SlideShare a Scribd company logo
Congo-cremian Hemorrhagic fever
Sidhwani shweta
226 A
Overview
• Organism
• Epidemiology
• Transmission
• Disease in Humans
• Disease in Animals
• Prevention and Control
THE ORGANISM
The Organism
• Crimean-Congo hemorrhagic fever vi
rus (CCHFV)
– Genus Nairovirus
– CCHF serogroup
• Extensive genetic diversity
– Viruses from
different geographic regions
EPIDEMIOLOGY
Morbidity and Mortality: Hu
mans
• Seasonal trends
• Occupational exposures
– Farmers, shepherds, veterinarians, abat
toir workers, laboratory workers
– Healthcare workers
• Recreational exposures
– Hiking
– Camping
Morbidity and Mortality: Hu
mans
• Case fatality rate: 30-50%
• Mortality rate: 10-80%
– Highest after tick bites
– Higher in some geographic areas
• Geographic differences in viral virulence sug
gested but unproven
– Also affected by availability of supportiv
e treatment in hospitals
Morbidity and Mortality:
Animals
• Large herbivores
– Highest seroprevalence
• Seroprevalence rates
– 13-36%
– More than 50%
• Animals asymptomatic
TRANSMISSION
Vectors
• Transmitted by ticks
– Hyalomma spp. are principal vectors
• Transovarial
• Transstadial
• Venereal
– Other ixodid ticks
– Biting midges?
– Soft ticks?
Transmission in Humans
• Tick bites
• Contact with infected, crushed ticks
• Contact with infected animal tissues
• Ingestion of unpasteurized milk
• Contact with infected people
– Blood, tissues
• Horizontal transmission?
• Aerosol?
Transmission in Animals
• Viremic mammals can transmit CCHF
V to ticks
– Hares
– Hedgehogs
• Birds resistant to infection
– May act as mechanical vectors, transpor
ting infected ticks
– Might spread virus between regions
DISEASE IN HUMANS
Incubation in Humans
• Varies by route of exposure
– Tick bites
• 1-3 days (up to 9 days)
– Blood or tissues
• 5-6 days (up to 13 days)
Disease in Humans
• Pre-hemorrhagic phase
– Sudden onset fever
– Chills, headache, dizziness
– Dizziness, photophobia, neck pain
– Myalgia, arthralgia
– Nausea, vomiting
– Non-bloody diarrhea
– Bradycardia
– Low blood pressure
Disease in Humans
• Hemorrhagic phase
– Petechial rash
– Ecchymoses and large bruises
– Hematemesis
– Melena
– Epistaxis
– Hematuria
– Hemoptysis
– Bleeding from other sites
Disease in Humans
• Convalescent phase
– 10-20 days after illness onset
– Generalized weakness
– Tachycardia
– Other nonspecific symptoms
• Recovery usually complete but slow
– May take up to one year
• Subclinical infections uncommon
Diagnosis in Humans
• Virus isolation and identification
– Blood, plasma, tissues
– Cell culture or animal inoculation
– BSL-4 required
• RT-PCR
– Blood
– Highly sensitive
– Used for local variants
Diagnosis in Humans
• Serology
– Tests detect IgM or IgG (paired titers)
– Indirect immunofluorescence
– ELISA
• Past serologic tests
– Complement fixation
– Hemagglutination
Treatment in Humans
• Supportive
• Ribavirin
– No randomized human clinical trials to s
upport this therapy
• Passive immunotherapy
– Hyperimmune serum
– Value of treatment controversial
DISEASE IN ANIMALS
Species Affected
• Many species of wild and domesticat
ed mammals
– Hosts for immature ticks
• Small mammals
– Hosts for mature ticks
• Large herbivores
• Other potential hosts
– Birds mostly seronegative
– Reptiles rarely affected
Disease in Animals
• CCHFV infections usually asymptoma
tic in animals
• Mild clinical signs possible in experim
entally infected animals
– Newborn rodents
– Sheep and cattle
Diagnosis
• Serology
– IgG ELISA
– Complement fixation
– Indirect fluorescent antibody
• Virus isolation and other techniques
– Can detect viremia
– Not used diagnostically
PREVENTION AND CONTR
OL
Prevention and Control
• Avoid tick bites
– Tick repellents
– Environmental modification
– Avoidance of tick habitat
– Examination of skin and clothing
for ticks
– Clothing to prevent tick attachment
• Acaricides (animals)
Prevention and Control
• Avoid contact with infected blood
or tissues
– Wear protective clothing and gloves
• Food safety
– Do not consume unpasteurized milk
– Virus usually inactivated in meat by post
-slaughter acidification
– Virus also killed by cooking
Prevention and Control
• Strict universal precautions
– Use when caring for human patients
• Barrier nursing
• Isolation
• Use of gloves, face-shields and goggles
• Prophylactic treatment
– Ribavirin
• Stringent biosafety
precautions
Disinfection
• 1% hypochlorite
• 2% glutaraldehyde
• Heat
– 56°C (133°F)
for 30 min
Thank you!!!

