Ebola
Ebola is a
virus of the family Filoviridae that is responsible for a severe and often
fatal viral hemorrhagic fever; outbreaks in primates such as gorillas and
chimpanzees as well as humans have been recorded. The disease is characterized
by extreme fever, rash, and profuse hemorrhaging. In humans, fatality rates
range from 50 to 90 percent.
Polio
Polio is
known in full as poliomyelitis – also called infantile paralysis. It is an
acute viral infectious disease of the nervous system that usually begins with
general symptoms such as fever, headache, nausea, fatigue, and muscle pains and
spasms and is sometimes followed by a more serious and permanent paralysis of
muscles in one or more limbs, the throat, or the chest. More than half of all
cases of polio occur in children under the age of five. The paralysis so
commonly associated with the disease actually affects fewer than 1 percent of
persons infected by the poliovirus.
Between 5
and 10 percent of infected persons display only the general symptoms outlined
above, and more than 90 percent show no signs of illness at all. For those
infected by the poliovirus, there is no cure, and in the mid-20th century
hundreds of thousands of children were struck by the disease every year.
Lupus Erythematosus
Also often
referred to simply as lupus, this is an autoimmune disorder that causes chronic
inflammation in various parts of the body. Three main types of lupus are
recognized—discoid, systemic, and drug-induced.
Discoid
lupus affects only the skin and does not usually involve internal organs. The
term discoid refers to a rash of distinct reddened patches covered with grayish
brown scales that may appear on the face, neck, and scalp. In about 10 percent
of people with discoid lupus, the disease will evolve into the more severe systemic
form of the disorder.
Systemic
lupus erythematosus is the most common form of the disease. It may affect
virtually any organ or structure of the body, especially the skin, kidneys,
joints, heart, gastrointestinal tract, brain, and serous membranes (membranous
linings of organs, joints, and cavities of the body.) While systemic lupus can
affect any area of the body, most people experience symptoms in only a few
organs. The skin rash, if present, resembles that of discoid lupus. In general,
no two people will have identical symptoms. The course of the disease is also
variable and is marked by periods when the disease is active and by other
periods when symptoms are not evident.
Influenza
Influenza,
also known as the flu, or grippe, is an acute viral infection of the upper or
lower respiratory tract that is marked by fever, chills, and a generalized
feeling of weakness and pain in the muscles, together with varying degrees of
soreness in the head and abdomen.
Influenza is
caused by any of several strains of orthomyxoviruses, categorized as types A,
B, and C. The three major types generally produce similar symptoms but are
completely unrelated antigenically, so that infection with one type confers no
immunity against the others. The A viruses cause the great influenza epidemics,
and the B viruses cause smaller localized outbreaks; the C viruses are not
important causes of disease in humans. Between pandemics, the viruses undergo
constant, rapid evolution (a process called antigenic drift) in response to the
pressures of human population immunity. Periodically, they undergo major
evolutionary change by acquiring a new genome segment from another influenza
virus (antigenic shift), effectively becoming a new subtype to which none, or
very few, of the population is immune.
Creutzfeldt-Jakob
Disease
Creutzfeldt-Jakob
disease is a rare fatal degenerative disease of the central nervous system.
Creutzfeldt-Jakob disease occurs throughout the world at an incidence of one
person in a million; however, among certain populations, such as Libyan Jews,
rates are somewhat higher. The disease commonly occurs in adults between the
ages of 40 and 70, although some young adults have been stricken with the
disease. Both men and women are affected equally. The onset of the disease is
usually characterized by vague psychiatric or behavioral changes, which are
followed within weeks or months by a progressive dementia that is often
accompanied by abnormal vision and involuntary movements. There is no known
cure for the disease, which is usually fatal within a year of the onset of
symptoms.
The disease
was first described in the 1920s by the German neurologists Hans Gerhard
Creutzfeldt and Alfons Maria Jakob. Creutzfeldt-Jakob disease is similar to
other neurodegenerative diseases such as kuru, a human disorder, and scrapie,
which occurs in sheep and goats. All three diseases are types of transmissible
spongiform encephalopathies, so called because of the characteristic spongelike
pattern of neuronal destruction that leaves brain tissue filled with holes.
Diabetes
Diabetes is
a disorder of carbohydrate metabolism characterized by impaired ability of the
body to produce or respond to insulin and thereby maintain proper levels of
sugar (glucose) in the blood.
