4.3 COMMUNICABLE DISEASES Flashcards

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1
Q

What is a pathogen?

A

A pathogen is a microorganism that causes disease.
- to cause disease, a pathogen must travel from host to host, get into tissues, reproduce and cause damage (symptoms)
- transmission of pathogens can be by vectors, physical contact, droplet infections or indirect contact

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2
Q

What are the types of pathogen?

A

The types of pathogen is bacteria, fungi, viruses, protoctista

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3
Q

How do you calculate the number of bacteria divisions?

A

Calculate the number of bacteria divisions:
2^n - where n = number of divisions
e.g 4 hours/20 minutes = 12 divisions
2^12 = 4096

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4
Q

How does bacteria cause diease?

A

Bacteria causes disease by producing toxins and causing symptoms by cell damage. They can also damage cell membranes, enzymes or genetic material.

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5
Q

What are the shapes of bacteria?

A

Shapes of bacteria:
- cocci (spherical) = have less surface area per volume than bacilli or spirillum, and thus can survive in dryer environments
- bacilli (rod shaped) and vibrio (curved) = have a greater SA:V ratio and can take up nutrients from dilute solutions more efficiently
- spirilli (spiral) = spiral cells, move with corkscrew motion, meet less resistance from surrounding water

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6
Q

What is the structure of a virus?

A

Virus structure:
- very simple structures made up of 3 components
= nucleic acid
= protein coat
= lipid envelope
- non-living as they cannot replicate by themselves = manipulate their host cells to replicate them
-a bacteriophage is a virus that infects bacterial cells

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7
Q

How is a bacteriophage made?

A

Bacteriophage production:
- lysogenic phase
1. the phage attaches to the host cell and injects its DNA into the cytoplasm
2. the phage DNA integrates itself into the bacterial chromosome becoming a prophage
3. the prophage remains latent and is replicated every time the host cell divides
- lytic phase
4. at a trigger the phage DNA is expressed to make phage proteins, which assemble into phage capsids
5. the bacterial cell bursts (lysis), releasing hundreds of phage particles

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8
Q

How does a virus cause disease?

A

Virus causes disease:
1. virus attaches to host cell and the two membranes fuse, releasing the capsid into the cytoplasm
2. the viral enzyme reverse transcriptase synthesises ds DNA from the ss RNA. the DNA is incorporated into the host’s nuclear DNA where it is called a provirus
3. the provirus remains latent for years and is replicated every time the host cell divides
4. at a trigger the viral DNA is expressed to make viral proteins, which assemble in virus capsids
5. the virus particles are released by budding, collecting their lipid envelope from the host cell membrane

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9
Q

How do fungi cause disease?

A

How fungi cause disease:
- some produce toxins which effect host cells
- some digest living cells (parasitic) and destroy cells
- fungal infections stop parts of plants photosynthesising and can quickly kill plants
- when fungi reproduce they produce spores which spread rapidly through crop plants

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10
Q

How to protoctists transmit diease?

A

Protoctists:
- eukaryotes
- small percentage act as pathogens
- protists which cause disease are parasitic
- may need a vector to transfer them to their host (e.g malaria)
- may enter body through water (e.g aemobic dysentary)

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11
Q

What is a disease?

A

A disease is a condition that has a negative effect on part/all of the body.

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12
Q

What is health?

A

Health is mental and physical well-being.

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13
Q

What is an infectious disease?

A

An infectious disease can spread between organisms and is transmitted between organisms.

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14
Q

What is a vector?

A

A vector is an organism that carries a pathogen between hosts.

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15
Q

What is an epidemic?

A

An epidemic is a fast spreading disease that is spread nationally and causes casualities.

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16
Q

What is a pandemic?

A

A pandemic is a fast spreading disease that is spread globally and causes casualties.

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17
Q

What is indirect transmission?

A

Indirect transmission is where diseases are spread through shared surfaces.

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18
Q

What is direct transmission?

A

Direct transmission is where diseases are spread via exchanging bodily fluids and physical contact.

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19
Q

What is tuberculosis?

