{"id":65896,"date":"2007-05-19T07:40:00","date_gmt":"2007-05-19T07:40:00","guid":{"rendered":"http:\/\/weblogs.madrimasd.org\/\/salud_publica\/archive\/2007\/05\/19\/65896.aspx"},"modified":"2007-05-19T07:40:00","modified_gmt":"2007-05-19T07:40:00","slug":"otras-formas-de-abordar-un-brote-epidemico","status":"publish","type":"post","link":"https:\/\/www.madrimasd.org\/blogs\/salud_publica\/2007\/05\/19\/65896","title":{"rendered":"Otras formas de abordar un brote epid\u00e9mico"},"content":{"rendered":"<p><P class=MsoNormal style=\"MARGIN: 0in 0in 0pt; mso-layout-grid-align: none\" align=justify><B><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: blue; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">Cuando hablamos de enfermedades transmisibles siempre tendemos a identificarlas<\/SPAN><\/B><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: #990033; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">,<\/SPAN><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\"> por que es lo m\u00e1s f\u00e1cil de explicar aunque no refleja lo que es la realidad de la transmisibilidad, <B><SPAN style=\"COLOR: blue\">como enfermedades producidas por un agente infeccioso o sus toxinas<\/SPAN><\/B><SPAN style=\"COLOR: #990033\"> <\/SPAN>que afectan a un individuo susceptible desde:<x:namespace prefix = o ns = \"urn:schemas-microsoft-com:office:office\" \/><o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt 71.4pt; TEXT-INDENT: -0.25in; tab-stops: list 71.4pt; mso-layout-grid-align: none; mso-list: l0 level1 lfo1\" align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: #993366; FONT-FAMILY: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-ansi-language: ES; mso-bidi-language: HE\"><SPAN style=\"mso-list: Ignore\">\u00b7<SPAN style=\"FONT: 7pt 'Times New Roman'\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <\/SPAN><\/SPAN><\/SPAN><SPAN dir=ltr><B style=\"mso-bidi-font-weight: normal\"><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: #993366; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">otro individuo infectado <o:p><\/o:p><\/SPAN><\/B><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt 71.4pt; TEXT-INDENT: -0.25in; tab-stops: list 71.4pt; mso-layout-grid-align: none; mso-list: l0 level1 lfo1\" align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: #993366; FONT-FAMILY: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-ansi-language: ES; mso-bidi-language: HE\"><SPAN style=\"mso-list: Ignore\">\u00b7<SPAN style=\"FONT: 7pt 'Times New Roman'\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <\/SPAN><\/SPAN><\/SPAN><SPAN dir=ltr><B style=\"mso-bidi-font-weight: normal\"><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: #993366; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">un animal <o:p><\/o:p><\/SPAN><\/B><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt 71.4pt; TEXT-INDENT: -0.25in; tab-stops: list 71.4pt; mso-layout-grid-align: none; mso-list: l0 level1 lfo1\" align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: #993366; FONT-FAMILY: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-ansi-language: ES; mso-bidi-language: HE\"><SPAN style=\"mso-list: Ignore\">\u00b7<SPAN style=\"FONT: 7pt 'Times New Roman'\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <\/SPAN><\/SPAN><\/SPAN><SPAN dir=ltr><B style=\"mso-bidi-font-weight: normal\"><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: #993366; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">o un reservorio.<o:p><\/o:p><\/SPAN><\/B><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt; mso-layout-grid-align: none\" align=justify><B style=\"mso-bidi-font-weight: normal\"><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: #993366; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\"><o:p>&nbsp;<\/o:p><\/SPAN><\/B><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt; mso-layout-grid-align: none\" align=justify><B style=\"mso-bidi-font-weight: normal\"><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: #993366; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\"><o:p>&nbsp;<\/o:p><\/SPAN><\/B><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt; mso-layout-grid-align: none\" align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: 'Humanst521BT,Italic'; mso-ansi-language: ES; mso-bidi-language: HE\">Despu\u00e9s de hablar de las <A href=\"http:\/\/weblogs.madrimasd.org\/salud_publica\/archive\/2007\/05\/09\/65263.aspx\">formas de presentaci\u00f3n de un brote<\/A> vamos a ver otras formas de abordarlo.<\/SPAN><\/P><!--more--><P class=MsoNormal style=\"MARGIN: 0in 0in 0pt; mso-layout-grid-align: none\" align=justify><B style=\"mso-bidi-font-weight: normal\"><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: blue; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\"><\/SPAN><\/B>&nbsp;<\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt; mso-layout-grid-align: none\" align=justify><B style=\"mso-bidi-font-weight: normal\"><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: blue; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">La caracterizaci\u00f3n de un <A href=\"http:\/\/weblogs.madrimasd.org\/salud_publica\/archive\/2007\/02\/28\/60163.aspx\">Brote<\/A> incluye conocer el tipo de fuente y la din\u00e1mica de t<\/SPAN><\/B><B style=\"mso-bidi-font-weight: normal\"><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: