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Controlling Communicable Diseases

Problems and ethics of vaccine development and use

  • 3 things to know
  • Components 01, 02 and 03

Overview

Recall questions on antigenic variability and the yearly influenza vaccine, antigenic shift and pandemics, why no HIV vaccine exists, live vaccines reverting to virulence, the cold chain and rural distribution, protein deficiency, and the HPV vaccine and the ethical objections to it.

What you need to know

Answer each one before you reveal it.

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Key term

Why does the influenza vaccine have to be reformulated every year?

Key term

What is antigenic shift, and why does it cause pandemics?

Key term

Why is the mutation rate of HIV so high?

Questions from this subtopic

Each one with the model answer underneath.

  1. 1

    What is meant by antigenic variability?

    Model answer

    Antigenic variability is a change in the surface antigens of a pathogen, so that antibodies and memory cells produced against the earlier form no longer recognise it.

  2. 2

    Why does the influenza vaccine have to be reformulated every year?

    Model answer

    Mutations gradually alter the haemagglutinin and neuraminidase antigens on the virus surface, so memory cells made against last year's strain no longer recognise the one now circulating.

  3. 3

    What is antigenic shift, and why does it cause pandemics?

    Model answer

    Antigenic shift is a sudden large change produced when RNA segments from two influenza strains are exchanged inside one host cell, creating a subtype to which nobody has immunity, so it spreads worldwide.

  4. 4

    Why is the mutation rate of HIV so high?

    Model answer

    Reverse transcriptase has no proofreading ability, so the errors it makes copying the RNA into DNA are never corrected and accumulate rapidly.

  5. 5

    Give two reasons, other than its mutation rate, why no effective HIV vaccine has been produced.

    Model answer

    The virus integrates into the host cell's own DNA where it can remain hidden, and it destroys the T helper cells that would otherwise coordinate a response against it.

  6. 6

    Why is the possibility that a live vaccine reverts to virulence a serious problem?

    Model answer

    A vaccinated person could develop the very disease the vaccine was meant to prevent, and could then pass the reverted strain on to others.

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