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Epidemiology
Science that deals with when and where diseases occur and how they are transmitted in the human population
Endemic diseases
A disease always present in a population; a constant presence and/or usual prevalence of a disease or infectious agent in a population within a geographic area
Example of an endemic disease
Common cold
Epidemic disease
Many people in a given area acquire a disease in a short period of time
Example of an epidemic disease
Influenza
Pandemic disease
The disease is spread over the population of many continents
Example of pandemic
COVID-19
Index case
first case of a disease
Vectors
Mechanical or biological transmission
• Mosquitos are big offenders
Direct transmission
Spread between hosts via direct contact or droplet spread
Mechanism transmission
indirect transmission on the surface of a
mechanical vector such as an insect
• Think of an insect carrying bacteria on its feet and then landing on your food
• The vector itself is not infected
Biological transmission
indirect transmission via the saliva of a
biological vector
• Think of a mosquito carrying Zika or Malaria
• The vector itself is infected and will spread it from person to person
Host
an organism that harbors the pathogen
Pathogen
a disease-causing microorganism which needs to come in contact with the host to cause disease
Reservoir
continual source of infection or disease; can be a human, an animal, or a non-living thing such as soil
Example of reservoir
Rodents such as rats and squirrels serve as reservoirs for the bacteria Yersinia pestis, the causative agent of plague
Carrier
a person that harbors a disease but is not displaying any signs of disease
Typhoid Mary
was a cook who unknowingly infected 51-122 people with typhoid fever. Three people were confirmed to have died, but some estimates think 50 may have perished. First asymptomatic case in U.S.
Calculate infection rate
# of infected persons/ population at risk
Physical methods of control
Heat, dry heat, moist heat, UV light,
Heat
Different bacteria exhibit different tolerances to heat (also pH, media,
etc.)
Psychrophilic
15⁰C or below
Psychrotrophic
20-30⁰C
Mesophilic
25-40⁰C
Thermophilic
45-65⁰C
Hyperthermophilic
80⁰C or above
Dry heat
Not as effective at transferring heat to cells
• Examples: hot oven, Bunsen burner flame
• At 170⁰C it would take two hours for sterilization
Moist heat
Very effective at transferring heat to cells
• Examples: boiling, pasteurization, autoclaving
• Pasteurization: 63⁰C for 30 min or 72⁰C for 15 sec
• Boiling: 100⁰C for 10 min
UV light
Come mostly from space but some is produced on earth
• Ionizing vs nonionizing
• UVA, UVB, UVC
• We need UVB rays to synthesize Vitamin D
• Tanning should be limited to 13 minutes 3 times a week
• Mutagens
UV Damage Mechanism and Repair
UV light induces thymine dimers
• Photolyases can fix thymine dimers
• Light repair or photoreactivation
• Dark Repair
Disinfectant
are chemicals that lower the levels of microbes on the
surfaces of inanimate objects
Antiseptics
decrease the number of microbes on living tissue
Anti microbial agents
No single chemical is the best!
• Decide effectiveness based on concentration, length of contact, and
whether it is lethal or inhibiting
Genus Pseudomonas
Gram negative bacillus with one or more flagella to provide motility
• Very diverse genus, especially in regards to metabolic activities
• Non-spore forming
• Non-coliform
• Catalase positive
• Oxidase variable (will change from species to species
Pseudomonas aeruginosa
Oxidase positive species of Pseudomonas with a single flagella
• Commonly found in the environment and on human skin
• Typically created green colonies due to secondary metabolites
• Species name aeruginosa is a Latin word meaning verdigris
• Considered the greatest threat to humans due to its increasing
antibiotic resistance and is an opportunistic pathogen
Antibiosis
Process where an organism produces a substance that is harmful to another organism
Example: snake venom
Antibiotics
Are medicines derived from antibodies that’s used to kill or inhibit that substance
80% of antibiotics produced in the US are utilized
by livestock
How Antibiotics Work
Different methods
• Inhibition of cell wall formation (peptidoglycan)
• Inhibition of DNA synthesis, which prevents propagation so your
immune system has more of a fighting chance
Not a One Size Fits All Situation
Physicians must match the correct antibiotic to the correct organism
at the correct strength
• Antibiotic resistance
• MRSA, VRE, MDR-TB, and CRE
Disk-Diffusion Method
Tests the effectiveness of antibiotics again specific bacteria
• The antimicrobial agent diffuses from the disk from an area of high concentration to low concentration. If the
agent is effective it will inhibit bacterial growth
• Will create Zone of Inhibition, which is a circle around the antibiotic where bacterial colonies do not grow
Antibiotic discoveries
Louis Pasteur learned that infecting animals with Pseudomonas aeruginosa protected them from Bacillus anthracis
• Alexander Fleming found that Penicillium mold could inhibit the growth of many gram-positive cocci and Neisseria. This discovery led to the
creation of penicillin, the world’s first broadly effective antibiotic substance