DISEASE BELL WORK MONDAY, MARCH 9 What is a disease? What makes it a disease? Name some animal diseases. PATHOGENIC ORGANISM AND DISEASE TERMS Pathogen microorganism that produces disease A living organism of microscopic dimensions Not all microorganisms are pathogens The microorganism in the pictures is not a pathogen-does not produce a disease, in fact… PATHOGENIC ORGANISM AND DISEASE TERMS Disease terminology agent transmission morbidity versus mortality prophylaxis zoonosis PATHOGENIC ORGANISM AND DISEASE TERMS Disease deviation from normal infectious disease noninfectious disease contagious (communicable) disease iatrogenic disease idiopathic disease AGENT Something that produces an effect Pathogen/micro Person animal organism KOCH’S “GERM” THEORY (SIMPLIFIED) Defines an infectious disease The infectious agent should be detectable in sick animals but not healthy animals It should be possible to isolate and culture (grow) the organism Organisms taken from the culture and introduced into a healthy animal should cause the same disease The same organism should be isolated from the second animal as well INFECTIOUS DISEASE Caused by microorganisms that gain entry into the animal’s body How does a microorganism gain entry? Transmission Bloodborne – blood/ body fluids Airborne – respiratory droplets Fecal-oral transmission – eating, drinking, licking contaminated food, water, objects Vector-borne- bloodsucking arthropods (insects such as mosquitoes, ticks, mites) that carry the disease from one to another Direct contact BELL WORK TUESDAY MARCH 10 True or False A pathogen is a microorganism that produces disease. Not all microorganisms are pathogens. True-example of microbes in rumen Transmission has to do with whether or not a disease is disease. True False-transmission has to do with how a microorganism gains entry According to Koch’s Germ Theory (aka Koch’s Postulates) a healthy animal could become sick if a pathogen from a sick animal were introduced into the healthy animal. True BLOODBORNE DISEASE Definition: Disease-producing microorganisms transmitted by means of blood, tissue, and body fluids containing blood Transmission of Pathogens Potential exposure occurs through contact with blood, bloody saliva, vaginal secretions, semen, and other potentially infectious bodily fluids. Sources of Infection Pathogens can be transmitted through open cuts, blisters, sores, acne, body piercings, new tattoos, amniotic fluid, joint fluid, brain and spinal cord fluid, fluid from around the heart, and body cavity fluid. Example: Hepatitis B and C in humans FIV, FIP, FeLV AIRBORNE DISEASE Definition: Disease-producing microorganisms transmitted by means of air Transmission of Pathogens Potential exposure occurs through aeresol, dust, liquid (droplets). Sources of Infection Pathogens can be transmitted by being transferred from the infected person or animal’s mouth, nose, cut, or needle puncture. Animals receive the disease through a portal of entry: mouth, nose, cut. Example: Chicken Pox, Measles Newcastle disease, Kennel Cough VECTOR In epidemiology, a vector is any agent (person, animal or microorganism) that carries and transmits an infectious pathogen into another living organism. Usually (can insects that feed on blood you tell me a word that would describe this insect?) Epidemiology: Study of disease VECTOR / CARRIER A vector is a carrier, especially the animal that transfers an infective agent from one host to another Example: Vector Heartworm Disease is the mosquito Carries the infective agent from one dog to another dog The dog is a host to Heartworms because the Heartworm completes its growth cycle in the dog Carrier does not become infected-no sign/symptoms of infectious disease (the mosquito does not get Heartworm Disease) VECTORBORNE DISEASE Definition: Disease-producing microorganisms transmitted by means of a vector such as mites, ticks, fleas, mosquitoes, flies, rodents Transmission of Pathogens Potential exposure occurs through vector/ carrier carrying pathogen from infected animal to non infected animal Sources of Infection Pathogens can be transmitted by being transferred from the infected animal by way of vector to noninfected animal through bite Example: West Nile Virus, Bubonic plague Heartworm Disease, West Nile Virus, Lyme disease IN CLASS ASSIGNMENT Find an example of each of the following: A bloodborne disease (keyword-secretions) An airborne disease Kennel Cough, Feline Viral Rhinotracheitis A vector-borne disease Felv, FIV, FIP, Canine Herpesvirus (CHV), Heartworm, WNV, (Hantavirus, plague-animals as vectors) A disease transmitted by the fecal- oral route ZOONOSIS Zoonosis-disease that can be transmitted between animals and humans Hosts Vectors (carry) Sentinels (watch/ warn) ZOONOSIS Zoonosis-disease that can be transmitted between animals and humans (under natural conditions) How? Exposure of human to the infection of the animal If an animal has a disease and a human could get it, the disease is said to be zoonotic 1. 