© Distribution of this video is restricted by its owner
Transcript ×
Auto highlight
Font-size
00:06 Uh Mhm. Ok, folks. welcome to the last day,

00:23 29 days later. Ok. Um so we don't have a whole

00:31 left to do. I think we four diseases and then we're done.

00:35 So um so uh quiz opens tomorrow , through Monday unit quiz last smart

00:44 to do on Monday. Uh So the exam four thing um remote

00:50 I'll start sending out that email several between now and next Friday. So

00:57 has anybody done the practice test Anybody? Yeah, probably true.

01:08 . So did I tell you what error? So it gave you?

01:18 . All right. Um If you again and send me a screenshot,

01:25 but I'll, I'll go check I'll check it uh when I get

01:28 in the office. So that's good know. So, yeah, tell

01:30 that if you are experiencing something on end then I can fix it.

01:36 . Um ok, so I will that uh evaluation. So remember to

01:42 that and uh you've got through I guess 11:59 p.m. Um You

01:51 you don't need to notify me because have access to all the information.

01:55 , uh, I mean, not to, um, but I

01:59 one out. All right, let's . Try it. Oh, that's

02:09 loud. Oh, ok. Batteries went out. Ok.

02:14 uh, evaluations, remember to fill the evaluations, remember to do the

02:17 test. But apparently I got to something on my end because you got

02:21 error message or something. So I'll fix that. Ok. So

02:25 , lots of emails I'll send out you, inform me of stuff,

02:30 , et cetera. Um So just aware of that. Uh What

02:36 Um Let's see. OK. So , OK, so remember with

02:41 right? So we're gonna cover 23 25 and 26 on this last

02:47 Ok. So the 23 through 24 stuff, you know, is a

02:52 of um, you know, cell processes, you know, ident,

02:58 know, you've, you've taken those quizzes for you because you, so

03:01 kind of know the nature of that , what's gonna be asked,

03:04 Uh This last bit. Um I've, I've mentioned a number of

03:09 already, you know, it's really organizing this information, in my

03:16 having it there in front of you either a table or however you want

03:18 do it. Uh seems to me be the best way to organize it

03:23 um uh what to know right, each of these things. And um

03:29 know, again, a table with columns. I even added a new

03:33 here reservoir. Uh You can probably of another one. So again,

03:37 , just a way to organize this and it's kind of, it's gonna

03:40 a lot of memorization uh this disease stuff, but you'll, you'll get

03:45 feel for it. Uh on, the chapter 26 questions on the quiz

03:51 up starting tomorrow. So you get the quicker questions we done. I

03:55 have like five questions at the end will kind of give you here's kind

04:01 how, how to know this OK? Or what to know.

04:05 So uh let's any questions, OK. So, um let's start

04:14 . Oh, I forgot about this . All right. So I showed

04:16 on day one. All right. this is kind of the Christmas

04:19 OK. This rings a bell to . OK. OK. I got

04:24 , I got this beard now. it's not maybe quite the same if

04:27 do this, maybe take the glasses and do this. And uh

04:33 so um OK, quick question. I look at this, I looked

04:40 up myself before class just to see I always throw out some numbers and

04:44 not sure if they're always completely So I actually looked it up and

04:48 listed below are the average number of reported in the US for those four

04:55 . So, they're all represented but one is Tetanus? Among ABC and

05:00 ? Ok. Um, you're not you can always Google it yourself.

05:05 right. That's what I did. . Um, oh, ok.

05:39 down 21. Ok. So, he did Google it, obviously.

