Classification Of Diseases
Grouping of diseases based on certain characteristics.
Easier to understand and remember
Characterized by having same mode of transmission .
Classification Into 10 Group
1.Water-washed diseases
2.Fecal-oral diseases
3.Food-Borne diseases
4.Diseases of soil contact
5.Disease of water contact
6.Skins infection
7.Respiratory disease and other airborne-transmitted infection
8.Disease transmitted via body fluids
9.Insect-borne disease
10.Zoonoses
i. Ectoparasites zoonoses
ii.Domestic and synanthropic zoonoses
1. Water Washed Diseases
Simplest transmission – person to person
Relate to poor hygiene – arise from direct contact of the
skin, conjunctiva or mucous membrane
Alternatively, organisms from skin or in conjunctival
secretions can be transported by intermediate vehicle.
Two group under this category:
Skin disease
Eye disease
Skin disease
Include infection of scabies , lice and superficial fungal.
Tropical ulcer also included here
Eye disease
Include trachoma, epidemic hemorrhagic conjunctivitis,
etc.
Main control method for water washed disease is to
increase water quality.
This include providing an adeuqate volume of water for
washing to encourage personal hygiene.
2. Fecal-oral Disease
Transmitted by person-person contact, through water or food of directly
into the mouth.
Main reason of occurrence were due to absence of a proper water supply,
with rubbish and dirty surrounding,
Associate with abundance number of flies (typically occurred when
disease strive)
Breaking the fecal oral cycle is the basis of control.
This are achieve by :
Personal hygiene
Increase water quality
Food hygiene
Provision of sanitation
Many of the disease in this group cause diarrhea
Example of disease under this group:
Gastroenteritis
Cholera
Typhoid
Bacillary Dysentry ( Shigellosis)
Giardia
Paratyhoid
Hepatitis A & E
Poliomyelitis
Enterobius
3. Food Borne Disease
Related to disease which only transferred by food.
Can infect food in general – food poisoning or sometimes
be very specific in the particular food – helminth.
Method of control focused on:
Food hygiene
Proper cooking of food ( right temperature, etc)
Sanitary methods to prevent cross contamination
Example of disease ;
Food poisoning due to bacteria; Staphylococcus spp,
Bacillus cereus, salmonella spp.
Food poisoning due to fish poisoning; Ciguatera,
Scromboid, etc
Food poisoning due to plant poison (organic or inorganic)
Campylobacter enteritis
Fluke ( intestinal, fish, liver, lung)
Tapeworm ( Fish, swine, Bovine)
Trichinosis
4. Disease Of Soil Contact
Soil can be source of infection.
Particularly due to nematodes and bacterial infection.
Transmission can be direct from:
Soil contamination
Swallowing nematodes eggs,
Larvae penetrate skins in contact with
Developmental stages often take place in the soil –
human – soil.
Control of infection via:
Promotion of personal hygiene
preventing contamination of soil
Vaccination (tetanus)
In the case of nematode infection (trichuris, Ascaris,
hookworm), these always come in together.
This indicates that if she/he is infected with one, likely
to have all three.
Most common in developing country e.g Africa and
South America, Asia
Example of disease:
Trichuris
Ascaris
Tetanus
5. Disease Of Water Contact
Important medium for disease transmission
Normally through;
Water polluted by fecal matter
Polluted water being used to wash food or food medium
Also serve as medium for fish – carry parasitic stage that is
transmitted when being consume.
Minimize contact with water is the best method of
control.
Example of disease:
Schistosomiasis
Guinea worm
Buruli Ulcer
6. Skins Infection
Skin is common site for several communicable disease
Present with rashes of various kind
Infection often transmitted from person-to-person via
skin contact or airborne route
Control done by:
Avoidance of contact with infected individual
Vaccination (if available)
7. Respiratory Disease And
Other Airborne-
transmitted Infection
Our vulnerable respiratory apparatus is easily invaded
by microorganism
This due to our continuously breathing activity
The common site of entry is nasopharynx
Our ciliated lining and mucus secreting cells of
respiratory tract can act as non-specific host defense
mechanism, entrapping microorganisms and passing
them to exterior.
In attempting to expel this secretions by coughing or
spitting, organisms may be transferred to another host.
Respiratory infection are usually transmitted by direct
contact between individuals
Very effective if closer to contact.
Control is mostly non-specific since human contact is
difficult to be avoid due to daily activity.
*respiratory is enigma, yet only some
individuals manifest disease.
This is due to the factor infective dose
and host response which determine the
infection.
Environmental factor can:
Increase the infective (overcrowding)
Reduce host resistance (malnutrition)
8. Disease Transmitted Via
Body Fluids
Includes infections transmitted from one human to another by
physiological fluids of the body – blood, saliva, seminal fluid
Transmission normally direct via sexually or non sexually contact
The main cause:
Close personal contact
Intimate/sexual intercourse
Considered as social disease, determine by habit and people’s attitude
Example of disease:
Human Immunodeficiency Virus
Hepatitis B & C
Yaws
Endemic syphilis
Venereal syphilis
Gonorrhea
Chlamydia
Ebola Hemorrhagic Fever
Trichomonas
Genital herpes
Human Papilloma
9. Insect-borne Disease
Vector transmission is one of the commonest methods of
spreading disease.
Divided into two chapter:
Flight insect
ectoparasites
Mosquito-borne disease:
Most important due to its abundant, close proximity to
human and blood meal.
Some parasites are specific for certain type of mosquito
e.g malaria & anophelines.
Others e.g arboviruses are less selective and utilize many
different species.
Parasite development within mosquito are:
Morphological without multiplication
Asexual reproduction (arbovirus)
Sexual reproduction (malaria)
Arboviruses
Grouped into three symptom-complexes:
1.Those producing mainly fever and/or Arthritis – e.g
chikungunya, Onyong-nyong, west nile.
2.Those presenting as fever and encephilitis – japanese
encephilitis, Murray Valley etc.
3.Hemorrhagic fevers – Yellow fever, dengue, rift valley,
etc
10. Zoonoses
Infection that is naturally transmitted between
vertebrae animals and humans
10.1.1 Ectoparasite Zoonoses
Disease caused by non-flying vectors e.g fleas, lice
Responsible for important group of infections that are
often associated with animal (reservoir)
Human are often the accidental victims of these
zoonotic infections
10.1.2 Domestic And
Synanthropic Zoonoses
Zoonoses disease which does not involve vector (direct
from animal to human)
Most of infection are due to close association between
human and domestic animals (domestic)
Zoonoses from unwelcome animal e.g rats are called
synantrophic.
Link to animals which depend on human for food and
companions e.g cat, dogs, cow and other.
Control depends upon an understanding of the contact
with the animal
8. Vector-animal reservoir
to vector-human reservoir
References
Roger W. Communicable disease epidemiology and
control; 3
rd
edition.2009. Cambridge University Press,
Cambridge. United Kingdom
David L. H.,. Control of Communicable Disease Manual.
18
th
edition.2004. America Public Health Association.
United Book Press Inc. Baltimore. USa