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Cause and effect of tuberculosis
Cause and effect of tuberculosis essay
Treatment for secondary Tuberculosis
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Biology Research Assignment Task:
Infectious disease - Tuberculosis 1(a)
Cause
• Tuberculosis is caused by a virulent strain of mycobacteria, called Mycobacterium tuberculosis
Transmission
• Spread from person to person through microscopic airborne particles of Mycobacterium Tuberculosis, which causes tuberculosis when inhaled into the lungs of another individual. It can also be spread via the contaminated secretions of an infected individual eg. via a cough, sneeze or talking
• Although even if a person does inhale particles of tuberculosis does not necessarily mean that the person will contract Tuberculosis
Host response
• If Mycobacterium tuberculosis does enter the human body, one of three things may happen:
• The initial host response (T-cell mediated response) may result in the immune system effectively fighting and destroying the invaded cells
• However, if the individual is immunosuppressed, the immune response may not be significant and may be unable to clear the disease. In this case, progression to a more severe form of Tuberculosis may occur (progressive primary tuberculosis)
• Tuberculosis is a chronic illness. Latent lesions may remain dormant in the host and become reactivated later in life. Until the dormant lesion becomes reactivated, the individual will show no symptoms and will be unable to transmit the disease to other people.
Major symptoms
• Latent tuberculosis condition causes no symptoms as the bacteria remains in the patients body in an inactive state.
• Active tuberculosis requires treatment in order to prevent the disease from spreading and address the patient’s symptoms. Signs and symptoms for active tuberculosis include:
• Coughing
• Unexpected weight loss
• Fatigue
• Low grade Fever
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... disease meaning it is passed on from child to parent, the gene is passed on through a pattern of inheritance called autosomal recessive inheritance meaning that both parent must pass on their defective form of the gene for the child to be affected. If only one parent passes on the gene to the child then that child will not have the disease but would be a carrier of sickle cell anaemia.
Diagram on how Sickle Cell Anaemia can be passed on:
Treatment:
The treatment for sickle cell anaemia can be divided into four different categories: Preventive measures, Symptom relief, Stimulation of fetal haemoglobin production, and Gene replacement therapy
1.Preventative Measures: Appropriate measure should be taken to reduce blockage in blood vessels caused by sickle shaped blood cells which leading to a reduced amount of oxygen in the body and possible damage to organs.
Paul Farmer was born in Massachusetts in 1959, went to Harvard Medical School, became a doctor, and ended up living and working in Haiti. He co-founded an organization in 1987 called Partners in Health (PIH). The philosophy behind the organization is that everyone, no matter who or where has a right to health care. Paul Farmer and PIH have already made amazing progress in Haiti, Peru, and several other countries, helping people get the care they need. PIH’s website lists a detailed history of they and Farmer’s work in Haiti. When Paul Farmer first came to Cange, Haiti as a medical student in 1983, the place was in shambles. In 1956, a dam was built on the Artibonite River, flooding the village and forcing the residents to move up into the hills. Many of these displaced villagers were still essentially homeless after nearly thirty years, and had little access to quality health care. With the founding of the Zanmi Lasante clinic later in 1983, Farmer and his friend Ophelia Dahl set the people of Cange on the road to recovery by providing access to doctors, medicine, and emergency care, all completely free. (“Partners”) One of Farmer’s focuses was on tuberculosis (TB) and has had much success on this front. Through new studies and methods such as active case finding and community health workers, as well as his work with multidrug-resistant TB, Paul Farmer has revolutionized treatment of tuberculosis in Haiti and around the world.
· genetics: occasionally the disease has a tendency to run in certain families (inherited or genetic predisposition), but this is not common.
Signs and Symptoms of Active Tuberculosis Mycobacterium tuberculosis (MT) is a slender, rod-shaped, aerobic bacillus which causes tuberculosis. Tuberculosis (TB) is an airborn infection which is transmitted via inhaling droplet nuclei circulating in the air. These droplets are expelled from the respiratory secretion of people who have active TB through coughing, sneezing, and talking (Porth, 2011). Some bacilli stay in the upper airway and are swept out by mucus-secreting goblet cells and cilia on the surface of the airway.
What is Sickle cell disease? Sickle cell affects a disease; that disease is called which affects the hemoglobin when the red blood cells that send oxygen through the body are killed off and weakened. Sickle cells can be found in every 1 and 1000 African Americans, it is affecting about 70,000 to 80,000 Americans in the United States. Sickle cell is a death threatening disease, and the severity of symptoms can vary from person to person (Sickle cell disease (SCD), 2015). Some people have light conditions, but others can have severe conditions, which, mean they could be hospitalized. Characteristics of this disease are caused by a minimum of low blood cells, which is called anemia.
Sickle cell anemia is a disease that has to be inherited from both parents. Both parents have sickle cell trait, which means each parent has sickle hemoglobin and normal hemoglobin. So people with the sickle cell trait can pass the sickle cell gene to their children. Most families that come from Africa, South Central, and Central America are more common with sickle cell anemia. According to National Heart, Lung and Blood, it’s estimated that the sickle cell disease has affected 70,000-100,000 people mainly African Americans (National Institute of Health, 2012). Hispanic Americans also are common to having sickle cell anemia. According to National heart, Lung, and Blood Institute, statistics shows sickle cell anemia occurs in about 1 out of every 500 African American births and 1 out of 36,000 Hispanic American births (National Institute of Health, 2012). Signs of sickle cell anemia don’t show until after 4 months of age. Sickle cell anemia begins from ...
