Cr a—_A c Lec. (S).2 /ot oe 1 le Droplet iferhions infections aie! Respirluy 7 es Bacterial virus. e s Shepkococcad. meningocecall = infection. meningitis 7 = S xQaclerial Droplet infection s sWhy we shidy meningacoreus- shept 9% According fo id, They are of high Spread may invert. into endemic aa —Bsoa_daW de prom Ges = st 8x | Causative gent. 4 : a Resewioirs Source. of .infedtion. a POC» Period of Communi cabality= feriod that the reservoir S 6 S o @ a discharge organism. g 4 Lars 6 « = Wye. rg sm. ese ow Ne Sst oe € 3 Mor ¢ a! ‘ e SI TP: Related to host. -incubation period. € Le Period belueen. lafechon. and oppetrance af : 6] Susceptability.__syenptoms and. signs. pat opens and i e Clinical. picture. incubation. Paiod Period of 6 Symptoms 2 signs ramanrCabiiy. a dine Blatel bp Rdated Lo? wrt Moighidean Joos... Sucepible hosts | Reservoir, ): 3 Prevention and control. expastd host. @ q we 2d CamScanner + lp uaa~@ ~4 a rod ~e Re Streptocecus 8- classification according bo shape on blood agar ag 4 Bs 8 haem tic, x-haemalutic. ween non=haemoly sit * soomplete ~y Partial haenclis's. aiNio-haremelys's ~ haemolysis. S 4 ~ & yo B- heremolatic shieptococeus %s dassitied | according to 3 carbohy fake. akin inkos © 2 a A 8 cq ele. Some will sludy & iGou heehee tic. Steeplococtas. = 3 Strey prococexs fy Doesnt cause _ infection t Nas Sophary nx OT en tonsils only , buk ik couses infection in sai org g of ents 2 ~ Invasion of genital tract sus onl sepsis - =) = Thwasion of skin ——> callie. 7 Respiratory system —> Tonsillitis-\s Lg ayso aNs> » * Streptoco: ceal Tensiltitis: ja ACasative ek as gene S= Group A -beta ic ree haemolytic shrept- mitd of module ot Severe. 2) Bvenisics 3, Hunan casey bagi or Ak typical. i $i ilps \neubatar 4 temp ina Comiates cent Senne S ut) geddd HUG CamScanner 2 92 4>s.uaall"2 Vv} Reservoirs ~CHumanl, Case. Camiers was waa CamalestabSs uSang lncubotory ep Si Resentiot San a still disdaag eine ae c Sree Gand GS oily bls Chronic. JSgSu Go a39 LemponnjyeSa dale Convalescent 0 As 89+ la Sit py? sfnimalsis ae resewoit as itis also Zoonotic diseas is mode af tronsmission. 3) Rriod ct communicability + Late incubation ‘enol +(Course of the disease + Convalesceng' : Period. claleleebeccecee Oee F] Modect transmissions. IDirect droplet infection. pedals _... MIndivect Droplet nuclei see peas _ayDust. J yeiFpoine i 2Contominated atticles . & and fomites. ‘ Yo ALIS: sin ton of mille. Ae a © € 5] Inaation peetiods. (1-3. days: fe) fda ate dag : 6] aus 3 Ag e3-all ages are Susceptible .especiatly ¢ childlen from(Sy to 15 golden age. e i J of Ss sete hts Seng Na sex Atlerenda, ¢ _ Socio-economic. status s.Ror socioeconomic si ) ‘ Poverity, malnutrition, Poor ventilation 2 over B : causing. @ wea ae CamScanner - 9 4 s.uaallaes ‘e) Susceptibility s ~ Immunity: - Repeated infections occur, due ke mani types wSeroh pes No" Loi lasting “ramus pba ke F1 Clinical. Picture ¢- ever, headache, malaise,Nause hing. Lal 252° Supurative tosillitis »(Tasily Removed uS3) _ Pus on beth tonsils- Dilferentied Com dighteri a. §1 Complicationss Local: Spread te Lungs Causing pneumonia. fist Causing Otitis media. GIT Causing Gastroentivitis. \ Systemic.2 «Cross reaction with antigens ot systemic. organs:- as, heart .doints Lkidney «Aulaimmune com plicahons: + Heart and joints . eumdlic Fever: t kidney zy Glomerulonephritis. 