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Defence against disease and vaccination – GCSE Combined Science Biology

Foundation and Higher · Grade 5

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How the body keeps pathogens out, how white blood cells fight them, and how vaccination gives lasting protection.

Objectives

Specification references this topic covers: AQA 4.3.1; Edexcel B5.12, B5.13, B5.14.

Defence against disease and vaccination explained

Start here

Every day you meet germs. They are on door handles, in the air and in your food. Yet most days you do not get ill. That is because your body has a defence system.

This matters because it explains why you get better from a cold. It also explains why vaccines protect you, and why they protect other people too.

By the end you will be able to describe how the body keeps pathogens out. You will explain what white blood cells do. You will explain how vaccination and herd immunity work.

Keeping pathogens out

A pathogen is a microorganism that causes disease. The body has barriers that stop pathogens getting in. Think of a football ground, with gates, bag checks and stewards.

The skin is a barrier, and it seals cuts with blood clots. The nose has hairs and mucus that trap particles. The trachea and bronchi have mucus and cilia, which are tiny hairs that sweep mucus up to be swallowed.

The stomach makes hydrochloric acid, which kills most pathogens in food and drink. These defences work against all pathogens, so they are called non-specific.

Phagocytes

If a pathogen gets inside the body, white blood cells attack it. There are different kinds. One kind is the phagocyte.

A phagocyte wraps around a pathogen and takes it inside. Enzymes then break the pathogen down. This is called phagocytosis. It works on many kinds of pathogen, so it is non-specific.

Think of a phagocyte as a cell that swallows an intruder whole, then breaks it down. Phagocytes act quickly, while antibodies take longer to arrive.

Lymphocytes and antibodies

Lymphocytes are another type of white blood cell. Every pathogen has antigens, which are markers on its surface. When lymphocytes detect an antigen, they make antibodies.

Antibodies are proteins that fit one antigen, like a key in a lock. They attach to the pathogen and help to destroy it. An antibody for one pathogen does not work on another.

Some lymphocytes make antitoxins. These neutralise toxins, which are poisons made by pathogens.

pathogenentersthe bodyantigensdetectedbylymphocytesantibodiesmadepathogendestroyed
A flow of four steps: a pathogen enters the body, lymphocytes detect its antigens, antibodies are made, and the pathogen is destroyed.

Memory cells and immunity

When lymphocytes meet a new antigen, they take time to make the right antibody. This is the primary response, and you may be ill.

Some of the lymphocytes become memory cells. They stay in your body. If the same pathogen enters again, they respond much faster. They make many more antibodies very quickly. This is the secondary response, and you do not get ill. You are immune.

Think of a test you have practised before. The second time is quicker. This is why you rarely get chickenpox twice.

0010420830124016time (days)antibody level
A graph of antibody level against time. A small, slow rise after the first infection, then a much larger and faster rise after a second infection at day 25.

Vaccination

A vaccine contains a small amount of a dead or weakened pathogen, or parts of one. These carry antigens. The vaccine makes lymphocytes produce antibodies, and memory cells are made.

But you do not get the disease. If you meet the live pathogen later, the secondary response is fast, so you are protected.

Think of a fire drill. You practise before a real fire. Vaccines are given in advance. They do not cure someone who is already ill.

Herd immunity, benefits and risks

If most people in a population are vaccinated, the pathogen cannot spread easily. People who are not vaccinated, such as babies or people with weak immune systems, are protected too. This is herd immunity. If vaccination rates fall, outbreaks can return.

Vaccination has wiped out smallpox and greatly reduced polio and measles. It prevents epidemics, which are many cases of a disease at once.

Some people have a mild reaction, such as a sore arm. Serious reactions are rare. A vaccine may stop working if the pathogen changes its antigens.

Recap

Skin, mucus, cilia and stomach acid are non-specific defences.

Phagocytes engulf pathogens. Lymphocytes make antibodies and memory cells.

A vaccine has a dead or weakened pathogen. It gives immunity without the disease.

Herd immunity protects people who are not vaccinated.

Key points

Worked examples

Example 1

Name the type of white blood cell that makes antibodies.

  1. Antibodies are made by cells that detect antigens.
  2. These cells are not phagocytes.
  3. They are lymphocytes.

Answer: lymphocytes

Common slips
  • Slip: phagocytes Phagocytes engulf pathogens.
  • Slip: platelets Platelets are not white blood cells.
  • Slip: red blood cells Red blood cells carry oxygen.

Example 2

Explain how a vaccine protects a person from a disease.

  1. The vaccine contains a dead or weak pathogen with antigens.
  2. Lymphocytes make antibodies and some become memory cells.
  3. If the real pathogen enters later, memory cells quickly make many antibodies, so the person does not get ill.

