Infectious & Communicable Diseases

From microbes to communities. From prevention to preparedness.

Infectious diseases are among humanity's oldest health challenges — yet they remain central to the future of global health. Explore how infections emerge, spread and affect people differently, and how vaccination, evidence, innovation, health systems, One Health and global cooperation can protect communities.

GHE PRINCIPLE Learn how infections spread. Think critically about prevention. Connect health with society and the environment. Act responsibly.
EXPLORE → LEARN → THINK → CONNECT → REFLECT → ACT

Infectious diseases are biological, social and global challenges

An infection may begin with a microorganism, but its consequences depend on much more: housing, nutrition, education, water and sanitation, climate, mobility, behaviour, healthcare access, surveillance, technology and the strength of health systems.

Think beyond the pathogen.

Understanding infectious disease means understanding both biology and the conditions that shape exposure, vulnerability, prevention, treatment and recovery.

Infectious does not always mean communicable

Infectious diseases are caused by pathogenic organisms. Communicable diseases are infectious diseases that can be transmitted between hosts. Understanding this distinction helps us think accurately about transmission and prevention.

🦠 BROADER CATEGORY

Infectious Diseases

Diseases caused by pathogenic microorganisms such as bacteria, viruses, fungi and parasites.

Key idea: An infectious disease does not necessarily have to be transmitted from one person to another.
🌍 TRANSMISSIBLE SUBSET

Communicable Diseases

Infectious diseases that can be transmitted directly or indirectly between hosts, including some infections that move between animals and humans.

Key idea: Transmission requires a route by which an infectious agent can reach another susceptible host.
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THE GHE GOLDEN RULE

All communicable diseases are infectious — but not all infectious diseases are communicable.

EXAMPLE

Tetanus: infectious, but not normally communicable

Tetanus is caused by Clostridium tetani. The organism can enter the body through contaminated wounds. Tetanus is therefore infectious, but it is not normally transmitted from person to person.

The Chain of Infection

Transmission is not inevitable. Infectious-disease prevention often works by interrupting one or more links in the chain between an infectious agent and a susceptible host.

01

Infectious Agent

The microorganism capable of causing infection.

Virus • Bacterium • Fungus • Parasite
02

Reservoir

The environment or host in which an infectious agent normally lives and may multiply.

People • Animals • Water • Environment
03

Portal of Exit

The route by which an infectious agent leaves its reservoir.

Respiratory secretions • Blood • Stool
04

Mode of Transmission

The mechanism by which an infectious agent reaches another host.

Air • Food • Water • Vectors • Contact
05

Portal of Entry

The route through which an infectious agent enters a new host.

Respiratory tract • Skin • Digestive tract
06

Susceptible Host

A person or animal who may become infected depending on immunity, exposure and other factors.

Immunity • Age • Health • Exposure
Prevention can interrupt the chain. Vaccination, clean water, food safety, ventilation, vector control, infection prevention, appropriate treatment and surveillance are examples of different ways societies can reduce transmission.

How Can Infections Spread?

Different pathogens have different transmission pathways. One disease may also have more than one route of transmission.

01

Respiratory

Some infections spread through respiratory particles or aerosols, especially during close or prolonged exposure.

Influenza • COVID-19 • Measles • TB
02

Food & Water

Contaminated food and water can transmit many bacterial, viral and parasitic infections.

Salmonella • Cholera • Hepatitis A
03

Vector-Borne

Vectors such as mosquitoes and ticks can transmit infectious agents between hosts.

Malaria • Dengue • Lyme disease
04

Blood & Body Fluids

Some infections can be transmitted through particular exposures to infected blood or body fluids.

HIV • Hepatitis B • Hepatitis C
05

Zoonotic

Some infections can move between animals and humans.

Rabies • Brucellosis • Some influenza viruses
06

Sexually Transmitted

Some infections are transmitted through sexual contact, with prevention depending on the specific infection.

HPV • HIV • Syphilis
07

Environmental & Soil-Associated

Some pathogens persist in soil, water or other environments and can reach people through specific exposures.

