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Health, disease and the development of medicines, subtopic 2 of 6Spec 5.4–5.8

Pathogens and infections

Types of pathogen, six named infections, how they spread and are controlled, the virus lifecycle and sexually transmitted infections.

5 sections, with a quick check at the end.

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What is a pathogen?Spec 5.4

A pathogen is a disease-causing organism. The four types you need to know are viruses, bacteria, fungi and protists.

Types of pathogen
TypeKey factsExample
VirusNot a cell; much smaller than bacteria; can only reproduce inside a host cellHIV
BacteriumA single-celled organism with no nucleusCholera bacterium
FungusIncludes single-celled and many-celled organismsChalara ash dieback fungus
ProtistA single-celled organism with a nucleusMalaria protist

Common infectionsSpec 5.5

Infections you need to know
DiseasePathogen typeEffect on the host
CholeraBacteriumCauses diarrhoea
TuberculosisBacteriumCauses lung damage
Chalara ash diebackFungusCauses leaf loss and bark lesions in ash trees
MalariaProtistCauses damage to the blood and liver
HIVVirusDestroys white blood cells, leading to the onset of AIDS
Triple only
Triple only infections
DiseasePathogen typeEffect on the host
Stomach ulcers (Helicobacter)BacteriumCauses stomach ulcers
EbolaVirusCauses haemorrhagic fever
Triple only

Haemorrhagic fever means a fever with bleeding.

How pathogens spread and how to control themSpec 5.6

To explain how to reduce the spread of a disease, first state how it is spread, then say how that route can be blocked.

Spread and control of named diseases
DiseaseHow it spreadsHow spread can be reduced or prevented
Cholera (bacteria)In water contaminated with sewage containing the bacteriaProvide clean drinking water; treat sewage; wash hands and cook food thoroughly
Tuberculosis (bacteria)Airborne: droplets from coughs and sneezesIsolate infected people; cover the mouth when coughing; good ventilation; vaccination
Chalara ash dieback (fungi)Airborne spores carried by the windDestroy infected trees; restrict movement and import of ash plants
Malaria (protists)By an animal vector: the mosquito, which carries the protist from person to personControl mosquitoes (drain standing water, use insecticides); mosquito nets; insect repellent
Triple only
Spread and control of Triple only diseases
DiseaseHow it spreadsHow spread can be reduced or prevented
Stomach ulcers, Helicobacter (bacteria)Oral transmission: swallowing the bacteria in food, water or from salivaGood hygiene; handwashing; clean water and food preparation
Ebola (virus)Contact with infected body fluidsIsolate patients; wear protective clothing; avoid contact with body fluids, including safe handling of bodies

A vector is an organism that carries a pathogen from one host to another without usually being harmed itself. The malaria vector is the mosquito. Killing or avoiding the vector breaks the chain.

Cycle diagram of malaria spread: an infected person has protists in the blood, a mosquito bites and takes up protists, the mosquito bites a healthy person and passes on the protists, and that person develops malaria; the protist is the pathogen and the mosquito is the vector.Tap to enlarge
The mosquito is the vector: it carries the malaria protist from one person to the next.

The lifecycle of a virusSpec 5.7BTriple only

Viruses are not cells and cannot reproduce on their own. They reproduce inside a host cell, using the host's cell machinery. A virus can follow one of two pathways.

The lytic pathway

  1. The virus attaches to a host cell and its genetic material enters the cell.
  2. The viral genetic material takes over the host cell and the cell makes new virus parts.
  3. New viruses are assembled inside the cell.
  4. The cell bursts open (it is lysed) and the new viruses are released to infect other cells.

The lysogenic pathway

  1. The virus attaches and its genetic material enters the host cell.
  2. The viral genetic material becomes part of the host cell's DNA.
  3. The virus stays dormant (inactive). The host cell does not burst and does not show harm. When the host cell divides, the viral genetic material is copied too, so every new cell contains it.
  4. At a later time, something may trigger the viral genetic material to become active, and the virus then follows the lytic pathway.
Lytic and lysogenic pathways compared
LyticLysogenic
Viral genetic materialTakes over the cell straight awayJoins the host DNA and stays inactive
New viruses made?Yes, immediatelyNot until the virus becomes active
Host cellBurst open and killedSurvives and divides, copying the viral genes
Diagram of a virus attaching to a host cell and injecting its genetic material, then the lytic pathway (new viruses made, cell bursts and releases them) and the lysogenic pathway (viral genetic material joins host DNA, cell divides copying it, and a later trigger switches it to the lytic pathway).Tap to enlarge
Lytic: new viruses are made and the cell bursts. Lysogenic: viral genes hide in the host DNA until a trigger makes them active.

Sexually transmitted infectionsSpec 5.8

Sexually transmitted infections (STIs) are spread by sexual contact. You need two examples: chlamydia and HIV.

Chlamydia and HIV
ChlamydiaHIV
PathogenBacteriumVirus
How it spreadsUnprotected sexual contactUnprotected sexual contact; sharing needles; contact with infected blood; from an infected mother to her baby
EffectsOften no symptoms; can cause infertilityDestroys white blood cells and can lead to AIDS
How spread can be reducedUse condoms; screening and testing; treating infected people with antibiotics; informing partnersUse condoms; do not share needles; screen donated blood; drug treatment to lower the amount of virus

Condoms act as a barrier that stops body fluids passing from one person to another. Using a condom, having fewer partners and being tested regularly all reduce the spread.

Quick check

  1. Name the four types of pathogen.

    Show answer

    Viruses, bacteria, fungi and protists.

  2. How is cholera spread, and how can its spread be reduced?

    Show answer

    Through contaminated water; provide clean water and treat sewage.

  3. What is the vector for malaria?

    Show answer

    The mosquito.

  4. Triple only: what happens to the host cell in the lytic pathway?

    Show answer

    It bursts open (lyses), releasing new viruses.

  5. Name a bacterial STI and a viral STI.

    Show answer

    Chlamydia (bacterial) and HIV (viral).