1.What is a healthy organism?1.a) Difficulties of defining the term ‘health’ and disease’Main issues are:
-many
different types of ‘health’ e.g. physical, mental, social and many types of ‘disease.’
-concept of ‘health’ is highly
subjective – what you may think is healthy, I may not.
1.b) How the function of genes, mitosis, cell differentiation and specialisation assist in the maintenance of healthAlways define each concept first, and then explain how it helps!
Gene•
Section of DNA that
codes for a particular polypeptide and thus a particular trait/characteristic.
• Without it, gene malfunction would occur → the normal metabolic pathway of an organism would be unable to function.
Mitosis•
Cell division in which
identical cells are produced.
• Needed for
growth + repair → without it, millions of dead cells would not be replaced and the organism would be unable to function.
Cell differentiation + specialisation• During development in embryo somatic cells
differentiate into specialised cells (e.g. muscle cells, epithelial cells etc).
-specific genes are ‘switched on’ so the cells can carry out particular functions in body.
• Without this, specific functions wouldn’t be allocated to specific tissues, so complex functions of the organism couldn’t be carried out.
• E.g. B cells (type of white blood cells) differentiate into plasma cells in response to infection → specialised to fight infection by producing antibodies.
SPECIFIC EXAMPLE: GENE MUTATION (causing cystic fibrosis) (i.e. showing how genes maintain health by showing health damaging effects of genes not working properly)
• Normally, CFTR protein controls chloride ion transport across cell membranes → regulates bodily fluid secretion e.g. sweat, mucous, enzymes.
• CF affects the exocrine glands → increased, thicker secretions → disrupts normal functioning of sweat glands, lungs + pancreas.
1. c) Links between gene expression and maintenance and repair of body tissuesWhat is gene expression?• For a gene that is ‘switched on,’ the DNA code is converted into polypeptides which control functions of cell.
How body tissues are repaired + maintained…
• IF DNA is damaged (but can be repaired)
-variety of enzymes produced that can repair damaged DNA e.g. some cut out damaged DNA + make new DNA to replace it.
• IF cell exposed to very high temp
-gene ‘switched on’ to produce ‘heat shock proteins’ → stabilise other proteins in cell → protects cell so can keep functioning.
• Some enzymes ‘proofread’ – prevent copying errors when DNA is replicated
-e.g. when cells are replaced e.g. those lining intestines (bc too damaged by digestion to be repaired).
Genes which control cell division (and growth + repair):
1.Proto-oncogenes: speed up cell division• Code for proteins involved in promoting cell division + differentiation.
• If mutation occurs in this gene it becomes an ‘oncogene’ → normal maintenance + repair of body tissues disrupted → can lead to uncontrolled cell division → tumours + cancer (usually mutation in tumour suppressor genes ALSO required to cause cancer).
2.Tumour suppressor genes: slow down/restrict cell division• Code for proteins that slow cell growth.
• If mutation occurs in this gene → normal maintenance + repair of body tissues disrupted → uncontrolled cell division can no longer be restrained (as genes which would normally be ‘switched off’ are now expressed) → cancer may result.
• E.g. in colon cancer: tumour suppressor gene functions normally to control cell division BUT mutation leading to deactivation of this gene leads to increased cell division → formation of colon polyps.
2. History of cleanliness in food, water and personal hygiene2. a) Distinguish between infectious and non-infectious disease•
Disease: any change to normal bodily function that
impairs, producing specific signs + symptoms.
Infectious disease•
Caused by macro + microscopic pathogens *THIS IS VERY IMPORTANT! (live on host organism or invade its tissues → interfere w normal bodily functions) → can be
transmitted from one organism to another or via a vector. • Pathogens found in water, soil, air and contaminated food + wastes.
• E.g. bacteria causes cholera, virus causes influenza.
Non-infectious disease•
Not caused by a pathogen → apart from inherited, cannot be transmitted from one organism to another.
• Can be caused by heredity, environment, poor nutrition.
• E.g. Down’s Syndrome is genetic, skin cancer is environmental.
2.b) Explain why cleanliness in food, water and personal hygiene practices assist in control of disease• Infectious diseases can be passed on via contaminated food (e.g. cholera), water (e.g. giardia) + inadequate personal hygiene
→ therefore, controlling these can reduce exposure to disease carrying microbes by reducing conditions in which they can rapidly multiply → controls spread of infectious disease.