One of the first steps to treating Tuberculosis is identifying which form has developed in the body. The two forms that could progress in the body are latent Tuberculosis infection and active Tuberculosis infection (CDC, Morbidity and Mortality Weekly Reports). Latent Tuberculosis is the dormant form of the bacteria, meaning that it is inactive and doesn?t cause an infectious reaction in the body. Even if the latent form enters the body, treatment should be sought (CDC, Morbidity and Mortality Weekly Reports). Latent Tuberculosis can become active Tuberculosis easily though, especially if the immune system is compromised by another infection, like HIV (CDC, Morbidity and Mortality Weekly Reports). Active Tuberculosis infects the body immediately. Symptoms show in the body meaning the bacteria is effecting the cells of the body. Identifying the form is important because treatment is dependent upon it. Testing for TB involves a skin test, usually within seven work-days of contact with the bacteria. Without knowing what is in the body, the drugs won?t be as effective and might even cause drug-resistance.
breathe the same air can become infected with the TB germ. People who do work
Sickle cell anemia is a hereditary disorder that mostly affects people of African ancestry, but also occurs in other ethnic groups, including people who are of Mediterranean and Middle Eastern descent. More than 70,000 Americans have sickle cell anemia. And about 2 million Americans - and one in 12 African Americans - have sickle cell trait (this means they carry one gene for the disease, but do not have the disease itself).
Tuberculosis is transmitted from person to person through airborne droplets, when a person that is infected with TB coughs, sneezes, talks, and/or sings letting tiny droplet to be released into the air(Bare, Smeltzer, Hinkle, and Cheever, 2008). TB cannot be spread through touching inanimate objects, food, or drinks (Bare et al. 2008). The person must be in the same area an affected individual is in and inspirate the droplets to be affected. Once the bacillus is inspired into the lungs, the bacilli start to multiply causing lung inflammation also known as nonspecific pneumontis (Huether et al. 2008). To cause an immune response the bacilli will travel through lymphatic system and become lodged in the lymph nodes (Huether et al. 2008). Lung inflammation causes the activation of the alveolar macrophages and neutrophils (Huether et al. 2008). Granulomas, new tissue masses of live and dead bacilli, are surrounded by macrophages, which form a protective wall. They then transform into a fibrous tissue mass, the central portion is called a ghon tubercle (Bare et al. 2008). The bacterial then necrotic, forming a cheesy mass, this mass may become calcified and form a collagenous scar (Bare et al. 2008). At this point, the bacteria becomes dormant and there is no further progression of the active disease. The disease can become active again by re-infection or activation of the dormant bacteria (Bare et al. 2008).
When a cell in our body has become infected or has become cancerous it’s surface changes. This is how the immune system can tell good cells from bad ones (the markings on the surface.) Once a bad cell has been recognized our bodies sends cells to destroy the damaged cell and prevent the spread of whatever caused the damage in the first place. The next step our body takes is to have the affected cells start to produce interferons and other helpful substances. These help to fight off unwanted organisms, and also to warn other cells of the invaders and prepare them to resist them therefore preventing the spread of disease.
Tuberculosis is an air-borne disease, hence, it can be passed from an infected person to a healthy individual through coughing, sneezing and other salivary secretions. Tuberculosis is caused by the transfer of Mycobacteriun Tuberculosis (M. Tuberculosis) also known as Tubercle Bacillus, a small particle of 1-5 microns in diameter, due to the small size, when an infected person sneezes or coughs, about 3,000 particles are expelled. M. Tuberculosis responsible for tuberculosis is able to stay in the air for a long period of time (about 6hoursAnother way of acquiring Tuberculosis is by drinking unpasteurized milk, milk straight from cow, although this is not a common mode of transmission, it can be found in rural areas. Ingestion of contaminated cow milk transmits Mycobacterium Bovis, the animal form which is still potent enough to cause tuberculosis in humans. ). Tuberculosis transmission is affected by exposure, socioeconomic status of person, proximity, immune status of uninfected individual (%&&%&? CDC).
Tuberculosis is transmitted by inhalation of aerosols containing the tubercle bacilli. The required inoculum size for infection is usually high, but easily occurs with exposure to a patient who is currently infected. The products of dried aerosols, droplet nuclei, are particularly infectious because they remain in the air for an extended time, and upon inhalation easily move to the alveoli. The severe damage related to infection is caused by the reaction of the host. The tuberculosis infection has two phases, primary and secondary.
Adaptive immune system happens much quicker to the presence of an “infection creating potent mechanisms for neutralizing or eliminating the microbes. There are two types of adaptive immune responses: humeral immunity, mediated by antibodies produced by B lymphocytes, and cell-mediated immunity, mediated by T lymphocytes.”
There are several ways to prevent tuberculosis. One is to control existing infections from those infected including people, pets, and cows. Unfortunately, more than 1/3 of the population has tuberculosis, making it hard to contain every case of tuberculosis. The BCG vaccine exists, but it is not very useful in countries like the US. The body’s defenses against tuberculosis are effective but fail once the immune system becomes suppressed. Antibiotics can be used to help prevent tuberculosis, but tuberculosis quickly grows resistant to antibiotics. Much needed research is being done to find a way to fight off and prevent tuberculosis.
Researchers have also identified a list of other factors associated with TB transmission such as environmental, organism and host factors, but these unfortunately, are outside the scope of the present paper. 16