Plague
Vocabulary Discussion

Directions: Below are some words you will read in the reading. Use your dictionary to find the meaning of any words you do not know.

armpit

aspirate

flea

fleabite

groin

limbs

lymph node

rodents

lymph node

spleen

sputum

thigh

 

Rapid Reading Warm-Up (30 seconds)

Directions: The exercise below has 25 problems that will help you read faster. You will have only 30 seconds to finish. You will probably not finish all 25 problems, but you are to work as quickly as you can. Be careful not to make any error, so read rapidly but carefully. In this exercise, there are six words: one word to the left of the line and five to the right. Read the word on the right and then find it among the five words to the right. Once you have found it, circle it.

Example

raft

rift

rate

raft

rote

reef

 

1.      ask

task

sake

ark

ask

ash

2.      zip

zap

sap

zag

zig

zip

3.      grit

girl

grit

grin

grunt

girt

4.      date

dote

days

date

dime

daze

5.      gave

give

gain

glove

gave

game

6.      sock

sack

sick

sock

sake

stock

7.      kneads

need

knew

knife

needs

kneads

8.      itch

etch

itches

hitch

itch

ache

9.      dirt

dirty

dart

dirt

dire

dare

10.  final

final

fine

fail

fire

flint

11.  acquire

require

squire

acquires

acquire

quota

12.  slender

lender

singer

sender

sling

slinder

13.  peer

jeer

pear

peer

pare

pore

14.  mock

mike

mocha

mock

make

muck

15.  mite

mutt

mute

mote

mate

mite

16.  puma

pump

plume

puma

pumas

paper

17.  lump

lamp

lump

limp

lumen

lumps

18.  mouse

mound

muses

moose

moons

mouse

19.  marry

merry

marred

moray

marry

merely

20.  just

joust

justly

jute

jail

just

21.  melon

lemon

mile

melon

meal

mail

22.  scent

scant

scene

cents

scare

scent

23.  prize

prays

prose

prime

prize

pride

24.  ware

wire

wave

wife

ware

wore

25.  most

mist

mast

must

mint

most

First Reading (3 Minutes for Preview – 3 Minute for Reading)

Directions: Read the topic sentence for paragraphs 2, 3, and 4 and note bolded words. Then, scan the questions that follow the text below. You have three minutes to do this. Next, read as quickly as you can for one minute. Circle the last word you read when the time is up.

Second Reading (3 Minutes)

Directions: Read as quickly as you can for three minutes. Circle the last word you read when the time is up.

Third Reading (3 Minutes)

Directions: Read as quickly as you can for three minutes. Circle the last word you read when the time is up.

Fourth Reading (3 Minutes)

Directions: Read as quickly as you can for three minutes. Circle the last word you read when the time is up.

Line

No.

Word

Count

 

 

 

 

5

 

 

 

 

10

 

 

 

 

15

 

 

 

 

20

 

 

 

 

25

 

 

 

 

30

 

 

 

 

35

 

 

 

 

40

 

Bubonic plague, a highly contagious and oftentimes deadly disease, causes painful swollen lymph nodes in its victims. This disease received its name due to this symptom. Swelling of these nodes usually occurs first in the groin area, or bubon in Latin. Because of the disease’s widespread fatality throughout history, it became associated with the word “plague.” During the 14th century, it gained its second name, the Black Death, because the dried blood under the skin of its victims turns black. Three aspects of bubonic plague are useful for describing this disease.

Caused by an infection from the bacterium Yersina pestis, bubonic plague is transmitted by fleas infected with the bacterium. Y. pestis is carried by rodents, primarily rats. While the oriental rat flea is the most deadly carrier of plague, more than 99 other species of fleas also transmit the disease.  Bubonic plague is normally enzootic, which means present in an animal population but occurring in a small number of cases. However, under certain conditions, plague reaches an epizootic scale, meaning it affects many animals in any region at the same time. When the disease reaches an epizootic scale, large numbers of rodents die out. Thus, the infected fleas are forced to find other sources of blood. Consequently, Y. pestis is primarily transmitted to humans by fleabites. However, another source of transmission is exposure to plague infected tissues.

