Communicable diseases Flashcards

1
Q

Pathogens

A

-organisms that cause disease are called pathogens
-the organism in which they live is called the host
-a host body creates a good habitat in which microorganism live
-as result there are numerous types of microorganisms that live in or on the body of another organism
-pathogens live by taking nutrition from their host but also cause damage in the process - can be considerable

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2
Q

Bacteria

A

-belong to the kingdom prokaryote
-their cells are smaller than eukaryotic cells but can reproduce rapidly- in right conditions, every 20 minutes
-once in host body, they can multiply rapidly
-their presence can cause disease by damaging cells or by releasing waste products/ and or toxins that are toxic to the host
-in plants bacteria often live in the vascular tissues and cause blackening and death of these tissues

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3
Q

Fungi

A

-fungi can cause variety of diseases in plants and animals
-there are common fungal infections where the fungus lives in the skin of an animal and where its hyphae which form a mycelium grow under the skins surface
-fungus can send out specialised reproductive hyphae which grow to surface of skin to release spores which cause redness and irritation
-in plants the fungus often lives in vascular tissue where it can gain nutrients
-the hyphae release extracellular enzymes such as cellulases to digest the surrounding tissues which causes decay
-leaves will often become mottled in colour, curl up and shrivel before dying
-fruit and storage organs such as tubers (potatoes) will turn black and decay

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4
Q

Viruses

A

-viruses invade cells and take over the genetic machinery and other organelles of the cell
-they then cause the cell to manufacture more copies of virus
-they then cause the cell to manufacture of copies of virus
-the host cell eventually bursts releasing many new viruses which will infect healthy cells

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5
Q

Protista

A

-these organisms usually cause harm by entering host cells and feeding on contents as they grow
-malarial parasite Plasmodium has immature forms that feed on haemoglobin inside red blood cells

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6
Q

Examples of bacteria

A

-tuberculosis - Myobacterium tuberculosis - disease affects many parts of body, killing cells and tissues, the lungs are often most affected
-bacterial meningitis - Neisseria meningitis - infection of mengines (membranes surrounding brain and spinal cord) cause swollen and damage to brain and nerves
-ring rot - Clavibacter - ring of decay in vascular tissue of potato tuber or tomato, accompanied by leaf wilting
-divide by binary fission
-treated by antibiotics - penicillin, ampicillin- issue of resistance

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7
Q

Examples of fungi

A

-ringworm - growth of fungus in skin with spores erupting through skin to cause a rash
-athletes foot - Trichophyran rubrum- growth under skin of foot-particularly between toes
-black sigatoka- Mycosphaerella - causes leaf sports on bananas plants reducing yield

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8
Q

Examples of proctist

A

-blight- phytophthora - affect tomato leaves and potato tubers
-malaria- Plasmodium- parasite in blood that causes headache and fever and may progress to coma and death

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9
Q

Examples of viruses

A

-tobacco mosaic virus- causes mottling and discolouration of leaves
-influenza- from family Orthomyxoviridae - attacks respiratory system and causes muscle pains and headaches
-HIV/AIDS - attacks cells in immune system and comprises the immune response

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10
Q

How do viruses cause disease

A

-virus attaches to cell
-virus DNA injected into cell
-viral components assembled
-viruses release, death of cell
-no antibiotics for viruses
-anti virals e.g. inhibitor to protease or inhibitor to reverse transcriptase

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11
Q

FACTORS OF TRANSMISSION: direct physical contact

A

-such as touching a person who is infected or touching contaminated surfaces that harbour the pathogens
-for example HIV, bacterial meningitis, ringworm, athletes foot
-hygiene: washing hands regularly- especially after using toilet
-keeping surfaces clean: especially door handles
-cleaning and disinfecting cuts and abrasions
-sterilising surgical instruments
-using condoms during sexual intercourse

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12
Q

FACTORS AFFECTING TRANSMISSION: faecal oral transmission

A

-usually by eating food or drinking water contaminated by the pathogen
-for example, cholera, food poisoning
-using human sewage to fertilise crops is common practise in some parts of world
-treatment of waste water and treatment of drinking water are important ways to reduce waste
-thorough washing of all fresh food
-careful preparation and thorough cooking of all food

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13
Q

FACTORS AFFECTING TRANSMISSION: droplet infection

A

-pathogen is carried in tiny water droplets in air
-for example tuberculosis, influenza
-catch it, bin it, kill it
-cover your mouth when coughing or sneezing
-use a tissue and dispose of it correctly