Tetanus • Soil-transmitted helminths
08

Multiple Routes

Some diseases have more than one important transmission pathway or transmission context.

Transmission depends on the pathogen

Diseases Every Global Health Explorer Should Know

No single list can represent every infectious disease. These learning clusters provide a practical gateway into some of the diseases, disease groups and public-health challenges that matter globally.

01

Tuberculosis — TB

Tuberculosis is caused by bacteria of the Mycobacterium tuberculosis complex. TB most commonly affects the lungs and can spread through the air when people with infectious pulmonary TB release infectious particles.

THINK GLOBAL HEALTH

TB connects microbiology with poverty, housing, ventilation, diagnosis, treatment, drug resistance, health systems and equity.

Explore WHO TB resources →
02

HIV & AIDS

HIV is a virus that attacks the immune system. Effective antiretroviral therapy can suppress the virus and allow people living with HIV to live healthy lives.

Think:

Why do stigma, discrimination, access to testing and treatment, and social conditions matter alongside biology?

Explore WHO HIV resources →
03

Malaria

Malaria is caused by Plasmodium parasites and is transmitted mainly through infected mosquitoes. It remains a major global health challenge, particularly in tropical and subtropical regions.

KEY CONNECTIONS

Parasites • Mosquitoes • Environment • Climate • Prevention • Diagnosis • Treatment • Equity

Explore WHO malaria resources →
04

COVID-19 & Respiratory Epidemics

COVID-19 demonstrated how a respiratory pathogen can rapidly affect individuals, communities, economies and health systems. It also highlighted the importance of surveillance, scientific evidence, communication, vaccination and preparedness.

Think critically:

What should societies learn from the COVID-19 experience before the next major respiratory epidemic?

Explore WHO COVID-19 resources →
05

Influenza & Emerging Respiratory Threats

Influenza viruses can cause seasonal epidemics and, when novel viruses acquire the ability to spread efficiently between people, can create pandemic threats.

PREPAREDNESS

Surveillance • Laboratory capacity • Vaccines • Communication • Health-system readiness

Explore WHO influenza resources →
06

Viral Hepatitis A–E

Viral hepatitis is not one disease with one transmission route. Hepatitis A, B, C, D and E differ in how they spread, how they are prevented and how they are treated.

Hepatitis A Hepatitis B Hepatitis C Hepatitis D Hepatitis E
Explore WHO hepatitis resources →
07

HPV & Cervical Cancer Prevention

Human papillomavirus (HPV) is a very common infection. Certain HPV types can cause cancers, including cervical cancer. HPV vaccination is an important prevention strategy.

PREVENTION

Vaccination + screening + appropriate follow-up can substantially reduce the burden of cervical cancer.

Explore WHO HPV resources →
08

Neglected Tropical Diseases

WHO recognizes a diverse group of neglected tropical diseases affecting populations that often experience poverty, limited access to healthcare, unsafe water and sanitation, and other structural disadvantages.

EXAMPLES

Schistosomiasis • Lymphatic filariasis • Onchocerciasis • Leishmaniasis • Trachoma • Soil-transmitted helminths • Chagas disease

Explore WHO NTD resources →

Food- & Water-Borne Diseases

Safe food and water are fundamental public-health protections. Foodborne illness can result from bacteria, viruses, parasites and other hazards.

01

Salmonella

Salmonella can cause gastrointestinal illness and can be transmitted through contaminated food and other exposure pathways.

02

Campylobacter

Campylobacter is an important cause of bacterial gastroenteritis and is associated with contaminated food and animal sources.

03

Shiga Toxin-Producing E. coli

Certain strains of E. coli can cause serious foodborne illness. Food safety and prevention of contamination are critical.

04

Listeria

Listeria monocytogenes can cause serious illness, particularly in certain higher-risk populations.

05

Cholera

Cholera is strongly connected to unsafe water, sanitation and hygiene conditions.

06

Typhoid

Typhoid fever is caused by Salmonella Typhi and is associated with contaminated food and water.

07

Hepatitis A & E

Hepatitis A and E can be associated with fecal-oral transmission and contaminated food or water.