blue; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\"><A href=\"http:\/\/weblogs.madrimasd.org\/salud_publica\/archive\/2007\/03\/26\/62301.aspx\">ransmisi\u00f3n<\/A>, entre ellas<\/SPAN><\/B><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">:<x:namespace prefix = o ns = \"urn:schemas-microsoft-com:office:office\" \/><o:p><\/o:p><\/SPAN><\/P> <UL style=\"MARGIN-TOP: 0in\" type=square> <LI class=MsoNormal style=\"MARGIN: 0in 0in 0pt; COLOR: blue; tab-stops: list .5in; mso-layout-grid-align: none; mso-list: l9 level1 lfo4\"> <DIV align=justify><B><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">las caracter\u00edsticas del agente<o:p><\/o:p><\/SPAN><\/B> <\/DIV> <LI class=MsoNormal style=\"MARGIN: 0in 0in 0pt; COLOR: blue; tab-stops: list .5in; mso-layout-grid-align: none; mso-list: l9 level1 lfo4\"> <DIV align=justify><B><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">su fuente<o:p><\/o:p><\/SPAN><\/B> <\/DIV> <LI class=MsoNormal style=\"MARGIN: 0in 0in 0pt; COLOR: blue; tab-stops: list .5in; mso-layout-grid-align: none; mso-list: l9 level1 lfo4\"> <DIV align=justify><B><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">los medios de propagaci\u00f3n <o:p><\/o:p><\/SPAN><\/B><\/DIV> <LI class=MsoNormal style=\"MARGIN: 0in 0in 0pt; tab-stops: list .5in; mso-layout-grid-align: none; mso-list: l9 level1 lfo4\"> <DIV align=justify><B><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: blue; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">la susceptibilidad del hu\u00e9sped<\/SPAN><\/B><B><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\"><o:p><\/o:p><\/SPAN><\/B><\/DIV><\/LI><\/UL> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt; mso-layout-grid-align: none\" align=justify><B><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\"><o:p>&nbsp;<\/o:p><\/SPAN><\/B><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt; mso-layout-grid-align: none\" align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: red; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">Entendemos por susceptible al individuo no infectado y sin defensas ante esa enfermedad que puede infectarse. El individuo inmune no es susceptible.<o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt; mso-layout-grid-align: none\" align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\"><o:p>&nbsp;<\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt; mso-layout-grid-align: none\" align=justify><B style=\"mso-bidi-font-weight: normal\"><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">Si se trata de una enfermedad contagiosa, las caracter\u00edsticas mencionadas constituir\u00e1n los eslabones de la cadena de propagaci\u00f3n de la enfermedad.<o:p><\/o:p><\/SPAN><\/B><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt; mso-layout-grid-align: none\" align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\"><o:p>&nbsp;<\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt; mso-layout-grid-align: none\" align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">Al hablar de la din\u00e1mica de transmisi\u00f3n puede hacerse referencia a:<o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt; mso-layout-grid-align: none\" align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\"><o:p>&nbsp;<\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt 0.5in; TEXT-INDENT: -0.25in; tab-stops: list .5in; mso-layout-grid-align: none; mso-list: l1 level1 lfo5\" align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-ansi-language: ES; mso-bidi-language: HE\"><SPAN style=\"mso-list: Ignore\">\u00d8<SPAN style=\"FONT: 7pt 'Times New Roman'\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <\/SPAN><\/SPAN><\/SPAN><SPAN dir=ltr><B><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: 'FuturaMdBT,Bold'; mso-ansi-language: ES; mso-bidi-language: HE\">Din\u00e1mica de Transmisi\u00f3n de un Brote: <\/SPAN><\/B><\/SPAN><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">implica el estudio de la fuente del brote, puertas de entrada y salida, mecanismo de transmisi\u00f3n y hu\u00e9sped susceptible.<o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt 0.5in; TEXT-INDENT: -0.25in; tab-stops: list .5in; mso-layout-grid-align: none; mso-list: l1 level1 lfo5\" align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-ansi-language: ES; mso-bidi-language: HE\"><SPAN style=\"mso-list: Ignore\">\u00d8<SPAN style=\"FONT: 7pt 'Times New Roman'\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <\/SPAN><\/SPAN><\/SPAN><SPAN dir=ltr><B><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: 'FuturaMdBT,Bold'; mso-ansi-language: ES; mso-bidi-language: HE\">Din\u00e1mica de la Enfermedad: <\/SPAN><\/B><\/SPAN><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">se refiere a la historia natural de la enfermedad <\/SPAN><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">en un individuo e implica identificar y diferenciar el inicio y finalizaci\u00f3n de los <\/SPAN><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">per\u00edodos de incubaci\u00f3n y sintom\u00e1tico de la enfermedad.