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Legionnaires disease research paper
Legionnaires disease research paper
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In the year 1976, there was a disease epidemic, and no one knew the cause of it. On August 2, reports of legionnaires feeling ill were sent to the Pennsylvania Department of Health. Then, the press named the illness, Legionnaire's disease because many legionnaires who went to the American Legion convention caught the disease. To determine the characteristics and the cause of Legionnaire's disease, the problem was handed over to to epidemiologists and laboratory investigators. To figure out what caused the Legionnaires’ disease, the epidemiologists had to do investigations on who caught the illness, where they caught it, and when. They discovered that among the 72 cases of Legionnaire’s disease, there were also people who were not at …show more content…
They also learned that only family members that had become ill were also at the convention themselves. The possibility of the disease being spread by food and drink was then ruled out with this new information. Next, epidemiologists learned that legionnaires that were affected had been more outside than the unaffected legionnaires. To explain how it was possible for people to get the disease and not be at the convention, epidemiologist came up with an hypothesis that the disease was being spread through the air. The agent that caused the disease remained unknown, and to determine the agent that might have caused the disease, more research had to be done, and it also required epidemiologist to conduct experiments. An experiment was now required to figure out the agent responsible for the disease. First, scientists did intensive testing on specimen from patients and tissues taken from autopsies. Epidemiologists were able to learn that the cause of the agent was not any known microbial agent, so they hypothesized that the disease was probably caused by some unknown organism that …show more content…
Legionnaires’ disease was able to be diagnosed within a few hours with direct fluorescent-antibody testing technique. They were also able to diagnose Legionnaires’ disease by using a procedure called enzyme-linked immunosorbent. This procedure allowed them to check antigens of the organism in the patient's’ serum and urine. With more research, scientists also learned that the disease was more common in middle-aged and elderly people. Men were also affected more than women. While looking back at the old cases, epidemiologist also learned that the illness was more frequent among travelers, construction workers, and people living near excavation sites or construction sites. They also found out that patients that had their beds close to the windows in buildings close to excavation site became ill. They hypothesized that the disease was from the soil, and when there were constructions the dust would help spread the disease through the air. Legionella pneumophila could also be found from water in cooling devices. After that, scientists began researching ways to decontaminate air-conditioning
Researchers were unable to identify what caused Polio to spread. It seemed to be more common in cleaner environments, unlike other diseases. Polio was found more often in the middle class rather than the poor. One reason that the polio virus was so difficult to discover, was because it wasn’t a bacteria and because most microscopes couldn’t detect the microbial agent. Another problem that created difficulties for scientists, was that the researchers couldn’t discover how the virus got
Another guest speaker and guide in this podcast is David Quammen. He talks about how the epidemiologists were trying to figure out what this new disease was and how they were thinking that maybe it was a sexually transmitted disease. So, the CDC launched the study of a group of about thirty patients came from New York, Los Angeles and San Francisco to see who had had sexual contact with who. They led as a series of interviews: “Please name all the people that you have had sex with”. After these surveys the CDC eventually released the results in the form of a diagram, like a network drive with circles representing patients and lines representing sexual contact. In each patient, each circle was numbered so that they could tell who is who. They noticed: New York seven, Los Angeles twelve etc… and soon they noticed a common denominator in this huge spider web of connections. One little circle, numbered zero: PATIENT ZERO. That was the first time they ever used the term patient zero.
Among hospitalized patients around the world, Clostridium difficile is the primary source of infectious diarrhea. Previously, continuously unbalanced intestinal microbiota, usually due to antimicrobials, was deemed a precondition of developing the infection. However, recently, there have been alterations in the biology from virtually infecting the elderly population exclusively, wherein the microbiota in their guts have been interrupted by antimicrobials, to currently infecting individuals within of all age groups displaying no recent antimicrobial use. Furthermore, recent reports have confirmed critical occurrences among groups previously assumed to be of minimal risk—pregnant women, children, and individuals with no previous exposure to antimicrobials, for instance. Unfortunately, this Gram-positive, toxin-producing anaerobic bacterium is estimated to cost US critical care facilities $800 million per year at present, suggesting the need for effective measures to eliminate this nosocomial infection (Yakob, Riley, Paterson, & Clements, 2013).
Legionella pneumophila are gram-negative rods. They are very difficult to culture because of their complex nutrient requirements, such as cysteine, high concentrations of iron, and the use of activated charcoal agar. They survive as intracellular pathogens of either protozoa or human macrophages. They are most often found in stagnant water reservoirs like air conditioning cooling towers, whirlpool spas, humidifiers, faucets and shower heads, and are infectious when inhaled. L. pneumophila was first identified and named after the American Legion convention of 1976, held in Philadelphia, PA. 182 people became infected, and 29 died (most of which were older men or cigarette smokers). Although this organism was named in the 70’s, retrospective studies showed cases since 1943.
to the disease. Many people who knew nothing about medicine used this as an opportunity to get
Although most people don't realize it, one of the most weakening diseases of the world can often be found crawling around in the shrubs and tall grasses of a person’s backyard .It does not mean that only dirty yards have this disease but it is found in every Americans backyard. The disease is called Lyme disease. Now I will be elaborating on the disease.
