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Koch’s Postulates
same pathogen must be present in every case of the disease
pathogen must be isolated from diseased host & grown in pure culture
pathogen from pure culture must cause the disease when it’s inoculated into healthy, susceptible laboratory animal
pathogen must be isolated from inoculated animal and must be shown to be the original organism
pathway of Koch’s Postulates
microorganisms are isolated from a diseased or dead animal
the microorganisms are grown in pure culture
2b. microorganisms are identified
microorganisms are inoculated into a healthy laboratory animal
disease is reproduced in a laboratory animal
5a. the microorganisms are isolated from this animal and grown in pure culture
5b. microorganisms are identified
Koch’s Postulates exceptions
some pathogens can cause several disease conditions
some pathogens cause disease only in humans (could not be tested with lab animal)
some microbes have never been cultured
BSL-1
no special precautions; basic teaching labs, e. coli
BSL-2
lab coat, gloves, eye protection; P. aeruginosa
BSL-3
biosafety cabinets to prevent airborne transmission; M. tuberculosis
BSL-4
sealed, negative pressure, hot zone, exhaust air is filtered twice through HEPA filters; Ebola
Centers for Disease Control & Prevention CDC
collects and analyzes epidemiological information in US, publishes Morbidity and Mortality Weekly Report (MMWR)
morbidity
incidence of a specific notifiable disease
mortality
deaths from notifiable diseases
notifiable infections diseases
physicians required to report occurrence