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Health and the People in Britain, c1000 to the Present Day

Modern treatment of disease

  • 3 things to know
  • Paper 2 section A

Overview

Fleming's discovery of penicillin and why it stalled, Florey and Chain's work and mass production in the Second World War, the growth of the drug industry, the thalidomide tragedy, antibiotic resistance and MRSA, HIV and AIDS, and the appeal of alternative treatments.

What you need to know

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Key term

What did Fleming notice in 1928?

Numbers

What did Florey and Chain achieve at Oxford?

Numbers

How did penicillin come to be made in bulk?

Questions from this subtopic

Each one with the model answer underneath.

  1. 1

    What did Fleming notice in 1928?

    Model answer

    A mould growing on a dish of staphylococci he had left uncovered had killed the bacteria in a ring around it.

  2. 2

    Why did Fleming's discovery go no further at the time?

    Model answer

    He published it in 1929 but could not extract the drug pure or in any useful quantity, and could raise neither the money nor the interest to try.

  3. 3

    What did Florey and Chain achieve at Oxford?

    Model answer

    They purified penicillin from 1938, showed in 1940 that it cured infected mice, and treated their first patient in 1941, although supplies ran out before he could recover.

  4. 4

    How did penicillin come to be made in bulk?

    Model answer

    American drug firms took it up once the United States entered the war, and by the invasion of Europe in 1944 there was enough to treat the Allied wounded.

  5. 5

    How did the drug industry change after the Second World War?

    Model answer

    It grew into a very large business investing heavily in research, manufacturing medicines on an industrial scale and testing them before sale under government licence.

  6. 6

    What was the thalidomide tragedy, and what followed it?

    Model answer

    A drug given to pregnant women for morning sickness caused thousands of babies to be born with malformed limbs, and it led to far stricter testing and licensing of new medicines.

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