2. 3. Transmission may occur through: Direct contact with the animal Through a vector such as fleas or ticks Through food contamination Most at risk: young or immune suppressed (sometimes old), also occupations that require working with diseased or possibly diseased animals…such as veterinarians, lab researchers, farmers and ranchers, slaughterhouses ZOONOSIS IMPACT apprx 60 % of human diseases are zoonotic 75% of emerging infectious diseases are zoonotic An emerging infectious disease (EID) is an infectious disease whose incidence has increased in the past 35 years and could increase in the near future. EIDs are caused by newly identified species or strains Evolved from known infection (influenza) Spread to new population (west nile virus) Ecological transformation (tick borne diseases) Reemerging infection (tuberculosis) Most are from Livestock: pigs, chickens, cattle, goats, sheep, camels TERMINOLOGY Vector Carrier Person/animal that harbors an infectious agent with no signs of disease Host Carrier that transfers an infective agent from one host to another Living animal that “offers” food and lodging to an infectious agent (transport host- carrier in which the organism remains alive but no lifestage development) Resevoir-resevoir of infectious agents Any person, animal, etc in which an infectious agent normally lives and multiplies ANIMALS AS SENTINELS Definition of sentinel animal: animal population potentially susceptible to an infectious disease that is being monitored/ watched for appearance or recurrence of the pathogen or parasite Example Dogs being monitored for Rocky Mountain Spotted Tick Fever and Ehrlichia Affects the human population Increase of dogs with disease = increase of people w/ disease SENTINEL EVENT Preventable disease, disability, untimely death whose occurrence serves as a warning signal that the quality of preventative/ therapeutic care may need to be improved. Historical animal sentinel events Canary in a coal mine Honey bees and pollution Dancing cat fever (mercury contaminated fish) https://www.youtube.com/watch?v=gYin9wHvyr4 https://www.youtube.com/watch?v=ihFkyPv1jtU EXAMPLES Avian Flu Transmitted by direct contact with infected birds/poultry In birds symptoms are illness, decreased production, death In humans typical flu symptoms; can be severe enough to cause death At risk population Backyard flocks Poultry business Veterinarians EXAMPLES Visceral Larva Migrans (larva of roundworms) Fecal-oral transmission In animals (dogs) worms can invade the liver, the lungs, the uterus…parasitic and rob the hosts food In humans the larvae migrate through body tissues-lungs, liver, eyes Dog, cat, racoon is host eggs pass through intestines, dogs ingest (cycle) Zoonosis occurs when larvae are unknowingly “consumed” by humans VECTOR / CARRIER A vector is a carrier, especially the animal that transfer an infective agent from one host to another Example: Vector Heartworm Disease is the mosquito Carries the infective agent from one dog to another dog The dog is a host to Heartworms because the Heartworm completes its growth cycle in the dog Carrier does not become infected-no sign/symptoms of infectious disease (the mosquito does not get Heartworm Disease) ASSIGNMENT DUE FRIDAY Zoonotic disease Assignment: Name of Disease Name of organism causing disease Main reservoir (animals) Mode of transmission Symptoms in animal ? (reservoir) Symptoms in humans HOST A host is a person or other living animal that contributes “food and lodging” to an infectious agent. *Primary host/ definitive host- organism / parasite gains maturity *Secondary/intermediate host- organism/parasite is in a larval stage *Transport host/ Vector – a carrier in which the organism remains alive but does not develop Example of a disease with an intermediate (secondary) host: Neospora Caninum is a coccidian parasite that causes disease in cattle: Definitive (primary) host is dog/ coyote/ fox, intermediate host is cattle: Oocysts in feces from dogs, cattle graze, oocyst finish in cattle ZOONOSIS Rabies Ringworm Toxoplasmosis Cats are host Oocysts (“eggs”) pass through intestines Oocysts are ingested-toxoplasma organisms can invade brain, fetus (pregnant women) Infected cats infect other animals –oocysts form cysts in muscle tissue-if food animal, human can become infected Cats become infected by eating rats ZOONOSIS West Nile Virus (vector