More Related Content

Similar to congo fever ppt shweta.pptx

Micro bio(viral hemorrhagic fever)
Micro bio(viral hemorrhagic fever)Micro bio(viral hemorrhagic fever)
Micro bio(viral hemorrhagic fever)
Viju Rathod
 
Dairy cattle
Dairy cattleDairy cattle
Dairy cattle
SUNY Ulster
 
Animal parasitology by S.M.KAWUMA (2).pptx
Animal parasitology by S.M.KAWUMA (2).pptxAnimal parasitology by S.M.KAWUMA (2).pptx
Animal parasitology by S.M.KAWUMA (2).pptx
Martin754556
 
Management of uncomplicated and severe Malaria.pptx
Management of uncomplicated and severe Malaria.pptxManagement of uncomplicated and severe Malaria.pptx
Management of uncomplicated and severe Malaria.pptx
Desmond452126
 
Dr. Phil Gauger - Influenza ‘A’ Virus in Swine: Overview of Disease and Diagn...
Dr. Phil Gauger - Influenza ‘A’ Virus in Swine: Overview of Disease and Diagn...Dr. Phil Gauger - Influenza ‘A’ Virus in Swine: Overview of Disease and Diagn...
Dr. Phil Gauger - Influenza ‘A’ Virus in Swine: Overview of Disease and Diagn...
John Blue
 
Malaria ppt final
Malaria ppt finalMalaria ppt final
Malaria ppt final
Dr. Nitish kumar
 
Micro bio(rhebovirus)
Micro bio(rhebovirus)Micro bio(rhebovirus)
Micro bio(rhebovirus)
Viju Rathod
 
Zoonotic Protozoan disease
Zoonotic Protozoan diseaseZoonotic Protozoan disease
Zoonotic Protozoan disease
RashmiSharma304
 
malaria-121003100026-phpapp02.pdf
malaria-121003100026-phpapp02.pdfmalaria-121003100026-phpapp02.pdf
malaria-121003100026-phpapp02.pdf
EmmanuelElijah8
 
Cattle-Parasites-and-their-Control-Lecturers-PkA2015Final1.pdf
Cattle-Parasites-and-their-Control-Lecturers-PkA2015Final1.pdfCattle-Parasites-and-their-Control-Lecturers-PkA2015Final1.pdf
Cattle-Parasites-and-their-Control-Lecturers-PkA2015Final1.pdf
MdAkhtaruzzamanSheik
 
Malaria
MalariaMalaria
Rabies
Rabies Rabies
Rabies
moavia Atiq
 
Malaria
MalariaMalaria
Controlling diseases to ensure better animal health
Controlling diseases to ensure better animal healthControlling diseases to ensure better animal health
Controlling diseases to ensure better animal health
Deepa Menon
 
zoonoses-160421140747.pdf
zoonoses-160421140747.pdfzoonoses-160421140747.pdf
zoonoses-160421140747.pdf
ssuser490087
 
Zoonotic disease
Zoonotic diseaseZoonotic disease
Zoonotic disease
Philip Vaidyan
 
Overview of viral haemorrhagic fevers with focus on Lassa fever.pptx
Overview of viral haemorrhagic fevers with focus on Lassa fever.pptxOverview of viral haemorrhagic fevers with focus on Lassa fever.pptx
Overview of viral haemorrhagic fevers with focus on Lassa fever.pptx
ssuser6de8b3
 

