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INTRODUCTION Spread & Dissemination of Microbes

Infectious diseases Within the Body


• significantly contribute to the mortality in
• Elderly.
• Immunosuppressed.
• Chronic disease states.
• constitute six of the top 10 causes of
mortality in developing countries abetted by
malnutrition & unsanitary living conditions.

How Microorganisms Cause Disease


• Humans harbor a complex ecosystemof
microbial flora.
• Attenuation of normal host defenses
“healthy” microbial flora to cause pathologic
infections.
• Non-commensal organismswith a wide
range of virulence.
• Highly infectious microbes produce
diseasein healthy individuals.

Release From the Body & Transmission of


Routes of Entry of Microbes
Microbes
Vertical transmission - Infection from mother
• Person to person via respiratory, fecal-oral,
to fetus or newborn child.
sexual, or transplacental routes.
• Placental-fetal transmission during
• Animal-to-human transmission can occur
pregnancy in which the effects on fetal
through direct contact or ingestion (zoonotic
development will depend on when during
infections)
gestation the infection occurs (e.g rubella
• Insect or arthropod vectors may passively
infection 1st during trimester )
spread infection or serve as required hostsfor
• Transmission during birth (e.g., gonococcus
pathogen replication & development.
& chlamydia).
• Survival during extended periods in dust,
• Postnatal transmission in maternal milk
food, or water;
(e.g., CMV, HIV, HBV).

Host-Pathogen Interactions
Host Defenses Against Infection
• Innate & adaptive immune systems are
critical to preventing or eradicating infection.
• Stalemate between host & microbe results
in a state of microbial latency without much
pathology.
• Subsequent diminution of host immunity
can result in aggressive reactivation &
disease (e.g. EBV, TB)

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