Professional Documents
Culture Documents
Emerging Infectious Diseases
Emerging Infectious Diseases
a.2007
b.2005
c.2003
d.2010
a.pshycosis
b.zoonoses
c. toxoplasmosis
d.brucellosis
a.emerging infections
b.reemerging infections
c.microbial infections
d.none of these
a. 3 serotypes
b. 4 serotypes
c. 7 sero types
d. 10 serotypes
a. 5th
b.4th
c.6th
d.8th
a. climate change
b. global travel
c. zoonoses
a. afghanistan
b. nigeria
c.kenya
d. both a and b
a. 6 %
b. 10%
c. 5%
d. 15 %
a. CD 8 T cells
b. CD 4 T cells
c.Th 1 cells
d. B cells
10. bacteria and viruses can evolve over time and develop resistance to drugs defined as
a. drug resistance
b. antimicrobial resistance
c. immunization
d. antibiotic resistance
How does vaccination contribute to the prevention of emerging infectious diseases in a One Health framework?
Vaccination helps by
D. All of these
A. Live attenuated
B. Killed vaccine
C. Not known
D. None of these
1. Overuse of vaccination
2. Misuse of antibiotics
3. Misuse of vaccination
4. All of them
A. Humans health
B. Animal health
C. Environment wellbeing
D. All
Which term describes diseases that affect both humans and animals simultaneously?
A) Unilateral diseases
B) Universal diseases
C) Zoonotic diseases
D) Individual diseases
What term describes the collaborative effort of multiple disciplines working together for improved health
outcomes?
A) Multidisciplinary
B) Interdisciplinary
C) Unidirectional
D) Singular focus
D) Depletion of biodiversity
What term describes the concept of a population being largely immune to a specific disease due to vaccination
or previous infection?
A) Immunodeficiency
B) Herd immunity
C) Vaccine hesitancy
D) Antibiotic resistance
B. Zoonotic transmission
C. AMR
D. All
Mcqs:
1. ________ is the deliberate release of viruses, bacteria, toxins or other harmful agents to cause illness or
death in people, animals or plants.
a) bioterrorism
b) biodiversity
c) bio disturbance
d) bio control
a) anthrax
b) tularemia
c) plague
d) e.coli
a) A
b) B
c) C
d) A &B
a) A
b) B
c) C
d) None
a) Plague
b) Rabbit fever
c) Hyperpyrexia
d) Intermittent fever
a) Bacillus anthracis
b) Francisella bacterium
c) Yesinia pestis
d) Staphylococcus aureus
a) Plague
b) Tularemia
c) Anthrax
d) E. coli
a) Easy to multiply
b) Very deadly
c) Invisible & microscopic
d) All of above
a) Economy
b) Population size
c) Wildlife
d) None
10. Who put dead bodies in water resources of enemies as an act of bioterrorism?
a) Greeks
b) British
c) Romans
d) Barbarians
1. What is the main focus of One Health?
a) Human health
b) Animal health
c) Environmental health
4. In which country did One Health initiatives lead to a significant decrease in malaria cases?
a) Ethiopia
b) Zambia
c) Tanzania
d) Kenya
5. What is the main focus of the One Health case study in Ethiopia?
a) 5
b) 6
c) 7
d) 8
a) 2000
b) 2001
c) 2002
d) 2003
a) Directly
b) Indirectly
c) Both a and b
4. Malnutrition is estimated to contribute to more than _____ percent of all deaths in children under five.
a) 10
b) 20
c) 33
d) 50
Answer: c
c) Both a and b
7. The aim of environmental sustainability goal was to achieve substantial improvement in the lives of a
minimum of _____ million slum dwellers by 2020.
a) 10
b) 20
c) 60
d) 100
8. Global partnership addresses the special needs of the ______ countries.
a) Least developed
b) Developed
c) Rich
d) Gulf
a) 89
b) 189
c) 289
d) 389
10. ________ is a field of study, research and practice that places a priority on improving health and achieving
equity in health for all people.
a) Global Health
b) Primary Health
c) Secondary Health
d) Local Health
2. Which step in proteomics involves the examination of protein structure and function?
A. Database searching
B. Verification of proteins
C. Extraction of proteins
D. Statistical analysis
4. Which omics discipline is particularly helpful in identifying and mapping metabolic pathways altered in
diseases?