borne) BSE (food supply) Anthrax (airborne) Leptospirosis (blood borne/ body fluids) Bartonella Henselae (bacteria (bacillus) that causes cat scratch fever) Equine Encephalitis (vector borne) Brucellosis (mucous mebranes, milk, dairy, cheese) Tuberculosis (airborne) Avian Influenza (direct contact) TESTING METHODS Endoscopy visual examination of the interior of any cavity of the body by means of an endoscope Centesis surgical puncture to remove fluid for diagnostic purposes or to remove fluid or gas ETIOLOGY AND EPIDEMIOLOGY Epidemiology-study of relationships determining frequency and distribution of diseases disease etiology, outbreak investigation, disease surveillance and screening, biomonitoring, and comparisons of treatment effects such as in clinical trials. Etiology-study of disease causes/origination The etiology of scurvy is a good example. With scurvy, sailors going to sea often lacked fresh vegetables. Without knowing the precise cause, Captain James Cook suspected scurvy was caused by the lack of vegetables in the diet. Based on his suspicion, he forced his crew to eat sauerkraut, a cabbage preparation, every day, but he had no idea, precisely, why it prevented scurvy. It was only about two centuries later - in 1926 that it was discovered that it was the lack of vitamin C in a sailor's diet that was the base cause of scurvy. CONTAGIOUS VS NONCONTAGIOUS Contagious diseases are spread animal to animal Contagious diseases are also called communicable diseases and are spread through direct or indirect contact An inanimate object that is contaminated with a contagious disease is called a “fomite” Fomites are sources of infection for other animals Water and food bowls, kennels, clothing and shoes Not all infectious diseases are contagious Tetanus NOSCOMIAL INFECTIONS Noscomial- hospital (clinic) acquired infection Nosocomial infection—An infection occurring in a patient in a hospital or other healthcare facility in whom it was not present or incubating at the time of admission; or the residual of an infection acquired during a previous admission. Includes infections acquired in the hospital but appearing after discharge, and also such infections among the staff of the facility. (Synonym: hospital-acquired infection Hygiene, cleaning, disinfecting, antimicrobial, infection control, isolation Often resistant type, ex: MRSA, Highly contagious potential for fatality ex: Parvovirus, Distemper, respiratory viruses PROPHYLAXIS Prophylaxis-prevention of disease and spread of disease Environmental-ventilation, cleanliness of facilities, insects, cleanliness of objects (preventing fomites), bedding, pens Health/ Nutrition (healthy animals remain resistant to most diseases) Stress releases cortisol and epinephrine/lower immunity Overcrowding, feeding frenzy, climate, noise, rough handling Minimize exposure or susceptability to pathogens Vaccinations-increase animals immunity Pets vs Herd, value/costs, allergic reactions, fibrosarcoma Testing prior to obtaining Quarantine (incubation) INFECTIOUS DISEASES 4 classes of agents (an agent is something that produces an effect) Bacterium/Bacteria Virus/Viruses Fungus/Fungi Parasites/ 1. BACTERIA Staphylococci- (cocci means round) – round, clusters Streptococci-round, chains Leptospirosis Endospore – oval body inside, resistant anthrax Spirochetes – spiral Strangles Bacilli – rod shaped Skin infections, wounds, food poisoning clostridium Rickettsia –rod shaped, small ehrlichia EXAMPLES OF INFECTIOUS BACTERIAL DISEASES Swine Yersinia E Coli Mastitis Anthrax Canine Leptospirosis (Lepto) Ehrlichiosis (Tick Fever) Bordatella Bronchiseptica (kennel cough) Rabbit Cattle Horse Pasteurella (Snuffles) Tuleremia (vector-ticks, flies) Tetanus Strangles Cat Enteritis Cystitis Cattle Rabies - most warm blooded animals Dogs Parvovirus Distemper Horses West Nile Virus Equine Encephalomyelitis Bovine Viral Diarrhea (BVD) Cats Feline Panleukopenia Calicivirus Feline Leukemia Virus Feline Immunodeficiency Virus 2. EXAMPLES OF INFECTIOUS VIRUSES BACTERIA VS VIRUSES Is a living cell Prokaryote cell – No Nucleus Made up of cytoplasm, DNA, ribosomes, flagella VIRUS Not a living cell! But are considered alive because the reproduce, grow, develop, adapt, use energy sources from their environment Made up of genetic material/ nucleic acid (DNA or RNA) enclosed in a protein shell All sorts of shapes, but are extremely tiny/ cannot see with a regular microscope What about Retroviruses (Feline Leukemia and FIV): https://www.youtube.com/watch?v=eS1GODinO8w Viruses insert their genetic material into a living cell The cell becomes the virus’ host The virus DNA/RNA becomes a part of the cells DNA so that during cell