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14
Q

FACTORS AFFECTING TRANSMISSION: spores

A

-transmission by spores which are resistant stage of pathogen
-these can be carried in air or residue on surfaces/ in soil
-for example tetanus, anthrax
-use a mask
-washing skin after contact with soil

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15
Q

Social factors that affect transmission

A

-overcrowding, many people living and sleeping together in one home
-poor ventilation, droplets passed around
-poor diet
-homelessness, weaker immune system
-poor health, especially if person has HIV/AIDS as they are ore likely to contract other diseases
-living or working with people who have migrated from areas where a disease is more common

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16
Q

Indirect transmission

A

-some pathogens transmitted indirectly via a vector
-a vector is another organism that may be used by pathogen to gain entry to primary host
-for example Plasmodium parasite that causes malaria enters human host via bite from female Anopheles mosquito

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17
Q

Direct transmission of plant pathogens

A

-many pathogens present in soil and will infect plants by entering roots- especially if these have been damaged as a result of replanting, burrowing animals or movement caused by a storm
-many fungi produce spores as a mean of asexual/sexual reproduction- may carried by wind therefore airborne
-once pathogen is inside plant it may infect all vascular tissue
-pathogens in leaves are distributed when leaves are shed and carry the pathogens back to soil where it can grow and infect another plant
-pathogens can also enter fruit and seeds and then be distributed with the seeds so that many or all of the offspring are infected

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18
Q

Indirect transmission of plant pathogens

A

-often occurs as a result of insect attack
-spores or bacteria become attached to a burrowing insect such as a beetle which attacks and infected plant
-when that beetle attacks another plant, the pathogen is transmitted to the uninfected plant
-the beetle is acting as a vector
-for example the fungus that causes the Dutch elm disease is carried by beetle
-also ashdieback disease

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19
Q

How do diseases change with the climate

A

-many protoctists, bacteria and fungi can grow and reproduce more rapidly in warm and moist conditions
-therefore they tend to be more common in warmer climates
-in cooler climates these pathogens may be damaged or even killed by cold winter weather- such winter weather will certainly reduce their ability to grow and reproduce
-as result, there is greater variety of diseases to be found in warmer climates and animals, plants living in these regions are more likely to be infected

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20
Q

List some passive, physical plant defences

A

-cellulose cell wall=not only acts as a physical barrier but most contain chemical defences that can be activated when pathogen detected
-lignin thickening= lignin is waterproof and almost completely indigestible
-waxy cuticle=prevent water collecting on cell surfaces, prevents survival of pathogens
-bark=contains variety chemical defences against pathogens
-stomatal closure= stomata possible points of entry for pathogens, closure is controlled by guard cells. When pathogen detected, guard cells close stomata
-callose=large polysaccharide that deposited in sieve plates and blocks flow in sieve tube (prevents pathogen spreading around plants)
-tylose formation= balloon like swelling or projection that fills xylem vessel. When fully formed it plugs vessel and can no longer carry water. Prevents spread of pathogens and has a high concentration of chemicals such as terpenes that are toxic to pathogens

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21
Q

Chemical defences of plants

A

-plant tissues contain variety of chemicals that have antipathogenic properties- include terpenoids, phenols, alkaloids and hydrolytic enzymes
-some of these chemicals such as terpenes and tannins are present before infection
-however production chemicals requires a lot of energy and therefore many chemicals not produced until plant detects infection

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22
Q

What are active plant defences

A

-when pathogens attacks, specific chemicals in their cell walls can be detected by the plant cells
-these chemicals include specific proteins and glycolipids
-plant responds by fortifying the defences already present:
-cell walls become thickened and strengthened with additional cellulose
-deposition of callose between plant cell wall and cell membrane near invading pathogen- impeded cellulose penetration at site of infection, strengthening cell wall and impeding plasmodesmata
-oxidative bursts that produce highly reactive oxygen molecules capable of damaging cells of invading pathogens
-increase in production of chemicals

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23
Q

ACTIVE DEFENCE: terpenoids

A

-volatile organic compound common in conifers
-a range of essential oils that have antibacterial and antifungal properties
-may also create scent for example menthols and menthones produced by mint plants

