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COMMUNICABLE
DISEASE
Presented by:
Dr. Pallavi Pathania
INDEX
S.NO. CONTENT
1.
2.
Communicable disease
Types of communicable disease
• Respiratory infection
 Tuberculosis
 Chicken Pox
 Measles
 Influenza
 Diphtheria
 Whooping cough
• Arthropod borne infection
 Malaria
 Plague
 Filariasis
• Surface infection
 Rabies
 Trachoma
 Tetanus
 leprosy
Cont…
S.NO. CONTENT
3.
4.
5.
• Sexually transmitted disease
 Gonorrhea
 Syphilis
 AIDS
• Intestinal Infection
 Poliomylitis
 Cholera
 Typhoid fever
 Hepatitis
 Food poisioning
 Hook worm infection
Summarization
Conclusion
References
Communicable disease
 An infectious disease that is contagious and that can be
transmitted either directly or indirectly from one source to
another by an infectious agent or its toxins.
OR
 An illness due to a specific infectious agent or its toxic
products capable of being directly or indirectly transmitted
from man to man, animal to animal, or from the environment
(through air, dust, soil, food etc.) to man or animal.
Cont…
 Communicable period: A time period require for transmission
of infectious agent from reservoir to a susceptible host.
Mode of transmission of communicable
disease
Direct Indirect
Droplet
spread
Direct
Contact
Airborne
Vehicle
borne
Vector
borne
Biological
Mechanical
Mode of transmission of communicable
disease Cont…
 Airborne transmission
 Contaminated water, soil
CONTD….
 Contact and faeces
 Pathogens in blood- stream and tissues
Types of communicable disease
Depending upon source:
 Respiratory infections:
e.g: tuberculosis etc.
 Intestinal infections:
e.g: hepatitis etc.
Cont…
 Arthropod borne infection:
e.g: plague etc.
 Surface infections:
e.g: leprosy
 Sexually transmitted disease:
e.g: AIDS etc.
Causes of transmission
Viruses: The smallest and simplest disease- organism
Bacteria: Tiny one- celled organisms that live nearly
everywhere
Fungi: Primitive life- forms, such as molds or yeast,
that can’t make their own food
Protozoa: One – celled organisms that have a more
complex structure than bacteria
Controlled By:
 Improvement of personal hygiene
 Improvement of social hygiene
 Awareness about health
 Awareness about disease
 Immunization
 Medication
RESPIRATORY SYSTEM
 Respiratory infections includes:
 Through respiration:
Tuberculosis
Chicken pox
Measles
Influenza
Diphtheria
Whooping cough
SARS
• Tuberculosis
Phthisis, Phthisis pulmonalis , Consumption
White plague
 TB is a potentially fatal contagious disease that can affect
almost any part of the body but is mainly an infection of the
lungs.
 It also affect all other vital organs like intestine, brain, bones,
joints, lymph glands, skin etc.
 Incubation period :
-from weeks, months to years depending upon dose of
infection and immunity of patient.
Causative organism
 Mycobacterium tuberculosis Human
 Mycobacterium Bovis Animal
Predisposing Factors
1. Over crowded population
2. Malnutrition
3. Poverty
4. Alcoholism
5. Drug addiction
6. HIV infection
7. Immuno compromised status
8. Close Contact
Classification
Pulmonary TB
-Primary TB
-Secondary TB
Extra pulmonary TB
-Lymph node TB
-Pleural TB
-TB of upper Airways
-Genitourinary TB
-Skeletal TB
-Miliary TB
-Pericardial TB
-Gastrointestinal TB
Mode of transmission
Tuberculosis is mainly spread by:
 Droplet infection (produced by sputum of positive patient i.e.
0.5-5 μm)
 Coughing
Sign and symptoms
 Tiredness
 Loss of appetite
 Loss of weight
 Anemia
 Evening rise in temperature
 Cough for long time etc.
Cont…
 Sputum examination and culture
 Biopsy of affected tissue
 Chest CT
 Tuberculin Skin Test (PPD)
Contd…
-Interferon gamma release blood
test such as the QFT- Gold test for TB
infection
-Thoracentesis
Treatment
 Antitubercular drugs:
First line:
 Isoniazid- 5mg/Kg
 Rifampin- 10mg/Kg
 Pyrazinamide-15-25mg/Kg
 Ethambutol- 15-25 mg/Kg
 Streptomycin- 15mg/Kg
Cont…
 2nd Line Drugs:
Cycloserine-15mg/kg
Capreomycin-12-15mg/kg
Paraaminosalicyilate sodium -200-300mg/kg
Ethionamide-15mg/kg
Vitamin b (Pyridoxine)
Cont….
 3rd Line drugs:
 Linezolid
 Thioacetazone
 Arginine
 Rifabutin
 Clarithromycin
Cont…
 DOTS therapy
 Multidrug therapy
Prevention and control
Preventive measures:
1. Mask
2. BCG Vaccine
3. Regular Medical Follow Up
4. Isolation of patient
5. Ventilation
6. Natural sunlight
7. UV Germicidal Irradiation
Cont…
Control programmes:
The National Tuberculosis Programme (NTP)
The district Tuberculosis programme (DPT)
(RNTCP)
 National Tuberculosis Elimination Program (NTEP)
• Chicken pox
 Chicken pox is a viral infection in which a person develops
extremely itchy blisters all over the body.
 It is used to be one of the classic childhood disease.
Incubation period:
 About 14 - 16 days
Causative Organism
Human (alpha) herpes virus (Varicella- Zoster virus
:VZV)
 Occur mainly in children under 10 years of age.
 Uncommon in adults.
Mode of transmission
Chicken pox is mainly spread by,
1) Droplet infection
2)Contaminated clothing and
direct contact with open blisters.
3) Virus can cross placental
barrier and may affect fetus.
Sign and Symptoms
 Fever
 Loss of appetite
 Cold
 Abdominal pain
 Headache
 Fatigue
 Sore throat
 Rash
Cont…
 The rash starts on the chest and
back, and spread to the face,
scalp, arms and legs.
 The rash can develop all over
the body, inside the ears, on the
eyelids, inside the nose and
within the vagina, everywhere.
Stages of Chicken Pox
Diagnosis
 History collection
 Physical examination
 Blood Sample
 Blood Cultures
 Stained smears from vesicular scrapings
 Serology test for Varicella IgM
 ELISA test is also useful
Treatment
 Drugs:
 Antiviral – Acyclovir
 Antipyretics- Paracetamol
 Antihistamine- Fexofenadine (allegra)
 Antibiotic- Amoxicillin
Prevention and control
 By administering specific V. Zoster immunoglobulin.
 Use of local antiseptics like chlorhexidine.
 Transmission prevented by isolation of patient for 5-7 days.
 Sterilization of all articles used by patient after cure.
Complications
 Pneumonia
 CNS involvement : Encephalitis, Transverse
myelitis, Reye’s Syndrome
 Myocarditis, Nephritis, Arthritis
• Influenza (Seasonal Flu)
 Influenza commonly referred to as the flu, is an infectious viral
disease caused by RNA viruses of the family orthomixoviridae
that affects birds and mammals.