3) Diagmsis wd f Tavestigation Oprak 3 a Ludi de ae Clinical - en -specitrc Lele. *Specihe DClinicals examinations ‘Symptoms and Signs «clinical picture- » ANon-Specitic Laboratory investigation + Isghly sepeeh ge ls -~W8Cs._ Cotunting. ~ESR CRP. high in cases of in! ammai ion. : Anti-streptelysin O,antibedy .___ 2 bokins Judes Shept- 1 VPI IIGHEKEEVELEDISOSEHKHEHSSSdHSHSHS Gh latre. Streptalysin .O Sthgatelysir m Nef. Antigenic Non ath CamScanner 2 Lis 4>sausall% eT, | ° 31 Specific - Laboratory Investigation 1 Throat ..Sunp thea Galtaring . ascoeggermnennaarannapmeaniieiitien fo Revention and Corlol 2 cpsGuis esta siya i a~ Prevention :General and specitic s «general: Environmental Sanitation 2) Health education. 3) Health Promotion. « Gecifics a SS ele immuni ation. - Chemoproph baxis. used ins Vocteria vaccine. Seroprophylavis. _ Influenza virus onl usedin: used int Amantadina.. > Bactena Viruses Only d ond Viruses. banca x Specific. Prevention. of Sredococous + CLESPESPAILMLLSSHVWL2VVOBHD ‘Immunization Chemowvophyanis.. | = elong acting penicillin, vaccinationghard due tes occ. «1,200,000 I.u- Several Sero- Hy pes : o Intra- muscular Under trial. 4 is «Given when there's rheumahe attack. ee ° imen al use: jnvinter: Oagkosa @ > Adose eachuuedn il 5 years- e Jn Sunmey: O33 D 88 O Mose each 3ueoks until 5 years 2) waa age CamScanner + Lise &suaal (a ag2 fe] yt 3 pid sGilp ‘ ~ - — pen comma 8 Contact ie OGase findi Prevention ici QEnlistment: © ONohficalion medsures. @ Examination 3 @ solation- “ ‘ sdi_oldliae , disinfection Surveilance 26 Treatment Rniciiia for to days rs asese! For marimun > c : ‘ incubation > ee ae Period > rdlelow. 7 « specific Prev 2 \chemopropheds is bor high ie) ¥ Conkact. v ~ ¥Scalek Fever 2 abl pet ez sIk is streptococcal infection. % ~ «Caused by atype of Streptococcus that release Erythragenic foxin > that Causes destruction of blood vessels—s Leading be maculopepiar © Strawserry Tongue and ciscumoral pater) tosh." $ eogint Gen dase p Under eating Sypaljon_8 re gens Gee dale misdiagno’ 2 ‘wvenanity, inst_ erythro rail F boxin engl immunity 5 So Repeated inteckion will not cause 9 scarlet feier. : , » j q i) “. CamScanner + Lig 4>sausallit * x Rheumatic Fever s- k Long. acting penicillin. 1s Considered ase 22%. estlie snaleratt 5 Gane Rheumatic dla dite Prove tiova-Rheuraicfardd 25.> gram ¢ attack + Prompt treatment of sh Fococcal.intection is Considered rina. prevention For Rheumatic. fever: x Romer treatment. of Streploroccal infectio is Constdered Ss Sencondany prevention Yor fonsilit’s- Hepatitis Q. carrier. -——l—__. incubakory Mealthy i ao carrier if t 12.38 Incubation Period 22:3. em ‘Menigacoccal. meningitiss epdmesd33} 3g me 7 Cousative agent: Neisseria menigitides. ~Seralypes. 2A, B.56', vb 4! Y and. 7, OOOH OKOKHHOG § 2] Reservoirs Human —> Case. ‘ 5 Carsier's Menlthyyoatier. Teams) Gas oy yr 40% Ae Dasopharyttd S ooyeem ogee Uso = case J Jy Q Be Moh. yw Mai temo. se case. § desis Gam dh Tecan for epidemic. g— 20 ws Mods. lecceeserooceee’d 31 Reiod of Communicabitity s 2 sknow according to Swap } + UnhiL comple bSioopp ene of menin a in sient aryngea) BD io yy abe CamScanner 4 ls. 4>s.uaall aaaS @ . 