Diseases

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Researched by Romessa A.
2005-06


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Research Summary


Disease: The Basics
A disease is a sickness of the mind or body. It could be serious or something as minor as a common cold. Diseases can strike at almost any body part. Sometimes disease can even cause death or disability. Diseases can affect all types of life, even plants and one-cell organisms. When humans get ill it can be sudden and can cause long-term disabilities. During your life there is nearly a 100% guarantee that you will get ill with some communicable disease caused by bacteria, fungi or a virus.  Older people are more susceptible to diseases.

Bacteria 
Bacteria are microscopic one-celled organisms. There are an enormous number of bacteria on the earth. For example, soil contains a lot of bacteria. Most bacteria do not cause diseases, but many do and a few are extremely dangerous. Bacteria live almost everywhere, including in our mouth, skin and intestines. Resident bacteria protect our body by either crowding out or killing disease causing bacteria.

Fungi and Protozoan 
A fungus is a tiny type of plant related to yeast and mushrooms.  Some types of fungus can enter your body and cause damage. Different types of fungus range dramatically in the diseases that they cause. One disease that is caused by fungi is meningitis (mehn ihn JY tihs). This deadly disease affects the membranes surrounding the brain.
Protozoans are one-celled organisms. They can live in the body and cause damage.  One type of protozoan is the amoeba  which can cause diarrhea.  Another, plasmodia (plaz MOH dee uh), is the protozoan that causes malaria, an epidemic disease. Pathogens cannot make food for themselves so they have to break down our body tissue to eat, or eat our digested food.

Viruses
A virus is so tiny that scientists need an electron microscope to see it. The only way viruses can multiply is by taking over a living cell. When the virus multiplies, it kills the cell. Some common viral diseases are the flu and colds. Others are chicken pox, measles, mumps, hepatitis, polio, and rabies. AIDS is a disease where the virus multiplies in certain cells in our immune system and weakens the body’s defense system. The most common disease that is caused by a virus is the flu.

Flu

Overview 
There are many different viruses, and types of flu. The flu is a respiratory infection meaning that the virus enters the lungs or targets the lungs. Another name for the flu is influenza. People say that when flu spreads it “knocks you off your feet.” The flu and common cold are different from each other in several ways. 1.The flu is a respiratory infection, the common cold is not. 2.The flu is caused by a different virus than the common cold. 3.The flu causes a fever and a cold rarely does. 4. The flu causes headaches most of the time, but a cold rarely causes headaches. 5. The flu causes exhaustion or tiredness but the cold can cause tiredness, but rarely does. The C.D.C. (Centers for Disease Control and Prevention) estimates 10-30% of all Americans get the flu every flu season, from about November through March. Children have three times grater chance to get the flu than adults. Why? When one kid gets infected and goes to school, chances are that other kids are going to get infected. That may cause a mini epidemic. C.D.C. estimates that over 100,000 people are hospitalized every year from the flu and 32,000 die every year from the flu.

Transmission 
You can get flu by a cough, sneeze, or by touching a surface that has the virus on it. Viruses can pass through air so as you breathe in from your mouth or nose you can breathe in the flu virus. If you touch a contaminated surface with your hand and put your hand in your mouth or nose, you get the viruses. You are also at risk if you live in crowded living environments or go to a crowded school.

Flu Complications
You can get the flu complications if you also get a bacterial infection at the same time. That can cause pneumonia in your weak lungs. Sometimes when you feel a little better, suddenly you get the flu complications. The complications may include high fever, chills, chest pain with each breath and coughing that produces thick mucus. Pneumonia can be serious and sometimes life threatening.

Flu complications in children and teens
Reye’s syndrome is a condition that affects the nerves. Sometimes it develops in children and teens recovering from the flu. It starts out with vomiting and nausea then starts mental changes such as delirium and confusion which are the greatest concerns. It usually happens to kids who are taking aspirin to help them get better. Some other complications include: convulsions caused by fever, croup, and ear infection, like otitis media. Newborns have a 50-50% chance of getting the flu complications.

Symptoms
You will experience flu symptoms 1-4 days after you get infected. You can also spread the virus to others before you start to see the symptoms as well as 3-4 days after the symptoms appear. Sometimes you will see the symptoms early in your sickness. The symptoms usually include body aches, chills, dry cough, fever, headaches, sore throat and a stuffy nose. Most of the time, the fever goes away after the 2nd or 3rd day. The flu rarely causes problems in the intestines and stomach.

Importance
   
The flu is an important sickness because it can cause serious complications. Most people get well again in a week, but may still have a cough. For people that have certain chronic diseases, elderly and the newborns the flu complications can be life threatening.

Treatments  
You can help yourself to recover from the Flu by: 1. Getting lots of rest. 2. Drinking a lot of fluids (like water). 3. Taking medicine such as Tylenol. DO NOT give aspirin to children and teenagers if they have the flu. Also DO NOT give antibiotics to cure the flu! Antibiotics do not work on viruses. Antibiotics work on some of the infections caused by bacteria.

Medicine 
People sometimes take a medication to keep them from getting the flu. Here are the four common vaccinations.
·  Tamiflu (oseltamivir) can be taken children (1 and over) or by adults. This medicine treats types A and B.
·  Relenza (zanamivir) can be taken by adults and children (7 and older) if they have an uncompleted infection of the flu and have had symptoms no more that 2 days. This medicine treats types A and B.
·  Flumadine (rimantadine) can be taken by adults and it treats type A only.
·  Symmetrel (amantadine) can be taken by adults and children 1 and over. It prevents type A. Symmetrel causes more side effects like lightheadedness and inability to sleep more than Flumadine.
For these medication to work well you must take them within 2 days of your sickness. 
Side Effects  The most common side effect people have is aching pain in the site where you got your shot. Other side effects are fever, tiredness and sore muscles. The side effects start about 12 hours after you get your shot and lasts about 2 days.
The virus needed for the vaccine is grown in chicken eggs. Thus the vaccine then carries protein. Then they use a chemical to make it non Infectious.
Diagnosis Most of the time H.C.P. (Health Care Providers) diagnose the flu based on symptoms shown by patients or if there is a community epidemic. H.C.P. rarely use laboratory test to identify a flu virus. Although Health Officials monitor health clinics around the U.S. and do laboratory tests to find out which flu caused that epidemic.
 
