1/26/2016 Pertussis Number of Pertussis cases eported in Washington state:2012s2013 Increasing pertussis cases due to: -Breakdown in herd immunity Are new measures working? -Mutation of the organism 260 -Better diagnostic test leading to more reporting 200 Acellular vaccine having lower long-term immunity 180 New strategies for fighting pertussis -New booster for teens,adults,and pregnant 100. women -Additional vaccination requirements for students -More government health campaigns 15101520253036404650 Onset week Tuberculosis fungus-like wth in a smear from lung tissue Caused by Mycobacterium tuberculosis -Acid-fast rod:obligate aerobe -20-hour generation time -Lipids in the cell wall make it resistant to drying and antimicrobials ·Other causes Mycobacterium bovis Bovine tuberculosis:1%of U.S.cases Transmitted to humans via contaminated milk or food -Mycobacterium avium-intracellulare complex .Infects people with HIV 1 2.5 pm infection lurgs of ac >1/26/2016 7 Pertussis • Increasing pertussis cases due to: – Breakdown in herd immunity – Mutation of the organism – Better diagnostic test leading to more reporting – Acellular vaccine having lower long-term immunity • New strategies for fighting pertussis – New booster for teens, adults, and pregnant women – Additional vaccination requirements for students – More government health campaigns Number of Pertussis cases reported in Washington state: 2012 vs 2013 Are new measures working? Tuberculosis • Caused by Mycobacterium tuberculosis – Acid-fast rod; obligate aerobe – 20-hour generation time – Lipids in the cell wall make it resistant to drying and antimicrobials • Other causes – Mycobacterium bovis • Bovine tuberculosis; <1% of U.S. cases • Transmitted to humans via contaminated milk or food – Mycobacterium avium-intracellulare complex • Infects people with late-stage HIV infection Lesions on the lungs of a cow Mycobacterium tuberculosis fungus-like growth in a smear from lung tissue Corded growth