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Yellow Fever vector
Aedes aegypti
Yellow Fever symptoms
seizures black vomiting internal bleeding high fever liver damage
difference between African YF and South American YF
monkeys can survive African strain, they dies from the South American strain
is there a vaccine available for Yellow Fever
yes
Who vectors West Nile
Culex pipens Culex quinuefasciatus
West Nile symptoms
Headaches tiredness coma paralysis neurological issues death
Eastern Equine Encephalitic Virus kills ___ and is maintained in ____
horses birds
How severe is EEEV
rare but deadly
EEEV symptoms
most are asymptomatic 4-5% get it stupor coma paralysis 33% death if symptomatic
How do you treat EEEV
Supportive treatment IV fluids Vaccination for horses
WEEV is found in
California
St. Louis Encephalitic virus is vectored by
Culex sp.
St. Louis EV symptoms
most asymptomatic 5-30% mortality is symptoms appear
St. Louis EV is maintained in
birds
LaCrosse Encephalitis Virus is vectored by
Ades triseriatus
LaCrosse EV effects mostly
children
LaCrosse EV is maintained in
rodents and squirrels
Filariasis is caused by
Wuchereria bancrofti cause 91% of cases in humans
Filariasis in animals is mainly caused by
Brugia malayi and timori
Life cycle of Wuchereria bancrofti
Adults live in lymphatics, microfilariae in blood, L3 larvae enters skin from mosquito
Phase 1-3 of Filariasis
1) individuals have microflaria 2) pain, tenderness of lymph nodes, inflammation caused by dead adult worms 3) blockage of lymph channel which causes swelling of extremities
Filariasis treatment and prevention
Ivermectin is very cheap and effective and is taken once a year
River Blindness (Onchoceriasis) is caused by
Onchocerca volvulus
Onchoceriasis is vectored by
blackflies mostly by Simulim damnosum
which stage of larvae enter the skin?
L3
Symptoms of Onchoceriasis
skin is unbearably itchy not lethal skin is hanging and filled with worms microfilariae damage the eyes
Difference between West and East African River Blindness
People in the west go blind more frequently than the people in the east
Sleeping Sickness's scientific name
Human African Trypanosmiasis (HAT)
HAT is considered a ___ disease
neglected
Vector of HAT
Tsetse fly Glossina morsitans (East) Glossina palpalis (West)
HAT is caused by
Trypanosoma brucei (brucei, gambiense, rhodesiense)
Trypomastigotes are found in the ___ while epimastigotes are found in the ___
human flies
Trypanosoma brucei gambiense
West Africa chronic 100% fatality humans are mainly effected takes longer to die chronic
Trypanosoma brucei brucei
animals only
Trypanosoma brucei rhodesiense
East Africa cattle are effected and humans are accidental hosts so they die faster acute
HAT in the East symptoms
1) lesion at bite site. 2) Winterbottom's sign (swelling of lymph nodes) 3) invasion of nervous system in less than a year
HAT in the West symptoms
1) lesion at bite site. 2) Winterbottom's sign (swelling of lymph nodes) 3) invasion of nervous system years later
Chagas Disease (American Trypanosmiasis) is caused by
Trypanosoma cruzi
Chagas disease is vectored by
Kissing bugs two highly domesticated species 1) Triatoma infestans 2) Rhodnius prolixus
Kissing bugs are found where
humans are found
Life cycle of Trypanosoma cruzi
Epimastigote in vector, trypomastgote get into human, amastigote in humans(duplicate in muscle and neuron cells)
American Trypanosmiasis symptoms
acute sign of Romana (swelling around the eye) vomiting swollen lymph nodes anemia
Chronic AT can cause
Heart failure Megacolon megaesophagus
Chronic AT treatment
There are some medications available but they are toxic pacemaker or heart transplant
Leishmaniasis is a __
protozoan
Vector for Leishmaniasis is
Sandflies Phelbotomus (old world) Lutzomyia (new world)
Life cycle of Leishmaniasis
Injects promastigotes transform into amastigotes in macrophages and multiply
Treatment for Leishmaniasis
expensive and toxic
Symptoms for Leishmaniasis Cutaneous
lesions that leave scars
Symptoms for Leishmaniasis Muco-Cutaneous
severe disfiguration rare in the old world disintegrates mucous tissue
Symptoms for Leishmaniasis Visceral
lethal found in India, Sudan, and Brazil
Leishmaniasis main resevoir are
dogs
What increases infections for Leishmania?