Prevention 
The top way to protect you against the flu is to get a vaccine yearly. You can get the vaccine at your local clinic or at your doctors. In some communities you can get them at drug stores, super markets, and work places. You have to get the flu vaccine every year because every year the flu virus changes.

Vaccine Recommendations  
The following groups should get the flu vaccine: People who are 50 years or older; those with a chronic disease of the kidneys, lungs or heart, or diabetes; people with an immune system that is not working properly; those with a severe form of anemia; women that are more than 3 month pregnant; those who live in a nursing home or are in contact with children 0-23 months. The C.D.C. (Centers for Disease Control and Prevention) suggests a child 6-23 months should get the vaccine. Also children and teens ages 2-18 years old taking aspirin should get the vaccine because they may be at risk for getting Reye’s Syndrome followed by the flu. If you live with anyone listed above.
Outbreaks The flu usually affects people in late fall and winter. If the flu goes through a community and affects a lot of people that is called an epidemic. The flu affects a lot of people in the first 3 weeks and goes away after another 3-4 weeks. Half the population of a community may be infected and sometimes more. This is often because of schools. If one kid gets infected and goes to school,chances are that someone else will get infected.
Flu outbreaks since 1918 If the flu is new or returning after a very long time, it can spread person- person and easily spread fast around the world, causing serious sickness and killing millions in it’s way. That would be called flu pandemic.
In 1918 the Spanish Flu was the worst flu pandemic in all history. More than 20 million people died worldwide. More than 500,000 people died in the United States alone. This virus killed fast and easily.
In 1957 and1968 the Asian flu and the Hong Kong Flu took over the United States. Lots of people died … thousand! But that did not top the Spanish Flu.
In 1976 the United States had a swine flu scare. A new virus was discovered at Fort Dix, New Jersey. They called it “The Killer Flu”. The researchers thought that the whole world might get infected, but it never did leave the Fort Dix area. Researchers who have studied this virus estimated if it would have spread it would have been a lot less deadly that the Spanish flu.
In 1997 a new flu virus infected 18 people. Six died shortly after being infected. Most viruses first infect chickens then move to pigs, and finally to humans. But this flu infected chickens and then to humans. That bird flu did not become a pandemic because it did not spread easily. Also public health authorities slaughtered all living chickens in Hong Kong. 
In 2003 a flu labeled H5N1 caused 2 Hong Kong people hospitalized and 1 killed, which was a 33-year-old man killed after his visit to China. Netherlands, Canada and Egypt have had several strains of the flu that has caused many illnesses. 
In January 21, 2005 flu H5N1 caused 52 people in Vietnam and Thailand became ill and 37 died. Researchers are worried because this flu is transmitted by bids and is starting to become epidemic in India and it is very, very deadly.
Research Epidemics have occurred in communities, but there has not been a pandemic since 1968. Scientists are very worried that a new flu strain will appear in this century and will cause a pandemic so bad that they will not know how to cure it. That is why institutes and health departments are tracking flu outbreaks in the human world and animal world too. For example, NIAD (National Institute of Allergy and Infectious Diseases) supports research to find out how to treat the flu, develop better vaccines, and find out how viruses work. 

Infectious vs. Noninfectious
The top five ways diseases spread are: 1. People, 2. Animals, 3. Water, 4. Food and 5. Nonliving sources. The bacteria, virus or fungus that gets in the human body and makes you sick can enter through your mouth, nose, ear, eye or any cut or wound. That is why we cover our cuts with band-aids! Then after entering our bodies the bacteria or fungi start to multiply (one bacterium divides into two. Then those two grow and divide into four … and so on). Viruses on the other hand go and attack our cells and use our cell’s DNA to multiply.

People spread diseases directly, person-to-person. For example, if I sneeze and you are in front of me and if you breathe in my contaminated air you just got my germs…. DIRECTLY!!!!!!! “Communicable” is another word meaning diseases that spread person-to-person. Some other communicable diseases are: AIDS, colds, hepatitis, pneumonia, sore throat and tuberculosis… they mostly spread by the human hand. Colds even usually spread by hands and then the virus or bacteria or fungi enters the body through the mouth, nose or the human eye, if we rub our eyes, pick our nose or touch our mouth. They also can spread by coughs or sneezes.

The second major disease spreaders are animals, including our cats and dogs! Some of the tiniest insects can cause and spread diseases. Some very small insects cause very, very, serious and life-threatening diseases or conditions. The animals that cause diseases range from tiny insects, to deer and even bigger animals! Blood sucking animals like mosquitoes and fleas are the most dangerous. Mosquitoes can carry malaria, yellow fever and things like that. Fleas though carry diseases like plaque… and when plaque becomes epidemic or a pandemic it kills millions in its way. Ticks (insects that are related to spiders) spread Lymes disease and Rocky Mountain Spotted Fever and much more. Birds or mammals both can carry rabies. So can bats, cats, raccoons, dogs, skunks and more. Just one bite and you can get infected right away.  Psittacosis (siht uh KOH sihs) that is a bird disease, but humans can get it too.

The third way diseases spread is by water. In most poor countries water is dirty, and that is the #1 cause of diseases. Also in poor countries they lack a way to treat sewage from toilets and purification of water. So that means in poor countries waste enters into their drinking water, then bacteria, worms, pathogens and protozoans enter your body and cause diarrhea and more intestinal disorders. Sometimes even in developed countries (like the U.S.) sewage unexpectedly enters the drinking water.

The fourth way disease spreads is by food. Bacteria called E coli (EE KOH uh), campy lobactor, (kam puh loh BAK tur) and salmonella (sal muh NEHL uh) all multiply in chicken, beef and mayonnaise. These pathogens cause vomiting, diarrhea and intestinal problems.