 Can occur as
- Sporadic case
- Epidemic case
- Pandemic case
Definition
 Acc. To WHO: Influenza is a viral infection that affects mainly
the nose, throat, bronchi and occasional, lungs. Infection lasts
for a week and is characterized by sudden onset of high fever,
aching muscles, headache and severe malaise, non- productive
cough, sore throat and rhinitis.
 Incubation Period:
About 1-4 days
Mode of Transmission
Influenza is mainly spread by,
1. Droplet infection
2. Freshly
contaminated
formites.
3. Direct contact
Causative Organism
It was classified under orthomixovirus i.e. RNA virus
 3 subtype:
 Type A
 Type B
 Type C
Sign and symptoms
 Fever up to 102o C.
 Malaise, chills, headache, backache
 Loss of appetite
 Face is flushed
 If ignored other severe effect occur.
Diagnosis
 History Collection
 Physical Examination
 Serology test
 Nose , Throat swab
 Tissue culture
 Endotracheal Swab
Treatment
Antiviral drugs:
 M2 inhibitors : Amantadine, Rimantadine
 Neuraminidase inhibitor: Oseltamivir, Zanamivir
 Influenza A is treated with Zanamivir or combination of
Oseltamivir and rimantadine
 Influenza B is treated with Ostamivir
Cont…
 Symptomatic management
 Decongestants: Afrin Dristan
 Antipyretics : Paracetamol
 Antihistamine : Cetrizine
Supportive management:
 Oxygen Therapy
 Antibiotics
 Steroids etc.
Prevention and control
 By administering polyvalent influenza virus vaccine.
 Isolation of suspected case.
 Spitting in public places should be avoided.
 People must be educated about healthy habits.
 Ventilation
 Avoid overcrowding
• Whooping Cough
 It is also called Pertusis is a highly infectious disease of
respiratory tract.
 Occur people of all ages. Occasionally after age 10 yrs.
 Mostly occur in unimmunized children under the age of 5yrs.
 Incubation period:
about 7-14 days.
Causative organism
 Bordetella Pertusis
 B. Parapertussis
 B. Bronchiseptica
Mode of Transmission
Influenza is mainly spread by,
1. Droplet infection
2. Article freshly infected by discharges.
Diagnosis
 History collection
 Physical Examination
 Blood test
 Florescent antibody Staining
 Nasopharyngeal culture
 X- Ray Chest
Treatment
 Specific:
 Erythromycin 40- 50 mg/kg/day for 14 days
 Clarithromycin 15 mg/kg for 7 days
 Azithromycin
 Oxygen therapy
 Gental Suction
 Adequate hydration
Prevention, control and Treatment
 Children immunized by D.P.T vaccine (Diptheria, pertusis and
tetanus vaccine).
 Patient put to bed in well ventilated room.
 Discharges from nose and throat should collect properly on
paper and disinfected.
 Hygiene
• Measles (Rubeola, Morbilivirus)
 It is an infection of respiratory system, immune system and
skin caused by a virus specially paramyxovirus.
 Occur in children of 3-5 yrs of ages.
Definition
 It is an acute highly contagious viral disease caused by the
measles virus.
 Incubation Period:
About 8-14 days
Causative Organism
Rubeola virus
Family: Paramyxoviridae
Mode of Transmission
Influenza is mainly spread by,
1. Droplet infection
2. Direct contact
Sign and Symptoms
 Stage1( Catarrhal Stage)
 Fever
 Running nose
 Cough
 Appearance of red spot in mouth
 Watering of eyes.
.
Cont…
 Stage 2( Stage of Eruption)
Red rash seen at back of
ears and foreheads along
hairline
Rash spread all over body.
Diagnosis
 History Collection
 Immunoflorescence test
 CBC
 Laboratory confirmation is rarely needed
Treatment:
 Supported Symptoms:
- Antipyretics
-Bed rest
- adequate fluid intake
 Antibiotics
Prevention
 Active immunization:
by live attenuated measles virus over one year age.
 Passive immunization:
by Human normal immunoglobulin
Control cont…
 Isolation of patient for 7 days after onset of rashes.
 Immunization of contacts.
 Article should be properly disinfected.
 Maintain personal hygiene.
• SARS (Severe Acute respiratory
syndrome)
 It is a contagious and sometimes fatal respiratory illnesss.
 SARS appears first in China 2002 and then spread in world
wide by travelers.
Incubation Period:
 2 to 7 days
 1 to 14 days
 Mode of transmission:
-Direct or Indirect method
Causative agent
 Corona Virus: Family is coronaviridae
Risk Factors:
 Recent travel
 Close Contact
Types of SARS
 Respiratory: common cold, pneumonia
 Gastrointestinal : generalized mild disease
Severe type of causes of SARS
 SARS: CoV -2003 in China
 MERS- Cov – 2012 in Saudi Arab
 19- SARS – 2019 in China as COVID-19 (2019 Novel Corona
Virus)
Sign and Symptoms:
Diagnosis
 PCR (Polymerase Chain Reaction)
 Serologic Testing
 Viral Culture
 Chest X-Ray
 Throat Swab
Treatment
 No uniform treatment for SARS- CoV
 Broad –spectrum antibiotics
 Antiviral agents
 Immunomodulatory therapy
 Supportive Care
 Require Mechanical Ventilation in severe
Prevention
 Wash hands
 Use PPE
 Pay attention to what surfaces you
touch surface
 Isolation
 Intake of Warm Water
Arthropod born disease
1) Malaria
2) Plague
3) Filariasis
• Malaria
 Malaria is a mosquito borne- disease caused by plasmodium,
which is transmitted by the bite of infected female anopheles
mosquito.
Causative Organism
Plasmodium vivax
Plasmodium ovale
Plasmodium Malariae
Plasmodium Falciparum
Mode of Transmission
 Malaria is mainly spread by:
1. Vector transmission:
by bite of female anopheles mosquito
2. Direct transmission:
by injections of infected blood or plasma
3. Congenital:
infected mother to new born.
Malaria life style
Sign and Symptoms
 Cold Stage
onset of Fever with chills and sensation of extreme cold.
 Hot Stage
temperature rise upto 106
intense headache
 Sweating stage:
fever decreases with sweating
Diagnosis
 Laboratory Test- Peripheral Smear, PCR
 CBC
 Malaria Parasite Test
 Chest X Ray
 CT Scan
Treatment
Prevention
 Prevention against mosquito bite
 Anti larval measures.
 Anti adult mosquito measures.
 Control of human reservoir.
• Plague
 Plague is a bacterial infection, which Yersinia Pestis is
etiological agent of the disease and mostly affects (lungs and
lymph nodes and blood vessels).
Causative organism
Yersinia Pestis
 Incubation period
3-6 days
Plague transmission
Cont…
Sign and Symptoms
 Main symptoms of Pneumonic plague:
Systemic: fever
Central: headache
Respiratory : cough, hemoptysis, dyspnea, chest pain
Muscular: weakness
Prevention & Control
1. General measures
 Prophylaxis for prevention bites of fleas – by controlling rats.
 Early diagnosis, notification, isolation & disinfection of
excretions like sputum etc
 Attendant must wear protective measures like gloves etc.
Cont…
2. Chemoprophylaxis
 Protect by using suitable drugs.
