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Tuberculosis, sometimes called primary complex, is a disease that affects people across the world. The World Health Organization (WHO) estimates that 100,000 children die of tuberculosis every year, and Kenyon College in Ohio claims that the disease is responsible for more deaths in young people that any other communicable disease in the world. Most child deaths caused by tuberculosis occur in low-income areas such as Southeast Asia, but on rare occasions tuberculosis can affect children in North America.
Cause
1. Tuberculosis is caused by infection from the bacteria Mycobacterium tuberculosis. It is contracted by inhaling tuberculosis bacilli, the immature form of Mycobacterium tuberculosis, in the air. Tuberculosis bacilli are spread through coughing, sneezing, breathing and talking. Once breathed in, tuberculosis bacilli can sit in the lungs for an extended period of time and may not ever develop into full-blown tuberculosis, as the WHO estimates that only 10 percent of cases develop into the disease. Fewer bacteria sit in the lungs of children infected with the disease, making them less infectious.
Symptoms
2. In the first stage of tuberculosis in a child, the bacteria infect the lungs. At this point, the bacteria may remain latent. In rare cases, the child's immune system may be strong enough at this point to fight the infection,. Four or five months later, in the next stage, the main symptoms of tuberculosis become apparent. These include pneumonia, liquid on the lungs, and collapse of the lungs. More apparent symptoms include weight loss and heavy coughing. There are no apparent symptoms in the final stage, but the bacteria are usually still present in the lungs and may cause another infection.
Diagnosis
3. Tuberculosis is difficult to diagnose in children because a lot of the methods used to diagnose the disease, such as chest radiographs, have difficulty distinguishing tuberculosis in a child from other chest and lung infections, such as pneumonia. Testing the sputum coughed up by a child is the most reliable method of diagnosing the disease, but this is complicated by the fact that most children cannot produce the amount of sputum needed for the test. Because of these factors, tuberculosis in children is often diagnosed by identifying the symptoms.
Treatment
4. It takes a long time to kill the bacteria that lead to tuberculosis. For this reason, it is important to begin treatment as quickly as possible. The drug combinations used to cure tuberculosis in adults are used in smaller doses for children and include drugs such as ethambutol, isoniazid, pyrazinamide, rifampicin and streptomycin. Almost 90 percent of the bacteria are killed within the first two weeks of treatment, according to Kenyon College. However, treatment must be
continued for six months to kill the remaining 10 percent. If treatment is not continued then there is a high risk of the re-infection.
Prevention
5. Because children are less infectious than adults, children usually pick up the disease from infected adults. For this reason, early diagnosis and treatment of adults with tuberculosis who are in close contact with children is the best way to try to prevent tuberculosis in those children. BCG immunization is a live virus vaccine developed to combat tuberculosis, and the WHO is 2004 recommended that a single dose of BCG should be given to all infants in countries with a high incidence of tuberculosis, except for infants who are confirmed as HIV-positive. In countries with low incidence of tuberculosis, the WHO stated that BCG vaccinations could be limited to those infants in high-risk groups: "In some low-burden populations, BCG vaccination has been largely replaced by intensified case detection and supervised early treatment.
Read more: Primary Complex or Tuberculosis in Children | eHow.com http://www.ehow.com/about_6667737_primary-complex-tuberculosischildren.html#ixzz0y4HXElHT
Rabies
Rabies is a preventable viral disease of mammals most often transmitted through the bite of a rabid animal. The vast majority of rabies cases reported to the Centers for Disease Control and Prevention (CDC) each year occur in wild animals like raccoons, skunks, bats, and foxes. The rabies virus infects the central nervous system, ultimately causing disease in the brain and death. The early symptoms of rabies in people are similar to that of many other illnesses, including fever, headache, and general weakness or discomfort. As the disease progresses, more specific symptoms appear and may include insomnia, anxiety, confusion, slight or partial paralysis, excitation, hallucinations, agitation, hypersalivation (increase in saliva), difficulty swallowing, and hydrophobia (fear of water). Death usually occurs within days of the onset of these symptoms. The rabies virus is transmitted through saliva or brain/nervous system tissue. You can only get rabies by coming in contact with these specific bodily excretions and tissues.
Your doctor, possibly in consultation with your state or local health department, will decide if you need a rabies vaccination. Decisions to start vaccination, known as postexposure prophylaxis (PEP), will be based on your type of exposure and the animal you were exposed to, as well as laboratory and surveillance information for the geographic area where the exposure occurred. In the United States, postexposure prophylaxis consists of a regimen of one dose of immune globulin and four doses of rabies vaccine over a 14-day period. Rabies immune globulin and the first dose of rabies vaccine should be given by your health care provider as soon as possible after exposure. Additional doses or rabies vaccine should be given on days 3, 7, and 14 after the first vaccination. Current vaccines are relatively painless and are given in your arm, like a flu or tetanus vaccine.
reported. Rarely, symptoms such as headache, nausea, abdominal pain, muscle aches, and dizziness have been reported. Local pain and low-grade fever may follow injection of rabies immune globulin. The vaccine should be given at recommended intervals for best results. Talk to your with your doctor or state or local public health officials if you will not be able to have shot at the recommended interval. Rabies prevention is a serious matter and changes should not be made in the schedule of doses. People cannot transmit rabies to other people unless they themselves are sick with rabies. The prophylaxis you are receiving will protect you from developing rabies, and therefore you cannot expose other people to rabies. You should continue to participate in your normal activities.
progresses, the person may experience delirium, abnormal behavior, hallucinations, and insomnia. The acute period of disease typically ends after 2 to 10 days. Once clinical signs of rabies appear, the disease is nearly always fatal, and treatment is typically supportive. Disease prevention includes administration of both passive antibody, through an injection of human immune globulin and a round of injections with rabies vaccine. Once a person begins to exhibit signs of the disease, survival is rare. To date less than 10 documented cases of human survival from clinical rabies have been reported and only two have not had a history of pre- or postexposure prophylaxis.
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