Pathogen transmission

DEFINITION: Manner in which a disease-causing organism moves through the environment to infect plants or animals, including human beings.

SIGNIFICANCE: Forensic scientists need to understand how microorganisms can inflict disease on humans directly or through contamination of food, water, animals, or plants. Their concerns include both how such pathogens affect the primary victims and whether and how the pathogens can be transmitted from primary victims to other healthy individuals.

Bacteria, protozoa, fungi, and viruses can all act as natural pathogens. Transmission occurs either directly, through contact with a host, or indirectly, through contact with a contaminated object (a fomite) or with a vehicle carrying the pathogen, such as air, water, or food. Living vectors, such as insects or animals, can also transmit various pathogens. Each pathogen has a specific way it gains entry to a host to cause disease and a specific manner by which it is released from the initial host to find a new host.

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Criminals employing pathogens as weapons can use any of the natural transfer mechanisms to inflict damage or death, or they can artificially cause transfer, introducing pathogens or their parts (such as spores or toxins) by routes that the natural organisms would not or could not use. For example, consider the toxin produced by the bacterium Clostridium botulinum. This organism is normally found in the soil and infects improperly prepared foods. A malefactor, however, might affect a single individual by putting the bacterium in the target’s food or injecting it into the person; alternatively, terrorists might contaminate a city’s water supply with C. botulinum, potentially affecting millions of people.

Investigators working to solve cases involving pathogen transmission typically use techniques of epidemiology, the science of understanding how diseases behave in populations. These techniques include detecting organisms using their (deoxyribonucleic acid)—that is, through genomic sequencing. The process starts with the examination of affected individuals, living or dead, to determine the organism that caused the disease by noting symptoms and taking samples from appropriate body locations. Investigators determine the manner in which the victims were infected by looking for the presence of the organism in the surrounding environment and identifying how the victims were exposed to the organism.

It is critical for investigators to understand how pathogens are transmitted, as they must determine not only the nature of specific crimes to individual victims but also the degree of danger to the rest of the healthy population. Of particular concern are organisms that cause life-threatening contagious diseases, such as smallpox, that can be transmitted from infected individuals to large numbers of other people. Containing human-to-human contagion in an unprotected population is much more difficult than dealing with the effects of an agent such as anthrax, which causes people and animals to become sick but is not transmitted directly from infected persons to others. This was illustrated in 2001, when envelopes with anthrax spores were sent through the mail to different cities in the United States. A few individuals were infected, but none of them (even those who contracted pulmonary anthrax) directly transmitted the pathogen to other people; the outbreaks thus remained small.

Bibliography

Castro, Arizaldo E. and Maria Corazon A. De Ungria. "Methods used in Microbial Forensics and Epidemiological Investigations for Stronger Health Systems." Forensic Sciences Research, vol. 7, no. 4, Dec. 2022, doi.org/10.1080/20961790.2021.2023272. Accessed 16 Aug. 2024.

Henderson, Donald A., and Thomas V. Inglesby. Bioterrorism: Guidelines for Medical and Public Health Management. Chicago: American Medical Association, 2002.

Loue, Sana. Case Studies in forensic Epidemiology. New York: Springer, 2002.

Mir, Tahir ul Gani, et al. "Microbial Forensics: A Potential Tool for Investigation and Response to Bioterrorism." Health Sciences Review, vol. 5, Dec. 2022, doi.org/10.1016/j.hsr.2022.100068. Accessed 16 Aug. 2024.

Wheelis, Mark, Lajos Rózsa, and Malcolm Dando, eds. Deadly Cultures: Biological Weapons Since 1945. Cambridge, Mass.: Harvard University Press, 2006.