AS Level · Topic 10.1
A-Level Biology 9700 / Topic 10 / AS

Four diseases, four routes between people.

An infectious disease is caused by a pathogen that can pass from one person to another. Cholera, malaria, TB and HIV/AIDS are caused by a bacterium, a protoctist, bacteria and a virus, and each one travels by its own route: water, a mosquito, the air and body fluids.

The key idea

An infectious disease is caused by a pathogen, an organism or virus that causes disease, and it is transmissible: it can be passed from one host to another. Cholera is caused by the bacterium Vibrio cholerae and spreads by the faecal-oral route in contaminated water and food. Malaria is caused by the protoctists Plasmodium falciparum, P. malariae, P. ovale and P. vivax and is carried by a vector, the female Anopheles mosquito. Tuberculosis (TB) is caused by the bacteria Mycobacterium tuberculosis and M. bovis and spreads in airborne droplets, with M. bovis also caught from infected cattle in unpasteurised milk or undercooked meat. HIV/AIDS is caused by the human immunodeficiency virus and is passed in body fluids: unprotected sex, shared needles and infected blood, and from mother to baby.

choleramalariaTBHIV/AIDS Vibrio choleraebacterium Plasmodium(four species)protoctist M. tuberculosisand M. bovisbacteria human immuno-deficiency virusvirus faecal-oral:water, food vector: femaleAnopheles droplets in air;milk (M. bovis) body fluids: sex,blood, birth pathogen, type and main route of transmission (not to scale)
Fig. 1: the four pathogens named in the syllabus, the type of each and its main route of transmission
Section 01

Meet the pathogens.

The lab opens on cholera. Rotate each model and read the PATHOGEN and TYPE read-outs as you click through cholera, malaria, tuberculosis (TB) and HIV/AIDS.

DiseasePathogenTypeWhere it attacks
choleraVibrio choleraebacterium (prokaryote)small intestine: a toxin makes cells secrete chloride ions, water follows by osmosis, causing severe watery diarrhoea and dehydration
malariaPlasmodium falciparum, P. malariae, P. ovale, P. vivaxprotoctist (single-celled eukaryote)liver cells, then red blood cells, which burst as the parasites multiply
tuberculosis (TB)Mycobacterium tuberculosis and M. bovisbacteria (prokaryotes)mainly the lungs; the bacteria survive inside phagocytes
HIV/AIDShuman immunodeficiency virus (HIV)virus (a retrovirus)T-helper lymphocytes; their loss weakens the immune system and leads to AIDS

All four are infectious (caused by a pathogen) and transmissible (passed between people). Diseases such as sickle cell anaemia or lung cancer are not infectious: there is no pathogen to pass on.

Examiner trap

Malaria is not caused by a bacterium or by the mosquito. The pathogen is the protoctist Plasmodium; the mosquito is only the vector that carries it. Name the pathogen with its genus (and species where asked), written in italics or underlined.

Section 02

Four routes between hosts.

Pick each disease and follow the moving dots along its route. Read the labels in each scene: where does the pathogen leave one person and how does it enter the next?

Examiner trap

HIV does not survive long outside the body and is not spread by touching, coughing, sharing cups or by mosquitoes. A mosquito transmits Plasmodium because the parasite completes part of its life cycle inside the insect; HIV does not.

Stage 1 · Learn

Check what the sim just showed you

Four quick checks. Each correct answer earns XP and records this skill on your profile.

Quick check+10 XP

In the pathogens tab, what does the TYPE read-out show for malaria?

Quick check+10 XP

In the malaria model, what are the purple rings shown inside the red blood cell?

Quick check+10 XP

In the cholera scene of the transmission tab, where do the bacteria come from before they reach the drinking water?

Quick check+10 XP

In the TB scene, which setting does the lab label to show where TB spreads most easily?

Section 03

Why the route matters.

Knowing exactly how a pathogen gets from one host to the next tells you where the chain of transmission can be broken.

DiseaseRouteWhere the chain can be broken
cholerawater and food contaminated with faecessewage treatment, clean piped or chlorinated water, hygiene
malariafemale Anopheles mosquitostop mosquitoes breeding or biting; treat infected people
TBdroplets in air; milk from infected cattleless overcrowding, early diagnosis and treatment, BCG vaccine, pasteurisation
HIVsex, blood, mother to babycondoms, screened blood, clean needles, antiretroviral drugs

The next lesson weighs these measures against the biological, social and economic factors that decide whether they work.

Stage 2 · Exam

Exam-style questions

Unlocks once the four checks above are done. Worth more XP, written to AS Paper 1 and Paper 2 standard.

Finish the four checks above to unlock the exam questions
Exam style+20 XP

Which row correctly matches disease, pathogen and type of pathogen?

Exam style+20 XP

Which statement best explains why malaria is described as transmitted by a vector?

Exam style+20 XP

A cholera outbreak follows an earthquake that damages the water pipes and sewers of a city. Which explains the outbreak?

Exam style+20 XP

Why are people with HIV more likely to develop active TB?

Skill unlocked

Pathogens and transmission, mastered.

This skill is now recorded on your profile. Keep the chain going.

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Go deeper · practice
Six original Cambridge-style questions
Naming the pathogens that cause cholera, malaria, TB and HIV/AIDS, their types, and explaining how each disease is transmitted.