13 Communicable diseases Flashcards

1
Q

what is vaccination?

A

deliberate exposure of an individual to antigens from a foreign source in order to provoke an immune response and provide immunity

(i.e. artificial active immunity)

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2
Q

why does a vaccination work to prevent development of symptoms from infection?

A

generates a primary immune response and stimulates memory cells

∴ in future faster secondary response will occur following infection

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3
Q

what is a live attenuated vaccine? what is a strength and

a limitation of it?

A

modified strains of bacteria/viruses that can multiply BUT are not pathogenic

+ strongest response and ∴ long-lasting immunity
- cannot be given to people with compromised immune systems

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4
Q

what is a killed-inactivated vaccine? what is a strength and a limitation of it?

A

bacteria/virus is killed with chemical treatment, but antigens remain intact, provoking an immune response

+ more stable than live-attenuated, and does not require refrigeration
- provokes weaker immune response ∴ booster(s) needed

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5
Q

what is a toxoid vaccine? what is a strength and a limitation of it?

A

toxoids are extracted and treated with formaldehyde to prevent symptoms –> triggers immune response and production of antitoxins

+ safe when toxins are reason for virulence
- does not give a strong immune response

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6
Q

what is a subunit vaccine? what is a strength of it?

A

only specific antigens extracted and used

+ can construct vaccines for several strains

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7
Q

what is an artificial antigen recombinant vector? what is a strength of it?

A

genes coding for the antigens of the pathogen are transferred through genetic engineering to harmless microorganisms

+ provides immunity to agents that can’t easily be attenuated without destroying antigen activity

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8
Q

what is the aim of a vaccination programme?

A

to protect the population from a wide range of disease

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9
Q

why are boosters used?

A

to increase the number of memory cells

increases speed of secondary immune response to destroy pathogen before it can cause disease

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10
Q

how are vaccines used to prevent epidemics?

A

reducing chance of transmission

by increasing herd immunity

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11
Q

what is ring vaccination?

A

a vaccination ring around the geographical centre of an epidemic to prevent its spread

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12
Q

give three advantages of vaccination programmes

A

few/no side effects

economically viable for the whole population

easy to produce, transfer and store

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13
Q

how can the mutation of a pathogen prevent a vaccine being effective?

A

change in genetic material causes change in antigens/glycoproteins

∴ previous vaccine no longer has complementary antibody ∴ cannot bind to antigen

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14
Q

how can surface antigen variation prevent a vaccine being effective?

A

difficult to target all different antigens (especially if high mutation rate)

different strains in different geographical locations

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15
Q

give three biological problems in implementing vaccines

A

live-attenuated pathogen could mutate and become virulent

storage/transport/distribution can be expensive if refrigeration is required

low nutritional state of target population may have weakened their immune systems

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16
Q

what is protein energy malnutrition?

A

insufficient protein consumption

∴ can’t make antibodies/memory cells due to insufficient amino acids

17
Q

give an example of ethical issues surrounding vaccination testing

A

religious/cultural beliefs

lack of trust in government/health service

animal testing

side effects

ethics of pharmaceutical companies

consent vs. protection rights

18
Q

what vaccine is used against HPV?

A

subunit - contains proteins but no viral DNA ∴ no risk of infection

19
Q

what is an antibiotic?

A

a chemical that kills or slows down the growth of bacteria

20
Q

what type of cells do antibiotics have no effect on?

A

eukaryotic cells

viral particles

21
Q

what are bacteriocidal antibiotics? how do they work?

A

kill bacteria

by disrupting the cell wall or protein synthesis

22
Q

how does penicillin kill bacteria?

A

prevents synthesis of peptidoglycan cell wall ∴ no bacterium cell wall ∴ cell bursts

23
Q

how does polymyxin B kill bacteria?

A

damages plasma membrane by targeting phospholipids not found in eukaryotes –> contents of the cell leak

24
Q

what are bacteriostatic antibiotics? how do they work?

A

prevent growth/reproduction of bacteria

e.g. tetracycline prevents tRNA from binding to the ribosomes ∴ protein synthesis cannot take place

25
what are sulphonamides? how do they work?
competitive inhibitors of bacteria membranes inhibition of enzymes that assist in the synthesis of folic acid ∴ DNA (purines) can't be synthesised
26
how does erythromycin work?
blocks sites on ribosomes preventing protein synthesis ∴ polypeptide chain can't be elongated
27
what is the difference between broad and narrow spectrum antibiotics?
broad: work well against a wide range of bacteria narrow: only effective against certain types of infection
28
how does antibiotic resistance come about?
spontaneous mutation in the bacterium ∴ more tolerant to antibiotic ∴ more likely to survive
29
how is antibiotic resistance prevented?
preventing misuse of antibiotics completing the course preventing damage to useful bacteria in the gut and microbiome
30
outline some ways of reducing the spread of resistance
completing the course reducing overuse increased presence in animal feed reducing contamination of door handles/equipment aseptic techniques isolating infectious patients reducing use of anti-bacterial handwash