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Advantages and disadvantages of immunisation

Health, disease and the development of medicines · Human defences and immunity · note 4 of 4

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In short

Immunisation protects people from serious diseases, reduces the spread of disease and can prevent epidemics. Through herd immunity, when a large proportion of a population is immune, it also protects people who cannot be vaccinated. Disadvantages are that some people have side effects, it does not always work, boosters may be needed and some pathogens change often.

In a discuss question you must give both sides. Use the ideas below.

Immunisation: for and against
AdvantagesDisadvantages
Protects the person from serious diseasesSome people have side effects, such as a sore arm or fever; very rarely, serious reactions happen
Reduces the spread of disease, so epidemics can be preventedIt does not always work, and some people are still infected
Some diseases have been almost wiped outBoosters may be needed to keep protection high
Protects people who cannot be vaccinated, through herd immunitySome pathogens change often, so new vaccines are needed

Herd immunity

Herd immunity happens when a large proportion of a population is immune to a disease. The pathogen finds it hard to spread because most people it reaches are immune. This also protects the few who are not immune, such as babies who are too young to be vaccinated or people whose immune system is weak.

If fewer people are vaccinated, herd immunity is lost and the disease can spread through the population again.

Exam tip:

End a discuss answer with a short judgement, for example that the benefits outweigh the risks for most people, and say why.

Quick check

  1. Name two physical barriers in the human body.

    Show answer

    Any two of: skin, mucus, cilia.

  2. What do lysozymes do?

    Show answer

    They are enzymes that break down the cell walls of bacteria.

  3. What is an antigen?

    Show answer

    A molecule, usually on the surface of a pathogen, that triggers an immune response.

  4. Why is the secondary response better than the primary response?

    Show answer

    Memory lymphocytes make it faster and produce more antibodies.

  5. Triple only: what is herd immunity?

    Show answer

    When a large proportion of the population is immune, so the pathogen cannot spread easily and non-immune people are protected.

Written and checked against the Edexcel GCSE Biology (1BI0) specification · Updated October 2026

Frequently asked questions

How do vaccines work?

Vaccines work by putting an inactive form of a pathogen, such as a dead or weakened one, into the body. Its antigens trigger an immune response, so antibodies and memory lymphocytes are made. If the live pathogen enters later, memory lymphocytes carry out a fast secondary response with many antibodies, so the person does not become ill.

How do white blood cells fight infection?

White blood cells called lymphocytes fight infection by producing antibodies. Antigens on a pathogen trigger the lymphocytes with antibodies that fit to divide, and antibodies are produced. The antibodies bind to the antigens and help destroy the pathogen. Memory lymphocytes are also made, so the response is faster if the pathogen returns.

What is the difference between the primary and secondary immune response?

The primary response happens the first time a pathogen enters the body, and the person usually becomes ill while antibodies are made. In the secondary response, memory lymphocytes recognise the same antigens and respond faster, making more antibodies, so the pathogen is destroyed before it can make the person ill.

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