Acute and Chronic Diseases

Introduction

A disease is any adverse change from an organism’s usual anatomical, genetic, or physiological state. An illness is accompanied by a distinctive collection of signs and symptoms that are illustrative of that specific condition and aid in its diagnosis and treatment. Diseases can be acquired, congenital, communicable, non-communicable, chronic, and acute diseases. Medical science has cured some of the diseases while some diseases are not curable and hence prove to be fatal. 

Classification of disease

Various diseases can be classified based on the source of detection, causative agents, medium of infection, Duration, Communicability, and Extent.

Based on Communicability there are two types of diseases-

  • Communicable disease-These diseases are contagious and are brought on by microbes like bacteria, fungi, viruses, worms, and protozoans. For eg COVID-19, chickenpox, cholera,
  • Non- Communicable disease-These are not contagious and do not pass from person to person. These bind the person who contracts them inside. Cataracts, Alzheimer’s, cataracts, and heart conditions are a few examples.

 Based on duration there are two types of diseases-

  • Acute diseases-These illnesses are severe, last very briefly, are typically curable with appropriate medical care, and the patient regains their normal bodily functions after being treated. Common colds, fractures, pneumonia, bronchitis, etc. are a few examples. Chronic diseases can develop from acute illnesses if they are not treated on time. 
Chronic diseases can develop from acute illnesses if they are not treated on time.
  • Chronic diseases- These illnesses last three years or longer before they are diagnosed. Depending on the organism’s immunity, the disease’s stage of development, the organ or organ system that is affected, and other factors, they may be curable. Such illnesses have the potential of being deadly and incurable. Examples include high blood pressure, diabetes, HIV, arthritis, and cancer etc.

Differentiate between Acute diseases and Chronic diseases

Acute diseases

Chronic diseases

Generally spread from one infected individual to another.

They do not usually spread from one infected individual to another.

These are generally communicable diseases

These diseases are generally non-communicable diseases

These are caused due to contaminated food, water, vectors or from direct or indirect contact with an infected person.

They are caused due to genetic, allergic, deficiencies or environmental factors.

People who are unvaccinated, immunosuppressed or who are constantly travelling to the infected regions have a high risk of getting this disease. 

People who show various comorbidities such as high blood pressure, obesity, and various metabolic disorders are at high risk of getting these diseases.

Poor living conditions, underdeveloped healthcare systems and lack of cleanliness are responsible for these kinds of diseases.

Behavioural factors, Poor dietary habits and Genetic factors are responsible for these kinds of diseases.

Eg- COVID-19, SARS, Chlorella, TB etc

Eg- Cancer, HIV, Diabetes etc

Diseases due to environmental changes

Polluted environment is one of the main factors for diseases to occur. Some of these are explained below.

  • Air pollution: Respiratory disorders such as chronic bronchitis, emphysema, lung cancer, acute lower respiratory infections, etc. are caused by harmful gases in the air such as sulphates, nitrates, together with VOC, PM and Polyaromatic Hydrocarbons (PAHs).
  • Water pollution: Several pathogenic bacteria can cause cases of botulism, dysentery, cholera, giardiasis, amoebiasis, naegleriasis, etc. These are caused due to contaminated water as  sewage sources, swimming pools, or untreated drinking water containing all different kinds of microbes.
  • Toxins- The presence of lead, arsenic, and mercury in the environment are some  toxins, and they cause various diseases including malignancies like mesothelioma and melanoma, cardiovascular diseases like atherosclerosis, kidney ailments, and cerebrovascular diseases.

Summary

Disease is a state of the body that deviates from its usual state. There are many different ways to categorise diseases, including according to how long they have persisted, what caused them, how they spread, and how contagious they are.Acute disorders manifest abruptly and last only briefly. Chronic diseases are those that take longer to develop, last for a year or, occasionally for a lifetime. A healthy person can contract a communicable disease from an infected person using a variety of carriers, such as air, water, and animals. Cardiovascular diseases, CRDs, cancer, and diabetes are examples of non-communicable diseases that cannot be passed from one person to another. Pollution in the environment can also cause diseases.

Frequently Asked Questions

1. What do zoonotic illnesses mean?
Ans: Diseases which are caused by animals.i.e. animals carry disease-causing microbes such as bacteria or viruses are known as zoonotic illness. These diseases can be spread by scratches, body fluids etc. Eg- malaria, rabies, zika virus etc.