Similar to congo fever ppt shweta.pptx (20)

Micro bio(viral hemorrhagic fever)
Micro bio(viral hemorrhagic fever)Micro bio(viral hemorrhagic fever)
Micro bio(viral hemorrhagic fever)
 
Dairy cattle
Dairy cattleDairy cattle
Dairy cattle
 
Animal parasitology by S.M.KAWUMA (2).pptx
Animal parasitology by S.M.KAWUMA (2).pptxAnimal parasitology by S.M.KAWUMA (2).pptx
Animal parasitology by S.M.KAWUMA (2).pptx
 
Malaria
MalariaMalaria
Malaria
 
Management of uncomplicated and severe Malaria.pptx
Management of uncomplicated and severe Malaria.pptxManagement of uncomplicated and severe Malaria.pptx
Management of uncomplicated and severe Malaria.pptx
 
Dr. Phil Gauger - Influenza ‘A’ Virus in Swine: Overview of Disease and Diagn...
Dr. Phil Gauger - Influenza ‘A’ Virus in Swine: Overview of Disease and Diagn...Dr. Phil Gauger - Influenza ‘A’ Virus in Swine: Overview of Disease and Diagn...
Dr. Phil Gauger - Influenza ‘A’ Virus in Swine: Overview of Disease and Diagn...
 
Malaria ppt final
Malaria ppt finalMalaria ppt final
Malaria ppt final
 
Micro bio(rhebovirus)
Micro bio(rhebovirus)Micro bio(rhebovirus)
Micro bio(rhebovirus)
 
Zoonotic Protozoan disease
Zoonotic Protozoan diseaseZoonotic Protozoan disease
Zoonotic Protozoan disease
 
malaria-121003100026-phpapp02.pdf
malaria-121003100026-phpapp02.pdfmalaria-121003100026-phpapp02.pdf
malaria-121003100026-phpapp02.pdf
 
Cattle-Parasites-and-their-Control-Lecturers-PkA2015Final1.pdf
Cattle-Parasites-and-their-Control-Lecturers-PkA2015Final1.pdfCattle-Parasites-and-their-Control-Lecturers-PkA2015Final1.pdf
Cattle-Parasites-and-their-Control-Lecturers-PkA2015Final1.pdf
 
Lassa fever
Lassa feverLassa fever
Lassa fever
 
Malaria
MalariaMalaria
Malaria
 
Rabies
Rabies Rabies
Rabies
 
Malaria
MalariaMalaria
Malaria
 
Controlling diseases to ensure better animal health
Controlling diseases to ensure better animal healthControlling diseases to ensure better animal health
Controlling diseases to ensure better animal health
 
zoonoses-160421140747.pdf
zoonoses-160421140747.pdfzoonoses-160421140747.pdf
zoonoses-160421140747.pdf
 
Zoonotic disease
Zoonotic diseaseZoonotic disease
Zoonotic disease
 
Brucellosis
BrucellosisBrucellosis
Brucellosis
 
Overview of viral haemorrhagic fevers with focus on Lassa fever.pptx
Overview of viral haemorrhagic fevers with focus on Lassa fever.pptxOverview of viral haemorrhagic fevers with focus on Lassa fever.pptx
Overview of viral haemorrhagic fevers with focus on Lassa fever.pptx
 

More from HARSHIKARIZANI

4. fever.pptx
4. fever.pptx4. fever.pptx
4. fever.pptx
HARSHIKARIZANI
 
Anterior abdominal wall.pptx
Anterior abdominal wall.pptxAnterior abdominal wall.pptx
Anterior abdominal wall.pptx
HARSHIKARIZANI
 
атеросклероз лекция.pptx
атеросклероз лекция.pptxатеросклероз лекция.pptx
атеросклероз лекция.pptx
HARSHIKARIZANI
 
3.inflammation 1-1.pptx
3.inflammation 1-1.pptx3.inflammation 1-1.pptx
3.inflammation 1-1.pptx
HARSHIKARIZANI
 