The last way diseases spread is by nonliving sources. Nonliving sources spreads diseases less than people, animals, food and water. Some pathogens live so long that they can pass person-to-person. Then they live on things like kitchen sponges and dish clothes. Those things contain a huge, huge amount of pathogens. F.D.A. Food and Drug Administration recommend that you replace kitchen sponges and dish clothes regularly. 

Communicable The main causes of communicable diseases are: Bacteria, 2, Viruses 3. Fungi and 4. Rickettsiae. These are found worldwide. Bacteria, viruses, fungi and Rickettsiae have been on earth for more than 395,000,000 years. There is evidence in fossils and rock formations that prove even Ancient Egyptians had many of the diseases that come from bacteria, viruses, fungi and Rickettsiae.
Bacteria Bacteria are very small, one cell organisms. They are found worldwide. If we did not have bacteria there will be no life on earth. Most bacteria are not harmful. Many bacteria are needed for plant growth. One disease that is caused by bacteria is impetigo that is a contagious skin disease. When you eat cheese you are actually eating a lot of bacteria, but the bacteria in cheese is good bacteria. Bacteria are active if the temperature ranges 32 F-160 F. If the environment is right, bacteria can multiply every 15 minutes. Good bacteria live in our mouth, organs and on our skin. Most bacteria do not harm our body, and our body control their growth.
Viruses  Viruses are so small that if you want to look at one you will need an electron microscope to see it. Viruses multiply by multiplying on living cells. Viruses causes rang from eye inflammation to Polio even Rubella (German measles)
Rickettsiae  This cause of disease in not often found in the United States. It is as small as bacteria and can cause Rocky Mountain spotted fever, Q fever and typhus. Sometimes it is life threatening. Those diseases are spread by insects as well.
Fungi  Fungi is found worldwide. Fungi and most bacteria need oxygen. Fungi very in size and complexity like from one-cell organisms to puffballs. Sometimes a fungus is varying helpful to humans, but other times it is not.
Non infectious  Non infectious are an extremely broad group of illnesses that is not caused by pathogens. Some important categories of infectious diseases are 1. Inherited diseases, 2.cancer, 3. Metabolic diseases, 4.disorder of the immune system, 5. Environmental and occupational diseases. 6. Diseases associated with aging.
Inherited diseases Inherited diseases are the diseases that are past down from our parents. Sickle hemoglobin is an inherited blood disease. If both parents have a disease in their genes the child of the parents will likely get the disease. Some diseases are not inherited but are so common that they run in families like heart disease and high blood pressure.
Cancer People fear cancer a lot. This disease is common everywhere in the world. What happens in cancer is the cells in your body multiply without control. Any cancerous cell can cause cancer. Cancer as well kills it by invading your tissue. Also the cell that caused the cancer can more to distant parts of your body and start the same cancer, but in a different part of the body. If not cured, cancer can be fatal. Cancer can develop either by radiation, viruses, or environmental causes.
Metabolic diseases  Metabolic diseases make problems in our metabolism (the system in our body that maintains our body). Our metabolism nourishes and maintains it self. The biggest metabolism in our body is our body is our liver! Our metabolism controls the energy needed to grow, the storage our body, maintain our skin and repair our skin. Metabolic diseases usually start by poor nutrition to endocrine disorder.
Disorders of the immune system  Tissue and cells make our immune system. Our immune system protects our body against infections and diseases. New born immune systems are very weak. Immune systems respond to environmental substances such as food, dust, animals, mold and pollens by causing allergies. The most common reactions are runny noses, itchy eyes and getting tired easily. One kind of immune disorder is autoimmune disease which is very common. What happens is your immune systems attacks its own tissue as if it was an invader. Another disease is systemic lumpus erythem atosus and (sihs TEHM ihk LOO puhs ehr uh TOH sihs) also known as SLE. The disease causes attacks on the heart, lungs, skin, nerves, kidneys and more!
Environmental and Occupational Some diseases come from the side out like the air or water. One disease that is caused by air pollution is Asthma. Noise is another good example. If you listen to loud noise too much you will get hearing loss. In addition to that you could also get a stress illness. Smokers inhale chemicals that can cause cancer, heart disease, and cause non smokers to inhale the cigarette smoke causing them to have a risk of getting heart disease and cancer. Smokers make the choice to subject them selves to these hazards.
Diseases Associated with aging There is no avoiding disease when you get older. Some diseases can cause you to get a disability. Atherosclerosis (ath ur oh skluh ROH sihs) that is when some fat blocks the arteries to the heart causing a stroke or heat attack. If you are a part of a American family probably your grandparent gets more diseases or sicknesses than you? That is caused because they are older than you and more vulnerable.
Smoking People usually start smoking mostly because they see other people doing it and think they have to. Some people think it relives stress and calms them down. The chemicals in a cigarette are very addicting. Kids look up to celebrities and if celebrities start smoking in a movie or on tv kids might also start smoking. Cigarette manufacturers targettheir advertising to children and teens. For example Joe Camel is a cartoon character that does cool stuff and always smokes. Teens spend 1.23 billion dollars a year on cigarettes, also one thousand African Americans die every week from smoking. Seventy percent of all teens prefer to date non smokers. Smoking gives you bad breath, but some say if you brush your teeth the stink goes away. Smoking also gives you wrinkles. Two thirds of all smokers get addicted by age 16, also a thousand die a day from smoking. Smoking is as addictive as heroin and nicotine and other hard core drugs. Tobacco kills more people than the alcohol, cocaine, heroin, homicide, suicide, fires, car-accidents and AIDS combined!
Prevention  The one big thing you can do to stop many diseases is to prevent them. Try not to do stuff that might harm your body or just not do things that might cause bacteria, fungi or viruses to enter the body, and make you sick. Governments, medical professionals such as a surgeon or doctor and people themselves are what we rely on to prevent disease.
