COMMON DISEASES IN HUMANS:
- Pathogens and Disease:
- Bacteria, viruses, fungi, protozoans, helminths can cause diseases.
- These disease-causing organisms are termed pathogens.
- Parasites as Pathogens:
- Most parasites are pathogens, harming the host by residing in or on them.
- Pathogens enter the body through various means, multiplying and disrupting vital activities.
- Adaptation of Pathogens:
- Pathogens must adapt to the host environment.
- Example: Gut pathogens adapt to survive in the stomach's low pH and resist digestive enzymes.
- Understanding the diversity of pathogens, their modes of entry, and adaptive strategies is crucial for devising effective preventive and therapeutic measures in the field of medicine.
Bacterial Diseases
Typhoid Fever:
- Salmonella typhi is a bacterium causing typhoid fever in humans.
- Mode of Entry:
Typically enters the small intestine through contaminated food and water.
- Spread within the Body: Migrates to other organs through the bloodstream.
- Symptoms of Typhoid Fever: Sustained high fever (39° to 40°C), weakness, stomach pain, constipation, headache, and loss of appetite.
- Severity and Complications: Severe cases may lead to intestinal perforation and, in extreme cases, death.
- Diagnostic Confirmation: Typhoid fever can be confirmed through the Widal test.
- Case Example: Typhoid Mary:
- Notable case in medical history.
- Mary Mallon (Typhoid Mary), a cook, was a carrier of typhoid and unknowingly spread the disease through the food she prepared.
- Emphasizes the importance of identifying carriers to prevent the spread of infectious diseases.
Pneumonia:
- Streptococcus pneumoniae and Haemophilus influenzae are bacteria causing pneumonia in humans.
- Affected Area: Pneumonia infects the alveoli, which are air-filled sacs in the lungs.
- Consequences of Infection: Infection leads to the filling of alveoli with fluid, causing severe respiratory issues.
- Symptoms: Common symptoms include fever, chills, cough, and headache.
- Severe Cases: In severe pneumonia, lips and fingernails may turn gray to bluish in color.
- Transmission:
- Healthy individuals can acquire the infection by inhaling droplets/aerosols released by an infected person.
- Sharing glasses and utensils with an infected person also poses a risk.
- Other Bacterial Diseases:
1. Dysentery:
Bacterial infection causes inflammation of the intestines, leading to diarrhea with blood.
2. Plague:
- Bacterial disease caused by Yersinia pestis, often transmitted through fleas.
- The historical significance of the plague, particularly the Black Death in the 14th century, lies in its profound impact on population, society, and culture.
- It led to a significant reduction in population, altering social structures, inspiring artistic expression, prompting early public health measures, influencing religious thought, and shaping urban planning practices.
- The Black Death's consequences extended across demographics, economies, and various aspects of human life, leaving a lasting imprint on history.
Bacterial infection affecting the respiratory system, causing a thick coating in the throat, leading to breathing difficulties.
Viral Diseases
Common Cold:
- Rhino Viruses:
A group of viruses causing one of the most infectious human ailments – the common cold.
- Targeted Areas:
Infect the nose and respiratory passages, distinguishing them from lung infections.
- Common Cold Characteristics:
- Characterized by nasal congestion, discharge, sore throat, hoarseness, cough, headache, and tiredness.
- Typically lasts for 3-7 days.
- Transmission:
- Spread through droplets produced by coughs or sneezes of an infected person.
- Transmission also occurs via contaminated objects like pens, books, cups, doorknobs, computer keyboards, or mouse.
- Awareness of transmission through respiratory droplets and contaminated objects emphasizes the importance of hygiene to prevent the spread of viral infections.
Protozoan Diseases
Malaria
- Causative Agent: Protozoan parasite named Plasmodium sps.
- Malaria Overview:Disease fought for many years, predominantly transmitted by infected female Anopheles mosquitoes.
- Plasmodium Species: Different types of malaria caused by various Plasmodium species: P. vivax, P. malaria, and P. falciparum.
- Severity Levels: Malignant malaria, caused by P. falciparum, is the most serious and potentially fatal.
- Life Cycle of Plasmodium:
Entry into Human Body:
- Sporozoites (infectious form) enter the human body through the bite of an infected female Anopheles mosquito.
Multiplication and Rupture:
- Parasites multiply in liver cells and later attack red blood cells (RBCs), causing their rupture.
Symptoms and Fever:
- Rupture releases a toxic substance, haemozoin, leading to recurring chills and high fever every three to four days.
Transmission to Mosquito:
- When a female Anopheles mosquito bites an infected person, parasites enter and undergo further development.
Completing the Life Cycle:
- Parasites multiply within the mosquito, forming sporozoites stored in salivary glands.
- Subsequent bites transmit sporozoites to humans, completing the cycle.
- Two-Host Requirement:
- Malarial parasite requires two hosts – human and mosquitoes – for its complete life cycle.
- Female Anopheles mosquito serves as the vector, transmitting the parasite.