05:53 . Yeah. 30. Yeah, . So the order is like

05:57 who, what's the lowest, what's to 3? I mean, I

06:02 which one rabies actually rabies? I was surprised by that too,

06:06 know, a number of humans, rabies, right? Um Here's the

06:13 . OK. So botch them is lot more than I thought it

06:16 OK. The stereos, I knew number of rabies I thought would be

06:21 . But um it says um so rabies about 5000 animal, so 5000

06:30 rabies cases, but really only 1 3 human rabies cases reported each

06:35 The most was, well, five were reported in 2021 which was

06:40 highest in the last decade. Um let's see. Tetanus 30 botulism interesting

06:49 . So this goes to show you some of these statistics can be specific

06:55 certain, you know, cultural so to speak. OK. So

07:01 foodborne botulism is a distinctive public health among the Alaska native population. Um

07:08 associated with improper preparation of storage of Alaskan native foods and which I don't

07:14 what those are, but I'm sure some kind of seafood. A good

07:17 . But um so a higher instance among that group for that reason.

07:23 . Um Anyway, so Tetanus is , our first thing with Tetanus

07:28 Listeria and rabies. OK. Um uh well bots actually first. So

07:35 , this guy, this is a painting actually um from like the

07:39 this is a, he was a in Napoleon's army. OK. You

07:44 who Napoleon is, you can watch movie that's out now with Joaquin

07:47 Ok. Um, and, he is obviously suffering, ok.

07:55 these are symptoms of uh spasmodic ok? That you get with

08:02 Uh, you see the clenched the jaw is completely locked up,

08:07 , toes curling and the contractions can so forceful that it can actually break

08:12 spine in some cases. So, , acquired not uncommon for soldiers,

08:18 of course, was a lot Well, that's not really true.

08:22 was gonna say more wars going on that's why that's not true.

08:25 um, but, but caring for wounds, right? So tetanus gangrene

08:32 acquire through, you know, basically contaminated wounds, you know, which

08:36 course soldiers would get obviously. And , uh, a higher rate

08:40 you know, gangrene, tetanus, , other, you know, post

08:45 infection type stuff. So anyway, with, uh, so we buy

08:49 and Tetanus. So they're both they're both the same that they're

08:54 Ok? They affect uh nerve They, um, they, um

09:01 they carry out their and both the from both of these results from the

09:06 thing, but it just occurs in different ways because of the way the

09:10 acts on the muscles, right? it's all about affecting um muscles and

09:15 neurons that those connections. OK. so the uh the botulism,

09:23 So botulism is gonna be a foodborne . Tetanus is um acquired through a

09:30 the soil. Well, and I concentrate while you're chattering. OK.

09:37 the soil uh comes from the So both soil organisms, OK.

09:42 the um uh tetanus will come from wound, right? Contaminate typically through

09:48 puncture, wound, uh soil contamination very common. Um And in

09:55 it's through food typically. And so improperly canned foods, um food

10:01 you know, I do a pretty job obviously of keeping us under

10:04 But as mentioned in that example, these Alaskan group that um that uh

10:12 uh that group, it's tradition to properly store and can their foods

10:17 then if it's not done properly, you can get instances of botulism.

10:22 ? Um The uh so in the part of the 20th century here in

10:29 States was more common to get bots people did that was a thing especially

10:34 rural communities to bottle canned foods and forth and you do it using a

10:39 cooker. Um And, but if don't do it right? They're not

10:44 cla because remember these are both endospore , right? That group of very

10:49 endos spores. And so you can that in these clubs shaped forms

10:53 right? That's the endospore. So already aware of those. Ok.

10:58 so um so you don't, you auto cate properly, which is basically

11:01 a pressure cooker is, then they grow in the food and uh it

11:07 an anaerobic, there's an anaerobic environment there. Uh they grow which so

11:11 anaerobes, right? So cluster is . So they'll grow in that

11:15 they can produce gasses, right? if you see a a can on

11:18 grocery shelf that's kind of bulging, likely could be this thing that's grown

11:22 there. OK. Improves gas and the can to bulge. Uh but

11:26 you ingest the contaminated food and of , you come down with boxes.

11:31 . So again, it's all about between motor neurons and, and

11:37 OK. And so this toxin is that interferes with the acetylcholine.

