Unit 4: Epidemiology Unit

Lauren Levites, Mandy Peel
Biology, Environmental Science
5 weeks
High School Bio or ES
v1

Unit Overview

This unit dives into epidemiology in non-human species. Students engage with various photos or videos of organisms dealing with disease. They try to figure out what makes diseases different. They examine the types of diseases, the differences in transmission and spread of diseases, the immune responses to diseases, and measures to prevent and treat diseases. In these lessons students use NetLogo and real world articles, data, and examples to figure out what is happening. They then look at factors that reduce disease spread and develop a computational model using NetTango.

 

Standards

Next Generation Science Standards
  • Life Science
    • [HS-LS1] From Molecules to Organisms: Structures and Processes

Underlying Lessons

  • Lesson 1. Phenomena: Disease
  • Lesson 2. Types of Infectious Agents
  • Lesson 3. Disease Transmission
  • Lesson 4. Disease Spread
  • Lesson 5. Responses to Disease
  • Lesson 6. Treatments for Disease
  • Lesson 7. Factors on Organism Health

Lesson 1. Phenomena: Disease

Lauren Levites, Mandy Peel
Biology, Environmental Science
50 min
High School Bio or ES
v1

Lesson 1 Overview

Lesson 1 Activities

  • 1.1. Phenomena
  • 1.2. Driving Questions

1.0. Student Directions and Resources


In this lesson you will be introduced to our new phenomena and begin to brainstorm questions we will answer in this unit. 

1.1. Phenomena


Watch the following video: 

phenomena videos from Lauren Levites on Vimeo.

 

Look at the photos of a sea star suffering from Sea Star Wasting Syndrome: (Source)
diseased pisaster ochraceus on June 27, 2014diseased pisaster ochraceus on June 28, 2014diseased pisaster ochraceus on June 29, 2014


Question 1.1.1

Which diseases did you see mentioned in the video and photos?



Question 1.1.2

What are some other diseases you are familiar with?



Question 1.1.3

What are some different categories for diseases? Are there differences in what causes certain diseases?



1.2. Driving Questions


After looking at the video and photos, you probably have a lot of questions. In this unit we will be exploring infectious diseases in non-humans. 

What are some questions you have that apply to infectious diseases? What are some questions you have that apply specifically to the diseases you saw in the video?

 


Question 1.2.1

Try to come up with 3-5 questions. Add your questions here:



Lesson 2. Types of Infectious Agents

Lauren Levites, Mandy Peel
Biology, Environmental Science
50 min
High School Bio or ES
v1

Lesson 2 Overview

In this lesson, students are introduced to a variety of ways diseases are able to infect living organisms. 

Lesson 2 Activities

  • 2.1. Predicting What Causes Disease
  • 2.2. Phenomena Diseases and Microbes
  • 2.3. Pathogens Text

2.0. Student Directions and Resources


Infectious diseases have to reach and thrive in living organisms. In this lesson, we will figure out what are the agents that cause infectious disease. 

2.1. Predicting What Causes Disease


Based on the diseases you are aware of and that you saw in the phenomenon video, make a list of as many things that you think cause disease. 


Question 2.1.1

Make a list of what causes disease:



Question 2.1.2

Do all varieties of what you named above carry disease? Why or why not?



Question 2.1.3

Are all disease agents microscopic? What do you think?



2.2. Phenomena Diseases and Microbes


The vast majority of infectious diseases are caused by microorganisms, called "microbes." However, only about 1% of microbes cause disease! We call these microbes who cause disease, pathogens.

You are probably familiar with many of these pathogens. Let's look at the ones we saw in the phenomenon video first. Read the following and then answer the questions below. 

White Nose Syndrome:Little brown bat; close up of nose with fungus, New York, Oct 2008 by USFWS HQ

White-nose syndrome (WNS) is a disease that affects hibernating bats and is caused by a fungus, Pseudogymnoascus destructans, or Pd for short. Sometimes Pd looks like a white fuzz on bats’ faces, which is how the disease got its name. Pd grows in cold, dark and damp places. It attacks the bare skin of bats while they’re hibernating in a relatively inactive state. As it grows, Pd causes changes in bats that make them become active more than usual and burn up fat they need to survive the winter. Bats with white-nose syndrome may do strange things like fly outside in the daytime in the winter. 

Fire blight on apple tree:

Fire blight is a common and very destructive bacterial disease of apples and pears. The disease is caused by the bacterium Erwinia amylovora. On apples and pears, the disease can kill blossoms, fruit, shoots, twigs, branches and entire trees. While young trees can be killed in a single season, older trees can survive several years, even with continuous dieback.

Brain worm in Moose: 

Brain worm is the term commonly applied to the parasitic nematode (round worm), Parelaphostrongylus tenuis (P. tenuis). White-tailed deer are the normal host for this parasite. Most of the time, they are not affected by the parasite. However, other species such as moose, mule deer, reindeer/caribou, sheep, goats, alpacas, and llamas are abnormal hosts and can develop disease or die if infected.