<o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt 0.5in; TEXT-INDENT: -0.25in; tab-stops: list .5in; mso-layout-grid-align: none; mso-list: l2 level1 lfo6\" align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-ansi-language: ES; mso-bidi-language: HE\"><SPAN style=\"mso-list: Ignore\">\u00d8<SPAN style=\"FONT: 7pt 'Times New Roman'\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <\/SPAN><\/SPAN><\/SPAN><SPAN dir=ltr><B><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: 'FuturaMdBT,Bold'; mso-ansi-language: ES; mso-bidi-language: HE\">Periodo de Transmisibilidad: <\/SPAN><\/B><\/SPAN><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">implica identificar el momento en el curso de la enfermedad en el que el individuo infectado pasa a ser contagioso y cuando este estado finaliza.<\/SPAN><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: 'FuturaMdBT,Bold'; mso-ansi-language: ES; mso-bidi-language: HE\"><o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt; mso-layout-grid-align: none\" align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES\"><o:p>&nbsp;<\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt; mso-layout-grid-align: none\" align=justify><B style=\"mso-bidi-font-weight: normal\"><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: #0033ff; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: 'Humanst521BT,Italic'; mso-bidi-font-style: italic; mso-ansi-language: ES; mso-bidi-language: HE\">Din\u00e1mica de Transmisi\u00f3n de un Brote<o:p><\/o:p><\/SPAN><\/B><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt; mso-layout-grid-align: none\" align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: 'Humanst521BT,Italic'; mso-ansi-language: ES; mso-bidi-language: HE\"><o:p>&nbsp;<\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt; mso-layout-grid-align: none\" align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">Estudiar la din\u00e1mica de transmisi\u00f3n de un brote implica identificar y caracterizar cada uno de los eslabones de la cadena de transmisi\u00f3n y reconocer el tipo de enfermedad de la que se trata. Definamos algunos t\u00e9rminos:<o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt; mso-layout-grid-align: none\" align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\"><SPAN style=\"mso-spacerun: yes\">&nbsp;<\/SPAN><o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt; mso-layout-grid-align: none\" align=justify><B><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: red; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: 'FuturaMdBT,Bold'; mso-ansi-language: ES; mso-bidi-language: HE\">Reservorio<\/SPAN><\/B><B><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: 'FuturaMdBT,Bold'; mso-ansi-language: ES; mso-bidi-language: HE\">: <\/SPAN><\/B><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">es el h\u00e1bitat natural del agente infeccioso. El lugar donde crece y se reproduce. <o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt; mso-layout-grid-align: none\" align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">Seg\u00fan el tipo de agente el reservorio puede ser:<o:p><\/o:p><\/SPAN><\/P> <UL style=\"MARGIN-TOP: 0in\" type=disc> <LI class=MsoNormal style=\"MARGIN: 0in 0in 0pt; tab-stops: list .5in; mso-layout-grid-align: none; mso-list: l6 level1 lfo7\"> <DIV align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">Humano: enfermo o portador<o:p><\/o:p><\/SPAN> <\/DIV> <LI class=MsoNormal style=\"MARGIN: 0in 0in 0pt; tab-stops: list .5in; mso-layout-grid-align: none; mso-list: l6 level1 lfo7\"> <DIV align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">Animal: enfermo o portador<o:p><\/o:p><\/SPAN> <\/DIV> <LI class=MsoNormal style=\"MARGIN: 0in 0in 0pt; tab-stops: list .5in; mso-layout-grid-align: none; mso-list: l6 level1 lfo7\"> <DIV align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">Mixtos.<o:p><\/o:p><\/SPAN> <\/DIV> <LI class=MsoNormal style=\"MARGIN: 0in 0in 0pt; tab-stops: list .5in; mso-layout-grid-align: none; mso-list: l6 level1 lfo7\"> <DIV align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">Algunos agentes, como los hongos, utilizan un ambiente inanimado como reservorio.<o:p><\/o:p><\/SPAN><\/DIV><\/LI><\/UL> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt 0.25in; mso-layout-grid-align: none\" align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\"><o:p>&nbsp;<\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt; mso-layout-grid-align: none\" align=justify><B><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: red; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: 'FuturaMdBT,Bold'; mso-ansi-language: ES; mso-bidi-language: HE\">Fuente de Infecci\u00f3n<\/SPAN><\/B><B><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: 'FuturaMdBT,Bold'; mso-ansi-language: ES; mso-bidi-language: HE\">: <\/SPAN><\/B><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">es el elemento que infecta directamente al hu\u00e9sped mediante tres v\u00edas de <A href=\"http:\/\/weblogs.madrimasd.org\/salud_publica\/archive\/2007\/04\/01\/62704.aspx\">transmisi\u00f3n<\/A>.