Communicable Diseases

Communicable Diseases Overview

Topic Outline
  • Etiology: Understanding the causes of communicable diseases.
  • Pathogenesis: Exploring how diseases develop and progress.
  • Signs and Symptoms: Identifying clinical manifestations.
  • Diagnostics: Methods for confirming diagnoses.
  • Treatment: Approaches used to manage and treat diseases.
  • Prevention: Strategies to prevent disease transmission.

Key Communicable Diseases
  • Influenza
  • Pneumonia
  • Cholera
  • Tuberculosis
  • Leprosy
  • Schistosomiasis
  • Paragonimiasis
  • Soil Transmitted Helminthiasis (STH)
  • Measles
  • Chicken Pox (Varicella)
  • Mumps
  • Diphtheria
  • Whooping Cough (Pertussis)
  • Tetanus Neonatorum and Tetanus among Older Age Group

Key Definitions
  • Etiology: The cause or set of causes of a disease.
  • Pathogenesis: The origination and development of a disease.
  • Diagnostics: Tests including laboratory methods and imaging used to confirm diseases.
  • Treatment: Medications and procedures to treat diseases.
  • Prevention: Measures taken to prevent disease occurrence.

1. Influenza
  • Etiology: Primarily caused by viral strains A and B.

    • Mechanism involves the virus binding to respiratory epithelial cells.
    • Surface proteins: Hemagglutinin (HA), Neuraminidase (NA)
    • Antigenic Drift: Minor mutations leading to seasonal epidemics.
    • Antigenic Shift: Major mutations leading to novel strains.
  • Pathogenesis: Viral infection starts in the upper respiratory tract, damaging cells and inducing apoptosis.

  • Signs and Symptoms: Cough, cold, fever, body weakness.

  • Diagnostics: Influenza tests, CBC, Chest X-Ray (CXR).

  • Treatment: Symptomatic management, increased oral fluid intake, antiviral medications.

  • Prevention: Vaccination, cough etiquette, handwashing.


2. Pneumonia
  • Etiology: Can be caused by bacteria, viruses, fungi, and parasites. Higher risk in those with chronic lung conditions, immune suppression, and smoking.

    • Pathogen entry via inhalation or aspiration.
  • Pathogenesis: Infection proliferates in lower airways and alveoli leading to local inflammation.

    • Immune response varies; may present as lobar pneumonia (localized) or interstitial pneumonia (diffused).
  • Signs and Symptoms: Cough, fever, chills, dyspnea, pleuritic chest pain, fatigue.

  • Diagnostics: CXR showing consolidation, CBC, sputum analysis.

  • Treatment: Antibiotics, symptomatic management, pneumonia vaccine.

  • Prevention: Proper cough etiquette, hand hygiene, vaccination.


3. Cholera
  • Etiology: Caused by the bacterium Vibrio cholerae, typically transmitted through contaminated water.

  • Pathogenesis: Alters the intestinal brush border, leading to loss of fluids and electrolytes.

    • Major symptom is profuse watery diarrhea.
  • Signs and Symptoms: Abdominal pain, diarrhea, fever, nausea/vomiting.

  • Diagnostics: Stool culture, hydration status assessment.

  • Treatment: Antibiotics for severe cases, prompt rehydration, zinc supplementation.

  • Prevention: Access to clean water, boiling water, hand hygiene.


4. Tuberculosis
  • Etiology: Caused by Mycobacterium tuberculosis, primarily inhaled in airborne droplets.

  • Pathogenesis: The bacilli evade destruction by macrophages leading to complex immune responses.

  • Signs and Symptoms: Cough, fever, night sweats, weight loss.

  • Diagnostics: Sputum smear microscopy, culture, chest X-ray.

  • Treatment: HRZE regimen (isoniazid, rifampicin, pyrazinamide, ethambutol).

  • Prevention: BCG vaccine, proper cough etiquette, hand hygiene.


5. Leprosy
  • Etiology: Caused by Mycobacterium leprae, primarily affects skin and peripheral nerves.

  • Pathogenesis: Infection in Schwann cells leads to nerve damage and granuloma formation.

  • Signs and Symptoms: Hypopigmented skin lesions, nerve damage, and numbness.

  • Diagnostics: Skin biopsy for microscopic examination.

  • Treatment: Dapsone, rifampicin, clofazimine.

  • Prevention: Avoiding contact with lesions and infected bodily fluids.


6. Schistosomiasis
  • Etiology: Caused by Schistosoma species, transmitted through skin contact with contaminated water.

  • Pathogenesis: Schistosoma eggs cause hypersensitivity reactions leading to inflammatory responses.

  • Signs and Symptoms: Cough, abdominal pain, diarrhea, and eosinophilia.

  • Diagnostics: Stool examination for eggs, serological tests.

  • Treatment: Praziquantel.

  • Prevention: Avoid contact with infected water sources.


7. Paragonimiasis
  • Etiology: Caused by lung flukes from Crustaceans (freshwater crabs).

  • Signs and Symptoms: Cough, hemoptysis, and abdominal pain.

  • Diagnostics: Microscopic examination of sputum and stool.

  • Treatment: Praziquantel.

  • Prevention: Avoiding raw or undercooked freshwater crustaceans.


8. Soil Transmitted Helminthiasis (STH)
  • Etiology: Caused by various helminths, including Ascaris, Trichuris, and hookworms.

    • Transmitted through contamination of soil with feces.
  • Signs and Symptoms: Abdominal pain, diarrhea, fever, cough, eosinophilia.

  • Diagnostics: Stool examination.

  • Treatment: Mebendazole, albendazole.

  • Prevention: Handwashing, proper sanitation, wearing protective footwear.


9. Measles
  • Etiology: Caused by the measles virus, contagious before and after rash appears.

  • Signs and Symptoms: Fever, cough, rash, conjunctivitis.

  • Diagnostics: Serological testing, RT-PCR.

  • Treatment: Supportive care, vaccination is key to prevention.


10. Chicken Pox (Varicella)
  • Etiology: Caused by varicella-zoster virus (VZV).

  • Signs and Symptoms: Itchy, blister-like rash, fatigue, fever.

  • Diagnostics: PCR tests.

  • Treatment: Supportive care, acyclovir for severe cases.

  • Prevention: Vaccination.