The ways through which infections diseases spread are :
Direct
transmission : The pathogens are transmitted from an infected person to a
healthy person directly without an intermediate agent. It occurs in the
following ways:
(i) Physical contact with infected person :
The pathogens of diseases like chicken pox, ring worm etc. are spread
through physical contact with infected person or through articles of
use.
(ii) Sexual
contact : Few infectious diseases such as syphilis, gonorrhoea (both
caused by "bacteria) and AIDS (caused by virus) are transmitted by
sexual contact from one partner to the other.
(iii) Contact with soil : Many pathogens can enter the human body from soil through injuries (e.g., tetanus).
(iv)
Animalbites : Communicable diseases can also spread through the animal
bites. For examples, rabies virus enters the human body by the bite of
rabid dog or monkey to cause rabies.
(v) Transplacental transmission :
The diseases like AIDS, German measles and syphilis can also be
transmitted from infected mother to the foetus through placenta.
Indirect
transmission : It involves spread of pathogens of some diseases through
some intermediate agents. Indirect transmission occurs in the following
ways:
(i) Through air : Infectious microbes that cause common cold,
tuberculosis, pneumonia etc. can spread through air from infected
persons. The infected person throws out little droplets on sneezing
coughing or spitting. Someone standing closely can breathe in these
droplets and, thus, microbes get a change to start a new infection in
this person. In crowded living conditions, the air borne diseases are
likely to spread rapidly.
(ii) Through contaminated food and water
: Cholera, hepatitis B, diarrhoea, ascariasis, etc. are some infectious
gut diseases which are transmitted through contaminated food and water.
Contamination comes from excreta of the infected person mixing up with
drinking water and food directly or indirectly (through flies).
(iii)
Vectors : They are living organisms which spread the pathogens from an
infected person to healthy person. Usually, a part of life cycle of the
pathogen is passed in the body of the vector. Female mosquitoes of many
species are vectors of several diseases. They require blood meal in
order to obtain nutrients for laying eggs. Female Anopheles spreads
malaria while Culex spreads filaria.