<o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt; mso-layout-grid-align: none\" align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\"><o:p>&nbsp;<\/o:p><\/SPAN><\/P> <UL style=\"MARGIN-TOP: 0in\" type=disc> <LI class=MsoNormal style=\"MARGIN: 0in 0in 0pt; COLOR: blue; tab-stops: list .5in; mso-layout-grid-align: none; mso-list: l7 level1 lfo8\"> <DIV align=justify><B style=\"mso-bidi-font-weight: normal\"><I><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: 'FuturaLtBT,Italic'; mso-ansi-language: ES; mso-bidi-language: HE\">V\u00eda de Transmisi\u00f3n Directa<\/SPAN><\/I><\/B><B style=\"mso-bidi-font-weight: normal\"><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: 'FuturaLtBT,Italic'; mso-bidi-font-style: italic; mso-ansi-language: ES; mso-bidi-language: HE\">: el Reservorio es <\/SPAN><\/B><x:namespace prefix = st1 ns = \"urn:schemas-microsoft-com:office:smarttags\" \/><st1:PersonName ProductID=\"la Fuente\"><B style=\"mso-bidi-font-weight: normal\"><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: 'FuturaLtBT,Italic'; mso-bidi-font-style: italic; mso-ansi-language: ES; mso-bidi-language: HE\">la Fuente<\/SPAN><\/B><\/st1:PersonName><B style=\"mso-bidi-font-weight: normal\"><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: 'FuturaLtBT,Italic'; mso-bidi-font-style: italic; mso-ansi-language: ES; mso-bidi-language: HE\"> de Infecci\u00f3n.<\/SPAN><\/B><B style=\"mso-bidi-font-weight: normal\"><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: blue; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: 'FuturaLtBT,Italic'; mso-bidi-font-style: italic; mso-ansi-language: ES; mso-bidi-language: HE\">No existen intermediarios en la transmisi\u00f3n<\/SPAN><\/B><I><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: 'FuturaLtBT,Italic'; mso-ansi-language: ES; mso-bidi-language: HE\"><o:p><\/o:p><\/SPAN><\/I><\/DIV><\/LI><\/UL> <OL style=\"MARGIN-TOP: 0in\" type=1> <LI class=MsoNormal style=\"MARGIN: 0in 0in 0pt; COLOR: black; tab-stops: list .5in; mso-layout-grid-align: none; mso-list: l8 level1 lfo1\"> <DIV align=justify><B style=\"mso-bidi-font-weight: normal\"><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: purple; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">Personas enfermas<\/SPAN><\/B><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\"> (Reservorio Humano): son la fuente de infecci\u00f3n de <\/SPAN><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">enfermedades como Varicela, Rub\u00e9ola, etc.<o:p><\/o:p><\/SPAN> <\/DIV> <LI class=MsoNormal style=\"MARGIN: 0in 0in 0pt; COLOR: black; tab-stops: list .5in; mso-layout-grid-align: none; mso-list: l8 level1 lfo1\"> <DIV align=justify><B style=\"mso-bidi-font-weight: normal\"><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: purple; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">Animales enfermos<\/SPAN><\/B><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\"> (Reservorio Animal): son la fuente de infecci\u00f3n de <\/SPAN><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">enfermedades como <\/SPAN><st1:PersonName ProductID=\"la Rabia.\"><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">la Rabia.<\/SPAN><\/st1:PersonName><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\"><o:p><\/o:p><\/SPAN> <\/DIV> <LI class=MsoNormal style=\"MARGIN: 0in 0in 0pt; COLOR: black; tab-stops: list .5in; mso-layout-grid-align: none; mso-list: l8 level1 lfo1\"> <DIV align=justify><B style=\"mso-bidi-font-weight: normal\"><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: purple; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">Veh\u00edculo inanimado<\/SPAN><\/B><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\"> es el Reservorio y <\/SPAN><st1:PersonName ProductID=\"la Fuente\"><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">la Fuente<\/SPAN><\/st1:PersonName><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\"> de Infecci\u00f3n de enfermedades como las Micosis Superficiales de la piel.<o:p><\/o:p><\/SPAN><\/DIV><\/LI><\/OL> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt 0.75in; mso-layout-grid-align: none\" align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\"><o:p>&nbsp;<\/o:p><\/SPAN><\/P> <UL style=\"MARGIN-TOP: 0in\" type=disc> <LI class=MsoNormal style=\"MARGIN: 0in 0in 0pt; COLOR: blue; tab-stops: list .5in; mso-layout-grid-align: none; mso-list: l7 level1 lfo8\"> <DIV align=justify><B style=\"mso-bidi-font-weight: normal\"><I><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: 'FuturaLtBT,Italic'; mso-ansi-language: ES; mso-bidi-language: HE\">V\u00eda de Transmisi\u00f3n Indirecta<\/SPAN><\/I><\/B><B style=\"mso-bidi-font-weight: normal\"><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: 'FuturaLtBT,Italic'; mso-bidi-font-style: italic; mso-ansi-language: ES; mso-bidi-language: HE\">: el Reservorio no es <\/SPAN><\/B><st1:PersonName ProductID=\"la Fuente\"><B style=\"mso-bidi-font-weight: normal\"><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: 'FuturaLtBT,Italic'; mso-bidi-font-style: italic; mso-ansi-language: ES; mso-bidi-language: HE\">la Fuente<\/SPAN><\/B><\/st1:PersonName><B style=\"mso-bidi-font-weight: normal\"><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: 'FuturaLtBT,Italic'; mso-bidi-font-style: italic; mso-ansi-language: ES; mso-bidi-language: HE\"> de Infecci\u00f3n. <\/SPAN><\/B><B style=\"mso-bidi-font-weight: normal\"><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: blue; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: 'FuturaLtBT,Italic'; mso-bidi-font-style: italic; mso-ansi-language: ES; mso-bidi-language: HE\">Los agentes llegan a trav\u00e9s de elementos contaminados o vectores<o:p><\/o:p><\/SPAN><\/B><\/DIV><\/LI><\/UL> <OL style=\"MARGIN-TOP: 0in\" type=1> <LI class=MsoNormal style=\"MARGIN: 0in 0in 0pt; COLOR: black; tab-stops: list .5in; mso-layout-grid-align: none; mso-list: l5 level1 lfo9\"> <DIV align=justify><B style=\"mso-bidi-font-weight: normal\"><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: purple; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">Animales enfermos<\/SPAN><\/B><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">: contaminan con sus heces los alimentos y el agua que se convierte en la fuente de Infecci\u00f3n o elemento directamente infectante, muchas parasitosis:<\/SPAN><I><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: 'FuturaLtBT,Italic'; mso-ansi-language: ES; mso-bidi-language: HE\"> <\/SPAN><\/I><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">Hidatidosis, Triquinosis.