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Questions and Answers
What is the primary infectious agent responsible for cholera?
What is the primary infectious agent responsible for cholera?
- Escherichia coli
- Salmonella enterica
- Shigella dysenteriae
- Vibrio cholerae (correct)
What are common symptoms of waterborne diseases?
What are common symptoms of waterborne diseases?
- Diarrhea, nausea, abdominal pain, fever (correct)
- Skin rash and muscle pain
- Chest pain, coughing, and fatigue
- Headache, sore throat, and fever
What type of diarrhea is characteristic of severe cholera cases?
What type of diarrhea is characteristic of severe cholera cases?
- Foamy diarrhea
- Rice water diarrhea (correct)
- Green watery diarrhea
- Blood-stained diarrhea
Which organism is a common fecal coliform?
Which organism is a common fecal coliform?
Which serotype of Vibrio cholerae is associated with the ongoing seventh pandemic?
Which serotype of Vibrio cholerae is associated with the ongoing seventh pandemic?
What is the mortality rate for cholera patients with treatment?
What is the mortality rate for cholera patients with treatment?
What is the Most Probable Number (MPN) method primarily used for?
What is the Most Probable Number (MPN) method primarily used for?
What is the main mode of transmission for cholera?
What is the main mode of transmission for cholera?
Which component is NOT typically included in selective and differential media for coliform testing?
Which component is NOT typically included in selective and differential media for coliform testing?
What is a primary prevention strategy for waterborne diseases?
What is a primary prevention strategy for waterborne diseases?
Which of the following treatment methods is critical for managing severe cases of cholera?
Which of the following treatment methods is critical for managing severe cases of cholera?
What is the virulence factor that mediates the pathogenicity of Vibrio cholerae?
What is the virulence factor that mediates the pathogenicity of Vibrio cholerae?
Fecal coliforms are derived from which source?
Fecal coliforms are derived from which source?
Which procedure is used to test water samples for fecal coliforms?
Which procedure is used to test water samples for fecal coliforms?
Where is cholera considered endemic?
Where is cholera considered endemic?
Cholera and Typhoid are classified under which category of diseases?
Cholera and Typhoid are classified under which category of diseases?
What is the primary infectious agent responsible for Typhoid Fever?
What is the primary infectious agent responsible for Typhoid Fever?
Which of the following symptoms is NOT typically associated with Typhoid Fever?
Which of the following symptoms is NOT typically associated with Typhoid Fever?
What is the estimated mortality rate of Typhoid Fever when antibiotic treatment is provided?
What is the estimated mortality rate of Typhoid Fever when antibiotic treatment is provided?
Which method is identified as the best prevention strategy for an outbreak of Typhoid Fever?
Which method is identified as the best prevention strategy for an outbreak of Typhoid Fever?
What is the role of Salmonella pathogenicity island 7 in Typhoid Fever?
What is the role of Salmonella pathogenicity island 7 in Typhoid Fever?
What genetic disorder is commonly associated with mutations in the CFTR protein?
What genetic disorder is commonly associated with mutations in the CFTR protein?
How is Typhoid Fever primarily transmitted?
How is Typhoid Fever primarily transmitted?
Which of the following describes the impact on mucus in the airways of a patient with Cystic Fibrosis?
Which of the following describes the impact on mucus in the airways of a patient with Cystic Fibrosis?
What is the estimated economic burden of major foodborne illnesses in the United States per year?
What is the estimated economic burden of major foodborne illnesses in the United States per year?
Which age group was significantly affected in the 1903 Ithaca Typhoid outbreak?
Which age group was significantly affected in the 1903 Ithaca Typhoid outbreak?
What percentage of infected individuals may develop a chronic asymptomatic infection in the gall bladder?
What percentage of infected individuals may develop a chronic asymptomatic infection in the gall bladder?
Which characteristic is true about Listeria monocytogenes?
Which characteristic is true about Listeria monocytogenes?
What is a common response of a Cystic Fibrosis patient when infected with cholera?
What is a common response of a Cystic Fibrosis patient when infected with cholera?
Flashcards
Cystic Fibrosis
Cystic Fibrosis
A genetic disorder affecting roughly 1 in 2,500 people, caused by mutations in the CFTR protein. This results in thick mucus accumulation in the lungs and other organs, leading to breathing difficulties and digestive issues.
CFTR protein
CFTR protein
A protein responsible for transporting chloride ions across cell membranes, particularly in the lungs. Mutations in this protein lead to Cystic Fibrosis.
Vibrio cholerae
Vibrio cholerae
A bacterium responsible for causing cholera, a severe diarrheal disease. It is commonly found in contaminated water and food.
