Vaccine Preventable Viral Diseases Notes

Vaccine-Preventable Viral Diseases

  • Rabies
  • Measles
  • Mumps
  • Rubella
  • Chickenpox
  • Polio
  • Smallpox
  • Influenza

Rabies (Hydrophobia)

  • Brain inflammation caused by a virus transmitted through infected saliva via bites or wounds.
  • The name "rabies" comes from a Latin word meaning "to rage."
  • Affects the central nervous system, leading to 100% fatal encephalitis.
  • Transmission via bites from dogs, raccoons, skunks, foxes, and bats; also possible through aerosols (bats).
  • Symptoms include "crazy" behavior, inability to swallow, fear of water, coma, and death.
  • Treatment involves HRIG (Human rabies immunoglobulin) and a series of 5 intradermal vaccines (expensive).
  • Old treatment: multiple painful injections into the abdomen with a large needle (cheaper).
  • Vaccination is recommended for vets, animal handlers, dogs, cats, and ferrets.

Measles

  • A febrile disease characterized by a body rash.
  • Vaccination: MMR vaccine (measles, mumps, rubella) administered only after the 1st birthday.

Rubella

  • Harmful to the unborn, especially in the 1st trimester, causing deafness, mental retardation, and heart defects.
  • Spontaneous abortion occurs in up to 20% of cases.

Mumps

  • Infection of the salivary glands and testicles (can result in male sterility).
  • MMR vaccine is a live, attenuated vaccine.

Chicken Pox

  • Caused by Varicella Zoster Virus.
  • Can re-emerge in adults as painful shingles.
  • Vaccine available (live).

Polio (Poliomyelitis)

  • Contracted by swallowing fecally contaminated water.
  • 90% of polio infections have no symptoms.
  • In 1% of cases, the virus enters the CNS, destroying motor neurons, leading to acute flaccid paralysis.
  • Spinal polio is the most common form, characterized by asymmetric paralysis that most often involves the legs.
  • Polio vaccine was announced on 04/12/55.

Polio Vaccine (2 types) - Developed in 1960s

  • Sabin vaccine (live, oral).
  • Salk vaccine (inactivated).

Smallpox

  • Caused by the variola virus.
  • Believed to have emerged around 10,000 BC.
  • Caused more deaths throughout human history than any other disease.
  • Human is the only host.
  • Respiratory route of transmission.
  • Infects blood vessels and internal organs, producing a specific "jelly bean" rash.
  • 30-35% fatal, may cause blindness, and permanent skin disfiguration.
  • First disease eradicated worldwide (1980) due to vaccination.
  • Vaccine still given to lab workers, researchers, and the military.
  • Smallpox-infected blankets were used as germ warfare against American Indians.
  • Still a possible biological weapon.