Amoebiasis (Amoebic Dysentery)
- Causative Protozoan: Entamoeba histolytica, a protozoan parasite residing in the large intestine of humans.
- Disease Overview: Causes amoebiasis, commonly known as amoebic dysentery.
- Symptoms: Manifestations include constipation, abdominal pain, cramps, and stools with excessive mucus and blood clots.
- Transmission Dynamics:
- Mechanical Carriers:
Houseflies serve as mechanical carriers, transmitting the parasite from the feces of an infected person to food and food products.
- Contamination Source:
Main sources of infection are drinking water and food contaminated by fecal matter.
Transmission Route:
Houseflies contaminate food by transferring the parasite from infected feces, leading to subsequent ingestion by humans.
Helminthic Diseases
Ascariasis
- Causative Agent: Parasite: Ascaris lumbricoides, a common intestinal roundworm.
- Symptoms: Internal bleeding, muscular pain, fever, Anaemia., blockage of the intestinal passage.
- Mode of Transmission:
- Egg Dissemination:
Parasite eggs are excreted with the feces of infected individuals.
- Contamination Sources:
Contaminated soil, water, plants, etc.
- Acquisition by Healthy Individuals:
Through ingestion of contaminated water, vegetables, fruits, etc.
- Health Impact: Causes a range of symptoms affecting the gastrointestinal system and overall well-being.
- Prevention and Control:
- Hygiene Practices:
Proper sanitation to minimize fecal contamination.
Thorough washing of vegetables and fruits.
Access to clean drinking water.
- Health Education:
Raise awareness about the importance of hygiene in preventing Ascariasis.
Elephantiasis or Filariasis
- Causative Agent: Parasite: Wuchereria bancrofti and Wuchereria malayi, filarial worms.
- Characteristics: Slowly developing chronic inflammation of organs, commonly lymphatic vessels in lower limbs.
- Symptoms:
- Chronic Inflammation:
Persistent swelling due to lymphatic system disruption.
- Gross Deformities:
Particularly in the genital organs.
- Transmission: Female mosquito vectors (e.g., Culex quinquefasciatus) transmit the pathogens during a blood meal.
- Geographical Distribution: Commonly prevalent in tropical and subtropical regions.
- Health Impact: Causes long-term disability and disfigurement.
- Preventive Measures:
- Vector Control:
Mosquito control programs to reduce transmission.
- Personal Protection:
Use of bed nets and protective clothing.
- Mass Drug Administration (MDA):
Distribution of antifilarial drugs in endemic areas.
- Public Awareness: Health education campaigns emphasizing preventive measures and early treatment.
Fungal Diseases
Ringworm
- Causative Fungi: Genera Microsporum, Trichophyton, and Epidermophyton.
- Symptoms:
- Appearance of Lesions:
Dry, scaly lesions on various body parts (skin, nails, scalp).
- Accompanying Itching:
Intense itching associated with the lesions.
- Fungi Growth Conditions:
- Favorable Environment:
Thrive in heat and moisture.
- Prevalent Areas:
Skin folds like those in the groin or between toes.
- Mode of Transmission:
- Generally acquired from soil.
- Transmission through towels, clothes, or combs used by infected individuals.
- Preventive Measures:
- Regular cleaning and drying of skin folds.
- Avoid sharing personal items with infected individuals.
- Treatment: Topical or oral antifungal medications for effective treatment.
- Public Awareness: Health education campaigns on maintaining hygiene and recognizing early symptoms.
Prevention and Control of Infectious Diseases
Disease Prevention
- Personal Hygiene Measures:
- Body Cleanliness:
Regular personal cleanliness to prevent the spread of infectious agents.
- Safe Consumables:
Consumption of clean drinking water, uncontaminated food, vegetables, and fruits.
- Public Hygiene Measures:
- Waste Disposal:
Proper disposal of waste and excreta to prevent the transmission of diseases.
- Cleaning and Disinfection:
Periodic cleaning and disinfection of water reservoirs, pools, cesspools, and tanks.
- Hygiene in Public Spaces:
Observance of standard hygiene practices in public catering establishments.
- Disease-Specific Measures:
Food and Waterborne Diseases (e.g., Typhoid, Amoebiasis, Ascariasis):
- Emphasize clean food and water consumption.
- Prevent transmission through contaminated food and water.
Airborne Diseases (e.g., Pneumonia, Common Cold):
- Avoid close contact with infected persons or their belongings.
Vector-Borne Diseases (e.g., Malaria, Filariasis):
- Control or eliminate vectors and breeding places.
- Measures include water stagnation prevention, mosquito net use, introduction of mosquito-eating fishes, and insecticide spraying.
- Biological Advancements:
Vaccines and Immunization:
- Eradication of deadly diseases like smallpox through vaccination.
- Control of diseases like polio, diphtheria, pneumonia, and tetanus.
Biotechnology Contributions:
- Ongoing developments for newer and safer vaccines.
- Drug Discoveries:
- Antibiotics and Treatments:
Effective treatment of infectious diseases through antibiotic and drug discoveries.