Sea Star Wasting Syndrome: (SSWS/SSWD)

In December 2020, sunflower sea stars were placed on the ICUN's red list of threatened species. There has been a 90% decline in this species due to warming oceans an an epidemic called "Sea Star Wasting Syndrome." Scientists from The Nature Conservancy and Oregon State University, who led the listing effort, estimate that 90.6% of the sunflower sea star population is now lost from the outbreak, with as many as 5.75 billion dead from the disease.  Symptoms of the disease include a deflated appearance, white lesions and twisted arms, followed by softening tissue, loss of arms, and death. The disease progresses rapidly, often killing its victims within a matter of days. In an effort to identify the potential pathogen and conditions responsible for SSWD, scientists and their partners collected extensive survey data and tissue samples, but the cause remains a mystery that several research institutions are working hard to unlock.

 


Question 2.2.1

What types of pathogens did you read about above?



Question 2.2.2

What types of additional pathogens do you think may also cause disease?



Question 2.2.3

Sea Star Wasting Syndrome is one of the diseases that we don't have a lot of information about yet. If you were a marine scientist, what questions would you want to research to find out more?



2.3. Pathogens Text


We have looked at a few examples of pathogens. What are the agents who are causing disease in plants and animals?

Bacteria:

Bacteria are microscopic, single-celled organisms that have no nucleus and a cell wall made of peptidoglycan. Bacteria are the direct descendants of the first organisms that lived on Earth, with fossil evidence going back about 3.5 billion years.
Most bacteria are much smaller than our own cells, though a few are much larger and some are as small as viruses. They usually do not have any membrane-wrapped organelles (e.g., nucleus, mitochondria, endoplasmic reticulum), but they do have an outer membrane. Most bacteria are also surrounded by at least one layer of cell wall.
Bacteria are a huge and diverse group. Its members have many shapes, sizes, and functions, and they live in just about every environment on the planet.

Viruses: 

Viruses are microscopic particles made of nucleic acids, proteins, and sometimes lipids. Viruses can’t reproduce on their own. Instead, they reproduce by infecting other cells and hijacking their host’s cellular machinery. 
Since the ability to reproduce is often listed as a requirement for life, some consider viruses to be non-living. Regardless, viruses are an important part of all ecosystems, including the human body.
In our bodies, viruses infect not only our cells, but also other microbes that live in our bodies. Viruses that infect bacteria are called bacteriophage. 
Think of a virus as a tiny package jacketed in a protein covering. Inside is either DNA or RNA. Each molecule serves as an instruction book. Its genetic information provides instructions that tell a cell what to make and when to make it.

Fungus

There are millions of fungal species, but only a few hundred of them can make people sick. Molds, yeasts, and mushrooms are all types of fungi.
Fungi can cause many different types of illnesses, including:

  • Asthma or allergies. Learn more about mold and how it can affect your health.
  • Rashes or infections on the skin and nails
  • Lung infections (pneumonia), with symptoms similar to the flu or tuberculosis
  • Bloodstream infections
  • Meningitis

Anyone can get a fungal infection. Fungi are common in the environment, and organisms breathe in or come in contact with fungal spores every day without getting sick. However, in organisms with weak immune systems, these fungi are more likely to cause an infection.

Parasites

Parasites are living things that use other living things - like your body - for food and a place to live. You can get them from contaminated food or water, a bug bite, or other types of direct contact. Some parasitic diseases are easily treated and some are not.

Parasites range in size from tiny, one-celled organisms called protozoa to worms that can be seen with the naked eye. Some parasitic diseases occur in the United States. Contaminated water supplies can lead to Giardia infections. Cats can transmit toxoplasmosis, which is dangerous for pregnant women. Others, like malaria, are common in other parts of the world.

Prion

Prion diseases comprise several conditions. A prion is a type of protein that can trigger normal proteins in the brain to fold abnormally. Prion diseases can affect both humans and animals and are sometimes spread to humans by infected meat products. 

Prion diseases occur when normal prion protein, found on the surface of many cells, becomes abnormal and clump in the brain, causing brain damage. This abnormal accumulation of protein in the brain can cause memory impairment, personality changes, and difficulties with movement.

Prions as a disease causing agent were only discovered in the late 20th century, with an American Biologist receiving the Nobel prize for his discovery in 1997. Experts still don't know a lot about prion diseases, but unfortunately, these disorders are generally fatal.

It is important to remember that:

  • A pathogen is a micro-organism that has the potential to cause disease.
  • An infection is the invasion and multiplication of pathogenic microbes in an individual or population.
  • Disease is when the infection causes damage to the individual’s vital functions or systems.
  • An infection does not always result in disease!