08

Food Safety

Safe preparation, cooking, storage, hygiene and prevention of contamination are important layers of protection.

A clean-looking food may still be contaminated. Food safety depends on systems as well as individual practices: farms, processing, transportation, markets, restaurants, households, inspection and public-health surveillance all matter.

Diseases Shared Across Humans, Animals & Environments

Zoonotic diseases demonstrate why human health cannot always be separated from animal health and environmental change.

01

Rabies

A viral disease that can be transmitted from infected animals to people. Prevention depends on animal vaccination, exposure prevention and timely public-health measures.

02

Brucellosis

A bacterial zoonosis associated with infected animals and animal products. It illustrates the connection between veterinary and human health.

03

Avian & Animal Influenza

Influenza viruses circulating in animals can create opportunities for human infection and require coordinated surveillance.

04

Lyme Disease & Other Tick-Borne Infections

Tick-borne diseases demonstrate how vectors, wildlife, landscapes, climate and human behaviour interact.

Vector-Borne Diseases

Mosquitoes, ticks and other vectors can transmit infectious agents. Vector-borne disease risk is influenced by ecology, climate, land use, housing and human movement.

01

Malaria

Parasites transmitted mainly by infected mosquitoes.

02

Dengue

A viral infection transmitted mainly by infected mosquitoes.

03

West Nile Virus

A mosquito-borne viral infection associated with birds and mosquito transmission cycles.

04

Leishmaniasis

A parasitic disease transmitted by infected sand flies.

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THINK ABOUT CLIMATE

How might changing temperature, rainfall, ecosystems and human settlement alter where vectors can survive and where people may be exposed?

Fungal & Parasitic Diseases

Infectious disease is much broader than viruses and bacteria. Fungi and parasites cause major illness and can be especially important when immune systems are weakened or when environmental conditions favour transmission.

01

Fungal Diseases

Fungal infections range from common skin infections to serious invasive diseases. Examples include ringworm, candidiasis and some environmentally acquired fungal infections.

02

Parasitic Diseases

Parasites include organisms such as protozoa and helminths. Their transmission can involve vectors, food, water, soil or direct exposure.

03

Schistosomiasis

A parasitic disease associated with freshwater exposure in endemic settings.

04

Soil-Transmitted Helminths

Parasitic worms associated with contaminated soil and conditions involving sanitation and hygiene.

Vaccine-Preventable Diseases

Vaccination is one of the most important tools for preventing infectious diseases. But vaccination programmes are also complex health-system interventions requiring evidence, supply chains, trained professionals, surveillance, communication and equitable access.

01

Measles

A highly contagious viral infection that can be prevented through vaccination.

02

Polio

A viral disease for which global eradication efforts continue.

03

Pertussis

A bacterial respiratory infection for which vaccination provides important protection.

04

HPV

Vaccination against HPV is an important cancer-prevention strategy.

05

Hepatitis B

Vaccination can prevent hepatitis B infection.

06

Tetanus

Vaccination protects against tetanus, which is not normally transmitted between people.

Antimicrobial Resistance — AMR

Antimicrobial resistance occurs when microorganisms change in ways that make medicines less effective against them. AMR can make infections harder to prevent and treat and threatens modern medicine.

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ONE HEALTH CONNECTION

AMR is influenced by antimicrobial use and transmission across human health, animal health, food systems and the environment. It therefore requires coordinated action across sectors.

HUMANS ↔ ANIMALS ↔ FOOD SYSTEMS ↔ ENVIRONMENT
Explore WHO antimicrobial resistance resources →

One Health: Everything Is Connected

One Health recognizes that the health of people is closely connected with the health of animals, plants and ecosystems.

PEOPLE Human health
ANIMALS Animal health
ENVIRONMENT Ecosystem health
FOOD Food systems
CLIMATE Changing exposures
The GHE question: What happens when we stop looking at human health in isolation?

Outbreaks, Epidemics & Pandemics

Infectious-disease events can range from localized outbreaks to epidemics affecting regions and pandemics affecting populations across countries and continents.

