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Pathogenesis, laboratory diagnosis
and prophylaxis of viral infections
Praveena. K
2nd MSc. Biology
SMALLPOX
• Smallpox is an acute, highly infectious disease, caused
by Variola virus. Previously, it was one of the greatest
killer disease in India.
• In 1967,WHO began an intensified world wide
campaign to eradicate smallpox, based on the
technique of surveillance and containment.
• The last known case of smallpox in India occurred
on 24th May 1975 and India was declared smallpox
free on 5th July 1975.
Causative agent: Variola virus
variola virus, a member of the orthopoxvirus family
The variola virus is a large, brick-shaped, double-
stranded DNA virus.
Symptoms
• Fever
• Muscle aches
• Headache
• Severe fatigue
• Severe back pain
• Vomiting
A few days later, flat, red spots appear on the
body. They may start in the mouth and on the
tongue and then spread to the skin. The face,
arms and legs are often affected first, followed
by the torso, hands and feet.
Incubation period:11 to 14 days
Within a day or two, many of the spots turn into
small blisters filled with clear fluid. Later, the
blisters fill with pus. These sores are called
pustules. Scabs form 8 to 9 days later and
eventually fall off, leaving deep, pitted scars.
Mode of transmission
 Directly from person to person
 Indirectly from an infected person
 Through contaminated items
Diagnosis
The disease can be definitively diagnosed by
isolation of the virus from the blood or lesions, or
by identification of antibodies in the blood made in
response to the virus.
There is no cure for smallpox, but vaccination can
be used very effectively to prevent infection from
developing if given during a period of up to four
days after a person has been exposed to the virus.
This is the strategy that was used to eradicate the
disease during the 20th century.
Vaccination with replication-competent smallpox
vaccines (i.e., ACAM2000 and APSV) can prevent or
lessen the severity of disease if given within 2 to 3
days of the initial exposure
Treatment of smallpox patients generally involves
supportive care and antiviral drugs.
Treatment and prevention
CHICKENPOX
• Chickenpox is an acute Infectious disease.
• It is caused by Varicella zoster virus.
• Chickenpox is quite a common disease in
India.
• It occurs in both epidemic and endemic
forms.
Varicella zoster virus, also known as human herpesvirus
3 or Human alphaherpesvirus 3, that can infect
humans. VZV has a linear, double-stranded DNA
genome
Source of infection:The virus is present in the
nose and throat secretion and lesions of the
skin, mucous membranes and blood.
Incubation period:14 to 16 days
Mode of transmission
• Droplet infection
• Droplet nuclei
• Face to face contact
• Contaminated articles
Symptoms
• Pre-eruptive stage : Onset is sudden with mild
or moderate fever, pain in the back, shivering
and malaise. This stage is very brief, lasting
about 24 hours.
• Eruptive stage:In children the rash is often the
first sign. It comes on the day the fever starts.
Most often, health care providers find out you have
chickenpox based on the rash.
Chickenpox also can be confirmed with lab tests,
including blood tests or a tissue study of samples of
affected skin.
Diagnosis
Prevention
1.Varicella zoster immunoglobulin (VZIG)
VZIG given within 72 hours of exposure has
been recommend for prevention of chickenpox.
2. A live attenuated varicella virus vaccine is safe
and currently recommended for children between
12 to 18 months of age who have not had
chickenpox.
Control measures
 Isolation of cases for about 6 days after onset of
rash and disinfection of articles soiled by nose
and throat discharge.
 Several antiviral compounds provide effective
therapy for varicella including acyclovir,
valaciclover, famiciclover and foscarnet.
INFLUENZA
• Influenza commonly known as Flu is an acute
infection of the respiratory tract.
• It is caused by the influenza viruses.
• Influenza tends to spread very rapidly.
• Pandemics of influenza occurred in 1957and 1968 .
Three immunological types of influenza viruses are
known, namely Type A, B and C. Type A causes the most
severe type of infection.
Influenza A virus is an enveloped virus with a
segmented, single-strand, negative-sense RNA genome.
Incubation period:18 to 72 hours
Mode of transmission
 Direct contact
 Droplet infection
 Handling or using articles recently
contaminated
Symptoms
Fever
Headache
Shivering
Sore throat with sneezing and nasal block
Cough
Pains all over the body
Weakness
Diagnosis
Diagnostic tests available for influenza include viral
culture, serology, rapid antigen testing, reverse
transcription polymerase chain reaction (RT-PCR),
immunofluorescence assays, and rapid molecular
assays.
Prevention
1.Killed vaccine:Killed vaccines are widely used for
protection against influenza but they are not completely
protective. The vaccine is administered by subcutaneous
or intramuscular route.