3. Vaccination
 Two vaccines used
i. Killed vaccine
ii. Attenuated vaccine
• Filariasis
 Filariasis is the pathological condition caused by
infection of Filarial namatodes transmitted by
different vectors.
• Caused to man by blood sucking arthropods
• Incubation Period : not less than three month
Causative Organism
Wuchereria banocrofti
Brugia malayi
Brugia timri
Mode of transmission
 Infection transmitted by bite of infected mosquitoes
Diagnosis
 Laboratory diagnosis : Blood smear, lymph node biopsy
 Serological test
 PCR Essay
 X-Ray
 USG
Treatment
 Diethyl
Prevention & Control cont…
I. Measures to reduce mosquitoes
 Eliminate breeding place
 Kill larvae by larvicide e.g: kerosene
 Use mosquito net
II. Measure to prevent personal protection
 Wear protective clothing
 Use insect reppelants
III. Common treatment
 In endemic treat whole population by diethyl carbamiazine citrate (DEC)
 Surface Infections
1. Rabies
2. Trachoma
3. Tetanus
4. Leprosy
Surface Infections cont…
• Also called – Hydrophobia
• Caused by virus Infect CNS & salivary glands.
• Incubation Period :
-varies with patient to patient
-Shorter in children
-Also depends upon site of infection
 Face : 30 days
 Hands: 40 days
 Legs: 60 days
 Whole minimum time is 9 days – 4 to 8 weeks.
• Rabies
Causative Organism
Lysssa virus type - I
Mode of Transmission
Mainly spread by,
1. Zoonosis
2. Spreads by wide range of animals
3. Mostly by bites or lick on broken skin
Sign & Symptoms cont…
Animals Human
 May appear sick, crazed, or
vicious(‘mad dog’)
 Nocturnal animals alert during the day
may also appear overly friendly,
docile, or confused.
 Pain, tingling, and or itching, and/or
itching at bite site.
 Nonspecific- fever, chills, fatigue,
muscle aches. Later- high fever,
agitation, confusion
 Extreme hydrophobia and aerophobia,
dead during later stage
Prevention cont…
1. Pre-exposure prophylaxis
 Risky persons like zoo keepers should be immunized.
 Compulsory vaccination of pets & stray dogs.
2. Post-exposure prophylaxis
 Prompt & proper treatment
 Also take following measures,
-Wash area of bite using plenty of soap & water for about 5 min.
-Excise damaged tissue
-Apply antiseptics like tincture of iodine
-Vaccination: 1 ml vaccine at 0,3,7,14,30 & 90 days
Control cont…
1. Educate the people
2. Create awareness about rabies
3. Regular vaccination of people.
4. Yearly vaccination of dogs &
pets
• Tetanus
• Also called – lock jaw.
• Fatal infectious disease.
• Characterized by increased muscle tone & spasms.
 Incubation Period :3-14 days
Causative Organism
Clostridium tetani
Mode of Transmission
 mainly spread by,
1. Occur after acute injury.
2. Also occur after burns, ear infection, surgery etc
Sign and symptom cont…
 Fever and sweating
 Difficulty in breathing or swallowing
 Raised B.P.
 Muscle spasm and stifness
 Difficulty opening the mouth
Prevention & Control cont…
 Active immunization
1)Vaccination using DPT vaccine
2) By using purified tetanus toxoids.
 Passive immunization
1. With human tetanus immuno-globin (TIG) or anti tetanus serum.
 General measures
1. By cleansing of wounds reduce further risk
 Miscellaneous
1. In case of deep puncture use suitable antibiotic therapy is starte
• Trachoma
• Also called – Granular Conjunctivitis
• Is a serious & contagious eye disease
• Affecting conjunctiva & the cornea
• Mostly prevalent in unsanitary surrounding condition
 Incubation Period : About 4 – 10 days.
Causative Organism
Chlamydia trachomatis
Mode of Transmission
Mainly spread by,
1. Personal direct contact
E.g: shaking of hands etc.
2. Indirect contact
E.g: through common towels etc.
3. Through flies
Sign and symptoms cont…
Prevention & Control cont…
1. Isolation of trachoma cases
2. In schools & institutes careful examination
3. Any article of patient e.g: towels etc. must not be used by any other
4. Maintain personal hygiene
5. Avoid over crowding.
Treatment cont…
 By using
 Sulphonamides
 Antibiotics etc.
• Leprosy
 Also called- Hansens disease
• Chronic infections of human.
• Affect & damage superficial tissue especially skin
and peripheral nerves.
• Incubation Period : About 3–5 years
Causative Organism
Mycobacterium leprae
Mode of Transmission
 Mainly spread by,
1. Direct transmission:
Prolonged close contact with an infected person.
2. Through air borne droplets
Sign & Symptoms cont…
1. Initially nerve damage causes numbness of skin on face, hands & feet.
2. Affected skin may become thickened & discolored.
3. Loss of sensation
4. Lack of sensation leads to injury or even loss of fingers or toes.
Prevention & Control cont…
1. Isolation of patient
2. Early diagnosis & chemotherapy
3. Treated with some specific drugs such as dapsone etc.
4. Create awareness about leprosy
 Avoid over crowding
 Bad personal hygiene
 Avoid of sharing of cloths etc
4. For prophylactic purposes use BCG vaccine
 Sexually transmitted diseases (STD)
1. Gonorrhea
2. Syphilis
3. AIDS
• Gonorrhoea
• Causes infection by gonococci
• Produce local complications like urethritis, endometritis etc.
• Also produce systemic complications like dermatitis, meningitis etc.
 Incubation Period
3-10 days
Causative Organism
Neisseria gonorrhoeae
Mode of Transmission
 Mainly spread by,
1. Sexual intercourse with infected person
2. May transfer from mother to new born child.
Sign & symptoms cont…
1. In male:
include purpulent (with pus) uretheral mucous membrane with dysuria(painfull
urination)
2. In female:
Include dysuria, freuquent urination, increased vaginal secretions etc.
3. In childrens :
Accidental contamination of eye
Prevention & Control cont…
1. Detection of cases of gonorrhoea
2. Cases of gonorrhoea is identified & investigated.
3. Use of contraceptive device
4. Avoid unsafe sexual contact.
5. Create awareness about STD’s
• Syphilis
• Is chronic systemic infection
 Incubation Period :
About 10days – 10 weeks. average periods is 3 weeks
Causative Organism
Treponema pallidium
Mode of Transmission
 Mainly spread by,
1. By sexual contact with infected partner
2. Less common
 Through blood transmission
 Mother to child etc.
Stages
Prevention & Control cont…
1. Detection of cases
2. Use of contraceptive device
3. Avoid unsafe sexual contact.
4. Create awareness about STD’s
• Aquired Immuno Deficiency Syndrome (AIDS)
 • Chronic infection with HIV
 • Reduce immunity to other infections.
 • Incubation Period :
For Adult’s: 8 –10 years
For Children's below 5 years: within 2 years
Causative Organism
HIV(Human immuno deficiency virus)
Mode of Transmission
 Sexual contact with infected person
 Through infected blood products or blood transfusion
 By sharing contaminated needles or syringes
 Infected mother to fetus
 Also through body fluids like semen etc.
