Change of direction Special effect: The playing direction changes. The player, who was presenter before you, is next. Suspension Special effect: You have to skip the next round. Card exchange with one person Special effect: You have to change your cards with a person of your choice. This person has to first draw one more card to reach the initial number of cards before the next turn can start Card exchange Special effect: You have to change your cards clockwise. The person to your left first has to draw one more card to reach the initial number of cards before the next turn can start From the afterlife Special effect: In the next round a dead person chooses the cards you present from your hand without seeing them. Infection season Special effect: Starting from the player next to you at least one pathogen (red) card has to presented for one round. Russian roulette Special effect: Starting from the player next to you at least one effect (yellow) card has to presented for one round. Left handed Special effect: In your next turn the player to your left chooses the two cards you present from your hand without seeing them. Right handed Special effect: In your next turn the player to your right chooses the two cards you present from your hand without seeing them. Zombification Special effect: All dead people come back to life with 1HP. Instead of the initial number of cards, they are only allowed to have three handcards. Laboratory accident Special effect: If you have three or more red cards on your hand, the card with the highest HP damage infects you. A special effect doesn’t activate. Egoist Special effect: If you have two or less blue cards on your hand, you can choose one of those to activate on you. Kleptomaniac Special effect: Choose are blue or yellow card from one of your direct neighbors. Expiration date Special effect: If you have two or more blue cards on your hand, you loose as much HP as you theoretically would have gained. Dr. Evil Special effect: Already acquiered Immunities and vaccinations have no longer any effect. 2 Rd Dr. Evil is known to carry out research about ways to i destroy humanity. Clammy handshake Special effect: The next pathogen also infects your direct neighbours. 0 Rd A strong handshake is almost twice as effective as a weak one in transferring bacteria such as E. coli from i one person to another. Immunity Special effect: Immunity (no damage) against one bacteria or virus of your choice. This has to be decided immediately. 5 Rd The word immunity can be derived from the latin word immunitas and means „freedom from i something“. Bioweapon Special effect: The next pathogen removes all immunities concerning him, which includes vaccinations. 0 Rd Usage of bacterium, virus, protozoan, parasite, or i fungus as a bioweapon (more than 1200 studied). Epidemic Special effect: The next pathogen except HCMV affects the players next to you. The effect will be deducted clockwise starting 0 Rd from the orignial victim. An Epidemic is the rapid spread of a diseases in a i given population within a short period of time. Absolute quarantine Special effect: The next card that would de- crease your HP, besides "Immunsuppression" has no effect. HIV is not affected by this eff- 0 Rd ect. Derives from the italian quaranta die (forty days), i originating in the maritime empire of Venice. Antibiotics Special effect: Every pathogene, which displays a bacterium, has no effect. 2 Rd The use of antibiotics can damage the enteric flora i and cause bacteria to mutate and gain resistances. Immunosuppression Special effect: If you lose HP due to pathogens or measles party you lose an additional 10HP. You cannot fall below 1HP 2 Rd due to this effect. Immunosuppressions weaken a bodie‘s immune system. It‘s utilized e.g. for implant despite higher risk i for infections. Infection Special effect: Draw a card. If it was a pathogen, you catch the disease and you discard the card. If it is not a pathogen, 0 Rd then put it back in the drawing deck. The reproduction of bacteria, parasites, viruses etc. i can cause an infection. Flu Vaccination Special effect: Immunity against influenza. 1 Rd Due to high mutation rate of the virus, the vaccines i usually protects only for a few years. Cholera vaccine Special effect: Immunity against vibrio cholerae (cholera). 3 Rd Developed in late 1800s. i Todays cost to immunize is 0.1 - 4.0 USD. Paranoia Special effect: The next effect, that would increase your HP, reduces them instead by the same value. 3 Rd Paranoia differs from phobia by a general distrust and i false accusations, phobia involves no blame. DTP Vaccine Special effect: Permanent immunity against diphtheria, tetanus and pertussis. ∞ Rd Combination vaccines are recommended due to i reduced costs and vaccination dates. Pneumococcal Vaccine Special effect: Immunity against Streptococcus pneumoniae. 