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Zoonosis D-r Mitova MU-Sofia
Modes of Disease Transmission
Zoonoses From the Greek: Zoon:  Animal Noson:  Disease Diseases and infections which are naturally transmitted between vertebrate animals and humans - WHO 1959
Zoonoses ,[object Object]
Zoonoses: Common Diseases ,[object Object],[object Object],[object Object],[object Object],[object Object]
Zoonoses ,[object Object],[object Object],[object Object],[object Object],[object Object]
Zoonoses: Importance ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Zoonoses: Etiologic Classification ,[object Object],[object Object],[object Object],[object Object]
Zoonoses: Viral Examples Yellow fever Influenza West Nile virus* Herpesvirus B Rift Valley fever Hendra* Rabies* Hantaviruses  Nipah* Equine encephalitides (WEE, EEE, VEE) Monkeypox* Ebola Japanese encephalitis Colorado tick fever
Zoonoses: Bacterial Examples Yersiniosis Lyme disease* Tularemia* Listeriosis* Salmonellosis* Leptospirosis* Relapsing fevers Cat-scratch disease* Q fever* Campylobacteriosis* Psittacosis* Brucellosis* Plague* Anthrax*
Zoonoses: Animal Species ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Zoonoses: Animal Species ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
 
Routes of Transmission ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Risk Factors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Risk Factors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Yersinia pestis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
History ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Black Death Pandemic ,[object Object],[object Object],[object Object],[object Object],[object Object]
Transmission to Humans ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Flea Vectors ,[object Object],[object Object]
 
 
 
Plague Epidemiology in Nature ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sylvatic Plague ,[object Object],[object Object],[object Object],[object Object]
Sylvatic Plague ,[object Object],[object Object],[object Object],[object Object],[object Object]
Robert B. Crave. Plague. Infectious Diseases, 5 th  ed. J.B. Lippincott Co. 1994.
Urban Plague ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
  Human Disease ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Human Disease ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Laboratory Confirmation ,[object Object],[object Object],[object Object],[object Object],[object Object]
Laboratory Diagnostic Tests   PLAGUE Colonial Morphology  on SBA at 72 hrs Gram Stain
Plague Treatment and Prophylaxis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
Anthrax ,[object Object]
[object Object],[object Object]
Leptospirosis ,[object Object]
 
