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Microbiology: Infectious Diseases and Epidemiology

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  • Who is John Snow and why is he important in epidemiology?

    John Snow is considered one of the first modern epidemiologists for tracing the source of a cholera outbreak in London, demonstrating disease transmission via contaminated water.

  • What is the difference between a true pathogen and an opportunistic pathogen?

    A true pathogen causes disease in healthy hosts, while an opportunistic pathogen causes disease only in immunocompromised or weakened hosts.

  • Define host in the context of infectious diseases.

    A host is an organism that harbors a pathogen and provides it with nutrients and a suitable environment for growth.

  • What is the difference between sporadic and endemic infections?

    Sporadic infections occur irregularly and infrequently, while endemic infections are constantly present in a population or region.

  • How do epidemic and pandemic disease distributions differ?

    An epidemic is a sudden increase in disease cases in a specific area, while a pandemic is an epidemic that spreads across multiple countries or continents.

  • Did SARS-CoV-2 cause an epidemic or a pandemic?

    SARS-CoV-2 caused a pandemic because it spread globally across many countries.

  • What is the difference between emerging and reemerging pathogens?

    Emerging pathogens are newly identified or increasing in incidence, while reemerging pathogens are known pathogens that have reappeared after a decline.

  • What is a zoonotic disease?

    A zoonotic disease is an infection transmitted from animals to humans.

  • What type of disease is COVID-19 based on its origin from bats?

    COVID-19 is a zoonotic disease because it likely spread from bats to humans.

  • What is the difference between communicable and noncommunicable diseases?

    Communicable diseases can be transmitted between hosts, while noncommunicable diseases cannot be spread from person to person.

  • What is the difference between signs and symptoms of disease?

    Signs are objective evidence of disease observed by others; symptoms are subjective feelings reported by the patient.

  • Identify which are signs and which are symptoms: fever, rash, nausea, white blood cells in urine, fatigue, malaise.

    Signs: fever, rash, white blood cells in urine.
    Symptoms: nausea, fatigue, malaise.

  • Why are Koch’s postulates important?

    Koch’s postulates establish criteria to link a specific microorganism to a specific disease.

  • Can Koch’s postulates be applied to all pathogens? Why or why not?

    No, because some pathogens cannot be cultured independently or cause disease only in humans, making the postulates difficult to fulfill.

  • Why are obligate intracellular pathogens impossible to grow as pure cultures?

    They require living host cells to replicate and cannot grow on artificial media alone.

  • Define reservoir in infectious disease transmission.

    A reservoir is the natural habitat where a pathogen normally lives and multiplies.

  • Define source in infectious disease transmission.

    The source is the individual or object from which a pathogen is directly acquired by a host.

  • What is the difference between endogenous and exogenous sources?

    Endogenous sources originate from within the host; exogenous sources come from outside the host.

  • Is a Zika virus infected mosquito bite direct or indirect transmission?

    It is direct transmission because the vector directly transfers the pathogen to the host.

  • Define vertical transmission and give examples.

    Vertical transmission is the passage of a pathogen from mother to offspring, e.g., HIV in utero or during birth.

  • What is airborne transmission of a pathogen?

    Airborne transmission occurs when pathogens are spread via aerosols that remain suspended in air and are inhaled by a host.

  • Define fomite.

    A fomite is an inanimate object that can carry and transmit pathogens.

  • Define vector and differentiate biological vs mechanical vectors.

    A vector is a living organism that transmits pathogens. Biological vectors support pathogen development; mechanical vectors only carry pathogens externally.

  • Define infectivity, pathogenicity, and virulence.

    Infectivity is the ability to infect a host; pathogenicity is the ability to cause disease; virulence is the degree of damage caused.

  • List the five stages of infectious disease.

    Incubation, prodromal, illness, decline, and convalescence stages describe disease progression from infection to recovery.

  • During which stages can an infectious agent be transmitted?

    Transmission can occur during the prodromal, illness, and sometimes convalescence stages.

  • What is the difference between clinical and subclinical cases?

    Clinical cases show symptoms; subclinical cases are asymptomatic but infected.

  • What is the difference between chronic and asymptomatic carriers?

    Chronic carriers harbor and transmit pathogens long-term; asymptomatic carriers show no symptoms but can still spread disease.

  • What are the two main goals of epidemiology?

    To identify the cause of disease and to control or prevent its spread.

  • What three parameters make up the epidemiological triangle?

    Host, agent, and environment are the three parameters influencing disease occurrence.

  • Define quarantine.

    Quarantine is the restriction of movement of healthy individuals exposed to a contagious disease to prevent spread.

  • Define morbidity, prevalence rate, and incidence rate.

    Morbidity is the rate of disease in a population; prevalence rate is total cases at a time; incidence rate is new cases over a period.

  • What does HAI stand for and what is another name for it?

    HAI stands for healthcare-associated infection, also called nosocomial infection.

  • Name two most common sources of HAI transmission.

    Contaminated medical devices and healthcare workers' hands are common sources.

  • What is one simple, important measure to prevent HAIs?

    Proper hand hygiene is a simple and effective way to prevent healthcare-associated infections.

  • What is disease eradication?

    Disease eradication is the complete and permanent worldwide reduction to zero new cases of a disease.

  • What percentage of a population must be vaccinated for herd immunity?

    Typically, around 70-95% vaccination coverage is needed depending on the disease.