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Communicable Diseases – Meaning, Causes And Prevention

Usually, Communicable diseases are contagious, meaning they can be transmitted from an infected individual to a susceptible person or host. Various pathogens, including bacteria, viruses, fungi, and parasites, can cause communicable diseases.

As per definition of the World Health Organization (WHO):

Health is a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity.

This definition highlights that health is not simply the absence of illness or disease but a holistic state of well-being that includes physical, mental, and social dimensions.

Moreover, it emphasizes the importance of not only the absence of physical ailments.

However, mental and social well-being are essential components of being healthy.

Besides, the WHO’s definition of health reflects a broader understanding of the factors contributing to an individual’s overall quality of life and emphasizes the importance of a balanced and fulfilling life and freedom from illness.

What is Disease?

Usually, a disease is a harmful or abnormal condition that affects the body’s normal functioning.

Various factors, including infections, genetic mutations, lifestyle choices, environmental factors, and more can cause diseases.

They often come with specific symptoms and may require medical attention, treatment, or management to restore or maintain health.

Diseases can vary in their causes, symptoms, severity, and impact on an individual’s well-being.

Types of diseases

Diseases can be classified in various ways based on different criteria. However, as per the mode of spread, we can divide the disease into two categories:

  1. Communicable Diseases
  2. Non-Communicable Diseases

Communicable Diseases

A communicable disease, also known as a contagious or infectious disease, is an illness caused by pathogens such as bacteria, viruses, fungi, or parasites that can be transmitted from one person to another, from animals to humans, or through other means.

Examples of communicable diseases include the common cold, influenza, HIV/AIDS, tuberculosis, COVID-19, and many others. These diseases can spread through various modes of transmission, including.

  • Direct contact (such as person-to-person contact),
  • Indirect contact (through contaminated objects or surfaces),
  • Airborne transmission (via respiratory droplets), or
  • Vector-borne transmission (via insects like mosquitoes).

Modes of  Transmission Communicable Diseases

Communicable diseases can be transmitted through various modes. Understanding the modes of transmission is crucial for implementing appropriate preventive measures, such as vaccination, hygiene practices, safe sexual behaviour, vector control, and public health interventions, to reduce the spread of communicable diseases.

Direct Contact:

In this mode, the disease is transmitted from an infected person to a susceptible person through physical contact. This can include touching, kissing, or sexual contact. Examples include the transmission of sexually transmitted infections (STIs) like HIV and syphilis.

Diseases can be transmitted through direct contact with infected blood or blood products. This can occur through needlestick injuries, transfusions of infected blood, or sharing needles among intravenous drug users.

For example, HIV, hepatitis B, and hepatitis C can be transmitted through bloodborne routes.

Some diseases can be transmitted from a pregnant woman to her fetus during pregnancy, childbirth, or through breastfeeding. This can include conditions like congenital syphilis and HIV transmission from mother to child.

Sexually transmitted infections (STIs) are transmitted through sexual contact, including vaginal, anal, and oral sex. Examples include HIV, gonorrhoea, and herpes.

Certain diseases are transmitted from animals to humans. These zoonotic diseases can occur through direct contact with animals, their waste, or consumption of contaminated animal products.

Examples include rabies, Lyme disease, and avian influenza.

Indirect Contact:

Indirect contact is a mode of transmission for communicable diseases in which the pathogen is transferred from an infected individual or contaminated object to a susceptible person who comes into contact with the contaminated surface or object.

This transmission mode does not involve direct physical contact between individuals but rather the transfer of pathogens via contaminated surfaces or fomites.

Besides, Diseases can be transmitted when pathogens in the faecal matter are ingested through contaminated food, water, or objects.

However, Diseases can be transmitted indirectly through contact with contaminated surfaces, objects, or fomites.  For example, touching a doorknob or a contaminated towel can transfer pathogens to a person’s hands, leading to potential infection.

Meanwhile, waterborne diseases are spread through contaminated water sources. Ingesting water or consuming food prepared with contaminated water can lead to infections. Cholera and giardiasis are examples of waterborne diseases.

Airborne Transmission:

Airborne transmission is a transmission mode for communicable diseases in which pathogens are carried through the air in the form of tiny respiratory droplets and particles, making them potentially infectious to individuals inhaling them.

This mode of transmission is particularly relevant for diseases caused by respiratory pathogens. Besides, some diseases are transmitted through respiratory droplets suspended in the air.

When an infected person coughs, sneezes, talks, or exhales, the droplets containing the pathogen can be inhaled by others.