Sand fly saliva
True or false: prior exposure to sand fly bites partially immunizes infection against Leismaniasis
true
Chagas disease infects ___ people and ___ people are killed per year
10-13 million 50,ooo
What is the oldest record of Chagas disease?
9,000 years ago
17% of transmission of Chagas disease is from
blood transfusion
Kissing bugs feed at what time of the day?
night
Where do the trypanosomes come out of what part of the Triatominae (kissing bug)
when it defecates while feeding and it is rubbed into the bite sites or other wounds
Triatoma infestans
most important vector of Chagas found in South America
Rhodnius prolixus
exclusively domestic in Central America 2nd most important vector of Chagas 1.3 inches long
Are Triatoma infestans and Rhodnius prolixus found in the US?
no
How many Triatominae species are found in Texas?
8 found in chicken coops and dog houses
8 found in chicken coops and dog houses
6
Are the cases of Chagas disease in Europe transmitted by bugs?
No, all through blood transfusions, organ transplants, and congenial.
Vector control for HAT
blue traps insecticides cattle spraying sterile insect technique
Which is NOT a characteristic of a neglected tropical disease? a) they tend to be urban diseases b) non-emerging/ancient c) low mortality d) high prevalence
a) they tend to be urban diseases
How many offspring does a Tsetse fly produce in her lifetime? a) 70-80 b) >100 c) 1 d) 3-4
d) 3-4
Which is NOT a symptom of Chagas disease? a) Winterbottom's sign b) Romana's sign c) Megacolon d) Chronic heat failure
a) Winterbottom's disease
Which of the following only causes disease in animals? a) Trypanosoma gambiense brucei b) Trypanosoma rhodesiense brucei c) Glossina morsitans d) Trypanosoma brucei brucei
d) Trypanosoma brucei brucei
In what geographic area is Chagas disease found? a) South America b) Europe c) Africa d) Asia
a) South America
What is the difference between Yellow Fever transmission in Africa and South America? a) Monkeys do not carry YF in SA b) Monkeys typically die from YF in Africa but not SA c) SA does not have a rural transmission cycle d) Urban YF transmission only takes place in SA
c) South America does not have a rural transmission cycle
Which causes the largest number of encephalitic cases in the US? a) Eastern Equine Encephalitis b) Western Equine Encephalitis c) St. Louis Encephalitis d) West Nile Virus
d) WNV
Stomach bleeding is a symptom of? a) WNV b) Japanese Encephalitis c) YF d) St. Louis Encephalitis
c) YF
Which virus is mostly found in swampy areas? a) St. Louis EV b) LaCrosse EV c) WNV d) Eastern Equine EV
d) Eastern Equine Encephalitis Virus
The reservoir host for most of the major encephalitic arboviruses in the US are a) humans b) horses c) mosquitoes d) birds
d) birds
Which of the following is not a conclusion of the Walter Reed Commission? a) YF is caused by aedes aegypti b) it takes 12 days for a mosquito to be able to transmit YF c) YF is caused by a bactera d) Successful vector control should reduce YF transmission e) YF is not transmitted d…
c) YF is caused by a bacteria
Infection with Dengue 1 serotype will a) provide life long immunity to all serotypes b) will provide short term immunity to serotypes 2, 3, and 4 c) will provide short term immunity to serotype 1 d) will provide no immunity
b) will provide partial immunity to serotypes 2, 3, and 4
The Dengue transmission cycle takes place primarily a) sylvatic cycles where it circulates amongst primates b) Large human populations c) in transition zones between sylvatic cycles and rural human populations d) In transition zones between the rural and urban human populations
b) Large human populations
What is the most widely accepted explanation for DHF? a) infection with multiple serotypes increases chance of developing DHF b) some people are more susceptible than others c) some serotypes are more likely to cause DHF d) human populations have increase
a) infection with multiple serotypes increases chance of developing DHF
Hyperendemic Dengue means a) multiple dengue serotypes are present in the population b) only a single dengue serotype is present in the populations c) Dengue virus is transmitted at a very high level d) Dengue virus is transmitted at a low level
a) multiple dengue serotypes are present in the population
Treatment for Dengue virus infections primarily consist of a) vaccinations b) antibiotics c) IV fluids d) anti-viral drugs
c) IV fluids
Which of the following can be present in Dengue Hemorraghic fever patients, but not in Classic Dengue Fever patients? a) Fever b) Muscle pain c) Internal bleeding d) Nausea/vomiting
c) internal bleeding

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