infected with a disease, there is an incubation period. SIGN SYMpTOM A sign of a disease is visible to other people. It can be A symptom is not usually visible to other people. It is seen heard or measured what the patient experiencing as a result of the disease, such as pain, chills, dizziness or nausea FUNGAl DISEASES --- Athletes foot Thrush Causative agent: tinea like ringworm Causative agent: Candida albicans Symptoms – Symptoms: Forms white patches over the skin which are Red inflammatory patches over the skin or moist generally circular mucus membrane e.g. mouth, vagina May sometimes irritate • Athletes foot and thrush are most common in individuals who are known to go through a major surgery and taking a long term antibiotic course • Thrush is more common in hospitals • Thrush spreads through the infected bed sheets, pillow covers of the hospitals Mode of transmission --- Through skin to skin contact e.g. 1. Sharing of foot wears & undergarments [socks, under wears, stockings, towels] 2. In public places e.g. gyms [gymnasium], foot mats [public toilets, food bath, sports changing room] General information: fungi grows best in moist damp conditions 3. through infected pets 4. Sex workers [prostitutes] Treatment --- Anti – fungal ointments, tablets/ drugs Prevention --- • Avoid using personal belongings of infected individuals [undergarments]
  • 8. Human biology Disease • Avoid going to public places which is overcrowded • Identify cases • Treat infected pets Jul. 22nd • Avoid multiple sex partners 2012 Amoebic Dysentery [protozoan disease] Causative agent: Amoeba (Entamoeba histolytica) – normally live harmlessly in the human intestine feeding on food particles or bacteria Mode of transmission: 1. Water Borne Disease Drinking or washing fruits &salads water contaminated by untreated sewage. 2. Houseflies & cockroaches the transmit cyst of amoeba to food Sign & symptoms: 1. Diarrhoea & vomiting 2.Ulceration & bleeding of the intestine 3. It can lead to kidney failure & death due to dehydration Treatment: ORS [oral rehydration saline] to replace the water & electrolyte lost due to diarrhoea & vomiting. Drugs like metronialozole followed by iodoquinol. Prevention or spread: 1. Supply of clean & safe drinking water 2. Hygienic disposal of faeces 3. Proper sewage treatment 4. Prevent houseflies & cockroaches reaching food by keeping food covered or in the refrigerator. Q: How can dehydration lead to kidney failure? • Dehydration is the result of a loss of excessive salt & water • Dehydration leads to decrease of blood volume • The kidney purifies blood & to do so requires high pressure • Impure blood enters into the kidney via renal artery at a low pressure leads to the failure of kidney. Bilharzia (parasitic disease) Schistosoma causes bilharziasis. It is a parasite flatworm. Life-cycle: The adult Schistosoma lives in the hepatic portal vein or blood vessels leading to the bladder. The male is larger than the female so the male carries the female on it. Eggs are laid in the blood vessel. The eggs have a spiny covering. As the eggs mature it vibrates &penetrates the wall of the blood vessel & enters the blood stream. They are excreted out of the body along with the urine & faeces. The eggs are released in fresh water. The egg hatches producing the miracicluim larvae which cannot survive if they do not enter a snail & are released. If the cerceriac larvae have to survive it has to enter a human body with 1 to 2 days. They can enter the human body by: 1. If untreated water is swallowed.