11:43 so you can remember um you know muscle contraction events, right? So

11:49 got uh a motor neuron that's OK. And then that will um

11:56 an action potential down the axon. ? And then the signal will release

12:04 that are in these vesicles at the termini and then those chemicals will then

12:11 the muscle it's communicating with and then the action potential to it causing it

12:17 be stimulated and causing contraction. So what this does, it actually

12:22 is the, it blocks um so bind toxin binds the axon and blocks

12:30 of the chemical. Ok. So it normally would release when the toxin

12:36 bound and then enters the cell, blocks the, the uh release of

12:40 chemical. So even though the, neuron is stimulated, it can't release

12:44 acetylcholine. So the muscle can't right? And so that's what we

12:49 a flaccid paralysis. Ok. And both for tetanus and botulism, one

12:56 really from respiratory failure, followed by failure, right? Because remember those

13:00 systems are very closely connected, And so stress on breathing is gonna

13:05 to stress on your heart. So gonna die. So the um uh

13:12 uh so in breathing, of you have, we have diaphragm,

13:16 ? That muscle underneath your uh lungs when it contracts it uh expands your

13:23 and the negative pressure brings air right? And so the diaphragm,

13:28 course, of muscle, it could affected by the toxic. So it

13:31 uh contract properly even though it's getting signal, right? That,

13:36 that toxin is preventing it. And breathing is impaired, you know,

13:40 followed by respiratory cardiac failure as Ok. And so, um of

13:47 , you know, if you if you suspect you've, you've have

13:50 kind of wound or something that may contaminated. Then, uh,

13:55 if you haven't had a tetanus you get a tetanus toxoid, uh

13:59 shot um, to, to, that will, that will cure

14:03 right? If you don't get treatment you haven't been vaccinated, then,

14:08 know, then it can be So, um, on that vaccine

14:12 I don't have botched of vaccine. if you don't get the antitoxin,

14:15 then of course, it can it can be fatal. OK?

14:19 , with tetanus, the same death of results the same way. But

14:23 just in terms of how the muscle react differently to the toxin.

14:29 So, and this is, don't this. This is just showing you

14:32 uh refreshing your memory on how the um muscle muscles uh work together,

14:39 ? To produce a smooth movement of limb, right? Uh So you

14:44 an antagonistic muscle groups, right? uh hamstring quadriceps, right? Uh

14:51 leg movement, the uh the uh , tricep, right? Same

14:55 bi tricep contracts, uh bicep contracts relaxes to make a smooth movement,

15:03 ? So what's going on is you know, you're having, you

15:07 need to have inhibitory uh reactions going . So you inhibit one muscle group

15:14 allow the other muscle group to contract so contracting, relaxing, opposing muscle

15:19 . And so that involves these interneurons here, which produces inhibitory signals.

15:26 . So, of course, you're have different neurotransmitters, right? Acetylcholine

15:32 con contraction type uh actions. Uh this other one that's called Gab A

15:39 , Gaba, for short is when see in inhibitory responses. OK.

15:45 Gabba is released to kind of inhibit muscle group from contracting while allowing Aceto

15:50 to do the contraction of the other group. And that gives you a

15:54 movement. OK. And that's what interferes with. Tetanus interferes with the

15:59 types of uh interactions. And so what happens is so tetanus you acquire

16:07 , typically it through some kind of wound is how it happens. And

16:10 it it gets contaminated with soil um you don't clean it out properly

16:15 then in the area where damage uh it can be uh a situation

16:20 it becomes anaerobic because the tissue is and oxygen is not getting there.