 Also through unsterilized piercing, blades etc.
Sign & Symptoms cont…
1. Ist symptoms appear within 6 weeks of infection
• Swollen lymph nodes
• Fever
• Fatigue
• Rash
• Sore throat etc.
2. Other symptoms are
• Fever persisting for more than one month
• Unexpected weight loss
• Diarrhea
• Tuberculosis etc.
Prevention & Control cont…
1. Create awareness about HIV in children
2. Use protective measures like condoms etc.
3. Screening of all blood products and tissue for transplant
4. Use sterilization method for instruments used for piercing of nose & ear lobes.
5. Use of disposable single used needle & syringes
6. By avoiding pregnancy by infected women
Prevention & Control cont…
7. Use proper protection by health care workers like hand gloves while handling
infected patients.
8. Proper behavior with infected people.
AIDS prevention
 Intestinal Infections
1. Poliomyelitis
2. Cholera
3. Typhoid fever
4. Hepatitis
5. Food poisoning
6. Hook worm infection
• Poliomyelitis
• Acute systemic disease
• Caused by an RNA
• Replicate mainly in GIT
• May reach CNS, damage spinal cord
• Occasionally reach & damage medulla & motor cortex
• Result in various degree of paralysis.
 Incubation Period:
7 – 14 days.
In some cases 4 – 35 days
Causative Organism
Polio virus type 1, 2, 3
Mode of Transmission
 Mainly transmit by,
1. Through fecal – oral route
2. During acute stage
a. Droplet
b. Contaminated fingers of patient
Sign and symptom cont…
Prevention & Control cont…
1. Immunization
a. Salk (inactivated) polio vaccine
b. Sabin vaccine or oral polio vaccine(OPV)
2. Isolation of the patient.
3. Supply of safe drinking water.
4. Improvement in personal hygiene
• Cholera
• Severe acute GIT infection
• Incubation Period :
Few hours – 5 days.
Causative Organism
Vibrio cholerae
Mode of Transmission
1. Through food & water (contaminated by flies, insects & improper storage)
2. Rarely with contaminated hands of persons who handle excreta, vomitus of patients
etc.
Sign & Symptoms cont…
1. Severe watery diarrhea,
2. Occasional vomiting.
3. Weakness.
4. Dehydration.
5. Sub normal temp.
6. Electrolyte imbalance.
Prevention & Control cont…
1. Strict personal hygiene.
2. Using boiling drinking water.
3. Early detection of cases.
4. Proper and immediate treatment.
5. Disinfection of infective discharges & clothing must be done
6. Sanitation should be maintained.
7. For prevention use vaccine.
8. Treatment is done by,
a. By giving ORS,
b. Antiboitics.
• Typhoid Fever
• Acute infectious illness
• Affect GIT.
• Enteric fever – Typhoid & Paratyphoid fever.
 Incubation Period :
About 5 –20 days.
Causative Organism
Salmonella typhi, Salmonella parathyphi A Salmonella parathyphi B
Mode of Transmission
 Mainly transmit by,
1. Through fecal – oral route.
2. Contaminated drinking water by sewage.
3. Contaminated of food from flies
Sign and symptom cont…
Prevention & Control cont…
1. Strict personal hygiene.
2. Using boiling drinking water.
3. Early detection of cases.
4. Proper and immediate treatment.
5. Disinfection of infective discharges & clothing.
6. Sanitation should be maintained.
7. For prevention use vaccine.
i. Monovalent anti typhoid vaccine
ii. Bivalent vaccine
iii. TAB
8. Treatment is done by,
a. By antibiotics
• Hepatitis
• Also known as - Jaundice
• Necrosis of liver cells - bile juice (yellow color) travel back into blood – yellow
colorization of body, eyes and urine develop.
• Incubation Period :
About 2 weeks – 6 months.
Causative Organism
Hepatitis A Virus (HAV) Hepatitis B Virus (HBV)
Mode of Transmission
 Ingestion of contaminated food or water
 Person to person spread via the faeco-oral route.
 Transmitted by food.
Prevention & Control cont…
1. Blocking the route of transmission:
a. Physical isolation of patient
b. Protective clothing should be wear while handling patient.
2. Self care measures
a. Rest, Plenty of food
b. High calorie diet
3. Safe water supply
a. Supply safe water
b. Contaminated water treated with chlorine.
4. Immunization
i. By using HAV vaccine
ii. By using HBV Vaccine
• Food Poisoning
• Acute inflammation of lining of stomach & intestine.
• Caused by consuming food & drink contaminated
– by toxins of bacteria or
– inorganic chemical substances and
– poisons derived from plants & animals.
Types of Food Poisoning
2 types:
1. Non – bacterial food poisoning:
E.g.: Heavy metal poisoning etc.
2. Bacterial food poisoning:
Due to living bacteria and its toxins.
i. Salmonella food poisoning.
ii. Staphylococcal food poisoning
iii. Botulism
Non- Bacterial Poisoning
 Due to non bacterial reason like mushroom poisoning, fruit contaminated by
pesticide etc.
 It also include metal poisoning.
I. Bacterial Food Poisoning
Salmonella Food Poisoning
 Causative agent:
Salmonella Typhi marium
Mode of Transmission:
By eating raw, or under cooked contaminated eggs, meat or milk etc.
 Incubation period: 6-48 hrs
Bacterial Food Poisoning
Staphylococcal Food Poisoning
 Causative agent:
Staphylococcal Aureus
Mode of Transmission:
By eating contaminated salads, custards, eggs, meat or milk etc.
 Incubation period: 1-8 hrs.
Bacterial Food Poisoning
Botulism
 Causative agent:
Clostridium botulinum
Mode of Transmission:
due to improperly cooked food like pickled fish, home made cheese, low
acid food etc.
Prevention & Control cont…
1. Food sanitation :
i. Avoid ill person from food handling.
ii. Carefully handling of hands & clean dishes and utensils.
iii. Don’t used unwashed utensils
iv. Do not use food that have unusual odor or spoiled taste.
2. Meat inspection
3. Refrigeration
4. Care fully inspection and testing of food from hotels & restaurants on time to time.
• Hook Worm Infection
•Also called Ancylostomiasis
• Caused due to small worms
• Attach to walls of intestines and causes bleeding and poisoning.
Causative Organism
Ancylostoma duodenale Nector americanus
 Mode of Transmission
1. Tiny worms penetrate the base of feet of those working in field.
2. Also transmit through arms & legs
Sign & Symptoms cont…
1. Patient appear pale and weak
2. Suffer from ringing of ears dizziness, headache etc.
3. In severe case heart is enlarged
4. Nausea & vomiting are frequent.
5. Mental development is retarded.
Prevention & Control cont…
1. By using or providing sewage system
2. Sanitary latrines provide to avoid open air defecation.
3. Human waste & excreta should not be used in fields
4. Shoes should be worn by all workers
Conclusion
 Communicable diseases are the major causes of morbidity and mortality.
 Vaccination and control of communicable diseases are two of the great public health
achievements of the last century.