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24
Q

ACTIVE DEFENCE: phenols

A

-these also antibiotic and antifungal properties
-tannins found in bark inhibit attack by insects
-these compounds bind to salivary proteins and digest enzymes such as trypsin, deactivating the enzymes
-insects that ingest high amounts of tannins do not grow and eventually die
-helps to prevent transmission of pathogens
-usually in berries, red wine

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25
Q

ACTIVE DEFENCES: alkaloids

A

-nitrogen containing compounds such as caffeine, nicotine, cocaine, morphine, solanine
-these give a bitter taste to inhibit herbivores feeding
-they also act on a variety metabolic reactions via inhibiting or activating enzyme action
-some alkaloid inhibit protein synthesis
-if plant can reduce grazing by larger animals then it will suffer less damage that can allow pathogens to enter the plant

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26
Q

ACTIVE DEFENCES: defensins

A

-small cysteine rich proteins that have broad anti microbial activity
-they appear to act upon molecules in plasma membrane of pathogens, possibly inhibiting action of ion transport channels

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27
Q

ACTIVE DEFENCES: hydrolytic enzymes

A

-found in spaces between cells
-include chitinases (break down chitin found in fungal cell wall), glucanases (hydrolyse glycosidic bonds in glucans), lysozymes (capable of degrading bacterial cell wall)

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28
Q

What is necrosis

A

-deliberate cell suicide
-a few cells sacrificed to save rest of plant
-by killing cells surrounding infection the plant can limit pathogens access to water and nutrients and can therefore stop spreading further across the plant
-necrosis is brought about by intracellular enzymes that are activated by injury
-these enzymes destroy damaged cells and produce brown sports on leaves or die back

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29
Q

What is canker

A

–sunken necrotic lesion in woody tissue such as main stem or branch
-cause death of the cambium tissue in the bark

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30
Q

PRIMARY DEFENCE: the skin

A

-the body is covered by skin- this is main primary defence
-the outer layer of skin is called epidermis and consists of layers of cells- most called kerotinocytes (born basal layer)
-these cells are produced by mitosis at base of epidermis
-they then migrate to surface of skin- as they migrate they dry out and cytoplasm is replaced by protein keratin- insoluble, penetrable to bacteria and viruses
-this process is called keratinisation and it takes about 30 days
-by the time the cells reach the surface they are not alive
-the keratinised layer of dead cells acts as an effective barrier to pathogens- eventually dead cells slough off

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31
Q

PRIMARY DEFENCE: blood clotting and skin repair

A

-abrasions or lacerations damage the skin and open the body to infection
-when this occurs the body must prevent excess blood loss by forming a clot making a temporary seal to prevent infection and repairing the skin
-blood clotting is a complex as it is important to prevent clots forming blood vessels where the are not needed
-it involves calcium ions and at least 12 factors -known as clotting factors
-many of clotting factors released from platelets and damaged tissue
-these factors activate an enzyme cascade
-once the clot has formed it begins to dry out and form scab
-the scab shrinks as it dries drawing sides of a cut together
-this makes a temporary seal under which skin is repaired
-first stage is deposition of fibrous collagen under scab
-stem cells in epidermis then divide by mitosis to form new cells which migrate to edges of cut and differentiate to form new skin
-new blood vessels grow to supply oxygen and nutrients to new tissues
-tissues contract to help draw edges of cut together so repair can be completed
-as skin completed, scab released

32
Q

PRIMARY DEFENCES: mucus membranes

A

-goblet cells secrete mucus- 9+2 microtubules
-ciliated cells waft mucus up
-certain substances such as oxygen and nutrient in our food must enter out blood
-the exchange surfaces where this occurs must be thinner and are less well protected from pathogens
-the air and food that we take in from our environment may harbour microorganisms
-therefore the airways, lungs and digestive system are at risk of infection

33
Q

PRIMARY DEFENCES: others, eyes and ears

A

-oil in skin secreted from sebaceous gland
-natural flora in gut and vagina
-antibodies and enzymes in tear fluid
-wax of ears traps pathogens

34
Q

PRIMARY DEFENCES: inflammation

A

-attacks bacteria and seals wound- 2 responses to pathogens
-macrophages engulf pathogens and digest them by phagocytosis
-swelling and redness is a sign an area is infected and inflammation will make the area hot and painful
-the presence of microorganisms in tissue is detected by mast cells
-they release cell signalling substance called histamine
-the main effect is vasodilation meaning capillary walls become more permeable to white blood cells and proteins
-blood plasma and phagocytic white blood cells leave blood and enter tissue fluid
-this leads to increase production of tissue fluid which causes swelling (oedema)
-excess tissue fluid is drained into lymphatic system where lymphocytes are stored
-this can lead to pathogens coming into contact lymphocytes and initiating specific immune response

