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Emerging and Re Emerging Disease Community Healty Nursing
Emerging and Re Emerging Disease Community Healty Nursing
Diseases
BY
K.HEMA ANANDHY,
M.Sc Nursing
INTRODUCTION
Disease burden is colossal
Cause heavy mortality, disability and
economic loss
Result in widespread epidemics
Immense suffering to the man kind
Disturb International trade and economic
development
DEFINITION
Emerging infectious diseases are New
diseases; new problem (New threats).
An emerging infectious disease is a one
that is caused by a newly discovered
infectious agent or by a newly identified
variant of a known pathogen, which has
emerged and whose incidence in
humans has increased during the last
two decades and is threatening to
increase in the near future.
Cont.
Re-emerging infectious diseases are old
diseases, new problem. (New threats).
A re-emerging infectious disease is a one
which was previously controlled but once
again has risen to be a significant health
problem. This term also refers to that
disease which was formerly confined to one
geographic area, has now spread to other
areas.
Transmission of communicable
diseases
ac
nt
t
Agents
t
c
e
Co
In
r
i
d
Agent
of
Vector
Direct contact
Number of agents
Characteristics of agents
Pathogenicity
Human
Defense mechanisms
Immunity
Personal
characteristics
Host Reaction
Infectious agents
Enter human host
Produces
Mild disease
inapparent infection
Host recovery
Host fights or
with treatment
Cont
Indiscriminate use of antibiotics and
development of resistance
Increase in contact with animals
Insecticide resistance
Alterations in micro-organisms
Environmental degradation with changing
weather pattern.
Illiteracy and ignorance
Natural disasters
Cont..
Entero hemorrhagic Escherichia coli
Causes no signs of illness
Low infections dose in humans causes
hemorrhagic colitis and hemolytic uraemic
syndrome
Consumption
of
undercooked
beef
and
contaminated vegetables, fruits and water for
vegetarians.
Reported in 1.4% of stools from cases of bloody
diarrhoea in Kolkata (Ministry of Health and Welfare
2006).
Cont.
Vibrio cholerae
Cholera is one of the oldest recorded infectious
diseases.
John Snow demonstrated the spread by infected water
Pacini in 1854, first described comma shaped bacteria
Robert Koch in 1883, showed the causative agent
V .Cholerae.
Das and Gupta -2005 reported the diversity of V
.Cholerae.
Narang et al (2008) described the changing patterns of
V .Cholerae.
Listeria monocytogenes
Listerosis is an emerging zoonotic disease
28% deaths due to food borne illnesses in USA
Organism is robust and survive food-processing and
contaminated refrigerated meat and dairy products.
In India, Bhujwala et al in 1970 reported the presence of
this organism in cervical secretions of 1.3-3% of cases
with very bad obstetrical history.
Thomas et al (1981) in a prospective study of 1300
newborns found the pathogen in 2 cases
Campylobacter spp
Are signicant zoonotic poultry pathogens
Leading cause of gastro enteritis in the world
Around 2.5 million human infections are
reported annually in the United States.
In developing countries the presence of the
organism was reported in 5-20% in child hood
diarrhoea
Jain et al (2005) reported isolation of jejuni in
13.5% of the diarrhoea patients
Drug-resistant bacteria
Antimicrobial resistance (AMR) in hospitals and
community poses a public health problem (Moellering
2007).
Reservoir for resistant genes is the fecal flora and upper
respiratory tract
Chugh (2008) reviewed the global status of AMR in
various pathogens.
Woodford (2007) has identied the existence of multi
resistant clones of common pathogens.
Cont.
Staphylococcus aureus is the modern Ghengis
Khan (Chugh 2007). the most frequently identied
drug-resistant pathogen.
Singhal et al (2007)reported ciprooxacin-resistant
meningococci in an outbreak in Delhi.
Resistance of Salmonella typhi and S. paratyphi
to chloramphenicol, ampicillin and cotrimoxazole is
widespread.
AMR in Shigella resistance to azithromycin,
ceftriaxon and ciprooxacin on the increase
Rational use of antibacterial to contain AMR
Melioidosis
The causative pathogen is Burkholderia
pseudomallei
It is an environmental saprophyte in rice
paddies, wet soil, mud and pooled surface
water.
It causes suppurative chronic infection
characterized by septicemia and focal
abscesses in liver, spleen and other viscera.
Cont.
Has been documented from Tamilnadu and
Karnataka.
The association of the disease with
diabetes mellitus is high.
Vidyalakshmi et al (2007) reviewed the
disease in India
The first culture proven case in India was a
child in Maharashtra in 1990.
Disease
Helicobacter pylori
Liver cirrhosis,
hepatocellular carcinoma
B-cell lymphoma,
nasopharyngeal carcinoma
Human T lymphotropic
virus type 1
Cont.
Microbe
Disease
Kaposis sarcoma
Borrelia burgdorferi
Lyme arthritis
Tropheryma whippelii
Whipples disease
Chlamydia
pneumoniae
atherosclerosis
Cont.
Ramakrishna (2006) discussed the high prevalence of
H. pylori infection in India.
The high prevalence of resistance to metronidazole,
clarithromycin and amoxicillin is the failure to eradicate
H. pylori infection.
The resistance is higher in south than north India.
High rate of re infections in Indian subjects (60%).
Chlamydia pneumoniae is associated with pathogenesis
of coronary artery disease. (Jha et al 2007).
Conclusion
The true prevalence of many diseases is not
known. Since we live in a global village, we
connot afford
to be complacent about the
tremendous economic, social and public health
burden of these diseases. Effective surveillance is
the key to their early containment.
There is a need to develop epidemiology
improved diagnostic facilities, a strong public
health structure, effective risk communication,
epidemic preparedness and rapid response.