16:25 so it begins becomes anaerobic and that up the conditions for clostridium to

16:30 Ok. So it grows, produce toxin and that toxin, OK,

16:35 travel up the neuron. Ok. so it blocks inhibitory neurotransmitters, which

16:42 what gab A is. OK. so uh so instead of having a

16:48 kind of working of muscle groups, spasmodic. OK. So the spasmodic

16:54 again, if it's the the respiratory in diaphragm, you know, spasmodic

16:59 isn't good either, right? You respire properly. And so that can

17:04 to Respi uh cardiac failure as Ok. So, not surprisingly these

17:09 both neurotoxins, both working on muscles slightly different ways. Uh But it's

17:16 surprising that they're not closely related in of homology. OK. And they

17:21 , and so, and they're both type that have the, the A

17:25 structure. So one part binds uh , the active part gets in there

17:29 does and does the work. And , um uh so, but

17:35 the, the effect is like slightly , right? Either the muscle can't

17:40 or it can but does so Ok. So that's tetanus and

17:47 Um Any questions about that? Ok. So let's look at

17:54 So listeriosis, we have likely all this at one time or another unknowingly

18:02 uh especially if you're one that likes maybe not pay attention so much the

18:07 date on foods. Ok. And like to eat things like salamis and

18:11 deli meats and cheeses and hot Um That's where Listeria can, you

18:18 acquire it from. So it's a borne illness as well. Ok.

18:22 so also things like smoked foods like salmon, for example. Um And

18:27 vegetables can also be a source. obviously, clean, clean your

18:32 There was another reason to not get . Uh But for most, you

18:35 , they have a healthy immune Ok. The steria will give you

18:41 if you eat to contaminated with the may be a slight stomach upset,

18:45 G I tract upset maybe some But, um, that's it.

18:51 . Then you're over it. Uh, it may not even be

18:54 bad. Ok. Uh, but there are those, of course

18:58 are more susceptible. Ok. So is widespread, widely spread in

19:02 right? Birds, fish, different , solar water. So it's really

19:07 , uh, in a lot of . And so, uh, theyre

19:10 positive rods, kind of short, size. And, um, so

19:16 , most that get it maybe mild or nothing. Uh but it can

19:22 invasive. So it's a type that be one of those um uh intracellular

19:28 intracellular pathogens, they get inside your . So they have these, these

19:32 the invasions, the proteins that enable to get engulfed. So they can

19:36 hide from the immune system and they use that as a springboard to kind

19:40 get deeper into the body and your . Um uh but you know,

19:47 see kind of how the cycle goes this. And so especially uh important

19:51 those that are um pregnant, pregnant . Ok. Like with all these

19:59 infectious diseases, the ones that succumb the worst effects are typically very young

20:03 very old, right? Because their systems aren't developed or, or in

20:07 case of being older, they are in terms of their potency, so

20:12 speak. OK. But aside from two groups, right, the ones

20:18 are really should be aware of this pregnant women, OK. Not the

20:22 necessarily, but the baby, Because these bacteria, if, if

20:27 so they tell mothers or, or mothers to um to restrict your intake

20:34 these kinds of processed foods. We mentioned jelly meats and cheeses is also

20:38 the category for the duration of the . Ok. Uh Because the bacteria

20:44 cross the placenta and affect the fetus so stillbirth can result, baby could

20:50 born but could have severe issues. , uh best to avoid these kinds

20:56 foods if you're pregnant. Ok. And you can go to cdc.gov to

21:01 , they have a whole thing there a chart of what to avoid and

21:06 and that and the other. Um let's look at kind of some of

21:11 Vence factors for this thing. So is a um like I said,

21:16 invasions, right? So we can uh get inside cells. And so

21:22 it's a food borne. Obviously, gonna get into your intestinal cells and

21:26 has the um interestingly, it's motile the body. It's got a flagellum

21:32 inside it loses it. Uh And it can move because it has the

21:37 in rockets, right? So, it takes the act to monitor sticks

21:41 on one end of the cell polymerizes it allows it to move through the

21:47 . That's what you see here and even penetrate into other cells.