Instrumental_and_Laboratory_Techniques_of_Examination_in_Pathology of CVS.ppt
Instrumental_and_Laboratory_Techniques_of_Examination_in_Pathology of CVS.pptInstrumental_and_Laboratory_Techniques_of_Examination_in_Pathology of CVS.ppt
Instrumental_and_Laboratory_Techniques_of_Examination_in_Pathology of CVS.ppt
HARSHIKARIZANI
 
magnetic_resonance_imaging1.ppt
magnetic_resonance_imaging1.pptmagnetic_resonance_imaging1.ppt
magnetic_resonance_imaging1.ppt
HARSHIKARIZANI
 
X-ray.ppt
X-ray.pptX-ray.ppt
X-ray.ppt
HARSHIKARIZANI
 
Cell injury_e894658c-e167-4c2d-a3bb-ff7a45959c3b.ppt
Cell injury_e894658c-e167-4c2d-a3bb-ff7a45959c3b.pptCell injury_e894658c-e167-4c2d-a3bb-ff7a45959c3b.ppt
Cell injury_e894658c-e167-4c2d-a3bb-ff7a45959c3b.ppt
HARSHIKARIZANI
 
Hantavirus.pdf
Hantavirus.pdfHantavirus.pdf
Hantavirus.pdf
HARSHIKARIZANI
 
physio. adaptation copy.pptx
physio. adaptation copy.pptxphysio. adaptation copy.pptx
physio. adaptation copy.pptx
HARSHIKARIZANI
 
Microbiology bacillus cereus.pptx
Microbiology bacillus cereus.pptxMicrobiology bacillus cereus.pptx
Microbiology bacillus cereus.pptx
HARSHIKARIZANI
 

More from HARSHIKARIZANI (11)

4. fever.pptx
4. fever.pptx4. fever.pptx
4. fever.pptx
 
Anterior abdominal wall.pptx
Anterior abdominal wall.pptxAnterior abdominal wall.pptx
Anterior abdominal wall.pptx
 
атеросклероз лекция.pptx
атеросклероз лекция.pptxатеросклероз лекция.pptx
атеросклероз лекция.pptx
 
3.inflammation 1-1.pptx
3.inflammation 1-1.pptx3.inflammation 1-1.pptx
3.inflammation 1-1.pptx
 
Instrumental_and_Laboratory_Techniques_of_Examination_in_Pathology of CVS.ppt
Instrumental_and_Laboratory_Techniques_of_Examination_in_Pathology of CVS.pptInstrumental_and_Laboratory_Techniques_of_Examination_in_Pathology of CVS.ppt
Instrumental_and_Laboratory_Techniques_of_Examination_in_Pathology of CVS.ppt
 
magnetic_resonance_imaging1.ppt
magnetic_resonance_imaging1.pptmagnetic_resonance_imaging1.ppt
magnetic_resonance_imaging1.ppt
 
X-ray.ppt
X-ray.pptX-ray.ppt
X-ray.ppt
 
Cell injury_e894658c-e167-4c2d-a3bb-ff7a45959c3b.ppt
Cell injury_e894658c-e167-4c2d-a3bb-ff7a45959c3b.pptCell injury_e894658c-e167-4c2d-a3bb-ff7a45959c3b.ppt
Cell injury_e894658c-e167-4c2d-a3bb-ff7a45959c3b.ppt
 
Hantavirus.pdf
Hantavirus.pdfHantavirus.pdf
Hantavirus.pdf
 
physio. adaptation copy.pptx
physio. adaptation copy.pptxphysio. adaptation copy.pptx
physio. adaptation copy.pptx
 
Microbiology bacillus cereus.pptx
Microbiology bacillus cereus.pptxMicrobiology bacillus cereus.pptx
Microbiology bacillus cereus.pptx
 

Recently uploaded

The geography of Taylor Swift - some ideas
The geography of Taylor Swift - some ideasThe geography of Taylor Swift - some ideas
The geography of Taylor Swift - some ideas
GeoBlogs
 
CACJapan - GROUP Presentation 1- Wk 4.pdf
CACJapan - GROUP Presentation 1- Wk 4.pdfCACJapan - GROUP Presentation 1- Wk 4.pdf
CACJapan - GROUP Presentation 1- Wk 4.pdf
camakaiclarkmusic
 
Acetabularia Information For Class 9 .docx
Acetabularia Information For Class 9  .docxAcetabularia Information For Class 9  .docx
Acetabularia Information For Class 9 .docx
vaibhavrinwa19
 
