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Health
A state of physical and mental well-being, not just an absence of disease
Communicable diseases
Diseases that are caused by pathogens or by a toxin made by a pathogen which can be passed from one person to another.
Communicable diseases examples
Tuberculosis, flu, HIV/AIDS
Non-communicable diseases
Diseases that cannot be passed on from one person to another
Non-communicable diseases examples
Arthritis, Heart disease and cancer - any deficiency disease, genetic disorders
Main Factors that can affect health
Diet, Stress and life situations (e.g. ethnic group and financial status)
How health problems interact
Different types of diseases may and often do interact, e.g. viruses in cells can trigger changes that lead to cancer and severe physical illness can lead to depression
Types of pathogens
Bacteria, viruses, protists or fungi
Differences between bacteria and viruses
Viruses are much smaller than bacteria and usually have a regular shape, bacteria are also alive
How pathogens cause disease
Bacteria divide rapidly by splitting into 2 (binary fission) and produce toxins that make you feel ill and they also might directly damage your cells while viruses take over cells of your body. They live and reproduce inside cells, damaging and destroying them
How pathogens are spread
By air, direct contact or by water
Bacteria culture
A place where bacteria are grown in very large numbers so that scientists can see all of the bacteria as a whole
Growing microorganisms in the lab
Must provide them with liquid or gel containing nutrients (culture medium) and warmth and oxygen to optimally grow. Pour hot agar gel into a Petri dish, then leave it to cool.
Contamination
Can come from your skin, the air, the soil, or the water around you
Why do we not want contamination in growing bacteria in the lab?
So we can investigate the effects of chemicals such as disinfectants and antibiotics
Why do we keep the maximum temperature of the cultures at 25C in schools
If you cultured bacteria at 37C (human body temp), there would be a high risk of growing some dangerous pathogens, the lower the temperature, the lower the likelihood of growing pathogens that may be harmful to people.
Sterilising
Kills any unwanted microorganisms, usually by heating or high pressure or ionising radiation
Calculating the number of bacteria in a population
Calculate how many times they will divide in an hour, times by number of hours to calculate number of divisions:
use: bacteria at end = bacteria at beginning x 2^number of divisions
Preventing spread of communicable diseases
Hand-washing, using disinfectants, coughing or sneezing into a handkerchief, physical barriers, isolating, destroying or controlling vectors and vaccination
What type of disease is Measles?
Viral disease
What type of disease is HIV/AIDS?
Viral disease
What type of disease is Tobacco Mosaic Virus?
Viral disease
Measles
Is spread by droplet infection. It causes fever and a rash and can be fatal. There is no cure so patients must be isolated. However, vaccination prevents spread
HIV/AIDS
HIV is spread by sharing needles, sexual contact, and the exchange of bodily fluids that initially causes a flu-like illness. Late stage HIV infection (AIDS), occurs when the body’s immune system is so badly damaged that it can no longer deal with other infections or cancers.
Tobacco Mosaic Virus
Spread by contact and vectors. It damages leaves and, hence, reduces photosynthesis. There is no treatment so spread is prevented by field hygiene and pesticides
What type of disease is Salmonella food poisoning?
Bacterial disease
What type of disease is Gonnorrhoea?
Bacterial disease
Are bacterial diseases common in plants?
No
Salmonella food poisoning
Spread through undercooked food and poor hygiene. Symptoms include abdominal cramps, fever, diarrhoea and vomiting caused by the toxins produced by the bacteria. Poultry is vaccinated to prevent the spreading of this disease
Gonorrhoea
An STD that causes discharge and pain on urination. Treatment involves antibiotics and physical barriers
What type of disease is Rose Black Spot?
