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IMMUNITY


   - By Ashwini P
   Saveetha Medical College
 Definition – Immunity
 Active Immunity
 Passive Immunity
 Herd Immunity
 Agents causing Immunity
   Resistance exhibited by the host towards injury
    caused by microorganisms and their products

   Types
    ◦ Innate immunity
    ◦ Acquired immunity
 Immunity which an individual develops as a result
  of infection or by specific immunization
 Can be acquired in three different ways

    ◦ Following clinical infection
         Chicken pox, rubella, measles
    ◦ Following subclinical infection
         Polio, diphtheria
    ◦ Following immunization
Primary Response


   Determined by,
    ◦ Dose and nature of antigen
    ◦ Route of administration
    ◦ Nutritional status of host

   Immunological memory
    ◦ Purpose of immunization
Secondary Response

   Differs in a number of ways
    ◦ Shorter latent period
    ◦ Production of antibodies more rapidly
    ◦ Antibody more abundant
    ◦ Antibody response maintained at higher levels for
      longer periods
    ◦ Antibody       Greater capacity + Antigen
Immune response
Active immunity mainly depends on

 Humoral immunity
 Cellular immunity
 Combination
Proliferates
   B Cells                   Specific Ab’s (IgA, IgG, IgM,
               Secretes

                             IgE, IgD)

 Antibodies are specific
 Acts directly by neutralizing the microbe or its

  toxin
 Efficient phagocytosis
 Fundamental role in resistance to infection
 Mediated by T cells
 Initiates a chain of responses
 Responsible for immunity against many diseases

  like Tb, Brucellosis
Joint functions of T and B lymphoid cells with
 some accessory cells constitute the complex
 events of immunity
Advantages of active immunity
    ◦ Long lasting
    ◦ Protective efficacy of active>passive
    ◦ Less expensive
 When antibodies produced in one body are
  transferred into another to induce protection
  against disease it is called passive immunity
 Induced by
     Transfer of maternal antibodies across the placenta
     Administration of antibody containing preparation
 Advantages – Immunity is rapidly established
 Disadvantages – Temporary and no

  immunological memory
 It’s the level of resistance of a community or a
  group of people against a particular disease
 Epidemic wave declines – Herd immunity builds

  up
 Elements contributing

    ◦ Occurrence of clinical and subclinical infections in the
      herd
    ◦ Immunization of the herd
    ◦ Herd structure
Vaccination
   Injection of a weakened form of the actual antigen
    that causes the disease
Vaccines
                                    Live organisms
   Live vaccines
        BCG, Measles, Oral polio
   Preparation                     Tissue culture or
                                    Chicken embryo


                                    Lost capacity to
                                    induce full blown
                                    disease but retained
                                    their
                                    immunogenicity



   More potent immunizing agents than killed vaccines
Examples for live vaccines:




  BCG vaccine


                                      Polio vaccine




  Measles vaccine

                              Administration of polio vaccine
Inactivated or killed vaccines
        Cholera, pertussis vaccine
   Preparation
                       Live organisms


                       Inactivated by
                       head or
                       chemicals


                       Stimulates active
                       immunity


   Safe but less efficient than live vaccines
Examples of inactivated vaccines:




     Cholera vaccine            Pertussis vaccine
Toxoids
 Toxins produced by organisms are detoxicated
  and used in the preparation of vaccines
 Leads to production of antibodies
 The Abs produced neutralize the toxic moiety

  produced during infection


Cellular fractions
   Vaccines are prepared from extracted cellular
    fractions
        meningococcal vaccine, pneumococcal vaccine
Structure of immunoglobulins:
   Normal human immunoglobulin
    ◦ Antibody rich fraction obtained from a pool of 1000
      donors
    ◦ WHO has laid down definite standards for its preparation
    ◦ Used to prevent measles aand HepatitisA infection
   Specific human immunoglobulin

    ◦ Prepared form plasma of patients-recovered
     from an infection or from immunized individuals
    ◦ Should contain atleast 5 times the antibody
      potential of the standard preparation per unit
      volume
    ◦ Used mainly for prophylaxis purposes
 Materials prepared in animals
 Antitoxins prepared from non human sources are

  still the mainstay of passive immunization
    ◦ Eg. Antisera against tetanus and diphtheria
SUMMARY
 Park's textbook of preventive and social medicine
 Textbook of microbiology-Ananthanarayanan
 Internet-google images
THANK YOU!!!!




