Question
The bacterium Vibrio cholerae is the causative organism of the infectious disease cholera.
V. cholerae has structural features typical of all bacterial cells. It also has a flagellum for movement.
(a) Fig. 4.1 is an outline drawing of V. cholerae.
Complete Fig. 4.1 by drawing and labelling the structures found in V. cholerae.
flagellum
Fig. 4.1
[4]
(b) The World Health Organization (WHO) collects data about cholera from the 194 countries that are members of the World Health Assembly (WHA).
In 2015:
• there were cases of cholera in 42 of the member countries of the WHA
• the total number of cases of cholera reported was 172 454
• there were deaths as a result of cholera in 23 of these countries
• the total number of deaths from cholera reported was 1304.
The case fatality rate for cholera is the proportion of cases of cholera that results in death within a particular time period.
A country with cases of cholera that are properly treated should have a case fatality rate of less than 1%.
(i) Calculate the case fatality rate for the 42 member countries of the WHA for 2015.
Give your answer to the nearest 0.1%.
case fatality rate = …… % [1]
(ii) Many of the 23 countries reporting deaths from cholera in 2015 had a case fatality rate of less than 1%.
However, two of the 23 countries had case fatality rates greater than 5%.
Suggest two explanations for the higher case fatality rate in these two countries.
…… [2]
(c) In 2010, the country of Haiti experienced a major earthquake. This led to an outbreak of cholera.
(i) Explain why an earthquake may lead to a cholera outbreak.
…… [1]
(ii) Fig. 4.2 shows data about cholera collected by WHO over a period of 8 years, from 2008 to 2015. These data include:
• the total number of cases of cholera for each year
• the number of countries in each year that had cases of cholera.
700 000 70
600 000 60
500 000 50 number number of of cases countries
400 000 40
300 000 30
200 000 20 Key number of
100 000 10 cases number of
0 0 countries
2008 2009 2010 2011 2012 2013 2014 2015 year
Fig. 4.2
Comment on the trends shown in Fig. 4.2.
…… [3]
[Total: 11]
Mark scheme
4(a) max 3 if any membrane-bound organelles drawn inside cell e.g. nucleus, Golgi body, mitochondrion, lysosome, ER, a large 4
vacuole
BUT I vesicle / small vacuoles
I detail of cell wall / cell surface membrane around flagellar area
four from:
cell wall ; must add another line to diagram R cellulose cell wall
cell (surface) membrane ; A plasma membrane
label line to the inside of cell wall
I if outer line labelled as cell membrane
DNA ; A bacterial chromosome / nucleoid as label
allow one or two circular molecules (circle, loop, ball of string, tangled)
R if obviously linear
R if label includes, histones / histone proteins / chromatin
R if nuclear, envelope / membrane, shown
R if nucleolus shown or labelled
ribosomes ; R 80S ribosomes
shown as, dots / small spheres
cytoplasm / cytosol ;
plasmid ; smaller than DNA, circular
AVP ; e.g. 70S / smaller / 17–20 nm, for ribosome
murein / peptidoglycan (for cell wall – allow even if cell wall label not added)
pilus /pili drawn as external hair-like structure(s)
basal granule at base of flagellum
capsule drawn to outside (some do have a capsule)
4(b)(i) 0.8 % ; R 0.80 % 1
4(b)(ii) any two from: 2
delay in / no, diagnosis ;
delay in / no, treatment / therapy ;
A feature of, oral rehydration, treatment /solution A ORT / ORS
e.g. lack of supply of ORT
unwillingness by health workers to give ORT
greater belief in herbal remedies
thinking drug treatment is sufficient
lack of clean water to make up ORT solution
no rehydration programmes
I improper treatment / treatment not effective
ref. to no / lack of, antibiotic therapy ; e.g. lack of supply of / less efficacious (AW) antibiotics used / less supervision in taking
full dose
ref. to antibiotic resistant strains ;
idea that already have a weak immune system / malnourished ;
A may have HIV/AIDS (hence weak immune system)
4(c)(i) any one from: 1
damaged sanitation system / poor sanitation following earthquake ;
I poor sanitation unqualified
damage to, sewage treatment plants / water purification plants ; AW
(contaminated) sewage contaminates drinking water ; I pollution
A water becomes contaminated
lack of purified drinking water; A lack of, clean / treated / safe / bottled, water
AVP ; no, proper / safe, disposal of sewage
4(c)(ii) any three from: 3
1 2011, peak in / highest / AW, number of, cases / countries / countries and cases ;
A decrease, increase in 2011, decrease for countries
A increase to 2011 and decrease for cases
2 (2010 outbreak in) ref. to Haiti and epidemic (so high number of 2011 cases) ;
3 ref. to spread of disease to countries neighbouring Haiti (hence increase in countries in 2011) ;
4 overall / generally / AW, decrease in number of countries with cases of cholera
or
2008 54–56 countries and 2015 41–43 countries, with ref. to decrease ;
decrease, peak at 2011 / increase in 2011, decrease is mp1 only
5 suggestion for trend in decrease in number of countries ;
e.g. improved infrastructure for sewage / water treatment
improved health education to prevent spread
providing piped (treated) water
6 2008–2010 number of cases increased and number of countries decreased ;
7 AVP ; e.g. lowest / AW, number of cases in 2013
R if also state that 2013 is lowest for countries
similar number of countries in 2008 and 2011 but, approx 3× / much higher / stated values, number of cases in 2011