Food• Food handlers must follow guidelines for storing, preparing + serving food:
-Washing hands before preparing + eating food.
-Thoroughly cooking food (e.g. no uncooked meat).
-When working with food, hair + skin lesions should be covered.
• Prevent conditions for ideal growth of pathogens (higher temp, high moisture etc).
Water• Most developed countries have basic legal requirements to ensure domestic water is filtered + chlorinated by licensed companies (→ not contaminated).
• Can be issue in developing countries BUT many have legislation requiring use of ‘safe water system’ for safe disposal of sewage + wastes (e.g. not just dumping it into waterways used for drinking or cleaning).
• Minimises risk of pathogens multiplying → reduces risk of transmission + disease e.g. cholera, giardia.
Personal hygiene• Can spread disease through inhalation of infective droplets by direct contact OR other bad practices relating to personal hygiene e.g. influenza + pneumonia transferred by inhaling infective droplets from a ‘sneeze.’
Good hygiene practices:Personal:-Proper hand washing with soap + water (hands carry millions of microbes – many harmless but some can cause disease).
-Keeping body, hair + teeth regularly clean to prevent pathogen build up (esp bacteria).
-Covering nose + mouth when sneezing – preventing transmission of pathogens.
Community wise:-disposal of sewage + other wastes → reduces pathogen growth.
-sterilisation of equipment in surgeries, hospitals → reduces risk of pathogen transmission.
-city planning → reduces chances of overcrowding + spread of disease.
2.c) Identify the conditions under which an organism is described as a pathogenWhat is a pathogen?• Parasite or infective agent that lives in or on a host –
MUST be able to cause disease (needs right conditions to multiply + be transmitted) e.g. bacteria, virus.
2.d) Ways in which drinking water can be treated + how this reduces the risk of infection from pathogensGenerally how drinking water can be treated:1. Water chlorination (part of Sydney Water treatment – chlorine gas injected in water to kill pathogens e.g. bacteria, viruses → reduces chances of infection).
2. Boiling water for a few minutes → kills microbes → reduces chances of infection
-only used on small samples (not mass purification of water like 1.)
How Sydney Water treats drinking water• This method achieves removal/reduction of pathogens to a safe level for consumption → minimised spread of infectious disease via pathogens.
Once water flows into the catchment area from creeks + streams it enters Sydney Water’s filtration plants…
1. Coagulation
-chemicals added → microbes, dirt + suspended solids stick together.
2. Flocculation
-water flows through paddles →these particles now clump together.
3. Sedimentation
-by gravitational forces, the clumps settle to the bottom → removes most particles.
4. Filtration
-removal of finer particles.
5. Disinfection
-chlorine gas added → kills pathogens (enough added that remains in water when goes through pipes to reach public → ensures water remains disinfected).
*Fluoridation
-adding fluoride ions for dental health (prevents tooth decay – not part of purification).
Important variables tested for by Sydney Water + why
• Coliforms (i.e. bacteria) e.g. E-coli associated with faecal contamination)
-indicates cleanliness of drinking water – presence of coliforms indicates other disease-causing pathogens also present.
-chlorine kills such bacteria.
• Trace elements
-naturally occur in low levels e.g. aluminium, iron → may cause problems of staining + taste.
• Turbidity (clarity)
-measure of suspended particles in water (may appear murky) → could hold pathogens.
*tests daily for 2 main ORGANISMS as well: cryptosporidium & giardia.
3. During the second half of the nineteenth century, the work of Pasteur and Koch and other scientists stimulated the search for microbes as causes of disease3.a) Describe the contribution of Pasteur and Koch to our understanding of infectious diseasesPasteur (19th C) – created ‘science of microbiology’• Helped
disprove the theory of spontaneous generation:-idea that living cells can be spontaneously produced from non-living cells e.g. in old meat, flies ‘appeared’ from meat cells (not true).
• Did this by putting forward the
“germ theory of disease” which established relationship bw microorganisms + disease – idea that ‘germs’ are present in the air + these lead to infection (modern understanding of infectious disease based on this idea).
-As specific bacteria became associated with specific disease, the “germ theory of disease” became more accepted and spontaneous generation was less widely supported (shows how scientific theories change over time with new tech + therefore new evidence).
• Evidence for this:
-Studied fermentation to show such germs could cause the souring of alcohol + vinegar (led to development of pasteurisation process – widely used today to rid of these microbes).
