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Controlling Disease ,[object Object],[object Object],[object Object],[object Object],Photo: CDC
Preventing the Spread of Disease ,[object Object],[object Object],Behavioral control Modifying the environment Treatment Immunization Photo: CDC
Modifying the Environment ,[object Object],[object Object],[object Object],[object Object],[object Object],Photo: CDC Workers spray drainage ditches with insecticide to kill mosquitoes
Effective Sanitation ,[object Object],[object Object]
Behavioral Control ,[object Object],[object Object],[object Object],[object Object],[object Object]
Immunization ,[object Object],[object Object],[object Object],Photo: CDC/WHO Photo: CDC The last known person in the world to have smallpox, 23 year old  Ali Maow Maalin  (photo), from Merka, Somalia. Smallpox was eradicated due to a vigorous vaccination program.
Types of Vaccine ,[object Object],Recombinant  vaccines Toxoids Conjugated  vaccines Acellular  vaccines Attenuated (weakened) Inactivated (killed) Subunit Vaccine Contains some part or product of micro-organisms that can produce an immune response Whole-Agent Vaccine Contains whole, nonvirulent microorganisms Photo: CDC
Subunit Vaccines 1 ,[object Object],Conjugated Vaccines Some pathogens produce polysaccharide capsules that are poorly antigenic, especially in young children. To enhance their effectiveness, they are combined with proteins such as  toxoids  from other pathogens. Recombinant Vaccines Produced using genetic engineering techniques when other microbes (bacteria and yeast) are genetically altered to make the desired antigenic fraction. Toxoid attached Polysaccharide from pathogen Yeast makes viral proteins Inactivated toxins
Subunit Vaccines 2 Toxoids Toxoids are bacterial toxins that have been inactivated by heat or chemicals. When injected, the toxoid stimulates the production of antitoxins. Acellular Vaccines These are produced by fragmentation of a conventional whole-agent vaccine and collecting only those portions containing the desired antigens. Heat, iodine or formaldehyde Antigenic fragments of bacterial cells
Whole Agent Vaccines ,[object Object],[object Object],[object Object],[object Object],Inactivated : whole agent is inactivated by treatment with formalin or other chemicals Attenuated : The agent is alive, but has been significantly weakened.  They are usually derived from strains where mutations have accumulated during long-term cell culture. Mutated DNA
DNA Vaccines ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],HIV Cancer Hepatitis B Herpes simplex Malaria Rabies
Producing a DNA Vaccine 1 The recombinant bacteria are allowed to grow and reproduce on an agar plate. Antigen gene is spliced into the plasmid and the plasmid is inserted back into the bacterium. Gene for the antigen is removed from the pathogenic or cancerous cell Plasmid is isolated from a harmless bacterium.
Producing a DNA Vaccine 2 Expression of the gene in the patient produces a protein that elicits an immune response. The isolated antigen gene is delivered to the patient using direct  injection  or via a  gene gun .
