Learning Outcomes • compare and contrast active, passive, natural and artificial immunity; • (m) explain how vaccination can control disease (HSW6a, 7c); • (n) discuss the responses of governments and other organisations to the threat of new strains of influenza each year (HSW7b, 7c); • (o) outline possible new sources of medicines, with reference to microorganisms and plants and the need to maintain biodiversity (HSW 6a, 6b, 7b); •
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Learning Outcomes compare and contrast active, passive, natural and artificial immunity; (m) explain how vaccination can control disease (HSW6a, 7c); (n)
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Learning Outcomes • compare and contrast active, passive, natural and artificial immunity;
• (m) explain how vaccination can control disease (HSW6a, 7c);
• (n) discuss the responses of governments and other organisations to the threat of new strains of influenza each year (HSW7b, 7c);
• (o) outline possible new sources of medicines, with reference to microorganisms and plants and the need to maintain biodiversity (HSW 6a, 6b, 7b);
Immunology Quiz• 1. A substance released by helper T cells or by macrophages which have engulfed
a pathogen...............................• 1a. A named example of the above is....................• 2. Name of the process describing activated immune cells increase in
numbers....................• 3. The reason why AIDS sufferers have many opportunistic
• 4. Receptors of immune cells are.........................to specific antigens and are located .................................................................
• 6. The part of the macrophage which surrounds the pathogen to be engulfed is...................
Immunology Quiz• 1. A substance released by helper T cells or by macrophages which have engulfed
a pathogen...............................• 1a. A named example of the above is....................• 2. Name of the process describing activated immune cells increase in
numbers....................• 3. The reason why AIDS sufferers have many opportunistic
• 4. Receptors of immune cells are.........................to specific antigens and are located .................................................................
New strains of the influenza virus are constantly emerging. This is because antigens displayed on the virus change due to mutation. This causes antigenic variation.
The government works with other organizations to identify current strains of influenza. An effective vaccine is developed each year.
Antigenic variation makes it hard to immunize a patient against the influenza virus for life with just a single vaccine.
• Vaccination past question• In an attempt to reduce outbreaks of influenza, the
government encourages vaccination of at risk groups such as the elderly and young children,
• Give two more examples of at risk groups and explain why they are at risk. (4)
• AIDS/HIV sufferers/transplant patients (1) Weak/Suppressed immune system, more likely to become infected (1)
• Pregnant women (1) Allows protection of foetus (1)• Health Workers (1) High level of exposure to disease (1)
New Medicines• Complete the spider diagram below use p176-7P; p170G
New Medicines
Why we need them
Sources
Methods of Discovery
Why is maintenance of biodiversity relevant here?
Smoking and Disease • describe the effects of smoking on the mammalian gas exchange system, with reference to the symptoms of chronic bronchitis, emphysema (chronic obstructive pulmonary disease) and lung cancer;
• (q) describe the effects of nicotine and carbon monoxide in tobacco smoke on the cardiovascular system with reference to the course of events that lead to atherosclerosis, coronary heart disease and stroke;
• (r) evaluate the epidemiological and experimental evidence linking cigarette smoking to disease and early death (HSW3, 6a, 7a, 7b, 7c).
•
Cigarette smoke
• Tar – Contains carcinogens– Destroys cilia– Stimulates goblet cells– Increases incidence of infection– Causes allergic reactions
• Smokers Cough – damages linings in airway, smooth muscle thickens, inflammation and wbc mediated destruction of lung linings.
• Lung Cancer – carcinogens mutate DNA in cells• Eg Benzopyrene
TarCarbon MonoxideNicotine
Diseases
• Chronic Bronchitis• Emphysema• COPD• Lung Cancer
• Use purple book p179 and green book p176-7 to complete the worksheet
Nicotine and CO
• Causes adrenaline release – speeds up heart, breathing rate and causes constriction of arterioles (leads to inc in BP and possible loss of extremities)
• Causes platelets to become sticky – thrombus
• CO – carboxyhaemoglobin – raises HR• CO – damages artery linings
CHD/Stroke
• Damage of artery inner lining (endothelium)• Phagocytes repair damage by encouraging fatty
deposition within walls (Atheroma)
• Develops into plaque• Restricts flow (lumen narrows) and increases chance of
thrombosis
• Coronary arteries (carry blood at high pressure) supply the heart – restricted CA can cause CHD – angina, MI, heart failure.
• Stroke if occurs in brain.
Epidemiology
• The study of distribution of a disease in populations and the factors that influence its spread.
• The link between smoking and lung cancer was established by Doll and Peto in 1978
• They did a 20 year prospective study using 34 000 doctors.
Use green book p178-9
• Handouts provided• Past paper question: p16, Q5a (Jun 2012)• Describe the trends in the data (4)