21:52 And So the um uh other has different types of adhesions to help uh

22:00 into cells. There's various enzymes and as well. Um Fossil lipase acts

22:06 the membrane, it kind of helps it. Um The uh but the

22:12 here uh very important. So like said, I try to pick diseases

22:16 have like distinctive features. And this one from the pseudomembrane, the

22:21 but this one, it's um low . So it grows at low

22:25 And you can see here uh starting this level here, this actually represents

22:31 one, 1234 logs of growth. that that is significant growth and that's

22:40 in 24 hours, obviously, but know, within three weeks.

22:45 And that's at four degrees. So at 20 degrees, right? It's

22:49 , right? This these counts are going down, they're staying cost so

22:54 they're viable cells at minus 20. . So uh you probably, you

23:02 have heard, I think there I think it occurred, they occurred

23:06 year but about five or six years , it was an outbreak of the

23:10 traced to Bluebell ice cream up in and it turned out it was the

23:17 uh holding tank for the ice cream was went through the tap and then

23:23 bottled or put in cartons, And that apparatus was all contaminated with

23:29 stereo. So for ice cream you do your thing at cold

23:33 And so, uh you need to aware of Listeria in that case and

23:39 , you know, proper hygienic disinfect your equipment, that kind of

23:43 because the steria will survive in, those temperatures. So, um uh

23:49 again, obviously, foods in your , right? That, that uh

23:53 they can remain viable. So if see I'd say, um if you

23:59 those kind of foods that if you like a slimy layer forming on the

24:04 after probably after the expiration date, probably listeria, maybe growing in

24:08 maybe don't eat it. Ok. So anyway, like I said,

24:12 you have a healthy immune system, be fine. Ok? Uh Worst

24:16 , you may get a little bit stomach upset. Ok? But if

24:19 pregnant, I wouldn't, I wouldn't around with it. Ok. Um

24:26 so here's kind of the best and . And so it's called this

24:31 I mean, it could end basically most that are healthy. It

24:34 it ends right there. Ok. it gets in your gut, maybe

24:38 little bit of issue, maybe nothing all, you know, but if

24:42 the invasive type, well, then can uh enter your cells passing through

24:48 nodes, capillaries. Remember your intestines highly vascularized, lots of capillaries,

24:54 because that's where uh uh your body picking up nutrients to feed your

24:59 right. So it's gonna be lots blood vessels and lymph vessels there.

25:02 so, so it was gonna travel that and then, and then make

25:08 way through the bloodstream, ok? that's where you can get the worst

25:12 , ok? But again, this for typically those that are immunocompromised if

25:16 young or old and uh it can your um liver and spleen. Uh

25:22 more importantly, getting to the it's like the, I think the

25:26 or fifth um cause of meningitis. . Down the list. Not,

25:33 , not as common, but it like number four or five on that

25:37 . Um But the more important thing is the affecting the fetus. So

25:41 cross the placenta, like the fetus it in some cases or, or

25:46 to severe issues if it is OK. So the main thing

25:53 you know, for food manufacturers, course, hygienic practices, that kind

25:57 thing. Um And so uh you , it's, it's not nothing to

26:03 around with uh any questions about listeria . And so um OK, so

26:12 last thing here is going to be get this question, rabies in

26:20 So we had a question about average of cases. Uh So for humans

26:27 do come down with it, um the source typically? So let me

26:38 and say in the US. there actually is a different answer.

26:48 worldwide but we'll go with us. . Mhm Do. Yeah. Mhm

27:26 . Counting down from two one. in the seat. All right.

27:35 didn't google it. Right. it is c, it's actually

27:40 Ok. In the US worldwide, , I think it is dogs,

27:44 in the US it's bats, 70%. I think of cases are

27:49 bite. Um, but, and not dogs and cats? Well,

27:53 in the US, we vaccinate, vaccinate our pets. Ok.