<o:p><\/o:p><\/SPAN> <\/DIV> <LI class=MsoNormal style=\"MARGIN: 0in 0in 0pt; COLOR: black; tab-stops: list .5in; mso-layout-grid-align: none; mso-list: l5 level1 lfo9\"> <DIV align=justify><B style=\"mso-bidi-font-weight: normal\"><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: purple; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">Veh\u00edculos de transmisi\u00f3n<\/SPAN><\/B><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">: objetos o materiales contaminados como juguetes, ropa de cama o jeringas<\/SPAN><B><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: 'FuturaMdBT,Bold'; mso-ansi-language: ES; mso-bidi-language: HE\">:<\/SPAN><\/B><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\"> virus del SIDA por compartir una jeringa contaminada.<o:p><\/o:p><\/SPAN> <\/DIV> <LI class=MsoNormal style=\"MARGIN: 0in 0in 0pt; tab-stops: list .5in; mso-layout-grid-align: none; mso-list: l5 level1 lfo9\"> <DIV align=justify><B style=\"mso-bidi-font-weight: normal\"><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: purple; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">Vectores vivos<\/SPAN><\/B><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">: garrapata que transmite <\/SPAN><st1:PersonName ProductID=\"la Rickesia\"><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">la <I style=\"mso-bidi-font-style: normal\">Rickesia<\/I><\/SPAN><\/st1:PersonName><I style=\"mso-bidi-font-style: normal\"><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\"> conorii<\/SPAN><\/I><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\"> y produce la fiebre botonosa o fiebre mediterr\u00e1nea transmitida por garrapatas tambi\u00e9n llamada fibreexantem\u00e1tica del mediterr\u00e1neo.<\/SPAN><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\"><o:p><\/o:p><\/SPAN><\/DIV><\/LI><\/OL> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt 0.25in; mso-layout-grid-align: none\" align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\"><o:p>&nbsp;<\/o:p><\/SPAN><\/P> <UL style=\"MARGIN-TOP: 0in\" type=disc> <LI class=MsoNormal style=\"MARGIN: 0in 0in 0pt; tab-stops: list .5in; mso-layout-grid-align: none; mso-list: l0 level1 lfo10\"> <DIV align=justify><B><I><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">A trav\u00e9s del aire<\/SPAN><\/I><\/B><B><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: 'FuturaMdBT,Bold'; mso-ansi-language: ES; mso-bidi-language: HE\">: <\/SPAN><\/B><B><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: blue; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: 'FuturaMdBT,Bold'; mso-ansi-language: ES; mso-bidi-language: HE\">diseminaci\u00f3n de aerosoles microbianos, son suspensiones a\u00e9reas de part\u00edculas constituidas total o parcialmente por microorganismos<\/SPAN><\/B><B><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: 'FuturaMdBT,Bold'; mso-ansi-language: ES; mso-bidi-language: HE\">:<\/SPAN><\/B><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: 'FuturaMdBT,Bold'; mso-ansi-language: ES; mso-bidi-language: HE\"> n\u00facleos de gotillas o polvo<\/SPAN><I><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\"><o:p><\/o:p><\/SPAN><\/I><\/DIV><\/LI><\/UL> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt 0.25in; mso-layout-grid-align: none\" align=justify><I><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\"><o:p>&nbsp;<\/o:p><\/SPAN><\/I><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt; mso-layout-grid-align: none\" align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: purple; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">Hay que diferenciar la fuente de infecci\u00f3n de la <\/SPAN><B><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: purple; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: 'FuturaMdBT,Bold'; mso-ansi-language: ES; mso-bidi-language: HE\">fuente de contaminaci\u00f3n<\/SPAN><\/B><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: purple; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">: es aqu\u00e9lla que facilita el acceso del agente a la fuente de infecci\u00f3n.<o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt; mso-layout-grid-align: none\" align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: purple; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">En el c\u00f3lera las heces de un paciente col\u00e9rico son la fuente contaminante del agua de una comunidad y el agua ser\u00e1 la fuente de infecci\u00f3n para aquellos que la beben.