A

Tuberculosis is a bacterial disease that infects animals. It is common in overcrowded places and is carried in the air (droplet transmission), or can be caught by eating or drinking produce from infected cattle. It causes appetite loss, fatigue, a productive cough, coughing blood, paleness and night sweats. It can be treated by taking antibiotics for months. 10% of those infected get ‘full blown TB’ which negatively impacts their ability to work.

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20
Q

What is meningitis?

A

Meningitis is a bacterial disease that infects animals. It is spread via close contact and sharing bodily fluids. It causes a rash from sepsis and can be treated by taking a course of antibiotics. 25% people infected are left with permanent health issues and 10% die.

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21
Q

What is ring rot?

A

Ring rot is a bacterial disease that infects tubers and fruit in plants. It is spread by contact of vegetables/plants and is spread through the soil. It causes damage to plants and there is no treatment but to leave fields infected clear of crop for two years, which negatively impacts farmers.

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22
Q

What is HIV/AIDS?

A

AIDS is a viral disease caused by HIV that infects animals. It is spread through sexual contact/sharing bodily fluids. It targets t-helper cells so the body is less able to deal with other infections. It can be treated with retroviral drugs. In the last 10 years death from AIDS has decreased and in 2021 38.4 million people were infected.

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23
Q

What is influenza?

A

Influenza is a viral disease that infects animals. It is spread via droplet transmission and touching infected surfaces. It causes respiratory issues, fever, headache, fatigue and pains. It can be treated/prevented with the flu vaccine. Avian flu is a strain that effects birds and can cause farmers to lose income.

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24
Q

What is tobacco mosaic virus?

A

Tobacco mosaic virus is a viral disease that infects plants. It is spread via direct contact of plants, workers can also spread. It causes decolourisation/damage to leaves, flowers, fruit and may stunt growth. There is no treatment for TMV and it causes total crop loss for farmers.

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25
Q

What is malaria?

A

Malaria is a protoctist disease that infects animals. It is spread through a vector (mosquitos, sharing needles). It causes lots of fever, headache, sweating, chills and vomiting. There is no treatment but anti-malarial drugs can be taken as a preventative. 50% of the world’s population is in malaria risk areas, 627,000 deaths in one year.

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26
Q

What is potato/tomato late blight?

A

Potato/tomato late blight is a protoctist disease that infects plants. It is spread through spores in the wind and infects all parts of the plant, hyphae from spores spread through tissue. It can be treated/prevented by using chemical sprays and choosing resistant species to plant. Impacts large crops and aided the Irish potato famine.

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27
Q

What is black sigatota?

A

Black sigatota is a fungal disease that infects plants. It is spread through spores in the air or water. Hyphae from spores spread through roots and causes them to go black. Treatment is to use resistant bananas and use hangicides. It causes 50% less yield of bananas.

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28
Q

What is ring worm?

A

Ring worm is a fungal disease that infects animals. It is spread by skin to skin contact and causes a raised, crusty scab. It is treated with anti-fungal cream and does not cause any lasting impact.

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29
Q

What is athletes foot?

A

.

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30
Q

How do plants recognise an attack by a disease?

A

Plants recognising an attack:
- receptors respond to molecules from pathogens or chemicals released that attack the cell wall
- the cells will then release signalling molecules
- these switch on genes in the nucleus
- this triggers cellular responses such as producing chemicals, sending alarm signals and strengthening the cell wall

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31
Q

What physical defences do plants have against disease?

A

Physical defences:
- cellulose cell wall = acts as a physical barriers and lignin thickens cell walls making them waterproof and indigestible
- waxy cuticle = prevents water from collecting on the surface (pathogens need water)
- guard cells = close stomata
- callose = large polysaccharide that is deposited in sieve at the end of the growing season, blocks the flow so that pathogens can’t spread

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32
Q

What chemical defences do plants have against disease?

