WATERBORNE DISEASES ACTIVITIES

ANSWERED BY: AIZEL D. MANIAGO

WARM UP ACTIVITY:
Complete the following terms by supplying the missing letters.
CHOLERA
AMOEBIASIS
TYPHOID FEVER
ORAL FECAL ROUTE
WATERBORNE

ACTIVITY 1: Enumerate at least three ways by which amoebiasis can spread to other humans.
Next is identify the two forms of the causative agent and differentiate. Write them
in the table below. When finished, kindly take a photo of your output and post it
in the discussion forum for this part of the lesson.
Ways by which the microorganism (Entamoeba histolytica) could spread:
1. Ingestion of cysts in fecally-contaminated food or water
2. Flies on foods
3. Soiled hands of infected food handlers
4. Oral-anal sexual contact
Developmental Stages of Entamoeba histolytica:
1. Trophozoites/vegetative form
2. Cyst form

ACTIVITY 2: Enumerate the manifestations of cholera and highlight the pathognomonic sign.
When finished, kindly take a photo of your output and post it in the discussion forum for
this part of the lesson.
Manifestations of Cholera
Abdominal pain due to the inflammation and injury in the GIT
LBM which is continuous without initially straining, then yellowish and greenish then
becomes rice watery stool
Effortless vomiting without preceding nausea
Increased thirst
Muscle cramps
Weakness
Poor skin turgor
 Oliguria
Sunken fontanelle

ACTIVITY 3: List down the stages of typhoid fever and identify the manifestations seen in every
stage. When finished, kindly take a photo of your output and post it in the discussion
forum for this part of the lesson.
Stage Manifestations
1. Prodromal stage  low-grade fever resembling a
respiratory infection
 malaise
 somnolence (drowsiness/sleepiness)
 abdominal pain
 rose spots (rose colored macules early
seen on abdomen, chest, trunk and
back which disappear over a period of
3-4 days)
2. Fastigial stage/ the peak of  Temperature that rises up to 40-41
signs and symptoms degrees centigrade
 severe headache
 non-productive cough
 dryness of mouth
 tongue covered with thick sores (brown
collections of dried mucus and bacteria)
3. Defervescence Stage  Remittent fever
 PR is slow despite fever (dicrotic pulse-
pulse with 2 peaks, the 2nd is weaker)

Other clinical S/S:

 enlarged liver (RUQ pain @right
hypochondriac)
 spleen (Left hypochondriac pain)
 delirium
 intestinal bleeding (due to
ulceration/hemorrhage or perforation)
4. Lysis stage  Abatement of signs and symptoms
5. Convalescence stage  Stage of parenchymal repair unless
complications occur
WRAP UP ACTIVITY:

Write the causative agent, other terms used to refer to the infectious disease, incubation
period and pathognomonic sign. Use the table below. After completing the table, take a
photo of your answer and placed it in the discussion forum.

Disease Other term Causative Incubation period Pathognomonic

agent sign
Cholera Asiatic Vibrio few hours to 5 days (an Rice watery
cholera, cholera average of 1-3 days) stool
epidemic
cholera
Amoebiasis amoebic Entamoeba 3 days in severe painful
dysentery histolytica infection; several hepatomegaly
months in sub–acute
and chronic form
(average 2–4 weeks
period)
Typhoid gastric fever, Salmonella 2–3 weeks Rose spots
fever enteric fever, typhi
abdominal /typhosa
typhus,
infantile
remittent
fever
Hepatitis A Infectious Hepatitis A 15–50 days with an Yellowish sclera
hepatitis Virus (HAV) average of 28–30 days