Q-fever ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Transmission ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Transmission ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Acute Infection ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Prognosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Prevention and Control ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Rabies Virus ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Rabies Virus Structure of rabies virus (Source: CDC) Rabies virus particles
Epidemiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pathogenesis ,[object Object],[object Object],[object Object],[object Object]
Laboratory Diagnosis ,[object Object],[object Object],[object Object],[object Object]
Negri Body in neuron cell (source: CDC) Positive DFA test (Source: CDC Diagnosis of Rabies
Control of Rabies ,[object Object],[object Object],[object Object],[object Object],[object Object]
Arenaviruses ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Lassa fever virus particles budding from the surface of an infected cell. (Source: CDC)
Lassa Fever ,[object Object],[object Object],[object Object],[object Object],Mastomys
Clinical Manifestations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Laboratory Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object]
Management and Prevention ,[object Object],[object Object],[object Object],[object Object],[object Object]
Hantaviruses ,[object Object],[object Object],[object Object],[object Object],[object Object]
History ,[object Object],[object Object],[object Object],[object Object]
Some Subtypes of hantaviruses associated with human disease ,[object Object],[object Object],[object Object],[object Object]
Rodent Carriers of Hantaviruses Stripped field mouse ( Apodemus agrarius ) Bank vole ( Clethrionomys  glareolus ) Deer Mouse ( Peromyscus maniculatus )   Rat (Rattus)
Clinical Features of Hantavirus Disease ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Comparative Clinical Features of Recognized Hantavirus Disease (HVD)
Hantavirus Pulmonary Syndrome (HPS) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment and Prevention ,[object Object],[object Object],[object Object],[object Object]
Rodenticides
Rodenticides may be classified in several ways but the most medically useful of classifying them is by toxicity.   ,[object Object],[object Object]
   Thallium   Thallium is an odourless; tasteless compound that can be absorbed through unbroken skin and can cause death secondarily. There is no known effectiveness antidote for thallium. In sublethal doses, thallium can cause complete loss of hair, paresthesias, nausea, vomiting and abdominal pain, pulmonary oedema and bronchopneumonia.  Rodenticides
   Sodium monofluoroacetate   Sodium monofluoroacetate is a white, odourless, tasteless, water-soluble salt that looks like flour or baking soda. Unlike thallium, sodium monofluoroacetate cannot be absorbed through unbroken skin. However, it is toxic when ingested, inhaled in dust or absorbed through open wounds.  Toxic effects in humans, extrapolated from observed effects in rhesus monkeys, might be nausea and apprehension followed by cardiac arrhythmias, seizures and coma. Death may result from ventricular tachycardia and fibrillation or respiratory failure secondary to pulmonary oedema or bronchopneumonia.  ·  Strychnine   Strychnine is a central nervous system stimulant that causes painful recurrent motor seizures. It is rapidly absorbed from the gastrointesstinal tract and nasal mucosa but not from the skin. Symptoms include nausea and vomiting, diaphoresis, blurred vision and severe symmetric extensor muscle spasms during which patients are conscious.  Rodenticides
   Zinc phosphide   Zinc phosphide is another highly toxic rodenticide in which its colour, "rotten fish" odour and taste make it unattractive to other animals but attractive to other animals but attractive to rats. Usually mixed with a tartar emetic, it nevertheless is highly toxic because it releases phosphine gas on contact with water or weak acids.  Poisoned patients manifest hypotension, dyspnea, pulmonary oedema, circulatory collapse, vomiting, cardiac arrhythmias, convulsions and coma, renal damage, leukopenia and death in four days to two weeks.  Rodenticides
   Yellow phosphorus   Yellow phosphorus is highly poisonous compares with the relatively non- toxic red phosphorus. When used as a rodenticide, yellow phosphorus is usually mixed with molasses or peanut butter and spread on bread as bait for rodents or roaches. For obvious reasons, it is occasionally ingested by children.  Yellow phosphorus is most toxic to the gastrointestinal tract and liver. Ingestion is usually followed by vomiting which is said to be luminescent and have a garlicky odour. Delirium, coma and death from cardiovascular collapse may ensue.  ·  Arsenic   Arsenic is a white, crystalline powder that causes dysphagia, muscle cramps, convulsions, vomiting and bloody diarrhoea. Death can occur due to circulatory failure.  Rodenticides
Low toxicity rodenticides   ,[object Object],[object Object],[object Object],[object Object],[object Object]
   Anticoagulant  Anticoagulant rodenticides belong to a group that exerts a blood-thinning effect. It has been used for many decades and are readily available as over- the counter preparations.  Technically, these may be divided into two types: hydroxiycoumarin compounds are made up of warfarin, difenacoum, bromadiolone and brodifacoum while the indandiones cover a wide range of chemicals including diphacinone, pindone and chlorphacinone. Aside from warfarin, the others are said to be longer-acting. They produce a more potent and prolonged anticoagulant effect and they are often referred to as superwarfarins   Rodenticides
Haemorrhage is the most frequent encountered complication from anticoagulant poisoning. The effect seen in cases of acute ingestion, however, depends very much on whether warfarin or superwarfarin rodenticides have been ingested. A one-time ingestion of warfarin usually does not lead to any bleeding problems. Otherwise, ingestion of warfarin rodenticides has to be done repeatedly over a periods of days before bleeding can occur.  Rodenticides
Warfarin poisoning can cause spontaneous bleeding, usually from the nose, gums as well as the gastrointestinal and urinary tracts. Haemorrhage into the skin and brain can also occur, throuh this is less common. Ingestion of superwarfarin, on the other hand, can produce a prolonged coagulopathy in humans even with a single ingestion. This is thought to be associated with the firmer binding capability of superwarfarins to the lipophilic sites of the liver Rodenticides