Antimicrobial Drugs ,[object Object],[object Object],[object Object],[object Object],[object Object],Agar plate with bacterial colonies and antibiotic discs Photo: CDC
Antimicrobial Effectiveness 1 ,[object Object],[object Object],[object Object],The wrong antibiotic can allow infections such as this ulcer to get out of control  Photo: CDC
Antimicrobial Effectiveness 2 ,[object Object],[object Object],[object Object],Staphylcoccus aureus  infection The sticky looking substance is a polysaccharide biofilm, which protects the bacteria from antibiotics. Some strains of staph. have developed resistance to multiple antibiotics. The wide use of broad-spectrum antibiotics has contributed to this. Photo: CDC
Antimicrobial Activity Spectrum  of antimicrobial activity of a number of chemotherapeutic drugs Streptomycin Prokaryotes Mycobacteria Gram-Negative Bacteria Gram-Positive Bacteria Rickettsias/ Chlamydias Penicillin Tetracycline Isoniazid Viruses Acyclovir
Antimicrobial Activity Spectrum  of antimicrobial activity of a number of chemotherapeutic drugs Eukaryotes Fungi Protozoa Tapeworms/ Flukes Ketoconazole Nicosamide (tapeworms) Mefloquine (malaria) Praziquantel (flukes)
How Antimicrobial Drugs Work ,[object Object],Inhibited Protein Synthesis Translation is disrupted.  Examples:   erythromycin, tetracyclines, chloramphenicol, streptomycin  Damaged Cell Walls The synthesis of new cell walls during cell division is inhibited. Examples:   penicillin, vancomycin, cephalosporins, bacitracin Damaged Plasma Membrane The plasma membrane may be ruptured. Examples:  nystatin, miconazole, polymyxin B, amphotericin B Inhibition of Enzyme Activity The synthesis of essential metabolites is inhibited. Examples:  sulfanilamide, trimethoprim Inhibit Gene Copying DNA replication and transcription are interfered with. Examples:  Rifampin, Quinolones
Monoclonal Antibodies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Monoclonal antibodies chemically linked to a fluorescent dye to detect the presence of gonorrhea Photo: CDC
Making Monoclonal Antibodies Hybridoma cells Mouse cell and tumor cell fusing Unfused cell Pure  tumor  cells are harvested from culture A mouse is injected with a foreign protein ( antigen ). The mouse’s B-cells produce an antibody to recognize the antigen. A few days later, antibody-producing B-cells are taken from the mouse’s spleen. The mouse cells and tumor cells are mixed together in suspension. Some of the mouse cells fuse with tumor cells to make hybrid cells called  hybridomas . Hybridomas  are screened for antibody production. They are then cultured to produce large numbers of monoclonal antibodies. The mixture of cells is placed in a selective medium that allows only hybrid cells to grow.
The World Health Organization ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Role of the CDC ,[object Object],[object Object],[object Object],CDC and Zairian scientists take samples from animals collected near Kikwit, Zaire, 1995. These samples were sent back to CDC in Atlanta for testing to search for the animal reservoir of the  Ebola  virus. Photo: CDC

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The Nature Of Disease Controlling Disease

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  • 9. Subunit Vaccines 2 Toxoids Toxoids are bacterial toxins that have been inactivated by heat or chemicals. When injected, the toxoid stimulates the production of antitoxins. Acellular Vaccines These are produced by fragmentation of a conventional whole-agent vaccine and collecting only those portions containing the desired antigens. Heat, iodine or formaldehyde Antigenic fragments of bacterial cells
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  • 12. Producing a DNA Vaccine 1 The recombinant bacteria are allowed to grow and reproduce on an agar plate. Antigen gene is spliced into the plasmid and the plasmid is inserted back into the bacterium. Gene for the antigen is removed from the pathogenic or cancerous cell Plasmid is isolated from a harmless bacterium.
  • 13. Producing a DNA Vaccine 2 Expression of the gene in the patient produces a protein that elicits an immune response. The isolated antigen gene is delivered to the patient using direct injection or via a gene gun .
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  • 17. Antimicrobial Activity Spectrum of antimicrobial activity of a number of chemotherapeutic drugs Streptomycin Prokaryotes Mycobacteria Gram-Negative Bacteria Gram-Positive Bacteria Rickettsias/ Chlamydias Penicillin Tetracycline Isoniazid Viruses Acyclovir
  • 18. Antimicrobial Activity Spectrum of antimicrobial activity of a number of chemotherapeutic drugs Eukaryotes Fungi Protozoa Tapeworms/ Flukes Ketoconazole Nicosamide (tapeworms) Mefloquine (malaria) Praziquantel (flukes)
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  • 21. Making Monoclonal Antibodies Hybridoma cells Mouse cell and tumor cell fusing Unfused cell Pure tumor cells are harvested from culture A mouse is injected with a foreign protein ( antigen ). The mouse’s B-cells produce an antibody to recognize the antigen. A few days later, antibody-producing B-cells are taken from the mouse’s spleen. The mouse cells and tumor cells are mixed together in suspension. Some of the mouse cells fuse with tumor cells to make hybrid cells called hybridomas . Hybridomas are screened for antibody production. They are then cultured to produce large numbers of monoclonal antibodies. The mixture of cells is placed in a selective medium that allows only hybrid cells to grow.
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