Governments The top agency that people rely on for health concerns is WHO (World Health Organization). WHO helps especially in undeveloped countries, such as people in Africa. The second bet is CDC (Centre for Disease Control) and Prevention). They track epidemics and pandemics around the world and keep data  for history. They also set guidelines for treatment and prevention. In developed countries people need less help. But for citizens and the poor in the United States do need help. In developed countries we expect food, clean water, medicine and control of animals so fewer diseases will spread. In undeveloped countries they do not take very good care of the animals, environmental pollution and all the problems we take for granted.
Individuals If you keep your self-healthy the less everyone else is in risk of getting sick.  The most important thing you can do everyday to prevent sickness is to wash your hands. Other good things you could do to prevent disease is to avoidm stress, rest, have a good diet and exercise. Some personal safety things that can prevent disabilities and disease are wearing your seat belt and wear your helmet. Also know the danger of drugs.
Medical professionals  People like doctors provide medical attention. Immunizations like shots help prevent diseases or sicknesses. Checkups help to find a problem in its early stages.
Research  The reason we research diseases is understand the sicknesses so we can find out how to cure and prevent it. Also how it is transmitted. For example,  if we did now research on AIDS, we would not know how the disease is transmitted, and how to prevent it, Research is mostly is done in the laboratory.
Fighting Diseases  Scientists have learned a lot in recent years about the human body and how it fights and defends itself from bacteria, viruses and funguses. The human body has natural barriers and the immune system to defeat pathogens and other disease causing germs. Medicine also helps the human body when fighting germs and pathogens.
Natural Barriers  Our natural barriers can be chemical or physical.  Their job is to stop pathogens from entering our body. For example, when a foreign object enters our eyes we cry, because our tears have protein in them, and protein kills pathogens. That is what I mean by chemical and natural barriers. The best physical barrier we have is our undamaged and unbroken skin, because how can pathogens enter our body through our skin when it is unbroken! Other natural barriers are our mucus membranes in the nose. When pathogens enter the nose, the membranes release mucus. Then the pathogen gets stuck in the mucus, and dries up and gets pushed out of our nose. We also have mucus membrane surrounding our breathing tube called our bronchi (BBRONG Ky) that protects our lungs. Bronchi cells have cilia (SIHL ee uh) that moves the mucus-trapped pathogen out of the bronchi, up the windpipe and out the mouth. Usually we swallow it and then our stomach juices destroy it. Good bacteria live on our skin, mouth and intestines. Some barriers though kill certain pathogens.
Medical Treatment Ever since Ancient Egyptians roamed the earth we have tried medical treatments of all kinds. They knew a little, but had no exact knowledge. Over the centuries our knowledge of medical treatments has increased a lot. Now we have manydifferent ways for treatments. What doctors first do is try to identify the sickness from your complaints. Next, your doctor would probably run some tests to see if you really have the sickness that your doctor thinks you have.
Medicine  We as human beings use medicine as a cure for almost every sickness we have. Medicine can be in many different forms, such as pills, liquids, and injections.
Basics  Since the beginning of time people have tried and succeeded at curing diseases… even animals. Different methods that humans have tried are praying to gods, minerals, plants, animals and plant remedies for cures. In some countries medical treatment is way too expensive. Commonly used medicine varies a lot. Exercising and having a healthy diet are mostly how people today prevent disease. If you have a sickness first what will happen is that you will notice signs and symptoms. Next, is the diagnosis. Finally, there is the treatment of the disease or sickness.
Instinctive Medicine knowledge is found in people as well as animals. When an animal is ill, its instincts will naturally make the animal vomit, eat or drink certain things or lie down. In West Africa gorillas eat several plants that protects the animal from joint pain, intestinal worms and more! 
Chemical Today we mostly use drugs and surgery to cure the more serious diseases like cancer. Drugs work really well. The first kinds of drugs were made out of either plants or animals. In 1785 William Withering wrote “an account for Foxglove” meaning how to use thu=isplant to cure dropsy. He was a famous physician. What his drug would do is that the fluid would gather, in the tissue around the heart. This drug was usually used to solve heart circulation problems. Withering’s drug worked, but if you took too much it could be harmful or fatal. The first scientific drug is still used today. The important chemicals that are used to make Foxglove are digitalis. We still use the Foxglove today.
Surgical  Ever since 3994 BC people have been trying to repair and remove the diseased parts, slicing-and-cutting the human body. The tools that were used in the past are not used anymore, but the old equipment has inspired new tools and equipment today. Guillotine was an old-fashioned tonsil remover. It would take the swollen tonsil out by: taking two small blades and poke in to your tonsil. Then, the two blades would cut the tonsil out. They stopped using it because it was unsafe. Tonsillectomy is not always the best treatment. Most people heal all by themselves.
Systems  Some cultures do not use technology, and chemical medicine such as Tylenol. They use the spiritual way. In central Africa, Congo, there is a tribe named Yombe. They have a ceremony where there is a statue. Then, they hammer-in nails in certain body parts on the statue. That means that certain place is where the disease struck.
Diagnostic In the western side of the United States even if you have a cold you go to the doctor. A Stethoscope helps when maybe you suspect there is a problem with your heart, or you want to make sure that your heart is fine.
Science The only way that we make medicine is by technology. Technology has also made it possible for us to have machines for different treatments and diagnosis for the conditions. Electrocardiograph (ECG) monitors your heart. Why? Well, then your doctor can see if you are in risk of a heart attack. Even athletes get checked. To make sure how their heart reacts to physical activities and stress.
Future
In developed countries there is a great amount of money, but some places such, as parts of the Philippines have not that much money. So diseases are part of everyday routines. They probably do not have that much medicine. There are more medications nowadays for all the different conditions you may have.
Research Summary