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Zoonosis

  • 2. Modes of Disease Transmission
  • 3. Zoonoses From the Greek: Zoon: Animal Noson: Disease Diseases and infections which are naturally transmitted between vertebrate animals and humans - WHO 1959
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  • 9. Zoonoses: Viral Examples Yellow fever Influenza West Nile virus* Herpesvirus B Rift Valley fever Hendra* Rabies* Hantaviruses Nipah* Equine encephalitides (WEE, EEE, VEE) Monkeypox* Ebola Japanese encephalitis Colorado tick fever
  • 10. Zoonoses: Bacterial Examples Yersiniosis Lyme disease* Tularemia* Listeriosis* Salmonellosis* Leptospirosis* Relapsing fevers Cat-scratch disease* Q fever* Campylobacteriosis* Psittacosis* Brucellosis* Plague* Anthrax*
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  • 31. Robert B. Crave. Plague. Infectious Diseases, 5 th ed. J.B. Lippincott Co. 1994.
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  • 36. Laboratory Diagnostic Tests PLAGUE Colonial Morphology on SBA at 72 hrs Gram Stain
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  • 52. Rabies Virus Structure of rabies virus (Source: CDC) Rabies virus particles
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  • 56. Negri Body in neuron cell (source: CDC) Positive DFA test (Source: CDC Diagnosis of Rabies
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  • 66. Rodent Carriers of Hantaviruses Stripped field mouse ( Apodemus agrarius ) Bank vole ( Clethrionomys glareolus ) Deer Mouse ( Peromyscus maniculatus ) Rat (Rattus)
  • 67.
  • 68. Comparative Clinical Features of Recognized Hantavirus Disease (HVD)
  • 69.
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  • 73.
  • 74. Thallium Thallium is an odourless; tasteless compound that can be absorbed through unbroken skin and can cause death secondarily. There is no known effectiveness antidote for thallium. In sublethal doses, thallium can cause complete loss of hair, paresthesias, nausea, vomiting and abdominal pain, pulmonary oedema and bronchopneumonia. Rodenticides
  • 75. Sodium monofluoroacetate Sodium monofluoroacetate is a white, odourless, tasteless, water-soluble salt that looks like flour or baking soda. Unlike thallium, sodium monofluoroacetate cannot be absorbed through unbroken skin. However, it is toxic when ingested, inhaled in dust or absorbed through open wounds. Toxic effects in humans, extrapolated from observed effects in rhesus monkeys, might be nausea and apprehension followed by cardiac arrhythmias, seizures and coma. Death may result from ventricular tachycardia and fibrillation or respiratory failure secondary to pulmonary oedema or bronchopneumonia. · Strychnine Strychnine is a central nervous system stimulant that causes painful recurrent motor seizures. It is rapidly absorbed from the gastrointesstinal tract and nasal mucosa but not from the skin. Symptoms include nausea and vomiting, diaphoresis, blurred vision and severe symmetric extensor muscle spasms during which patients are conscious. Rodenticides
  • 76. Zinc phosphide Zinc phosphide is another highly toxic rodenticide in which its colour, "rotten fish" odour and taste make it unattractive to other animals but attractive to other animals but attractive to rats. Usually mixed with a tartar emetic, it nevertheless is highly toxic because it releases phosphine gas on contact with water or weak acids. Poisoned patients manifest hypotension, dyspnea, pulmonary oedema, circulatory collapse, vomiting, cardiac arrhythmias, convulsions and coma, renal damage, leukopenia and death in four days to two weeks. Rodenticides
  • 77. Yellow phosphorus Yellow phosphorus is highly poisonous compares with the relatively non- toxic red phosphorus. When used as a rodenticide, yellow phosphorus is usually mixed with molasses or peanut butter and spread on bread as bait for rodents or roaches. For obvious reasons, it is occasionally ingested by children. Yellow phosphorus is most toxic to the gastrointestinal tract and liver. Ingestion is usually followed by vomiting which is said to be luminescent and have a garlicky odour. Delirium, coma and death from cardiovascular collapse may ensue. · Arsenic Arsenic is a white, crystalline powder that causes dysphagia, muscle cramps, convulsions, vomiting and bloody diarrhoea. Death can occur due to circulatory failure. Rodenticides
  • 78.
  • 79. Anticoagulant Anticoagulant rodenticides belong to a group that exerts a blood-thinning effect. It has been used for many decades and are readily available as over- the counter preparations. Technically, these may be divided into two types: hydroxiycoumarin compounds are made up of warfarin, difenacoum, bromadiolone and brodifacoum while the indandiones cover a wide range of chemicals including diphacinone, pindone and chlorphacinone. Aside from warfarin, the others are said to be longer-acting. They produce a more potent and prolonged anticoagulant effect and they are often referred to as superwarfarins Rodenticides
  • 80. Haemorrhage is the most frequent encountered complication from anticoagulant poisoning. The effect seen in cases of acute ingestion, however, depends very much on whether warfarin or superwarfarin rodenticides have been ingested. A one-time ingestion of warfarin usually does not lead to any bleeding problems. Otherwise, ingestion of warfarin rodenticides has to be done repeatedly over a periods of days before bleeding can occur. Rodenticides
  • 81. Warfarin poisoning can cause spontaneous bleeding, usually from the nose, gums as well as the gastrointestinal and urinary tracts. Haemorrhage into the skin and brain can also occur, throuh this is less common. Ingestion of superwarfarin, on the other hand, can produce a prolonged coagulopathy in humans even with a single ingestion. This is thought to be associated with the firmer binding capability of superwarfarins to the lipophilic sites of the liver Rodenticides