Additional Benefits for Employee Website.pdf
Additional Benefits for Employee Website.pdfAdditional Benefits for Employee Website.pdf
Additional Benefits for Employee Website.pdf
joachimlavalley1
 
The approach at University of Liverpool.pptx
The approach at University of Liverpool.pptxThe approach at University of Liverpool.pptx
The approach at University of Liverpool.pptx
Jisc
 
Digital Tools and AI for Teaching Learning and Research
Digital Tools and AI for Teaching Learning and ResearchDigital Tools and AI for Teaching Learning and Research
Digital Tools and AI for Teaching Learning and Research
Vikramjit Singh
 
Introduction to AI for Nonprofits with Tapp Network
Introduction to AI for Nonprofits with Tapp NetworkIntroduction to AI for Nonprofits with Tapp Network
Introduction to AI for Nonprofits with Tapp Network
TechSoup
 
Home assignment II on Spectroscopy 2024 Answers.pdf
Home assignment II on Spectroscopy 2024 Answers.pdfHome assignment II on Spectroscopy 2024 Answers.pdf
Home assignment II on Spectroscopy 2024 Answers.pdf
Tamralipta Mahavidyalaya
 
aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
siemaillard
 
Chapter 3 - Islamic Banking Products and Services.pptx
Chapter 3 - Islamic Banking Products and Services.pptxChapter 3 - Islamic Banking Products and Services.pptx
Chapter 3 - Islamic Banking Products and Services.pptx
Mohd Adib Abd Muin, Senior Lecturer at Universiti Utara Malaysia
 
The Roman Empire A Historical Colossus.pdf
The Roman Empire A Historical Colossus.pdfThe Roman Empire A Historical Colossus.pdf
The Roman Empire A Historical Colossus.pdf
kaushalkr1407
 
The basics of sentences session 5pptx.pptx
The basics of sentences session 5pptx.pptxThe basics of sentences session 5pptx.pptx
The basics of sentences session 5pptx.pptx
heathfieldcps1
 
Overview on Edible Vaccine: Pros & Cons with Mechanism
Overview on Edible Vaccine: Pros & Cons with MechanismOverview on Edible Vaccine: Pros & Cons with Mechanism
Overview on Edible Vaccine: Pros & Cons with Mechanism
DeeptiGupta154
 
2024.06.01 Introducing a competency framework for languag learning materials ...
2024.06.01 Introducing a competency framework for languag learning materials ...2024.06.01 Introducing a competency framework for languag learning materials ...
2024.06.01 Introducing a competency framework for languag learning materials ...
Sandy Millin
 
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...
Levi Shapiro
 
Synthetic Fiber Construction in lab .pptx
Synthetic Fiber Construction in lab .pptxSynthetic Fiber Construction in lab .pptx
Synthetic Fiber Construction in lab .pptx
Pavel ( NSTU)
 
Embracing GenAI - A Strategic Imperative
Embracing GenAI - A Strategic ImperativeEmbracing GenAI - A Strategic Imperative
Embracing GenAI - A Strategic Imperative
Peter Windle
 
Unit 2- Research Aptitude (UGC NET Paper I).pdf
Unit 2- Research Aptitude (UGC NET Paper I).pdfUnit 2- Research Aptitude (UGC NET Paper I).pdf
Unit 2- Research Aptitude (UGC NET Paper I).pdf
Thiyagu K
 
Instructions for Submissions thorugh G- Classroom.pptx
Instructions for Submissions thorugh G- Classroom.pptxInstructions for Submissions thorugh G- Classroom.pptx
Instructions for Submissions thorugh G- Classroom.pptx
Jheel Barad
 
TESDA TM1 REVIEWER FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...
TESDA TM1 REVIEWER  FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...TESDA TM1 REVIEWER  FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...
TESDA TM1 REVIEWER FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...
EugeneSaldivar
 

Recently uploaded (20)

The geography of Taylor Swift - some ideas
The geography of Taylor Swift - some ideasThe geography of Taylor Swift - some ideas
The geography of Taylor Swift - some ideas
 