Question 2.3.1

Choose 2 of the 5 types of infectious agents above and describe 2 similarities and 2 differences.



Question 2.3.2

Explain how prions are different from the other pathogens listed.



Question 2.3.3

A common debate is if viruses are alive. Based on what you know, why do you think this is a debate? What parts of viruses seem like they are living? What makes them seem like they are non-living? 



Lesson 3. Disease Transmission

Lauren Levites, Mandy Peel
Biology, Environmental Science
50 min
High School Bio or ES
v1

Lesson 3 Overview

Using a model to determine different ways diseases are transmitted

Lesson 3 Activities

  • 3.1. Initial Ideas about Transmission
  • 3.2. Transmission Model
  • 3.3. Investigating Transmission types
  • 3.4. Direct vs Indirect Transmission

3.0. Student Directions and Resources


In this lesson you will use a model to determine different ways diseases are transmitted. 

3.1. Initial Ideas about Transmission


In the previous lesson you looked at types of infectious agents. Bacteria, viruses, parasites, fungi, and prions all must be transmitted to infect new organisms. 


Question 3.1.1

Predict some ways these infectious agents may move from one organism to another.



Question 3.1.2

What ways do you think are most effective for the disease to move to the most organisms? 



3.2. Transmission Model


Use the model below to explore transmission type.


Question 3.2.1

Turn vector-infection and indirect-infection to "Off." Change "transmission type" to touch. You may need to slow down the time using the slider at the top.

What happens to the population during this transmission type? Who is getting infected? 



Question 3.2.2

Using the same set up in question 1.

How long until the majority of the population is infected?

 



Question 3.2.3

Turn vector-infection and indirect-infection to "Off." Change "transmission type" to airborne. You may need to slow down the time using the slider at the top.

What happens to the population during this transmission type? Who is getting infected? 



Question 3.2.4

Using the same parameters in question 2. 

How long until the majority of the population has been infected?



Question 3.2.5

Turn off the transmission type, so organisms are no longer transmitting the disease to each other. Turn on "vector-infection." A vector is something that carries the infection, like how mosquitos can carry malaria and other diseases. 

For the vector organism, yellow is uninfected, blue is carrier for infection.

What do you notice happen to the population of vector insects over time?

 



Question 3.2.6

Turn off "vector-infection," leave "transmission-type" set for "none" and turn on "indirect-infection."

What do you notice about this type of transmission, compared to the others you looked at? 



3.3. Investigating Transmission types


Sometimes transmission of a disease can happen in multiple ways. Set up the model to test transmission using 2 of the factors. 

 


Question 3.3.1

Which 2 transmission factors did you choose?



Question 3.3.2

How did having 2 transmission factors change the simulation? Did you notice anything different about the speed of disease transmission or how many organisms were infected? 



Question 3.3.3

Which 2 transmission factors would be riskiest to have together? Provide evidence from the simulation to support your answer. 



3.4. Direct vs Indirect Transmission


There are many ways infectious diseases may be transmitted from one organism to another. We typically group them as direct contact and indirect contact. 

Direct Contact Transmission Types:

1. Contact Between Individuals: Transmission occurs when an infected person touches or exchanges body fluids, like saliva, with someone else. 
2. Specific Contact Between Individuals: Is carried in blood and other specific bodily fluids, but not saliva. Pregnant women can also transmit infectious diseases to their unborn children via the placenta. 
2. Droplet spread: The spray of droplets during coughing, sneezing and speaking can spread an infectious disease. 

Indirect Contact Transmission Types:

1. Airborne transmission: Some infectious agents can travel long distances and remain suspended in the air for an extended period of time. 
2. Contaminated objects: Some organisms can live on objects for a short time. 
3. Food and drinking water: Infectious diseases can be transmitted via contaminated food and water. 
4. Animal-to-person contact: infected animal bites or scratches you or when you handle animal waste. 
5. Animal reservoirs
6. Insect bites (vector-borne disease)
7. Environmental reservoirs: Soil, water, and vegetation containing infectious organisms can also be transferred to people. 
 


Question 3.4.1

Choose one of the transmission types present in the model. Explain what happened in the model for this transmission type. 



Question 3.4.2

Choose one of the transmission types not in the model. How do you think you could change the model to show this transmission type? What features would you want to add? What would the model do to show this transmission type?



Lesson 4. Disease Spread

Lauren Levites, Mandy Peel
Biology, Environmental Science
50 min
High School Bio or ES
v1

Lesson 4 Overview

Looking at the factors involved in the spread of disease

Lesson 4 Activities

  • 4.1. Factor #1: Infectiousness
  • 4.2. Factor #2: Recovery Rate
  • 4.3. Factor #3: Duration
  • 4.4. Factor #4: Initial Sick

4.0. Student Directions and Resources


You will be using a similar version of the model from the disease transmission lesson. In this lesson we are going to look at the factors involved in the spread of disease. 