References
 http//:www.communicabledisease.com

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COMMUNIABLE DISEASE.pptx

  • 2. INDEX S.NO. CONTENT 1. 2. Communicable disease Types of communicable disease • Respiratory infection  Tuberculosis  Chicken Pox  Measles  Influenza  Diphtheria  Whooping cough • Arthropod borne infection  Malaria  Plague  Filariasis • Surface infection  Rabies  Trachoma  Tetanus  leprosy
  • 3. Cont… S.NO. CONTENT 3. 4. 5. • Sexually transmitted disease  Gonorrhea  Syphilis  AIDS • Intestinal Infection  Poliomylitis  Cholera  Typhoid fever  Hepatitis  Food poisioning  Hook worm infection Summarization Conclusion References
  • 4. Communicable disease  An infectious disease that is contagious and that can be transmitted either directly or indirectly from one source to another by an infectious agent or its toxins.
  • 5. OR  An illness due to a specific infectious agent or its toxic products capable of being directly or indirectly transmitted from man to man, animal to animal, or from the environment (through air, dust, soil, food etc.) to man or animal.
  • 6. Cont…  Communicable period: A time period require for transmission of infectious agent from reservoir to a susceptible host.
  • 7. Mode of transmission of communicable disease Direct Indirect Droplet spread Direct Contact Airborne Vehicle borne Vector borne Biological Mechanical
  • 8. Mode of transmission of communicable disease Cont…  Airborne transmission  Contaminated water, soil
  • 9. CONTD….  Contact and faeces  Pathogens in blood- stream and tissues
  • 10. Types of communicable disease Depending upon source:  Respiratory infections: e.g: tuberculosis etc.  Intestinal infections: e.g: hepatitis etc.
  • 11. Cont…  Arthropod borne infection: e.g: plague etc.  Surface infections: e.g: leprosy  Sexually transmitted disease: e.g: AIDS etc.
  • 12. Causes of transmission Viruses: The smallest and simplest disease- organism Bacteria: Tiny one- celled organisms that live nearly everywhere Fungi: Primitive life- forms, such as molds or yeast, that can’t make their own food Protozoa: One – celled organisms that have a more complex structure than bacteria
  • 13. Controlled By:  Improvement of personal hygiene  Improvement of social hygiene  Awareness about health  Awareness about disease  Immunization  Medication
  • 15.  Respiratory infections includes:  Through respiration: Tuberculosis Chicken pox Measles Influenza Diphtheria Whooping cough SARS
  • 16. • Tuberculosis Phthisis, Phthisis pulmonalis , Consumption White plague  TB is a potentially fatal contagious disease that can affect almost any part of the body but is mainly an infection of the lungs.  It also affect all other vital organs like intestine, brain, bones, joints, lymph glands, skin etc.
  • 17.  Incubation period : -from weeks, months to years depending upon dose of infection and immunity of patient.
  • 18. Causative organism  Mycobacterium tuberculosis Human  Mycobacterium Bovis Animal
  • 19.
  • 20. Predisposing Factors 1. Over crowded population 2. Malnutrition 3. Poverty 4. Alcoholism 5. Drug addiction 6. HIV infection 7. Immuno compromised status 8. Close Contact
  • 21. Classification Pulmonary TB -Primary TB -Secondary TB Extra pulmonary TB -Lymph node TB -Pleural TB -TB of upper Airways -Genitourinary TB -Skeletal TB -Miliary TB -Pericardial TB -Gastrointestinal TB
  • 22. Mode of transmission Tuberculosis is mainly spread by:  Droplet infection (produced by sputum of positive patient i.e. 0.5-5 μm)  Coughing
  • 23.
  • 24. Sign and symptoms  Tiredness  Loss of appetite  Loss of weight  Anemia  Evening rise in temperature  Cough for long time etc.
  • 25.
  • 26.
  • 27. Cont…  Sputum examination and culture  Biopsy of affected tissue  Chest CT  Tuberculin Skin Test (PPD)
  • 28. Contd… -Interferon gamma release blood test such as the QFT- Gold test for TB infection -Thoracentesis
  • 29.
  • 30. Treatment  Antitubercular drugs: First line:  Isoniazid- 5mg/Kg  Rifampin- 10mg/Kg  Pyrazinamide-15-25mg/Kg  Ethambutol- 15-25 mg/Kg  Streptomycin- 15mg/Kg
  • 31. Cont…  2nd Line Drugs: Cycloserine-15mg/kg Capreomycin-12-15mg/kg Paraaminosalicyilate sodium -200-300mg/kg Ethionamide-15mg/kg Vitamin b (Pyridoxine)
  • 32. Cont….  3rd Line drugs:  Linezolid  Thioacetazone  Arginine  Rifabutin  Clarithromycin
  • 33.
  • 34.
  • 35. Cont…  DOTS therapy  Multidrug therapy
  • 36. Prevention and control Preventive measures: 1. Mask 2. BCG Vaccine 3. Regular Medical Follow Up 4. Isolation of patient 5. Ventilation 6. Natural sunlight 7. UV Germicidal Irradiation
  • 37. Cont… Control programmes: The National Tuberculosis Programme (NTP) The district Tuberculosis programme (DPT) (RNTCP)  National Tuberculosis Elimination Program (NTEP)
  • 38.
  • 39.
  • 40. • Chicken pox  Chicken pox is a viral infection in which a person develops extremely itchy blisters all over the body.  It is used to be one of the classic childhood disease.
  • 41. Incubation period:  About 14 - 16 days Causative Organism Human (alpha) herpes virus (Varicella- Zoster virus :VZV)  Occur mainly in children under 10 years of age.  Uncommon in adults.
  • 42. Mode of transmission Chicken pox is mainly spread by, 1) Droplet infection 2)Contaminated clothing and direct contact with open blisters. 3) Virus can cross placental barrier and may affect fetus.
  • 43.
  • 44. Sign and Symptoms  Fever  Loss of appetite  Cold  Abdominal pain  Headache  Fatigue  Sore throat  Rash
  • 45. Cont…  The rash starts on the chest and back, and spread to the face, scalp, arms and legs.  The rash can develop all over the body, inside the ears, on the eyelids, inside the nose and within the vagina, everywhere.
  • 47. Diagnosis  History collection  Physical examination  Blood Sample  Blood Cultures  Stained smears from vesicular scrapings  Serology test for Varicella IgM  ELISA test is also useful
  • 48. Treatment  Drugs:  Antiviral – Acyclovir  Antipyretics- Paracetamol  Antihistamine- Fexofenadine (allegra)  Antibiotic- Amoxicillin
  • 49. Prevention and control  By administering specific V. Zoster immunoglobulin.  Use of local antiseptics like chlorhexidine.  Transmission prevented by isolation of patient for 5-7 days.  Sterilization of all articles used by patient after cure.
  • 50. Complications  Pneumonia  CNS involvement : Encephalitis, Transverse myelitis, Reye’s Syndrome  Myocarditis, Nephritis, Arthritis
  • 51. • Influenza (Seasonal Flu)  Influenza commonly referred to as the flu, is an infectious viral disease caused by RNA viruses of the family orthomixoviridae that affects birds and mammals.  Can occur as - Sporadic case - Epidemic case - Pandemic case
  • 52. Definition  Acc. To WHO: Influenza is a viral infection that affects mainly the nose, throat, bronchi and occasional, lungs. Infection lasts for a week and is characterized by sudden onset of high fever, aching muscles, headache and severe malaise, non- productive cough, sore throat and rhinitis.  Incubation Period: About 1-4 days
  • 53. Mode of Transmission Influenza is mainly spread by, 1. Droplet infection 2. Freshly contaminated formites. 3. Direct contact
  • 54. Causative Organism It was classified under orthomixovirus i.e. RNA virus  3 subtype:  Type A  Type B  Type C
  • 55.
