Infectious Disease Epidemiology Program

Airborne and Direct Contact Diseases

Airborne Diseases
Airborne diseases are caused by pathogenic microbes small enough to be discharged from an infected person
via coughing, sneezing, laughing and close personal contact or aerosolization of the microbe. The discharged
microbes remain suspended in the air on dust particles, respiratory and water droplets. Illness is caused when
the microbe is inhaled or contacts mucus membranes or when secretions remaining on a surface are touched.
Transmission of airborne diseases can be greatly reduced by practicing social and respiratory etiquette.
Staying home when ill, keeping close contact with an ill person to a minimum, allowing a few feet distance from
others while ill, and wearing a mask, covering coughs and sneezes with elbow or tissue can greatly reduce
transmission. Good hand washing can decrease spread of germ-containing droplets that could be picked up on
hands from surfaces or hand contact with secretions. Environmental controls and engineering alternatives help
reduce transmission of water droplet aerosolized pathogens.

Contact Diseases
Contact Diseases are transmitted when an infected person has direct bodily contact with an uninfected person
and the microbe is passed from one to the other. Contact diseases can also be spread by indirect contact with
an infected persons environment or personal items. The presence of wound drainage or other discharges from
the body suggest an increased potential for risk of transmission and environmental contamination. Precautions
that create a barrier and procedures that decrease or eliminate the microbe in the environment or on personal
belongings, form the basis of interrupting transmission of direct contact diseases.

Anthrax - A serious disease caused by Bacillus anthracis, a bacterium that forms spores. A bacterium
is a very small organism made up of one cell. Many bacteria can cause disease. A spore is a cell that
is dormant (asleep) but may come to life with the right conditions.

Coronavirus - Coronaviruses are a large family of viruses that includes viruses that may cause a range
of illnesses in humans, from the common cold to SARS and MERS.

Enterovirus - Non-polio enteroviruses are very common viruses that cause about 10 to 15 million
infections in the United States each year.

Group A Streptococcus - A bacterium often found in the throat and on the skin. People may carry group
A streptococci in the throat or on the skin and have no symptoms of illness. Most GAS infections are
relatively mild illnesses such as "strep throat," or impetigo. Occasionally these bacteria can cause
severe and even life-threatening diseases.

Invasive Group B Streptococcal (GBS) - A bacterium that causes illness in newborn babies, pregnant
women, the elderly, and adults with other illnesses, such as diabetes or liver disease. GBS is the most
common cause of life-threatening infections in newborns.

Haemophilus influenza - Invasive disease caused by Haemophilus influenzae type b can affect many
organ systems. The most common types of invasive disease are pneumonia, occult febrile bacteremia,
meningitis, epiglottitis, septic arthritis, cellulitis, otitis media, purulent pericarditis, and other less
common infections such as endocarditis, and osteomyelitis.

Legionellosis - An infection caused by the bacterium Legionella pneumophila. Maine monitors the
incidence of Legionellosis through mandatory reporting by health care providers, clinical laboratories
and other public health partners.

Meningococcal Disease - The leading cause of bacterial meningitis in children and young adults in the
United States. Symptoms of meningococcal disease include fever, headache and stiff neck in
meningitis cases, and sepsis and rash in meningococcemia.

MERS-CoV - Currently, all cases are associated with either direct travel to the Arabian peninsula, or
contact with a returned traveler from the Arabian peninsula.

MRSA - Methicillin-resistant Staphylococcus Aureus is a bacterial infection that is resistant to some

antibiotics. When MRSA bacteria are found on the skin but do not cause illness it is called
"colonization." In most cases, MRSA does not cause any problems or causes minor infections, such as
pimples or boils. In some cases, MRSA can cause more serious infections.

Plague - Plague is a disease caused by Yersinia pestis (Y. pestis), a bacterium found in rodents and
their fleas in many areas around the world.

Strep pneumoniae - a Gram-positive encapsulated coccus that often colonizes the human
nasopharynx, where it can be carried asymptomatically.

SARS - respiratory disease caused by a coronavirus, last reported in 2004

List of Communicable Diseases

Local health departments are required to report some 80 communicable diseases to the California
Department of Public Health as part of the disease surveillance and investigation efforts. The diseases
below are among them.
Ebola
Enterovirus D68
Flu
Hantavirus
HIV/AIDS
Measles
MRSA
Pertussis
Rabies
Sexually Transmitted Disease
Tuberculosis
West Nile Virus

Direct Contact Diseases

These are diseases caused by microorganisms that are spread by person-to-person contact or indirect contact
with contaminated objects.

Conjunctivitis (Pink-eye)

Creutzfeldt-Jacob (CJD)

Ebola Virus Disease

Erythema Infectiosum (Fifth disease)

Impetigo

Pediculosis (Head lice)

Polio

Roseola

Rubella (German measles)

Scabies

Tetanus

Vesicular stomatitis (Hand, foot, mouth disease)