4.1. Factor #1: Infectiousness


Use the infectiousness slider in this model. Conduct your investigation by looking at infectiousness rates of: 0%, 10%, 25%, 40%, 60% 80%, 100%.

Look at the graph on the side, in Question 1 record your observations of the graph for each level.


Question 4.1.1

Add your observations from the graph for each infectiousness level here.

 



Question 4.1.2

At which infectiousness level do the organisms stay the healthiest?

  0%
  10%
  25%
  40%
  60%
  80%
  100%


Question 4.1.3

Is there a level where you see a significant increase in the number of sick or how quickly they become sick? What level is that?

  0%
  10%
  25%
  40%
  60%
  80%
  100%


Question 4.1.4

Give an example of what the level of infectiousness looks like in real life. Are there diseases you know of that are more infectious or less infectious? 



4.2. Factor #2: Recovery Rate


Use the "chance-recover" slider in this model. Conduct your investigation by looking at recovery rates of: 1%, 10%, 20%, 30%, 50%, 70%, 100%.

Look at the graph on the side, in Question 1 record your observations of the graph for each level.

 


Question 4.2.1

Add your observations from the graph for each recovery level here.

 



Question 4.2.2

At which recovery level do the population of organisms stay the healthiest?
 



Question 4.2.3

Is there a level where you see a significant increase in the number of sick or how quickly they become sick? What level is that?



Question 4.2.4

Give an example of what the level of recovery looks like in real life. Are there infectious diseases you know of that are easier or more difficult to recover from? Are there any that organisms can't recover from and continue to live with?



4.3. Factor #3: Duration


Use the "duration" slider in this model. Conduct your investigation by looking at duration of the disease for 7, 10, 15, 20, 30, and 45 days.

Look at the graph on the side, in Question 1 record your observations of the graph for each level.


Question 4.3.1

Add your observations from the graph for each duration level here.

 



Question 4.3.2

At which duration of the disease do the population of organisms stay the healthiest?

  7
  10
  15
  20
  30
  45


Question 4.3.3

Is there a level where you see a significant increase in the number of sick or how quickly they become sick? What level is that?

  7
  10
  15
  20
  30
  45


Question 4.3.4

Give an example of what duration time is like in real life. Are there infectious diseases you know of where how long you are sick or contagious is shorter or longer?



4.4. Factor #4: Initial Sick


Use the "initial-sick" slider in this model. Conduct your investigation by looking at how the disease spreads based on how many are sick at the beginning. Change initial sick to: 1, 5, 10, 20, 40, 60, 80.

Look at the graph on the side, in Question 1 record your observations of the graph for each level.


Question 4.4.1

Add your observations from the graph for each trial with different number of "initial-sick."

 



Question 4.4.2

At which number of initial sick does the population of organisms stay the healthiest?

  1
  5
  10
  20
  40
  60
  80


Question 4.4.3

Is there a level where you see a significant increase in the number of sick or how quickly they become sick? What level is that?

  1
  5
  10
  20
  40
  60
  80


Question 4.4.4

Give an example of what "initial sick" is like in real life. How does having a smaller or larger number of organisms who are infected with the disease matter?



Lesson 5. Responses to Disease

Lauren Levites, Mandy Peel
Biology, Environmental Science
50 min
High School Bio or ES
v1

Lesson 5 Overview

This lesson focuses on the immune response from the immune system. 

It looks initially at the innate immune system, focusing on invertebrate organisms. There is a starfish simulation here.

It then moves into looking at the adaptive immune system, through a simulation where antibodies for different viruses are tested. It then looks at specialized cells (B cells and T cells) in mammals.

 

 

Lesson 5 Activities

  • 5.1. Innate Immune System Intro
  • 5.2. Discovering Phagocytes
  • 5.3. Phagocytes and the Innate Immune System
  • 5.4. Adaptive: Antibodies and Viruses Model
  • 5.5. Adaptive Immune System: Specialized Cells

5.0. Student Directions and Resources


Have you ever wondered how an organism can "fight off" an infection? Why are some infections worse than others? Why are so many scientific studies, including immunology studies, done on other organisms?

In this lesson you will look at the structures and functions of the immune system that react to fight these infectious diseases. 

5.1. Innate Immune System Intro


Look at the photo below and answer the questions.

Figure 3

t=time


Question 5.1.1

Describe the structures in the photos. Pay attention to details like size and color. 



Question 5.1.2

Describe what is happening to the small red structure over time. 



Question 5.1.3

As you may have guessed, this image is related to the immune system. Which structure do you think is part of the immune system in this organism? Why do you think that?



5.2. Discovering Phagocytes


On the prior page, you were looking at a photo of cells in a mouse. Figure 3

You may have guessed that those large green cells were part of the immune system, as you watched it engulf the smaller red circle. In fact most organisms have some types of cells that provide a defense against invaders. A general term for these cells is phagocytes, which comes from the Greek root phagein, "to eat" or "devour", and "-cyte", the suffix in biology denoting "cell."