Fungal disease
Rose Black Spot
Spread by wind and water. It damages leaves so they drop off, affecting growth as photosynthesis is reduced. Spread is controlled by using chemicals, but that’s still not very effective
Malaria
Caused by parasitic protists and spread by the bite of female mosquitoes, it damages blood and liver cells and can cause fevers which are fatal. Spread is reduced by preventing vectors from breeding and using mosquito nets
Body lines of defence against pathogens
Skin, nose hairs, trachea and bronchi mucus secretion, stomach acid, skin oil and white blood cells
Types of WBCs
Phagocytes and Lymphocytes
Phagocytes
Ingest pathogens, digesting and destroying them
Lymphocytes
Produce antibodies which bond to the antigen on the pathogen, destroying it. Also produce memory cells and antitoxins to counteract the toxins released by the pathogens
Chlorosis
Yellowing of leaves due to lack of magnesium ions, prevent by using fertilisers which replace lost minerals
Detecting plant disease
stunted growth, spots on leaves, areas of decay, growths, malformed stems, discolouration and presence of visible pests
Plant physical barriers
cell walls strengthen plant cells, waxy cuticle bark on trees and leave fall that ensures the infected leaves are taken away
Plant chemical barriers
Produce antibacterial chemicals that protect them against invading pathogens
Plant defence against herbivores
Poisons, thorns, hairy stems, drooping or curling when touched and mimicry
Vaccination
Involves introducing small amounts of dead or weakened pathogens to the body to stimulate WBCs to produce antibodies. The WBCs respond quickly to prevent, when the pathogen arrives, to destroy it
Herd immunity
When a large proportion of a population is vaccinated against a disease, making it difficult for the pathogen to spread
Paracetamol and Aspirin
Used as painkillers - don’t get rid of pathogen, just soothes the feeling of pain
Antibiotics
Cure bacterial diseases
Penicillin
by Alexander Fleming in 1928 involved him noticing mould (Penicillium) killing bacteria on a contaminated Petri dish, leading to the first antibiotic
What defines a good medicine?
How effective it is, if it’s safe, stable and successfully taken in and out of the body so it doesn’t overdose
Efficacy
How well a new medicine works to cure a disease or relieve symptoms
Toxicity
How harmful a new medicine is, checking for dangerous side effects or cell damage
Dosage
the specific amount of a medicine needed for it to be effective without being harmful
Preclinical trials
To assess if a drug is toxic (harmful) and has potential before human testing. Test on human cells and tissue in labs as well as live animals
Phase 1 - Clinical trials
Very low dosage is given to healthy volunteers to check for safety and side effects
Phase 2 - Clinical trials
Trials continue to find the optimum (best) dose.
Phase 3 - Clinical trials
Tested on patients with the illness to see if it works (efficacy).
Double blind trial
To reduce bias, some patients get the drug, others get a placebo, neither patients nor doctors know who gets what.
Placebo
A fake treatment (like a sugar pill) that looks identical to a real drug but has no active ingredients
How are monoclonal antibodies produced?
inject an animal with an antigen, collect its lymphocytes, fuse them with tumour cells to create hybridomas, clone these hybridomas, and then collect and purify the identical (monoclonal) antibodies they produce, which are specific to one target.
Hybridomas
A fused cell made from a mouse lymphocyte (which makes a specific antibody) and a tumour cell (which divides rapidly)
Uses of monoclonal antibodies
Pregnancy tests, diagnosis of disease, measuring and monitoring levels of blood/hormones, research and treating disease
How do monoclonal antibodies treat disease
They have been developed against the antigens on cancer cells, if a monoclonal antibody is bound to a radioactive substance, it will deliver the substance to the cancer cells without harming other cells in the body.
Advantages of monoclonal antibodies
They only bind to specific diseased or damaged cells
Disadvantages of monoclonal antibodies
Very expensive and they have created more side effects than expected
Risk factors for non-communicable diseases
Aspects of your life (smoking, exercise) and exposure to ionising radiation
Carcinogens
A chemical that leads to a mutation in cells
Benign tumours
Growths of abnormal cells contained in one place, not spreading to other tissues
Malignant tumours
Are cancers, they invade neighbouring tissues and may spread to different parts of the body in the blood where they form secondary tumours
Tumour
Result of abnormal, or uncontrolled cell division
Causes of cancer
Genetic factors, mutations from chemicals, exposure to ionising radiation
Radiotherapy
When cancer cells are destroyed by targeted doses of radiation
Chemotherapy
Chemicals are used to either stop the cancer cells dividing or make them “self-destruct”
Smoking during pregnancy
is a major risk factor for complications like premature birth, low birth weight, miscarriage, stillbirth, and birth defects because carbon monoxide reduces oxygen to foetus
Nicotine
Addictive drug found in tobacco smoke, it produces a sensation of calm, well-being
Carcinogens effects
Cilia in trachea and bronchi become weaker, so pathogens are more likely to enter the body and cause illness.
Cirrhosis
A disease that destroys liver tissue, liver cells are replaced with scar tissue that cannot carry out the same function.
Examples of carcinogens
Alcohol, smoking and ionising radiation.