2 wn Mol Mg. < Sa ib ~ uaMode of Transmission = 0 2 21 Indirect s » Droplet nuclei = 2xDust Joairbome Bs 2) Articles and lamites. % NTR: ba yi _s [2-lo i €] Susceptibility: DAges children 2 young adubls» mar usual re. Abe No derorce? J 31Immunity # -Rep eate d infection occurs due to Slferent sero-hyes. 41] Enviromerkal Conditions 4 Sotio.ecantaric sfalus: ° Over.Crowdedness» oor ventilation . ¥y Clinical piclare ¢ g Tess bis. Respircboy 54stem en maivdala Jj x a (tever headache. sore oe ZHeni goccemia tp abbot Risis| ent fevers dae cengdpyras Projectile. vomiting. I. 7 E mmninges Deo 1 Alection. of CNS # (Delirium) »Coma . dynes. 3 Aomplications s 3-CNS.a Meckion. mental re bardabion., Paralysiss brain abcess- ae Clinical: = Synplom s 4 Cag clinica IG (Te Sr UY 8 “Dion pt fic labertery dogo. + Anti Heol ed ion i Specific s 3 CSF culture. CamScanner 2 Lid &susall| 1o1Revention 2 Control . +Prevection 2 .spesitic Generals yEnvironmental sonitation. 5 2 Wealth education 39 Healt, Promafrer if ¢ Specific 6 vaccination Chemoprophylaxis.. 8 shee Rani es \y saccharide. Conjugal’ wused.. in qypts 600 mafi2 hours A by Oartohlrcke Argan. ‘a saccharide +Patein|.. lor 2days. ee agiven Subcufanious. Protein. fo ve mere > Fox High Rsk persons 2 antigenic. a > Intramuscular. Mg +Jiven ia 2 doses . son Reservoir Case» commun Contack. . S © Ee Gse Finding » Pruentive Sis DeEnkishmenk- . S @Wsificat ton. meosuses 2) Examination S 3) Isolation : a1 Suveillann 3 Disintection. ee sataglong- for maximum incubalton™ 3) Treatment sauaall2 a | rot ; Derpictory iatachon ga Droplet Infections -viruses. 3 Rsages Hrodiomal stagecu:,@ Spailic stage: 3 aMeasles 2 0 wGusctive agent + measles virus. 7 23 Resewoirs, Case Only. aven In. Rodromal. or specifi ir 9 3) Rid of Canmmunicabitily. io» + .sTriowfeut case peiiods- @> Gdays > Adous Prodromal sg © 5 Sdays (Rash syptons. OGG 6 i AS . 4) Mode of Sronsmission el Droplets thy Dired droplet inledion. » Q) Indirect dcopiet infection: Droplet Nuclei. »Dusk frticles and (omits: Vius. sh B\gpx cs a 21 vertical Wansmission in ute -transaisi FHS dae Gs Rosh JIE 5) Tcubolion pet iods: to days: : @) Susceptibilit s Ages Tn e_post + L-Buears —y then there is Giurs Jos ay. oS 8 ob, vaccine Cousin: ong -Lesting immunity > SA barber Ips $d gor Causing Age. Shift. to BM og GR at - ~@ye-Shithy eMaceine.s.MAR vaccine , (measles, mumps ,Rbella) lite attenuated 2 2 ~ Guses Lite -long immunity. ,s.S23,20° Naceite\ys4-0i9 Vaccine. JI ude sibs maternal Ab 8 w\alSiio 8 » AGmabbiyysta shady a9, Ayes as ge GG > bald SSAOVIIVUFEEEOEOUUUUVES . ug) CamScanner 2 92 4>s.uaall-slenmunity +. Wakevnal. antibodies for 6: 12, molths- -Naccination gives Longa astintantthy ° y 12 4h 4? > 7 sEnvironmental Factors + duercrawdedaass , Poor Ventilation. malnubvti Prodromal Stage « Pre-eruphive nt. ~ Headache, fever, malaise. ~fathogpomont of measles @ Ko pliks. Spot. FA Clinical Aches @lesionss >< Lom. fiat Flexked."“ “Fluid macule. papule vesicle Rash Stage-» eru plive. stage. begins Piaene then-sface> neck» abdomen wbody and Limbs . «when Rash is.more in the Qnbe it is Called. : Cenbripetal. rash. sx papiller Recovery fom maculopapdac rash : Rash. Isis yay pall occurs. Sem Fit Elevated. +fuid.- Vntdh Sprague. bullae 21Diagposis apClinical_s clinical picture. ( \ Non-Specitiic Specifics isolation a Wius. 91 Prevention. 2 Control. ¢ Prevention » Genel 8 aFnvironmental _... Sanitation.,.2) Wealth Eduction » 32 Health. promotion. Seaiaee! Y ‘ ee ° ve Sarre eer & & t & & MP Ot AP a, Or me a 9, CamScanner 2 Lig 4>sausallDO’ rot ———__—— pe AN — = # Specific: pee : i i a = vaccine. Seropro} Shy Laxis. : -MMR. - immunoglobuli nes. e ~ Given at 12. months Por high risk 7 aod \8 months. =2Effechsparly + Seroprevention * ~ Route s/Subcutanious’. withia day dter be s exposure- : 2 Sero- attenuation + af ter 3 5 a-days. a Corkrol. = \ <2 v 7 > ® Case Reseryoir Communi k Contact. Y @lase finding . “Preventive Heasurs OEnlistmenk- = @Nadification. ® Examinahin” z isolation. 