Maintenance Of Personal And Public Hygiene

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Maintenance Of Personal And Public Hygiene

Hygiene is a set of practices performed to conserve good health. According to the World Health Organization (WHO), hygiene refers to “conditions and practices that help to maintain health and prevent the spread of diseases.”

Personal hygiene refers to maintaining one’s body clean by bathing, washing hands, trimming fingernails, wearing clean clothes and also includes attention to keeping surfaces in the home and workplace, including toilets, bathroom facilities, clean and pathogen-free.

Our public places teem with infection, contamination and germs. It seems that every surface we touch and the air we breathe are with pollutants and microbes. It’s not just the public places that are unclean, but we might be amazed at the number of people who do not wash their hands before taking food, after visiting the restroom, or who sneeze without covering their faces. Many infectious diseases such as typhoid, amoebiasis and ascariasis are transmitted through contaminated food and water.

Advancement in science and technology provide effective controlling measures for many infectious and non-infectious diseases. The use of vaccines and adopted immunization programmes have helped to eradicate small pox in India. Moreover a large number of infectious diseases like polio, diphtheria, pneumonia and tetanus have been controlled by the use of vaccines and by creating awareness among the people.

Common Diseases In Human Beings

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Common Diseases In Human Beings

Disease can be defined as a disorder or malfunction of the mind or body. It involves morphological, physiological and psychological disturbances which may be due to environmental factors or pathogens or genetic anomalies or life style changes. Diseases can be broadly grouped into infectious and non infectious types.
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Diseases which are transmitted from one person to another are called infectious diseases or communicable diseases. Such disease causing organisms are called pathogens and are transmitted through air, water, food, physical contact and vectors.

The disease causing pathogen may be virus, bacteria, fungi, protozoan parasites, helminthic parasites, etc., Infectious diseases are common and everyone suffers from such diseases at some time or the other. Most of the bacterial diseases are curable but all viral diseases are not. Some infectious disease like AIDS may be fatal.

Non-infectious diseases are not transmitted from an infected person to a healthy person. In origin they may be genetic (cystic fibrosis), nutritional (vitamin deficiency diseases) and degenerative (arthritis, heart attack, stroke). Among non – infectious diseases, cancer is one of the major causes of death.

Bacterial and viral diseases

Bacterial diseases

Though the number of bacterial species is very high, only a few bacteria are associated with human diseases and are called pathogenic bacteria. Such pathogens may emit toxins and affects the body. Common pathogenic bacteria and the bacterial diseases are given in table 7.1.
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Bacteria spread through air, water or by inhaling the droplets/aerosols or even by sharing utensils, dresses with an infected person. Typhoid fever can be confirmed by Widal test.

Viral diseases

Viruses are the smallest intracellular obligate parasites, which multiply within living cells. Outside the living cells they cannot carry out the characteristics of a living organism. Viruses invade living cells, forcing the cells to create new viruses. The new viruses break out of the cell, killing it and invade other cells in the body, causing diseases in human beings. Rhino viruses cause one of the most infectious human ailment called the “Common cold”.

Viral diseases are generally grouped into four types on the basis of the symptoms produced in the body organs.

  • Pneumotropic diseases (respiratory tract infected by influenza)
  • Dermotropic diseases (skin and subcutaneous tissues affected by chicken pox and measles)
  • Viscerotropic diseases (blood and visceral organs affcted by yellow fever and dengue fever)
  • Neurotropic diseases (central nervous system affcted by rabies and polio).

Some common viral diseases of human beings are given in table 7.2.
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Protozoan diseases

About 15 genera of protozoans live as parasites within the human body and cause diseases. Amoebiasis also called amoebic dysentery or amoebic colitis is caused by Entamoeba histolytica, which lives in the human large intestine and feeds on mucus and bacteria (Fig. 7.1).

Infective stage of this parasite is the trophozoite, which penetrates the walls of the host intestine (colon) and secretes histolytic enzymes causing ulceration, bleeding, abdominal pain and stools with excess mucus. Symptoms of amoebiasis can range from diarrhoea to dysentery with blood and mucus in the stool. House flies (Musca domestica) acts as a carrier for transmitting the parasite from contaminated faeces and water.
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African sleeping sickness is caused by Trypanosoma species. Trypanosoma is generally transmitted by the blood sucking Tsetse flies. Three species of Trypanosoma cause sleeping sickness in man.

1. T. gambiense is transmitted by Glossina palpalis (Tsetse fly) and causes Gambian or Central African sleeping sickness (Fig. 7.2).
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2. T. rhodesiense is transmitted by Glossina morsitans causing Rhodesian or East African sleeping sickness.

