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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