  • 56.
  • 57. Sign and symptoms  Fever up to 102o C.  Malaise, chills, headache, backache  Loss of appetite  Face is flushed  If ignored other severe effect occur.
  • 58. Diagnosis  History Collection  Physical Examination  Serology test  Nose , Throat swab  Tissue culture  Endotracheal Swab
  • 59. Treatment Antiviral drugs:  M2 inhibitors : Amantadine, Rimantadine  Neuraminidase inhibitor: Oseltamivir, Zanamivir  Influenza A is treated with Zanamivir or combination of Oseltamivir and rimantadine  Influenza B is treated with Ostamivir
  • 60. Cont…  Symptomatic management  Decongestants: Afrin Dristan  Antipyretics : Paracetamol  Antihistamine : Cetrizine Supportive management:  Oxygen Therapy  Antibiotics  Steroids etc.
  • 61. Prevention and control  By administering polyvalent influenza virus vaccine.  Isolation of suspected case.  Spitting in public places should be avoided.  People must be educated about healthy habits.  Ventilation  Avoid overcrowding
  • 62.
  • 63. • Whooping Cough  It is also called Pertusis is a highly infectious disease of respiratory tract.  Occur people of all ages. Occasionally after age 10 yrs.  Mostly occur in unimmunized children under the age of 5yrs.  Incubation period: about 7-14 days.
  • 64. Causative organism  Bordetella Pertusis  B. Parapertussis  B. Bronchiseptica
  • 65. Mode of Transmission Influenza is mainly spread by, 1. Droplet infection 2. Article freshly infected by discharges.
  • 66.
  • 67.
  • 68.
  • 69.
  • 70.
  • 71. Diagnosis  History collection  Physical Examination  Blood test  Florescent antibody Staining  Nasopharyngeal culture  X- Ray Chest
  • 72. Treatment  Specific:  Erythromycin 40- 50 mg/kg/day for 14 days  Clarithromycin 15 mg/kg for 7 days  Azithromycin  Oxygen therapy  Gental Suction  Adequate hydration
  • 73. Prevention, control and Treatment  Children immunized by D.P.T vaccine (Diptheria, pertusis and tetanus vaccine).  Patient put to bed in well ventilated room.  Discharges from nose and throat should collect properly on paper and disinfected.  Hygiene
  • 74.
  • 75. • Measles (Rubeola, Morbilivirus)  It is an infection of respiratory system, immune system and skin caused by a virus specially paramyxovirus.  Occur in children of 3-5 yrs of ages.
  • 76. Definition  It is an acute highly contagious viral disease caused by the measles virus.  Incubation Period: About 8-14 days
  • 77. Causative Organism Rubeola virus Family: Paramyxoviridae Mode of Transmission Influenza is mainly spread by, 1. Droplet infection 2. Direct contact
  • 78.
  • 79.
  • 80. Sign and Symptoms  Stage1( Catarrhal Stage)  Fever  Running nose  Cough  Appearance of red spot in mouth  Watering of eyes. .
  • 81. Cont…  Stage 2( Stage of Eruption) Red rash seen at back of ears and foreheads along hairline Rash spread all over body.
  • 82. Diagnosis  History Collection  Immunoflorescence test  CBC  Laboratory confirmation is rarely needed
  • 83. Treatment:  Supported Symptoms: - Antipyretics -Bed rest - adequate fluid intake  Antibiotics
  • 84. Prevention  Active immunization: by live attenuated measles virus over one year age.  Passive immunization: by Human normal immunoglobulin
  • 85. Control cont…  Isolation of patient for 7 days after onset of rashes.  Immunization of contacts.  Article should be properly disinfected.  Maintain personal hygiene.
  • 86. • SARS (Severe Acute respiratory syndrome)  It is a contagious and sometimes fatal respiratory illnesss.  SARS appears first in China 2002 and then spread in world wide by travelers.
  • 87. Incubation Period:  2 to 7 days  1 to 14 days  Mode of transmission: -Direct or Indirect method
  • 88. Causative agent  Corona Virus: Family is coronaviridae Risk Factors:  Recent travel  Close Contact
  • 89.
  • 90. Types of SARS  Respiratory: common cold, pneumonia  Gastrointestinal : generalized mild disease
  • 91. Severe type of causes of SARS  SARS: CoV -2003 in China  MERS- Cov – 2012 in Saudi Arab  19- SARS – 2019 in China as COVID-19 (2019 Novel Corona Virus)
  • 93. Diagnosis  PCR (Polymerase Chain Reaction)  Serologic Testing  Viral Culture  Chest X-Ray  Throat Swab
  • 94. Treatment  No uniform treatment for SARS- CoV  Broad –spectrum antibiotics  Antiviral agents  Immunomodulatory therapy  Supportive Care  Require Mechanical Ventilation in severe
  • 95. Prevention  Wash hands  Use PPE  Pay attention to what surfaces you touch surface  Isolation  Intake of Warm Water
  • 96. Arthropod born disease 1) Malaria 2) Plague 3) Filariasis
  • 97. • Malaria  Malaria is a mosquito borne- disease caused by plasmodium, which is transmitted by the bite of infected female anopheles mosquito.
  • 98. Causative Organism Plasmodium vivax Plasmodium ovale Plasmodium Malariae Plasmodium Falciparum
  • 99.
  • 100. Mode of Transmission  Malaria is mainly spread by: 1. Vector transmission: by bite of female anopheles mosquito 2. Direct transmission: by injections of infected blood or plasma 3. Congenital: infected mother to new born.
  • 102. Sign and Symptoms  Cold Stage onset of Fever with chills and sensation of extreme cold.  Hot Stage temperature rise upto 106 intense headache  Sweating stage: fever decreases with sweating
  • 103. Diagnosis  Laboratory Test- Peripheral Smear, PCR  CBC  Malaria Parasite Test  Chest X Ray  CT Scan
  • 105.
  • 106.
  • 107. Prevention  Prevention against mosquito bite  Anti larval measures.  Anti adult mosquito measures.  Control of human reservoir.
  • 108.
  • 109. • Plague  Plague is a bacterial infection, which Yersinia Pestis is etiological agent of the disease and mostly affects (lungs and lymph nodes and blood vessels).
  • 110. Causative organism Yersinia Pestis  Incubation period 3-6 days
  • 112.
  • 114. Sign and Symptoms  Main symptoms of Pneumonic plague: Systemic: fever Central: headache Respiratory : cough, hemoptysis, dyspnea, chest pain Muscular: weakness
  • 115.
  • 116.
  • 117. Prevention & Control 1. General measures  Prophylaxis for prevention bites of fleas – by controlling rats.  Early diagnosis, notification, isolation & disinfection of excretions like sputum etc  Attendant must wear protective measures like gloves etc.
