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Who mapped the 1854 Soho cholera deaths and what did he find?
Dr. John Snow mapped deaths household by household and found the Broad Street public water pump was the point source
What action halted the 1854 cholera epidemic?
Removing the Broad Street pump handle - done before germ theory was accepted
What pathogen causes cholera?
Vibrio cholerae - a Gram-negative comma-shaped rod with a single polar flagellum
How is cholera transmitted?
Fecal-oral route through contaminated water
What are the symptoms of cholera?
Sudden "rice water" watery diarrhea and vomiting with up to 1 liter of fluid lost per hour leading to dehydration and muscle cramps and hypovolemic shock
Is Vibrio cholerae invasive?
No - it is noninvasive and infects the mucous barrier of the small intestine
What does cholera toxin (CT) cause?
Electrolyte and water loss through secretory diarrhea
At what pH does Vibrio cholerae grow?
Alkaline conditions (pH 8 to 9.5)
Which O antigen serotypes cause cholera?
Only O1 and O139 (out of about 150 O antigen serotypes)
What is the El Tor biotype?
A cholera biotype that survives longer and is more infectious
What is the incubation period of cholera?
About 2 days
How is cholera treated?
Oral rehydration therapy (replace lost water and electrolytes) - antibiotics can speed recovery
What conditions let epidemic cholera spread?
Contaminated water with poor sanitation - especially where sewage treatment is absent or defective
Curviform bacteria
Curved Gram-negative rods that generally cause enteric (intestinal) diseases
Vibrio shape and habitat
Comma-shaped rods with a single polar flagellum found in saltwater
Campylobacter shape
Short spirals or curved rods with one flagellum
Helicobacter shape
Tight spirals with several polar flagella
What type of organism is Cyclospora cayetanensis?
A eukaryotic protozoan in phylum Apicomplexa and an obligate intracellular parasite
Other Apicomplexa examples
Malaria and babesiosis and toxoplasmosis and cryptosporidiosis
Disease caused by Cyclospora
Cyclosporiasis - relapsing watery gastroenteritis
2026 Cyclospora outbreak facts
18445 lab-confirmed US cases since May 1 2026 (vs 1180 from May to Aug 2025) - third largest foodborne outbreak in US history - likely culprit shredded lettuce
Cyclospora oocyst appearance
Spherical and 8-10 µm
Why are freshly shed Cyclospora oocysts not infectious?
They are unsporulated and need 1-2 weeks in the environment to sporulate
Does Cyclospora spread person to person?
No - it spreads by ingesting food or water contaminated with sporulated oocysts (fresh produce)
Cyclospora life cycle inside the host
Sporozoites invade the small intestine epithelium then multiply asexually then sexually forming oocysts that are released into the environment
How is Cyclospora diagnosed?
Modified acid-fast stain (pink/red) and UV autofluorescence (neon blue under 330-380 nm UV) and PCR
Cyclospora treatment
Trimethoprim-sulfamethoxazole (TMP-SMX) - a folate pathway inhibitor
Is Cyclospora killed by chlorine or iodine?
No - it is resistant to both - cooking food and boiling water work and washing helps but is not 100% effective
Why is Cyclospora hard to track?
Long incubation (weeks) and FoodNet monitoring ended after budget cuts (the CDC Cyclospora lab went from 11 people to 3)
Prokaryote
A microscopic unicellular organism that lacks a nucleus and membrane-bound organelles
Eukaryote
A cell with a nucleus and membrane-bound organelles - can be unicellular or multicellular
What are the two prokaryote domains?
Bacteria and Archaea
Archaea
Environmental extremophiles with novel biochemistry
Algae
Photosynthetic aquatic protists - studied in phycology
Protozoa
Single-celled protists that may be pathogenic - studied in protozoology
Fungi
Decomposers that can be single or multicellular - studied in mycology
Helminths
Worms with microscopic life stages that are diagnosed microscopically - studied in parasitology
Are arthropods microbes?
No - but they can cause or transmit disease
Virus
An acellular particle with a capsid and nucleic acid that grows only inside host cells (obligate intracellular) - studied in virology
What are smaller relatives of viruses?
Viroids and prions
Typical size of most bacteria
1 to 10 µm
How long have bacteria-like organisms existed?
About 3.5 billion years
Role of microbes in photosynthesis
Light-fueled conversion of carbon dioxide to organic material
Role of microbes in decomposition
Breakdown of dead matter and wastes into simple compounds
Biotechnology
Production of foods and drugs and vaccines using living organisms
Genetic engineering
Manipulating the genes of organisms to make new products
Bioremediation
Using living organisms to remedy an environmental problem
Parasite
An organism that lives on or in a host and damages it
Pathogen
A microbe that does harm
Infectious disease statistics from lecture
Nearly 2000 microbes cause disease with about 10 billion new infections and 12 million deaths per year worldwide
Spontaneous generation
The early belief that life could arise from nonliving or decomposing matter (such as flies from manure)
Who disproved spontaneous generation?