division the virus is being replicated and passed on Eventually the virus’ DNA takes over, completely changes the host cell/ kills it’s host cell and continues to replicate and create lots more viruses BACTERIA/VIRUSES Ribosomes: Present / Absent Living attributes: Living organism - Opinions differ on whether viruses are a form of life or organic structures that interact with living organisms. Number of cells: Unicellular; one cell / No cells; not living Structures: DNA and RNA floating freely in cytoplasm. Has cell wall and cell membrane / DNA or RNA enclosed inside a coat of protein. Treatment: Antibiotics / Vaccines prevent the spread and antiviral medications help to slow reproduction but can not stop it completely. Enzymes: Yes / Yes, in some Nucleus: No / No Virulence: Yes / Yes Infection: Localized / Systemic Benefits: Some bacteria are beneficial (e.g. certain bacteria are required in the gut) / Viruses are not beneficial. However, a particular virus may be able to destroy brain tumors (see references). Viruses can be useful in genetic engineering. Reproduction: Fission- a form of asexual reproduction / Invades a host cell and takes over the cell causing it to make copies of the viral DNA/RNA. Destroys the host cell releasing new viruses. Size: Larger (1000nm) / Smaller (20 - 400nm Cell wall: Peptidoglycan/Lipopolysaccharide / No cell wall.Protein coat present instead. PRIONS Are proteins Not alive They do not have DNA or RNA They have an ability to reproduce Can cause inherited or transmissible diseases PRIONS Prion diseases are fatal and cause progressive, neurodegenerative problems literally, holes in the brain The brain resembles a sponge / diseases are called spongiform Examples of spongiform encephalopathies are…. 1) Scrapie….in sheep and goats 2) BSE ….”Mad Cow Disease” 3) Chronic Wasting Disease…wild deer and elk Transmitted by inherited disease, or ingested from tissue of infected animals (brain, spinal cord) 3. EXAMPLES OF INFECTIOUS FUNGI (MYCOSES) Dermatophytes (Ringworm) Thrush (? Fungus caused by anaerobic bacteria and mositure) Coccidioidomycosis (Valley Fever) Blastomycosis (South East) Histoplasmosis Candida (yeast infection) 4. EXAMPLES OF INFECTIOUS PARASITES Heartworm (Dirofilaria immitis) Trichinella…Trichinosis Hookworm (Ancylostoma), Whipworm (Trichuris vulpis), Roundworm (Toxocara) Giardia (protozoan) Coccidiosis (protozoan) NONINFECTIOUS DISEASE CLASSIFICATIONS Classifying diseases helps aid the veterinarian in obtaining a diagnosis Helps the diagnostic process Clinical signs and symptoms could be the result of several different disorders Differential diagnosis-a list of possible causes of disease Rule Outs-ruling out possible causes of disease through diagnostic testing, observation, trial treatment NONINFECTIOUS DISEASE CLASSIFICATIONS Metabolic-disruption of normal chemical reactions Anomalies – Congenital Birth Defects Traumatic reticuloperitonitis, high rise syndrome, sucking chest wound, diaphragmatic hernia, peritonitis, prolapsed uterus Toxins - ingestion, inhalation, contact DJD (osteoarthritis), Bovine Spongioform Encephalopathy (BSE) Trauma – Cleft palate, deaf, retinal dysplasia, dwarfism Degenerative – progressive, permanent, longterm deterioration Diabetes, hypothyroidism, hyperthyroidism, Cushings, Addisons Antifreeze, misapplication of flea and tick products, warfarin (rat poison), toads, OTC medications, illegal drugs, plants Immune Immune Mediated Hemolytic Anemia (IMHA), System Lupus Erythematosus (SLE) Pruritis and Atopy (itchiness and hairloss) [allergies] NONINFECTIOUS DISEASE CLASSIFICATIONS Iatrogenic- a condition that develops as a result of treatment Idiopathic- no explanation for underlying cause of the disease Hyperadrenocorticism (Cushings)- can be caused by treatment for a severe allergy problem Surgery-excision of Thyroid glad to treat hyperthyroidism in cats…parathyroid may also be removed causing iatrogenic hypoparathyroidism. Idiopathic seizures Idiopathic renal hematuria Neoplasm - benign or malignant tumor Nutrition – Acute acidosis in ruminants, malnutrition, skeletal disease, hypoglycemia, obesity 3 SEIZURE CASES Seizure Case 1: A 3 month old male toy poodle. The dog is strictly a house dog and does not run free, In addition to the seizures, it has had intermittent diarrhea and is quite thin. Differential Diagnosis (DfDx): Developmental Disorder- brain malformation Hypoglycemia-could be secondary to poor diet, diarrhea, intestinal parasites Head Trauma- not likely with indoor dog Toxins-potential for ingesting medications or illegal drugs, chocolate Infectious causes of encephalitis- Distemper Idiopathic epilepsy-very unlikely due to age of dog Seizure