Respiratory infections like COVID-19, influenza, and tuberculosis can be spread this way. Droplet Transmission is similar to airborne transmission but involves larger respiratory droplets that tend to settle quickly.

Diseases like the common cold and influenza can be transmitted through close contact with infected droplets.

An example may include mycobacterium tuberculosis, the bacterium causing TB, which is a classic airborne pathogen. It is transmitted when an infected person with active TB coughs or sneezes, releasing infectious aerosols.

The influenza virus can be transmitted through respiratory droplets and aerosols, especially in crowded or enclosed spaces.

Vector-Borne Transmission:

Generally, Vector-borne transmission is a mode of transmission for communicable diseases in which the pathogen is transferred from one host to another through the intermediary action of a vector, typically an insect or arthropod.

These vectors become infected when they feed on an infected host, and they can then transmit the pathogen to a susceptible host during their next feeding.

Vector-borne diseases are often prevalent in specific regions and pose significant health risks.

Examples include Malaria, transmitted by female Anopheles mosquitoes infected with Plasmodium parasites. Besides, Dengue is transmitted by Aedes mosquitoes. In contrast, yellow fever is primarily transmitted by Aedes and Haemagogus mosquitoes.

Prevention of Communicable Diseases

Understanding the causes of communicable diseases is essential for their prevention, control, and treatment.

Public health measures, such as vaccination, good hygiene practices, and antimicrobial medications, play a significant role in preventing these diseases’ spread.

Preventing the spread of communicable diseases often involves measures like vaccination, good hygiene, practising safe sex, and controlling the spread of disease vectors.

Vaccination:

Vaccination is a highly effective preventive measure for many communicable diseases.

It involves administering a vaccine, which typically contains weakened or inactivated pathogens or parts of them, to stimulate the immune system’s response.

This process allows the body to recognize and remember the pathogen so it can respond more effectively if it encounters the actual, disease-causing pathogen in the future.

Besides, in some cases, protecting animals that serve as disease reservoirs can help prevent zoonotic diseases from spilling over to humans. Vaccinating pets and livestock can be a part of this strategy.

Vaccination helps prevent a wide range of communicable diseases, including some that can be severe, debilitating, or life-threatening. It has played a crucial role in reducing the prevalence of many infectious diseases.

When a sufficient portion of a population is vaccinated against a particular disease, it can indirectly protect unvaccinated individuals, especially those who cannot be vaccinated due to medical conditions.

Undoubtedly, Vaccination programs are a cornerstone of public health efforts to control and eliminate diseases. They have led to the eradication of smallpox and the near-elimination of polio in many parts of the world.

Vaccination is a vital tool in preventing communicable diseases, and comprehensive immunization programs have contributed to significant reductions in the prevalence of infectious diseases worldwide.

Further public health campaigns, healthcare providers, and global organizations like the World Health Organization (WHO) advocate for the widespread use of vaccines to protect individuals and communities from these diseases.

Common Examples Of  Vaccination

  1. Childhood Vaccines: Routine childhood immunizations include vaccines against diseases like measles, mumps, rubella, polio, diphtheria, tetanus, whooping cough (pertussis), and Haemophilus influenza type b (Hib), among others.
  2. Influenza Vaccine: The seasonal flu vaccine is recommended annually to reduce the spread and impact of influenza, a contagious respiratory disease.
  3. COVID-19 Vaccines: Multiple COVID-19 vaccines have been developed to prevent infection with the SARS-CoV-2 virus, which causes COVID-19. Mass vaccination campaigns have been carried out globally to control the pandemic.
  4. Travel Vaccines: Some vaccines are recommended before travelling to areas with specific disease risks, such as yellow fever, typhoid, and hepatitis A.

Good Hygiene:

Good hygiene practices are essential for preventing the spread of communicable diseases through direct and indirect contact.

These practices help reduce the transmission of pathogens from person to person, and they are particularly important in settings where individuals are in close contact with one another.