Disease: The Basics
A disease is a sickness of the mind or body. It could be serious or something as minor as a common cold. Diseases can strike at almost any body part. Sometimes disease can even cause death or disability. Diseases can affect all types of life, even plants and one-cell organisms. When humans get ill it can be sudden and can cause long-term disabilities. During your life there is nearly a 100% guarantee that you will get ill with some communicable disease caused by bacteria, fungi or a virus.  Older people are more susceptible to diseases.

Bacteria Bacteria are microscopic one-celled organisms. There are an enormous number of bacteria on the earth. For example, soil contains a lot of bacteria. Most bacteria do not cause diseases, but many do and a few are extremely dangerous. Bacteria live almost everywhere, including in our mouth, skin and intestines. Resident bacteria protect our body by either crowding out or killing disease causing bacteria.
Fungi and Protozoan A fungus is a tiny type of plant related to yeast and mushrooms.  Some types of fungus can enter your body and cause damage. Different types of fungus range dramatically in the diseases that they cause. One disease that is caused by fungi is meningitis (mehn ihn JY tihs). This deadly disease affects the membranes surrounding the brain.
Protozoans are one-celled organisms. They can live in the body and cause damage.  One type of protozoan is the amoeba  which can cause diarrhea.  Another, plasmodia (plaz MOH dee uh), is the protozoan that causes malaria, an epidemic disease. Pathogens cannot make food for themselves so they have to break down our body tissue to eat, or eat our digested food.
Viruses A virus is so tiny that scientists need an electron microscope to see it. The only way viruses can multiply is by taking over a living cell. When the virus multiplies, it kills the cell. Some common viral diseases are the flu and colds. Others are chicken pox, measles, mumps, hepatitis, polio, and rabies. AIDS is a disease where the virus multiplies in certain cells in our immune system and weakens the body’s defense system. The most common disease that is caused by a virus is the flu.
Flu
Overview There are many different viruses, and types of flu. The flu is a respiratory infection meaning that the virus enters the lungs or targets the lungs. Another name for the flu is influenza. People say that when flu spreads it “knocks you off your feet.” The flu and common cold are different from each other in several ways. 1.The flu is a respiratory infection, the common cold is not. 2.The flu is caused by a different virus than the common cold. 3.The flu causes a fever and a cold rarely does. 4. The flu causes headaches most of the time, but a cold rarely causes headaches. 5. The flu causes exhaustion or tiredness but the cold can cause tiredness, but rarely does. The C.D.C. (Centers for Disease Control and Prevention) estimates 10-30% of all Americans get the flu every flu season, from about November through March. Children have three times grater chance to get the flu than adults. Why? When one kid gets infected and goes to school, chances are that other kids are going to get infected. That may cause a mini epidemic. C.D.C. estimates that over 100,000 people are hospitalized every year from the flu and 32,000 die every year from the flu.
Transmission  You can get flu by a cough, sneeze, or by touching a surface that has the virus on it. Viruses can pass through air so as you breathe in from your mouth or nose you can breathe in the flu virus. If you touch a contaminated surface with your hand and put your hand in your mouth or nose, you get the viruses. You are also at risk if you live in crowded living environments or go to a crowded school.
Flu Complications  You can get the flu complications if you also get a bacterial infection at the same time. That can cause pneumonia in your weak lungs. Sometimes when you feel a little better, suddenly you get the flu complications. The complications may include high fever, chills, chest pain with each breath and coughing that produces thick mucus. Pneumonia can be serious and sometimes life threatening.
Flu complications in children and teens Reye’s syndrome is a condition that affects the nerves. Sometimes it develops in children and teens recovering from the flu. It starts out with vomiting and nausea then starts mental changes such as delirium and confusion which are the greatest concerns. It usually happens to kids who are taking aspirin to help them get better. Some other complications include: convulsions caused by fever, croup, and ear infection, like otitis media. Newborns have a 50-50% chance of getting the flu complications.
Symptoms  You will experience flu symptoms 1-4 days after you get infected. You can also spread the virus to others before you start to see the symptoms as well as 3-4 days after the symptoms appear. Sometimes you will see the symptoms early in your sickness. The symptoms usually include body aches, chills, dry cough, fever, headaches, sore throat and a stuffy nose. Most of the time, the fever goes away after the 2nd or 3rd day. The flu rarely causes problems in the intestines and stomach.
Importance The flu is an important sickness because it can cause serious complications. Most people get well again in a week, but may still have a cough. For people that have certain chronic diseases, elderly and the newborns the flu complications can be life threatening.
Treatments You can help yourself to recover from the Flu by: 1. Getting lots of rest. 2. Drinking a lot of fluids (like water). 3. Taking medicine such as Tylenol. DO NOT give aspirin to children and teenagers if they have the flu. Also DO NOT give antibiotics to cure the flu! Antibiotics do not work on viruses. Antibiotics work on some of the infections caused by bacteria. 
Medicine  People sometimes take a medication to keep them from getting the flu. Here are the four common vaccinations.
·  Tamiflu (oseltamivir) can be taken children (1 and over) or by adults. This medicine treats types A and B.
·  Relenza (zanamivir) can be taken by adults and children (7 and older) if they have an uncompleted infection of the flu and have had symptoms no more that 2 days. This medicine treats types A and B.
·  Flumadine (rimantadine) can be taken by adults and it treats type A only.
·  Symmetrel (amantadine) can be taken by adults and children 1 and over. It prevents type A. Symmetrel causes more side effects like lightheadedness and inability to sleep more than Flumadine.
For these medication to work well you must take them within 2 days of your sickness. 
Side Effects  The most common side effect people have is aching pain in the site where you got your shot. Other side effects are fever, tiredness and sore muscles. The side effects start about 12 hours after you get your shot and lasts about 2 days.
The virus needed for the vaccine is grown in chicken eggs. Thus the vaccine then carries protein. Then they use a chemical to make it non Infectious.
Diagnosis Most of the time H.C.P. (Health Care Providers) diagnose the flu based on symptoms shown by patients or if there is a community epidemic. H.C.P. rarely use laboratory test to identify a flu virus. Although Health Officials monitor health clinics around the U.S. and do laboratory tests to find out which flu caused that epidemic.
Prevention  The top way to protect you against the flu is to get a vaccine yearly. You can get the vaccine at your local clinic or at your doctors. In some communities you can get them at drug stores, super markets, and work places. You have to get the flu vaccine every year because every year the flu virus changes. 
Vaccine Recommendations The following groups should get the flu vaccine: People who are 50 years or older; those with a chronic disease of the kidneys, lungs or heart, or diabetes; people with an immune system that is not working properly; those with a severe form of anemia; women that are more than 3 month pregnant; those who live in a nursing home or are in contact with children 0-23 months. The C.D.C. (Centers for Disease Control and Prevention) suggests a child 6-23 months should get the vaccine. Also children and teens ages 2-18 years old taking aspirin should get the vaccine because they may be at risk for getting Reye’s Syndrome followed by the flu. If you live with anyone listed above.
Outbreaks The flu usually affects people in late fall and winter. If the flu goes through a community and affects a lot of people that is called an epidemic. The flu affects a lot of people in the first 3 weeks and goes away after another 3-4 weeks. Half the population of a community may be infected and sometimes more. This is often because of schools. If one kid gets infected and goes to school,chances are that someone else will get infected.
Flu outbreaks since 1918 If the flu is new or returning after a very long time, it can spread person- person and easily spread fast around the world, causing serious sickness and killing millions in it’s way. That would be called flu pandemic.
In 1918 the Spanish Flu was the worst flu pandemic in all history. More than 20 million people died worldwide. More than 500,000 people died in the United States alone. This virus killed fast and easily.
In 1957 and1968 the Asian flu and the Hong Kong Flu took over the United States. Lots of people died … thousand! But that did not top the Spanish Flu.
In 1976 the United States had a swine flu scare. A new virus was discovered at Fort Dix, New Jersey. They called it “The Killer Flu”. The researchers thought that the whole world might get infected, but it never did leave the Fort Dix area. Researchers who have studied this virus estimated if it would have spread it would have been a lot less deadly that the Spanish flu.
In 1997 a new flu virus infected 18 people. Six died shortly after being infected. Most viruses first infect chickens then move to pigs, and finally to humans. But this flu infected chickens and then to humans. That bird flu did not become a pandemic because it did not spread easily. Also public health authorities slaughtered all living chickens in Hong Kong. 
In 2003 a flu labeled H5N1 caused 2 Hong Kong people hospitalized and 1 killed, which was a 33-year-old man killed after his visit to China. Netherlands, Canada and Egypt have had several strains of the flu that has caused many illnesses. 
In January 21, 2005 flu H5N1 caused 52 people in Vietnam and Thailand became ill and 37 died. Researchers are worried because this flu is transmitted by bids and is starting to become epidemic in India and it is very, very deadly.
Research Epidemics have occurred in communities, but there has not been a pandemic since 1968. Scientists are very worried that a new flu strain will appear in this century and will cause a pandemic so bad that they will not know how to cure it. That is why institutes and health departments are tracking flu outbreaks in the human world and animal world too. For example, NIAD (National Institute of Allergy and Infectious Diseases) supports research to find out how to treat the flu, develop better vaccines, and find out how viruses work. 

