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Community-acquired diseases, the infections you can catch from your neighbors, are a growing health problem as the world gets more and more crowded. Here are eight diseases that can strike where they are least expected.

A surprisingly deadly disease often follows infection with influenza:

Bacterial Pneumonia

Bacterial pneumonia is a disease that strikes millions of people every year, most of them under the age of 2 or over the age of 65. Frequently, bacterial pneumonia and influenza occur together. The flu infection causes congestion, which makes it harder to "cough up" pneumonia germs, and flu also causes the linings of the lungs to be "stickier," allowing the pneumonia bacteria to form a film. Vaccines are about 40 percent effective in small children and 60 to 70 percent effective in older adults. However, in older adults, people who get both forms of the pneumonia vaccine are 80 percent less likely to die of the disease if they contract it.

Botulism

Every fall, cases of botulism become more frequent all over the world. Botulism is a disease that is most likely to be transmitted by a caring act of a neighbor, in the form of homemade canned goods. Botulism is a progressive and sometimes fatal form of neuroparalysis that is triggered by the Clostridium botulinum organism. This kind of bacteria is ubiquitous in the soil. It reproduces by forming spores that can survive under extreme conditions; some strains of botulism can survive boiling for as long as 10 hours. These spores can germinate in a baby's digestive tract and release the toxin. Once the spore has become an active bacterium, however, it can be killed by heating to 176°F (80°C) or higher for 10 minutes. Simply heating food for 10 minutes or longer makes it safe for adult consumption. Botulism-prone foods, including most home-canned goods and honey, however, should never be given to an infant.

Listeriosis

Listeria monocytogenes is a ubiquitous species of bacteria that thrives in hard-to-clean places. Found in dirt, dust, and the digestive tracts of cows, sheep, goats, and horses (and their manures), this bacteria grows at temperatures of 32°F to 113°F (0°-45°C). It is also resistant to salt and acidity. Listeria bacteria cause mild symptoms in most people, but they can be deadly to the unborn. Pregnant women are up to 20 times more likely than other adults to contract this disease from contaminated food. In North America, these bacteria are most often transmitted in Mexican-style string cheese. All over the world, they are found in unpasteurized milk stored under unsanitary conditions. Not all unpasteurized milk contains Listeria bacteria, but occasionally some unpasteurized milk does.

Norovirus

Norovirus (formerly known as Norwalk-type virus) causes up to 50 percent of all cases of "food poisoning," up to 80 percent of cases during summer  months. As few as 10 particles of the virus (a fraction of a millionth of a gram) can cause an infection, and the virus can survive up to 3 years in well water and garden soil. Just being around a person vomiting due to a norovirus infection is usually enough to contract the disease. The virus lingers on kitchen and bathroom surfaces and is easily spread.
 
Frequent use of diluted chlorine bleach will kill the virus. The diluted bleach can be made into 1000-5000 ppm chlorine bleach solution (5-25 tablespoons of household bleach [5.25 percent] per gallon of water).

Human Plague

Human plague, also known as the Black Death, once killed one-quarter to one-third of the population of the earth in a single epidemic. Spread by fleas that are carried on mice and rats, just one Yersinia pestis bacterium entering the body is enough to cause the infection. About 20 percent of people are partially or completely immune to the disease (they have other problems, since it is an inability to use the vitamin folic acid that protects against plague), but within 4 to 6 days of contact the infection can cause severe swelling of the lymph glands, sepsis, pneumonia, and gangrene of the fingers and toes that moves up the limbs, from which the term "black death" comes.

If you live in a part of the world where plague still occurs (including some parts of the United States), it is important to avoid contact with fleas, especially during the summer, and to keep mice and rats out of all parts of your home.

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  • Photo courtesy of saxbaldphotography: https://www.flickr.com/photos/saxbaldphotography/15861416154
  • Photo courtesy of mikebabz: www.flickr.com/photos/mikebabz/5411624487/

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