HEPATITIS A
  • ØA presence of signs and symptoms of viral hepatitis (fever, malaise, anorexia, nausea and abdominal pain followed by jaundice), and/or an increase in the level of aminotransferase twice the upper limit and serological evidence of HAV infection.
  • ØInfectious Agent: HAV (Hepatitis A virus)
  • Reservoir/Host: Man; rarely in captive chimpanzees
  • ØMode of Transmission: Person to person by the fecal oral-route
  • Incubation period: 15-50 days depending on dose average 28-30 days 
  • Methods of Control:
    • lHealth Education
    • Proper water treatment
    • Minimize the possibility of fecal-oral transmission in institutions
    • Avoid shellfish from known contaminated sources
    • Vaccine not yet available for general use.
LEPTOSPIROSIS
  • Øsudden onset of fever, headache, muscle pain especially the calf muscles, and prostration associated with any of the ff. symptoms:
    • conjunctival suffusion, meningeal irritation, anuria/ oliguria/ and or proteinuria, jaundice, hemorrhages (from intestines or lungs), cardiac arrhythmia or failure, skin rash
  • And history of exposure to infected animals or an environment contaminated with animal urine (e.g. wading in flood waters)
  • Reservoir/Host: Wild and domestic animals (rodents (rats), swine (pig), cattle & other wild animals)
  • Mode of Transmission:
    • lContact of skin, esp. if abraded, or of mucous membrane with water, moist soil or vegetation contaminated with urine of infected animal – as in swimming, accidental immersion or occupational abrasion.
    • Direct contact with urine or tissue of infected animals.
    • lOccasionally thru ingestion of food contaminated with urine of infected rats.
    • Occasionally by inhalation of droplets aerosols of contaminated fluids.
  •  Incubation period: Usually 10 days, with range of 4-19 days
  • ØPrevention:
    • lAvoid swimming or wading in water potentially contaminated by urine of infected animals.
    • Use protective boots, gloves and clothing when exposed to possible infection.
    • Maintain personal and food hygiene.
    • lMaintain a clean and rodent free environment.
    • Conduct a massive health education campaign. Explain the importance of sanitation in the prevention of leptospirosis.
    • Drain potentially contaminated water.
    • Improve flood control program.
    • Strengthen rodent control activities.
    • Enforce regular garbage collection.

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