3. T. cruzi is transmitted by a bug called Triatoma megista and causes Chagas disease or American trypanosomiasis.

Kala – azar or visceral leishmaniasis is caused by Leishmania donovani, which is transmitted by the vector Phlebotomus (sand fly). Infection may occur in the endothelial cells, bone marrow, liver, lymph glands and blood vessels of the spleen. Symptoms of Kala azar are weight loss, anaemia, fever, enlargement of spleen and liver.

Malaria is caused by different types of Plasmodium species such as P. vivax, P. ovale, P. malariae and P. falciparum (Table 7.3). Plasmodium lives in the RBC of human in its mature condition it is called as trophozoite. It is transmited from one person to another by the bite of the infected female Anopheles mosquito.
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Life cycle of Plasmodium

Plasmodium vivax is a digenic parasite, involving two hosts, man as the secondary host and female Anopheles mosquito as the primary host. The life cycle of Plasmodium involves three phases namely schizogony, gamogony and sporogony (Fig. 7.3).
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The parasite first enters the human blood stream through the bite of an infected female Anopheles mosquito. As it feeds, the mosquito injects the saliva containing the sporozoites. The sporozoite within the blood stream immediately enters the hepatic cells of the liver. Further in the liver they undergo multiple asexual fission (schizogony) and produce merozoites. After being released from liver cells, the merozoites penetrate the RBC’s.

Inside the RBC, the merozoite begins to develop as unicellular trophozoites. The trophozoite grows in size and a central vacuole develops pushing them to one side of cytoplasm and becomes the signet ring stage. The trophozoite nucleus then divides asexually to produce the schizont. The large schizont shows yellowish – brown pigmented granules called Schuffers granules. The schizont divides and produces mononucleated merozoites.

Eventually the erythrocyte lyses, releasing the merozoites and haemozoin toxin into the blood stream to infect other erythrocytes. Lysis of red blood cells results in cycles of fever and other symptoms. This erythrocytic stage is cyclic and repeats itself approximately every 48 to 72 hours or longer depending on the species of Plasmodium involved. The sudden release of merozoites triggers an attack on the RBCs.

Occasionally, merozoites diffrentiate into macrogametocytes and microgametocytes. When these are ingested by a mosquito, they develop into male and female gametes respectively.

In the mosquito’s gut, the infected erythrocytes lyse and male and female gametes fertilize to form a diploid zygote called ookinete. The ookinete migrates to the mosquito’s gut wall and develop into an oocyte. The oocyte undergoes meiosis by a process called sporogony to form sporozoites. These sporozoites migrate to the salivary glands of the mosquito. The cycle is now completed and when the mosquito bites another human host, the sporozoites are injected and the cycle begins a new.

The pathological changes caused by malaria, affects not only the erythrocytes but also the spleen and other visceral organs. Incubation period of malaria is about 12 days.

The early symptoms of malaria are headache, nausea and muscular pain. The classic symptoms first develop with the synchronized release of merozoites, haemozoin toxin and erythrocyte debris into the blood stream resulting in malarial paroxysms – shivering chills, high fever followed by sweating. Fever and chills are caused partly by malarial toxins that induce macrophages to release tumour necrosis factor (TNF-α) and interleukin.

Prevention

It is possible to break the transmission cycle by killing the insect vector. Mosquitoes lay their eggs in water. Larvae hatch and develop in water but breathe air by moving to the surface. Oil can be sprayed over the water surface, to make it impossible for mosquito larvae and pupae to breathe.

Ponds, drainage ditches and other permanent bodies of water can be stocked with fishes such as Gambusia which feed on mosquito larvae. Preparations containing Bacillus thuringiensis can be sprayed to kill the mosquito larvae since it is not toxic to other forms of life. The best protection against malaria is to avoid being bitten by mosquito. People are advised to use mosquito nets, wire gauging of windows and doors to prevent mosquito bites.

In the 1950’s the World Health Organisation (WHO) introduced the Malaria eradication programme. This programme was not successful due to the resistance of Plasmodium to the drugs used to treat it and resistance of mosquitoes to DDT and other insecticides.

Fungal diseases

Fungi was recognized as a causative agent of human diseases much earlier than bacteria. Dermatomycosis is a cutaneous infection caused by fungi belonging to the genera Trichophyton, Microsporum and Epidermophyton.

Ringworm is one of the most common fungal disease in humans (Fig. 7.4). Appearance of dry, scaly lesions on the skin, nails and scalp are the main symptoms of the disease. Heat and moisture help these fungi to grow and makes them to thrive in skin folds such as those in the groin or between the toes. Ringworms of the feet is known as Athlete’s foot caused by Tinea pedis (Fig. 7.5). Ringworms are generally acquired from soil or by using clothes, towels and comb used by infected persons.
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Helminthic diseases

Helminthes are mostly endoparasitic in the gut and blood of human beings and cause diseases called helminthiasis. The two most prevalent helminthic diseases are Ascariasis and Filariasis.