  • 9. Human biology Disease 2. It can also penetrate the skin of the ankle by enzyme reaction. The larvae first enters the lymphatic system & then into the venous system & eventually into the circulation. It takes about 23 days for the larvae to become an adult. The adult then establishes it on the blood vessels. Treatment: Give anti-bioticnddrugs Jul. 22 1. Nilodin 2.Miracil-D 2012 Prevention / Control- • Mapping an area for the sources of water with which people comes in contact. If snails are found they should be checked for containing schistosoma larvae. • Water should be chlorinated, filtered & boiled before drinking • Walking barefooted into the water should be avoided and children should be given proper health education. • Fresh water should be avoided from coming in contact with untreated water • Prevent growth of weeds on which snails feed. Malaria [protozoan disease/ parasitic disease] Causative agent: plasmodium [a protozoa]—single celled organism Plasmodium has 2 hosts— Primary host: female anopheles mosquito Secondary host: human The 4 species of plasmodium which are responsible for causing malaria are— Plasmodium vivax: causes tertian malaria Plasmodium falciparum: causes malignant malaria Plasmodium malariae: causes quantum fever Plasmodium ovale: it is very rare and little is known about it Mode of transmission: female anopheles mosquito transmits plasmodium in her saliva when she sucks blood from humans Symptoms: alternating cold sweats and fever, vomiting, joint pains and anemia Adult insect Egg Pupa Larvae How we can control the spread of malaria? We can control the spread of malaria by controlling the vectors of plasmodium. Female anopheles mosquito is the vector of transporting malaria from one host to another. The vectors can be controlled by the following ways:
  • 10. Human biology Disease Method purpose • Spraying oil on stagnant water Oil floats on water and prevents the larvae and egg form respiring since air and swampy grounds cuts air coming in contact [the oil cuts the oxygen supply into the water] • Spraying insecticides like DDT It blocks the trachea of the mosquito causing suffocation. It kills the mosquito Jul. 22nd [ drawback: the mosquito can easily mutate to change its genetic composition 2012 to become resistant to an insecticide] • Removing stagnant water / Stops the breeding of mosquito increasing the speed of slow Mosquitoes lay egg in stagnant water. Why? water The eggs of mosquito are very fragile so they easily break and flow away in flowing water. So to avoid this, mosquitoes lay their eggs in stagnant water. • Keep the surroundings clean Mosquito cannot take shelter [loses habitat] [clearing the bushes] • Avoid littering • Use mosquito nets while going Mosquito can’t penetrate through the nets and bite to cause malaria to sleep • Take anti-malarial drugs when visiting to places where malaria A epidemic • Use mosquito repellence Keeps away / repels the mosquito • Cover or conceal doors and Prevents mosquito from entering the house cover the windows with net Two cells which are attacked by the malaria parasite: Liver cell& the red blood cells What is plasmodium? It is a protozoa which lives on the blood stream of humans. How is the disease malaria transmitted form one person to another? A female anopheles mosquito bites an infected person by piercing the mouth piece into the person’s skin The mosquito secretes saliva to prevent blood clotting and ensure continuous sucking of blood As a result, the mosquito harbours the disease inside The malarial parasites spreads anywhere between 2 weeks and several months in the person’s liver before the next stage in the life cycle infects RBC Then well known symptoms appear altering cold sweats and fever Symptoms: mild headache, shivering fever, sweating fever, general body aching, high temperature Treatment: antimalarial drugs What are the three harmful effects of female anopheles mosquito? • It sucks blood • It spreads malaria
  • 11. Human biology Disease • It irritates human Q: Mosquitoes have a high reproductive rate. Why? • Adult mosquitos have a very short life span of only seven days • They haveJul. 22nd eggs to ensure the continuation of their generation to lay lot of 2012 Gonorrhoea [bacterial disease] It is a sexually transmitted disease Causative agent: Neisseria gonorrhea Mode of transmission: It is transmitted by sexual contact only Less than 50% of female is suffering from the disease which does not show any symptom They harbour the bacteria in the vagina as the vaginal secretion contains it It is transmitted to a healthy male during sexual intercourse. The disease affects the urinary and the genital system Treatment: isolate the patient and hospitalize if necessary. There is no immunity to gonorrhoea Give antibiotics like; penicillin, tetracycline, Ampicillin Prevention of spread: • Avoid infected person • Use condom during intercourse • Avoid multiple partners • Maintain a healthy sexual life • Identify cases and provide treatment • Health education • Improvement of socio economic condition • Maintenance of personal hygiene Symptom: • The 1st symptoms in men are pain and a discharge of pus from the urethra. In women, there may be similar symptoms or no symptoms at all • In men, the disease leads to the blockage of the urethra and to sterility • A woman can pass the disease to her child during her child birth. • The bacteria in the vagina invade the baby’ eyes and cause blindness. Syphilis [bacterial disease] It is a sexually transmitted disease Causative agent: Treponema pallidum Incubation period: 1 week to 3 months