Listeria monocytogenes
Listeria monocytogenes
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Altering the cytoskeletal machinery during infection
Altering the cytoskeletal machinery during infection
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Typhoid Fever
Typhoid Fever
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Humans
Humans
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Fecal-Oral Transmission
Fecal-Oral Transmission
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Vi-capsule Antigen
Vi-capsule Antigen
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Selective & Differential Media
Selective & Differential Media
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Wastewater Treatment & Water Purification
Wastewater Treatment & Water Purification
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Typhoid Vaccine
Typhoid Vaccine
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Antibiotic Resistance
Antibiotic Resistance
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Coliforms
Coliforms
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Waterborne Diseases
Waterborne Diseases
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Fecal Coliforms
Fecal Coliforms
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Escherichia Coli (E. coli)
Escherichia Coli (E. coli)
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Most Probable Number (MPN) Method
Most Probable Number (MPN) Method
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Membrane Filter (MF) Method
Membrane Filter (MF) Method
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EMB Agar
EMB Agar
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Potable Water
Potable Water
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Cholera
Cholera
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Cholera Epidemiology
Cholera Epidemiology
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Cholera Transmission
Cholera Transmission
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Cholera Toxin
Cholera Toxin
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Toxin Co-regulated Pilus (TCP)
Toxin Co-regulated Pilus (TCP)
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CTXφ Bacteriophage
CTXφ Bacteriophage
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CTXφ and Epidemics
CTXφ and Epidemics
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Study Notes
Waterborne Diseases
- Waterborne diseases are illnesses transmitted through contaminated water.
- Common waterborne diseases include: water treatment issues, fecal coliforms, typhoid, and cholera.
- Gastroenteritis, common symptoms include diarrhea, nausea, abdominal pain, and fever. About 1.8 million deaths annually worldwide are caused by fecal-oral transmission.
Foodborne Diseases
- Common foodborne diseases include Listeria.
- A wide variety of bacteria, protozoa, and viruses are responsible
- Water treatment: includes removing large particles, coagulation, filtration, and chlorination, to produce safe drinking water.
Fecal Coliforms
- Coliforms are a generic term for Gram-negative, non-sporulating, facultative aerobic rods.
- Fecal coliforms are present in the gut of warm-blooded animals.
- Escherichia coli is a common fecal coliform.
- Water and recreational water are routinely tested for coliforms as indicator organisms.
- A medium for selective and differential coliforms may include lactose, a pH indicator, and antimicrobials that inhibit Gram-positives.
Membrane Filter (MF) Method
- Testing for fecal coliforms and E. coli can be done using a membrane filter method.
- A sample of 100 ml water is filtered through a membrane.
- The membrane is then placed on a selective and differential medium.
- The number of colony-forming units (CFUs) per 100 ml of water is determined.
EMB Agar
- EMB agar is selective and differential for coliforms.
- It includes lactose, an inhibitor of Gram-positive bacteria, and a pH indicator.
- The fermentation of lactose produces acid, changing the color of the medium.
Most Probable Number (MPN) Method
- The MPN method is used for testing fecal coliforms and E. coli.
- The water sample is diluted.
- The diluted sample is inoculated into tubes containing a selective and differential medium.
- The number of tubes that grow bacteria is used to estimate the cell number.
Typhoid Fever
- Infectious agent: Salmonella enterica serotype Typhi
- Epidemiology: Rare in developed nations, endemic in much of Asia (~21 million cases and 161,000 deaths in 2013, according to WHO).
- Reservoir: Humans are the main reservoir.
- Transmission: Fecal-oral, contaminated water.
- Symptoms: High fever, abdominal pain, symptoms last weeks-months (25% mortality without treatment, 1–4% with antibiotic treatment).Chronic asymptomatic infection occurs in the gall bladder.
Typhoid Fever - 1903 Ithaca Outbreak
- Ithaca, New York lacked secure water supply/ filtration.
- 10–15% of incoming students experienced 'freshman diarrhea.'
- 1350 cases (10% population) and 82 deaths (29 Cornell students)
Listeriosis
- Agent: Listeria monocytogenes, Gram-positive bacteria.
- Found in soil, water, and the intestinal tracts of diverse mammals (and birds). (5-10% are carriers with no sign of disease.)
- Transmission: In foodborne outbreaks.
- Transmission source: dairy products, meats (ready to eat).
- able to survive freezing, excessive heat, and drying. Also, thrives in refrigerators (Psychrotolerant.)
- Symptoms: Fever, muscle aches, sometimes diarrhea or other GI symptoms.
- Susceptible individuals can have invasive disease (inflammation of intestinal tract, septicemia, meningitis, encephalitis).
- Pregnant women can experience miscarriage, life-threatening infections.
- Epidemiology (in US): ~1600 cases annually, 260 fatalities.
Cholera
- Agent: Vibrio cholerae, Gram-negative bacteria.
- Found in coastal habitats, lives on zooplankton and crustaceans.
- More than 200 serotypes, few cause disease (01, 01 El Tor, 0139 – 5th, 6th, 7th, 8th pandemics, respectively).
- Vibrio cholerae can be found on copepods.
- Reservoir: Coastal habitats (endemic) and humans (pandemic).
- Symptoms: Diarrhea (often mild), 2-3 days to onset. 10–20% of cases are severe (up to 20 L per day of rice water diarrhea). 50–60% mortality without treatment, 20% mortality with treatment.
- Epidemiology (worldwide): Rare in developed nations, endemic in Southern Asia, and pandemics of cholera (3–5 million cases annually with >100,000 deaths).
- Virulence factor: Cholera toxin (CT, an AB exotoxin). Aids entry into host cells by endocytosis and lysing phagosomes (Cytotoxin LLO).
- Prevention: Wastewater treatment & Water Purification, simple filtration (e.g. sari cloth). Detection: Differential media
Foodborne Illness in the US
- Roughly 1 in 6 Americans (48 million) gets sick each year, with 128,000 hospitalizations and 3,000 deaths.
- Norovirus outbreaks in hospitals and cruise ships cost about $2 billion per year.
- The economic burden of major foodborne illnesses in the US in 2015 was estimated at $15.5 billion.
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