Answer: Memory cells are made so the response to the real pathogen is fast and strong

Common slips
  • Slip: The vaccine kills the pathogen. The vaccine trains the immune system. It does not directly kill the pathogen.
  • Slip: The vaccine contains the antibodies. The body makes the antibodies.
  • Slip: The vaccine gives you the disease. It contains a dead or weakened pathogen, so it does not cause illness.

Example 3

Explain why a second infection with the same pathogen usually causes no illness, but the first infection does.

  1. In the first infection the lymphocytes take time to make the right antibody.
  2. Memory cells are made during this primary response.
  3. In a second infection the memory cells make antibodies much faster and in larger amounts, so the pathogen is destroyed before it makes you ill.

Answer: Memory cells give a faster and larger antibody response

Common slips
  • Slip: The pathogen is weaker the second time. The pathogen is the same. The immune response is faster.
  • Slip: The skin blocks it the second time. The difference is the immune memory.
  • Slip: Antibiotics kill it the second time. Antibiotics do not explain the difference.

Questions and answers

Defence against disease and vaccination practice questions for GCSE Combined Science Biology. Try each one, then open the answer. Easy questions come first.

Question 1 Easy

Name the white blood cells that engulf pathogens.

Show answer

Answer: phagocytes

  1. They take in pathogens.
  2. They are phagocytes.

Question 2 Easy

Name the proteins made by lymphocytes that attach to antigens.

Show answer

Answer: antibodies

  1. They match one antigen.
  2. They are antibodies.

Question 3 Easy

What is the name for the markers on the surface of a pathogen?

Show answer

Answer: antigens

  1. The immune system recognises them.
  2. They are antigens.

Question 4 Easy

Which acid in the stomach kills pathogens?

Show answer

Answer: hydrochloric acid

  1. The stomach is acidic.
  2. It is hydrochloric acid.

Question 5 Easy

Which organ of the body forms a barrier and seals cuts with blood clots?

Show answer

Answer: skin

  1. The outer covering of the body is a barrier.
  2. This is the skin.

Question 6 Easy

What name is given to a microorganism that causes disease?

Show answer

Answer: pathogen

  1. A microorganism that causes disease is a germ.
  2. The scientific word is pathogen.

Question 7 Medium

Which cells stay in the blood after an infection and give a faster response to the same pathogen?

Show answer

Answer: memory cells

  1. They remember the antigen.
  2. They are memory cells.

Question 8 Medium

What do we call it when most of a population is immune, protecting the unvaccinated?

Show answer

Answer: herd immunity

  1. The pathogen cannot spread easily.
  2. It is herd immunity.

Exam-style questions

Longer questions in the style of a written paper, with the marking points. These are Yumio practice questions.

Exam-style question 14 marks

(a) Describe how phagocytes destroy pathogens. [2 marks] (b) Explain why antibodies for one pathogen do not work against a different pathogen. [2 marks]

Show answer and marking points

Answer: (a) they engulf the pathogen and then digest it with enzymes (b) antibodies are specific, so the shape must match the antigen on the pathogen, and a different pathogen has different antigens

  • (a) engulf or take in the pathogen (1)
  • (a) digest it (1)
  • (b) antibodies are specific to one antigen (1)
  • (b) a different pathogen has different antigens (1)

Exam-style question 24 marks

Explain how vaccination of most of the population protects people who have not been vaccinated. Describe also how a vaccine protects the person who receives it. [4 marks]

Show answer and marking points

Answer: A vaccine contains a dead or weakened pathogen with antigens, so lymphocytes make antibodies and memory cells without the person becoming ill. If most people are vaccinated, the pathogen cannot spread easily, so people who are not vaccinated are protected. This is herd immunity.

  • vaccine contains a dead or weakened pathogen or its antigens (1)
  • lymphocytes make antibodies and memory cells (1)
  • if most people are vaccinated the pathogen spreads less (1)
  • so unvaccinated people are less likely to be infected (herd immunity) (1)

Common mistakes

  1. Saying antibodies work on any pathogen

    Each antibody is specific to one antigen.

  2. Saying a vaccine contains antibodies

    A vaccine contains antigens. The body makes the antibodies.

  3. Saying vaccines cure a disease

    They protect in advance. They do not cure existing illness.

  4. Saying memory cells make antibodies at the first infection

    Memory cells are formed after the first exposure and act in the second.

Questions students ask

Is Defence against disease and vaccination on the Foundation or Higher tier?

Defence against disease and vaccination is on both Foundation and Higher papers for GCSE Combined Science Biology, aimed at around grade 5.

What is a common mistake on Defence against disease and vaccination?

Saying antibodies work on any pathogen. Each antibody is specific to one antigen.

Where are the answers to the Defence against disease and vaccination questions?

Open Show answer under each question on this page. The questions are Yumio practice questions, not past exam questions.

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