-HOWEVER, most famously supported by his
‘swan-necked’ flask experiments (explained below).• Also established the principle of immunity + developed an effective way to prevent infectious disease (via vaccines):
-developed vaccine for chicken cholera
-used Koch’s work on anthrax to develop vaccine to prevent the disease.
The ‘swan-necked’ flask experiments…• Had identical flasks with long, drawn out necks (like swans) – they were not sealed.
• Filled them with equal amounts of broth + sterilised broth within by boiling.
• As broth cooled:
-air drawn in from outside BUT any microorganisms present in air couldn’t reach broth (trapped in narrow, curved neck) → no bacterial or fungal growth observed.
-BUT, for those flasks which he broke off ‘swan neck,’ bacterial growth occurred (bc contents of flask exposed to air + microbes in it) → showed microbes which contaminated the broth MUST be carried in air, not spontaneously generated (otherwise BOTH flasks would have had growth).
• Significance reflected in Pasteur’s swan-necked flasks still on display in Paris museum (after nearly 150 years, broth still free of bacterial growth).
Variables
• Independent: shape of flask tubing (straight or swan-necked)
• Dependent: observed microbial growth (evident with cloudiness)
• Controlled:
-type + amount of broth
-same sterilisation process (boiling) → ensured microbes could only enter via AIR and nothing else
-length of tubing
• *NOTE: technically, the control is the STRAIGHT NECK flask, bc CURVED one = ALTERED SHAPE to see how microbes can affect it.
Koch (also 19th C) – expert on bacteriological techniquesKoch’s postulates
• Developed a series of steps to determine if a particular microorganism is responsible for causing a disease – known as ‘Koch’s postulates’ (still in use today):
1. Observe blood of all diseased organisms under a microscope – same pathogen must be present in all.
2. Isolate pathogen from host + culture (grow) pure sample in lab.
3. When pure sample of pathogen is cultured, this is inoculated into a health host – if they develop the same symptoms as original host (i.e. become infected), this must be the microorganism causing disease.
4. The pathogen is isolated from this new host, cultured again and identified as the same as the original species.
Limitations of these postulates• Some pathogens (e.g. viruses, prions) cannot be grown in a lab dish bc they are not living cells.
-e.g. for virus can be viewed with EM microscope to learn more about it.
• Tests usually done on animals (not ethical to do on humans) → not necessarily true that if a pathogen doesn’t infect an animal it won’t infect humans.
Therefore, both Pasteur and Koch’s work has influenced modern understanding of infectious disease which is based off their ideas, and has led to a further understanding of how disease arises and how it can be prevented/treated (shows positives of scientific collaboration also).
3.b) Distinguish between:
-prions
-viruses
-bacteria
-protozoans
-fungi
-macro-parasites
and name one example of a disease caused by each type of pathogen 3.c) The historical development for our understanding of the cause and prevention of malariaBasic info about malaria•
CAUSE: protozoan transferred via mosquito vector
Developments in understanding the CAUSE Developments in understanding PREVENTION2000 years ago• Greeks described symptoms of the disease + called in malaria BUT didn’t know it was transferred via mosquito vector - thought it was linked to
stagnant water →
developed water systems to take away this water (& so prevent the disease).
1800s• Scientist
Laveran examined blood of those with disease and without it → common microbe in blood of all sufferers (Koch’s 1st postulate) → discovered the malaria causing pathogen.
• Scientist
Ross was convinced of a link bw malaria + mosquitoes as a vector
-compared microbes present in mosquitoes which had bitten malaria sufferers with those of mosquitoes which had bitten non-sufferers → common microbe in those that had bitten sufferers (partially satisfied Koch’s 2nd postulate by growing in pure culture) → discovered
main steps in transmission of malaria (+ its life cycle) and identified certain type of mosquito as vector. • Scientist
Grassi showed
mosquitoes which had bitten sufferers could pass pathogen onto non-sufferers (Koch’s 3rd p bc isolated pathogen could cause the disease in a healthy host when given it).
Such developments in 1800s relating to cause led to many developments in prevention later on…
Early 1900s• Anti-malarial drugs (discontinued due to side effects).
• WHO implemented program attempting to eradicate malaria. Involved DDT spraying, biological control of mosquitoes (e.g. sterilising M or F so couldn’t breed) → measures not greatly successful (reflected in malaria as a worsening problem → currently threatens lives of 40% of world’s population).
