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What causes malaria?
Plasmodium
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What vector spreads malaria?
Female Anopheles mosquito
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What cells do malarial parasites live in?
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What causes TB?
Mycobacterium tuberculosis
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Global impacts of malaria
- Kills 3 million per year
- Affects 300 million
- In tropical regions
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Global impact of AIDS
- Speading in pandemic proportions
- 45 million living with it
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Global impacts of TB
- 1.6 million killed
- 30% of worlds population
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Primary defences
- Skin
- Mucus
- Tear fluid
- Ear wax
- Stomach acid
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Secondary defences
- Phagocytes:
- Neutrophils- manufactured in bone marrow, released in large numbers
- Macrophages- larger cells, initiate immune response
- engulf and destroy pathogens
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Phagocytosis
- Pathogen attached to phagocyte by antibody and surface receptors
- Pathogen engulfed by infolding of phagocyte membrane
- Lysosomes release lysins into phagosome
- Harmless end products of digestion are absorbed
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Antibodies
- Produced by lymphocytes
- protein molecules that can identify and neutralise antigens

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Balanced diet
- a diet that contains all the nutrients required for health in appropriate proportions
- contains: carbohydrates, proteins, fats, vitamins, minerals, water, fibre
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Unbalanced diet
- malnutrition
- deficiency
- obesity: consuming too much energy, causes cancer, type 2 diabetes, cardiovascular disease, gallstones and osteoarthritis
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High blood cholesterol
- high-density lipoproteins (HDL): produced by unsaturated fats, cholesterol and protein, carry cholesterol from body tissues to liver, reducing blood cholesterol levels, reduce deposition in the arteries
- low-density lipoproteins (LDL): produced by saturated fats, carry from liver to tissues, causes depostion in arteries
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Coronary heart disease
- caused by the deposition of fatty substances in the walls of the coronary arteries (atherosclerosis)
- diet: salt (decrease water potential of blood), fats, cholesterol
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Preventing food spoilage
- cooking: denatues enzymes
- salting: dehydrate microorganisms
- smoking: antibacterial chemicals
- pickling: acid pH denatures enzymes
- irradiation: disrupt DNA structure, kills
- freezing: retard enzyme activity
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Microorganisms to make food
- e.g. Quorn
- Advantages: production faster,no animal welfare issues, good source of protein for vegetarians, no animal fat
- Disadvantages: isolation of protein, protein has to be purified, infection, palatability
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What is health?
a state of mental, physical and social wellbeing, not just the absence of disease
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What is disease?
a departure from good health caused by a malfunction of the mind or body
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What is a parasite?
an organism that lives in or on another living thing, causing harm to its host
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What is a pathogen?
an organism that causes disease
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What is immune response?
- the specific response to a pathogen, which involves the action of lymphocytes and the production of antibodies
- primary: combating first infection
- secondary: responding to a second infection quicker
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How do antibodies work?
- attaching to antigens
- neutralisation: antibodies covering the pathogen binding sites prevent the pathogen from binding to a host cell and entering the cell
- agglutination: binding many pathogens together, the group of pathogens is too large to enter a host cell
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What is an antigen?
molecules that stimulate an immune response
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T lymphocytes
- have different receptor molecules on their surface
- If an antigen is presented to a T cell with a complementary shaped receptor, the T cell is stimulated, increases in size and starts to divide.
- A clone of identical T cells is formed, all with the correct shaped receptor. These T cells then differentiate to form 4 groups of specialised T cells. These are:
- Killer T cells
- Helper T cells
- Suppressor T cells
- Memory cells
kill infected cells
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B lymphocytes
form a clone if it comes into contact with a complementary shaped antigen. The clone contains mostly plasma cells for immediate use and some memory cells for use in the future
manufacture antibodies
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Vaccination
deliberate exposure to antigenic material which activates the immune systemto make an immune response and provide immunity
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Immunity
- Active: immunity achieved by activation of the immune system, last for many years
- Passive: provided by antibodies that have not been manufactured by stimulating the recipient's immune system
- Natural: gained by living processes
- Artificial: gained by deliberate exposure to antibodies or antigens
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Smoking: chronic bronchitis
- inflammation of the lining of the airways
- damage to cilia
- overproduction of mucus
- symptoms: irritation in the lungs, coughing, coughing up mucus, lung infection
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Smoking: emphysema
- loss of elasticity in the alveoli- alveoli bursts, harder to exhale
- symptoms: short of breath
- chronic obstructive pulmonary disease
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Smoking: lung cancer
symptoms: coughing, short of breath, pain in chest, blood coughed up
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Smoking: short term effects
- lumen of airway gets smaller
- destroyed cilia
- mucus and bacteria block airway
- lungs more susceptible to infections- influenza or pneumonia
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Smoking: long term effects
- airways and alveoli become damaged- replaced with scar tissue
- frequent infections
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Smoking: nicotine
- causes addiction
- mimics the action of transmitter substances
- causes release of adrenaline
- causes constriction of the arterioles
- makes platelets sticky
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Smoking: carbon monoxide
- combines with haemoglobin
- damage lining of the arteries
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Smoking: atherosclerosis
- CO damages endothelium of the arteries
- damage repaired by white blood cells
- growth of smooth muscle and deposition of fatty substances
- deposition known as atherosclerosis- occurs under the endothelium
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Smoking: coronary heart disease
- narrowing of lumen by plaques
- angina: severe pain in chest
- heart attack: death of part of the heart muscle
- heart failure: heart cannot sustain its pumping action
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Smoking: stroke
- death of part of the brain tissue
- causes: blood clot and artery leading to the brain bursting (haemorrhage)
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Coronary heart disease- factors
- age
- gender
- smoking
- obesity
- high blood pressure
- high blood cholesterol levels
- physical activity
- diet
- high salt intake
- genetic factors
- diabetes
- stress
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Epidemiology
the study of the distribution of a disease in populations and factors that influence its spread
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