A. Metagenomics
B. Proteomics
C. Metabolomics
D. Genomics
Answer: C) Metabolomics
5. What does the integration of metagenomics, proteomics, and metabolomics within the One Health
framework primarily offer?
7. Which step in proteomics involves analyzing protein interactions within a biological system?
A. Database searching
B. Verification of proteins
C. Extraction of proteins
D. Protein–protein interactions (PPIs) analysis
10. What is the primary benefit of integrating metagenomics, proteomics, and metabolomics?
8. Which organization plays a key role in promoting safe water and sanitation globally?
a) World Health Organization (WHO)
b) International Monetary Fund (IMF)
c) United Nations Educational, Scientific and Cultural Organization (UNESCO)
d) World Trade Organization (WTO)
9. What is a common symptom of dehydration resulting from diarrheal diseases?
a) Hypertension b) Hyperactivity c) Dry skin and mucous membranes d) Increased urination
10. Why is safe water crucial for preventing diarrheal diseases?
a) Water helps in digestion b) Diarrheal pathogens are often waterborne c) Hydration is
essential after diarrhea onset d) None of the above
MCQs
A person is food …………… when they lack regular access to enough safe and nutritious food.
Secure
Insecure
Independent
None of above
Uncertainty regarding ability to obtain food is……………?
Satiety
Hunger
Indigestion
All of above
…………………….. households often struggle to afford an adequate and nutritious diet, leading to food
insecurity.
Low-income
Moderate-income
Higher-income
All of above
Droughts, floods, and unpredictable weather patterns can lead to crop failures and food shortages, all of
which contribute to …………………….?
Food insecurity
Food security
Food Availability
Cheaper food
Which of the following is not the challenge in primary education?
Lack of Resources
Poverty
Availability of educational funds
Language Barriers
Which of the following is not the Short-Term Consequences of food insecurity?
Malnutrition
Impaired Immune Function
Stunted Growth
Growth spurt
Visual representation of the positive changes spreading through the community is………………….?
Ripple Effect
Cycle of Hunger
Vicious Cycle
All of above
o All of these
4. Which of the following is not the effect of temperature increase on vector life cycles
a.Female mosquitoes digest blood faster and their feeding frequency increases
a.Industrialization
b.Deforestation
d.All of these
7. Which of the following is not an adaptive strategy to reduce vector borne diseases
8. Which of the following is not a physical factor that effect emergence of vector borne diseases
a. Vegetation
b. Temperature
c. Humidity
d. Precipitation
a. Theileria
c. Lymphatic filiriasis
a. Aedes agypeti
b. Rhiphicephlaus appendiculatus
c. Hylomma anatolicum
d. Babesia bigimena
SHORT QUESTIONS
Zoonosis
Climate Change
Global travel
Pakistan is the 5th most populous country in the world according to WHO.
Despite having a fairly well developed organizational infrastructure the health indicators are poor and show high
rates of mortality of both communicable and non communicable diseases.
According to WHO, Pakistan is at risk of many outbreaks in the future. Pakistan faces many challenges due its
limited resources and financial constraints. According to recent data, Pakistan spends 4.7% of its total budget on
healthcare which is not enough for its population.
International collaboration
Smallpox
Polio
Rinderpest
Influenza
Measels
Vaccine Hesitancy: Public skepticism or resistance to vaccination can hinder the achievement of herd
immunity and overall effectiveness of vaccination programs.
Emerging Diseases: Rapidly evolving infectious agents may pose challenges in developing vaccines quickly
enough to address emerging threats.