5 1 @pNoneed Ps € Disinfection Se are for Surveitana a 6) Treatment: supportive incubation pertod =fbst -exposire 3 fo teat Symptons vaccine & S lax: a ero prophy aK 3 German measts G\.% Rubell. ads lacaysaall nc GASs) 5531 ? D Gusative auger + Rubella virus. ! 2 2 DDResewoir B Human —sO Case 7 oy @Inew belory Caviar. r) , ~ ? a CamScanner 2 Lig 4>sauaall31 Rriod 0 Communicabslly Incubation period + Period of Asrical.gynpoloms. uJ MOT saiDroplel Direck = Toind rec» Droplet Nuclei * Dust © Boot and_fomites- . \istisa__ogs ByWertical Wansmission. Gusi ng y ene Groupok con ol, bf S1IPs baspe anomalies. . 61 Sascephibilitys; Age + schol. children and young adults. . Sex both sex a iimunitys maternal. imeoanity ai measbs- ¢ SoCion Sonomic- bed FCinical piclure + ORodromal stages Enlarged cervical Lymph 7 Nodes © @ Rash Stage 2 Non- infective maculopaplr- S rash % 2 8Dieqposis 2 gparcti the glimeasle N65 — : ——— 9) Revention 2 Control 3. -General af) Health educhion © nES she © - Spe gif t & vaccine 3 er>PTO phylaxis. © Mm _irfegrant women. & ps YAsoonths 2 6 18 months. . Maid aD CamScanner 2 Lis 4>sauaallee ka rot + Control —$<$<$$— Reserucit’- Communihs Contact . Case + Pritt monte A Cbalistment Crack Case nding : 3 @ Examinabion. CWolif\ ation @ surveillana. @ isclation. as there ts @Disitt echon . incubator rn S Treatment @No Need fr vaccine. -Feshexposure Seroprepohybant's xMumps 2 Ad Ea 3a Uleatle 7 A Gus ary S mumps vitus Dikseroir._2 WLase 2Incabo hry carrier: si PoC 2 [P+ Rriod al chnical Symptoms - especially date P HTP sg Wt aegte ASescepls 5\ MOT sD toplet Direct : Indired. 1... Nuclei Dust Arles 2 lamites- B) vertionL Transmission: Se OF UUVU OD eTwVeTod Se aaa EEE EEE Un SEER 6] SuscgAtibily anne stasoedLinctesa tS CamScanner 2 Lis 4>sausall xNEn\stment 2) Exawinalron. Boe. 31 Surveillance and Se ye \\"" erdaqregabionvas rt. is highl infective in incubahion period. sof #1Clinical Pictures WRedomal sho ex Fever headache 2 malaise. 2a ee Shoges ; -Enlarged salivary gland. with tenderness - espedially”: : 83 Complications s Dangerous in adult males as ft uses mcq a_y orchiti's > testicular atrophy. © .UpA HOT 8.Us Unfavorable outcome . P: Runcreabitis. As. Aseptic mening fis He Heating boss. 0+. Orchiti's Tz. Teshcular ahephy. Prevenbion.: OGeneral.» &S, HE,HE 21 Specific vaccine SeroprophyLaxis. -for high Suseph’ble adult male- Conkol. : a eget, Case Commurity Conkack’s oe hm MH HIS A | bf oF ee i et i OE | | i a mi ai miniainmimom mim CamScanner 2 Lis 4>sausall¥Virecella:Chicken box: - a 98 1 Gousokive ment % Virecella -2oSter virus. 2 % ~ 9x Resewoir s [Case only las measles w/ 2 @aPo. TH l. © “Trauchout rial of chuccal sprplons. 2 3x Po Throughor 100.0 al _Symptoa ~ Nesicular ~ 4xMoT— 3.0Contact of Murd from Rash» Rash is inlechive » 2 2 Droplet Direct 9 Indirect sNudei 2 foe E Article & Loites. 3 e 5x Clinical picture 2) Rodomal shage ay = 2) ‘esl, stage 2 rash s ——<—1 = macale Arpule vesicles. 2 with 2 infeckive 2 Ste ee fla id e ée Susceptibility 3 Cus gio Sr 2 $ 9D Sneral ity eneral Specific. a4 naécine..—>Seroprephy|anss hor high isk. 2 in.2 doses. . x oF > ——. : a CamScanner + Lig 4>sausall