MEV 018: Unit 10 – Water Borne, Food Borne and Vector Borne Diseases

 UNIT 10: FOOD, WATER, AND VECTOR BORNE DISEASES


10.1 Introduction

Food, water, and vector-borne diseases remain significant public health challenges, especially in developing countries. These diseases arise from contamination or improper handling of food and water, or through transmission via disease-carrying organisms (vectors) like mosquitoes, flies, and ticks. Rapid urbanization, poor sanitation, climate change, and inadequate hygiene practices contribute to the spread of such diseases. This unit explores their classification, transmission, pathogenesis, diagnosis, and preventive strategies.


10.2 Food Borne Diseases

Food-borne diseases are illnesses caused by the ingestion of contaminated food containing pathogenic microorganisms or toxic substances. These diseases can range from mild gastroenteritis to severe and life-threatening infections.

10.2.1 Classification of Food Borne Diseases

Food-borne diseases are classified into:

  • Infections: Caused by ingesting food containing live pathogens (e.g., Salmonella, E. coli, Listeria).
  • Intoxications: Caused by toxins produced by microbes in food (e.g., Clostridium botulinum, Staphylococcus aureus).
  • Toxin-mediated infections: Organisms produce toxins in the intestines after ingestion (e.g., Clostridium perfringens).

10.2.2 Transmission

Transmission typically occurs through:

  • Improper cooking or storage
  • Cross-contamination between raw and cooked foods
  • Poor personal hygiene of food handlers
  • Use of contaminated water in food preparation

10.2.3 Pathogenesis

Pathogens enter the gastrointestinal tract and:

  • Adhere to intestinal mucosa
  • Multiply and produce toxins
  • Cause inflammation, diarrhea, vomiting, and in severe cases, systemic infection

10.2.4 Diagnosis and Treatment

  • Diagnosis: Based on symptoms, food history, and laboratory testing (stool culture, ELISA for toxins, PCR).
  • Treatment: Supportive care (rehydration, electrolyte replacement), antibiotics in severe cases, and antitoxins where applicable.

10.2.5 Prevention and Control

  • Ensure food safety practices (clean, separate, cook, and chill)
  • Promote hand hygiene among food handlers
  • Use safe water in food preparation
  • Enforce food safety regulations and public awareness campaigns

10.3 Water Borne Diseases

Water-borne diseases are caused by drinking or coming into contact with water contaminated by pathogenic microorganisms. These diseases are prevalent in areas with poor sanitation and unsafe drinking water.

10.3.1 Introduction to Water Borne Diseases

These include both bacterial (e.g., cholera, typhoid), viral (e.g., hepatitis A and E), and protozoal (e.g., amoebiasis, giardiasis) infections.

10.3.2 Transmission

Pathogens enter the water supply through:

  • Fecal contamination from open defecation or sewage leaks
  • Flooding and natural disasters disrupting sanitation
  • Use of untreated surface water

10.3.3 Pathogenesis

  • Cholera: Vibrio cholerae releases enterotoxins causing severe diarrhea
  • Typhoid: Salmonella typhi invades the intestinal wall leading to systemic illness
  • Hepatitis A: Virus infects liver causing jaundice and liver inflammation

10.3.4 Diagnosis

  • Stool, urine, and blood cultures
  • Serological tests for viruses (e.g., HAV IgM for hepatitis A)
  • Water sample testing for fecal coliforms and pathogens

10.3.5 Prevention and Control

  • Ensure safe drinking water through treatment (boiling, chlorination, filtration)
  • Promote sanitation and hygiene (hand washing, toilet use)
  • Improve sewage management and wastewater treatment
  • Implement health education and vaccination (e.g., typhoid, hepatitis A)

10.4 Vector Borne Diseases

Vector-borne diseases are illnesses transmitted through vectors such as mosquitoes, ticks, sandflies, and fleas. These vectors transmit viruses, bacteria, or parasites from one host to another.

10.4.1 Introduction to Vector Transmitted Diseases

These diseases are closely linked with environmental factors such as climate, water stagnation, and poor waste disposal, which provide breeding grounds for vectors.

Common Vector-Borne Diseases:

  • Malaria
  • Dengue
  • Chikungunya
  • Zika virus
  • Lyme disease
  • Leishmaniasis

10.4.2 Important Vectors

  • Mosquitoes: Anopheles (malaria), Aedes (dengue, chikungunya), Culex (filariasis)
  • Ticks: Lyme disease, tick-borne encephalitis
  • Sandflies: Leishmaniasis
  • Tsetse flies: Sleeping sickness

10.4.3 Transmission

Vectors become infected by feeding on infected hosts, then transmit pathogens during subsequent bites. Environmental factors like water stagnation and unclean surroundings increase vector populations.

10.4.4 Pathogenesis

  • Malaria: Plasmodium parasites infect red blood cells, causing fever, chills, and anemia
  • Dengue: Dengue virus leads to high fever, rash, and hemorrhagic symptoms
  • Leishmaniasis: Parasite infects skin or internal organs (visceral form)

10.4.5 Prevention and Control

  • Vector control: Insecticide-treated nets, larvicides, indoor spraying
  • Environmental management: Eliminate standing water, improve drainage
  • Personal protection: Use of repellents, wearing protective clothing
  • Vaccination and prophylaxis: Available for some diseases (e.g., yellow fever, malaria prophylaxis)

10.5 Let Us Sum Up

This unit provided a comprehensive overview of three major groups of communicable diseases: food-borne, water-borne, and vector-borne. These diseases continue to pose serious health challenges, especially in developing regions with inadequate sanitation and public health infrastructure. Prevention relies heavily on improved hygiene, clean water access, food safety, and effective vector control measures. Community awareness and government action are essential for disease reduction and better health outcomes.


10.6 Key Words

  • Food Borne Diseases: Illnesses caused by consumption of contaminated food.
  • Water Borne Diseases: Diseases transmitted through unsafe drinking water.
  • Vector Borne Diseases: Diseases spread through organisms like mosquitoes and ticks.
  • Pathogenesis: Biological mechanism through which a disease develops.
  • Transmission: The route through which pathogens are spread from one host to another.
  • Prevention and Control: Strategies to minimize disease incidence and transmission.

 

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