Ascaris is a monogenic parasite and exhibits sexual dimorphism. Ascariasis is a disease caused by the intestinal endoparasite Ascaris lumbricoides commonly called the round worms (Fig. 7.6). It is transmitted through ingestion of embryonated eggs through contaminated food and water.

Children playing in contaminated soils are also prone to have a chance of transfer of eggs from hand to mouth. The symptoms of the disease are abdominal pain, vomiting, headache, anaemia, irritability and diarrhoea. A heavy infection can cause nutritional deficiency and severe abdominal pain and causes stunted growth in children. It may also cause enteritis, hepatitis and bronchitis.
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Filariasis is caused by Wuchereria bancroft, commonly called fiarial worm. It is found in the lymph vessels and lymph nodes of man (Fig. 7.7). Wuchereria bancroft is sexually dimorphic, viviparous and digenic. The life cycle is completed in two hosts, man and the female Culex mosquito The female fiarial worm gives rise to juveniles called microfiariae larvae.

In the lymph glands, the juveniles develop into adults. The accumulation of the worms block the lymphatic system resulting in inflammation of the lymph nodes. In some cases, the obstruction of lymph vessels causes elephantiasis or fiariasis of the limbs, scrotum and mammary glands (Fig. 7.8).
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Origin And Evolution Of Man

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Origin And Evolution Of Man

Mammals evolved in the early Jurassic period, about 210 million years ago (mya). Hominid evolution occurred in Asia and Africa. Hominids proved that human beings are superior to other animals and efficient in making tools and culture.

The earliest fossils of the prehistoric man like Ramapithecus and Sivapithecus lived some 14 mya and were derived from ape like Dryopithecus. Dryopithecus and Ramapithecus were hairy and walked like gorillas and chimpanzees. Ramapithecus is regarded as a possible ancester of Australopithecus and therefore of modern humans. They were vegetarians (Fig 6.10).
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Australopithecus lived in East African grasslands about 5 mya and was called the Australian ape man. He was about 1.5 meters tall with bipedal locomotion, omnivorous, semi erect, and lived in caves. Low forehead, brow ridges over the eyes, protruding face, lack of chin, low brain capacity of about 350 – 450 cc, human like dentition, lumbar curve in the vertebral column were his distinguishing features.

Homo habilis lived about 2 mya. Their brain capacity was between 650 – 800cc, and was probably vegetarian. They had bipedal locomotion and used tools made of chipped stones.

Homo erectus the fist human like being was around 1.7 mya and was much closer to human in looks, skull was flitter and thicker than the modern man and had a large brain capacity of around 900 cc. Homo erectus probably ate meat Homo ergaster and Homo erectus were the first to leave Africa.

Neanderthal human was found in Neander Valley, Germany with a brain size of 1400 cc and lived between 34,000 – 1,00,000 years ago. They differ from the modern human in having semierect posture, flat cranium, sloping forehead, thin large orbits, heavy brow ridges, protruding jaws and no chin. They used animal hides to protect their bodies, knew the use of fie and buried their dead. They did not practice agriculture and animal domestication.

Cro-Magnon was one of the most talked forms of modern human found from the rocks of Cro-Magnon, France and is considered as the ancestor of modern Europeans. They were not only adapted to various environmental conditions, but were also known for their cave paintings, failures on flours and walls. Homo sapiens or modern human arose in Africa some 25,000 years ago and moved to other continents and developed into distinct races. They had a brain capacity of 1300 – 1600 cc. They started cultivating crops and domesticating animals.

Hardy Weinberg Principle

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Hardy Weinberg Principle

In nature, populations are usually evolving such as the grass in an open meadow, wolves in a forest and bacteria in a person’s body are all natural populations. All of these populations are likely to be evolving some of their genes.

Evolution does not mean that the population is moving towards perfection rather the population is changing its genetic makeup over generations. For example in a wolf population, there may be a shift in the frequency of a gene variant for black fur than grey fur. Sometimes, this type of change is due to natural selection or due to migration or due to random events.

First we will see the set of conditions required for a population not to evolve. Hardy of UK and Weinberg of Germany stated that the allele frequencies in a population are stable and are constant from generation to generation in the absence of gene flow, genetic drift, mutation, recombination and natural selection. If a population is in a state of Hardy Weinberg equilibrium, the frequencies of alleles and genotypes or sets of alleles in that population will remain same over generations.

Evolution is a change in the allele frequencies in a population over time. Hence population in Hardy Weinberg is not evolving. Suppose we have a large population of beetles, (infinitely large) and appear in two colours dark grey (black) and light grey, and their colour is determined by ‘A’ gene. ‘AA’ and ‘Aa’ beetles are dark grey and ‘aa’ beetles are light grey. In a population let’s say that ‘A’ allele has frequency (p) of 0.3 and ‘a’ allele has a frequency (q ) of 0.7. Then p + q = 1.

