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بسم الله الرحمن الرحيم. MALARIA. Confirmed case of malaria Indigenous case: Malaria acquired by mosquito transmission in an area where malaria is endemic. Introduced case. Malaria acquired by mosquito transmission from an imported case in an area where malaria is not a regular occurrence.
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بسم الله الرحمن الرحيم Dr.Muhammad Razzaq Malik
MALARIA • Confirmed case of malaria • Indigenous case: • Malaria acquired by mosquito transmission in an area where malaria is endemic Dr.Muhammad Razzaq Malik
Introduced case • Malaria acquired by mosquito transmission from an imported case in an area where malaria is not a regular occurrence Dr.Muhammad Razzaq Malik
Imported case • Malaria acquired out side a specific area Dr.Muhammad Razzaq Malik
Induced case • Malaria acquired through artificial means Dr.Muhammad Razzaq Malik
Relapsing malaria Renewed manifestation of clinical malaria that is separated from previous manifestations of the same infection by an interval greater than an interval resulting from the normal periodicity of the paroxysm Dr.Muhammad Razzaq Malik
Cryptic case • An isolated case of malaria that can not be linked epidemiologically to additional cases. Dr.Muhammad Razzaq Malik
SURVEILLANCE • Aimed at case detection and prompt treatment • ACTIVE SURVEILLANCE • PASSIVE SURVEILLANCE Dr.Muhammad Razzaq Malik
DENGUE FEVER • MOST COMMON Arthropod borne infection • ARBOVIRUS 4 SEROTYPES • EMERGING DISEASE • TROPICS AND SUB TROPICS • URBAN AND PERIURBAN AREAS • CLASSICAL DENGUE FEVER • HAEMORRHAGIC FEVER • WITH OUT SHOCK • WITH SHOCK SYNDROME Dr.Muhammad Razzaq Malik
DENGUE FEVER • 50 % OF THE WORLD POPULATION • -UNCONTROLLED POPULATION GROWTH • -URBANIZATION WITH OUT WATER MANAGEMENT • -NATIONAL AND INTERNATIONAL TRAVEL Dr.Muhammad Razzaq Malik
CLASSICAL DENGUE FEVER • BREAK BONE FEVER • EPIDEMIC AND ENDEMIC • RESERVOIR IS MAN AND MOSQUITO • VECTOR IS AEDES AEGYPTII • E.I.P. 8-10 DAYS INFECTIVE THROUGH OUT LIFE • ALL AGES BUT COMMON IN CHILDREN <15 YEARS • BOTH SEXES • FEVER, SEVERE HEADACHE, BODYACHES, RETROBULBAR PAIN, BRADYCARDIA, LEUCOPENIA AND ERUPTIONS. Dr.Muhammad Razzaq Malik
RABIES • ACUTE, HIGHLY FATAL VIRAL DISEASE OF CNS • LYSSAVIRUS • HYDROPHOBIA, A DISEASE THAT IS ALWAYS FATAL • ENZOOTIC AND EPIZOOTIC DISEASE OF WORLD WIDE • RABIES FREE AREAS Dr.Muhammad Razzaq Malik
AGENT • BULLET SHAPED NEUROTROPIC RNA VIRUS • LYSSAVIRUS, RHABDOVIRIDAE • VIRUS IS EXCRETED IN SALIVA OF AFFECTED ANIMALS • STREET VIRUS Dr.Muhammad Razzaq Malik
FIXED VIRUS • A VIRUS THAT HAS A SHORT, FIXED AND REPRODUCIBLE INCUBATION PERIOD (4-6 DAYS) WHEN INJECTED INTRACEREBRALLY INTO SUITABLE ANIMALS. • FIXED VIRUS IS USED FOR PREPARATION OF VACCINE. Dr.Muhammad Razzaq Malik
RESERVOIR OF INFECTION • URBAN RABIES • WILD LIFE RABIES OR SYLVATIC RABIES • BAT RABIES Dr.Muhammad Razzaq Malik
SOURCE OF INFECTION • SALIVA –RABID ANIMALS • 3-4 DAYS BEFORE ONSET UP TO DEATH • RABIES IN MAN IS A DEAD END INFECTION Dr.Muhammad Razzaq Malik
HOST • ALL WARM BLOODED ANIMALS • LABORATORY STAFF • VETERINARIANS • DOG HANDLERS • HUNTERS Dr.Muhammad Razzaq Malik
MOT • ANIMAL BITES • LICKS • AEROSOLS • PERSON TO PERSON Dr.Muhammad Razzaq Malik
I.P • 3-8 WEEKS Dr.Muhammad Razzaq Malik
VACCINATION • NERVE TISSUE VACCINE • DUCK EMBRYO VACCINE • CELL CULTURE VACCINE Dr.Muhammad Razzaq Malik
POST EXPOSURE PROPHYLAXIS • GENERAL CONSIDERATION • LOCAL TREATMENT OF WOUND • CLEANSING • CHEMICAL TREATMENT • SUTURING • ANTIRABIES SERUM • ANTIBIOTICS AND ANTI TETANUS MEASURES • OBSERVE ANIMAL FOR 10 DAYS • IMMUNIZATION Dr.Muhammad Razzaq Malik
THANKS Dr.Muhammad Razzaq Malik