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Human Health and Disease – CBSE Notes for Class 12 Biology

Health can be defined as a state of complete physical, mental and social well-being. Health is affected by three factors-

  • Genetic disorders- disorders which the child inherits from parents from birth.
  • Infections- caused due to pathogens.
  • Life style- includes the habits that we have or lack such as intake of food and water, rest and exercise which we give to our body etc.

The conditions in which one or more organs of the body are not working properly, characterized by various signs and symptoms are called diseases. The organisms which cause diseases are called pathogens.

Diseases can be broadly classified into two types-

Non- infectious diseases: Non-infectious diseases are those which are not transmitted from an infected person to another person.

Infectious diseases includes-

Infectious diseases are those which are transmitted from an infected person to another healthy person.

Bacterial diseases (caused by bacteria):

Typhoid

  • Caused by Salmonella typhi.
  • Affects small intestine and then migrates to other parts of the body through blood.
  • Transmitted by contaminated food and water.
  • Symptoms- Sustained high fever (39° to 40°C), weakness, stomach pain, constipation, headache and loss of appetite, intestinal perforation and death may occur in severe cases.
  • Typhoid fever is confirmed by Widal test.

Pneumonia

  • Caused by Streptococcus pneumoniae and
  • Affects alveoli of lungs.
  • Transmitted by dropelts released by infected person, sharing glasses and utensils.
  • Common symptoms are fever, chills, cough and headache and in severe cases lips and finger nails turn gray to bluish colour.

Fungal diseases (causes by fungi)

Ringworm

  • Caused by Microsporum, Trichophyton, Epidermophyton.
  • Affects skin, nails, folds of skin, groin.
  • Transmitted by sharing towel, clothes, or even comb with infected person.
  • Appearance of dry skin, scaly lesions in nails and scalp with intense itching are some of the common symptoms.
  • Heat and moisture help these fungi to grow.

Viral diseases (caused by virus)

Common cold

  • Caused by Rhino virus.
  • Affects nose and respiratory organs.
  • Transmitted by direct inhalation of droplets from cough and sneeze of infected person, through contaminated objects like pen, books, cups etc.
  • Nasal congestion and discharge, sore throat, hoarseness, cough are common symptoms.

Protozoan diseases (caused by protozoan)

Malaria

  • Caused by Plasmodium (vivax, P. malariaeand P. falciparum).
  • Affects liver and RBC.
  • Transmits by biting of female anopheles mosquito which acts as a vector.
  • High fever occurring on alternate days, chill, vomiting are the common symptoms.
  • Malarial parasite requires two hosts to complete their life cycle- Human and Anopheles mosquito.

Helminth diseases (caused by helminth)

Ascariasis

  • Caused by Ascarislumbricoides
  • Affects intestine of man.
  • Transmitted by contaminated water, vegetable fruits etc.
  • Internal bleeding, muscular pain, fever, anemia, blockage of intestinal passage are common symptoms.

Filariasis or elephantiasis

  • Caused by Wuchereriabancrofti and Wuchereriamalayi
  • Affects lymphatic vessels of the lower limbs, genital organs.
  • Transmitted by biting of infected female culex mosquito.
  • Chronic inflammation of the organs where they live, abnormal swellings of the lower limbs, scrotum, penis are common symptoms.

Immunity

Immunity is defined as the ability of the body to protect, defend and fight against invading pathogens like bacteria, virus, and other foreign bodies and toxic substances. There are two types of immunity.

Innate immunity: Non specific defence type of immunity present at the time of birth achieved by the provision of 4 barrier types – the physical barrier, physiological barrier, cellular barriers, cytokine barrier

Acquired immunity: Pathogen specific immunity that is characterized by memory.

 

Active and Passive Immunity: Active immunity is where the host produces antibodies in the form of dead or living microbes when it is exposed to antigens. It is a slow process, taking time to provide its full effective response. Passive immunity, on the other hand, is the immunity where ready-made antibodies are given directly to protect the body against any foreign agents.

Vaccination and Immunisation

Vaccination: The act of introducing a vaccine into the body to produce immunity to a specific disease.

Immunization: A process by which a person becomes protected against a disease through vaccination.

Allergies

The exaggerated response of the immune system to certain antigens present in the environment is called allergy. The substances to which immune response is produced are called allergens. Common examples of allergens are mites in dust, pollens, animal dander etc. Allergy is due to the release of chemicals like histamine and serotonin from the mast cells.

The antibodies produced to these are of IgE type. Symptoms of allergic reactions include sneezing, watery eyes, running nose and difficulty in breathing. The patient is diagnosed by injecting or exposing the patient to very small doses of allergens. Drugs like anti-histamine, adrenalin and steroids quickly reduce the symptoms of allergy.

Auto Immunity

The immune system of body can is able to identify and differentiate between self and non self. Due to genetic and other unknown reasons, the body attacks self-cell which results in damage to the body and is called auto-immune disease. Rheumatoid arthritis is an auto-immune disease.

Immune System in the Body

Immune system consists of-

Lymphoid organs: The organs where origin and/or maturation and proliferation of lymphocytes occur are called lymphoid organs. Lymphoid organs are of two types- Primary lymphoid organs and Secondary lymphoid organs.

Lymphoid tissue: Lymphoid tissue are located within the lining of the respiratory, digestive and urogenital tracts. Lymphoid tissues are also called mucosalassociated lymphoid tissue (MALT) which constitutes about 50 per cent ofthe lymphoid tissue in human body.