Fear and guilt seemed to hang in the atmosphere, because although no one knew what caused the virus, everyone seemed to feel it was something they did that caused them to get sick. Parents especially, felt guilty because they were overwhelmed with the unknown, and the thought of one of their children becoming paralyzed or worse, dying, always led to almost daily admonitions to stay away from the drinking fountains and away from pools where groups of strangers swam. There seemed to be a general consensus that the disease was water borne.
Legionnaires disease, characterized as a form of pneumonia, is an infectious disease caused by the bacteria Legionella. Legionnaires disease accumulated its name after it spread to more than 4,000 World War II Legionnaires, as well as their family and friends, which all gathered to participate in the 58th American Legion's convention in Philadelphia, about 600 of whom were staying at the hotel this convention was being held at. The day after the convention was being hosted, a great number of the people began feeling ill. No one began to think anything of it, because the symptoms were beginning to be very similar to any other stomach flu. It wasn’t until the American Legionnaires started dying of an illness no one could figure out what was, that endless tests were completed, and Medical specialists came to a conclusion that a bacteria, Legionella, was spreading through the air conditioning vents in the convention hotel. (Legionnaires disease: A history if its discovery). This non contagious infection enters the body through contaminated bacteria into water vapor that we breathe in, affecting the bronchial tubes, and lungs. Legionnaires disease was then given it’s name in 1976, after it killed 34 people from the convention in Philadelphia.
Society was in a crisis before the microscope was invented. Sickness was running rampant and people who were sick most of times eventually died from it. Many of the people were getting the common cold, flu, and sometimes the plague. People did not know what disease they had; they just knew the symptoms of the disease they had. People around the world were looking for an answer on how to stop what was going on with them. Nobody likes to be sick. Everybody tried many ways to find cures to heal the population of the sick but whatever they did only worked for a few days not if it worked at all. The remedies never fully cured the person from the disease. There was a big proble...
Between the months of August and November of 1918, Spanish influenza spread quickly across the United States and around the world in epidemic proportions. The disease was thought to have been brought from country to country by sea-faring vessels passing through major port cities around the world, with illness striking men of French troops, the British Royal Navy, civilians in America, and more. The Public Health Service sanitation officer and member of the First Navy District, Dr. William M. Bryan, was aware of the conditions in Boston and was worried by them, where hot, dusty, and dry conditions exacerbated the problem, forcing sailors and soldiers into crowded conditions in Boston, where the close conditions and poor housing aided in the quick spread of influenza from person to person (23). Although influenza itself did not cause the deaths, but caused the pneumonia which did cause deaths, the number of deaths were still striking and rising. The deaths of three men in one afternoon in Quincy, Massachusetts caused the public to take notice. Bostonís church closed on September 22 to keep the public separated from each other (33). The disease proceeded to cause death in large numbers throughout the country. At one point, Philadelphia was stricken with 289 deaths within 24 hours(71).
The discovery of meningitis dates back to the 1800’s. The first evidence that linked bacterial infection as a cause of meningitis was written by Austrian pathologist Anton Weichselbaum. He was the one to isolate the causative agent of cerebrospinal meningitis. He named this bacterium Diplococcus intracellularis meningitidis.
The history of differentiating between diseases and vaccinating them is a practice that has been used for more millennia than you can count on two fingers. In 900 BC, a Persian physician named Rhazes was the first to publish a written account attempting to distinguish between measles and smallpox (successful or not is a whole other matter). It takes about 2500 years before any more development in the field of vaccination. In 1661, Chinese Emperor Kiang wrote a letter that stated that he fully supports inoculation, which is the introduction of a pathogen or antigen into a living organism to stimulate the production of antibodies. Then in 1676, English doctor Thomas Sydenham publishes ‘Medical observations on the history and cure of acute diseases’ which successfully distinguishes measles from smallpox while in great detail. The report also stated details about Scarlet Fever which was big at the time. In 1678, a Boston newspaper published America’s first medical work, Thomas Thatcher’ pamphlet: A Brief Rule to Guide the Common People of New England how to order themselves and theirs in the Small Pocks, or Measles. Once again, Thomas Sydenham discovers a medical breakthrough in 1684 by concluding that the common health practices, not available to the poor, were more harmful than good in mild smallpox cases. Sydenham’s discovery would be the last big medical innovatio...
The history of smallpox goes back for thousands of years. It is thought to have appeared as much as 10,000 years ago and since then, it has claimed the lives of millions of people, many of whom have been famous figures in history. After a vaccine was discovered in 1796, countries throughout the world began the fight to eradicate the disease. This fight was won in 1980 as a result of the international effort headed by the World Health Organization. Today, smallpox is no longer a threat in nature but the virus is still stored in labs, from which a biological weapon could be made.
At the basic level epidemiologists study the distribution, incidence and control of diseases. They do such by a conducting an epidemiological investigation in order to accurately, rather than hastily, prevent more of the population from becoming contaminated and infected with the disease (Wheeling Jesuit University). An example of how this process takes place can be seen in Richard Prestons’s “The Hot Zone” when veterinarians
The number of facilities suggests that the city had to take measures to contain the outbreaks as soon as possible but there were still challenges that undermined their efforts. These facilities were unlike the sanatoriums that were described before. The study made note that such