If a population is in Hardy Weinberg equilibrium, the genotype frequency can be estimated by Hardy Weinberg equation.

(p + q)2 = p2 + 2pq + q2
p2 = frequency of AA
2pq = frequency of Aa
q2 = frequency of aa
p = 0.3, q = 0.7 then,
p3 = (0.3)2 = 0.09 = 9 % AA
2pq = 2(0.3) (0.7) = 0.42 = 42 % Aa
q2 = (0.7)2 0.49 = 49 % aa

Hence the beetle population appears to be in Hardy – Weinberg equilibrium. When the beetles in Hardy – Weinberg equilibrium reproduce, the allele and genotype frequency in the next generation would be: Let’s assume that the frequency of ‘A’ and ‘a’ allele in the pool of gametes that make the next generation would be the same, then there would be no variation in the progeny.

The genotype frequencies of the parent appears in the next generation. (i.e. 9% AA, 42% Aa and 49% aa). If we assume that the beetles mate randomly (selection of male gamete and female gamete in the pool of gametes), the probability of getting the offspring genotype depends on the genotype of the combining parental gametes.

Hardy Weinberg’s assumptions include No mutation – No new alleles are generated by mutation nor the genes get duplicated or deleted.

Random mating:
Every organism gets a chance to mate and the mating is random with each other with no preferences for a particular genotype.

No gene flow:
Neither individuals nor their gametes enter (immigration) or exit (emigration) the population.

Very large population size:
The population should be infinite in size.

No natural selection:
All alleles are fit to survive and reproduce. If any one of these assumptions were not met, the population will not be in HardyWeinberg equilibrium. Only if the allele frequencies changes from one generation to the other, evolution will take place.

Mechanism Of Evolution

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Mechanism Of Evolution

Mechanism of evolution

Microevolution (evolution on a small scale) refers to the changes in allele frequencies within a population. Allele frequencies in a population may change due to four fundamental forces of evolution such as natural selection, genetic drift mutation and gene flow.

Natural selection

It occurs when one allele (or combination of alleles of differences) makes an organism more or less fit to survive and reproduce in a given environment. If an allele reduces fitness, its frequencies tend to drop from one generation to the next.

The evolutionary path of a given gene i.e., how its allele’s change in frequency in the population across generation, may result from several evolutionary mechanisms acting at once. For example, one gene’s allele frequencies might be modified by both gene flow and genetic drift for another gene, mutation may produce a new allele, that is favoured by natural selection (Fig. 6.6).
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Selection

There are mainly three types of natural selection

(i) Stabilising Selection (centipetal selection):

This type of selection operates in a stable environment (Fig. 6.7 a). The organisms with average phenotypes survive whereas the extreme individuals from both the ends are eliminated. There is no speciation but the phenotypic stability is maintained within the population over generation.

For example, measurements of sparrows that survived the storm clustered around the mean, and the sparrows that failed to survive the storm clustered around the extremes of the variation showing stabilizing selection.
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(ii) Directional Selection:

The environment which undergoes gradual change is subjected to directional selection (Fig. 6.7 b). This type of selection removes the individuals from one end towards the other end of phenotypic distribution. For example, size differences between male and female sparrows. Both male and female look alike externally but differ in body weight. Females show directional selection in relation to body weight.

(iii) Disruptive Selection (centrifugal selection):

When homogenous environment changes into heterogenous environment this type of selection is operational (Fig. 6.7 c). The organisms of both the extreme phenotypes are selected whereas individuals with average phenotype are eliminated.

This results in splitting of the population into sub population/species. This is a rare form of selection but leads to formation of two or more different species. It is also called adaptive radiation. E.g. Darwin’s fichesbeak size in relation to seed size inhabiting Galapagos islands.

Group selection and sexual selection are other types of selection. The two major group selections are Altrusim and Kin selection.

Gene flow

Movement of genes through gametes or movement of individuals in (immigration) and out (emigration) of a population is referred to as gene flow. Organisms and gametes that enter the population may have new alleles or may bring in existing alleles but in different proportions than those already in the population. Gene flow can be a strong agent of evolution (Fig 6.8).
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Genetic drift / Sewall Wright Effect

Genetic drift is a mechanism of evolution in which allele frequencies of a population change over generation due to chance (sampling error). Genetic drift occurs in all population sizes, but its effects are strong in a small population (Fig. 6.9).

It may result in a loss of some alleles (including benefiial ones) and fitation of other alleles. Genetic drift can have major effects, when the population is reduced in size by natural disaster due to bottle neck effect or when a small group of population splits from the main population to form a new colony due to founder’s effect.
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Mutation

Although mutation is the original source of all genetic variation, mutation rate for most organisms is low. Hence new mutations on an allele frequencies from one generation to the next is usually not large.