Limited Access and Equity: Disparities in vaccine access between developed and developing regions, as
well as within populations, can exacerbate health inequalities.
Zoonotic Transmission: Understanding and preventing the transmission of diseases between animals and
humans (zoonoses) present ongoing challenges due to the complex interplay of ecosystems.
Cold Chain Requirements: Some vaccines require strict temperature control during storage and
transportation, posing logistical challenges, especially in resource-limited settings.
Antimicrobial Resistance: Overuse or misuse of vaccines, as well as antibiotics in some animal health
contexts, may contribute to the development of antimicrobial resistance.
Vaccine Development Costs: High costs associated with research, development, and clinical trials can
impede the production of vaccines, particularly for diseases affecting marginalized populations.
Additional benefits :
A vaccine is an inactivated form of bacteria or virus that is injected into the body to simulate an actual infection.
Because the injected microorganisms are 'dead,' they don't cause a person to become sick. Instead, vaccines
stimulate an immune response by the body that will fight off that type of illness.
disease prevention
Population stability
Economic sustainability
The use of infectious agents or other harmful biological orbiochemicalsubstances as weapons ofterrorism. OR u
Bioterrorism isthe deliberate release of viruses, bacteria, toxins or other harmful agents to cause illness or death in
people, animals or plants.
Bioterrorism is classified into 3 categories depending on how easily they can be spread and the severity of illness or
death they cause.
Category A: u This category include the agents that are considered the highest risk. u They can be
transmitted from person to person u They have potential for major public health impact. Examples:
anthrax, small pox, tularemia, Ebola.
Category B: u Agents that are considered second highest priority. u They are easy to spread and have low
death rates and can cause moderate illness. u Examples: brucellosis, food safety threats like E.coli,
salmonella sp.
Category C: u Agents that are considered emerging threats for disease. u They are easy to produce and
spread and have high mortality rates and potential to have major health impact in the future. u Examples:
Nipahvirus and hanta virus.
Tularemia or "rabbit fever" : Has a very low fatality rate if treated, but can severely incapacitate. u The
disease is caused by the Francisellatularemia bacterium, and can be contracted through contact with the
fur, inhalation, ingestion of contaminated water or insect bites. u Francisellatularemia is very infectious
Plague: Plague is a disease caused by the Yesinia pestis bacterium. u Rodents are the normal host of
plague. The disease is transmitted to humans by flea bites.
Threat to economy
Environmental contamination
3. Describe the significant outcomes achieved through the One Health approach in Tanzania.
4. What are the key elements of the One Health approach in preventing the spread of zoonotic diseases in
Zambia?
5. Explain the interconnectedness of human, animal, and environmental health as emphasized by One Health.
A field of study, research and practice that places a priority on improving global health and achieving equity in
health for all people
Health Equity:
Emerging Threats:
Resource Allocation:
Humanitarian Considerations:
Global Interconnectedness:
Around 100,000 International flights every day > more spread of diseases
Global health also focuses on health determinants i.e. poverty, climate change etc.
ensure that by 2015, children everywhere— boys and girls alike—will be able to complete a full course of
primary schooling
Educated people can better understand health related information leading to positive health behaviors
Over 90 percent of these deaths could be prevented if women in developing regions had access to
sufficient diets and health services
Lifestyle patterns refer to the habits, behaviors, and daily activities that individuals engage in, influencing their
exposure to various health risks, including vector-borne diseases. Vector-borne diseases are those transmitted to
humans through the bites of infected vectors, such as mosquitoes, ticks, and fleas. Lifestyle patterns can impact
the likelihood of encountering these vectors and, consequently, the risk of contracting vector-borne diseases.
2. Give some examples of vector borne diseases which are caused due to lifestyle patterns.
Malaria: The risk of malaria is influenced by lifestyle patterns such as outdoor activities during peak mosquito
biting times, lack of bed net usage, and inadequate protection measures.
