Communicable diseases are transmitted broadly by two modes:
1. Direct transmission: It is by
a. Direct contact: From skin to skin. Examples: eye infection (conjunctivitis), skin diseases, etc.
b. Droplet infection: From droplet of saliva or nose during cough, sneezing, speaking and spitting. Examples: Tuberculosis (TB), common cold, whooping cough, influenza.
c. Contact with soil. Example: mycosis, tetanus.
d. Inoculation into skin: Microbes may inoculate directly into skin. Examples: Rabies virus is inoculated by dog bite, hepatitis B virus is inoculated through contaminated needles and syringes.
2. Indirect transmission: It is by
a. Transmission of microbes through water and food (vehicle borne transmission). Examples: typhoid, cholera, polio, food poisoning, diarrhoea etc.
b. Transmission by blood. Examples: Hepatitis B and malaria
c. Transmission of microbes by an arthropod/living carrier (vector borne). Examples: malaria, dengue are transmitted by mosquito, typhoid, cholera are transmitted by housefly, plague is transmitted by rat flea, etc.
d. Transmission through fomites: Fomites include soiled clothes, towel, cups, spoon, toys, etc. Examples: diptheria, eye and skin infection.
e. Transmission through unclean hands. Examples: typhoid, intestinal parasites.
f. Air borne transmission. Examples: epidemic typhus.