<\/SPAN><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-ansi-language: ES\"><o:p><IMG style=\"WIDTH: 437px; HEIGHT: 314px\" height=603 src=\"\/blogs\/salud_publica\/wp-content\/blogs.dir\/97\/files\/662\/o_cadena%20epidemiol\u00f3gica.jpg\" width=960><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt\" align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-ansi-language: ES\"><o:p>&nbsp;<\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt; mso-layout-grid-align: none\" align=justify><B><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: #0033ff; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: 'Humanst521BT,Italic'; mso-ansi-language: ES; mso-bidi-language: HE\">Agente causal<\/SPAN><\/B><B><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: 'FuturaMdBT,Bold'; mso-ansi-language: ES; mso-bidi-language: HE\">: <\/SPAN><\/B><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">Es el factor necesario (aunque no suficiente) para que ocurra el brote, puede ser:<o:p><\/o:p><\/SPAN><\/P> <UL style=\"MARGIN-TOP: 0in\" type=disc> <LI class=MsoNormal style=\"MARGIN: 0in 0in 0pt; COLOR: black; tab-stops: list .5in; mso-layout-grid-align: none; mso-list: l7 level1 lfo8\"> <DIV align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\"><A href=\"http:\/\/weblogs.madrimasd.org\/salud_publica\/archive\/2007\/03\/06\/60471.aspx\"><STRONG><FONT color=#0000ff>Biol\u00f3gico<\/FONT><\/STRONG><\/A>: bacterias, virus\u2026 <o:p><\/o:p><\/SPAN><\/DIV> <LI class=MsoNormal style=\"MARGIN: 0in 0in 0pt; COLOR: black; tab-stops: list .5in; mso-layout-grid-align: none; mso-list: l7 level1 lfo8\"> <DIV align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\"><STRONG><FONT color=#0000ff>Qu\u00edmico:<\/FONT><\/STRONG> venenos, gases\u2026 <o:p><\/o:p><\/SPAN><\/DIV> <LI class=MsoNormal style=\"MARGIN: 0in 0in 0pt; COLOR: black; tab-stops: list .5in; mso-layout-grid-align: none; mso-list: l7 level1 lfo8\"> <DIV align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\"><FONT style=\"BACKGROUND-COLOR: #ffffff\" color=#0000ff><STRONG>F\u00edsico:<\/STRONG><\/FONT> <A href=\"http:\/\/weblogs.madrimasd.org\/salud_publica\/archive\/2007\/03\/14\/61273.aspx\">radiaciones<\/A>, <A href=\"http:\/\/weblogs.madrimasd.org\/salud_publica\/archive\/2007\/04\/25\/64341.aspx\">metales<\/A> <o:p><\/o:p><\/SPAN><\/DIV><\/LI><\/UL> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt; mso-layout-grid-align: none\" align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\"><o:p>&nbsp;<\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt; mso-layout-grid-align: none\" align=justify><B style=\"mso-bidi-font-weight: normal\"><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: red; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">Los agentes biol\u00f3gicos presentan cuatro caracter\u00edsticas que los identifican: contagiosidad, patogenicidad, virulencia y poder de invasi\u00f3n.<o:p><\/o:p><\/SPAN><\/B><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt; mso-layout-grid-align: none\" align=justify><B><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: 'FuturaMdBT,Bold'; mso-ansi-language: ES; mso-bidi-language: HE\"><o:p>&nbsp;<\/o:p><\/SPAN><\/B><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt; mso-layout-grid-align: none\" align=justify><B><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: red; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: 'FuturaMdBT,Bold'; mso-ansi-language: ES; mso-bidi-language: HE\">Contagiosidad<o:p><\/o:p><\/SPAN><\/B><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt; mso-layout-grid-align: none\" align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">La es la capacidad que tiene un agente pat\u00f3geno para propagarse y se expresa por la <STRONG><FONT color=#008000>Tasa de Ataque<\/FONT><\/STRONG> y la <STRONG><FONT color=#006400>Tasa de Ataque Secundaria<\/FONT><\/STRONG> (nuevos casos aparecidos en una familia, club, colegio, etc.), despu\u00e9s del primer caso.<o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt; mso-layout-grid-align: none\" align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES\"><o:p>&nbsp;<\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt; mso-layout-grid-align: none\" align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES\"><o:p><IMG style=\"WIDTH: 474px; HEIGHT: 206px\" height=206 src=\"\/blogs\/salud_publica\/wp-content\/blogs.dir\/97\/files\/662\/o_tasas.jpg\" width=523><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt; mso-layout-grid-align: none\" align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES\"><o:p><\/o:p><\/SPAN>&nbsp;&nbsp;<\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt; mso-layout-grid-align: none\" align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES\"><o:p><\/o:p><\/SPAN><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\"><o:p>&nbsp;<\/o:p><\/SPAN><B><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: red; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: 'FuturaMdBT,Bold'; mso-ansi-language: ES; mso-bidi-language: HE\">Patogenicidad<o:p><\/o:p><\/SPAN><\/B><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt; mso-layout-grid-align: none\" align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">Es la capacidad de un agente infeccioso de producir la enfermedad en un hu\u00e9sped susceptible.<o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt; mso-layout-grid-align: none\" align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES\"><o:p>&nbsp;<\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt; mso-layout-grid-align: none\" align=justify><B><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: red; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: 'FuturaMdBT,Bold'; mso-ansi-language: ES; mso-bidi-language: HE\">Virulencia<o:p><\/o:p><\/SPAN><\/B><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt; mso-layout-grid-align: none\" align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">Es el grado de patogenicidad de un agente infeccioso, indicado por las tasas de letalidad y por su capacidad de invadir y lesionar los tejidos del hu\u00e9sped.