  • 118. Cont… 2. Chemoprophylaxis  Protect by using suitable drugs. 3. Vaccination  Two vaccines used i. Killed vaccine ii. Attenuated vaccine
  • 119. • Filariasis  Filariasis is the pathological condition caused by infection of Filarial namatodes transmitted by different vectors. • Caused to man by blood sucking arthropods • Incubation Period : not less than three month
  • 121. Mode of transmission  Infection transmitted by bite of infected mosquitoes
  • 122. Diagnosis  Laboratory diagnosis : Blood smear, lymph node biopsy  Serological test  PCR Essay  X-Ray  USG
  • 124. Prevention & Control cont… I. Measures to reduce mosquitoes  Eliminate breeding place  Kill larvae by larvicide e.g: kerosene  Use mosquito net II. Measure to prevent personal protection  Wear protective clothing  Use insect reppelants III. Common treatment  In endemic treat whole population by diethyl carbamiazine citrate (DEC)
  • 125.  Surface Infections 1. Rabies 2. Trachoma 3. Tetanus 4. Leprosy
  • 126. Surface Infections cont… • Also called – Hydrophobia • Caused by virus Infect CNS & salivary glands. • Incubation Period : -varies with patient to patient -Shorter in children -Also depends upon site of infection  Face : 30 days  Hands: 40 days  Legs: 60 days  Whole minimum time is 9 days – 4 to 8 weeks.
  • 128. Causative Organism Lysssa virus type - I Mode of Transmission Mainly spread by, 1. Zoonosis 2. Spreads by wide range of animals 3. Mostly by bites or lick on broken skin
  • 129. Sign & Symptoms cont… Animals Human  May appear sick, crazed, or vicious(‘mad dog’)  Nocturnal animals alert during the day may also appear overly friendly, docile, or confused.  Pain, tingling, and or itching, and/or itching at bite site.  Nonspecific- fever, chills, fatigue, muscle aches. Later- high fever, agitation, confusion  Extreme hydrophobia and aerophobia, dead during later stage
  • 130.
  • 131. Prevention cont… 1. Pre-exposure prophylaxis  Risky persons like zoo keepers should be immunized.  Compulsory vaccination of pets & stray dogs. 2. Post-exposure prophylaxis  Prompt & proper treatment  Also take following measures, -Wash area of bite using plenty of soap & water for about 5 min. -Excise damaged tissue -Apply antiseptics like tincture of iodine -Vaccination: 1 ml vaccine at 0,3,7,14,30 & 90 days
  • 132. Control cont… 1. Educate the people 2. Create awareness about rabies 3. Regular vaccination of people. 4. Yearly vaccination of dogs & pets
  • 133. • Tetanus • Also called – lock jaw. • Fatal infectious disease. • Characterized by increased muscle tone & spasms.  Incubation Period :3-14 days
  • 134. Causative Organism Clostridium tetani Mode of Transmission  mainly spread by, 1. Occur after acute injury. 2. Also occur after burns, ear infection, surgery etc
  • 135. Sign and symptom cont…  Fever and sweating  Difficulty in breathing or swallowing  Raised B.P.  Muscle spasm and stifness  Difficulty opening the mouth
  • 136. Prevention & Control cont…  Active immunization 1)Vaccination using DPT vaccine 2) By using purified tetanus toxoids.  Passive immunization 1. With human tetanus immuno-globin (TIG) or anti tetanus serum.  General measures 1. By cleansing of wounds reduce further risk  Miscellaneous 1. In case of deep puncture use suitable antibiotic therapy is starte
  • 137. • Trachoma • Also called – Granular Conjunctivitis • Is a serious & contagious eye disease • Affecting conjunctiva & the cornea • Mostly prevalent in unsanitary surrounding condition  Incubation Period : About 4 – 10 days.
  • 138. Causative Organism Chlamydia trachomatis Mode of Transmission Mainly spread by, 1. Personal direct contact E.g: shaking of hands etc. 2. Indirect contact E.g: through common towels etc. 3. Through flies
  • 139. Sign and symptoms cont…
  • 140. Prevention & Control cont… 1. Isolation of trachoma cases 2. In schools & institutes careful examination 3. Any article of patient e.g: towels etc. must not be used by any other 4. Maintain personal hygiene 5. Avoid over crowding.
  • 141. Treatment cont…  By using  Sulphonamides  Antibiotics etc.
  • 142. • Leprosy  Also called- Hansens disease • Chronic infections of human. • Affect & damage superficial tissue especially skin and peripheral nerves. • Incubation Period : About 3–5 years
  • 143. Causative Organism Mycobacterium leprae Mode of Transmission  Mainly spread by, 1. Direct transmission: Prolonged close contact with an infected person. 2. Through air borne droplets
  • 144. Sign & Symptoms cont… 1. Initially nerve damage causes numbness of skin on face, hands & feet. 2. Affected skin may become thickened & discolored. 3. Loss of sensation 4. Lack of sensation leads to injury or even loss of fingers or toes.
  • 145. Prevention & Control cont… 1. Isolation of patient 2. Early diagnosis & chemotherapy 3. Treated with some specific drugs such as dapsone etc. 4. Create awareness about leprosy  Avoid over crowding  Bad personal hygiene  Avoid of sharing of cloths etc 4. For prophylactic purposes use BCG vaccine
  • 146.  Sexually transmitted diseases (STD) 1. Gonorrhea 2. Syphilis 3. AIDS
  • 147. • Gonorrhoea • Causes infection by gonococci • Produce local complications like urethritis, endometritis etc. • Also produce systemic complications like dermatitis, meningitis etc.  Incubation Period 3-10 days
  • 148. Causative Organism Neisseria gonorrhoeae Mode of Transmission  Mainly spread by, 1. Sexual intercourse with infected person 2. May transfer from mother to new born child.
  • 149. Sign & symptoms cont… 1. In male: include purpulent (with pus) uretheral mucous membrane with dysuria(painfull urination) 2. In female: Include dysuria, freuquent urination, increased vaginal secretions etc. 3. In childrens : Accidental contamination of eye
  • 150. Prevention & Control cont… 1. Detection of cases of gonorrhoea 2. Cases of gonorrhoea is identified & investigated. 3. Use of contraceptive device 4. Avoid unsafe sexual contact. 5. Create awareness about STD’s
  • 151. • Syphilis • Is chronic systemic infection  Incubation Period : About 10days – 10 weeks. average periods is 3 weeks
  • 152. Causative Organism Treponema pallidium Mode of Transmission  Mainly spread by, 1. By sexual contact with infected partner 2. Less common  Through blood transmission  Mother to child etc.
  • 153. Stages
  • 154. Prevention & Control cont… 1. Detection of cases 2. Use of contraceptive device 3. Avoid unsafe sexual contact. 4. Create awareness about STD’s
  • 155. • Aquired Immuno Deficiency Syndrome (AIDS)  • Chronic infection with HIV  • Reduce immunity to other infections.  • Incubation Period : For Adult’s: 8 –10 years For Children's below 5 years: within 2 years
  • 156. Causative Organism HIV(Human immuno deficiency virus) Mode of Transmission  Sexual contact with infected person  Through infected blood products or blood transfusion  By sharing contaminated needles or syringes  Infected mother to fetus  Also through body fluids like semen etc.  Also through unsterilized piercing, blades etc.
