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Re-emerging infectious disease
Reappearance of a disease which was once endemic but
had since been eradicated or controlled.
E.g. Kala azar, Cholera, Yellow fever, Dengue, Diphtheria
Causes
New agents
Geographical extension
Increasing incidence of previously controlled diseases
Increasing drug resistance
Altered expression of diseases
New patterns
Emergence may also be due to
•new recognition of an infectious agent in the population, or
•the realization that an established condition has an infectious
origin.
Emerging infectious diseases (EIDs)
Diseases of infectious origin whose incidence in humans has increased
within the recent past or threatens to increase in the near future. These
include new, previously undefined diseases as well as old diseases with
new features.
These new features may include
•the introduction of a disease to a new location
•or a new population (e.g. it may present in youth where previously it was only
seen in the elderly);
•new clinical features, including resistance to available treatments; or
•a rapid increase in the incidence and spread of the disease.
Case study
In March 2009, cases of H1N1 influenza were first reported in
Mexico, followed by spread to the United States and then to rest of
the world including India.
By September, nearly all countries had reported H1N1 virus to the
World Health Organization, with more than 17,000 deaths; of which,
12,000 were in the United States alone.
Recognized site(s) of
emerging and re-emerging
infections in India, 1990-
2011.
CCHF, Crimean - Congo
haemorrhagic fever.
Source: IJMR 2013 July

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Re emerging Diseasessssssssssssssssssss.pptx

  • 1. Re-emerging infectious disease Reappearance of a disease which was once endemic but had since been eradicated or controlled. E.g. Kala azar, Cholera, Yellow fever, Dengue, Diphtheria
  • 2. Causes New agents Geographical extension Increasing incidence of previously controlled diseases Increasing drug resistance Altered expression of diseases New patterns
  • 3. Emergence may also be due to •new recognition of an infectious agent in the population, or •the realization that an established condition has an infectious origin.
  • 4. Emerging infectious diseases (EIDs) Diseases of infectious origin whose incidence in humans has increased within the recent past or threatens to increase in the near future. These include new, previously undefined diseases as well as old diseases with new features. These new features may include •the introduction of a disease to a new location •or a new population (e.g. it may present in youth where previously it was only seen in the elderly); •new clinical features, including resistance to available treatments; or •a rapid increase in the incidence and spread of the disease.
  • 5. Case study In March 2009, cases of H1N1 influenza were first reported in Mexico, followed by spread to the United States and then to rest of the world including India. By September, nearly all countries had reported H1N1 virus to the World Health Organization, with more than 17,000 deaths; of which, 12,000 were in the United States alone.
  • 6. Recognized site(s) of emerging and re-emerging infections in India, 1990- 2011. CCHF, Crimean - Congo haemorrhagic fever. Source: IJMR 2013 July