Question 114 marks
Question
The malarial pathogen, Plasmodium falciparum, enters red blood cells after a person becomes infected. After some time, each cell of P. falciparum divides to form daughter cells. Fig. 1.1 shows a cell of P. falciparum that is forming many daughter cells. cell surface membrane of red blood cell nucleus Fig. 1.1 (a) With reference to Fig. 1.1, suggest how the presence of P. falciparum affects a red blood cell. …… [3] (b) When P. falciparum divides there is unequal division of the cytoplasm to form small, genetically identical daughter cells. Outline the events that occur in the cell of P. falciparum to form the daughter cells shown in Fig. 1.1. …… [3] In 2013, the World Health Organization (WHO) set a target for researchers to create a vaccine for malaria. WHO required the vaccine to show 75% efficacy and be ready for use by 2030. Efficacy is a measure of the effectiveness of a vaccine in reducing the number of new cases of malaria. A trial of the R21/Matrix‑MTM vaccine in Burkina Faso in 2020 achieved a 77% efficacy over a 12‑month period. A control group received a vaccine for rabies. Vaccines stimulate an immune response with the production of antibodies. (c) Explain how antibodies will reduce the spread of the malarial pathogen through the bloodstream. …… [3] (d) Some vaccination programmes have been more successful than others. Discuss the factors that contribute to the success of a vaccination programme. …… [5] [Total: 14]
Mark scheme
1(a) 1 irregular shape of cell (surface) membrane / cell loses its biconcave shape ; 3 A cell swells / cell is larger / cell expands / AW I cell becomes flaccid / loses turgor / AW any two from: 2 cell membrane bursts / cell bursts / cell dies / cell lysis / haemolysis ; A short(er) life span 3 daughter cells, fill / AW, the cell ; 4 cell loses haemoglobin / haemoglobin used up (by pathogen) ; A pathogen uses amino acids from haemoglobin 5 less / no, oxygen transported ; A reduced / decreased, uptake of oxygen 6 release of toxins (by pathogen) ; I change in SA:V ratio / change of water potential 1(b) any three from: 3 1 pathogen, feeds / grows / synthesises (named) biochemical(s) ; A increase in, volume / mass, of cytoplasm 2 production of (named) organelles ; 3 DNA, (semi-conservative) replication / synthesis ; R if given in incorrect phase 4 mitosis / mitoses / four named stages of mitosis ; 5 production of, several / many, nuclei ; 6 cytokinesis / described e.g. as ref. to formation of cleavage furrow ; I division of the cytoplasm 7 daughter cells ‘bud off’ (from the ‘parent’) ; A budding 1(c) any three from: 3 1 antibodies bind to, antigens / epitopes ; A attach / combine / join A form antibody-antigen complex I ‘antibodies bind to pathogen’ 2 complementary shape to antigens (on surface of malarial pathogen) ; 3 prevent, pathogen / infective stage, entering, red blood cells / liver cells ; 4 help / facilitate / AW, destruction by / mark pathogen for, phagocytes ; A stimulates phagocytosis / opsonisation in context / (leads to) lysis of pathogen 5 AVP ; e.g. phagocytes have receptors for constant region of antibodies e.g. ref. to agglutination / described I T-cells / production of antibodies by B / plasma cells I ‘receptors on antibodies’ / ‘fight’ and ‘attack’ 1(d) any five from: 5 1 access to, whole population / all people at risk ; 2 idea that reaching enough of the population to give herd immunity ; I herd immunity unqualified 3 vaccinating children, early enough in their lives / before the time when they are most at risk ; 4 ref. to education about, importance / benefits / advantages / AW, of vaccination ; 5 countering, anti-vaccination campaigns / misinformation about vaccines ; A ref. to ‘anti-vaxxers’ 6 long duration of protection given by, vaccine / artificial immunity ; A ref. to use of a ‘live vaccine’ 7 little / no, mutation of pathogen (to evade vaccine) ; A little / no, antigenic shift A few / no, strains develop I ‘resistance to vaccine’ 8 ability to change vaccine in response to changing strain(s) of pathogen ; 9 plentiful / good / AW, supply of vaccine ; 10 sufficient numbers of people trained to deliver vaccine ; A idea that administering vaccine is simple process 11 any positive reference to cost ; e.g. cost of, production / transport / storage / delivery to population A vaccine is provided free 12 long shelf life of vaccine ; 13 stable vaccine(s) ; e.g. in high temperatures A ref. to vaccine can be freeze-dried 14 no boosters required ; A easy to find people who need boosters 15 AVP ; e.g. governments / health authorities / countries, must have enough money to fund programme use of contact tracing to find people, at risk of disease / who should be offered vaccine / AW provide incentives for people to get vaccinated / idea that disease is a current threat to population no side effects