Diseases

Skin Cancer

Basal Cell Carcinoma

Most common - over 500,000 cases per year
Mostly in older people and fair-skinned people
Highly related to amount of sun-exposure
Usually looks like a pearl-shaped bump with veins
Rodent ulcer
Treatment
Removal - surgery, freezing, lazer
Rarely spreads

Squamous Cell Carcinoma

Second most common - about 200,000 per year
Mostly in older people and fair-skinned people
Highly related to amount of sun-exposure, but also other carcinogens including arsenic, certain viruses, tar, fuel oils, radiation
Begins as a precancerous growth - irregular pigment and shape Image 1 and Image 2
Treatment
Removal - surgery

Malignant melanoma

Rarest, but on rise
Most likely to metastasize
May be fatal if left untreated
Highly related to amount of sun-exposure
Light-complexion, fair hair, light eyes
Severe sunburn before age 20
Family history
Multiple, unusual or congenital moles
Appearance varies - superficial spreading, nodular

Map
Treatment
Surgery to remove
Early diagnosis critical
Chemotherapy and radiation may be helpful
after metastasis.

To reduce chance of contracting skin cancer

Stay safe in the sun

Minimize sun exposure Image
Wear sunblock
and apply well. Image

Viruses

Examples: chicken pox, smallpox, polio, herpes, flu (influenza), colds, rabies, yellow fever, polio, viral pneumonia, infectious hepatitis, measles, German measles, viral encephalitis, mononucleosis, mumps, and AIDS

 

Some can be prevented with vaccines: smallpox, polio, chicken pox, flu

Immune responses usually appear too late to prevent disease, but they are important in preventing reinfection
Interferon probably responsible for recovery by interacting with receptor sites on uninfected cells

Implicated in some cancers, leukemias, autoimmune diseases like multiple sclerosis, rheumatoid arthritis, diabetes

Ebola hemorrhagic fever (Ebola HF)

Ebola virus limited to parts of Africa

The incubation period for Ebola HF ranges from 2 to 21 days.

The onset of illness is abrupt and is characterized by fever, headache, joint and muscle aches, sore throat, and weakness, followed by diarrhea, vomiting, and stomach pain. A rash, red eyes, hiccups and internal and external bleeding may be seen in some patients.

Mortality is high, reaching 90%. Ebola medical team

Smallpox

mortality rate of 20 to 50 percent.

This disease is spread by inhalation of air droplets or aerosols.

 

Stages - Fever and rash appeared after an average incubation period of 12 days, with a progression to typical vesicular and pustular lesions over 1 to 2 weeks.

 

smallpox vs chicken pox - image 1 and image 2.

vaccination

Bacteria

Examples: cholera, leprosy, tetanus, anthrax, Lyme disease, bacterial pneumonia, whooping cough, syphilis, gonorrhea, bubonic plague, (life cycle), typhus, food poisoning.

Many bacterial diseases spread through food or water.
Insect vectors spread diseases like typhus

Tuberculosis, known historically as consumption or wasting disease. Image


Eight million new cases each year, three million deaths. Map Graph

(World TB incidence. Cases per 100,000; Red = >300, orange = 200-300; yellow = 100-200; green 50-100 and grey <50. Data from WHO, 2006.)

Leading cause of death from a single infectious agent
Eradication programs dismantled in U.S. in 1980's
     Experiencing a dramatic resurgence of the disease
     Associated with prevalence of HIV

The disease is characterized by the development of granulomas (granular tumors) in the infected tissues.

TB is highly contagious and can lie dormant, apparently inside host cells where it is not easily detected, for up to 40 years. 

In 1947, the first antituberculous drugs were discovered.

Prevention

Detection: skin test (Tine test)
 
Drug resistance

Anthrax

Caused by Bacillus anthracis, a bacterium that forms spores.

There are three types of anthrax:

    * skin (cutaneous): infection and result: more results

    * lungs (inhalation)

    * digestive (gastrointestinal)

Anthrax is not known to spread from one person to another.

Antibiotics are used to treat all three types of anthrax.

Vaccination. There is a vaccine to prevent anthrax, but it is not yet available for the general public.

Diseases caused by Protists

Examples:

Giardia (Image) (life cycle)

Trichomonas vaginalis (Image)

Trypanosoma spp. cause sleeping sickness (Image)

Plasmodium spp. cause malaria (Life cycle)


Transmission often by vectors

African sleeping sickness

Caused by trypanosomes (Image)

 Life cycle of the trypanosome that causes African sleeping sickness.

Vector:
Tsetse fly

Generalized pain, weakness, cramps and swelling of neck lymph nodes (
Winterbottom sign). Parasites invade all organs of the body including heart and CNS. The latter leads to apathy, mental dullness, tremors, convulsions and sleepiness, coma. There is rapid weight loss and death a few months later from malnutrition, heart failure, pneumonia or a parasitic infection. Map of occurrence area.

 Host reactions to the trypanosome parasite

 The number of parasites in blood shows waves as the immune system partially overcomes the infection.

This escape from the immune response depends upon the ability to express a
new surface antigen.

Treat cattle with pesticide.

American trypanosomiasis - life cycle  Map

Malaria (Life cycle)

characterized by fever, chills, and anemia.

Malaria is caused by a parasite that is transmitted from one human to another by the bite of infected Anopheles mosquitoes. In humans, the parasites migrate to the liver where they mature and release another form. These enter the bloodstream and infect the red blood cells.

The parasites multiply inside the red blood cells, which then rupture within 48 to 72 hours, infecting more red blood cells. The first symptoms usually occur 10 days to 4 weeks after infection, though they can appear as early as 8 days or as long as a year later. Then the symptoms occur in cycles of 48 to 72 hours.

The majority of symptoms are caused by the massive release into the bloodstream, the anemia resulting from the destruction of the red blood cells, and the problems caused by large amounts of free hemoglobin released into the circulation after red blood cells rupture.

    * Sequential chills, fever, and sweating

    * Headache

    * Nausea and vomiting

    * Muscle pain

    * Anemia

    * Stools, bloody

    * Jaundice

    * Convulsion

    * Coma

In some areas of the world, mosquitoes that carry malaria have developed resistance to insecticides, while the parasites have developed resistance to antibiotics. Map of malaria vectors and map where malaria is currently found.

Falciparum malaria, one of four different types of malaria, affects a greater proportion of the red blood cells than the other types and is much more serious. It can be fatal within a few hours of the first symptoms.

Anti-malarial drugs can be prescribed to people traveling to areas where malaria is prevalent, but must be started 2 weeks prior. Prevention

You can find information on all diseases at the Center for Disease Control: http://www.cdc.gov/health/diseases.htm