<o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt; mso-layout-grid-align: none\" align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\"><o:p>&nbsp;<\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt; mso-layout-grid-align: none\" align=justify><B style=\"mso-bidi-font-weight: normal\"><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: #993366; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">Num\u00e9ricamente puede representarse de diferentes maneras<\/SPAN><\/B><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">. Cuando la muerte es el \u00fanico criterio de enfermedad, se la puede expresar como <B style=\"mso-bidi-font-weight: normal\"><SPAN style=\"COLOR: #993366\">tasa de letalidad.<o:p><\/o:p><\/SPAN><\/B><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt; mso-layout-grid-align: none\" align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">Tambi\u00e9n <B style=\"mso-bidi-font-weight: normal\"><SPAN style=\"COLOR: #993366\">como el n\u00famero de casos cl\u00ednicos de enfermedad sobre total de infectados. <\/SPAN><\/B>La mayor\u00eda de los ni\u00f1os que se infectan con el virus de <\/SPAN><st1:PersonName ProductID=\"la Hepatitis A\"><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">la Hepatitis A<\/SPAN><\/st1:PersonName><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\"> no presentan s\u00edntomas, mientras que la mayor\u00eda de los que se infectan con el sarampi\u00f3n s\u00ed.<o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt; mso-layout-grid-align: none\" align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES\"><o:p>&nbsp;<\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt; mso-layout-grid-align: none\" align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES\"><x:namespace prefix = v ns = \"urn:schemas-microsoft-com:vml\" \/><v:shapetype id=_x0000_t75 coordsize=\"21600,21600\" o:spt=\"75\" o:preferrelative=\"t\" path=\"m@4@5l@4@11@9@11@9@5xe\" filled=\"f\" stroked=\"f\"><v:stroke joinstyle=\"miter\"><\/v:stroke><v:formulas><v:f eqn=\"if lineDrawn pixelLineWidth 0\"><\/v:f><v:f eqn=\"sum @0 1 0\"><\/v:f><v:f eqn=\"sum 0 0 @1\"><\/v:f><v:f eqn=\"prod @2 1 2\"><\/v:f><v:f eqn=\"prod @3 21600 pixelWidth\"><\/v:f><v:f eqn=\"prod @3 21600 pixelHeight\"><\/v:f><v:f eqn=\"sum @0 0 1\"><\/v:f><v:f eqn=\"prod @6 1 2\"><\/v:f><v:f eqn=\"prod @7 21600 pixelWidth\"><\/v:f><v:f eqn=\"sum @8 21600 0\"><\/v:f><v:f eqn=\"prod @7 21600 pixelHeight\"><\/v:f><v:f eqn=\"sum @10 21600 0\"><\/v:f><\/v:formulas><v:path o:extrusionok=\"f\" gradientshapeok=\"t\" o:connecttype=\"rect\"><\/v:path><o:lock v:ext=\"edit\" aspectratio=\"t\"><\/o:lock><\/v:shapetype><o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt; mso-layout-grid-align: none\" align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES\"><o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt; mso-layout-grid-align: none\" align=justify><B style=\"mso-bidi-font-weight: normal\"><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: red; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: CenturyGothic; mso-ansi-language: ES; mso-bidi-language: HE\">Poder de invasi\u00f3n<\/SPAN><\/B><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: CenturyGothic; mso-ansi-language: ES; mso-bidi-language: HE\"> <o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt; mso-layout-grid-align: none\" align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">Es la aptitud del agente para propagarse despu\u00e9s de su penetraci\u00f3n en el organismo.<o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt; mso-layout-grid-align: none\" align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\"><o:p>&nbsp;<\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt; mso-layout-grid-align: none\" align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">El camino por el cual un agente infeccioso sale de su hu\u00e9sped es en general denominado <B style=\"mso-bidi-font-weight: normal\"><SPAN style=\"COLOR: purple\">puerta de salida<\/SPAN><\/B>. Las principales v\u00edas de salida del agente son:<o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt; mso-layout-grid-align: none\" align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES\"><o:p>&nbsp;<\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt 0.5in; TEXT-INDENT: -0.25in; tab-stops: list .5in; mso-layout-grid-align: none; mso-list: l3 level1 lfo2\" align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-ansi-language: ES; mso-bidi-language: HE\"><SPAN style=\"mso-list: Ignore\">\u00d8<SPAN style=\"FONT: 7pt 'Times New Roman'\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <\/SPAN><\/SPAN><\/SPAN><SPAN dir=ltr><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">Oro Faringe: Tuberculosis, Influenza, etc.