Louis Pasteur - supporting the Theory of Biogenesis
Biogenesis
Living things can only arise from other living things
Who was Antonie van Leeuwenhoek?
Dutch linen merchant (1632-1723) and first microbiologist - his single-lens microscope magnified up to 300X and he was first to observe living microbes
Order of the scientific method
Question then hypothesis then theory (after many repeats and extensive evidence) then law or principle (if extremely compelling)
What did Tyndall and Cohn show?
Some microbes have heat-resistant forms - Cohn identified them as bacterial endospores
What does sterility require?
Eliminating all life forms including endospores and viruses
Why are endospores important?
They are the most resistant cells on earth - surviving boiling and UV and drying and disinfectants and possibly millions of years
What did Oliver Wendell Holmes observe?
Mothers of home births had fewer infections than those who gave birth in hospitals
What did Ignaz Semmelweis find?
Infections correlated with physicians coming directly from the autopsy room to the maternity ward
What did Joseph Lister introduce?
Aseptic techniques - chemical disinfection of hands before surgery and heat for sterilization
Germ theory of disease
Many diseases are caused by microbes growing in the body and not by sins or bad character or poverty
Louis Pasteur's contributions
Showed microbes cause fermentation and spoilage and disproved spontaneous generation and developed pasteurization and demonstrated germ theory
Robert Koch's contributions
Established Koch's postulates and identified the causes of anthrax and TB and cholera and developed pure culture methods
Koch's postulate 1
The microorganism must be found in abundance in all organisms with the disease but not in healthy organisms
Koch's postulate 2
The microorganism must be isolated from a diseased organism and grown in pure culture
Koch's postulate 3
The cultured microorganism should cause disease when introduced into a healthy organism
Koch's postulate 4
The microorganism must be reisolated from the inoculated diseased host and identified as identical to the original agent
Taxonomy
Organizing and classifying and naming living things - formal system started by Carl von Linné
Three parts of taxonomy
Classification (orderly grouping) and nomenclature (naming) and identification (determining traits for placement)
Levels of classification in order
Domain then Kingdom then Phylum then Class then Order then Family then Genus then Species
Three domains of life
Archaea and Bacteria and Eukarya
Binomial nomenclature
Two-name system - Genus (capitalized) and species (lowercase) both italicized or underlined (Staphylococcus aureus)
Phylogeny
The natural relatedness between groups of organisms
Evolution (as described in lecture 1)
All new species originate from preexisting species - usually progressing toward greater complexity
Molecule
A chemical substance formed when two or more atoms combine
Compound
A molecule made of two or more different elements
Formula (mass) weight
The sum of the atomic masses of all atoms in a molecule
Chemical bond
Forms when atoms share or donate or accept electrons to form molecules and compounds
Three types of chemical bonds
Covalent and ionic and hydrogen
Covalent bond
Atoms share electrons
Nonpolar covalent bond
Electrons shared equally
Polar covalent bond
Electrons shared unequally (like water - oxygen slightly negative and hydrogens slightly positive)
Single vs double covalent bond example
H2 has a single bond and O2 has a double bond
Ionic bond
Atoms donate and accept electrons (example - Na+ and Cl-)
Hydrogen bond
A weak bond between hydrogen and other atoms
Solution
A mixture of one or more solutes dispersed in a dissolving solvent
Solute vs solvent
Solute is what dissolves (Na+ and Cl-) and solvent is the dissolving medium (H2O)
Hydrophilic
Dissolves in water
Hydrophobic
Repels water
Amphipathic
Has both hydrophilic and hydrophobic properties
What does water ionization release?
Hydrogen ions (H+) and hydroxyl ions (OH-)
pH
The negative logarithm of the H+ concentration - scale runs 0 to 14
pH below 7 / at 7 / above 7
Acidic / neutral / basic (alkaline)
Does more H+ mean higher or lower pH?
Lower pH (more acidic)
Organic chemicals
Compounds containing carbon bonded to hydrogens
Why is carbon so versatile?
It has 4 outer electrons so it forms single or double or triple covalent bonds and can make linear or branched or ringed molecules
Functional groups
Accessory molecules that bind to organic compounds and give the whole molecule unique reactive properties
Hydroxyl group is found in
Alcohols and carbohydrates
Carboxyl group is found in
Fatty acids and proteins and organic acids