35
Q

SECONDARY NON SPECIFIC: antigens and opsonin

A

-secondary defences are used to combat pathogens that have entered body
-when pathogens invades body, it’s recognised as foreign by chemical markers by outer membrane, called antigens
-they are proteins or glycoproteins intrinsic to plasma membrane
-antigens are specific to the organism
-our own antigens are recognised so a response not produced
-opsonins are protein molecules that attach to antigens on surface of pathogen
-they are a type of antibody, their role is to enhance ability of phagocytic cells to bind and engulf pathogen

36
Q

PHAGOCYTES: neutrophils

A

-first line of secondary defence is phagocytosis
-most common phagocytes are neutrophils
-they have multi lobed nucleus and manufactured in bone marrow
-travel in blood and often squeeze out into tissue fluid
-neutrophils are short lived but released in large numbers as a result of infection
-neutrophils contain a large number of lysosomes
-they engulf and digest pathogen - usually die soon after
-dead neutrophils may collect in area infection to form pus

37
Q

PHAGOCYTES: macrophages

A

-macrophages are larger cells manufactured in bone marrow
-travel in blood as monocytes before settling in body tissues
-many found in lymph nodes where mature into macrophages
-dendritic cells- type of macrophage- in more peripheral tissues
-macrophages play important role in initiating specific responses to invading pathogens
-when macrophage engulfs a pathogen, does not fully digest it
-antigen from surface of pathogen is saved and moved to a special protein complex on surface of cell- becomes antigen presenting cell
-it exposes antigen on its surface so other cells of immune system can recognise the antigen
-special protein complex ensure antigen presenting cell is not mistaken for a foreign cell and attacked by other phagocytes

38
Q

ACTIVE IMMUNITY: antigen presentation

A

-the antigen presenting cell moves around body where it can come into contact with specific cells that can activate full immune response
-these are T and B lymphocytes
-there may be only one cell T cell and one B cell with correct recognition site for antigen
-therefore role of antigen presenting cells is to increase chances the antigen will come into contact with them

39
Q

ACTIVE IMMUNITY: specific immune response

A

-activation of specific B and T cells is called clonal selection
-brings into play complex series of events that leads to the production of antibodies that can combat specific pathogen and memory cells that will provide long term immunity
-whole series of events is stimulated and coordinated by number of hormones- like chemicals called cytokines
-these stimulate differentiation and activity of macrophages, B cells, T cells

40
Q

Define interleukins

A

-signalling molecules that are used to communicate between different white blood cells

41
Q

How is the immune response started

A

1) some pathogens digested by phagocytes and macrophages become antigen presenting cells
2) clonal selection- B and T lymphocytes detect antigens, they have receptor molecules on cell surface membrane which are complementary to shape of antigen (specific)
3) clonal expansion- correct lymphocytes divide by mitosis
4) differentiation- B and T lymphocytes become specialised e.g. B plasma, T killer etc
5) antibody production

42
Q

List the T lymphocytes and functions

A

-T helper= release chemical messengers (cytokines). Stimulate B lymphocytes to differentiate. Stimulate phagocytosis
-T killer= attach to foreign antigens an produce toxic substance. Kills host cells which are infected
-T memory= immunological memory. Remain in blood, used in secondary response
-T regulator= shut down immune response once pathogen is destroyed. Prevent autoimmunity

43
Q

B-lymphocytes

A

-B plasma= manufacture antibodies
-B memory= remain in blood, immunological memory, secondary response

44
Q

Why does the specific immune response require cell signalling

A

-specific immune response involves the coordinated action of a range of cells
-in order to work effectively these cells need to communicate- known as cell signalling
-communication is achieved through release of hormones- like chemicals called cytokines
-there is a huge range of signalling molecules each performing a different role
-in order to detect a signal, the target cell must have a cell surface receptor complementary in shape to the shape of the cell signalling molecules

45
Q

Give examples of communication using cytokines

A

-macrophages release monokines
-some monokines attract neutrophils (by chemotaxis -movement of cells towards particular chemical) and others stimular B cells differentiation and release antibodies
-T cells and macrophages release interleukins which can stimulate clonal expansion and differentiation of B and T cells
-many cells can release interferon which inhibit virus replication and stimulates the activity of T killer cells