01

Detect

Surveillance and laboratory systems identify unusual disease patterns.

02

Investigate

Public-health teams investigate cases, clusters and possible sources of transmission.

03

Communicate

Clear, timely and evidence-informed risk communication helps communities make informed decisions.

04

Respond

Health systems coordinate prevention, clinical care, testing, vaccination and other appropriate interventions.

05

Learn

Every outbreak can generate evidence that improves future preparedness.

06

Prepare

Preparedness begins before the next outbreak occurs.

Infectious Diseases Test Health Systems

A pathogen may be microscopic, but an effective response requires people, institutions, information, infrastructure and leadership.

01

Surveillance

Detecting and monitoring disease patterns.

02

Laboratories

Identifying pathogens and supporting diagnosis and surveillance.

03

Vaccines & Medicines

Ensuring appropriate access, supply and delivery.

04

Health Workforce

Healthcare and public-health professionals are essential to prevention and response.

05

Communication

Communities need trustworthy, understandable and timely information.

06

Global Cooperation

Infectious threats can cross borders, making cooperation essential.

Who Is Most at Risk — And Why?

Infectious diseases do not affect all populations equally. Exposure, vulnerability, access to prevention and access to treatment can all be shaped by social and economic conditions.

SDH

Social Determinants

Poverty, housing, crowding, education, employment, WASH, discrimination, nutrition, environment and healthcare access can influence infectious-disease risk.

SDG 3

Good Health

Prevent disease and promote health and well-being.

SDG 6

Clean Water

Water, sanitation and hygiene are fundamental to infectious disease prevention.

SDG 10

Reduced Inequalities

Health protection should not depend on where someone is born or how much they have.

SDG 13

Climate Action

Environmental change can alter some infectious-disease risks.

From Self to World

Infectious diseases demonstrate one of the central ideas of global health: our health is connected to the health of other people, communities, animals and environments.

SELF → FAMILY & PEERS → COMMUNITY → COUNTRY → WORLD
SELF Healthy choices
FAMILY & PEERS Shared protection
COMMUNITY Healthy environments
COUNTRY Health systems
WORLD Global cooperation

Foundations, Transmission & Prevention

Choose the best answer. The goal is understanding, critical thinking and application — not memorization.

1

Which organisms can cause infectious diseases?

2

What makes a disease communicable?

3

Which is an example of interrupting transmission?

4

Which statement best describes vaccination?

5

Why are vaccines also a health-system issue?

6

What is antimicrobial resistance?

7

Why is AMR a One Health issue?

8

Which practice helps reduce foodborne infection?

9

Which disease is normally infectious but not communicable?

10

Which statement best reflects GHE's approach?

Global Diseases, Equity & Preparedness

Apply what you have learned to global health challenges.

11

TB is caused by:

12

HIV is:

13

Malaria is caused by:

14

Why is surveillance important?

15

Why is hepatitis A–E not one single disease?

16

Why are NTDs an important global-health issue?

17

Which example best represents One Health?

18

Which is an important outbreak-response function?

19

Why do social determinants matter in infectious diseases?

20

What is the most important lesson for a future global health leader?

What Could You Change?

Global health is not only about understanding diseases. It is about asking better questions, identifying inequities, imagining solutions and acting responsibly.

01

Identify one infectious-disease challenge affecting your school, community, country or another part of the world.

02

What evidence would you need before proposing a solution?

03

Who is most affected? What social or environmental factors might explain the difference?

04

Can technology, data, innovation or collaboration help?

GHE LEADERSHIP QUESTION

How can I move from learning to thinking, from thinking to innovation, and from innovation to responsible action?

Learn From Authoritative Sources

GHE encourages young people to explore primary and authoritative public-health sources rather than relying on social-media claims. Always check the date and context of health information.

Evidence framework WHO • CDC • Government of Canada • Health Canada
GHE last reviewed August 2026
Next scheduled review August 2027

Understand the connections. Imagine better solutions.

Infectious diseases teach us that global health requires knowledge, evidence, critical thinking, innovation, equity and responsible leadership.