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Controlling the spread of disease

Diseases and immunity · Pathogens and transmission · note 3 of 4

Controlling the spread of diseaseSpec 10.1.5

In short

The spread of disease is controlled by breaking transmission routes so fewer people take in pathogens. The main measures are a clean water supply, hygienic food preparation, good personal hygiene, waste disposal and sewage treatment. For example, treating drinking water and sewage stops water-borne diseases such as cholera from spreading.

Good public health stops pathogens reaching people in the first place. Each measure breaks a transmission route, so fewer people take in the pathogen.

Controlling the spread of disease
MeasureWhy it is important
A clean water supplyDrinking water is treated so it does not contain pathogens. This stops water-borne diseases, such as cholera, spreading.
Hygienic food preparationWashing hands and surfaces, cooking food thoroughly and storing it correctly stops pathogens getting into food or growing in it.
Good personal hygieneWashing hands, especially after using the toilet and before eating, removes pathogens and stops them being passed on.
Waste disposalRubbish is removed and dealt with so that pathogens in it cannot contaminate food, water or surfaces, and animals that carry pathogens are not attracted.
Sewage treatmentSewage contains pathogens from human faeces. Treating it means it does not contaminate drinking water or food crops. The stages of sewage treatment are not required.
Exam tip:

Link every measure to a route: the pathogen is kept out of water, food or off hands. 'It keeps things clean' earns no mark.

Written and checked against the Cambridge IGCSE Biology (0610) specification · Updated October 2026

Frequently asked questions

How do pathogens spread?

Pathogens spread by direct contact or indirectly. Direct contact includes blood and other body fluids passing from one person to another, for example through a cut. Indirect routes are contaminated surfaces such as door handles, contaminated food and water, animals such as mosquitoes, and tiny droplets in the air from coughs and sneezes.

How does the body stop pathogens getting in?

The skin forms a tough barrier that stops pathogens entering the body. Hairs in the nose and sticky mucus in the airways trap pathogens so they can be removed, and stomach acid kills most pathogens swallowed in food and drink. White blood cells then destroy any pathogens that do get inside the body.

Why is clean water important for preventing disease?

Clean water is important because drinking water can carry pathogens. Treating the water supply removes them and stops water-borne diseases such as cholera from spreading. Sewage treatment also matters, because sewage contains pathogens from human faeces, and treating it stops them contaminating drinking water or food crops.

All 4 questions on Pathogens and transmission