CACJapan - GROUP Presentation 1- Wk 4.pdf
CACJapan - GROUP Presentation 1- Wk 4.pdfCACJapan - GROUP Presentation 1- Wk 4.pdf
CACJapan - GROUP Presentation 1- Wk 4.pdf
 
Acetabularia Information For Class 9 .docx
Acetabularia Information For Class 9  .docxAcetabularia Information For Class 9  .docx
Acetabularia Information For Class 9 .docx
 
Additional Benefits for Employee Website.pdf
Additional Benefits for Employee Website.pdfAdditional Benefits for Employee Website.pdf
Additional Benefits for Employee Website.pdf
 
The approach at University of Liverpool.pptx
The approach at University of Liverpool.pptxThe approach at University of Liverpool.pptx
The approach at University of Liverpool.pptx
 
Digital Tools and AI for Teaching Learning and Research
Digital Tools and AI for Teaching Learning and ResearchDigital Tools and AI for Teaching Learning and Research
Digital Tools and AI for Teaching Learning and Research
 
Introduction to AI for Nonprofits with Tapp Network
Introduction to AI for Nonprofits with Tapp NetworkIntroduction to AI for Nonprofits with Tapp Network
Introduction to AI for Nonprofits with Tapp Network
 
Home assignment II on Spectroscopy 2024 Answers.pdf
Home assignment II on Spectroscopy 2024 Answers.pdfHome assignment II on Spectroscopy 2024 Answers.pdf
Home assignment II on Spectroscopy 2024 Answers.pdf
 
aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
 
Chapter 3 - Islamic Banking Products and Services.pptx
Chapter 3 - Islamic Banking Products and Services.pptxChapter 3 - Islamic Banking Products and Services.pptx
Chapter 3 - Islamic Banking Products and Services.pptx
 
The Roman Empire A Historical Colossus.pdf
The Roman Empire A Historical Colossus.pdfThe Roman Empire A Historical Colossus.pdf
The Roman Empire A Historical Colossus.pdf
 
The basics of sentences session 5pptx.pptx
The basics of sentences session 5pptx.pptxThe basics of sentences session 5pptx.pptx
The basics of sentences session 5pptx.pptx
 
Overview on Edible Vaccine: Pros & Cons with Mechanism
Overview on Edible Vaccine: Pros & Cons with MechanismOverview on Edible Vaccine: Pros & Cons with Mechanism
Overview on Edible Vaccine: Pros & Cons with Mechanism
 
2024.06.01 Introducing a competency framework for languag learning materials ...
2024.06.01 Introducing a competency framework for languag learning materials ...2024.06.01 Introducing a competency framework for languag learning materials ...
2024.06.01 Introducing a competency framework for languag learning materials ...
 
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...
 
Synthetic Fiber Construction in lab .pptx
Synthetic Fiber Construction in lab .pptxSynthetic Fiber Construction in lab .pptx
Synthetic Fiber Construction in lab .pptx
 
Embracing GenAI - A Strategic Imperative
Embracing GenAI - A Strategic ImperativeEmbracing GenAI - A Strategic Imperative
Embracing GenAI - A Strategic Imperative
 
Unit 2- Research Aptitude (UGC NET Paper I).pdf
Unit 2- Research Aptitude (UGC NET Paper I).pdfUnit 2- Research Aptitude (UGC NET Paper I).pdf
Unit 2- Research Aptitude (UGC NET Paper I).pdf
 
Instructions for Submissions thorugh G- Classroom.pptx
Instructions for Submissions thorugh G- Classroom.pptxInstructions for Submissions thorugh G- Classroom.pptx
Instructions for Submissions thorugh G- Classroom.pptx
 
TESDA TM1 REVIEWER FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...
TESDA TM1 REVIEWER  FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...TESDA TM1 REVIEWER  FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...
TESDA TM1 REVIEWER FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...
 