27:59 the, uh, worldwide though, pretty sure it's, it's dogs,

28:03 the most common cause. But the thing about rabies, good and

28:07 is if you get bit, your of surviving are 100 nearly 100%

28:14 because you have a long window to treatment. Ok. It's a very

28:19 progressing disease. Um, but in initial stages of like, say the

28:25 30 to 60 days, you got window to get treatment. Ok.

28:31 , if you get bit, go treatment, but, uh, don't

28:34 around forever. Um, bad news if you do, don't get treatment

28:40 you experience, begin to experience the of rabies, then it's pretty much

28:47 chance you're gonna die. Ok. within that 30 to 50 day window

28:52 treatment if you get that. Um, there's been like one case

28:57 a human who actually survived, I after experiencing the symptoms of rabies.

29:02 not good chances. Ok. So rabies is a viral disease. It's

29:07 small virus kind of bullet shaped RN A virus. Um And

29:13 uh here we are looking at an of this picture of a dog

29:17 And so with um with rabies, it relies on creating these symptoms in

29:26 animal that promotes like um jaw tightening and creating spasms in the throat,

29:35 ? And uh this is that it's um it used to be called

29:41 fear of water, right? So not an actual fear of water,

29:45 looks like that because, uh, have these throat spasms and if you

29:50 , if you wanna try to it makes it worse. Right.

29:54 , we've all seen, uh, the, you know, the rabid

29:59 foams at the mouth, right? that comes from that behavior of,

30:03 spoke spasms and difficulty swallowing and it that effect. Um, but if

30:09 , if you put water in front them or you, or when,

30:13 you, if a human has, they start thinking about water, they

30:15 want to deal with it. Because it creates that, that

30:18 So, um, very unusual, on the behalf of the virus,

30:23 what it wants the infected animal or to do because that's how it gets

30:30 . That's how it travels from, , the host to the next

30:33 Ok. It's through that, through bite. And so you wanna make

30:36 you have your viruses up there in , in the throat and that's kind

30:40 the effect of that makes that And so the other thing is they

30:44 of slow growing, right? So say you get, let's say this

30:47 gets a bit like you see that on the ankle, above the

30:50 Uh, so it'll get into muscle connective tissue. Ok. So then

30:55 be in the cyst, kind of there for a good while, like

30:58 said, 30 40 50 days before begins then to migrate up peripheral

31:05 Ok? Um It doesn't produce a immune response from your body.

31:12 Because the number of viruses entering via bite aren't a lot. Um

31:20 uh it's in muscle and connective So it, it doesn't go into

31:25 lymph vessels because remember that's where like b cells and your t cells and

31:30 and things are at that can help produce an immune response. So it

31:34 really go that route. So you have a big immune response to

31:37 So it kind of just sits right? But, but again,

31:40 got that window of 40 50 60 at that point where you can get

31:46 , right? And the treatment is just getting um get vaccine. So

31:50 one of the, one of the diseases we get, get vaccinated and

31:54 vaccine works. Um after you've acquired disease, right? Because of a

32:00 period of, and it's kind of when it's in muscle and, and

32:04 tissue. Ok? And so you that window to get treatment from a

32:09 and they give you a shot of of antibodies, of anti rabies

32:15 So that's that um what we call , the artificially acquired passive immunity,

32:21 ? So you get those two treatments that, that will fix you.

32:24 . But again, only within that because as they travel into the

32:29 now, now they're gonna be hidden the body. Ok. So peripheral

32:33 and central nervous system, and you get these weird symptoms here.

32:39 if you get begin to experience these of symptoms, right? The

32:44 throat spasm, swallowing, difficulty um kind of symptoms of like neurological

32:52 , you're gonna be toast, So it's, it's pretty much done

32:56 you start experiencing that because you can't anything with the person, right?

