Principles of Disease and Epidemiology Study Notes

Infection vs. Disease

  • Infection: Entry and multiplication of pathogens.

  • Disease: Host's response to infection, resulting in symptoms.

Microbiota

  • Normal Microbiota: Permanent residents of the host.

  • Transient Microbiota: Temporarily present in host.

Relationships

  • Commensal: One benefits, other unaffected.

  • Mutualistic: Both benefit.

  • Parasitic: One benefits at the expense of the other.

Koch's Postulates

  • Purpose: To determine the causative agent of a disease.

  • Four criteria:

    • Microbe present in diseased individuals.

    • Microbe isolated and cultured.

    • Microbe causes disease in healthy host.

    • Microbe re-isolated from experimentally infected host.

  • Limitations: Not applicable to all diseases (e.g., polymicrobial infections).

Herd Immunity

  • Definition: Immunity of a population to protect individuals.

  • Mechanism: Reduced spread of disease through majority being immune.

Disease Susceptibility

  • Predisposing factors: Genetics, age, lifestyle, etc.

Reservoirs and Disease Transmission

  • Reservoir: Natural habitat of a pathogen.

  • Transmission methods:

    • Direct contact.

    • Indirect contact.

    • Airborne.

Healthcare-Associated Infections (HAIs)

  • Definition: Infections acquired in healthcare settings.

  • Contributing factors:

    • Compromised host.

    • Pathogen presence.

    • Chain of transmission.

Emerging Infectious Diseases

  • Definition: New or previously unrecognized infections.

  • Contributing factors: Globalization, environmental changes, etc.

Role of CDC

  • Purpose: To monitor and prevent disease outbreaks.

Epidemiology

  • Contribution: Studies incidence, spread, and prevention of diseases.