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Cholera

Diseases and immunity · Pathogens and transmission · note 4 of 4

Spec 10.1.16, 10.1.17
Supplement (what this means)Supplement: only for the Extended papers (2 and 4). Core students can skip it. What the labels mean
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CholeraSpec 10.1.16, 10.1.17

Cholera is a disease caused by a bacterium. It is transmitted in contaminated water, so it spreads where drinking water is not clean or sewage is not treated.

The cholera bacterium lives in the small intestine and produces a toxin. The toxin has these effects:

  1. The toxin causes cells lining the small intestine to secrete chloride ions into the small intestine.
  2. The chloride ions lower the water potential in the gut, so water moves into the gut from the blood by osmosis.
  3. The extra water causes diarrhoea.
  4. Large amounts of water and ions are lost from the body, so the person becomes dehydrated and loses ions from the blood.
Section through the small intestine wall: cholera bacteria in the lumen release toxin onto the lining cells, chloride ions are secreted into the gut, water moves from the blood vessel into the gut by osmosis causing diarrhoea, and the blood loses water and ions causing dehydration. (opens full size in a new tab)
The cholera toxin makes lining cells secrete chloride ions into the gut, so water follows by osmosis, causing diarrhoea and dehydration.
Exam tip:

Put the sequence in order: toxin, chloride ions secreted, water moves in by osmosis, diarrhoea. Name osmosis.

Quick check

  1. What is a pathogen?

    Show answer

    A disease-causing organism.

  2. What is a transmissible disease?

    Show answer

    A disease in which the pathogen can be passed from one host to another.

  3. Name the body defences in the syllabus.

    Show answer

    Skin, hairs in the nose, mucus, stomach acid and white blood cells.

  4. Supplement Which route of transmission is cholera associated with?

    Show answer

    Contaminated water.

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