A

Chemical defences:
- insect repellants = pine resin (antibacterial), citronella from lemongrass (masks attractive scents)
- insecticides = pyrethins made by chrysanthemums and are a neurotoxin, caffeine which is toxic to insects and fungi by preventing enzymes that are required from working in an insects nervous system
- antibacterial compounds including antibiotics = phenols (antiseptics made in many plants), antibacterial gossypol produced by cotton, defensins (proteins that disrupt bacterial and fungal membranes), lysosomes that break down bacterial cell walls
- antifungal compounds = phenols, antifungal gossypol, defensins, saponins (chemicals in many cell membranes that interfere with fungal cell membranes), chitinases that break down chitin in fungal cell walls
- anti-oomycetes = glucanases (enzymes that break down glucans (polymer in the cell walls of oomycetes/water moulds))
- general toxins = some plants make chemicals that can be broken down to form cyanide compounds when the plant cell is attacked

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33
Q

Is callose made from alpha or beta glucose and which carbons would you find the bonds?

A

Callose is made from beta glucose and has 1,3 and 1,6 bonds.

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34
Q

Initially callose is synthesised and deposited between the cell wall and cell membrane in cells next to infected cells.
What is the purpose of this?

A

Callose is synthesised and deposited between the cell wall and cell membrane in cells next to infected cells to act as barriers and prevent pathogens entering the plam as around the site or infection.

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35
Q

When is lignin added and what is it’s purpose (callose)?

A

Lignin is added when large amounts of callose is in the cell walls after the initial attack. This makes the mechanical barrier to invasion even thicker and stronger.

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36
Q

What is the purpose of callose in plasmodesmata?

A

Callose in plasmodesmata is deposited between infected cells and neighbours, sealing them off from healthy cells and helps prevent pathogens from spreading.

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37
Q

What is the purpose of callose in the phloem vessels?

A

Callose in the phloem vessels blocks the sieve plates of the phloem, sealing off infection and preventing the spread.

38
Q

What are the types of human defences against disease?

A

Human defences against disease:
- non-specific defences (innate immunity) = primary defences or primary responses
- specific defences (acquired immunity) = through cell-mediated immunity or humeral immunity

39
Q

What is the purpose of the primary defence skin?

A

Skin:
- protective barrier that covers the whole body
- skin flora that outcompetes pathogens for space
- produces sebum that inhibits the growth of pathogens

40
Q

What is the purpose of the primary defence mucus?

A

Mucus:
- many of the tracts in the body (e.g respiratory reacts) are lined by mucus membranes which secrete mucus
- traps microorganisms
- contains lysosomes which destroy cell walls
- contains phagocytes
- coughs and sneezes also eject pathogen-laden mucus

41
Q

How does the primary response of blood clotting work?

A

Blood clotting:
- platelets secrete several substances when they come into contact with collagen in the skin
= thromboplastin
= serotonin
- a scab forms and epidermal cells begin to grow underneath, eventually sealing the wound permanently = collagen strengthens the tissue

42
Q

What is the process of blood clotting?

A

Blood clotting process:
1. injured tissues and platelets release the clotting factor prothrombin activator and calcium ions
2. prothrombin activator converts the blood protein prothrombin to thrombin
3. thrombin splits fibrinogen to form fibrin
4. fibrin fibres form a mesh over wounds trapping red blood cells and platelets
5. bleeding stops
6. clots harden and become smaller
7. new cells grow to repair wound site
8. enzyme plasmin released to dissolve clot

43
Q

How does the primary inflammatory response work?

A

Inflammatory response:
-localised response causing pain, heat, redness and swelling that is brought about by signalling molecules
- mast cells (a type of white blood cell) release histamines and cytokines
- histamines cause nearby blood vessels to dilate and become more permeable
- cytokines attract phagocytes to the side

44
Q

What is the primary response of fever?

A

Fever:
- normal body temperature is 37°c and is maintained by the hypothalamus
- pathogens reproduce optimally at this or below this temperature
- pathogens trigger cytokines to send a signal to hypothalamus to increase this temperature to inhibit pathogen reproduction and to allow specific immune system to work more effectively

45
Q

What are the types of phagocytosis?

A

The types of phagocytosis is neutrophilic phagocytosis and macrophage phagocytosis.