<o:p><\/o:p><\/SPAN><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt 0.5in; TEXT-INDENT: -0.25in; tab-stops: list .5in; mso-layout-grid-align: none; mso-list: l3 level1 lfo2\" align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-ansi-language: ES; mso-bidi-language: HE\"><SPAN style=\"mso-list: Ignore\">\u00d8<SPAN style=\"FONT: 7pt 'Times New Roman'\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <\/SPAN><\/SPAN><\/SPAN><SPAN dir=ltr><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">Meato urinario y vagina: Gonorrea, S\u00edfilis, etc.<o:p><\/o:p><\/SPAN><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt 0.5in; TEXT-INDENT: -0.25in; tab-stops: list .5in; mso-layout-grid-align: none; mso-list: l3 level1 lfo2\" align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-ansi-language: ES; mso-bidi-language: HE\"><SPAN style=\"mso-list: Ignore\">\u00d8<SPAN style=\"FONT: 7pt 'Times New Roman'\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <\/SPAN><\/SPAN><\/SPAN><SPAN dir=ltr><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">Orificio anal: Hepatitis A, C\u00f3lera, etc.<o:p><\/o:p><\/SPAN><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt 0.5in; TEXT-INDENT: -0.25in; tab-stops: list .5in; mso-layout-grid-align: none; mso-list: l3 level1 lfo2\" align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-ansi-language: ES; mso-bidi-language: HE\"><SPAN style=\"mso-list: Ignore\">\u00d8<SPAN style=\"FONT: 7pt 'Times New Roman'\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <\/SPAN><\/SPAN><\/SPAN><SPAN dir=ltr><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">Herida en piel: a trav\u00e9s de lesiones superficiales, Hepatitis B o SIDA.<o:p><\/o:p><\/SPAN><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt 0.5in; TEXT-INDENT: -0.25in; tab-stops: list .5in; mso-layout-grid-align: none; mso-list: l4 level1 lfo3\" align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-ansi-language: ES; mso-bidi-language: HE\"><SPAN style=\"mso-list: Ignore\">\u00d8<SPAN style=\"FONT: 7pt 'Times New Roman'\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <\/SPAN><\/SPAN><\/SPAN><SPAN dir=ltr><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">Placenta: ser\u00eda el caso de todas aquellas infecciones de transmisi\u00f3n vertical<o:p><\/o:p><\/SPAN><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt 0.5in; mso-layout-grid-align: none\" align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">(madre-hijo) a trav\u00e9s de la placenta, como <\/SPAN><st1:PersonName ProductID=\"la Rub?ola\"><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\">la Rub\u00e9ola<\/SPAN><\/st1:PersonName><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\"> cong\u00e9nita, Toxoplasmosis, etc.<\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt 0.5in; mso-layout-grid-align: none\" align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\"><\/SPAN>&nbsp;<\/P> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt 0.5in; mso-layout-grid-align: none\" align=justify><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\"><\/SPAN>&nbsp;<\/P><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Trebuchet MS'; mso-bidi-font-family: FuturaLtBT; mso-ansi-language: ES; mso-bidi-language: HE\"> <P class=MsoNormal style=\"MARGIN: 0in 0in 0pt\" align=justify><B><SPAN lang=ES style=\"FONT-SIZE: 14pt; COLOR: red; FONT-FAMILY: 'Trebuchet MS'; mso-ansi-language: ES\"><EM>Consuelo Ib\u00e1\u00f1ez Mart\u00ed, m\u00e9dico salubrista y epidemi\u00f3logo de pro<o:p><\/o:p><\/EM><\/SPAN><\/B><\/P><o:p><\/o:p><\/SPAN><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Cuando hablamos de enfermedades transmisibles siempre tendemos a identificarlas, por que es lo m\u00e1s f\u00e1cil de explicar aunque no refleja lo que es la realidad de la transmisibilidad, como enfermedades producidas por un agente infeccioso o sus toxinas que afectan a un individuo susceptible desde: \u00b7&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; otro individuo infectado \u00b7&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; un animal \u00b7&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; o un reservorio. &nbsp; &nbsp; Despu\u00e9s de hablar de las formas de presentaci\u00f3n de un brote vamos a ver otras formas de abordarlo.<\/p>\n","protected":false},"author":74,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0},"categories":[678,669,665],"tags":[],"blocksy_meta":{"styles_descriptor":{"styles":{"desktop":"","tablet":"","mobile":""},"google_fonts":[],"version":4}},"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.madrimasd.org\/blogs\/salud_publica\/wp-json\/wp\/v2\/posts\/65896"}],"collection":[{"href":"https:\/\/www.madrimasd.org\/blogs\/salud_publica\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.madrimasd.org\/blogs\/salud_publica\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.madrimasd.org\/blogs\/salud_publica\/wp-json\/wp\/v2\/users\/74"}],"replies":[{"embeddable":true,"href":"https:\/\/www.madrimasd.org\/blogs\/salud_publica\/wp-json\/wp\/v2\/comments?post=65896"}],"version-history":[{"count":0,"href":"https:\/\/www.madrimasd.org\/blogs\/salud_publica\/wp-json\/wp\/v2\/posts\/65896\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.madrimasd.org\/blogs\/salud_publica\/wp-json\/wp\/v2\/media?parent=65896"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.madrimasd.org\/blogs\/salud_publica\/wp-json\/wp\/v2\/categories?post=65896"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.madrimasd.org\/blogs\/salud_publica\/wp-json\/wp\/v2\/tags?post=65896"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}