Communicable diseases — AQA GCSE Combined Science: Trilogy
Pathogens and how they spread, human defences, vaccination, antibiotics, painkillers and how new medicines are developed.
Pathogens and how they spread, human defences, vaccination, antibiotics, painkillers and how new medicines are developed.
9 short notes, in the order of the specification. Each one in short:
A pathogen is a microorganism that causes infectious disease, and may be a virus, bacterium, protist or fungus. Communicable diseases are spread by direct contact, by water or by air. Bacteria and viruses may reproduce rapidly inside the body. Bacteria may produce toxins that damage tissues, and viruses live and reproduce inside cells, causing cell damage.
Measles, HIV and tobacco mosaic virus are viral diseases. Measles causes a fever and a red skin rash, is spread by inhaling droplets from sneezes and coughs, and is prevented by vaccination. HIV attacks immune cells unless controlled with antiretroviral drugs, leading to AIDS. TMV gives a mosaic pattern on leaves, reducing photosynthesis and growth.
Salmonella food poisoning and gonorrhoea are bacterial diseases. Salmonella is spread in food, and its symptoms are caused by the bacteria and the toxins they secrete; UK poultry are vaccinated against it. Gonorrhoea is a sexually transmitted disease that was easily treated with penicillin until resistant strains appeared. It is controlled with antibiotics and condoms.
Rose black spot is a fungal disease of plants that causes purple or black spots on the leaves, which often turn yellow and drop early. This reduces photosynthesis, so less glucose is made and the growth of the plant is affected. It is spread by water or wind, and is treated with fungicides and by removing and destroying affected leaves.
Malaria is a disease caused by a protist, whose life cycle includes the mosquito. It causes recurrent episodes of fever and can be fatal. The mosquito is a vector: it carries the protist from one person to another when it feeds on blood. Malaria is controlled by stopping mosquitos from breeding and by using mosquito nets to avoid bites.
Human defence systems stop pathogens entering the body or destroy them. Non-specific defences include the skin as a barrier, hairs and mucus in the nose, mucus and cilia in the trachea and bronchi, and hydrochloric acid in the stomach. If pathogens get in, white blood cells destroy them by phagocytosis, antibody production and antitoxin production.
Vaccination is introducing small quantities of dead or inactive forms of a pathogen into the body to stimulate white blood cells to produce antibodies. If the same pathogen re-enters the body, the white blood cells respond quickly with the correct antibodies, preventing infection. If a large proportion of the population is immunised, the pathogen cannot spread easily.
Antibiotics, such as penicillin, are medicines that help to cure bacterial disease by killing infective bacteria inside the body. Specific bacteria should be treated with specific antibiotics. Antibiotics cannot kill viruses, and the emergence of strains resistant to antibiotics is of great concern. Painkillers and other medicines treat the symptoms of disease but do not kill pathogens.
Drugs were traditionally extracted from plants and microorganisms, such as digitalis from foxgloves and aspirin from willow, but most new drugs are now synthesised by chemists. New drugs are tested for toxicity, efficacy and dose: first in preclinical testing on cells, tissues and live animals, then in clinical trials on healthy volunteers and patients.
19 exam-style questions (58 marks), each with its mark scheme.
Answer the questions51 cards: flip them, mark what you knew, and practise the rest.
Practise the cardsThe whole of infection and response on one page, so you can see where this subtopic fits.
Open the mind mapFree PDFs to print or save.
Name the four types of pathogen.
Viruses, bacteria, protists and fungi.
Name the three ways white blood cells defend against pathogens.
Phagocytosis, antibody production and antitoxin production.
Why can antibiotics not be used to treat a viral disease?
Antibiotics cannot kill viral pathogens.
What does a vaccine contain?
Small quantities of dead or inactive forms of a pathogen.
Where is preclinical testing carried out, and on what?
In a laboratory, using cells, tissues and live animals.
Pathogens spread by direct contact, by water or by air. HIV and gonorrhoea spread by sexual contact, and HIV also by the exchange of body fluids such as blood. Measles spreads in droplets from sneezes and coughs, and rose black spot by water or wind. Salmonella spreads in food, and malaria is carried by mosquitos.
White blood cells fight infection in three ways. Some engulf and digest pathogens, which is called phagocytosis. Others produce antibodies, which target a particular pathogen and help to destroy it, and antitoxins, which neutralise the toxins released by pathogens. This is the immune system, which acts when a pathogen gets past the non-specific defences.
Vaccines work by introducing small quantities of dead or inactive pathogen into the body, which stimulates white blood cells to produce antibodies. If the same pathogen enters the body later, the white blood cells respond quickly to make the correct antibodies, so the pathogen is destroyed before it causes illness. A vaccine does not contain antibodies itself.
Antibiotics kill infective bacteria inside the body, but they cannot kill viral pathogens. Viruses live and reproduce inside the body's cells, so it is difficult to develop drugs that kill viruses without also damaging the body's tissues. Painkillers can ease the symptoms of a viral illness, but they do not kill the pathogen.
HIV is the virus, and AIDS is the late stage of HIV infection. HIV first causes a flu-like illness. Unless it is successfully controlled with antiretroviral drugs, the virus attacks the body's immune cells. AIDS happens when the immune system is so badly damaged that it can no longer deal with other infections or cancers.
Written and checked against the AQA GCSE Combined Science (8464) specification · Updated October 2026