dr.muhammad razzaq malik بسم الله الرحمن الرحيم. malaria confirmed case of...

22
Dr.Muhammad Razzaq Malik Dr.Muhammad Razzaq Malik م ي ح ر ل ا ن م ح ر ل ه ا ل ل م ا س ب م ي ح ر ل ا ن م ح ر ل ه ا ل ل م ا س ب

Upload: marylou-neal

Post on 31-Dec-2015

232 views

Category:

Documents


0 download

TRANSCRIPT

Dr.Muhammad Razzaq MalikDr.Muhammad Razzaq Malik

الرحيم الرحمن الله الرحيم بسم الرحمن الله بسم

Dr.Muhammad Razzaq MalikDr.Muhammad Razzaq Malik

MALARIAMALARIA

Confirmed case of malariaConfirmed case of malaria Indigenous case: Indigenous case: Malaria acquired by mosquito Malaria acquired by mosquito

transmission in an area where malaria is transmission in an area where malaria is endemicendemic

Dr.Muhammad Razzaq MalikDr.Muhammad Razzaq Malik

Introduced caseIntroduced case

Malaria acquired by mosquito Malaria acquired by mosquito transmission from an imported transmission from an imported case in an area where malaria is case in an area where malaria is not a regular occurrencenot a regular occurrence

Dr.Muhammad Razzaq MalikDr.Muhammad Razzaq Malik

Imported caseImported case

Malaria acquired out side a specific area Malaria acquired out side a specific area

Dr.Muhammad Razzaq MalikDr.Muhammad Razzaq Malik

Induced caseInduced case

Malaria acquired through artificial meansMalaria acquired through artificial means

Dr.Muhammad Razzaq MalikDr.Muhammad Razzaq Malik

Relapsing malariaRelapsing malaria

Renewed manifestation of clinical malaria Renewed manifestation of clinical malaria that is separated from previous that is separated from previous manifestations of the same infection by an manifestations of the same infection by an interval greater than an interval resulting interval greater than an interval resulting from the normal periodicity of the paroxysmfrom the normal periodicity of the paroxysm

Dr.Muhammad Razzaq MalikDr.Muhammad Razzaq Malik

Cryptic caseCryptic case

An isolated case of malaria that can not be An isolated case of malaria that can not be linked epidemiologically to additional cases. linked epidemiologically to additional cases.

Dr.Muhammad Razzaq MalikDr.Muhammad Razzaq Malik

SURVEILLANCESURVEILLANCE

Aimed at case detection and prompt Aimed at case detection and prompt treatmenttreatment

ACTIVE SURVEILLANCEACTIVE SURVEILLANCE PASSIVE SURVEILLANCEPASSIVE SURVEILLANCE

Dr.Muhammad Razzaq MalikDr.Muhammad Razzaq Malik

DENGUE FEVERDENGUE FEVER

MOST COMMON Arthropod borne infectionMOST COMMON Arthropod borne infection ARBOVIRUSARBOVIRUS 4 SEROTYPES4 SEROTYPES EMERGING DISEASEEMERGING DISEASE TROPICS AND SUB TROPICSTROPICS AND SUB TROPICS URBAN AND PERIURBAN AREASURBAN AND PERIURBAN AREAS CLASSICAL DENGUE FEVERCLASSICAL DENGUE FEVER HAEMORRHAGIC FEVERHAEMORRHAGIC FEVER

– WITH OUT SHOCKWITH OUT SHOCK– WITH SHOCK SYNDROME WITH SHOCK SYNDROME

Dr.Muhammad Razzaq MalikDr.Muhammad Razzaq Malik

DENGUE FEVERDENGUE FEVER

50 % OF THE WORLD POPULATION50 % OF THE WORLD POPULATION -UNCONTROLLED POPULATION -UNCONTROLLED POPULATION

GROWTHGROWTH -URBANIZATION WITH OUT WATER -URBANIZATION WITH OUT WATER

MANAGEMENTMANAGEMENT -NATIONAL AND INTERNATIONAL -NATIONAL AND INTERNATIONAL

TRAVELTRAVEL

Dr.Muhammad Razzaq MalikDr.Muhammad Razzaq Malik

CLASSICAL DENGUE FEVERCLASSICAL DENGUE FEVER

BREAK BONE FEVERBREAK BONE FEVER EPIDEMIC AND ENDEMICEPIDEMIC AND ENDEMIC RESERVOIR IS MAN AND MOSQUITORESERVOIR IS MAN AND MOSQUITO VECTOR IS AEDES AEGYPTIIVECTOR IS AEDES AEGYPTII E.I.P. 8-10 DAYS INFECTIVE THROUGH OUT LIFEE.I.P. 8-10 DAYS INFECTIVE THROUGH OUT LIFE ALL AGES BUT COMMON IN CHILDREN <15 YEARSALL AGES BUT COMMON IN CHILDREN <15 YEARS BOTH SEXESBOTH SEXES FEVER, SEVERE HEADACHE, BODYACHES, FEVER, SEVERE HEADACHE, BODYACHES,

RETROBULBAR PAIN, BRADYCARDIA, LEUCOPENIA RETROBULBAR PAIN, BRADYCARDIA, LEUCOPENIA AND ERUPTIONS. AND ERUPTIONS.