46
Q

What is the process of neutrophilic phagocytosis?

A

Neutrophilic phagocytosis:
1. pathogens produce chemicals (or are tagged by opsonins) that attract phagocytes
2. phagocytes recognise non-human proteins on the pathogen (antigens)- not specific to a type of pathogen
3. engulfs the pathogen and encloses it in a vacuole called a phagosome
4. combines with a lysosome to form a phagosome
5. enzymes from the lysosome digest and destroy the pathogen, releasing debris by exocytosis

47
Q

What is the process of macrophage phagocytosis?

A

Macrophage phagocytosis:
- 1-4 same as neutrophilic phagocytosis
5. rather than releasing debris, carbohydrates are added to the antigen to form a major histocompatibility complex (MHC)
6. this is then placed on the surface of the macrophage forming an antigen presenting cell (APC)

48
Q

What are cytokines?

A

Cytokines are helpful chemicals.
- cell signalling molecules
- inform the phagocytes that the body is under attack and stimulate them to move to the site of infection/inflammation
- cytokines increase body temperature and can also stimulate the specific immune system

49
Q

What are opsonins?

A

Opsonins are helpful chemicals.
- chemicals that bind to pathogens (can be antibodies) and tag them so that they can be recognised by phagocytes
- phagocytes have receptors that bind to common opsonins and the phagocyte then engulfs the pathogen

50
Q

What are lymphocytes?

A

Lymphocytes:
- specialised white blood cells that are involved in the specific immune response
- much smaller than phagocytes
- both types of lymphocyte originate in the bone marrow and differentiate from haematopietic stem cells
- b-lymphocytes mature in the bone marrow and t-lymphocytes mature in the thymus gland

51
Q

What is clonal selection?

A

Clonal selection is when exposure to a specific antigen selectively stimulates the proliferation or the cell within the appropriate antibody to form numerous clones of the specific andibody forming cells.

52
Q

What is clonal expansion?

A

Clonal expansion is the mass proliferation or antibody producing cells by clonal selection.

53
Q

What is cell mediated immunity?

A

Cell mediated immunity is the immune response mediated by activaling t-helper cells, than then lead to the other b and t cells being activated and propagated.

54
Q

What are t-helper cells?

A

T-helper cells:
- have cell receptors on their cell membrane that allows them to bind to the specific antigens on the surface of an APC (macrophage) = clonal selection
- this triggers the specific immune response by producing cytokines (specifically called interleukins) = cell mediated response

55
Q

What are t-killer cells?

A

T-killer cells:
- destroy the pathogen (or human infected cell) carrying the antigen
- produce the chemical perforin
- perforin makes holes in the cell membrane (by releasing porin proteins) of the infected cell, making it freely permeable

56
Q

What are t-regulator cells?

A

T-regulator cells:
- prevent an autoimmune response attack on own healthy bodily cells
- makes sure the body recognises ‘self antigens’
- stops the immune response once the pathogen has been eliminated

57
Q

What are t-memory cells?

A

T-memory cells:
- live for a long time and are part of immunological memory
- if they meet an antigen for a second time (secondary exposure) they divide rapidly to form clones of t-killer cells to destroy the pathogen (done without the need to go through the clonal selection stage)

58
Q

What is humoral immunity?

A

Humoral immunity is the immune response where the body responds to antigens found outside of cells, by producing soluble antibodies transported in the blood/tissue fluid.
- the b-cell that is specific to the antigen is activated by the t-helper cell = clonal selection
- t-helper cell releases interleukins that stimulate the selected b-cell to divide by mitosis (clonal expansion)
- b-cells then differentiate into plasma cells, b-effector cells or b-memory cells

59
Q

What are the types of lymphocyte?

A

Lymphocytes are split into t-lymphocytes and b-lymphocytes. T-lymphocytes include t-helper cells, t-killer cells, t-receptor cells and t-memory cells. B-lymphocytes include plasma cells, b-effector cells and b-memory cells.

60
Q

What is the primary response once the body has been exposed to disease?