46
Q

Autoimmune diseases

A

-an autoimmune disease occurs when the immune system attacks a part of the body
-normally any B or T cells that are specific to our own antigens are destroyed during early development of immune system
-an autoimmune disease arises when antibodies start to attack our own antigens- possibly because antigens that are not normally exposed to become exposed to attack

47
Q

What are antigens

A

-antigens are molecules that can stimulate an immune response
-they are usually proteins or glycoproteins in plasma membrane of pathogen
-foreign antigens will be detected by immune system and will stimulate production of antibodies
-antibodies are specific to antigen
-as antigen is specific to organism we think antibody as being specific to pathogen
-our own antigens are recognised by immune system and do not usually stimulate any response

48
Q

What are antibodies

A

-antibodies are immunoglobins - complex proteins produced by plasma cells in immune system
-they are released in response to an infection
-they have a region with specific shape that is complementary to that of a particular antigen
-our immune system must manufacture one type of antibody for every antigen that is detected
-antibodies attach to antigens and render them harmless

48
Q

Structure of antibodies

A

-antibody molecules are Y shaped and have 2 distinct region
-they consist of 4 polypeptide chains
-at top variable which has shape to specific shape of antigen
-constant region which is same in all antibodies- it may have a site for easy binding of phagocytic cells
-hinge regions to allow flexibility so molecule can grip more than one antigen
-disulfide bridges hold polypeptides together
-has light polypeptide and heavy polypeptide chains

49
Q

ANTIBODY FUNCTIONS: opsonins

A

-opsonins are group of antibodies that bind to antigens on a pathogen
-they act as binding sites for phagocytic cells so these can more easily bind and destroy the pathogen
-some opsonins are very specific and stick to types of molecules that are not found in the host cells e.g. peptidoglycans found in cell walls of bacteria
-other opsonins produced as part of specific immune response and bind to very specific antigens
-the pathogen may have another use for this antigen molecule
-for example it may be a binding site for attachment to the host cell
-in this case the opsonin renders the antigen useless- process called neutralisation
-the opsonin assists in phagocytosis but also prevents the pathogen entering a host cell before it can be attacked by phagocytes

50
Q

ANTIBODY FUNCTIONS: agglutinins

A

-because each antibody molecule has two identical binding sites it is able to crosslink pathogens by binding an antigen on one pathogen with one binding site and then an antigen on another pathogen with its other binding site
-when many antibodies perform crosslinking they clump together pathogens
-this has 2 advantages: the agglutinated pathogens are physically impeded from carrying out some functions such as entering host cells and the agglutinated pathogens are readily engulfed by phagocytes
-this is particularly effective against viruses

51
Q

ANTIBODY FUNCTION: antitoxins

A

-some antibodies bind to molecules that are released by pathogenic cells
-these molecules may be toxic and action of antitoxins render them harmless- toxins are neutralised

52
Q

Interaction of primary and secondary responses

A

-antibodies produced in response to infection
-when infecting agent first detected the immune system starts to produce antibodies
-but takes few days before number antibodies in blood rises to level that can combat infection successfully - clonal selection and expansion
-this is known as primary immune response
-once pathogens have been dealt with the number of antibodies in blood drops rapidly
-antibodies do not stay in blood
-if body infected a second time by same pathogen the antibodies must be made again
-however as a result of specific immune response there will be B memory cells and T memory cells circulating in blood- immunological memory facilitates production antibodies
-these recognise the specific antigens and immune system can swing into action more quickly
-the production of antibodies start sooner and more rapid
-concentration of antibodies rises sooner and reaches higher concentration
-known as secondary immune response- normally quick to prevent any symptoms

53
Q

What is a vaccination

A

-imitates 1st response
-vaccination provides immunity to specific diseases
-this created by deliberate exposure to antigenic material that has been rendered harmless
-antigenic material usually injected but some taken orally
-immune system treats antigenic material as real disease
-as result immune system activated (stimulates primary response) and manufactures antibodies and memory cells
-memory cells provide long term immunity