Phagocytes were discovered by Elie Metchnikoff in the 1880s. Watch the video below to see his experiments that led to discovering them. 

 

sea star phagocytes original exp from Lauren Levites on Vimeo.


Question 5.2.1

Describe the experimental design Elie Metchnikoff used in his famous sea star and the rose thorn experiment. 



Question 5.2.2

Today, we have significantly more technology than Elie could access in the 1880s. What is one way you think Elie could have used the technology we have today to educate others about his findings?



Question 5.2.3

Skepticism and denial of science is still something we encounter today. What are some things people can do to think critically about what they are hearing or reading? Where does trustworthy information come from? 



Question 5.2.4

Elie's original model has been used in lots of experiments throughout the world. What are the key parts of the model? Draw them below. 

Note: Draw your sketch in the sketchpad below


5.3. Phagocytes and the Innate Immune System


 

In the model below, discover what happens to the individuals in the sea star population when exposed to harmful bacteria. These phagocytes are part of the innate immune system. These cells provide non-specific responses, which means they respond to anything they view as foreign or an invader.

 

The Innate Immune System: 

The innate immune system is characterized by general, non-specific responses. The non-specific response is part of the innate immune system. Responses include sneezing, coughing and diarrhea. 
Physical barriers, such as the skin, also contribute to innate immune protection.
The innate immune system also protects us with chemicals such as acids in the stomach and enzymes in tears. 


Question 5.3.1

Click "setup" on the model. Each sea star has a random number of phagocytes. Below write how many phagocytes each color sea star has. Use the second number after the comma. Example: "Blue Star: 1, 8" means it has 8 phagocytes. 

Click the green + sign to add more rows to your data table.



Question 5.3.2

Press "go." Which star disappears first? Why do you think it was destroyed by the infections?



Question 5.3.3

Let it run until only 2-3 sea stars are left. What do these sea stars have in common? Why do you think they are still there?



Question 5.3.4

If you were a sea star would you want a lot of phagocytes or only a few? Why?



5.4. Adaptive: Antibodies and Viruses Model


We've been looking at a non-specific immune response, as phagocytes will move in to gobble up all types of invaders. But, how do some organisms become immune to specific diseases? That requires another level of immunity, called the adaptive immune system.

The adaptive immune system is mainly seen in vertebrate organisms. Although, there is some current research that points to some features possibly in invertebrates, like insects. 

Use the model below to discover one of the major features of the adaptive immune system: 


Question 5.4.1

Set all of the antibodies sliders to 0. Click "set-up." What is in the model? 



Question 5.4.2

Click "go." Click "Make Orange Virus" a few times. What happens to the cells in the simulation?



Question 5.4.3

Change the slider for "base-red-antibodies" to 3. Click "set-up" and "go." Click "Make Orange Virus." Describe what happens.



Question 5.4.4

Play with the antibodies sliders and making virus buttons. Click "set-up" each time to reset the simulation. Continue until you find an arrangement that allows the cells to stay alive. What happened that allows them to stay alive?



Question 5.4.5

One of the key features of the adaptive immune system are antibodies. From this simulation, what do antibodies do? 



Question 5.4.6

We said phagocytes show a "non-specific response." Why can we say that antibodies have a "specific response?" What do you see them doing in the simulation that is different from the phagocytes?



5.5. Adaptive Immune System: Specialized Cells


The Immune System:

These two parts of the immune system, innate and adaptive, do not work separately. They overlap and support one another through chemical signals sent via the bloodstream and lymph nodes. So, the next time you feel your heartbeat or you breathe, remember that your immune system is working just as hard, if a bit more slowly—it’s certainly helping to keep you healthy! 

The Adaptive Immune System:

Unlike the innate immune system, the adaptive immune system responds specifically to an invading virus or bacteria. The cells that contain the invading pathogen have an antigen, which the antibody responds to. Antibodies are the primary weapons of the immune system, since they are specifically designed to combat an invader. 
The adaptive immune response consists of B cells and T cells. 

  • B cells make antibodies, while T cells show B cells what kinds of antibodies to make. 
  • T cells also kill virus-infected cells, so that the virus can’t spread. 

B and T cells respond specifically to an invading organism, and remember when they have encountered a particular pathogen before. That way, when the pathogen invades the body again, the adaptive immune system can respond quickly and efficiently, preventing an infection. 


image source

Immune System Videos:

Ameoba Sisters Immune System

The Immune System: B Cell, T Cell, Soldier, Spy

 


Question 5.5.1

Describe the role B and T cells play in the immune response to a pathogen. 



Question 5.5.2

Why are specialized cells in the adaptive immune system considered more helpful than the general immune response of the innate immune system?