Dr.Muhammad Razzaq MalikDr.Muhammad Razzaq Malik

RABIESRABIES

ACUTE, HIGHLY FATAL VIRAL DISEASE ACUTE, HIGHLY FATAL VIRAL DISEASE OF CNSOF CNS

LYSSAVIRUSLYSSAVIRUS HYDROPHOBIA, A DISEASE THAT IS HYDROPHOBIA, A DISEASE THAT IS

ALWAYS FATALALWAYS FATAL ENZOOTIC AND EPIZOOTIC DISEASE OF ENZOOTIC AND EPIZOOTIC DISEASE OF

WORLD WIDEWORLD WIDE RABIES FREE AREAS RABIES FREE AREAS

Dr.Muhammad Razzaq MalikDr.Muhammad Razzaq Malik

AGENTAGENT

BULLET SHAPED NEUROTROPIC RNA BULLET SHAPED NEUROTROPIC RNA VIRUSVIRUS

LYSSAVIRUS, RHABDOVIRIDAELYSSAVIRUS, RHABDOVIRIDAE VIRUS IS EXCRETED IN SALIVA OF VIRUS IS EXCRETED IN SALIVA OF

AFFECTED ANIMALSAFFECTED ANIMALS STREET VIRUSSTREET VIRUS

Dr.Muhammad Razzaq MalikDr.Muhammad Razzaq Malik

FIXED VIRUSFIXED VIRUS

A VIRUS THAT HAS A SHORT, FIXED A VIRUS THAT HAS A SHORT, FIXED AND REPRODUCIBLE INCUBATION AND REPRODUCIBLE INCUBATION PERIOD (4-6 DAYS) WHEN INJECTED PERIOD (4-6 DAYS) WHEN INJECTED INTRACEREBRALLY INTO SUITABLE INTRACEREBRALLY INTO SUITABLE ANIMALS. ANIMALS.

FIXED VIRUS IS USED FOR FIXED VIRUS IS USED FOR PREPARATION OF VACCINE.PREPARATION OF VACCINE.

Dr.Muhammad Razzaq MalikDr.Muhammad Razzaq Malik

RESERVOIR OF INFECTIONRESERVOIR OF INFECTION

URBAN RABIESURBAN RABIES WILD LIFE RABIES OR SYLVATIC RABIESWILD LIFE RABIES OR SYLVATIC RABIES BAT RABIESBAT RABIES

Dr.Muhammad Razzaq MalikDr.Muhammad Razzaq Malik

SOURCE OF INFECTIONSOURCE OF INFECTION

SALIVA –RABID ANIMALSSALIVA –RABID ANIMALS– 3-4 DAYS BEFORE ONSET UP TO DEATH3-4 DAYS BEFORE ONSET UP TO DEATH– RABIES IN MAN IS A DEAD END INFECTIONRABIES IN MAN IS A DEAD END INFECTION

Dr.Muhammad Razzaq MalikDr.Muhammad Razzaq Malik

HOSTHOST

ALL WARM BLOODED ANIMALSALL WARM BLOODED ANIMALS LABORATORY STAFFLABORATORY STAFF VETERINARIANSVETERINARIANS DOG HANDLERSDOG HANDLERS HUNTERSHUNTERS

Dr.Muhammad Razzaq MalikDr.Muhammad Razzaq Malik

MOTMOT

ANIMAL BITESANIMAL BITES LICKSLICKS AEROSOLSAEROSOLS PERSON TO PERSONPERSON TO PERSON

Dr.Muhammad Razzaq MalikDr.Muhammad Razzaq Malik

I.PI.P

3-8 WEEKS 3-8 WEEKS

Dr.Muhammad Razzaq MalikDr.Muhammad Razzaq Malik

VACCINATIONVACCINATION

NERVE TISSUE VACCINENERVE TISSUE VACCINE DUCK EMBRYO VACCINEDUCK EMBRYO VACCINE CELL CULTURE VACCINECELL CULTURE VACCINE

Dr.Muhammad Razzaq MalikDr.Muhammad Razzaq Malik

POST EXPOSURE PROPHYLAXISPOST EXPOSURE PROPHYLAXIS

GENERAL CONSIDERATIONGENERAL CONSIDERATION LOCAL TREATMENT OF WOUNDLOCAL TREATMENT OF WOUND

– CLEANSINGCLEANSING– CHEMICAL TREATMENTCHEMICAL TREATMENT– SUTURINGSUTURING– ANTIRABIES SERUMANTIRABIES SERUM– ANTIBIOTICS AND ANTI TETANUS MEASURESANTIBIOTICS AND ANTI TETANUS MEASURES– OBSERVE ANIMAL FOR 10 DAYSOBSERVE ANIMAL FOR 10 DAYS

IMMUNIZATIONIMMUNIZATION

Dr.Muhammad Razzaq MalikDr.Muhammad Razzaq Malik

THANKSTHANKS