  • 12. Human biology Disease Symptoms: in the 1st stage of the disease, a lump or ulcer appears on the penis or vulva, 1 week to 3 months after being infected. The ulcer usually heals without any treatment after about 6 weeks. By this time bacteria have entered the body and may affect any tissue or organ. There may be a skin rash, a high temperature and swollen lymph nodes. But the symptoms are variable and the infected person may appear in good health for Jul. 22nd many years. 2012 Added information: if the disease is not treated in the early stages, the bacteria will in time cause inflammation almost anywhere in the body. They can do permanent damage to the blood vessels, heart or brain leading paralysis or insanity. In pregnant woman, the bacteria can get across the placenta and infect the fetus. Treatment: penicillin will cure syphilis. But unless it is used in the early stages of the disease, the bacteria may do permanent damage. pREvENTING FOODS FROM BECOMING CONTAMINATED --- House files: house flies must be prevented from carrying pathogens to food. There are 4 main ways to do this— • Keep all unwrapped food in fly-proof containers such as refrigerators or larders. • Enclose all food waste in fly proof dustbins so that the flies cannot pick up the bacteria. • Never leave human faeces were flies can reach them [if faeces cannot be flushed into the sewage system, they must be buried] • Destroy houseflies, wherever possible, in the places where they breed, such as rubbish tips and manure heaps. Processing: • Cooking destroys any bacteria present in food • Refrigeration and freezing slow down or prevent bacterial reproduction • Dehydration, pickling, canning and irradiation are methods of preserving food • These processes destroy the bacteria which might cause disease. They also stop the food from going bad. Describe the ways in which the body prevents bacteria from entering the bloodstream Skin • The dead confined later of the skin is very hard and tough which resists bacterial invasion • Bacteria cannot enter into the body through the skin • The skin also reduces the chances of mechanical injury into the body • The skin has sebaceous glands which secretes sebum. Sebum keeps the skin supple & waterproof. And it is mildly antiseptic Inhalation • The walls of the trachea contains cilia and mucus • Cilia by its to and fro motion distributes the mucus around the trachea • The mucus traps the dust and germs of the inhaled air • The lining of the nasal cavity also has ciliated cells and film of moisture which also traps the dust and germs of the air inhaled by the nose.
  • 13. Human biology Disease Stomach The germs which enter the stomach through the food source is killed by the concentrated hydrochloric acid secreted by the walls of the stomach Eyes Jul. 22nd The eyes secrete tears which keep the conjunctiva moist, wash it clean 2012 The tears are antiseptic in nature which prevents bacterial invasion How some organisms enter into the body? • Nose: [dry air borne spores or microbes in droplets of moisture] Common cold, influenza, pneumonia, tuberculosis, scarlet fever, whooping cough, chicken pox, measles, poliomyelitis, small pox, anthrax, leprosy, typhoid fever • Mouth: [organisms in food, and water or on the fingers] Dysentery, food poisoning, parasitic worms, cholera, tuberculosis, typhoid fever, poliomyelitis • Insect bites: Malaria [female anopheles mosquito], sleeping sickness [tsetse fly], yellow fever [aedes mosquito], bubonic plague [fleas], Secondary infection of bites by bacteria and viruses • Skin: [damaged or undamaged] Tetanus [through cut], rabies [bite of infected dogs and other animals], small pox [direct contact with infected skin], ringworm and athlete’s foot [fungal infections], some nematode worms [ore through skin] • Reproductive: Venereal diseases [syphilis and gonorrhoea] Diseases are often caused by organisms which live as parasites. A parasite is an organism which obtains its food from the living body of another organism called their host; but not all parasites harm their host. Most humans, for example, have a parasitic bacterium, ESCHERISCHIA COLI, living harmlessly in their intestines. Parasites which harm their hosts are said to pathogenic, or pathogens How pathogens cause disease? Once inside the body, some pathogens release poisonous chemicals called toxins. Most toxins are proteins and are bi- products of the parasite’s metabolism. They produce disease symptoms in the host like high temperature, headache, and vomiting. Symptoms do not appear immediately a pathogen enters a host. There is an interval called the incubation period before symptoms appear, during which germs multiply rapidly or larger parasites develop to full size. Some parasites, including nematode worms and insects, bore through host tissues causing wounds which may then become infected by bacteria and viruses. This is called secondary infection.