Dengue Fever: Lifestyle factors like the accumulation of standing water in containers around homes, where Aedes
mosquitoes breed, contribute to the spread of dengue fever.
Lyme Disease: Engaging in outdoor activities in areas with high tick populations, such as wooded or grassy areas,
increases the risk of contracting Lyme disease.
3. How climate and environmental factors contribute in occurrence of vector borne diseases?
CLIMATE CHANGE:
range of diseases.
disease transmission.
4. With the help of examples, explain how outdoor activities are involved in vector borne diseases?
People engaging in outdoor activities, such as camping, hiking, or farming are at higher risk of vector exposure and
vector-borne diseases.
EXAMPLES:
Lyme disease, West Nile virus, Rocky mountain spotted fever are linked with camping, hiking, gardening.
Effectiveness of measures like insecticide spraying and community-based interventions, is influenced by public
health infrastructure and government policies.
1. Explain the primary purpose of metagenomics and provide two specific applications in the One
Health context.
Metagenomics is a molecular tool used to study the structure and function of entire nucleotide
sequences isolated and analyzed from all the organisms (typically microbes) in a bulk sample
by a method called sequencing.
Metagenomics is often used to study a specific community of microorganisms, such as those
residing on human skin, in the soil or in a water sample.
Understanding Microbial Communities
Disease Surveillance and Diagnosis
Antibiotic Resistance Monitoring
2. Describe the steps involved in proteomics and elaborate on its applications within the One
Health framework.
These are the steps included in proteomics;
Extraction and separation of proteins.
Identification of proteins.
Verification of proteins.
Then, the final steps include:Database searching, Protein–protein
interactions (PPIs) analysis, and Statistical analysis.
Studying Protein Function in Health and Disease:
Determining the roles of proteins in cellular processes related to health maintenance or disease
development.
Understanding protein pathways and mechanisms.
Identifying Biomarkers for Disease Diagnosis:
Discovery of specific proteins or protein patterns and Developing diagnostic tests for early and
accurate disease detection.
Monitoring Pathogen Proteins in Hosts and Environments:
Enhancing surveillance and understanding of pathogen behavior and evolutio
3. Enumerate and briefly explain at least three analytical techniques commonly used in
metabolomics. Provide an example of how metabolomics contributes to One Health
initiatives.
Common Analytical techniques applied in metabolomics are :
Gas chromatography-mass spectrometry (GC-MS)
liquid chromatography-mass spectrometry (LC-MS)
capillary electrophoresis-mass spectrometry (CE-MS)
Nuclear magnetic resonance (NMR) spectroscopy
4. How do metagenomics, proteomics, and metabolomics intersect within the One Health
framework? Explain their interconnection and provide examples of collaborative studies that
benefit from their integration.
There is an interconnection between metagenomics, proteomics, and metabolomics within the One Health
framework in terms of:
Integration: Combining these omics disciplines provides a holistic understanding of biological systems.
Data Synergy: Together, they offer complementary insights, enhancing the depth and interconnectedness
of analyses.
Collaborative Studies: Merging data from these fields enhances infectious disease research,
environmental health assessments, and personalized medicine initiatives.
Diarrheal disease is a term used to describe a group of gastrointestinal disorders characterized by the frequent and
loose passage of stools. It involves an increased frequency, volume, and fluidity of bowel movements compared to
the normal pattern.
Identify the major Contributor to Diarrheal Diseases?
Contaminated water, poor sanitation, and lack of hygiene are major contributors to diarrheal diseases.
Bacterial, viral, and parasitic infections can result from the consumption of contaminated water or food.
Safe water refers to water that is free from harmful contaminants and meets specific quality standards to ensure it
is suitable for human consumption and use without posing health risks.
2. What is the effect of precipitation on vectors and vector borne borne diseases?
3. What is the effect of industrialization on human and their response to vector borne diseases?
4. What are some strategies that can be used to reduce vector spread and vector borne diseases?