Definition of Disease
An impairment of health.
A condition that impairs the bodily function of a particular organ/system.
A pathological condition of an organism caused by infection, genetic defect, or environmental stress.
Types of Disease
Genetic: Hemophilia, Cystic Fibrosis
Infectious: Smallpox, Bubonic Plague, Malaria, Influenza
Lifestyle/Environmental: Heart Disease, Diabetes, Lung Cancer, Hypertension
Impact on Disease History
Large population declines
Advancements in medicine and public health
Changes in social, economic, and political environments (including art)
Lifestyle modifications
Altered outcomes of war and conquests
Cultural and psychological impacts (belief systems, behaviors)
Properties of Living Organisms
Growth
Reproduction
Obtain and use energy
Respond to environment
Adaptation
Cell Theory
All living organisms are made of cells.
Cells are the smallest structures with properties of life.
All cells come from preexisting cells.
Key Scientists
Schwann – animal cells
Schleiden – plant cells
Virchow – cells from preexisting cells
Basic Components of a Cell
Plasma membrane
Genetic material
Protein machinery
Prokaryotic Cell
No nucleus, usually unicellular (Bacteria, Archaea)
Eukaryotic Cell
Nucleus, membrane-bound compartments, unicellular or multicellular (Protists, Plants, Fungi, Animals)
Cells – Appearance and Observation
Cells vary in appearance.
Frog eggs: visible to naked eye
Mouse fibroblasts: require microscope
Concept: Cells are the basic unit of life.
Sedentary Lifestyle
Evolutionary mismatch due to inactivity
Leads to chronic diseases, impaired metabolism, inflammation
Hunter-Gatherers
Semi-nomadic, small
groups, lower reproductive rate
Diet: whole foods, high physical activity, low stress
Fewer metabolic and cardiovascular diseases
Agricultural Revolution (~12,000–10,000 yrs ago)
Humans transition from hunter-gatherers to farmers
Domestication of plants and animals
Larger population, higher density → more infectious diseases
Waste disposal challenges and more human-animal contact
Animal Traits for Domestication
Herbivore, tameable, social, breeds in captivity, fast growth
Animal-Human Disease Links
Dogs → Distemper → human measles
Cattle/Camels → Smallpox, Measles
Sheep/Goats → Q fever
Poultry/Pigs → Influenza A
Infectious Diseases
Causative Agents (Smallest → Largest):
Prions: Proteinaceous infectious particles (Mad Cow, Creutzfeldt-Jakob, Kuru)
Viruses
Bacteria
Protozoans
Multicellular parasites
Historical Ideas of Disease
Aristotle: Spontaneous generation (flies from meat)
Girolamo Fracastoro: Diseases from transferable agents
Anton van Leeuwenhoek: Microscope; opposed spontaneous generation
Francesco Redi: Flies from flies, not meat (1668)
John Needham: Vegetative force theory
Lazzaro Spallanzani: Disproved Needham
Louis Pasteur: Swan-neck flask experiment (1859), ended spontaneous generation idea
Robert Koch and Microbiology/ Major Contributions
Isolated pathogens (Anthrax, Tuberculosis, Vibrio cholerae)
Used model organisms
Proved microorganisms cause infectious diseases
Koch’s Postulates
Microbe present in diseased hosts
Microbe can be grown in pure culture
Inoculation into healthy host → same disease
Re-isolate same microbe from new host
Disease Terminology
Disease: Pathogenic condition of a host, including signs and symptoms.
Parasites & Pathogens: Agents causing disease; parasites may harm but don’t always cause disease.
Infectious diseases: Disorders caused by micro/macro parasites transmitted between organisms.
Zoonotic pathogens: Pathogens transmitted from animals to humans.
Epidemiological Triad
Outbreaks occur when the ecology of host, pathogen, or environment changes.
3 elements of triad:
Susceptible host populations
Infectious pathogens
Favorable environmental conditions
Emerging Infectious Diseases (EIDs)
Definition: Diseases appearing or increasing due to ecological changes.
Types:
Wildlife EIDs: first appearance in wild populations
Domestic Animal EIDs: spillover from wildlife, often RNA viruses
Human EIDs: recently appeared infections or rapidly spreading
Drivers: Climate change, human encroachment, wildlife movement, land use change, global travel
Origins & Evolution of Infectious Disease
Many human-only diseases originated in animals.
Stages of disease evolution:
Animal-only pathogens
Primary infection: animal → human (e.g., Anthrax)
Limited outbreaks (Ebola, Monkeypox)
Long outbreaks (Yellow Fever)
Exclusive human pathogens (Smallpox, HIV-1 M)
Stage 5 development:
Pathogen co-speciation: ancestral pathogen evolves with humans
Pathogen adaptation: recent animal pathogen evolves to human-specific