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XVII. The words on the right can be used to form a noun that fits suitably in the blank space. Fill each blank in this way.

1. The of equipment is necessary to kill spores. STERILE

2. Safe practice includes the safe of waste. DISPOSE

3. Hands must be carefully washed after____ CONTAMINATE

with body fluids.

4. A patient with a highly infectious disease may have ISOLATE to be cared for in ____

5. Some disease organisms may trigger an inflammatory RESPOND

____in the body.

6. The ___ of influenza depends on the strain SEVERE

of virus causing it.

7. In the case of mumps the period of_____ INCUBATE

is very long.

8. In most European countries, _____against VACCINATE

many childhood diseases is available.

9. A long _____is often required after CONVALESCE

glandular fever.

10. Many viral diseases are known to cause … INFLAME

of the tonsils.

11. A programme of has made diphtheria IMMUNE

a very rare disease in Britain.

12.Tetanus is an_____ by the Clostridium tetani bacillus. INFECT

13. Typhoid fever is spread by_____of food or INGEST

drink contaminated by bacillus from infected faeces.

14. If plaque is not removed from teeth it may lead to the DESTROY

of the enamel.

(Professional English Medical by Alison Pohl, Penguin English Guides)

XVIII. Read the text and answer the questions after reading. Communicable disease epidemiology

A_ communicable or infectious disease is an illness caused by transmission of a

specific infectious agent or its toxic products from an infected person or animal to a susceptible host, either directly or indirectly.

Communicable diseases continue to present the most important acute health problems in all countries. In developed countries acute upper respiratory tract infections are responsible for a great deal of morbidity and time off work. In most developing countries, communicable diseases are still the major causes of both morbidity and mortality.

The most striking recent development in this field has been the emergence of new diseases. Lassa fever, a viral disease transmitted from rodents, was first recognized in Nigeria in 1969. Legionnaires' disease, caused by a Gram-negative bacillus, was first described after an outbreak of pneumonia following a meeting of American Legionnaires in Philadelphia in 1976.and was traced to the contamination of air-conditioning equipment. AIDS is the most devastating of the new communicable diseases.

An epidemic is the occurrence in a community or region of a number of cases of a disease that is unusually large or unexpected for the given place and time. When an epidemic is described, the time period, geographical region, and particulars of the community group in which the cases occur must be clearly specified.

The number of cases indicating the presence of an epidemic varies according to the agent, the size and type of population exposed, previous experience or lack of exposure to the disease, and the time and place of occurrence. The identifica­tion of occurrence of an epidemic also depends on the usual frequency of the disease in the area among the specified population during the same season of the year. A very small number of cases of a disease not previously recognized in an area, associated in time and place, may be sufficient to constitute an epidemic.

Epidemics are usually either point-source or contagious in origin. In a point-source epidemic, susceptible individuals are exposed more or less simultan­eously to one source of infection. This results in a very rapid increase in the number of cases, often in a few hours. The cholera epidemic is an example of a point-source epidemic.

In contrast, in a contagious epidemic the disease is passed from person to person and the initial rise in the number of cases is slower.

An endemic disease is one that is usually present in a given geographical area or population group at relatively high prevalence and incidence rates, in com­parison with other areas or populations. Endemic diseases such as malaria are among the major health problems in developing countries. If conditions change, either in the host or the environment, an endemic disease may become epidemic.

(Compiled from Basic Epidemiology, WHO, Geneva, 1993)

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