- •Introduction
- •Infectious diseases of childhood
- •Exercises
- •II. Check if you remember the meaning of the following words:
- •Exercises
- •III. Translate the sentences paying attention to the underlined words:
- •Influenza
- •Words to be memorized
- •Exercises
- •I. Answer the following questions
- •Ask your friend yes/no questions:
- •III. Match the underlined words and their Russian
- •IV. Find the sentences where “to be” may be translated as “должен”
- •V. Choose the correct verb form
- •VI. Fill in the gaps with English equivalents to «может», «должен»
- •Pneumonia
- •Words to be memorized
- •Read correctly
- •Exercises
- •IV. Translate into Russian paying attention to the meaning of the underlined words:
- •V. Match the underlined words with their Russian equivalents and translate the sentences:
- •Words to be memorized
- •Exercises
- •II. Translate into Russian paying attention to the underlined werds.
- •III. Translate the sentences into Russian paying attention to a)"it".
- •VII. Translate into Russian
- •VIII. Translate into English
- •Chicken-pox
- •Words to be memorized
- •Read correctly
- •IV. Translate from Russian into English:
- •Scarlet fever
- •Words to be memorized
- •Read correctly
- •Exercises
- •III. Translate the following sentences:
- •Measles
- •Words to be memorised
- •Exercises
- •III. Read the text and say what new information it contains as compared with the previous text:
- •VI. Read the text and speak about the diagnosis and treatment of meningococcal infections
- •Part II the origin of infections
- •Infections in children
- •Acute Tonsillitis
- •Diphtheria
- •Bronchitis
- •Acute bronchitis
- •Chronic bronchitis
- •Bronchial asthma General Considerations
- •Clinical Findings
- •Acute viral hepatitis
- •Is "thucydides syndrome" back?
- •Immunization against contagious diseases
- •Influenza virus vaccine for all ages
- •Vaccines for adult diseases
- •Part III контрольные задания
- •Introduction
- •Measles and models
- •Egyptian travellers
- •Vaccine sensitivity
- •1. The Common Cold.
- •1. Common 2. Last 3, numerous 4. Colds 5. Sore 6. Virus
- •13. Treated 14. Nurse 15. Caused
- •2. Sore Throat.
- •1. Common 2. To swallow 3. Recom- 4. Plenty of 5. Caused 6. To relieve
- •7. Glands 8. Older 9. Treated 10. Sore 11. Swollen 12. Better
- •13. Reduce 14. High 15. Most
- •3. Croup.
- •4. Earache.
- •1. Acute 2. Problems 3. Feverish 4. Otitis 5. Pain 6; common
- •7. Affected 8. Causes 9. Suffer 10. Due to 11. Untreated 12. Colds
- •13. Complain.
- •5. Measles.
- •6. Mumps
- •7. German measles (Rubella).
- •8. Chickenpox.
- •1. Watery 2. Illness 3. Appear 4. Drop off 5. Infectious 6. Badly
- •7. Tempera- 8. Caused 9. Catching 10. Spread 11. Virus 12. Unwell
- •13. Rash 14. Back 15. Spots 16. Dry
- •Immunization
- •In what order would you advise immunization?
- •Is it essential to repeat the Smallpox vaccine, if it does not errupt the first time and at what age should we repeat triple antigen vaccine?
- •Is Booster-shot required after bcg too?
- •Test 'immunization'
- •Kd (Kawasaki Disease)
- •Самостоятельная работа з Тезирование статьи All About Aspirin
- •Самостоятельная работа 4
- •Самостоятельная работа 5.
- •Background
- •Methods
- •Results
- •Discussion
- •Risk of hiv infection
- •Active vocabulary to part I
- •4. Incubation period, the susceptible age
- •5. Ways of transmission
- •6. Onset and symptoms
- •7. Eruption
- •8. Nursing
- •9. Treatment
- •10. Prognosis
Introduction
Diphtheria is now regarded as a disease of the past, and undoubtedly immunization has played a significant role in its control in this country. In 1914, there were 59.324 notifications and 5863 deaths in England and Wales. The number of deaths declined, but notifications changed little, until after 1940 when routirfe immunization of the child population was introduced. Over the next 10 years notifications fell 50-fold and by the 1970s had reached single figures. Prior to 1982, the last reported death from diphtheria was in 1975.
The case history
On 5 September a five-year-old Bangladeshi girl presented in the casualty department of Westminster Children's Hospital with stridor and follicular tonsillitis. She had been well until 2 September, when she developed a cough and complained of a sore throat.
She was admitted to hospital and treated as a case of croup. The folowing day her condition deteriorated and on re-examination of her throat, a grey exudate was seen extending backwards covering the uvula and tonsils. A clinical diagnosis of diphtheria was made and she was transferred to Coppett's Wood Isolation Hospital. On 7 September, a sucrosefermenting strain of 'Corynebacterium diphtheria' var mitis was isolated from her throat swab. She was treated with benzyl penicillin and diphtheria antitoxin. She required a tracheostomy and was maintained on intravenous fluids and strict bed rest. After 5 days she improved and was extubated, and subsequently made a full recovery.
Toxigenic 'Corynebacterium diphtheria' with the same biochemical characteristics as the patient, were isolated from the nose and throat of her sister aged 7 years and throat of her brother aged 3 years.
Background to the case in Westminster
On 19 August, 1982, a three-year-old English girl died of diphtheria in hospital in Winchester. She was an Army child and lived in barracks in Westminster. However, she had left there with
her mother, brother and sister, a few hours before the men of the barracks returned from the Falklands War.
Investigation of close contacts living in the barracks revealed three child carriers of toxigenic strains of diphtheria in two families.
A probable connection' between the child who died in Winchester, the Bangladeshi case in Westminster and one of the carriers living in the barracks was established on the following circumstantial evidence: one of the barrack carriers had attended a day nursery which was also attended by a close friend of the Westminster case. The children lived in the same block of flats, and this child was assumed to ,be the link between the two cases. However, repeated nose and threat swabs of this presumed link child, failed to grow 'Corynebacterium diphtheriae'.
No other direct link between the two cases could be established. The organisms isolated from the dead girl, her carrier siblings and carriers contacts at the barracks were indistinguishable from that of the case and her family carriers in Westminster, on the basis of sugar-fermentation reactions and phage type.