Communicable diseases

What Are Communicable Diseases?

  • Communicable (infectious) diseases are diseases caused by pathogens.

  • A pathogen is a microorganism that causes diseases

  • They can be spread between organisms, in the water and in the air.

  • Pathogens include:

    • Bacteria

    • Viruses

    • Fungi

    • Protists

Pathogens and the Diseases They Cause

Bacteria

  • Microscopic single-celled organisms.

  • Can reproduce rapidly through a process called binary fission inside the body.

  • Produce toxins that damage cells.

  • Examples:

    • Salmonella – food poisoning

    • Gonorrhoea – sexually transmitted infection (STI)

Viruses

  • Not living cells.

  • Much smaller than bacteria.

  • Viruses reproduce inside host cells by using the cell’s machinery, which damages or destroys the cell when new viruses are released.

  • Examples:

    • Measles

    • HIV

    • Influenza

Fungi

  • Can be single-celled or multicellular.

  • Produces spores which spreads to other organisms.

  • Example:

    • Athlete’s foot

Protists

  • Single-celled eukaryotic organisms.

  • Often spread by vectors.

  • Example:

    • Malaria (spread by mosquitoes)

How Communicable Diseases Are Spread

Methods of Transmission:

  • Direct contact (touching, sexual contact)

  • Indirect contact (contaminated surfaces, food, water)

  • Droplets in the air (coughing, sneezing)

  • Vectors (organisms that carry pathogens, e.g. mosquitoes)

Disease

Type of Pathogen

How It Is Spread

Key Symptoms / Effects

Control / Prevention

Measles

Virus

Droplets from coughs and sneezes

Fever, red skin rash, can cause serious complications

Vaccination

HIV

Virus

Sexual contact or exchange of body fluids

Attacks immune system, can lead to AIDS

No cure; antiretroviral drugs slow progression

Tobacco Mosaic Virus (TMV)

Virus

Contact between infected plants

Mosaic pattern on leaves, reduced photosynthesis and growth

Remove infected plants, good hygiene

Salmonella

Bacteria

Contaminated food (especially poultry)

Fever, abdominal cramps, vomiting

Good hygiene, vaccinating poultry

Gonorrhoea

Bacteria

Sexual contact (STI)

Pain when urinating, thick yellow/green discharge

Antibiotics (resistance increasing)

Malaria

Protist

Female Anopheles mosquito (vector)

Recurrent fever

Insecticide-treated bed nets, preventing mosquito breeding

The non specific defence system is to prevent pathogens from entering the body.

Human Defence Systems

Physical Barriers

  • Skin – acts as a barrier to pathogens.

  • Mucus in the nose and airways traps pathogens.

  • Cilia move mucus out of the lungs.

Chemical Defences

  • Hydrochloric acid in the stomach kills pathogens.

  • Lysozyme enzymes in tears and saliva.

The Immune System

The immune system destroys pathogens and any toxins they produce.

The immune system protects us from the same type of pathogen that invades us in the future.

White Blood Cell

Function / Role

Phagocytes

Phagocytes are attracted to the area of infection

The phagocytes surrounds the pathogen and ingests it.

Enzymes that digest and destroy the pathogen are released.

lymphocytes

Lymphocytes fight pathogen in two ways:

Antibodies

Lymphocytes produce antibodies that target and help to destroy pathogens by binding to pathogens antigens on the pathogens surface.

This means that they are extremely specific

Antitoxins

Lymphocytes produce antitoxins which binds to toxic molecules produced by pathogens. This neutralises the toxins

Vaccination

Vaccination involves injecting small quantities of dead or inactive forms of a pathogen into the body.

This stimulates lymphocytes, which divide by mitosis to produce plasma cells that make the correct antibodies and memory cells.

If the same pathogen enters the body again, the memory cells recognise it and cause a rapid production of antibodies, preventing infection and providing long-term immunity.

Herd immunity

If a large proportion of a population is vaccinated, against a disease, the disease is less likely to spread, even if there are some unvaccinated individuals.

The unvaccinated person cannot catch the disease because no-one around them can pass the pathogen around.

Type

Description

Live attenuated

Contain weakened forms of the pathogen

Inactivated

Contain dead pathogens

Subunit

Contain only parts of the pathogen (e.g. antigens or proteins)

mRNA

Contain instructions for cells to produce a pathogen protein

Advantage

Explanation

Individual protection

Reduces risk of becoming seriously ill

Herd immunity

Reduces spread and protects vulnerable people

Prevents epidemics

Stops diseases spreading rapidly

Long-term immunity

Memory cells remain in the body

Limitation

Explanation

Side effects

Mild effects such as fever or swelling

Not suitable for everyone

Some people have weakened immune systems

Not always 100% effective

Some vaccinated people may still get the disease

Pathogens mutate

Changes can reduce vaccine effectiveness

Antibiotics and painkillers

Antibiotics kill infective bacteria inside the human body, without harming body cells.

Antibiotics target bacterial cells, for example by:

  • Damaging the bacterial cell wall

  • Interfering with bacterial protein synthesis

Antibiotics do NOT work against viral infections because:

  • Viruses live inside body cells so antibiotics being used can damage body tissues

  • Viruses have a different structure to bacteria

Specific bacteria needs to be treated by specific antibiotics.

Certain antibiotics were no longer effective against certain bacteria as antibiotics have been overused. This is because the bacteria has been evolved so that they were no longer killed by the antibiotic.

Reducing Antibiotic Resistance

  • Only use antibiotics when necessary

  • Always complete the full course

  • Avoid using antibiotics for viral infections

Painkillers treat the symptom of the disease by relieving pain

How painkillers work

  • They block pain signals from nerves to the brain.

  • Some reduce inflammation.

Discovery and development of drugs

  • Drug sources: Traditionally from plants & microorganisms (e.g. aspirin from willow, penicillin from mould).

  • Modern development: Computer modelling designs drugs to fit receptors; drugs are synthesised and optimised.

  • Preclinical testing: On cells/tissues & animals → tests

Toxicity-Is it harmful

Efficacy-does it work?

Dose-What amount is safe and effective to give.

  • Clinical trials:

    1. Healthy volunteers → safety & dosage

    2. Patients → effectiveness & side effects

  • Double blind trials: Neither doctor nor patient knows who gets the drug or placebo (known to have no effect)→ reduces bias incase the doctors pay closer attention to the person receiving the actual drug.

  • Peer review: Other scientists check and repeat results → improves validity & reliability.