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MODES OF OUTBREAK TRANSMISSION
( DISEASE TRANSMISSION)
Prepared by: Anish Dhakal (Aryan)
MBBS Student
Patan Academy of Health Sciences
1
2
Modes of disease
transmission
Direct transmission
1) Direct contact
2) Droplet infection
3) Contact with soil
4) Inoculation into
skin/mucosa
5) Transplacental
( Vertical)
Indirect transmission
1) Vehicle borne
2) Vector- borne
3) Air borne
4) Fomite borne
5) Unclean hand and
fingers
3
DIRECT TRANSMISSION
4
o Direct contact  Droplet infection
DIRECT TRANSMISSION…
5
 Contact with soil  Inoculation into skin/Mucosa
DIRECT TRANSMISSION…
 Transplacental ( Vertical)
6
INDIRECT TRANSMISSION
7
 Vehicle borne  Fomite borne
INDIRECT TRANSMISSION…
AIR BORNE
8
 Droplet nuclei  Dust
VECTOR BORNE
9
 Mechanical  Biological
INDIRECT TRANSMISSION…
 Unclean hand and fingers
10
MODES OF OUTBREAK TRANSMISSION
11
 Common source
 Point
 Continuous
 Intermittent
 Person to person
 Index case with limited spread
 Propagated
 Mixed
 Other
POINT SOURCE OUTBREAK
 Single event
 Common incubation period
12
CONTINUOUS COMMON SOURCE OUTBREAK
 Broader incubation period
 Exposure to the source is prolonged
13
INTERMITTENT COMMON SOURCE OUTBREAK
 Could be seasonal or weather related or a result of
common exposure
14
PROPAGATED OUTBREAK
 People are infected through a source and ultimately
they become source too
 No. of people increases in every generation
15
INDEX CASE WITH LIMITED SPREAD
 Single index infects other people
 Outbreak wanes when the infected people no longer
transmit the infection to other susceptible people,
perhaps because of successful control measures
16
MIXED EPIDEMIC
 Features of both common-source epidemics and
propagated epidemics
 Common-source outbreak followed by secondary
person-to-person spread
17
18

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