There are
two major forms of the disease. Type I diabetes, formerly referred to as insulin-dependent
diabetes mellitus (IDDM) and juvenile-onset diabetes, usually arises in
childhood. It is an autoimmune disorder in which the diabetic person’s immune
system produces antibodies that destroy the insulin-producing beta cells.
Because the body is no longer able to produce insulin, daily injections of the
hormone are required.
Type II
diabetes, formerly called non-insulin-dependent diabetes mellitus (NIDDM) and
adult-onset diabetes, usually occurs after 40 years of age and becomes more
common with increasing age. It arises from either sluggish pancreatic secretion
of insulin or reduced responsiveness in target cells of the body to secreted
insulin. It is linked to genetics and obesity, notably upper-body obesity.
People with type II diabetes can control blood glucose levels through diet and
exercise and, if necessary, by taking insulin injections or oral medications.
HIV/AIDS
AIDS is the
byname of acquired immunodeficiency syndrome – a transmissible disease of the
immune system caused by the human immunodeficiency virus (HIV). HIV slowly
attacks and destroys the immune system, the body’s defense against infection,
leaving an individual vulnerable to a variety of other infections and certain
malignancies that eventually cause death. AIDS is the final stage of HIV
infection, during which time fatal infections and cancers frequently arise.
HIV/AIDS
spread to epidemic proportions in the 1980s, particularly in Africa, where the
disease may have originated. Spread was likely facilitated by several factors,
including increasing urbanization and long-distance travel in Africa,
international travel, changing sexual mores, and intravenous drug use.
According to the United Nations 2004 report on AIDS, some 38 million people are
living with HIV, approximately 5 million people become infected annually, and
about 3 million people die each year from AIDS. Some 20 million people have
died of the disease since 1981.
Asthma
Asthma is a
chronic disorder of the lungs in which inflamed airways are prone to constrict,
causing episodes of breathlessness, wheezing, coughing, and chest tightness
that range in severity from mild to life-threatening. Inflamed airways become
hypersensitive to a variety of stimuli, including dust mites, animal dander,
pollen, air pollution, cigarette smoke, medications, weather conditions, and
exercise. Stress can exacerbate symptoms.
Asthmatic
episodes may begin suddenly or may take days to develop. Although an initial
episode can occur at any age, about half of all cases occur in persons younger than
10 years of age, with boys being affected more often than girls. Among adults,
however, the incidence of asthma is approximately equal in men and women. When
asthma develops in childhood, it is often associated with an inherited
susceptibility to allergens, substances such as pollen, dust mites, or animal
dander that may induce an allergic reaction. In adults, asthma also may develop
in response to allergens, but viral infections, aspirin, and exercise may cause
the disease as well. Adults who develop asthma may have nasal polyps or
sinusitis.
Cancer
Cancer
refers to a group of more than 100 distinct diseases characterized by the
uncontrolled growth of abnormal cells in the body. Cancer affects one in every
three persons born in developed countries and is a major cause of sickness and
death throughout the world. Though it has been known since antiquity,
significant improvements in cancer treatment have been made since the middle of
the 20th century, mainly through a combination of timely and accurate diagnosis,
selective surgery, radiation therapy, and chemotherapeutic drugs. Such advances
actually have brought about a decrease in cancer deaths (at least in developed
countries), and grounds for further optimism are seen in laboratory
investigations into elucidating the causes and mechanisms of the disease.
Owing to
continuing advances in cell biology, genetics, and biotechnology, researchers
now have a fundamental understanding of what goes wrong in a cancer cell and in
an individual who develops cancer—and these conceptual gains are steadily being
converted into further progress in prevention, diagnosis, and treatment of this
disease.
The Common Cold
The common
cold is an acute viral infection that starts in the upper respiratory tract,
sometimes spreads to the lower structures, and may cause secondary infections
in the eyes or middle ears. More than 100 agents cause the common cold,
including parainfluenza, influenza, respiratory syncytial viruses, and
reoviruses. Rhinoviruses, however, are the most frequent cause.
The popular
term common cold reflects the feeling of chilliness on exposure to a cold
environment that is part of the onset of symptoms. The feeling was originally
believed to have a cause-and-effect relationship with the disease, but this is
now known to be incorrect. The cold is caught from exposure to infected people,
not from a cold environment, chilled wet feet, or drafts. People can carry the
virus and communicate it without experiencing any of the symptoms themselves.
Incubation is short — usually one to four days. The viruses start spreading
from an infected person before the symptoms appear, and the spread reaches its
peak during the symptomatic phase.
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