2. Explain the terms- Pathogen, Pathogenesis.
Ans: Pathogen- Any organism which causes disease is known as a pathogen eg- virus, fungus, bacteria etc.

Pathogenesis- It is a series of events which occur between the entry of the pathogen inside the body  and spread of the disease in the body.

3. How can the  transmission of communicable illness be prevented?
Ans: It is crucial to improve one’s personal hygiene as well as societal awareness and societal hygiene. Vaccinations have already contributed to the global eradication of several serious diseases.

AIDS and HIV

Introduction

Viruses are small highly contagious creatures which live on the threshold of life and death. The most distinguishing characteristic of viruses is to multiply inside the living cells of other species. When this virus enters our bodies, it affects our immune systems, hence weakening us. When viruses enter our body they use the host mechanism to carry out their life process, as a result, the host(human) does not get the required energy and becomes weak. Viruses such as HIV majorly infect the cells of the immune system making them more susceptible to various other diseases.

HIV

HIV stands for Human Immunodeficiency Virus and is a small virus which belongs to a group of viruses known as retroviruses. This organism is the cause of AIDS. Human immune cells, also referred to as white blood cells(specifically the Helper T Cells), get infected by HIV, hence compromising the host’s immunity. 

Process of infection of HIV

The HIV infection occurs when the blood of the infected person mixes with the blood of the healthy person. A virus enters the body following is the process of infection.

  • When HIV first enters a person’s body, it locates and attaches to CD4 lymphocytes, which are essentially fighting cells  of the immune system.
  • The virus attaches and then releases its RNA into the cell.
  • The retroviruses then synthesis DNA from RNA by the  enzyme reverse transcriptase.
  • The viral DNA fuses with the lymphocyte’s cellular DNA and becomes a part of the genetic makeup of the cell.
  • The virus now creates a large number of its own copies using the cell’s replication system, which are then released into the blood to infect additional CD4 cells.

As the body number of CD4 cells in the body decreases due to the infection, the body becomes immunodeficient.

This image shows the process of HIV infection occurring in a healthy T cell.
AIDSHIV
AIDS stands for Acquired Immunodeficiency Syndrome.HIV stands for Human Immunodeficiency Virus.
AIDS is caused by Human Immunodeficiency Virus.HIV is a virus that causes diseases.
AIDS is an immunodeficiency syndrome and is the last stage of HIV infection.The virus infects the immune system and hence compromises the immune system of the host.
Patients show very severe symptoms.Patients experience minor symptoms during acute and chronic infection stages.
Symptoms include- Breathlessness, lack of strength, swelling in groin regions, getting sick very easily, etc.Symptoms are- Fever, nausea, body ache, stomach ache, etc.
It is incurable and fatalIts infection can be controlled to some extent with the help of medicines.

Summary

AIDS is currently quite common disease around the world. This condition is frequently taboo and not discussed in many societies, which unintentionally hastened its rapid global expansion. AIDS and HIV are frequently mistaken for one another, leading to their interchangeability. Despite being closely linked, they are not one and the same. It is important to note that AIDS  is not particularly contagious on its own, which means that it cannot travel quickly through regular channels like air, water, etc. Hugs, sneezes, saliva, sweat, or proximity to infected people do not spread it. 

HIV usually transmits when an infected person comes into contact with an uninfected person's mucosal membranes, such as the mouth, genitals, or other body fluids including blood, vaginal secretions, semen, etc.

Frequently Asked Questions

1. Explain detection of AIDS by ELISA Test?
Ans: Enzyme-Linked Immunosorbent Assay,  known as ELISA, is a technique for identifying HIV infection. A  viral protein antigen has already been generated in a laboratory. This antigen is placed in the cassette along with the blood sample of the patient. If the blood has viral antibodies, they attach to the antigen and coagulate hence modifying the look of the cassette’s contents which detects the presences of virus in the blood sample.

2. How is AIDS treated?
Ans: Antiretroviral therapy, generally known as ART, is a form of treatment for AIDS but is not a cure. It has a combination of three distinct drugs. It lengthens the afflicted person’s life span.

3. What distinguishes an antigen from an antibody?
Ans: Foreign chemicals are known as antigens and they have the power to infect the body and cause a disease. Pathogens frequently contain them. 

Immune cells create immunoglobulins called antibodies to fight off particular antigens which are present in the host body cells.