blood of other birds, humans, horses, or other vertebrate animals, the virus passes from the mosquito's salivary glands into the bloodstream of the bitten animal. NORTH AMERICA IN NEW YORK CITY (1999) A mosquito becomes infected when it bites and sucks the blood of a bird that is carrying the virus. Ten days to two weeks later, the virus reaches the mosquito's salivary glands. West Nile virus does not spread from person to person and no evidence suggests that the virus can spread directly from birds to humans or other animals. FACTORS THAT AFFECT DISEASE TRANSMISSION 1. ENVIRONMENTAL FACTORS SANITATION AND ITS FACILITIES CAN AFFECT THE TRANSMISSION OF DISEASES. FOOD AND WATER CAN BE CONTAMINATED BECAUSE OF POOR SANITATION . POLLUTION ALSO PLAYS A MAJOR ROLE IN DISEASE TRANSMISSION AS EVIDENCED BY FLOODS DURING THE RAINY SEASONS. THESE FLOODS ARE THE CULPRITS IN THE SPREAD OF LEPTOSPIROSIS. IN ADDITION, CLIMATE TAKES ITS ROLE AS AN ENVIRONMENTAL FACTOR. OUR COUNTRY HAS DRY AND WET SEASONS WHEN VARIOUS MICROORGANISMS CAN CAUSE MORBIDITY IN BOTH SEASONS. 2. SOCIO- ECONOMIC FACTORS CULTURAL PRACTICES INFLUENCE DISEASE TRANSMISSION. FOR INSTANCE, THERE ARE SOME PLACES IN THE CORDILLERAS WHERE PEOPLE DRINK WINE FROM ONE GLASS AFTER A TIRING DAY OF PLANTING. THEY USE ONE GLASS TO SHOW UNITY. I EXPERIENCED SIMILAR PRACTICE OBSERVED BY THE ILOCANOS AND THAT IS WASHING THE HANDS IN ONE BASIN BEFORE EATING. ANOTHER WAY OF TRANSMITTING DISEASE IS THROUGH LIVING ARRANGEMENTS WHERE A GROUP OF PEOPLE LIVE NEAR THEIR LIVESTOCK. CONSIDERING THESE FACTORS, I HOPE YOU CAN SHARE THESE WITH YOUR FAMILY AND FRIENDS SO THEY CAN AVOID GETTING DISEASES. THREE LEVELS OF PREVENTING DISEASES 1. PRIMARY PREVENTION ACTIVITIES ARE DONE TO PREVENT ONE FROM HAVING DISEASES. THIS INCLUDES GETTING IMMUNIZED, EATING A HEALTHY DIET, AND GETTING ENOUGH SLEEP. 2. SECONDARY PREVENTION ACTIVITIES ARE DONE TO PREVENT FURTHER DAMAGES WHEN THE DISEASE HAS ALREADY STARTED. THIS INCLUDES PROMPT DIAGNOSIS AND TREATMENT. 3. TERTIARY PREVENTION THE FOCUS IS ON REHABILITATING THE SICK PERSON SO AS TO PREVENT LONG-TERM COMPLICATIONS OF THE DISEASE.