Communicable Disease
&
Sexually Transmitted Disease
(Assignment)

Objective

Explain what is communicable diseases and how it is transmitted and controlled.

List the common sexually transmitted diseases and their clinical manifestations.

Communicable disease?

How it is transmitted?

direct

horizontal transmission

human or animal contact

Gastroenteritis

Mumps

Rabies

Ringworm

sexual intercourse

Gonorrhea

syphilis

chlamydia

AIDS (HIV)

respiratory droplets

Pertuissis

Common cold

Influenza

vertical transmission

Mother to fetus

Listeriosis

Congenital syphilis

AIDS (HIV)

Mother to newborn

Neonatal conjunctivitis

chlamydia conjunctivitis

gonorrhea conjunctivitis

indirect

Fomites

Contaminated
inanimate object that can
transmit disease

Tetanus

Hepatitis B

Athlete’s foot

vehicle transmission

Foods

Gastroenteritis

Hepatitis A

Amoebiasis

Water

Cholera

Leptospirosis

Cryptosporidiosis

Aerosols

TB

Measles

Valley fever

vector transmission

Mechanical vector

Typhoid fever

Trachoma

Shigellosis

Biological vector

Lyme disease

West nile

Malaria

How it is controlled?

Immunization

Passive immunization

Transfer of 
immunoglobulin from 
an immunized animal or person to the person to be protected

Transfer of
immunoglobulin from
an immunized animal or person to the person to be protected

Active immunization

Exposing a person to a 
non-infectious pathogen 
to provoke an immune response.

Exposing a person to a
non-infectious pathogen
to provoke an immune response.

Adjuvant

Substance that
enhances an immune
response

Identification & Isolation

Isolation of infected people prevents contact with susceptible people and stops the spread of the disease.

symptoms

Control of Means of Indirect Transmission

transmission is by means of contaminated

Food

control of food handlers

Standards for monitoring the manufacture and distribution
of commercially prepared foods

Water

chlorination (or similar treatments) of 
water supplies

chlorination (or similar treatments) of
water supplies

establishment of effective sewage treatment facilities

disease is transmitted by insects

disease is transmitted by insects

eradicate
or control the insects that transmit the disease

disease is spread from animals
to people

control of the animal source of infection also is required

What is it

An infectious disease that is readily transmitted from person to person

endemic

endemic

A communicable disease
in which small numbers
of cases are continually
present in a population.

epidemic

epidemic

A communicable disease
affecting concurrently large
numbers of people in a population

Non-HIV sexually transmitted diseases

clinical manifestation

Syphilis

Syphilis

Primary: chancre

Secondary: systemic
infection with skin
rash and enlarged
lymph nodes

Tertiary: late
destructive lesions
in internal organs

Gonorrhea

Gonorrhea

Urethritis

Cervicitis

Pharyngitis

Infection of rectal
mucosa (proctitis)

Herpes

Herpes

Superficial vesicles
and ulcers on external genitalia
and in genital tract

Regional lymph
nodes often
enlarged and
tender

Chlamydia

Cervicitis

Cervicitis

Urethritis

Types

Syphilis

caused by the spirochete Treponema pallidum

Congenital Syphilis

syphilitic mother often transmits the disease to her unborn infant

may cause death of the fetus

the infant may be born with congenital
syphilis

Stages of syphilis

Primary syphilis

a small ulcer called a 
chancre develops at the site of inoculation.

a small ulcer called a
chancre develops at the site of inoculation.

Secondary syphilis

Symptoms of secondary syphilis include skin rash, swollen lymph nodes, and fever.

The signs and symptoms of primary and secondary syphilis can be mild, and they might not be noticed.

Tertiary syphilis

granulomatous lesions often found in the skin or bones

damage of the brain, nerves, eyes, heart, blood vessels, liver, bones and joints.

- blindness
- deafness
- mental illness
- memory loss
- destruction of soft tissue and bone
- neurological disorders, such as stroke or meningitis
- heart disease
- neurosyphilis

Gonorrhea

caused by the gonococcus Neisseria gonorrhoeae

Gonorrhea in males

Greater frequency or urgency of urination

Pus-like discharge from the tip of the penis

swelling or redness at the opening of the penis

persistent sore throat

Pain or swelling in one testicle

Gonorrhea in females

discharge from the vagina

painful urination

heavier periods or spotting

sore throat

pain during sexual intercourse

pain in the lower abdomin

fever

Disseminated Gonococcal Infection

occurs when the sexually transmitted pathogen Neisseria gonorrhoeae invades the bloodstream and spreads to distant sites in the body

Symptoms

Fever

joint pain

infections of the joints, tendons, heart valves, and covering of the brain

skin rash

Herpes

Caused by herpes simplex virus

Types

Type 1

infects the oral mucous membrane

infects the oral mucous membrane

Type 2

infects the genital tract, 
and most infections occur after puberty

infects the genital tract,
and most infections occur after puberty

Chlamydia

Genital tract infection caused by the small obligate intracellular bacterial parasite
Chlamydia trachomatis

Symptoms

Symptoms

Chlamydia causes much the same type of inflammation and clinical symptoms
as gonorrhea

Chlamydia in males

Chlamydia in females

viruses are transmitted among individuals of the same generation

vertical transmission occurs from mothers to their offspring