Case 2: A 2 ½ year old male golden retreiver. This dog is in excellent physical condition and has been eating well. This dog is free to roam the neighborhood and recently had one episode of vomiting and one episode where it was limping and stiff. DfDx: Idiopathic epilepsy-this is high on the list because of age and breed of dog at the onset of seizures. Head Trauma-the recent limping and stiffness raises this possibility Toxins- the list is long, but possibilities include insecticides, chocolate Liver Disease-definitely needs to be ruled out but dog has been doing well otherwise Infectious Encephalitis Seizure Case 3: A 14 year old female schnauzer. This dog had its first seizure and since that time has not been acting normal. There has been some weight loss and a poor appetitie, and the owners feel the dog can no longer see. The dog is strictly an indoor dog with no history of trauma. DfDx: Metabolic Disease-liver dx, hypogylcemia (insulinoma in the pancreas), Diabetes Neoplasia- the age of the dog, the blindness, lack of normalcy after the seizure make this a high likelihood Ideopathic epilepsy-very unlikely with the age of the animal PATHOGENIC ORGANISM AND DISEASE TERMS Disease terminology Transmission- how pathogens gain entry Morbidity versus Mortality Morbidity- diseased animals Mortality –diseased animals that die Moribund – near death Prevelance - amount/ number of diseased at a given time (within a population) Susceptibility – lacking resistance ZOONOSIS Zoonosis-disease that can be transmitted between animals and humans Hosts Vectors (carry) Sentinels (watch/ warn) ZOONOSES Zoonosis-disease that can be transmitted between animals and humans (under natural conditions) How? Exposure of human to the infection of the animal If an animal has a disease and a human could get it, the disease is said to be zoonotic 1. 2. 3. Transmission may occur through Direct contact with the animal Through a vector such as fleas or ticks Through food contamination Most at risk: young or immune suppressed (sometimes old), also occupations that require working with diseased or possibly diseased animals…such as veterinarians, lab researchers, farmers and ranchers, slaughterhouses EXAMPLES Avian Flu Transmitted by direct contact with infected birds/poultry In birds symptoms are illness, decreased production, death In humans typical flu syptoms, can be severe enough to cause death At risk population Backyard flocks Poultry business Veterinarians EXAMPLES Visceral Larva Migrans (larva of roundworms) Fecal-oral transmission In animals (dogs) worms can invade the liver, the lungs, the uterus…parasitic and rob the hosts food In humans the larvae migrate through body tissues-lungs, liver, eyes Dog, cat, racoon is host eggs pass through intestines, dogs ingest (cycle) Zoonosis occurs when larvae are unknowingly “consumed” by humans HOST A host is a person or other living animal that contributes “food and lodging” to an infectious agent. *Primary host/ definitive host- organism / parasite gains maturity *Secondary/intermediate host- organism/parasite is in a larval stage *Transport host/ Vector – a carrier in which the organism remains alive but does not develop Example of a disease with an intermediate host: Neospora Caninum coccidian parasite that causes disease in cattle: Definitive host is dog/ coyote/ fox, intermediate host is cattle: Oocysts in feces from dogs, cattle graze, oocyst finish in cattle VECTOR / CARRIER A vector is a carrier, especially the animal that transfer an infective agent from one host to another Example: Vector Heartworm Disease is the mosquito Carries the infective agent from one dog to another dog The dog is a host to Heartworms because the Heartworm completes its growth cycle in the dog Carrier does not become infected-no sign/symptoms of infectious disease (the mosquito does not get Heartworm Disease) ZOONOSIS Rabies Ringworm Toxoplasmosis Cats are host Oocysts (“eggs”) pass through intestines Oocysts are ingested-toxoplasma organisms can invade brain, fetus (pregnant women) Infected cats infect other animals –oocysts form cysts in muscle tissue-if food animal, human can become infected Cats become infected by eating rats ZOONOSIS West Nile Virus BSE Anthrax Leptospirosis Bartonella Henselae (bacteria (bacillus) that causes cat scratch fever) Equine Encephalitis Brucellosis Tuberculosis Avian Influenza TESTING METHODS Endoscopy visual examination of the interior of any cavity of the body by means of an endoscope Centesis surgical puncture to remove fluid for diagnostic purposes or to remove fluid or gas TESTING METHODS Imaging techniques radiography computed tomography magnetic resonance imaging fluoroscopy ultrasound