Question 5.5.3

Explain antigen and antibody in relation to the cells in the adaptive immune system.



Lesson 6. Treatments for Disease

Lauren Levites, Mandy Peel
Biology, Environmental Science
50 min
High School Bio or ES
v1

Lesson 6 Overview

Exploring existing treatments for handling outbreaks of diseases

Lesson 6 Activities

  • 6.1. Treatments for Disease
  • 6.2. Treatment: Immunity
  • 6.3. Treatments: Vaccines
  • 6.4. Treatments: Antibiotics & Antivirals
  • 6.5. Experiment with Treatments

6.0. Student Directions and Resources


In the past lesson you looked at the innate and adaptive immune systems. The body relies on the innate and adaptive defenses to stop harmful diseases, but sometimes those defenses are not enough. There are some specific treatments that exist for handling outbreaks of diseases. In this lesson we are going to look at some possibilities and how they work. 

6.1. Treatments for Disease


You have seen a lot of examples of diseases in this unit so far. Bats who suffer from white nose syndrome. Plants that develop cankers and need to be cut down. Parasites that infect organisms, like the brain worm in the moose. 


Question 6.1.1

Based on your prior knowledge, what are some ways that diseases can be treated?



Question 6.1.2

You may have experienced a plant or animal having a disease, or ways we protect them from developing the disease.  Think about gardening or when you take your pet to the vet. 

What are some examples of ways humans help plants and animals treat or prevent disease?



6.2. Treatment: Immunity


In this model you will be looking at immunity, using the "immunity-forever" toggle and the "immunity-duration" slider. 


Question 6.2.1

Change the immunity duration to 0.2 years. Run the model. What do you notice happen to the organism after it is sick?



Question 6.2.2

Let the model run and watch the graph. What happens to the level of immune? What does this tell you about immunity gained from having this disease? 



Question 6.2.3

Change the immunity-duration slider, try at least 4 other duration times. Explain what you've noticed about the organisms in the simulation. What does the "immunity-duration" slider change about the organisms?



Question 6.2.4

Change the toggle for "immunity-forever" to on. Run the simulation. Explain what you notice on the graph about the curve for "immune."



Question 6.2.5

Explain what this model shows happens after you are sick. How does the "immunity-duration" slider represent different diseases?



6.3. Treatments: Vaccines


One of the major types of treatments is vaccines. You are familiar with having to go to the doctor to get a vaccine or to take your dog or cat to the vet to get one. What are they and how do they work?

  • Vaccines help your immune system fight infections faster and more effectively. They are typically made of small amounts of weak or dead germs. 
  • When you get a vaccine, it sparks your natural immune response, helping your body fight off and remember the germ so it can attack it if the germ ever invades again. 
  • Vaccines often provide long-lasting immunity to serious diseases without the risk of serious illness. Some vaccines require boosters or provide a shorter period of immunity.
  • Vaccines work WITH your adaptive immune system to develop the antibodies that will protect you if you come in contact with that germ (virus or bacteria).


 

History of Vaccines in the United States: Excerpt from this article.

The smallpox epidemic of 1721 was different than any that came before it. As sickness swept through the city, killing hundreds in a time before modern medical treatment or a robust understanding of infectious disease, an enslaved man known only as Onesimus suggested a potential way to keep people from getting sick. Intrigued by Onesimus’ idea, a brave doctor and an outspoken minister undertook a bold experiment to try to stop smallpox in its tracks.

Smallpox was one of the era’s deadliest afflictions. “Few diseases at this time were as universal or fatal,” notes historian Susan Pryor. The colonists saw its effects not just among their own countrymen, but among the Native Americans to whom they introduced the disease. Smallpox destroyed Native communities that, with no immunity, were unable to fight off the virus.

Mather didn’t trust Onesimus: He wrote about having to watch him carefully due to what he thought was “thievish” behavior, and recorded in his diary that he was “wicked” and “useless.” But in 1716, Onesimus told him something he did believe: That he knew how to prevent smallpox.

Onesimus, who “is a pretty intelligent fellow,” Mather wrote, told him he had had smallpox—and then hadn’t. Onesimus said that he “had undergone an operation, which had given him something of the smallpox and would forever preserve him from it...and whoever had the courage to use it was forever free of the fear of contagion.”

The operation Onesimus referred to consisted of rubbing pus from an infected person into an open wound on the arm. Once the infected material was introduced into the body, the person who underwent the procedure was inoculated against smallpox. It wasn’t a vaccination, which involves exposure to a less dangerous virus to provoke immunity. But it did activate the recipient’s immune response and protected against the disease most of the time.

Mather was fascinated. He verified Onesimus’ story with that of other enslaved people, and learned that the practice had been used in Turkey and China. He became an evangelist for inoculation—also known as variolation—and spread the word throughout Massachusetts and elsewhere in the hopes it would help prevent smallpox.