2.Live -attenuated vaccines:A trivalent, live-attenuated
influenza vaccine administered as a single dose
3.Intranasal spray is as effective as inactivated vaccine in
preventing the disease.
smallpox chickenpox influenza ppt.pptx
smallpox chickenpox influenza ppt.pptx

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smallpox chickenpox influenza ppt.pptx

  • 1. Pathogenesis, laboratory diagnosis and prophylaxis of viral infections Praveena. K 2nd MSc. Biology
  • 2. SMALLPOX • Smallpox is an acute, highly infectious disease, caused by Variola virus. Previously, it was one of the greatest killer disease in India. • In 1967,WHO began an intensified world wide campaign to eradicate smallpox, based on the technique of surveillance and containment. • The last known case of smallpox in India occurred on 24th May 1975 and India was declared smallpox free on 5th July 1975.
  • 3. Causative agent: Variola virus variola virus, a member of the orthopoxvirus family The variola virus is a large, brick-shaped, double- stranded DNA virus.
  • 4. Symptoms • Fever • Muscle aches • Headache • Severe fatigue • Severe back pain • Vomiting A few days later, flat, red spots appear on the body. They may start in the mouth and on the tongue and then spread to the skin. The face, arms and legs are often affected first, followed by the torso, hands and feet. Incubation period:11 to 14 days
  • 5. Within a day or two, many of the spots turn into small blisters filled with clear fluid. Later, the blisters fill with pus. These sores are called pustules. Scabs form 8 to 9 days later and eventually fall off, leaving deep, pitted scars. Mode of transmission  Directly from person to person  Indirectly from an infected person  Through contaminated items Diagnosis The disease can be definitively diagnosed by isolation of the virus from the blood or lesions, or by identification of antibodies in the blood made in response to the virus.
  • 6. There is no cure for smallpox, but vaccination can be used very effectively to prevent infection from developing if given during a period of up to four days after a person has been exposed to the virus. This is the strategy that was used to eradicate the disease during the 20th century. Vaccination with replication-competent smallpox vaccines (i.e., ACAM2000 and APSV) can prevent or lessen the severity of disease if given within 2 to 3 days of the initial exposure Treatment of smallpox patients generally involves supportive care and antiviral drugs. Treatment and prevention
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  • 8. CHICKENPOX • Chickenpox is an acute Infectious disease. • It is caused by Varicella zoster virus. • Chickenpox is quite a common disease in India. • It occurs in both epidemic and endemic forms. Varicella zoster virus, also known as human herpesvirus 3 or Human alphaherpesvirus 3, that can infect humans. VZV has a linear, double-stranded DNA genome
  • 9. Source of infection:The virus is present in the nose and throat secretion and lesions of the skin, mucous membranes and blood. Incubation period:14 to 16 days Mode of transmission • Droplet infection • Droplet nuclei • Face to face contact • Contaminated articles
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  • 11. Symptoms • Pre-eruptive stage : Onset is sudden with mild or moderate fever, pain in the back, shivering and malaise. This stage is very brief, lasting about 24 hours. • Eruptive stage:In children the rash is often the first sign. It comes on the day the fever starts. Most often, health care providers find out you have chickenpox based on the rash. Chickenpox also can be confirmed with lab tests, including blood tests or a tissue study of samples of affected skin. Diagnosis
  • 12. Prevention 1.Varicella zoster immunoglobulin (VZIG) VZIG given within 72 hours of exposure has been recommend for prevention of chickenpox. 2. A live attenuated varicella virus vaccine is safe and currently recommended for children between 12 to 18 months of age who have not had chickenpox. Control measures  Isolation of cases for about 6 days after onset of rash and disinfection of articles soiled by nose and throat discharge.  Several antiviral compounds provide effective therapy for varicella including acyclovir, valaciclover, famiciclover and foscarnet.
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  • 14. INFLUENZA • Influenza commonly known as Flu is an acute infection of the respiratory tract. • It is caused by the influenza viruses. • Influenza tends to spread very rapidly. • Pandemics of influenza occurred in 1957and 1968 . Three immunological types of influenza viruses are known, namely Type A, B and C. Type A causes the most severe type of infection. Influenza A virus is an enveloped virus with a segmented, single-strand, negative-sense RNA genome.
  • 15.
  • 16. Incubation period:18 to 72 hours Mode of transmission  Direct contact  Droplet infection  Handling or using articles recently contaminated Symptoms Fever Headache Shivering Sore throat with sneezing and nasal block Cough Pains all over the body Weakness
  • 17. Diagnosis Diagnostic tests available for influenza include viral culture, serology, rapid antigen testing, reverse transcription polymerase chain reaction (RT-PCR), immunofluorescence assays, and rapid molecular assays.
  • 18. Prevention 1.Killed vaccine:Killed vaccines are widely used for protection against influenza but they are not completely protective. The vaccine is administered by subcutaneous or intramuscular route. 2.Live -attenuated vaccines:A trivalent, live-attenuated influenza vaccine administered as a single dose 3.Intranasal spray is as effective as inactivated vaccine in preventing the disease.