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Health: The Ultimate Treasure

How communicable diseases spread

Find out how diseases spread from one person to another.

Every communicable disease is caused by a pathogen. Pathogens get in through the air we breathe, through dirty food or water, and in other ways.

How they travel from person to person:

  • air: when an infected person coughs or sneezes;
  • direct contact: such as shaking hands;
  • indirect contact: sharing an infected person's things, such as a towel or comb;
  • dirty food and water;
  • vectors: insects such as mosquitos and houseflies that carry the pathogen.

A vector is a living carrier: a mosquito sucks blood from a person with dengue, picks up the pathogen, and passes it into the next person it bites, without falling ill itself. A towel can carry germs too, but it isn't alive, so it is not called a vector.

Table 3.1, short version:

How it spreadsDiseaseCaused byWhere / main signs and symptoms
aircommon cold, influenzavirusnose and throat: blocked nose, sore throat, fever, cough, body ache
airchickenpoxvirusmild fever, itchy rash, blisters
airmeaslesvirusfever, sore throat, reddish rash
airtuberculosis (TB)bacterialungs: cough, fever, tiredness, no appetite, night sweats
water and foodhepatitis Avirusliver: tiredness, fever, nausea, jaundice
water and foodcholerabacteriaintestine: diarrhoea, dehydration
water and foodtyphoidbacteriaintestine: headache, stomach discomfort, fever, diarrhoea
water and foodascariasisroundwormsworms in stool, poor appetite, poor growth, weight loss
insectsmalariaprotozoaskin and blood: high fever, heavy sweating, chills that come and go
insectsdengue (break-bone fever)virusfever, headache, muscle and joint pain, nausea

Notice that TB is caused by bacteria: not only viruses spread from person to person.

The precautions follow the routes:

  • keep yourself and your surroundings clean, and practise basic hygiene every day;
  • wash your hands with soap and water to remove pathogens;
  • cover your mouth and nose when you cough or sneeze, and wear a mask in crowded places;
  • don't share towels, handkerchiefs or combs;
  • keep your home, food and water clean;
  • stay at home and rest when you're unwell: you recover faster, and you don't pass the disease on.

Some infections are caused by worms living inside us, especially in the gut. They feed on the food we eat, so we stay hungry and grow poorly. They are parasites: living things that live in or on another living being. They usually spread through dirty food, water or soil, or contact with infected people or animals.

Pathogens travel by air, by direct or indirect contact, through food and water, and by vectors like mosquitos and houseflies.
How communicable diseases spread.

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