Typhoid

Sulfonylureas. The hypoglycemic effect of sulfonylureas was first noted in the early 1940s when several patients died in hypoglycemic coma after testing glyprothia2ole, a synthetic sulfonamide used to treat typhoid. Chemical modifications which enhanced activity and lowered toxicity led to the development of the first-generation sulfonylureas. Carbutamide [339-43-5] the first commercial sulfonylurea, came onto the European... 

Typhoid Vaccine USP Package Insert, Wyeth Laboratories, Marietta, Pa., 1994. 

Bacteria are smaller than protozoa and are responsible for many diseases, such as typhoid fever, cholera, diarrhea, and dysentery. Pathogenic bacteria range in size from 0.2 to 0.6 /tm, and a 0.2 /tm filter is necessary to prevent transmission. Contamination of water supplies by bacteria is blamed for the cholera epidemics, which devastate undeveloped countries from time to time. Even in the U.S., E. coli is frequently found to contaminated water supplies. Fortunately, E. coli is relatively harmless as pathogens go, and the problem isn t so much with E. coli found, but the fear that other bacteria may have contaminated the water as well. Never the less, dehydration from diarrhea caused by E. coli has resulted in fatalities. 

Pathogenic organisms Bacteria, viruses or cysts which cause disease (typhoid, cholera, dysentery) in a host (such as a person). There are many types of bacteria (non-pathogenic) which do NOT cause disease. Many beneficial bacteria are found in wastewater treatment processes actively cleaning up organic wastes. 

Typfarbung, /. standard dyeing, typhds, a. typhoid typhous. 

Typhus-, typhus, typhous typhoid, -gift, nl typhus (or typhoid) virus, typlsch, a. typical, typisieren, v.t. standardize. 

Chloramphenicol, a powerful antibiotic isolated in 1949 from the Streptomyces venezuelae bacterium, is active against a broad spectrum of bacterial infections and is particularly valuable against typhoid fever. Assign R,S configurations to the chirality centers in chloramphenicol. 

Typhoid vaccine Typhim Vi, Immunization against typhoid... 

The award of a Beit Memorial Fellowship for medical research in 1933 provided him with more financial security and independence. Stacey moved to London and for the next 3 years worked full-time in Raistrick s laboratory. He was given the task of working on vaccines against typhoid fever. The work was successful eventually and the vaccines were used by the Royal Air Force and also were sent to the Air Force in New Zealand. Also, some advances were made in studies of the carbohydrate components of the vaccines. In addition to this research, he completed, by part-time study, the diploma course in bacteriology. 

Table II. Mortality for Typhoid Fever and Death Rates per 100,000 Population...

In many ways, both Canada and the United States continue to be involved in a unique experiment of co-operative management of serious environmental issues which plague a shared international resource. Despite the institutional complexity and the history of abuse that man s activities have wrought on the Great Lakes, the experiment to restore and protect them has had several successes typhoid and cholera were eradicated eutrophication problems are now largely under control and where adequate control programs for toxic chemicals have been implemented and enforced (e.g., mercury, DDT, PCBs), there have been associated declines in concentrations in the lakes. These successes have been due in no small way to the spirit of co-operation that has continued to exist between Canada and the United States and the unique institutional arrangements entered into by the two countries. 

Escherichia coli and Klebsiella pneumoniae subsp, aerogenes produce acid from lactose on this medium, altering the colour of the indicator, and also adsorb some of the indicator which may be precipitated around the growing cells. The organisms causing typhoid and paratyphoid fever and bacillary dysentery do not ferment lactose, and colonies of these organisms appear transparent. 

Salmonella typhi is the causal organism of typhoid fever, Sal. paratyphi causes paratyphoid fever, whilst Sal. typhimurium, Sal. enteritidis and very many other closely related organisms are a cause of bacterial food poisoning. 

Particular strains of salmonellae (section 4.2) such as Sal. typhi, Sal. paratyphi and Sal. typhimurium are able not only to penetrate into intestinal epithelial cells and produce exotoxins but also to penetrate beyond into subepithelial tissues. These organisms therefore produce, in addition to the usual symptoms of salmonellosis, a characteristic systemic disease (typhoid and enteric fever). Following recovery frxm such infection the organism is commonly found associated with the gall bladder, hi this state, the recovered person will excrete the organism and form a reservoir for the infection of others. 

Type B vaccine, the Neisseria meningitidis Type A and C vaccine, the 23-valent pneumococcal polysaccharide vaccine and an acellular typhoid vaccine. 

Killing. The proeess by which the live bacteria in the culture are killed and thus rendered harmless. Heat and disinfectants are employed. Heat and/or formalin are required to kill the cells of Bordetella pertussis used to make whooping-cough vaccines, and phenol is used to kill the Vibrio cholerae in cholera vaccine and the Salmonella typhi in typhoid vaeeine. 

Typhoid Vi capsuiar poiysaccharide antigen Cultures of Sai typhi grown in liquid medium Extraction of capsular antigen Estimation of capsular antigen ... 

Typhoid iive vaccinet Cultures of Sai. fyph/strain Ty21A Encapsulation Estimation of content of live bacteria ... 

Propagated outbreaks of infection relate to the direct transmission of an infective agent from a diseased individual to a healthy, susceptible one. Mechanisms of such transmission were described in Chapter 4 and include inhalation of infective aerosols (measles, mumps, diphtheria), direct physical contact (syphilis, herpes virus) and, where sanitation standards are poor, through the introduction of infected faecal material into drinking water (cholera, typhoid). The ease oftransmission, and hence the rate of onset of an epidemic (Fig. 16.3) relates not only to the susceptibility status, and general state of health of the individuals but also to the virulence properties of the organism, the route oftransmission, the duration of the infective period associated with the disease. 

The ideal of any vaccine is to provide life-long protection to the individual against disease. Immunological memory (Chapter 14) depends upon the survival of cloned populations of small B and T lymphocytes (memory cells). These small lymphocytes have a lifespan in the body of ca. 15-20 years. Thus, if the immune system is not boosted, either by natural exposure to the organism or by re-immunization, then immunity gained in childhood will be attenuated or lost completely by the age of 30. Those vaccines which provide only poor protection against disease have proportionately reduced time-spans of effectiveness. Yellow fever vaccination, which is highly effective, must therefore be repeated at 10-year intervals, whilst typhoid vaccines are only effective for 1-3 years. Whether or not immunization in childhood is boosted at adolescence or in adult life depends on the relative risks associated with the infection as a function of age. 

Whilst not recommended for routine administration, vaeoines additional to those represented in the juvenile programme are available for individuals in special risk categories. These categories relate to oeeupational risks or risks associated with travel abroad. Such immunization protocols include those directed against cholera, typhoid, meningitis (types A, C), anthrax, hepatitis A and B, influenza, Japanese encephahtis, rabies, tick-borne encephalitis, and yellow fever. 

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