A

Primary response:
- takes time to find the pathogen and for lymphocytes to replicate enough to produce antibodies, therefore symptoms will occur
- if survived, b-memory and t-memory cells will have immunological memory

61
Q

What is the secondary response once the body has been exposed to disease?

A

Secondary response:
- b-memory cells divide rapidly to form plasma cell clones so the correct antibody is produced quickly with no symptoms.

62
Q

What is an antigen?

A

An antigen is an identifying chemical on the surface of a molecule that triggers an immune response.

63
Q

What is an antibody?

A

Antibodies are Y shaped glycoproteins made by B cells of the immune system in response to the presence of a specific antigen.

64
Q

What is the immune response?

A

The immune response is the biological response that protects the body by recognising and responding to antigens and destroying substances carrying non-self antigens.

65
Q

What does it mean to be immune?

A

Immune is when you have protection against infectious diseases which is gained actively or passively.

66
Q

What are the parts of an antibody?

A

Parts of an antibody:
- antigen binding site
- variable region
- disulphide bridge
- light polypeptide chain
- heavy polypeptide chain
- constant region
- receptor binding site

67
Q

What do antibodies do?

A

Antibodies:
- produced by plasma cells
- y-shaped glycoproteins and immunoglobulins
- bind to specific antigens so have a specific shape
- have complimentary shape to the antigen

68
Q

How to antibodies inactivate antigens?

A

Antibodies inactivate antigens by:
- stop them invading cells by neutralisation (e.g blocking binding sites/forming antigen-antibody complexes)
- agglutination of microbes = causing many antigen-antibody complexes to be formed to prevent their spread of the pathogen
- antibody acts as an opsonin so that phagocytes can locate it easily
- act as antitoxins, deactivating their harmful nature

69
Q

What is an autoimmune disease?

A

An autoimmune disease is a condition or illness resulting from an autoimmune response.
- where the body cannot differentiate own healthy cells from pathogens and stops recognising ‘self’ cells and attacks healthy tissue

70
Q

What is type I diabetes?

A

Type I diabetes is an autoimmune disease where the insulin secreting cells of the pancreas are attacked. It causes thirst, fatigue, weight loss, slow healing cuts, bruises, blurred vision and thrush. It can be treated with insulin injections, pancreas transplants and autoimmune drugs.

71
Q

What is rheumatoid arthritis?

A

Rheumatoid arthritis is an autoimmune disease where the joints are effected. It causes joint pain and stiffness and inflammation around the joints. There is no cure but it can be treated with steroids, anti-inflammatory drugs and painkillers.

72
Q

What is lupus?

A

Lupus is an autoimmune disease that effects the skin and joints but can attack any organ in the body (including the kidneys, lungs, liver and brain). It causes rashes, fatigue and joint and muscle pain. There is no cure but it can be treated with steroids, anti-inflammatory drugs and immunosuppressants.

73
Q

What is Addison’s disease?

A

Addison’s disease is an autoimmune disease which attacks the adrenal gland. It causes fatigue, weak muscles, low mood, weight loss and thirst. It can be treated via steroid replacement therapy.

74
Q

What is sjogren’s disease?

A

Sjogren’s disease is an autoimmune disease that attacks the lungs, kidneys and nervous system. It causes dry eyes, dry mouth, dry skin, fatigue, pain, rashes and swelling. There is no cure but it can be treated with eye drops, sprays and medicine to produce tears and saliva.

75
Q

What is a vaccination?

A

A vaccination is a method artificially activating the immune system to produce antibodies.

76
Q

What could a vaccine contain?

A

A vaccine could contain:
- whole live organisms (e.g small pox)
- dead or inactive bacteria or viruses (e.g whooping cough)
- attenuated versions (e.g measles)
- harmless toxins (e.g tetanus)
- antigens that have been extracted (e.g flu)
- genetically engineered antigens (e.g hepatitis b)
- genetically engineered RNA (e.g HIV, COVID)

77
Q

Why was the smallpox vaccine successful?