The SARS-CoV-2 Vaccine:

The new coronavirus vaccines are different than traditional vaccines. This vaccine does not use a weak or dead form of the germ, instead it mimics the protein spike on the pathogen. It is a newer type of vaccine called mRNA vaccines. 

Video from PBS on mRNA vaccine. 

How the Moderna mRNA vaccine works: 

 


Question 6.3.1

Explain how vaccines relate to the "immunity-forever" and "immunity-duration" sliders from the model. 



Question 6.3.2

What are the advantages to getting a vaccine?



Question 6.3.3

Think about the antibodies model that you looked at in lesson 5. If we added a button that said "vaccinate cells against the red virus" what would it do?



Question 6.3.4

What does Onesimus' story tell us about the history of innoculation (which led to vaccination)?



Question 6.3.5

How is the Coronavirus vaccine different from many other vaccines?



6.4. Treatments: Antibiotics & Antivirals


Two treatments you are likely familiar with are antibiotics and antivirals. If you've ever had an ear infection or strep throat, you've likely been given a course of antibiotics. Perhaps you had the flu and a doctor prescribed you a medication like Tamiflu, that's an antiviral. These treatments provide a way for the body to handle the bacterial or viral infection that occurs. 

Antibiotics are medications that destroy or slow down the growth of bacteria.
There are two types of antibiotics:

  • A bactericidal antibiotic, such as penicillin, kills the bacteria. These drugs usually interfere with either the formation of the bacterial cell wall or its cell contents.
  • A bacteriostatic antibiotic, which stops bacteria from multiplying.

Antiviral drugs work to prevent the virus from multiplying, they do not destroy the virus. 

Antibiotic Resistance: 

Antibiotics work until bacteria become resistant to them. In a population of bacteria, some are naturally resistant to the antibiotic. As the antibiotic kills bacteria, those that are resistant survive. The bacteria that are resistant to the antibiotic multiply (remember bacteria grow exponentially). Eventually the bacteria population evolves to be resistant to the drug. 

One major disease that results from antibiotic resistant is Methicillin-resistant Staphylococcus aureus, commonly known as, MRSA. MRSA is often transmitted in health care settings, such as hospitals and dialysis centers. It can be extremely difficult to recover from due to the number of antibiotics the bacteria is resistant to. 


Question 6.4.1

Describe how antibiotics work. 



Question 6.4.2

A little kid goes to the doctor and is sick, the doctor isn't sure if it is a bacterial or viral infection. In the past, the doctor would prescribe a course of antibiotics just in case it is bacterial. Today, the advice is not to overperscribe these antibiotic drugs. Why do you think the advice has changed? 



Question 6.4.3

Based on what you know about antibiotic resistance, what do you think happens with anti-viral drugs?



6.5. Experiment with Treatments


 


Question 6.5.1

There are 9 options for treatment on each side. Look through the dropdown list on side a or b "treatment-a" or "treatment-b." Develop a procedure for determining the best treatment option besides "give vaccines." Be specific about how you will test each treatment option. 



Question 6.5.2

Create a data table (in sheets or your notebook) to collect data for your procedure. 

Based on the data you collected, write a claim for which treatment (besides "give vaccines") you would recommend. Support your claim with at least 3 pieces of evidence. 



Lesson 7. Factors on Organism Health

Lauren Levites, Mandy Peel
Biology, Environmental Science
50 min
High School Bio or ES
v1

Lesson 7 Overview

Identifying other factors that impact how organisms come into contact with diseases

Lesson 7 Activities

  • 7.1. Organism Responses
  • 7.2. Designing a Model

7.0. Student Directions and Resources


Outside of the immune response and various treatments, there are other factors that can influence if organisms come into contact with certain diseases. 

7.1. Organism Responses


In our current pandemic, one of the major pieces of advice is to engage in social distancing. This may feel like it goes against your instincts. You may have even wondered if any other species would be able to social distance. In fact, there are some examples of other species who instinctively social distance. The excerpts below come from this Scientific American article. 

Lobsters:

On a shallow reef in the Florida Keys, a young Caribbean spiny lobster returns from a night of foraging for tasty mollusks and enters its narrow den. Lobsters usually share these rocky crevices, and tonight a new one has wandered in. Something about the newcomer is not right, though. Chemicals in its urine smell different. These substances are produced when a lobster is infected with a contagious virus called Panulirus argus virus 1, and the healthy returning lobster seems alarmed. As hard as it is to find a den like this one, protected from predators, the young animal backs out, into open waters and away from the deadly virus.

Ants

Researchers used tiny digital tags to track the movements of common garden ant colonies during an outbreak of a lethal fungus, Metarhizium brunneum. The spores of this fungus are passed from ant to ant through physical contact; it takes one to two days for the spores to penetrate the ant’s body and cause sickness, which is often fatal. The delay between exposure and sickness allowed Stroeymeyt and her colleagues to see whether ants changed their social behaviors in the 24 hours after they first detected fungal spores in their colony but before fungus-exposed ants showed signs of sickness.

