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Influenza

A viral infection of the breathing system which attacks the lungs and can be fatal

Fomites

Inanimate object(s) that can carry pathogens from one host to another (eg towels and bedding)

Anus

The muscular sphincter at the end of the digestion which controls the release of the faeces

The spread of disease

Communicable diseases can be spread, directly or indirectly, from one person to another in many different ways. A pathogen must get inside the body of each new host and the human body has many potential entry points. The eyes, nose, mouth, ears, anus and urino-genital openings are obvious ways in, and microorganisms may also enter the blood directly through broken skin.

Transmission of disease may be directly from person to person, through food or water, through inanimate objects known as fomites or by vectors.

Person to person

There are many different ways in which pathogens can be transmitted directly from one person to another.

Method of transmission How it works Examples
Direct contact Pathogens transferred directly from one person to another by skin contact Skin diseases such as impetigo Impetigo

(Photo credit: CDC/Dr J.Miranda)

Many sexually transmitted diseases such as gonorrhoea and syphilis
Inhalation (droplet infection) Coughing and sneezing expels millions of droplets from your gas exchange system that contain any pathogens present. Some of the water evaporates, leaving very tiny droplets small enough to remain suspended in the air and full of pathogens. When inhaled by another individual the pathogens get into their respiratory tract and another infection is set up

Lung diseases such as tuberculosis (bacterial) and influenza (viral)

More general infections such as measles (viral)

Contaminated body fluids Blood and other body fluids may contain many pathogens so, if body fluids from an infected person get into another person, disease may be transmitted. Different diseases are passed on in different body fluids. Kissing teenage couple

Open wounds (eg HIV/AIDS, tetanus)

Contaminated blood donations (eg HIV/AIDS, hepatitis)

Breast milk (eg HIV/AIDS)

Contaminated medical instruments (eg septicaemia)

Shared needles in drug abuse (eg HIV/AIDS, hepatitis)

Kissing when saliva is passed from one person to another (eg glandular fever, common cold)

Food and water

The infectious diseases that kill the most people every year are simple diarrhoeal diseases. They can be caused by bacteria, viruses, protozoa and worms, often transmitted from one person to another through contaminated food or drink. The contamination may come from pathogens present on the food, or may come from faecal contamination of food or water. In food, many of the pathogens are destroyed when it is cooked thoroughly. The risk of infection is greatest from raw or undercooked food.

In many parts of the world sewage frequently contaminates the water sources and people may have to wash and draw water for drinking from the same place. Water-borne pathogens cause disease, and death of millions every year. Boiling water before drinking it, or adding a small amount of bleach to the water, kills most pathogens. Careful siting of wells and the use of well-positioned pit latrines can greatly reduce the spread of water-borne diseases.

Salmonella spp. infections (bacterial) and hepatitis A (viral) are examples of pathogens transmitted by food and water.

Pit latrine

Pit latrines greatly reduce the risk of faecal pathogens reaching the drinking water supply in many parts of the world.
(photo credit: SuSanA Secretariat)

Fomites

Fomites - inanimate objects such as hospital towels and bedding or somebody else’s makeup – can carry pathogens from one host to another, spreading infection such as Staphylococcus spp. infections.

Vectors

Both living organisms and environmental factors such as water can act as vectors of human disease, transmitting infection from one person to another. Animal vectors can transmit disease by biting, licking or scratching you. Potential vectors range from mammals to insects. Examples of diseases spread by animal vectors include tetanus (bacterial) hepatitis B, HIV/AIDS, dengue fever and rabies (all viral), malaria and sleeping sickness (protozoa).

Mosquito feeding Bat

Different types of mosquitoes act as vectors for a range of diseases including malaria, dengue or breakbone fever and yellow fever
(photo credit: CDC/James Gathany)

Dogs, foxes, badgers and bats can all carry rabies.