     NO MORE POLIO

India no longer a polio-endemic country
says WHO!

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Immunity

  • 1. IMMUNITY - By Ashwini P Saveetha Medical College
  • 2.  Definition – Immunity  Active Immunity  Passive Immunity  Herd Immunity  Agents causing Immunity
  • 3. Resistance exhibited by the host towards injury caused by microorganisms and their products  Types ◦ Innate immunity ◦ Acquired immunity
  • 4.
  • 5.  Immunity which an individual develops as a result of infection or by specific immunization  Can be acquired in three different ways ◦ Following clinical infection  Chicken pox, rubella, measles ◦ Following subclinical infection  Polio, diphtheria ◦ Following immunization
  • 6. Primary Response  Determined by, ◦ Dose and nature of antigen ◦ Route of administration ◦ Nutritional status of host  Immunological memory ◦ Purpose of immunization
  • 7. Secondary Response  Differs in a number of ways ◦ Shorter latent period ◦ Production of antibodies more rapidly ◦ Antibody more abundant ◦ Antibody response maintained at higher levels for longer periods ◦ Antibody Greater capacity + Antigen
  • 9. Active immunity mainly depends on  Humoral immunity  Cellular immunity  Combination
  • 10. Proliferates  B Cells Specific Ab’s (IgA, IgG, IgM, Secretes IgE, IgD)  Antibodies are specific  Acts directly by neutralizing the microbe or its toxin  Efficient phagocytosis
  • 11.  Fundamental role in resistance to infection  Mediated by T cells  Initiates a chain of responses  Responsible for immunity against many diseases like Tb, Brucellosis
  • 12. Joint functions of T and B lymphoid cells with some accessory cells constitute the complex events of immunity Advantages of active immunity ◦ Long lasting ◦ Protective efficacy of active>passive ◦ Less expensive
  • 13.  When antibodies produced in one body are transferred into another to induce protection against disease it is called passive immunity  Induced by  Transfer of maternal antibodies across the placenta  Administration of antibody containing preparation  Advantages – Immunity is rapidly established  Disadvantages – Temporary and no immunological memory
  • 14.  It’s the level of resistance of a community or a group of people against a particular disease  Epidemic wave declines – Herd immunity builds up  Elements contributing ◦ Occurrence of clinical and subclinical infections in the herd ◦ Immunization of the herd ◦ Herd structure
  • 15.
  • 16. Vaccination  Injection of a weakened form of the actual antigen that causes the disease
  • 17. Vaccines Live organisms  Live vaccines  BCG, Measles, Oral polio  Preparation Tissue culture or Chicken embryo Lost capacity to induce full blown disease but retained their immunogenicity  More potent immunizing agents than killed vaccines
  • 18. Examples for live vaccines: BCG vaccine Polio vaccine Measles vaccine Administration of polio vaccine
  • 19. Inactivated or killed vaccines  Cholera, pertussis vaccine  Preparation Live organisms Inactivated by head or chemicals Stimulates active immunity  Safe but less efficient than live vaccines
  • 20. Examples of inactivated vaccines: Cholera vaccine Pertussis vaccine
  • 21. Toxoids  Toxins produced by organisms are detoxicated and used in the preparation of vaccines  Leads to production of antibodies  The Abs produced neutralize the toxic moiety produced during infection Cellular fractions  Vaccines are prepared from extracted cellular fractions  meningococcal vaccine, pneumococcal vaccine
  • 22.
  • 24. Normal human immunoglobulin ◦ Antibody rich fraction obtained from a pool of 1000 donors ◦ WHO has laid down definite standards for its preparation ◦ Used to prevent measles aand HepatitisA infection
  • 25. Specific human immunoglobulin ◦ Prepared form plasma of patients-recovered from an infection or from immunized individuals ◦ Should contain atleast 5 times the antibody potential of the standard preparation per unit volume ◦ Used mainly for prophylaxis purposes
  • 26.  Materials prepared in animals  Antitoxins prepared from non human sources are still the mainstay of passive immunization ◦ Eg. Antisera against tetanus and diphtheria
  • 28.  Park's textbook of preventive and social medicine  Textbook of microbiology-Ananthanarayanan  Internet-google images
  • 29. THANK YOU!!!! NO MORE POLIO India no longer a polio-endemic country says WHO!