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Prevention and Control of Communicable Diseases - Missouri ...

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GLOSSARY<br />

COLONIZATION: When bacteria are present on or in the body without causing illness (e.g.,<br />

Staphylococcus aureus or Streptococcus pneumoniae).<br />

COMMUNICABLE DISEASE: Illness caused by germs (e.g., bacteria, viruses, fungi, parasites) that<br />

can be spread from person to person or by touching objects contaminated with body fluids. Illness can<br />

be spread from infected pets. Many communicable diseases are reportable to the local or state health<br />

department.<br />

CONJUNCTIVITIS (PINKEYE): Redness <strong>and</strong> swelling <strong>of</strong> the delicate tissue which lines the<br />

eyelids <strong>and</strong> covers the eyeball (conjunctiva).<br />

CONTAGIOUS PERIOD: The period <strong>of</strong> time when an infected person is capable <strong>of</strong> spreading<br />

infection to another person.<br />

CONTAMINATION: The presence <strong>of</strong> infectious germs in or on the body, on environmental<br />

surfaces, on articles <strong>of</strong> clothing, or in food or water.<br />

CROUP: Spasms <strong>of</strong> the airway that cause difficult breathing <strong>and</strong> a cough sounding like a seal's bark.<br />

Viruses most <strong>of</strong>ten cause croup; therefore, antibiotics are not needed.<br />

DIARRHEA: Increased number <strong>of</strong> stools compared with a person's normal pattern, along with<br />

decreased stool form <strong>and</strong>/or watery, bloody, or mucus-containing stools.<br />

DISINFECTION: A physical or chemical process that eliminates virtually all disease-causing germs<br />

on environmental surfaces, except bacterial spores.<br />

ENCEPHALITIS: Inflammation (swelling) <strong>of</strong> the brain which can be caused by a number <strong>of</strong> agents<br />

such as viruses, bacteria, or parasites.<br />

EPIDEMIOLOGY: The scientific study <strong>of</strong> the occurrence <strong>and</strong> distribution <strong>of</strong> diseases in<br />

populations.<br />

EXEMPTION: Written documentation <strong>of</strong> refusal <strong>of</strong> vaccine administration for religious, medical, or<br />

philosophical reasons.<br />

EXCLUSION (DUE TO ILLNESS): Denying admission <strong>of</strong> an ill child or staff member to a<br />

childcare, preschool, school, or worksite.<br />

EXTENSIVELY DRUG-RESISTANT TUBERCULOSIS (XDR TB) - Is a relatively rare type <strong>of</strong><br />

multidrug-resistant tuberculosis (MDR TB). It is resistant to almost all drugs used to treat TB,<br />

including the two best first-line drugs: isoniazid <strong>and</strong> rifampin. XDR TB is also resistant to the best<br />

second-line medications: fluoroquinolones <strong>and</strong> at least one <strong>of</strong> three injectable drugs (i.e., amikacin,<br />

kanamycin, or capreomycin). Drug-susceptible (regular) TB <strong>and</strong> XDR TB are spread the same way.<br />

TB germs are put into the air when a person with TB disease <strong>of</strong> the lungs or throat coughs, sneezes,<br />

speaks, or sings. These germs can float in the air for several hours, depending on the environment.<br />

Persons who breathe in the air containing these TB germs can become infected. Because XDR TB is<br />

resistant to the most powerful first-line <strong>and</strong> second-line drugs, patients are left with treatment options<br />

that are much less effective <strong>and</strong> <strong>of</strong>ten have worse treatment outcomes. XDR TB is <strong>of</strong> special concern<br />

for persons with HIV infection or other conditions that can weaken the immune system. These<br />

persons are more likely to develop TB disease once they are infected, <strong>and</strong> also have a higher risk <strong>of</strong><br />

death once they develop TB disease.<br />

FEBRILE: Having a fever.<br />

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