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. [Figure 4.1]
- (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.[4]
- (b)(i)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 172454 • 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%. 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]
- (b)(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)(i)In 2010, the country of Haiti experienced a major earthquake. This led to an outbreak of cholera. Explain why an earthquake may lead to a cholera outbreak.[1]
- (c)(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. [Figure 4.2] Comment on the trends shown in Fig. 4.2.[3]
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Mark scheme
Marking points from the official mark scheme (May/June 2019). The mark or mark type is shown in brackets.
- [4] max 3 if any membrane-bound organelles drawn inside cell e.g. nucleus, Golgi body, mitochondrion, lysosome, ER, a large 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)
- [1] 0.8%; R 0.80%
- [2] any two from:
- 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)
- [1] any one from:
- 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
- [3] any three from:
- 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 3x / much higher / stated values, number of cases in 2011
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