Type 1 diabetes is a disease that occurs when the pancreas stops producing insulin. Type 1 diabetes occurs most commonly in children and is often the result of the immune system destroying beta cells in the pancreas. Beta cells are the cells in the pancreas that make insulin. Rotavirus is a genus of RNA viruses that can cause infections in people throughout most of the world. Infection by Rotavirus causes sickness and diarrhoea in babies and young children, and may damage the pancreas. Rotavirus infections are also associated with the development of type 1 diabetes in children. In May 2007, a vaccination against Rotavirus was introduced in Australia. All babies aged from 2 months to 4 months were offered the Rotavirus vaccine. Some scientists decided to investigate whether vaccination against Rotavirus had reduced the number of children with type 1 diabetes in Australia.
- (a)Identify the independent variable and the dependent variable in this investigation. independent variable dependent variable[2]
- (b)(i)The scientists used data that had been collected from 2000 to 2015. For each year from 2000 to 2015, the scientists used the data to: • find the number of children aged from 0 years to 4 years • find the number of children aged from 0 years to 4 years with type 1 diabetes • calculate the number of children aged from 0 years to 4 years with type 1 diabetes per 100000 children that were aged from 0 to 4 years. The scientists repeated this analysis for children aged from 10 years to 14 years. [Figure 3.1] shows the number of children aged from 0 years to 4 years with type 1 diabetes per 100000 for each year from 2000 to 2015. The predicted number of children aged from 0 years to 4 years with type 1 diabetes per 100000, if the Rotavirus vaccine had not been introduced, is also shown from 2008 to 2015. State two conclusions that can be made from the data shown in Fig. 3.1.[2]
- (b)(ii)[Figure 3.2] shows the mean number of children with type 1 diabetes in Australia, in each of the two different age groups analysed, before and after the introduction of the Rotavirus vaccine in 2007. Error bars show 95% confidence intervals (95% CI). Some students concluded that vaccination against Rotavirus decreased the number of children with type 1 diabetes per 100000. Discuss whether the information shown in Fig. 3.2 supports this conclusion.[3]
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- [2] independent variable: vaccinated or not vaccinated (against Rotavirus) ;
- dependent variable: number of children with (type 1) diabetes (per 100 000 population in Australia) ;
- [2] 1 number of children (aged from 0 to 4 years) with (type 1) diabetes decreased, after the introduction of the vaccine (against rotavirus);
- 2 number of children (aged from 0 to 4 years) with (type 1) diabetes increased (slowly) from, 2000 to 2007 / 2008 to 2015 ;
- [3] any three from:
- 1 idea that (mean) number of children aged from 0 to 4 years with (type 1) diabetes (per 100 000 population) is lower after introduction of vaccine ;
- 2 idea that, (95%) confidence intervals / (95%) CI / error bars (for before and after introduction of vaccine), in children aged from 0 to 4 years (before and after introduction of vaccine) do not overlap therefore number of children with (type 1) diabetes is significantly different (before and after introduction of vaccine);
- 3 10 to 14 year olds act as a control group (because they are not vaccinated against Rotavirus) or 10 to 14 year olds are unvaccinated (before and after introduction of vaccine);
- 4 idea that, (95%) confidence intervals / (95%) CI / error bars (for before and after introduction of vaccine), in children aged from 10 to 14 years (before and after introduction of vaccine) overlap, therefore number of (unvaccinated) children with (type 1) diabetes is not significantly different (before and after introduction of vaccine);
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