Infectious diseases (3)
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1.
Describe the key differences between the transmission methods of malaria and HIV. Consider the biological mechanisms involved and the factors that influence the efficiency of each transmission route.
Malaria vs. HIV Transmission: Key Differences
Malaria: Transmission relies on a vector (Anopheles mosquito) and a complex biological cycle. The transmission route is mechanical – the mosquito physically carries the parasite from one host to another. The efficiency of transmission is influenced by mosquito population density, climate, and human behaviour (e.g., using mosquito nets). The parasite's life cycle within the mosquito and the human host is crucial for successful transmission. The parasite's ability to infect red blood cells and evade the immune system is also important.
HIV: Transmission occurs through direct contact with infected bodily fluids. The biological mechanism involves the virus entering host cells and integrating its genetic material into the host's DNA. The efficiency of transmission is influenced by the type of bodily fluid involved, the viral load of the infected individual, and the presence of barriers (e.g., condoms). HIV is susceptible to inactivation outside the body (e.g., by air drying), which limits its transmission potential. The immune system plays a significant role in controlling HIV replication, but a weakened immune system increases the risk of transmission.
Key Differences Summarized:
- Vector vs. Direct Contact: Malaria requires a vector; HIV does not.
- Biological Complexity: Malaria involves a complex life cycle; HIV involves viral integration into host DNA.
- Environmental Factors: Malaria transmission is heavily influenced by environmental factors (climate, mosquito populations); HIV transmission is more dependent on human behaviour and contact.
- Inactivation: HIV is susceptible to inactivation outside the body; the malaria parasite is relatively resilient.
2.
Describe the life cycle of the malaria parasite Plasmodium in a mosquito and a human. Explain how understanding this cycle informs the development of control strategies.
The life cycle of the malaria parasite Plasmodium is complex and involves both a mosquito vector and a human host. Understanding this cycle is fundamental to developing effective control strategies.
In the Mosquito (Anopheles): The cycle begins when an infected female Anopheles mosquito takes a blood meal from a human. During this blood meal, sporozoites (infective stage) are injected into the human's bloodstream. These sporozoites travel to the liver. Within the liver, sporozoites undergo asexual reproduction, developing into merozoites. Merozoites are then released from the liver cells into the bloodstream. These merozoites infect red blood cells, where they continue to multiply asexually, eventually leading to the rupture of the red blood cells and the release of more merozoites. Some merozoites develop into gametocytes (sexual forms) within the red blood cells. When another Anopheles mosquito takes a blood meal from an infected human, it ingests the gametocytes. Gametocytes fuse in the mosquito's gut, undergoing sexual reproduction to form a zygote, which then develops into ookinete and oocyst. The oocyst develops into sporozoites in the mosquito's salivary glands, completing the cycle.
In the Human Host: As described above, the cycle begins with sporozoite infection in the liver. The merozoites then infect red blood cells, leading to the characteristic symptoms of malaria (fever, chills, anaemia). Some merozoites develop into gametocytes, which are crucial for transmission back to the mosquito. The presence of gametocytes in the blood is what allows the mosquito to acquire the parasite.
How Understanding the Cycle Informs Control Strategies:
- Vector Control: Targeting the mosquito stage is a primary control strategy. This includes:
- Insecticide-treated bed nets (ITNs): Prevent mosquito bites during sleep.
- Indoor residual spraying (IRS): Kills mosquitoes that land indoors.
- Larval control: Eliminating mosquito breeding sites (e.g., draining stagnant water).
- Chemoprophylaxis: Preventing infection in humans by taking antimalarial drugs, particularly in areas with high malaria transmission.
- Rapid Diagnosis and Treatment: Prompt diagnosis and treatment of malaria with effective antimalarial drugs reduce parasite load and prevent severe complications.
- Vaccine Development: Research is ongoing to develop effective malaria vaccines that can prevent infection.
- Understanding Parasite Biology: Research into the parasite's biology (e.g., drug resistance mechanisms) is crucial for developing new and more effective control strategies.
3.
State the name and type of pathogen that causes each of the following diseases:
- Cholera
- Malaria
- Tuberculosis (TB)
- HIV/AIDS
Cholera: Caused by the bacterium Vibrio cholerae. Vibrio cholerae is a bacterium.
Malaria: Caused by protozoans of the genus Plasmodium. The species involved include Plasmodium falciparum, Plasmodium malariae, Plasmodium ovale, and Plasmodium vivax. These are all protists.
Tuberculosis (TB): Caused by the bacterium Mycobacterium tuberculosis. Mycobacterium tuberculosis is a bacterium.
HIV/AIDS: Caused by the Human Immunodeficiency Virus (HIV). HIV is a virus.