  • 157. Sign & Symptoms cont… 1. Ist symptoms appear within 6 weeks of infection • Swollen lymph nodes • Fever • Fatigue • Rash • Sore throat etc. 2. Other symptoms are • Fever persisting for more than one month • Unexpected weight loss • Diarrhea • Tuberculosis etc.
  • 158. Prevention & Control cont… 1. Create awareness about HIV in children 2. Use protective measures like condoms etc. 3. Screening of all blood products and tissue for transplant 4. Use sterilization method for instruments used for piercing of nose & ear lobes. 5. Use of disposable single used needle & syringes 6. By avoiding pregnancy by infected women
  • 159. Prevention & Control cont… 7. Use proper protection by health care workers like hand gloves while handling infected patients. 8. Proper behavior with infected people.
  • 161.  Intestinal Infections 1. Poliomyelitis 2. Cholera 3. Typhoid fever 4. Hepatitis 5. Food poisoning 6. Hook worm infection
  • 162. • Poliomyelitis • Acute systemic disease • Caused by an RNA • Replicate mainly in GIT • May reach CNS, damage spinal cord • Occasionally reach & damage medulla & motor cortex • Result in various degree of paralysis.  Incubation Period: 7 – 14 days. In some cases 4 – 35 days
  • 163. Causative Organism Polio virus type 1, 2, 3 Mode of Transmission  Mainly transmit by, 1. Through fecal – oral route 2. During acute stage a. Droplet b. Contaminated fingers of patient
  • 164. Sign and symptom cont…
  • 165. Prevention & Control cont… 1. Immunization a. Salk (inactivated) polio vaccine b. Sabin vaccine or oral polio vaccine(OPV) 2. Isolation of the patient. 3. Supply of safe drinking water. 4. Improvement in personal hygiene
  • 166. • Cholera • Severe acute GIT infection • Incubation Period : Few hours – 5 days.
  • 167. Causative Organism Vibrio cholerae Mode of Transmission 1. Through food & water (contaminated by flies, insects & improper storage) 2. Rarely with contaminated hands of persons who handle excreta, vomitus of patients etc.
  • 168. Sign & Symptoms cont… 1. Severe watery diarrhea, 2. Occasional vomiting. 3. Weakness. 4. Dehydration. 5. Sub normal temp. 6. Electrolyte imbalance.
  • 169. Prevention & Control cont… 1. Strict personal hygiene. 2. Using boiling drinking water. 3. Early detection of cases. 4. Proper and immediate treatment. 5. Disinfection of infective discharges & clothing must be done 6. Sanitation should be maintained. 7. For prevention use vaccine. 8. Treatment is done by, a. By giving ORS, b. Antiboitics.
  • 170. • Typhoid Fever • Acute infectious illness • Affect GIT. • Enteric fever – Typhoid & Paratyphoid fever.  Incubation Period : About 5 –20 days.
  • 171. Causative Organism Salmonella typhi, Salmonella parathyphi A Salmonella parathyphi B Mode of Transmission  Mainly transmit by, 1. Through fecal – oral route. 2. Contaminated drinking water by sewage. 3. Contaminated of food from flies
  • 172. Sign and symptom cont…
  • 173. Prevention & Control cont… 1. Strict personal hygiene. 2. Using boiling drinking water. 3. Early detection of cases. 4. Proper and immediate treatment. 5. Disinfection of infective discharges & clothing. 6. Sanitation should be maintained. 7. For prevention use vaccine. i. Monovalent anti typhoid vaccine ii. Bivalent vaccine iii. TAB 8. Treatment is done by, a. By antibiotics
  • 174. • Hepatitis • Also known as - Jaundice • Necrosis of liver cells - bile juice (yellow color) travel back into blood – yellow colorization of body, eyes and urine develop. • Incubation Period : About 2 weeks – 6 months.
  • 175. Causative Organism Hepatitis A Virus (HAV) Hepatitis B Virus (HBV) Mode of Transmission  Ingestion of contaminated food or water  Person to person spread via the faeco-oral route.  Transmitted by food.
  • 176. Prevention & Control cont… 1. Blocking the route of transmission: a. Physical isolation of patient b. Protective clothing should be wear while handling patient. 2. Self care measures a. Rest, Plenty of food b. High calorie diet 3. Safe water supply a. Supply safe water b. Contaminated water treated with chlorine. 4. Immunization i. By using HAV vaccine ii. By using HBV Vaccine
  • 177. • Food Poisoning • Acute inflammation of lining of stomach & intestine. • Caused by consuming food & drink contaminated – by toxins of bacteria or – inorganic chemical substances and – poisons derived from plants & animals.
  • 178. Types of Food Poisoning 2 types: 1. Non – bacterial food poisoning: E.g.: Heavy metal poisoning etc. 2. Bacterial food poisoning: Due to living bacteria and its toxins. i. Salmonella food poisoning. ii. Staphylococcal food poisoning iii. Botulism
  • 179. Non- Bacterial Poisoning  Due to non bacterial reason like mushroom poisoning, fruit contaminated by pesticide etc.  It also include metal poisoning.
  • 180. I. Bacterial Food Poisoning Salmonella Food Poisoning  Causative agent: Salmonella Typhi marium Mode of Transmission: By eating raw, or under cooked contaminated eggs, meat or milk etc.  Incubation period: 6-48 hrs
  • 181. Bacterial Food Poisoning Staphylococcal Food Poisoning  Causative agent: Staphylococcal Aureus Mode of Transmission: By eating contaminated salads, custards, eggs, meat or milk etc.  Incubation period: 1-8 hrs.
  • 182. Bacterial Food Poisoning Botulism  Causative agent: Clostridium botulinum Mode of Transmission: due to improperly cooked food like pickled fish, home made cheese, low acid food etc.
  • 183. Prevention & Control cont… 1. Food sanitation : i. Avoid ill person from food handling. ii. Carefully handling of hands & clean dishes and utensils. iii. Don’t used unwashed utensils iv. Do not use food that have unusual odor or spoiled taste. 2. Meat inspection 3. Refrigeration 4. Care fully inspection and testing of food from hotels & restaurants on time to time.
  • 184. • Hook Worm Infection •Also called Ancylostomiasis • Caused due to small worms • Attach to walls of intestines and causes bleeding and poisoning.
  • 185. Causative Organism Ancylostoma duodenale Nector americanus  Mode of Transmission 1. Tiny worms penetrate the base of feet of those working in field. 2. Also transmit through arms & legs
  • 186. Sign & Symptoms cont… 1. Patient appear pale and weak 2. Suffer from ringing of ears dizziness, headache etc. 3. In severe case heart is enlarged 4. Nausea & vomiting are frequent. 5. Mental development is retarded.
  • 187. Prevention & Control cont… 1. By using or providing sewage system 2. Sanitary latrines provide to avoid open air defecation. 3. Human waste & excreta should not be used in fields 4. Shoes should be worn by all workers
  • 188.
  • 189. Conclusion  Communicable diseases are the major causes of morbidity and mortality.  Vaccination and control of communicable diseases are two of the great public health achievements of the last century.