To measure how ants respond when disease first invades their colony, the researchers applied fungal spores directly to a subset of the forager ants that regularly leave the colony. The foragers are most likely to inadvertently encounter fungal spores while out searching for food, so this approach mimicked the natural way this fungus would be introduced. The behavioral responses of ants in 11 fungus-treated colonies were then compared with the same number of control colonies, where foragers were dabbed with a harmless sterile solution. Ants in fungus-exposed colonies started rapid and strategic social distancing after treatment. Within 24 hours those forager ants self-isolated by spending more time away from the colony compared with control-treated foragers.

Healthy ants in fungus-treated colonies also strongly reduced their social interactions, but the way they did so depended on their roles. Uninfected foragers, which interact frequently with other foragers that might carry disease, kept their distance from the colony when disease was present. This prevents them from inadvertently putting the reproductively valuable colony members (the queen and “nurses” that care for the brood) at risk. The nurses also took action, moving the brood farther inside the nest and away from the foragers once the fungus was detected in the colony. The cues that the ants use to detect and rapidly respond to fungus exposure are still unknown, but this strategic social distancing was so effective that all queens and most nurses from the study colonies were still alive at the end of the experimental outbreaks.

Guppies:

In work published in 2019 in Biology Letters, Jessica Stephenson of the University of Pittsburgh placed individual guppies that did not yet have worm infections in a central aquarium flanked by two tanks. One was empty, and one contained a group of three guppies that represented potential contagion risk. Many guppies preferred the side of the tank near other guppies, as expected for a social species. But some male guppies strongly avoided the side of the tank near the other fish, and these distancing guppies were later shown to be highly susceptible to worm infections. It makes sense that evolution would favor a strong expression of distancing behavior in those most at risk.

Mandrills:

Strategic social distancing sometimes means maintaining certain social ties even when they raise disease risk. Mandrills, highly social primates with strikingly colorful faces, illustrate this approach. This species can be found in groups of tens to hundreds of individuals in the tropical rain forests of equatorial Africa. Groups typically have a mix of extended family members that frequently groom one another; grooming improves hygiene and cements social bonds. But they adjust their grooming behaviors in particular ways to avoid contagious group mates, Clémence Poirotte and his colleagues noted in a report published in 2017 in Science Advances. The scientists observed the daily grooming interactions of free-ranging mandrills in a park in Gabon and periodically collected fecal samples to learn which animals were heavily infected with intestinal parasites. Other mandrills actively avoided grooming those individuals. The mandrills could detect infection status based on smell alone: mandrills presented with two bamboo stalks rubbed in feces strongly avoided a stalk rubbed with droppings from another mandrill that had lots of parasites.

Why Social Distancing?

This kind of behavior is common because it helps social animals survive. Although living in groups makes it easier for animals to capture prey, stay warm and avoid predators, it also leads to outbreaks of contagious diseases. This heightened risk has favored the evolution of behaviors that help animals avoid infection. Animals that social distance during an outbreak are the ones most likely to stay alive. That, in turn, increases their chances to produce offspring that also practice social distancing when confronted with disease. These actions are what disease ecologists such as ourselves term “behavioral immunity.” Wild animals do not have vaccines, but they can prevent disease by how they live and act.

In their 2020 publication in Biology Letters, the researchers said that maintaining strong and unconditional alliances with certain relatives can have numerous long-term benefits in nonhuman primates, just as in humans. In mandrills, females with the strongest social ties start breeding earlier and may have more offspring over their lifetimes. Such evolutionary gains associated with maintaining some social ties may be worth the risk of potential infection.


Question 7.1.1

How do the behaviors of lobsters, ants, guppies, and mandrills prevent the spread of disease?



Question 7.1.2

Are there any times you have instinctively moved away from something? Are there any types of biological actions by your fellow humans that make you want to move away from them?



Question 7.1.3

Why are these instincts better for the species as a whole? What would happen to lobsters, ants, guppies, or mandrills if they didn't change their behavior?



Question 7.1.4

Choose one of the organisms from the text, explain the experiment that was done OR how you would plan an experiment to learn more.



7.2. Designing a Model



Question 7.2.1

Which organism’s behavior are you modeling?
 



Question 7.2.2

Why did you choose the blocks/sequence of blocks the way you did?



Question 7.2.3

What cues do organisms have that you aren't able to code for? How would you represent that if you could add additional blocks?
 



Question 7.2.4

What are the risk levels for the different behaviors? Why do you think some organisms have evolved to have higher/lower risk tolerance? 
 



Question 7.2.5

Besides replicating a known behavior, how might you use this model to learn something new? What would you want to predict about the organism? Population? Ecosystem interactions?