  • Handwashing: Proper and frequent handwashing with soap and water is one of the most effective ways to prevent the spread of infectious agents. Hands should be washed for at least 20 seconds.
  • Hand Sanitizers: When soap and water are not readily available, alcohol-based hand sanitisers with at least 60% alcohol content can be used to disinfect hands. However, hand sanitisers should not replace handwashing.
  • Respiratory Hygiene: Cover your mouth and nose with a tissue or the inside of your elbow when you cough or sneeze to prevent respiratory droplets from spreading to others.
  • Face Masks: In situations with a risk of respiratory transmission, wearing face masks can help reduce the spread of infectious respiratory droplets.
  • Social Distancing: Maintain physical distance from individuals who are sick and avoid close contact. Social distancing measures are especially important during disease outbreaks.
  • Avoid Touching Your Face: Avoid touching your face, especially your eyes, nose, and mouth, to minimize the risk of transferring pathogens from your hands to your mucous membranes.
  • Disinfect High-Touch Surfaces: Frequently disinfect frequently touched surfaces and objects, such as doorknobs, light switches, and mobile phones, to reduce the risk of indirect contact transmission.
  • Safe Water and Sanitation: Ensure access to clean and safe drinking water and practice good sanitation, including proper waste disposal and toilet facilities.
  • Personal Protective Equipment (PPE): In healthcare settings or when caring for an infected individual, the appropriate use of personal protective equipment like gloves, gowns, masks, and eye protection is essential.

Safe Food Handling:

Safe food handling practices are essential for preventing foodborne communicable diseases, which are illnesses caused by consuming contaminated food.

  • Separation: Avoid cross-contamination by keeping raw meat, poultry, seafood, and eggs separate from ready-to-eat foods. Use separate cutting boards and utensils for raw and cooked foods.
  • Cooking Temperatures: Cook food to safe internal temperatures to kill harmful pathogens. Use a food thermometer to ensure food reaches the recommended temperature. Refrigerate or freeze perishable foods promptly to prevent the growth of bacteria. Keep your refrigerator at or below 40°F (4°C).
  • Safe Handling of Raw Eggs and Meats: Handle raw eggs and meat with care to avoid spreading bacteria. Wash your hands after handling these foods. Store raw meat on the bottom shelf of the refrigerator to prevent drips onto other foods. Further, consume pasteurized dairy products to reduce the risk of diseases like listeriosis.
  • Avoid Cross-Contamination: Do not use the same cutting board, knife, or plate for both raw and cooked foods. Wash them thoroughly between uses. Clean and sanitize countertops and kitchen utensils.
  • Proper Thawing: Thaw frozen food in the refrigerator, under cold running water, or in the microwave. Do not thaw food at room temperature. Be cautious with raw or undercooked food. Avoid consuming raw or partially cooked sprouts, unpasteurized dairy products, and undercooked eggs.
  • Safe Food Storage: Store food at safe temperatures to prevent bacterial growth. Refrigerate or freeze perishable items promptly.
  • Leftovers: Refrigerate leftovers promptly, ideally within two hours after cooking. Besides use or freeze leftovers within a few days. On the other hand periodically clean and sanitize kitchen surfaces, sinks, and utensils.

Vector Control:

Vector control is a preventive method for communicable diseases that focuses on managing and reducing the populations of disease-carrying vectors, such as mosquitoes, ticks, fleas, and flies.

By controlling these vectors, we can limit the transmission of diseases they carry to humans and animals.

Vector control involves strategies to manage vector populations, reduce their contact with humans, or prevent them from transmitting pathogens. Generally, this can include both environmental and personal measures.

IVM is a comprehensive approach that combines various vector control strategies. Moreover, it considers the local context, the vector type, and the diseases they transmit to develop a tailored strategy.

Safe Water Supply:

Usually, ensuring a safe and reliable water supply is a crucial preventive method for communicable diseases, particularly waterborne diseases.

Besides, contaminated water can be a source of various pathogens, including bacteria, viruses, and parasites, which can cause illnesses when ingested.

A safe water supply is a fundamental requirement for public health.

Further preventing waterborne communicable diseases relies on implementing these measures to ensure that people have access to clean and safe drinking water, reducing the risk of waterborne illnesses and improving overall community health.

Public Health Education:

Public health education is a vital preventive method for communicable diseases, focusing on raising awareness, providing information, and promoting healthy behaviours within communities and populations.

Further, educating the public about the risks associated with communicable diseases and the preventive measures they can take plays a crucial role in reducing the spread of these diseases.

Undoubtedly, public health education is a powerful tool in preventing the spread of communicable diseases. By raising awareness, providing knowledge, and encouraging the adoption of healthy practices.

Additionally, public health efforts can empower individuals and communities to take proactive steps in reducing the risk of disease transmission, improving overall community health, and enhancing public safety.

Final Thoughts

In short, preventing communicable diseases often requires a combination of personal responsibility, community efforts, and government interventions.

Moreover, public health agencies play a crucial role in surveillance, response, and education to control the spread of these diseases and protect the population.

Sadaf

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