Once the bacterium enters the bloodstream, symptoms of the disease begin after an incubation period of approximately 2-8 days. Y. pestis travels via the bloodstream to the liver, kidneys, lungs, spleen, and brain. Consequently, some of the early symptoms of the disease include shivering, vomiting, and headache. Other symptoms are intolerance to light, pain in the back and the limbs, and a white coating on the tongue. Eventually, the lymph nodes begin to swell, resulting in boboes (hard lumps) appearing on the inner thigh, neck, and armpit. Then, the dried blood under the surface of the skin turns black. If untreated, the disease can result in death. In fact, approximately 75 percent of persons who do not receive treatment early on die.

In view of the high mortality rate for untreated cases, rapid diagnosis is essential in preventing the spread of bubonic plague. Several tests exist for this purpose. One test confirms the presence of hemagglutination antibodies. Another is testing for gram-negative bacilli or coccobacilli. This test uses a Gram stain of sputum or blood. A third method tests cultures of sputum, blood, or lymph node aspirate for Y. pestis. However, according to the Centers for Disease Control and Prevention (CDC), these tests are not available at most medical facilities. An additional problem is related to time because usually several days to weeks pass after onset of the disease before antibodies develop.

In conclusion, bubonic plague can be described according to its transmission, symptoms, and diagnosis.  It is an enzootic infection transmitted by infected fleas. Fleas commonly transmit the disease by biting their victims. After a short incubation period, humans exhibit symptoms ranging from headache to swelling of the lymph glands. Although rapid detection tests exist for diagnosis of plague, their availability is limited. Therefore, perhaps more emphasis should be placed on prevention rather than treatment of bubonic plague.

 

 

 

50

 

 

 

 

 

116

 

 

156

 

 

 

208

 

 

 

252

 

 

 

303

 

 

 

350

 

 

 

 

411

 

 

449

 

 

 

 

506

 

 

538

Reading Questions (7 Minutes)

Directions: Answer the following questions by circling the best answer.

1.       What would be a good title for this reading?

a.       The Black Death

b.       The Cause and Effects of Bubonic Plague

c.       Bubonic Plague: Its Transmission, Symptoms, and Diagnosis

2.       Bubonic plague is caused by _____.

a.       fleas

b.       Y. pestis

c.       rats

3.       Humans are usually infected during _____ periods of time.

a.       epizootic

b.       enzootic

c.       episodic

4.       A common means of transmission is a _____.

a.       bubon

b.       rat

c.       fleabite

5.       The bacterium first enters the _____.

a.       liver

b.       bloodstream

c.       infected tissues

6.       Symptoms of the disease usually begin in _____.

a.       2-8 days after infection

b.       2-8 days after incubation

c.       2-8 days after diagnosis

7.       Early symptoms of bubonic plague include _____.

a.       shivering and boboes

b.       vomiting and intolerance to light

c.       both a and b

8.       Diagnosis for bubonic plague tests _____.

a.       fleabites

b.       lymph nodes

c.       sputum

9.       The reading discussed _____ type(s) of tests used for diagnosing bubonic plague.

a.       1

b.       2

c.       3

10.   Diagnosing bubonic plague is difficult because _____.

a.       lack of widespread availability

b.       time between onset of the disease and development of antibodies

c.       both a and b

11.   Based on the reading, you can infer that _____.

a.       bubonic plague is very dangerous disease for humans and animals

b.       more money should be spent on making tests available in all hospitals

c.       killing the rat population is more effective than developing new tests

12.   On line 15, “it” refers to _____.

a.       population

b.       plague

c.       scale

13.   On line 33, “another” refers to _____.

a.       purpose

b.       test

c.       presence

14.   On line 40, “it” refers to _____.

a.       plague

b.       transmission

c.       diagnosis

15.   On line 5, “plague” means _____.

a.       an attack of a disease that causes death and spreads quickly to many people

b.       an attack of a disease that occurred many years ago and was caused by fleas

c.       an attack of a disease that results in painful swollen lymph nodes in its victims

16.   On line 5, “gained” means _____.

a.       increased or expanded

b.       profited or netted

c.       got or acquired

17.   On line 24, “intolerance” means _____.

a.       inability to stand or endure

b.       inability to understand or comprehend

c.       inability to be fair or unprejudiced

18.   On line 43, “detection” means _____.

a.       infection

b.       discovery

c.       investigator