IGNOU PB Bsc Nsg.Entrance-2026
Applied Microbiology & Infection control (E5)
Easy

People with sub-clinical infection who are in carrier state without having a disease but can shed disease agent are known as:

Appeared in: IGNOU PB Bsc Nsg.Entrance-2026

Explanation

  • A healthy carrier, also known as an asymptomatic or paradoxical carrier, is an individual who harbors and sheds a pathogenic organism without ever showing clinical signs or symptoms of the disease.
  • This state arises from a subclinical infection, where the immune system controls the pathogen enough to prevent illness but not enough to eliminate it completely, allowing for transmission.
  • The key identifiers from the question are "sub-clinical infection" and "without having a disease," which directly correspond to the definition of a healthy carrier.
  • Examples of diseases spread by healthy carriers include poliomyelitis, cholera, meningococcal meningitis, and diphtheria.

Why Other Options Were Wrong

  • Option A: Incubatory carriers shed the infectious agent during the incubation period, which is the time before the onset of symptoms. They are presymptomatic and will eventually develop the disease.
  • Option B: This term describes the duration of the carrier state (short-term), not the clinical status of the person. Healthy, incubatory, and convalescent carriers can all be temporary carriers.
  • Option C: This term also describes the duration of the carrier state, specifically long-term or indefinite shedding. A chronic carrier may have been symptomatic initially and then recovered, or they could have been asymptomatic.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: Knowing Types of disease carriers in epidemiology helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
  • Identifying carriers, especially healthy carriers, is a major challenge in public health and infection control because they can spread disease unknowingly within the community.
  • Nurses play a crucial role in educating the public about hygiene practices (e.g., handwashing) and the importance of screening, which can help identify and manage carriers to prevent outbreaks.
  • What if? If a person continues to shed an infectious agent for more than a year after recovering from an illness, they would be classified as a chronic carrier, not a healthy carrier. The duration of shedding is the key differentiator.
How to Approach the Question
  • First, carefully read the question and identify the key defining phrases: "sub-clinical infection" and "without having a disease."
  • Next, analyze each option and recall its specific definition in the context of epidemiology.
  • An 'incubatory' carrier precedes illness. A 'temporary' or 'chronic' carrier relates to the duration of shedding.
  • A 'healthy' carrier specifically refers to someone who is infected but never develops the disease.
  • Match the key phrases from the question to the most precise definition. The phrase "without having a disease" directly points to the 'healthy carrier' state.
Concept Tested & Keywords
  • Concept Tested: Types of disease carriers in epidemiology
  • Stem keywords: sub-clinical infection, carrier state, shed disease agent, without having a disease
  • Lead-in keywords: known as
  • Negative lead-in flag: false

Question ID

QTfj25YK2OQVzgAScCWl09

Reference Book

E6 Parks TextBook of Preventive & Social Medicine part 1 — Subpart A (pp 26-201 of 604) p. 89-91

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