INTRODUCTION TO COMMUNICABLE DISEASES IN ENGLISH

                                                           

                INTRODUCTION TO COMMUNICABLE DISEASES IN ENGLISH

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COMMUNICABLE DISEASES-

 Ø Communicable diseases are those that spread from one person to another by an infectious agent, such as bacteria, viruses, fungi or parasites. Most of these diseases can be passed from person to person by close contact so the words “contagious” or “infectious” are often used when talking about communicable diseases.

DYNAMICS OF COMMUNICABLE DISEASES-

Ø To complete the process of disease transmission it needs six links. These are known as chain of infection. These links are-

Ø  Infectious agent,

Ø source or reservoir,

Ø portal of exit,

Ø mode of transmission,

Ø portal of entry and

Ø susceptible host. 

 

Ø Infectious agent-The first link in the chain of disease transmission is an infectious agent. The disease "agent" is defined as a  the presence of which may initiate the disease process. Infectious agent may be  bacteria, viruses, fungi or parasites.

 

Ø source or reservoir- The source is defined as the person/ animal/object or substance from which and infectious agent passes to the host. Reservoir is defined as the person/ animal/object or substance in which the infectious agent live and multiply before passing the susceptible host.

Ø The terms reservoir and source are not always interchangeable. For example, in hookworm infection, the reservoir is man, but the source of infection is the soil contaminated with infective larvae.

Ø Reservoir may be human reservoir (case or carrier) Animal reservoir (animal and birds) and nonliving reservoir such as soil.

Ø A case is defined as "a person identified as having the particular disease, health disorder or condition” In other words we can say that a patient is known as a case.

Ø A carrier is defined as "an infected person or animal that harbours a specific infectious agent in the absence of clinical disease and serves as a potential source of infection for others.

 

Ø portal of exit-Portal of exit is the path by which a infectious agent leaves its host. The portal of exit usually corresponds to the site where the pathogen is localized. For example, influenza viruses and bacteria Mycobacterium tuberculosis exit the respiratory tract.

 

Ø mode of transmission- Mode of transmissions are the different ways by which infectious agent is transmitted to the host and infect the new host. It is classified as-

Ø Direct  transmission and

Ø Indirect  transmission.

Ø Direct  transmission - when infectious agent is directly transferred from source/reservoir to host than it is known as direct transmission. It includes direct contact, droplet infection, contact with soil, inoculation into skin and trans placental transmission.

Ø Indirect  transmission - when infectious agent is not directly transferred from source to host than it is known as indirect transmission. It includes vehicle borne infection such as  water borne, food borne, milk borne, blood borne etc.  vector born infection such as through mosquito or flys,  fomite born infection and infection through contaminated hand and fingers.

 

Ø portal of entry- The portal of entry refers to the manner in which a pathogen enters a susceptible host. The portal of entry must provide access to tissues in which the pathogen can multiply or a toxin can act. Often, infectious agents use the same portal to enter a new host that they used to exit the source host. For example, influenza virus exits the respiratory tract of the  reservoir and enters through the respiratory tract of the new host.

 

Ø susceptible host-The final link in the chain of infection is a susceptible host. He is a person who is susceptible or at risk to get infection. Susceptibility of a host depends on specific immunity, and nonspecific factors that affect an individual’s ability to resist infection or having unprotected exposure.


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