32:59 they won't respond to uh any kind vaccine or treatments because the virus is

33:04 now in those neurons. Ok? so two types, they call it

33:11 animal animals acquire furious and paralytic. furious rabies are the ones like a

33:17 , right? It becomes very uh uh bi biting behavior and uh

33:25 a cat, you see the that's like the paralytic type. So

33:28 of zombie like dumbfounded, uh not aggressive, uh kind of out of

33:34 . Uh But those kind of different in those two animal types. The

33:39 and so again, it's, you , as it progresses, of

33:42 this virus is destroying neurons and you're feel the effects of that convulsions and

33:47 and things like that. Uh But , at that point, there's really

33:51 that can be done in like many . Uh you can sometimes see depending

33:59 the type of viral infection kind of viral proteins. So we all remember

34:05 , viruses, cell copy the genome viral proteins assemble, you know,

34:11 viruses. So in part of that , some of those viral proteins kind

34:16 can clump together and we see them these negri bodies. OK? That's

34:20 you see in the photograph. And of these things and so if

34:24 look at a infect affected animal, at the brain tissue under the

34:29 you see these characteristic um Granules in the neurons, they call bodies due

34:36 the rabies virus infection. OK. um the um and then the treatment

34:44 just mentioned, right? So we a what's called sort of post exposure

34:47 , right? So you, you've been infected and then you can

34:51 the vaccine only because this virus is slow progressing and it's susceptible to it

34:57 the early stages, right? And you give it the um anti rabies

35:02 antibodies as well. So both those only the the pre exposure. So

35:08 know getting a vaccine, those that vaccinated for this. OK? Um

35:13 gonna be what you think animal control . Um, veterinarians, these are

35:18 types of people that would get vaccinated this. OK. The rest of

35:21 really don't. Ok. Uh We on if we do get a bit

35:25 , on this kind of treatment. exposure. OK. Oh, any

35:33 ? All right. So let's look some questions. All right. So

35:40 the kind of stuff to know regarding . Um So you be time to

35:47 that. So we got 123456 different here. Really? Ok. Let

36:30 pause there for a few seconds. . Let's count down from 10.

36:57 . So just in case you picked pick something else. Yeah, it's

37:04 G there is an incorrect match. . Now everybody switched their answer.

37:14 and um yeah, it's e It's diphtheria is uh would cause that

37:23 streptococcus pneumonia kate bacterium is the Yeah. So that's not correctly

37:29 Let's look at this one um that . Ok. Right. Mhm.

38:38 . Ok. Let's count down from seven, 654. Yep. It

38:55 B oops B So this question in previous one are kind of here's a

39:02 , here's a feature. Does it ? Right. The next couple of

39:05 are about kind of thinking, you what's common among some of these

39:11 right. So let's look at this here. Um So the pathogen is

39:16 below which has an environmental reservoir. the soil water, John. Oh

39:34 . That's be a good idea. we go. Oops, last

39:41 here we go. There. Let check. Ok. I'm counting down

40:28 76. Ok. And sir, , there we are see, let's

40:47 , the, the, the ones are human reservoirs are this one

40:53 human, no animal. What's the with me? I human demon.

41:05 , uh Clostridium and both of those in soil, right? Uh mystery

41:12 water spread throughout water, right? this is animal, of course.

41:17 um three, right? OK. Next one kind of also what's common

41:27 these, which is not considered an or facultative intracellular pathogen. OK.

41:40 there is no G so to be , which is A through E oh

42:06 us. Let me check. All . Mhm OK. I cut out

42:43 10. All right. Uh they're all obligate frac you know,

43:00 pretty obvious that this guy is And that guy virus, right?

43:05 is. But yeah, legionella they can all, you know,

43:10 to a cell or be in a . All right. Then we end

43:15 this one. OK. Last Yeah, there can only be one

43:31 to this one. Ok. Mm. In Yeah. Your best

43:44 , your reason for living. Most intimate friends. OK. Deep

43:57 down 43 21. Of course, e all the above. Hey,

44:09 . Uh that's it. I'll be touch through emails come by if you

44:15 visit our, um, come for hours, just email me the day

44:19 we'll coordinate. Ok. Have a

-
+