Infectious vs. Noninfectious
The top five ways diseases spread are: 1. People, 2. Animals, 3. Water, 4. Food and 5. Nonliving sources. The bacteria, virus or fungus that gets in the human body and makes you sick can enter through your mouth, nose, ear, eye or any cut or wound. That is why we cover our cuts with band-aids! Then after entering our bodies the bacteria or fungi start to multiply (one bacterium divides into two. Then those two grow and divide into four … and so on). Viruses on the other hand go and attack our cells and use our cell’s DNA to multiply.

People spread diseases directly, person-to-person. For example, if I sneeze and you are in front of me and if you breathe in my contaminated air you just got my germs…. DIRECTLY!!!!!!! “Communicable” is another word meaning diseases that spread person-to-person. Some other communicable diseases are: AIDS, colds, hepatitis, pneumonia, sore throat and tuberculosis… they mostly spread by the human hand. Colds even usually spread by hands and then the virus or bacteria or fungi enters the body through the mouth, nose or the human eye, if we rub our eyes, pick our nose or touch our mouth. They also can spread by coughs or sneezes.

The second major disease spreaders are animals, including our cats and dogs! Some of the tiniest insects can cause and spread diseases. Some very small insects cause very, very, serious and life-threatening diseases or conditions. The animals that cause diseases range from tiny insects, to deer and even bigger animals! Blood sucking animals like mosquitoes and fleas are the most dangerous. Mosquitoes can carry malaria, yellow fever and things like that. Fleas though carry diseases like plaque… and when plaque becomes epidemic or a pandemic it kills millions in its way. Ticks (insects that are related to spiders) spread Lymes disease and Rocky Mountain Spotted Fever and much more. Birds or mammals both can carry rabies. So can bats, cats, raccoons, dogs, skunks and more. Just one bite and you can get infected right away.  Psittacosis (siht uh KOH sihs) that is a bird disease, but humans can get it too.

The third way diseases spread is by water. In most poor countries water is dirty, and that is the #1 cause of diseases. Also in poor countries they lack a way to treat sewage from toilets and purification of water. So that means in poor countries waste enters into their drinking water, then bacteria, worms, pathogens and protozoans enter your body and cause diarrhea and more intestinal disorders. Sometimes even in developed countries (like the U.S.) sewage unexpectedly enters the drinking water.

The fourth way disease spreads is by food. Bacteria called E coli (EE KOH uh), campy lobactor, (kam puh loh BAK tur) and salmonella (sal muh NEHL uh) all multiply in chicken, beef and mayonnaise. These pathogens cause vomiting, diarrhea and intestinal problems.

The last way diseases spread is by nonliving sources. Nonliving sources spreads diseases less than people, animals, food and water. Some pathogens live so long that they can pass person-to-person. Then they live on things like kitchen sponges and dish clothes. Those things contain a huge, huge amount of pathogens. F.D.A. Food and Drug Administration recommend that you replace kitchen sponges and dish clothes regularly. 