congo fever ppt shweta.pptx

  • 2. Overview • Organism • Epidemiology • Transmission • Disease in Humans • Disease in Animals • Prevention and Control
  • 4. The Organism • Crimean-Congo hemorrhagic fever vi rus (CCHFV) – Genus Nairovirus – CCHF serogroup • Extensive genetic diversity – Viruses from different geographic regions
  • 6. Morbidity and Mortality: Hu mans • Seasonal trends • Occupational exposures – Farmers, shepherds, veterinarians, abat toir workers, laboratory workers – Healthcare workers • Recreational exposures – Hiking – Camping
  • 7. Morbidity and Mortality: Hu mans • Case fatality rate: 30-50% • Mortality rate: 10-80% – Highest after tick bites – Higher in some geographic areas • Geographic differences in viral virulence sug gested but unproven – Also affected by availability of supportiv e treatment in hospitals
  • 8. Morbidity and Mortality: Animals • Large herbivores – Highest seroprevalence • Seroprevalence rates – 13-36% – More than 50% • Animals asymptomatic
  • 10. Vectors • Transmitted by ticks – Hyalomma spp. are principal vectors • Transovarial • Transstadial • Venereal – Other ixodid ticks – Biting midges? – Soft ticks?
  • 11. Transmission in Humans • Tick bites • Contact with infected, crushed ticks • Contact with infected animal tissues • Ingestion of unpasteurized milk • Contact with infected people – Blood, tissues • Horizontal transmission? • Aerosol?
  • 12. Transmission in Animals • Viremic mammals can transmit CCHF V to ticks – Hares – Hedgehogs • Birds resistant to infection – May act as mechanical vectors, transpor ting infected ticks – Might spread virus between regions
  • 14. Incubation in Humans • Varies by route of exposure – Tick bites • 1-3 days (up to 9 days) – Blood or tissues • 5-6 days (up to 13 days)
  • 15. Disease in Humans • Pre-hemorrhagic phase – Sudden onset fever – Chills, headache, dizziness – Dizziness, photophobia, neck pain – Myalgia, arthralgia – Nausea, vomiting – Non-bloody diarrhea – Bradycardia – Low blood pressure
  • 16. Disease in Humans • Hemorrhagic phase – Petechial rash – Ecchymoses and large bruises – Hematemesis – Melena – Epistaxis – Hematuria – Hemoptysis – Bleeding from other sites
  • 17. Disease in Humans • Convalescent phase – 10-20 days after illness onset – Generalized weakness – Tachycardia – Other nonspecific symptoms • Recovery usually complete but slow – May take up to one year • Subclinical infections uncommon
  • 18. Diagnosis in Humans • Virus isolation and identification – Blood, plasma, tissues – Cell culture or animal inoculation – BSL-4 required • RT-PCR – Blood – Highly sensitive – Used for local variants
  • 19. Diagnosis in Humans • Serology – Tests detect IgM or IgG (paired titers) – Indirect immunofluorescence – ELISA • Past serologic tests – Complement fixation – Hemagglutination
  • 20. Treatment in Humans • Supportive • Ribavirin – No randomized human clinical trials to s upport this therapy • Passive immunotherapy – Hyperimmune serum – Value of treatment controversial
  • 22. Species Affected • Many species of wild and domesticat ed mammals – Hosts for immature ticks • Small mammals – Hosts for mature ticks • Large herbivores • Other potential hosts – Birds mostly seronegative – Reptiles rarely affected
  • 23. Disease in Animals • CCHFV infections usually asymptoma tic in animals • Mild clinical signs possible in experim entally infected animals – Newborn rodents – Sheep and cattle
  • 24. Diagnosis • Serology – IgG ELISA – Complement fixation – Indirect fluorescent antibody • Virus isolation and other techniques – Can detect viremia – Not used diagnostically
  • 26. Prevention and Control • Avoid tick bites – Tick repellents – Environmental modification – Avoidance of tick habitat – Examination of skin and clothing for ticks – Clothing to prevent tick attachment • Acaricides (animals)
  • 27. Prevention and Control • Avoid contact with infected blood or tissues – Wear protective clothing and gloves • Food safety – Do not consume unpasteurized milk – Virus usually inactivated in meat by post -slaughter acidification – Virus also killed by cooking
  • 28. Prevention and Control • Strict universal precautions – Use when caring for human patients • Barrier nursing • Isolation • Use of gloves, face-shields and goggles • Prophylactic treatment – Ribavirin • Stringent biosafety precautions
  • 29. Disinfection • 1% hypochlorite • 2% glutaraldehyde • Heat – 56°C (133°F) for 30 min