Communicable diseases: preventing and treating disease Flashcards

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1
Q

Describe natural active immunity

A

Immune system is activated and antibodies formed. Antigen is destroyed. T & B memory cells are produced, so a secondary immune response is produced if a second encounter. Body itself produces antibodies.

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2
Q

Describe natural passive immunity

A

Immune system of a new-born is not mature and cannot make antibodies to start with. Some antibodies cross the placenta when still a fetus, so has some immunity. The first milk of a mother called colostrum, is high in antibodies. Breast-fed baby will have the same number of antibodies as the mother in a few days. Lasts until the baby makes its own antibodies. Not made by the baby so passive.

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3
Q

Describe artificial passive immunity

A

Antibodies are formed in one individual, extracted and them injected into the bloodstream of another individual. This gives temporary immunity. e.g. tetanus caused by toxin Clostridium tetani. Causes muscle spasms so no breathing or swallowing. Injected with tetanus antibodies extracted from the blood of horses preventing the development of the disease.

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4
Q

Describe artificial active immunity

A

immune system is stimulated to make its own antibodies towards a dead pathogen, injected as a vaccine. The pathogen is made safe, injected into the blood, triggering a primary immune response. A secondary immune response is triggered if encountered again. These are safe vaccines, that do not cause disease.

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5
Q

How are pathogens made safe for vaccines?

A

Killed or inactivated bacteria and viruses.
Attenuated (weakened) strains of live bacteria or viruses.
Toxin molecules have been altered and detoxified.
Isolated antigens extracted from the pathogen.
Genetically engineered antigens.

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6
Q

What is an epidemic?

A

Communicable disease spreads rapidly to a lot of people at a local or national level.

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7
Q

What is a pandemic?

A

When the same disease spreads rapidly across a number of countries and continents.

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8
Q

What is herd immunity?

A

When a significant number of the population have been vaccinated, giving them immunity, and protecting those not vaccinated. There is minimal chance that an outbreak may appear.

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9
Q

Give examples of diseases that cannot be prevented by vaccination

A

Malaria: Plasmodium is very evasive. Spends time in erythrocytes, protected by self antigens from the immune system. Antigens reshuffle.
HIV: causes AIDS. Enters macrophages and T helper cells, to disable the immune system.

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10
Q

What are some common medications?

A

Painkillers, anti-inflammatories, anti-acid.

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11
Q

Give examples of medicines that cure people

A

Chemotherapy for cancer, antibiotics for bacteria, antifungals against fungi.

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12
Q

How are drugs designed today?

A

Scientists can use complex computer programmes, to build 3D models of key molecules in the body, and of pathogens and antigens. This allows models of drugs to be built, which can target particular areas.
Computers can search through libraries of chemicals, to isolate against a specific group pf a pathogen.

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13
Q

How has the analysis of genomes aided sources of medicine?

A

Enabled scientists to target novel drugs to attack any vulnerabilities. Many of the most commonly used drugs are still derived from, or based on, bioactive compounds discovered in plants, microorganisms etc.

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14
Q

Penecillin

A

Commercial extraction, originally from mould growing on melons. Antibiotic - first against many bacteria.

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15
Q

Docetaxel / paclitaxel

A

Yew trees.

Treatment of breast cancer.

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16
Q

Aspirin

A
Sallow bark (willow) 
Painkiller, anti-coagulent, anti-pyretic, anti-inflammatory.
17
Q

Prialt

A

Venom of cone snail

Painkiller 1000x stronger than morphine

18
Q

Vancomycin

A

Soil fungus

Powerful antibiotics

19
Q

Digoxin

A

Foxgloves

Heart drug for atrial fibrillation and heart failure

20
Q

Why does biodiversity need to be maintained?

A

Ensure no destruction of plant, animal or microorganisms which could be used as a key-life saving drug.

21
Q

What is pharmacogenetics?

A

The science of interweaving knowledge of drug actions with personal genetic material.

22
Q

What is personalised medicine?

A

A combination of drugs that work with your individual combination of genetics and disease. The human genome can be analysed quickly and cheaply for a better understanding of genetic basis of many diseases.

23
Q

Give an example of pharacogenetics

A

Cancer of the HER2 gene. This activity can be shut down by trastuzumab and lapatinib. Deaths can be reduced by 50%.

24
Q

What is synthetic biology?

A

Using techniques of genetic engineering, populations of bacteria can be used as biological factories. Produce needed drugs that would be too rare, expensive or not available.
Nanotechnology is the use of non-natural particles which van deliver drugs to a specific location in the body.

25
Q

What is selective toxicity?

A

Antibiotics interfere with the metabolism of bacteria, without affecting the metabolism of human cells.

26
Q

Why are antibiotics becoming less effective?

A

Random mutations are occurring in bacteria, causing a change in genes, meaning that bacteria reproduce with this resistant gene. Over time, the frequency of the beneficial allele increases in the gene pool, leaving the bacteria resistant to the antibiotic, and treatment less effective. Survival of the fittest.

27
Q

Why do antibiotic resistant bacteria occur?

A

Overuse of antibiotics e.g. farmers given routine antibiotics to feed prophylactically. Exposing more selection pressure, meaning faster mutation.

28
Q

MRSA

A

Methicillin-resistant Staphylococcus aureus.
Carried on skin + nose.
Causes boils, abscesses, septicaemia.
Was treated with methicillin, but now no cure.

29
Q

C.difficile

A

Clostridium difficile.
Carried in gut.
Produces toxins which damages intestines.
Diarrhoea, bleeding, death.
Antibiotics cause death of ‘helpful’ gut bacteria. Survives and reproduces.

30
Q

How can we reduce antibiotic-resistant infcetions?

A

Minimise use of antibiotics, and ensure every course of antibiotics is completed to prevent individuals surviving.
Good hygiene in hospitals, care homes, and in general.

31
Q

How are we solving the problem?

A

Scientists developing new antibiotics from computer modelling and new sources. This is not happening fast enough.