Late 1900s
• Start of development of
malaria vaccineCURRENT – 2014
• Now know
malaria parasite multiplies in liver + invades RBCs, spreading its proteins across these BUT there is only
1 pathway via which this can occur – scientists attempting to block this pathway and so kill parasite:
-achieved already in
mice-being furthered through
genetically modified parasites in which
gene responsible for protein transfer can be ‘switched off.’ 3.d) Describe 1 infection disease in terms of:
-cause
-transmission
-host response
-major symptoms
-treatment
-prevention
-controlCause• Pathogen (bacteria): Vibrio cholera (scientific name)
Transmission• Bacteria ingested in contaminated food or water (sewage infected)
-TOXIN produced by the bacteria infects bowel of human and also enters their faeces (→ can be further passed on from flies carrying the bacteria on their feet, unwashed hands etc).
Host response• This toxin causes production of antibodies (HOWEVER, usually not enough are produced → continued symptoms).
Major symptoms• Diarrhoea + vomiting → dehydration
• Stomach cramps
Treatment• ORS mixture (oral rehydration solution – an electrolyte) → replacement of salts + fluids (lost in diarrhoea + vomiting).
• Glucose intake (helps patients reabsorb fluid).
Prevention• Cholera vaccine (effective for 6 months).
• Extra care: avoiding drinking unsterilised water/eating contaminated food e.g. boiling water or adding chlorine drops to water + waiting half an hour (both to kill cholera).
Control (big picture things) PARTICULARLY IN DEVELOPING COUNTRIES
• Vaccination programs
• Effective sewerage systems (so doesn’t enter waterways used for drinking + washing)
• Education e.g. proper hand washing
3.e) Identify the role of antibiotics in the management of infectious diseaseWhat are antibiotics?• Chemicals made by microbes with a toxic effect on
bacteria (and sometimes fungi) – inhibits growth of OR destroys
*NOT VIRUSES!→ their main role is to rid a person of their bacterial (and sometimes fungal) infections only.
• E.g. penicillin
-disrupts cell wall growth in bacteria
3.f) Info from secondary sources to discuss problems relating to antibiotic resistanceHow does antibiotic resistance develop?By following the steps of natural selection…
• Person has a bacterial infection e.g. food poisoning (antibiotic given to treat it)
-NATURALLY, there is
VARIATION within this bacterial population: some are
resistant to the antibiotic, some are not (e.g. only 90% may die while the 10% resistant live).
• This
10% resistant survive + reproduce →
pass on this favourable characteristic to their offspring.
•
Over time, population of bacteria becomes resistant to those antibiotics → person can no longer treat this bacterial infection with these (→
new ones must be created as these no longer effective).
Causes:• Widespread use of antibiotics increases the chance of this happening
• Often used for viral disease (cold, flu) which have no effect
• People often do not take the antibiotics for the whole course (more bacteria survive) - person stops antibiotic early (some resistant and some not resistant bacteria alive → GENE TRANSFER - gene of resistance passed to bacterial without it)
• Food-producing animals are given antibiotics (overexposure to antibiotics on consumption)
Types of antibiotic resistance1.Inherent (natural)
2.Acquired
*vertical gene transfer-once
resistant genes developed, they are
transferred directly to all the bacteria’s offspring during DNA replication (acquired from resistant parent).
*horizontal gene transfer-
resistance transferred via DNA between
bacteria of same or even diff species. Why is it recommended NOT to stop taking the course of antibiotics early (or taking them if have e.g. virus, NOT a bacterial infection)?• If a person does this, some non-resistant bacteria that should have died will actually survive → ‘gene transfer’ could occur, with the resistant gene passed on to the bacteria without it → more resistant bacteria than there should be (which reproduce etc).
What are the problems relating to antibiotic resistance?
• Diseases that COULD be cured may become untreatable → more deaths (especially in third world countries).
• Some bacterial infections are becoming very difficult to treat e.g. superbugs Golden Staph and TB → having to resort to very expensive, strong antibiotics
New types of antibiotic must be developed to treat the same bacterial infections.
4. Defence against disease
5. The immune response
6. Epidemiological studies
7. Modern StrategiesThese topics can be extremely confusing which is why I recommend looking at the notes which have also been uploaded to this website! They are detailed with lots of helpful diagrams and flow charts which will allow you to properly understand all the components, especially for the immune response.