54
Q

Describe the antigenic material used in vaccinations

A

-whole live organisms - usually ones that are not as harmful as those that cause the real disease, but must have very similar antigens so antibodies produced will be effective against real pathogen e.g. small pox vaccine uses similar virus that causes cowpox, discovered by Edward Jenner
-harmless of attenuated (weakened) version of pathogenic organism e.g. measles or TB vaccines. Exposure to this type is artificial, active immunity
-dead pathogen e.g. typhoid or cholera vaccine
-preparation of antigens from a pathogen e.g. hepatitis B vaccine
-toxoid which is harmless version of a toxin e.g. tetanus vaccine

55
Q

APPLICATION: herd vaccination

A

-herd vaccination is using vaccines to provide immunity to all or almost all of the population at risk
-once enough people are immune, disease can no longer spread through population and herd immunity is achieved
-in order to be effective, essential to vaccinate all population
-e.g. to eradicate small pox, necessary to vaccinate 80-85% of population
-estimated that at least 95% of population would need to be immunised to prevent spread of measles
-in UK vaccination programme to immunise young children against following disease: diptheria, tetanus, whooping cough, polio, meningitis, measles, mumps and rubella
-given to majority of children at appropriate ages

56
Q

APPLICATION: ring vaccination

A

-ring vaccination used when new cause of disease is reported
-involves vaccinating all people in immediate vicinity of new case
-this may mean vaccinating people in surrounding houses or even in whole village/town
-also used in many parts of world to control spread of livestock disease

57
Q

Describe the control of epidemics

A

-once disease eradicated or reduced to low incidence that its unlikely to spread, the vaccination routine can be relaxed
-this has occurred with smallpox and most TB
-some pathogens can undergo genetic mutations which change their antigens
-memory cells produced by vaccination may not recognise new antigens
-when this occurs the pathogen may be transmitted and incidence of disease increases
-certain pathogens such as influenza virus relatively unstable and regularly undergo changes in antigens
-when this occurs an epidemic may arise
-threats for epidemic must be monitored so new strains of pathogens can be identified
-enables health authorities to prepare for impending epidemic by stockpiling suitable vaccines and vaccinating people who are at risk from disease

58
Q

Influenza case study

A

-influenza is a killer disease caused by virus
-people over 65 years and those with respiratory tract conditions are vulnerable
-occasionally new strain of flu virus arises thats particularly virulent- may cause epidemic
-in 1918 flu epidemic killed at least 40 million people worldwide
-in 1968/69 around 1 million killed by Hong Kong flu (H3N2)
-in 2009/10 about 540000 cases swineflu reported in UK

59
Q

How is influenza controlled

A

-in attempts to avoid another worldwide epidemic (pandemic) people at risk immunised
-in UK vaccination programme to immunise all those aged over 65 years and those who are at risk for any other reason
-in 2013-14 about 73% people aged over 65 vaccinated along with 52% younger people in at risk groups
-new versions of influenza vaccination have been developed which can be administered by nasal spray- proposed that these offered to children
-strains of flue in this immunisation programme change each year
-research undertaken to determine which strains of flu most likely to spread any given year

60
Q

What are the different types of immunity

A

-immunity can be achieved naturally or artificially
-natural immunity achieved through normal life processes
-artificial immunity achieved through medical intervention
-immunity can be achieved naturally or passively
-active immunity is achieve when the immune system activated and manufactures own antibodies
-passive immunity is achieved when antibodies supplied from another source

61
Q

Active immunity types

A

NATURAL= immunity provided by antibodies made in immune system as a result of infection
-person suffers from disease once and is then immune e.g. chickenpox
ARTIFICIAL= immunity provided by antibodies made in immune system as result of vaccination
-person injected with weaken, dead or similar pathogen with similar antigens and this activates immune system
-e.g. TB or influenza

62
Q

Passive immunity types

A

NATURAL= antibodies provided via placenta or breast milk
-this makes babies immune to disease to which mother is immune
-it is very useful in first year of babies life when its immune system is developing
ARTIFICIAL= immunity provided by injection of antibodies made by another individual (e.g. hepatitis A and B)
-tetanus can also be treated this way when vaccination using as toxoid has not worked well

63
Q

Communication between cells

A

1) identification- leucocytes have receptors that can detect foreign antigens
2) distress signals- infected cell send chemical distress signals e.g. mast release histamine
3) antigen presentation by macrophages
4) cytokine production- monokines, interleukins, inferon

64
Q

Accidental discovery of drugs

A

-accidental discovery of antibiotic penicillin by Alexander Flemming well documented
-fungus penicillium releases compounds that kill bacteria
-classic example of how science works- scientist makes an observation and sets out to explain what he/she has seen
-work of Florey and Chain who purified penicillin demonstrated potential value of antibiotics
-shows importance for scientists to work together

