Cardiac Output, Venous Return, and Their Regulation
Rotavirus
1. RO TA RUS V CCI E
VI A N
T E T SAVE YOUR K
IM O IDS
DR.SMRUTIRANJAN PATANAIK
2. RO TA RUS
VI
A VIRUS OF THE FAMILY
REOVIRIDAE
WHEEL SHAPED APPEARANCE –
ROTA
MAJOR CAUSE OF DIARRHEA AND
GASTROENTERITIS UNDER THE
AGE OF FIVE
MORTALITY 6 LAKHS ACROSS THE
GLOBE (29 TO 45 % OF ALL
DIARRHEAL DEATHS)
OVER 2 MILLION HOSPITALIZED
EACH YEAR
4. REPLI TI N
CA O
SITE- CYTOPLASM OF ENTEROCYTES
REMOVAL OF OUTER CAPSID
mRNA SYNTHESIS
mRNA (CYTOPLASM)
TRANSLATION
VIRAL PROTEINS
VIROPLASM
REPLICATION
ds RNA
DOUBLE SHELLED PARTICLES FORMED
VIRUS RELEASED
5. ROUTE OF TRANSMISSION-FAECO ORAL
ROUTE (1012 VIRIONS PER GM. OF EXCRETA
IN ACUTE INFECTION)
INFECTIVE DOSE-LOW (100-1000 VIRAL
PARTICLES)
INCUBATION PERIOD-2 TO 3 DAYS
IMMUNITY:-
IgA ANTIBODIES
CTL
6. NEED FO R AV CCI E
A N
NATURALLY ACQUIRED IMMUNITY AFTER THE DISEASE.
TRANSMISSION RATES UNAFFECTED BY IMPROVING
SANITATION.
UNAVAILABILITY OF LIFE SAVING I.V. TREATMENT TO
ALL PATIENTS.
COST EFFECTIVE METHODS.
HISTORYOF VACCINE DEVELOPMENT
• 1993-94—LIVE ATTENUATED ROTAVIRUS VACCINE
FROM RHESUS MONKEY.
• 1996-COCKTAIL VACCINE (RRV-TV).
• 1998-ROTASHIELD
8. CHALLEN GES FO R V CCI E
A N
I TRO DUCTI N& FUTURE PRO SPECTS
N O
UNCERTAIN DEMAND, INSUFFICIENT SUPPLY
AND HIGH PRICES OF THE VACCINE.
LACK OF INFORMATION ON BURDEN OF
DISEASE IN SOME COUNTRIES.
NEW EMERGING MUTANT & RECOMBINANT
STRAINS OF VIRUS.
9. I AN
N UTSHELL
THE 2 VACCINES ROTATEQ AND ROTARIX
LAUNCHED IN THE YEAR 2006 HELP IN
PREVENTION OF ROTAVIRUS INFECTION AT THE
ENTEROCYTE LEVEL HAVING A PROMISING
EFFICACY OF AROUND 95 TO 100%.