2 Rd The vaccine protects against the included serotypes i even if they are already antibiotic-resistant. Mass Vaccination - Smallpox Special effect: Every player receives permanent immunity to smallpox after his turn. This card is the removed from the game. ∞ Rd Mass vaccination was often performed with vaccine i guns. Medical Check Up Special effect: You have to reveal the cards you present to all players. If your HP change you get +10HP prior to the effect of the 2 Rd other card. i Early diagnosis can save life! Mutation Special effect: In this round pathogens ignore all immunities. 1 Rd 90-95% of cancer are due to environmental factors, i only 5-10% are directly due to inherited gene defects. Pandemy Special effect: The next pathogen except HCMV will affect every player. The pathogen effects clockwise, starting with the original 0 Rd aim. No effect if “Epidemy” is active. A pandemy signifies a transnational spreading of a i disease, even across continents. Basic hygiene Special effect: Protection against diseases, which reduce your HP by 20 or less. 2 Rd Too much hygiene, especially in childhood, can weak i the immune system. Parents who reject vaccinations Special effect: Vaccinations have no effect; already aquired immunities remain. ∞ Rd Vaccinations are the administration of antigenic i material to stimulate an individual’s immune system. Pox party Special effect: Immunity against pox. -20 HP if one of the other teammates gets pox within the next 5 rounds. 5 Rd Social activity where children are deliberately exposed to an infectious disease, supposedly to promote i immunity. Antibiotic resistance Special effect: Resistance of bacteria to the card „Antibiotic“. Bacteria are not resistant any longer when „Antibiotic“ is used again. 2 Rd Infections – such as pneumonia, tuberculosis, blood poisoning and gonorrhoea – are becoming harder, and i sometimes impossible, to treat. Zika vaccine Special effect: Immunity against Zika virus. 3 Rd You can not already get vaccinated against Zika virus, i but researchers reached immunity of mice. Hand Hygiene Special effect: Any damage from pathogen cards affecting you are minimized by one half. 2 Rd Washing your hands is the most effective way of i preventing the spread of germs. Staphylococcus Enterotoxin B Special effect: Choose a player. They cannot use any blue cards on their next turn. 0 Rd It is able to incapacitate someone for up to two i weeks with as little as 0.0004ug per kg of body mass. Aciclovir Precondition: Being exposed to herpes. +20 HP Special effect: Medication for treatment of herpes. Aciclovir inhibits metabolism of cells, but Aciclovir is i just active in infected cells. Nausea/ vomiting/ diarrhea/ encephalopathy/ headache/ hair loss/ rash/ sore throat Sophorolipids Precondition: none +10 HP Special effect: none Yeasts make sophorolipids, which are biosurfactants i comprising a sophorose (sugar) head and fatty acid tail. Possible uses include inhibiting bacterial growth, cleaning hard surfaces, and controlling oil spills. Methicillin Precondition: Only valid within a range of 70 to 20 HP. +15 HP Special effect: If affected by MRSA, Methicillin has no effect. Is a semisynthetic derivative of penicillin first i produced in the late 1950‘s. Acute renal failure, intestinal nephritis, rashes, and hyper sensitivity. Cough drops Precondition: None. +5 HP Special effect: Curing of coughing. i Caries, choking after swallowing. It is only effective when you put it in the correct body orifice. Healthy Lifestyle Precondition: None. +15 HP Special effects: None. A healthy lifestyle increases confidence - it also i reduces blood pressure, stress and prevents diseases. If exaggerated: Reduction of fun in your life, no good food. Painkiller Precondition: Only valid within a range of 85 to 35 HP. +15 HP Special effect: None. Most prominent painkillers Paracetamol and Aspirin. i Morphium for hard cases and junkees. Misuse can be lethal. Homeopathy Precondition: None. +0.5 HP Special effect: Not effective for treating any condition. Is a system of alternative medicine; „like cures like“, i no more effective than a placebo. Renunciation of normal medical care can be lethal, possible intoxications and allergic reactions. Placebo effect Precondition: None. +5 HP Special effect: None. It’s an inactive substance, e.g. sugar, distilled water, i saline solution. Can also induce negative effects, called nocebo effect or None.. HAART Precondition: HIV. +10 HP Special effect: Resolves the effect of HIV. i Highly active antiretroviral therapy. Can cause many unique side effect because of old age, comorbidities and other prescribed medications. Vancomycin Precondition: None. +10 HP Special effect: Removes remaining damage caused by MRSA . Must be administered intravenously because it is not i absorbed by the intestinal tract. Indigestion, hives, low blood pressure, anaphylactoid reactions, and dizziness. Escherichia coli Precondition: None.