B- cells and T-cells: T cells (thymus cells) and B cells (bone marrow- or bursa-derived cells) are the major cellular components of the adaptive immune response. T cells are involved in cell-mediated immunity, whereas B cells are primarily responsible for humoral immunity (relating to antibodies).

Antibodies: Antibodies are Y-shaped proteins that bind to the body's foreign invaders and signal the immune system to get to work. Antibodies are specialized, Y-shaped proteins that bind like a lock-and-key to the body's foreign invaders — whether they are viruses, bacteria, fungi or parasites.

AIDS

The word AIDS stands for Acquired Immuno Deficiency Syndrome. This means deficiency of immune system, acquired during the lifetime of an individual indicating that it is not a congenital disease.

Acquired Immuno Deficiency Syndrome is caused by HIV(Human Immunodeficiency Virus) a member of the retrovirus group.

It is generally transmitted through sexual contact with infected person, blood transfusion with contaminated blood and its products, through the share of infected needles, from the infected mother to her child through the placenta. ELISA (Enzyme-linked immunosorbent assay)  is the diagnostic test for AIDS

Cancer

Cancer is the uncontrolled cell division leading to the formation of a mass of cells called as a tumor. Contact inhibition is the property of normal cells by virtue of which contact with other cells inhibits their uncontrolled growth. Cancer cells lost the property of contact inhibition and as a result of this, cancerous cells continue to divide giving rise to masses of cells called tumors.

Tumors are of two types: benign and malignant.

Causes of cancer:

  • Transformation of normal cells into cancerous cells may be induced by physical, chemical or biological agents called as carcinogens.
  • Physical carcinogens- ionizing radiation like X-rays, gamma rays and non-ionizing radiations like UV radiation of sun.
  • Chemical carcinogens- tobacco smoke and some other chemicals.

 

Drugs and alcohol abuse

The drugs which are commonly abused are opioids, cannabinoids and coca alkaloids.

Opoids: Opioids are the drugs which bind to specific opioid receptors present in our central nervous system and gastrointestinal tract. Heroin commonly called smack is chemically diacetylmorphine which is a white, odourless, bitter crystalline compound and is obtained by acetylation of morphine extracted from the latex of poppy plant Papaversomniferum. Heroin is a depressant and slows down body functions.

Cannabinoids: Cannabinoids interact with cannabinoid receptors present principally in the brain. Natural cannabinoids are obtained from the inflorescences of the plant Cannabis sativa. The flower tops, leaves and the resin of cannabis plant are used in various combinations to produce marijuana, hashish, charas and ganja. Effects on cardiovascular system of the body.

Coca alkaloid: Coca alkaloid or cocaine is obtained from coca plant Erythroxylum coca. Coca alkaloid interferes with the transport of the neuro-transmitterdopamine. Cocaine, commonly called as coke or crack. It has a potent stimulating action oncentral nervous system, producing a sense of euphoriaand increased energy. Excessive dosage of cocainecauses hallucinations.

Tobacco: Tobacco conatins nicotine, an alkaloid. Nicotine stimulates adrenal gland to release adrenaline and nor-adrenaline into blood circulation, both of which raise blood pressure and increase heart rate. Smoking of tobacco is associated with increased incidence of cancers of lung, urinary bladder, throat, oral cavity, bronchitis, emphysema, coronary heart disease, gastric ulcer etc.

Adolescence and Drug/Alcohol Abuse

Adolescence means both ‘a period’ and ‘a process’ during which a child becomes mature in terms of his/her attitudes and beliefs for effective participation in society. 12-18 years of age may be thought of as adolescence period. Adolescence is accompanied by several biological and behavioural changes. Curiosity, need for adventure and excitement, and experimentation, constitute common causes, which motivate youngsters towards drug and alcohol use.

Addiction and Dependence

Addiction is a psychological attachment to certain effects –such as euphoria and a temporary feeling of well-being – associated with drugs and alcohol. With repeated use of drugs, the tolerance level of the receptors present in our body increases and consequently the receptors respond only to higher doses of drugs or alcohol leading to greater intake and addiction. Dependence is the tendency of the body to manifest a characteristic and unpleasant withdrawal syndrome if regular dose of drugs/alcohol is abruptly discontinued. Withdrawal syndrome is characterised by anxiety, shakiness, nausea and sweating.

Effects, prevention and control of Drug/Alcohol Abuse

Excessive doses of drugs may lead to coma and death due to respiratory failure, heart failure or cerebral hemorrhage. Those who take drugs intravenously can get infected with AIDS, hepatitis B. The chronic use of drugs and alcohol damages nervous system and cause liver cirrhosis.

The use of drugs and alcohol during pregnancy is also known to adversely affect the foetus. Use of anabolic steroids in females can cause masculinisation, increased aggressiveness, mood swings, depression, abnormal menstrual cycles, excessive hair, growth on the face and body, enlargement of clitoris, deepening of voice.

In males anabolic steroids can cause acne, increased aggressiveness, mood swings, depression, reduction of size of the testicles, decreased sperm production, potential for kidney and liver dysfunction, breast enlargement, premature baldness, enlargement of the prostate gland.

Prevention and Control

The measures useful for prevention and control of alcohol and drugs abuse among adolescents-

  • Avoid undue peer pressure on children.
  • Children should be educated and counseled to bear problems and stress in life.
  • The child should seek help from parents and elders.
  • Affected individuals should seek medical help of qualified psychologists, psychiatrists, and deaddiction and rehabilitation programmes.

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