Communicable The main causes of communicable diseases are: Bacteria, 2, Viruses 3. Fungi and 4. Rickettsiae. These are found worldwide. Bacteria, viruses, fungi and Rickettsiae have been on earth for more than 395,000,000 years. There is evidence in fossils and rock formations that prove even Ancient Egyptians had many of the diseases that come from bacteria, viruses, fungi and Rickettsiae.
Bacteria Bacteria are very small, one cell organisms. They are found worldwide. If we did not have bacteria there will be no life on earth. Most bacteria are not harmful. Many bacteria are needed for plant growth. One disease that is caused by bacteria is impetigo that is a contagious skin disease. When you eat cheese you are actually eating a lot of bacteria, but the bacteria in cheese is good bacteria. Bacteria are active if the temperature ranges 32 F-160 F. If the environment is right, bacteria can multiply every 15 minutes. Good bacteria live in our mouth, organs and on our skin. Most bacteria do not harm our body, and our body control their growth.
Viruses  Viruses are so small that if you want to look at one you will need an electron microscope to see it. Viruses multiply by multiplying on living cells. Viruses causes rang from eye inflammation to Polio even Rubella (German measles)
Rickettsiae  This cause of disease in not often found in the United States. It is as small as bacteria and can cause Rocky Mountain spotted fever, Q fever and typhus. Sometimes it is life threatening. Those diseases are spread by insects as well.
Fungi  Fungi is found worldwide. Fungi and most bacteria need oxygen. Fungi very in size and complexity like from one-cell organisms to puffballs. Sometimes a fungus is varying helpful to humans, but other times it is not.
Non infectious  Non infectious are an extremely broad group of illnesses that is not caused by pathogens. Some important categories of infectious diseases are 1. Inherited diseases, 2.cancer, 3. Metabolic diseases, 4.disorder of the immune system, 5. Environmental and occupational diseases. 6. Diseases associated with aging.
Inherited diseases Inherited diseases are the diseases that are past down from our parents. Sickle hemoglobin is an inherited blood disease. If both parents have a disease in their genes the child of the parents will likely get the disease. Some diseases are not inherited but are so common that they run in families like heart disease and high blood pressure.
Cancer People fear cancer a lot. This disease is common everywhere in the world. What happens in cancer is the cells in your body multiply without control. Any cancerous cell can cause cancer. Cancer as well kills it by invading your tissue. Also the cell that caused the cancer can more to distant parts of your body and start the same cancer, but in a different part of the body. If not cured, cancer can be fatal. Cancer can develop either by radiation, viruses, or environmental causes.
Metabolic diseases  Metabolic diseases make problems in our metabolism (the system in our body that maintains our body). Our metabolism nourishes and maintains it self. The biggest metabolism in our body is our body is our liver! Our metabolism controls the energy needed to grow, the storage our body, maintain our skin and repair our skin. Metabolic diseases usually start by poor nutrition to endocrine disorder.
Disorders of the immune system  Tissue and cells make our immune system. Our immune system protects our body against infections and diseases. New born immune systems are very weak. Immune systems respond to environmental substances such as food, dust, animals, mold and pollens by causing allergies. The most common reactions are runny noses, itchy eyes and getting tired easily. One kind of immune disorder is autoimmune disease which is very common. What happens is your immune systems attacks its own tissue as if it was an invader. Another disease is systemic lumpus erythem atosus and (sihs TEHM ihk LOO puhs ehr uh TOH sihs) also known as SLE. The disease causes attacks on the heart, lungs, skin, nerves, kidneys and more!
Environmental and Occupational Some diseases come from the side out like the air or water. One disease that is caused by air pollution is Asthma. Noise is another good example. If you listen to loud noise too much you will get hearing loss. In addition to that you could also get a stress illness. Smokers inhale chemicals that can cause cancer, heart disease, and cause non smokers to inhale the cigarette smoke causing them to have a risk of getting heart disease and cancer. Smokers make the choice to subject them selves to these hazards.
Diseases Associated with aging There is no avoiding disease when you get older. Some diseases can cause you to get a disability. Atherosclerosis (ath ur oh skluh ROH sihs) that is when some fat blocks the arteries to the heart causing a stroke or heat attack. If you are a part of a American family probably your grandparent gets more diseases or sicknesses than you? That is caused because they are older than you and more vulnerable.
Smoking People usually start smoking mostly because they see other people doing it and think they have to. Some people think it relives stress and calms them down. The chemicals in a cigarette are very addicting. Kids look up to celebrities and if celebrities start smoking in a movie or on tv kids might also start smoking. Cigarette manufacturers targettheir advertising to children and teens. For example Joe Camel is a cartoon character that does cool stuff and always smokes. Teens spend 1.23 billion dollars a year on cigarettes, also one thousand African Americans die every week from smoking. Seventy percent of all teens prefer to date non smokers. Smoking gives you bad breath, but some say if you brush your teeth the stink goes away. Smoking also gives you wrinkles. Two thirds of all smokers get addicted by age 16, also a thousand die a day from smoking. Smoking is as addictive as heroin and nicotine and other hard core drugs. Tobacco kills more people than the alcohol, cocaine, heroin, homicide, suicide, fires, car-accidents and AIDS combined!
Prevention  The one big thing you can do to stop many diseases is to prevent them. Try not to do stuff that might harm your body or just not do things that might cause bacteria, fungi or viruses to enter the body, and make you sick. Governments, medical professionals such as a surgeon or doctor and people themselves are what we rely on to prevent disease.
Governments The top agency that people rely on for health concerns is WHO (World Health Organization). WHO helps especially in undeveloped countries, such as people in Africa. The second bet is CDC (Centre for Disease Control) and Prevention). They track epidemics and pandemics around the world and keep data  for history. They also set guidelines for treatment and prevention. In developed countries people need less help. But for citizens and the poor in the United States do need help. In developed countries we expect food, clean water, medicine and control of animals so fewer diseases will spread. In undeveloped countries they do not take very good care of the animals, environmental pollution and all the problems we take for granted.
Individuals If you keep your self-healthy the less everyone else is in risk of getting sick.  The most important thing you can do everyday to prevent sickness is to wash your hands. Other good things you could do to prevent disease is to avoidm stress, rest, have a good diet and exercise. Some personal safety things that can prevent disabilities and disease are wearing your seat belt and wear your helmet. Also know the danger of drugs.
Medical professionals
People like doctors provide medical attention. Immunizations like shots help prevent diseases or sicknesses. Checkups help to find a problem in its early stages.
Research 
The reason we research diseases is understand the sicknesses so we can find out how to cure and prevent it. Also how it is transmitted. For example,  if we did now research on AIDS, we would not know how the disease is transmitted, and how to prevent it, Research is mostly is done in the laboratory.
Fighting Diseases 
Scientists have learned a lot in recent years about the human body and how it fights and defends itself from bacteria, viruses and funguses. The human body has natural barriers and the immune system to defeat pathogens and other disease causing germs. Medicine also helps the human body when fighting germs and pathogens.
Natural Barriers 
Our natural barriers can be chemical or physical.  Their job is to stop pathogens from entering our body. For example, when a foreign object enters our eyes we cry, because our tears have protein in them, and protein kills pathogens. That is what I mean by chemical and natural barriers. The best physical barrier we have is our undamaged and unbroken skin, because how can pathogens enter our body through our skin when it is unbroken! Other natural barriers are our mucus membranes in the nose. When pathogens enter the nose, the membranes release mucus. Then the pathogen gets stuck in the mucus, and dries up and gets pushed out of our nose. We also have mucus membrane surrounding our breathing tube called our bronchi (BBRONG Ky) that protects our lungs. Bronchi cells have cilia (SIHL ee uh) that moves the mucus-trapped pathogen out of the bronchi, up the windpipe and out the mouth. Usually we swallow it and then our stomach juices destroy it. Good bacteria live on our skin, mouth and intestines. Some barriers though kill certain pathogens.
Medical Treatment  
Ever since Ancient Egyptians roamed the earth we have tried medical treatments of all kinds. They knew a little, but had no exact knowledge. Over the centuries our knowledge of medical treatments has increased a lot. Now we have manydifferent ways for treatments. What doctors first do is try to identify the sickness from your complaints. Next, your doctor would probably run some tests to see if you really have the sickness that your doctor thinks you have.
Medicine  
We as human beings use medicine as a cure for almost every sickness we have. Medicine can be in many different forms, such as pills, liquids, and injections.
Basics 
Since the beginning of time people have tried and succeeded at curing diseases… even animals. Different methods that humans have tried are praying to gods, minerals, plants, animals and plant remedies for cures. In some countries medical treatment is way too expensive. Commonly used medicine varies a lot. Exercising and having a healthy diet are mostly how people today prevent disease. If you have a sickness first what will happen is that you will notice signs and symptoms. Next, is the diagnosis. Finally, there is the treatment of the disease or sickness.
Instinctive
Medicine knowledge is found in people as well as animals. When an animal is ill, its instincts will naturally make the animal vomit, eat or drink certain things or lie down. In West Africa gorillas eat several plants that protects the animal from joint pain, intestinal worms and more! 
Chemical
Today we mostly use drugs and surgery to cure the more serious diseases like cancer. Drugs work really well. The first kinds of drugs were made out of either plants or animals. In 1785 William Withering wrote “an account for Foxglove” meaning how to use thu=isplant to cure dropsy. He was a famous physician. What his drug would do is that the fluid would gather, in the tissue around the heart. This drug was usually used to solve heart circulation problems. Withering’s drug worked, but if you took too much it could be harmful or fatal. The first scientific drug is still used today. The important chemicals that are used to make Foxglove are digitalis. We still use the Foxglove today.
Surgical
Ever since 3994 BC people have been trying to repair and remove the diseased parts, slicing-and-cutting the human body. The tools that were used in the past are not used anymore, but the old equipment has inspired new tools and equipment today. Guillotine was an old-fashioned tonsil remover. It would take the swollen tonsil out by: taking two small blades and poke in to your tonsil. Then, the two blades would cut the tonsil out. They stopped using it because it was unsafe. Tonsillectomy is not always the best treatment. Most people heal all by themselves.
Systems 
Some cultures do not use technology, and chemical medicine such as Tylenol. They use the spiritual way. In central Africa, Congo, there is a tribe named Yombe. They have a ceremony where there is a statue. Then, they hammer-in nails in certain body parts on the statue. That means that certain place is where the disease struck.
Diagnostic 
In the western side of the United States even if you have a cold you go to the doctor. A Stethoscope helps when maybe you suspect there is a problem with your heart, or you want to make sure that your heart is fine.
Science
The only way that we make medicine is by technology. Technology has also made it possible for us to have machines for different treatments and diagnosis for the conditions. Electrocardiograph (ECG) monitors your heart. Why? Well, then your doctor can see if you are in risk of a heart attack. Even athletes get checked. To make sure how their heart reacts to physical activities and stress.
Future
In developed countries there is a great amount of money, but some places such, as parts of the Philippines have not that much money. So diseases are part of everyday routines. They probably do not have that much medicine. There are more medications nowadays for all the different conditions you may have.