64
Q

Why must we find new sources of medicines

A

-currently over 6000 different medicines in UK
-new drugs needed because new diseases emerging
-still many diseases without effective treatments
-some antibiotic treatments becoming less effective

65
Q

Traditional remedies

A

-many drugs have been used for centuries
-they are used because many have noted certain plants or extracts have a beneficial effect
-World Health Organisation calculates 80% of world population relies on traditional remedies
-in India they use 7000 different plants for medicinal properties and china use 5000
-in Europe many modern drugs have their origins in traditional remedies:
-morphine- origins in use of sap from unripe poppy seed heads. Opiate drugs reduced nervous action in central nervous system- if nerves cannot carry impulses then no pain is felt
-willow bark extract- used to relieve pain and fever. Used after discovery of active ingredient could reduce side effect of stomach bleeding by adding acetyl group- led to development of ibruprofen and aspirin

66
Q

Observation of wildlife

A

-monkeys, bears and other animals rub citrus oils on their coats as insecticides and antiseptics in order to prevent insect bites and infection
-birds line nests with medicinal leaves in order to protect chicks from blood sucking mites

67
Q

Further plant research

A

-scientists have used traditional plant medicines and animal behaviour as starting point in search for new drugs
-like aspirin, research into plants used for traditional remedies enables scientists to isolate active ingredient
-this molecule can be analysed and similar molecules can be manufactured
-in recent decades, discovery of natural drugs has concentrated on tropical plants
-there are hopes that many mat contain molecules that could form new medicinal drugs
-there also may be potential uses of wild, cultivated UK plants
-new chemical fingerprinting technology enables scientists to screen natural chemicals more effectively for activity as potential medicines

68
Q

Research into disease- causing mechanisms

A

-pharmaceutical companies have been conducting research into way that microorganisms cause disease
-many make use of receptors on plasma membrane
-for example HIV virus binds to CD4 and CCR5 receptors on surface of T helper cells
-if the binding between pathogen and receptor site can be blocked then disease causing pathogen cannot gain access
-glycoprotein receptor molecules can be isolated and sequenced
-once amino acid sequence known molecular modelling can be used to determine shape of receptor
-next step is to find drug that mimics shape of receptor and could be used to bind to virus itself which would block virus from entering T helper cell

69
Q

Personalised medicine

A

-sequencing technology and molecular modelling have huge potential for future medicines
-its possible to screen genomes of plants or microorganisms to identify potential medicinal compounds from DNA sequences
-once technology fully developed may be possible to sequence genes from individuals with particular condition and develop specific drugs for the condition - known as personalised medicine

70
Q

Synthetic biology

A

-development of new molecules- in particular enzymes- that mimic biological systems is one form synthetic biology
-another way synthetic biology used it to design and construct new devices and systems that may be useful in research, healthcare or manufacturing
-for example, development of tomatoes which contain pigment anthocyanin- pigment is found in fruit such as blueberries has specific health benefits
-anthocyanins are antioxidants and help protect against coronary heart disease

71
Q

Describe the abuse of antibiotics

A

-penicillin, amoxycillin, methicillin
-antibiotics are compounds that prevent fungi or bacteria growth
-since 1928 when Alexander Flemming discovered first antibiotic, many different compounds with antibiotic properties have been discovered
-most antibiotics used are derivatives of compounds from bacteria Steptomyces
-before antibiotic use many died as results of wounds or surgery that became infected
-antibiotic use become widespread in WW2 to prevent infection of wounds
-overuse and misuse of antibiotics have led to microorganisms developing resistance and many current antibiotics have limited effectiveness as result
-some bacteria have become infamous for multiple resistance to a range of antibiotics- such as MRSA and clostridium difficile

72
Q

Describe antibiotic resistance

A

-some bacteria are resistant to antibiotics due to having enzymes that protect their cell wall
-this gives them a selective advantage
-the resistant strains survive and reproduce
-the next generation are therefore more resistant to antibiotics

73
Q

Different types of cytokines

A

1) monokines
-released by macrophages
-attract neutrophils
-stimulate B cells to differentiate to plasma
2)interleukins
-released by T, B cells and macrophages
-stimulate differentiation of B, T cells
3) interferon
–inhibit virus replication
-stimulate T killer cells