Transmission of Disease
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Transmission of Disease

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Questions and Answers

What is an example of direct transmission of disease?

  • Drinking contaminated water
  • Coughing
  • Touching contaminated surfaces
  • Kissing (correct)
  • Which of the following is considered an indirect vehicle for disease transmission?

  • Insects
  • Food (correct)
  • Airborne droplets (correct)
  • Touching someone
  • Which type of disease transmission involves water as a medium?

  • Vector transmission
  • Direct contact
  • Airborne transmission
  • Waterborne transmission (correct)
  • Which diseases are commonly transmitted through droplets from respiratory secretions?

    <p>Tuberculosis and Chickenpox</p> Signup and view all the answers

    What characteristic must organisms exhibit to survive in the air as droplets?

    <p>The ability to survive outside the body</p> Signup and view all the answers

    Which of the following methods can lead to the spread of infections through blood and body fluids?

    <p>Needlestick injuries</p> Signup and view all the answers

    What is a common way that salmonella can contaminate food?

    <p>Inadequate hand washing by food handlers</p> Signup and view all the answers

    Which of the following diseases is NOT transmitted through sexual contact?

    <p>Glandular fever</p> Signup and view all the answers

    What is an ideal medium for the growth of microorganisms found in saliva?

    <p>Balanced microflora</p> Signup and view all the answers

    Which of the following best describes the defence mechanisms that deal with organisms after they have gained entry into the body?

    <p>Immune response</p> Signup and view all the answers

    What type of transmission is most commonly associated with the mosquito?

    <p>Vector-borne transmission</p> Signup and view all the answers

    Which organisms are primarily responsible for causing diseases through soil transmission?

    <p>Intestinal worms</p> Signup and view all the answers

    What is a major health implication of filthy breeding habits in insects?

    <p>Increased efficiency as disease vectors</p> Signup and view all the answers

    How can enteric pathogens reach humans from soil?

    <p>By direct soil contact</p> Signup and view all the answers

    Which disease is not transmitted by mosquitoes?

    <p>Tetanus</p> Signup and view all the answers

    What common result can occur from ingestion of contaminated food or water?

    <p>Gastrointestinal infections</p> Signup and view all the answers

    Which of the following is a characteristic of mosquito-borne diseases?

    <p>Transfer through saliva</p> Signup and view all the answers

    What percentage of the global burden of disease is attributed to typhoid infections?

    <p>4.1%</p> Signup and view all the answers

    Which type of T-lymphocyte is responsible for activating B-lymphocytes to produce antibodies?

    <p>Helper cells</p> Signup and view all the answers

    What is the primary function of polymorphonuclear leucocytes in the immune response?

    <p>Phagocytose microorganisms</p> Signup and view all the answers

    What distinguishes natural immunity from acquired immunity?

    <p>Natural immunity is inherited while acquired immunity develops in response to diseases.</p> Signup and view all the answers

    Which of the following is an example of passive artificial immunity?

    <p>Receiving an injection of ready-made antibodies</p> Signup and view all the answers

    Which type of T-lymphocyte functions to turn off the immune response?

    <p>Suppressor cells</p> Signup and view all the answers

    What is the primary function of the mucociliary escalator in the respiratory tract?

    <p>Trapping and removing microbes</p> Signup and view all the answers

    Which component of the immune system primarily recognizes foreign antigens?

    <p>B lymphocytes</p> Signup and view all the answers

    What role does the blood-brain barrier serve?

    <p>It selectively allows glucose and some nutrients while blocking toxins.</p> Signup and view all the answers

    Which of the following best describes the composition of saliva?

    <p>It contains antibacterial agents and has a lavaging effect.</p> Signup and view all the answers

    What triggers the rapid division of B lymphocytes upon encountering a foreign antigen?

    <p>Clonal selection through mitosis</p> Signup and view all the answers

    Which part of the skin acts as a mechanical barrier to pathogens?

    <p>Outer layer of keratinized cells</p> Signup and view all the answers

    What function do the memory B cells serve in the immune response?