Who I Interviewed And What I Learned

I interviewed, Debbie Westland on December 28, 2005 at 11:30.She works at the Regional Hospital in Yakima. She was a very good person to interview because she had been a registered nurse ever since her graduation in 1996.

What got her interested in infection control started in high school when she liked microbiology, (she said it was a mishap). She went to Everett Community College, and went to Everett Community College for 2 years, and she had to get a state license to become a registered nurse. Infectious disease has been a problem since Egyptians have been walking on the earth. The infectious diseases today are different from infectious diseases in past years in that they are becoming more resistant and do not go away if you give them a certain type medicine they become resistant.
The new study on infectious diseases and/or conditions is the flu and its pandemics. When I asked Debbie what some of the major problems facing infectious disease research are, she answered the same how infectious diseases have changed.  She thinks that the future is going to be challenging.
 
Thanks Debbie, you are a true expert!

Bibliography


“Flu” N.I.A.I.D. November 22, 2005 www.naiaid.nih.gov

“ I thought I would quit- the Marilyn Kirkby Story”

Metos, Tomas H. Communicable Diseases. New York: Franklin Watts, 1987
Silverstein, Alvin; Silverstein, Robert and Silverstein Virginia. Common Cold and Flu. Springfield NJ: Enslow publishers Inc, 1994

Stolar, Mark. “Disease.”  The World Book Encyclopedia. 2004

“The Common Cold” N.I.A.I.D. November 22,2005 www.niaid.nih.gov
Westland, Debbie. Personal interview. December 26th ,2005



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