  • 14. Human biology Disease Salmonella food poisoning Outline: One of the commonest causes of food poisoning is the toxin produces by the bacteria salmonella typhimurium S, Enteritidis or some varieties of Escherichia coli. These bacteria live in the 22nd Jul. intestines of cattle, pigs’ chickens and ducks without causing disease symptoms. Humans however, may develop food poisoning if they drink milk or meats or eggs which are contaminated with salmonella 2012 bacteria from the alimentary canal of an infected animal. Intensive methods of animal rearing may contribute to a spread of infection unless care is taken to reduce the exposure of animals to infected faeces. Causative agent: salmonella typhimurium S. enteritidis or some verities of Escherichia coli [E.coli] Mode of transmission: infection is most likely if untreated milk is drunk [contaminated milk], meat is not properly cooked, or cooked meat is contaminated with bacteria transferred from raw meat. Symptoms: diarrhoea, vomiting and abdominal pain Incubation period: 12 to 24 hours after eating the contaminated food Treatment: although the symptoms are unpleasant, the disease is not serious and does not need treatment with drugs. Elderly people and very young children however may be made very ill by food poisoning. Prevention: the salmonella bacteria are killed when meat is cooked or milk is pasteurized. Or to more accurate—to avoid the disease, all milk should be pasteurized and meat should be thoroughly cooked. People such as shop assistants and cooks should not handle cooked food at the same time as they handle raw meat. If they must do so, they should wash their hands thoroughly between the 2 activities. IGCSE SpECIFICATION -disease Students should know what the main effects of the diseases mentioned in this section are but a detailed knowledge of symptoms is not required. Students will be assessed on their ability to: a) The general course of a disease. (i) Recall the methods of infection, incubation, signs and symptoms. (ii) Understand the difference between endemic and epidemic diseases. b) Diseases caused by pathogenic microorganisms. (i) Viruses: recall a brief description of their structure and reproduction. Recall methods of transmission, treatment and prevention of spread of influenza, poliomyelitis and AIDS (Human Immuno-deficiency Virus — HIV). (ii) Bacteria: recall a brief description of their structure, nutrition and reproduction. (iii) Bacteria as pathogens: recall methods of transmission, treatment and prevention of spread of typhoid, tuberculosis and gonorrhoea. (iv) Fungi: recall methods of transmission, treatment and prevention of spread of thrush and athlete’s foot.
  • 15. Human biology Disease c) Diseases caused by other parasites. (i) The parasite schistosoma: recall its nutrition and life cycle. Recall the worldwide effects of the disease schistosomiasis (Bilharzia.), including Jul. 22nd methods of preventing its spread. (ii) Understand the relationships between: mosquito and malarial parasite; housefly and 2012 typhoid bacillus. d) Explain the role of these vectors in transmitting causative agents of disease and the treatment and prevention of spread of the disease and its vector. e) Defence (i) Immunity: understand that it can be natural and artificial, both active and passive, with reference to diseases. (ii) Vaccines: explain what a vaccine is and how it works. (iii) Understand the antibody/antigen reaction. (iv) Recall the sources and role of antibiotics.