    <p>They remember previously encountered antigens for faster response.</p> Signup and view all the answers

    What is the role of fatty acids and salts secreted by the skin glands?

    <p>They kill bacteria.</p> Signup and view all the answers

    Which of the following statements about T lymphocytes is true?

    <p>They circulate until they find their specific antigen.</p> Signup and view all the answers

    What is the main purpose of gingival crevicular fluid in the body?

    <p>It acts as an antibacterial solution with immune defenses.</p> Signup and view all the answers

    Study Notes

    Transmission of Disease

    • Transmission can be direct (physical contact) or indirect (through an object or vector).
    • Transmission methods include kissing, touching, sexual contact, and air, water, food, oral secretions, body lesions, and vectors.

    Indirect Transmission

    • Vehicles: air/droplets, water, soil, food, fomites, blood, saliva.
    • Vectors: insects, especially mosquitoes which transfer disease through saliva when withdrawing blood.
    • Air/Droplets: droplets are too large to be airborne for long periods, but can survive outside the body and resist drying, allowing them to enter the respiratory tract.
    • Waterborne: contaminated water by animal or human excreta, causing infections during bathing, washing, drinking, or food preparation.
    • Soil: can transmit infections through contact, such as tetanus, and can contain enteric pathogens in high concentrations.

    Food and Faecal-Oral Transmission

    • Food: contaminated food/water can transmit infections that infect the digestive system.
    • Faecal-Oral: organisms shed from the body in faeces can contaminate water supply or food, leading to infections.

    Blood and Body Fluids

    • Blood: infections can spread when blood/fluids from an infected person come into contact with mucous membranes or bloodstream of an uninfected person.
    • Body fluids: infections can be passed by sexual contact through various routes, such as genital to genital, oral to genital, or oral or genital to anal.

    Saliva

    • Saliva: contains a balanced microflora (bacteria, fungi, and viruses) and acts as a medium for transmission from host to host.
    • Infections can be spread by direct contact with saliva (kissing) or indirect contact with contaminated objects (children sucking toys).

    Defence Against Disease

    • Preventing Ingress: mechanisms that prevent entry of disease, such as tears, saliva, gingival crevicular fluid, stomach acid, skin, and blood brain barrier.
    • Dealing with Ingress: defence mechanisms that deal with the micro-organisms after they enter the body, such as the immune response.

    Preventing Ingress

    • Mucociliary Escalator: the respiratory tract is lined with mucus and cilia, which trap microbes and sweep them up towards the epiglottis to be swallowed.
    • Skin: has a tough outer layer of cells that produce keratin, serving as a mechanical barrier.
    • Fatty acids and salts: glands in the skin secrete these, killing bacteria.
    • Saliva: contains antibacterial agents and has a lavage effect.
    • Gingival crevicular fluid: inflammatory exudate that contains antibacterial solutions and immunological defence mechanisms.
    • Blood: flushing action of blood flow and clotting mechanisms prevent entry of infection.
    • Blood brain barrier: specialized filter that surrounds the brain and spinal cord, acting as a physical barrier.

    Dealing with Ingress

    • Immune Response: involves the immune system recognizing and destroying foreign substances and organisms that enter the body.
    • Lymphocytes: white blood cells that develop in the bone marrow and circulate throughout the body in the lymphatic system.
    • B Lymphocytes: produce antibodies (humoral immune response). They differentiate into plasma cells that produce antibodies and memory cells that remember encountered antigens.
    • T Lymphocytes: control immune response and destroy antigens directly (cell mediated immune response), including killer cells, helper cells, and suppressor cells.
    • Phagocytosis: polymorphonuclear leucocytes engulf and destroy invading micro-organisms.

    Immunity

    • Immunity: condition of being protected against an infectious disease.
    • Natural immunity: present from birth, inherited from mother to offspring.
    • Acquired immunity: gained throughout life, developed in response to a disease, and may be temporary or permanent.

    Acquired Immunity

    • Active immunity: long-lasting immunity developed by having the disease, having a subclinical infection, or by inoculation with killed micro-organisms or detoxified toxins.
    • Passive immunity: ready-made antibodies are injected into the human body to develop immunity.

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