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10 Communicable Disease Control Program
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10 Communicable Disease Control Program
e. Children exposed to
Dose:
TB must undergo a) R & I 10 – 15mg/ kg
TB exposure Productive cough
b) P 20 – 30 mg/kg
c) E 15 – 25mg/kg
d) S 20 – 30mg /kg
Physical exam & Sputum exam
tuberculin test II. Leprosy Control ProgramChronic mildly
communicable disease affecting skin, peripheral
(-) sputum + sputum nerves, eyes, and mucosa of upper RT
E. Diagnosis
(-) tuberculin w/ (+) Tuberculin, 1. Symptoms and signs
contact unknown contact 2. history of contact
3. Slit skin smear Ziehl Nielsen
Staining Method
x-ray
F. Types
# lesions Infectious Treatment Duration
Single lesion 1 No Rifampicin
(-) x-ray (+) x-ray Ofloxacin
Minocycline
Paucibacillary 5 or less No • Rifampicin 6 – 9
(tuberculoid, • Dapsone mos.
Repeat tuberculin Chemoprophylaxis treatment
indeterminate)
after 3 mos. (3mos) 5 yrs and Multibacillary 6 & Yes Rifampicin 24 – 30
below (lepromatous, above mos.
Dapsone
borderline) Clofazimine
3. caseholding & treatment (lamprene)
a. case holding DOTS
treatment observed
G. Signs and Symptoms
b. Treatment
1) Pulmonary TB Early Late
IP MP Loss of eyebrows (madarosis)
RIP RI Change in skin color (reddish or
(2mos) (4 mos) white)
Inability to close eyelids
Dose:
(lagopthalmos)
Absence of sensation on the skin
a) R & I 10 – 15mg/ kg lesion
b) P 20 – 30 mg/kg Clawing
2) EP TB Contractures
IP MP Loss of sweating and hair growth
on the lesion Chronic ulcers
Muscle weakness or paralysis of Enlargement of male breast
extremities (gynecomastia)
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10 Communicable Disease Control Program
lesions Dapsone
day of
packs 3. Onco
(100mg) (18
b.infectious Lamprene
month mos) melania quadrasi tiny snail
(300mg) Dapsone
(50mg) E. Diagnostics
D1 - 28 1. fe
Lamprene calysis
(150mg) 2. E
D1 - 28 LISA
♣ Treatment Completion 3. C
1. A patient on PB regimen should ercum Ova Precipetin Test (COPT)
take6 blister packs within 9 months. definitive
2. A patient on MB regimen should F. Pathophysiology
take 12 blister packs within 18 Oncomelania quadrasi (tiny
snail)
months.
If patient failed to complete Miracidum (lives inside snail)
treatment consume 24 MB blister
packs
Cercaria (evolved
3. At the end of this duration, the miracidium)
patient should be considered as
Treatment Completed (TC). Skin penetration
I. Collaborative Mg’t
1. Prevention of G. Signs and Symptoms
Leprosy (HABAG) 1. s
a. Health education wimmer’s itch pruritic rash on site of
b. Avoidance of prolonged entry
skin-to-skin contact 2. fe
c. BCG vaccination ver
d. Adequate nutrition
e. Good personal hygiene
2. Case finding
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10 Communicable Disease Control Program
3. a 1.
bd. Discomfort hepatomegaly, Wuchereria bancrofti life span 10 yrs.
splenomegaly & lymphadenopathy 2.
4. bl Brugia malayi
oody mucoid stool 3.
5. ic Brugia timori
teric & jaundice B. Incubation Period
8 – 16mos.
H. Collaborative Mg’t C. Mode of
1. p
Transmission aedes poecilius (night biting)
revention
D. Diagnostics
a. Health educ. MOT and methods
of protection
1. circulating filarial antigen (CFA) finger-
prick blood droplet
b. Dispose wastes (feces & urine
properly) 2. Nocturnal Blood examination (NBE)
c. Reduce snail habitats blood taken at home or residence at 8:00pm
1) expose nail to sunshine 3. Immo-chromatographic Test (ICT)
clears vegetation rapid assessment method (can be done anytime
via blood)
2) construct drainage to dry
E. Signs and
land surface where nail strives Symptoms
3) Molluscides Treat snail Asymptomatic Acute Stage Chronic Stage
sites Stage
4) If exposed with sites 1. No S/ Sx 1. 10 – 15 yrs form
infested treat skin w/ 70% alcohol 2. Lymphadenitis onset of attack
5) Inactivating cercaria ↑microfilariae lymph nodes 1.
iodine, chlorine or filter paper - wait men > women inflammation hydrocele
for 48 - 72 hours before use 2. scrotal
swelling
d. prevent people from bathing the Lymphangitis
streams lymph vessels 2.
2. c inflammation Lymphedema
ontrol of patients, contacts & immediate 3. temp.
Male genitalia swelling of
environment upper
a. report to local health funiculitis,
epidydimitis, or extremities
authority in selected endemic areas
orchitis 3.
b. concurrent disinfection Elephantiasis
sanitary disposal of feces and urine scrotum,
c. quarantine none extremities or
d. immunization none breast
3. In F. Collaborative Mg’t
vestigation of contacts & source of 1.prevention
infection a.sleep under mosquito net
a. meds b.use mosquito repellamt
c.take yearly dose of medicine w/c kills worms in
1) praziquantel (Biltricide) drug the blood
of coice
2. meds ivermectin, diethylcarbamazene
2) oxamniquine S. mansoni (DEC) or hetrazan
3) metrifonate haematobium Side Effects of DEC Fever due to
b. examine for schisosomiasis & treat if destruction of parasites
infected 3.Supportive
c. annual stool exaM a. elephantiasis of legs eased up by
elevating legs
IV. Filariases/ Elephantiasis b. washing 2x a day w/ soap & water
Filariasis Control Units (FCU) ↑ Sulu &↓
Cebu 4. prophylaxis 6mg/kg SD
A. Cause 5. surgery elephantiasis & hydrocele
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10 Communicable Disease Control Program
a. mild (lymphedema)
lymphovenous anastomosis
relapse
b. chyluria ligation & stripping of Symptomatic RBC destruction
lymphatics of kidneys infection
c. hydrocele inversion or resection of tunica anemia
vaginalis chills
2. Insecticide-treated nets
3. Indoor residual spraying
4. Environmental Friendly Program:
D. Pathophysiology CLEAN
Sporozoites (mosquitoes saliva)
Mosquito byte
C – chemically treated mosquito nets
(Permethrine)
Sa DOH lang pwede maka-bili ng Permethrine.
Blood strem (sporozoites) Kasi pag pwede siya mabili sa kahit saang
drugstore, hindi mamo-monitor yun cases ng
malaria. When you buy it from the DOH, you will
Liver (sporozoites mature) be under investigation.
L – larvae-eating fish & biological
(carabaos)
Merozoites Hepato- hypozoites(left in E – environmental cleaning of canals
(release in blood) splemoegaly liver)
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