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Chapter141.pptx

Chapter 14: Risk of Infectious and Communicable Diseases

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Chapter Highlights

Infectious versus communicable disease

Outbreak investigation: person, place, time

Healthcare‐associated infections

Public health surveillance

Foodborne and waterborne illnesses

Sexually transmitted diseases

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Question #1

Is the following statement true or false?

A carrier is a person or animal who harbors an infectious organism and transmits the organism to others while having no symptoms of the disease.

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Answer to Question #1

True

Rationale: A carrier is a person or animal who harbors an infectious organism and transmits the organism to others while having no symptoms of the disease.

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Infectious Disease

Presence and replication of an infectious agent in the tissues of a host, with manifestation of signs and symptoms

Pathogenicity—ability of the agent to produce an infectious disease in a susceptible host

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Communicable Disease

For a disease to be communicable, or contagious, there must be a portal of exit from the infected person (or animal), a means of transmission, and a portal of entry to a susceptible host.

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Epidemiology of the Infectious Process: The Chain of Infection #1

Agent

Host

Portals of entry and exit

Incubation period

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Epidemiology of the Infectious Process: The Chain of Infection #2

Environment: Reservoir

Transmission

Airborne

Direct

Indirect

Droplet

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Carrier

A person or animal who harbors an infectious organism and transmits the organism to others while having no symptoms of the disease

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Colonization

The presence and multiplication of infectious organisms without invading or causing damage to tissue

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Incubation Period

Time period between initial contact with the infectious agent and the appearance of the first signs or symptoms of the disease

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Question #2

Is the following statement true or false?

An infectious disease is not contagious or communicable.

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Answer to Question #2

False

Rationale: An infectious disease may or may not be contagious or communicable.

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Question #3

Is the following statement true or false?

Epidemic is the constant or usual prevalence of a specific disease or infectious agent within a population or geographic area.

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Answer to Question #3

False

Rationale: Endemic—the constant or usual prevalence of a specific disease or infectious agent within a population or geographic area. Epidemic—significant increase in the number of new cases of a disease than past experience would have predicted for that place, time, or population; an increase in incidence beyond that which is expected.

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Outbreak Investigation

Establishing the existence of an outbreak

Describing cases by person, place, and time

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Types of Outbreaks

Endemic—the constant or usual prevalence of a specific disease or infectious agent within a population or geographic area

Epidemic—significant increase in the number of new cases of a disease than past experience would have predicted for that place, time, or population; an increase in incidence beyond that which is expected

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Healthcare‐Associated Infections

Nurses play an important role in the prevention of healthcare‐associated infection and represent the first line of defense for such adverse outcomes.

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Public Health Surveillance

Surveillance—a continual dynamic method for gathering data about the health of the general public for the purpose of primary prevention of illness

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Specific Communicable Diseases

Foodborne diseases

Noroviruses

Campylobacter infection

Listeria monocytogenes

Nontyphoid Salmonella

Escherichia coli O157:H7

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Waterborne Diseases

Waterborne diseases associated with drinking/potable water

Waterborne diseases associated with recreational water

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Question #4

Is the following statement true or false?

The CDC reports indicate that more than one‐fourth of new HIV cases were heterosexually acquired.

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Answer to Question #4

False

Rationale: The CDC reports indicate that more than one‐third of new HIV cases were heterosexually acquired.

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Sexually Transmitted Diseases

Chlamydia

Gonorrhea

Syphilis

Human Papillomavirus

Human Immunodeficiency Virus

Herpes Simplex Virus

Hepatitis viruses

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Prevention and Control of Specific Infectious Diseases

Foodborne diseases

Waterborne diseases

Sexually transmitted infections

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CDC

Provides an effective system for STD prevention to assist community/public health professionals in the design, implementation, and evaluation of STD prevention and control programs

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