IGCSE Biology
2026 - 2028
Syllabus Checklist
Topic 10: Diseases and Immunity
Diseases and Immunity
Describe a pathogen
as a disease-causing organism.
Describe a transmissible disease
as one in which the pathogen can be passed from one host to another.
State that a pathogen is transmitted:
▪ By direct contact
, including through blood and other body fluids.
▪ Indirectly
, including from contaminated surfaces, food, animals, and air.
Describe the body defences
, limited to: skin, hairs in the nose, mucus, stomach acid, and white blood cells.
Explain the importance of the following in controlling the spread of disease:
▪ A clean water supply
.
▪ Hygienic food preparation
.
▪ Good personal hygiene
.
▪ Waste disposal
.
▪ Sewage treatment
(details not required).
Describe active immunity
as defence against a pathogen by antibody production in the body.
State that each pathogen has its own antigens
, which have specific shapes.
Describe antibodies
as proteins that bind to antigens, leading to direct destruction of pathogens or marking them for destruction by phagocytes
.
State that specific antibodies have complementary shapes
that fit specific antigens.
Explain that active immunity
is gained after an infection by a pathogen or by vaccination
.
Outline the process of vaccination
:
▪ Weakened pathogens or their antigens are put into the body.
▪ The antigens stimulate an immune response
by lymphocytes that produce antibodies.
▪ Memory cells
are produced that give long-term immunity.
Explain the role of vaccination
in controlling the spread of diseases.
Explain that passive immunity
is a short-term defence against a pathogen by antibodies acquired from another individual, including across the placenta
and in breast milk
.
Explain the importance of breastfeeding
for the development of passive immunity in infants.
State that memory cells
are not produced in passive immunity.
Describe cholera
as a disease caused by a bacterium transmitted in contaminated water.
Explain that the cholera bacterium produces a toxin
that causes secretion of chloride ions into the small intestine, leading to osmotic movement of water into the gut, causing diarrhoea
, dehydration
, and loss of ions from the blood.