A

Smallpox was eradicated in 1979 after a successful vaccination programme. The vaccine was so effective because:
- it was a stable pathogen (did not mature)
- it was a live vaccine
- easy and cheap to produce (highly available)
- easy to store (heat durable and freeze-dried)
- easy to identify infected patients
- easy to administer with no booster required
- only hosted by humans (not zoonotic)

78
Q

What is the difference between active and passive immunity?

A

Active immunity is the production of own antibodies, passive immunity does not produce own antibodies.

79
Q

What is active natural immunity and active artificial immunity?

A

Active natural immunity is antibodies developed in response to infection.
Active artificial immunity is antibodies acquired via vaccination.

80
Q

What is passive natural immunity and passive artificial immunity?

A

Passive natural immunity is antibodies received via mothers breast milk.
Passive artificial immunity is antibodies received via medicine infusion or y-globulin injection.

81
Q

What are the advantages and disadvantages of active natural immunity?

A

Active natural immunity advantages:
- can immediately destroy pathogens
- long-term immunity
- produces antibodies/memory cells

Active natural immunity disadvantages:
- immune response takes time
- symptoms may develop
- disease may be fast and fatal

82
Q

What are the advantages and disadvantages of active artificial immunity?

A

Active artificial immunity advantages:
- stimulates body to make own antibodies
- long-term immunity
- no need to suffer

Active artificial immunity disadvantages:
- could cause the disease and have fatal results
- boosters required
- may react to vaccine
- takes time

83
Q

What are the advantages and disadvantages of passive natural immunity?

A

Passive natural immunity advantages:
- lasts until immune system of babies can make own antibodies
- immediate protection

Passive natural immunity disadvantages:
- short-term
- no memory cells produced

84
Q

What are the advantages and disadvantages of passive artificial immunity?

A

Passive artificial immunity advantages:
- can be lifesaving
- immediate protection against a specific disease

Passive artificial immunity disadvantages:
- doesn’t last long
- no memory cells produced
- may react to vaccine

85
Q

What is herd vaccination?

A

Herd vaccination is where all/most of the population is vaccinated to stop the spread of a disease (e.g COVID, small pox).

86
Q

What is ring vaccination?

A

Ring vaccination is where people around the victim of a disease are vaccinated to prevent transmission (e.g meningitis).

87
Q

What are the problems with vaccines?

A

Problems with vaccines:
- people resistant to vaccination
- allergies to vaccine
- virus mutates, needs boosters
- herd immunity needs mass production, expensive transport and storage
- some may to need more than one vaccination
- chance of contracting virus arter vaccination
- close correlation between the incidence of one disease and another
(e.g AIDS and TB).
- multiple strains or pathogen
- animal vectors, multiple host species
- species presenting multiple different antigens
- delivery method = oral or injection
- genetic disorders caused by pathogens

88
Q

Why do we need new medicines?

A

Why we need new medicines:
- pathogens become resistant to existing drugs (e.g antibiotics)
- new diseases emerge
- new vaccines needed (e.g HIV)
- existing vaccines can be improved

89
Q

How are new medicines discovered?

A

New medicines discovered:
- by accident (e.g fleming and penicillin)
- traditional medicine
- anaesthetics
- modern research (e.g analysing genomes of pathogens, computer modelling of potential drugs)

90
Q

What are the sources of some medicines?

A

Sources of medicines:
- digoxin (from foxgloves) = heart drug for atrial fibrillation and heart failure = improves filling time of heart and coronary circulation
- diamorphine (from opium poppy) = painkillers include codeine and morphine
- amica (from amica flowers) = used to reduce bruising
- taxol (from yew tree) = cancer drug
- prialt (from cone snail) = painkiller, 1000x times more effective than morphine

91
Q

What is bioprospecting?

A

Bioprospecting is where scientists look for new medicines among living organisms, involves observations.

92
Q

What are the drugs for the future?

A

Drugs for the future:
- pharmacogenetics = using information from the genome to personalise medicine that will work with the individuals genetics and disease
- synthetic biology = creating genetically modified organisms that produce drugs
- nanotechnology = nano particles used to deliver drugs to sites within ums