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A Levels Biology (9700)•9700/12/O/N/19
Question 36 from 9700/12/O/N/19

Explanation

Cholera: Vibrio cholerae via contaminated water

Steps:

  • Recall cholera's causative agent is the bacterium Vibrio cholerae, matching option 1.
  • Identify primary transmission as fecal-oral route through contaminated water or food, aligning with method W.
  • Eliminate viral or parasitic agents (options 2 and 3) as they do not cause cholera.
  • Rule out airborne (X) or vector-borne (Y) transmission, as cholera spreads via poor sanitation.

Why A is correct:

  • Vibrio cholerae (1) produces cholera toxin leading to severe diarrhea; waterborne spread (W) is defined by WHO as the main route in epidemics.

Why the others are wrong:

  • B: Shares correct pathogen (1) but wrong transmission (X, airborne—not cholera's method).
  • C: Wrong pathogen (2, likely viral) and transmission (X, airborne).
  • D: Wrong pathogen (3, likely parasitic) and transmission (Y, vector-borne).

Final answer: A

Topic: Infectious diseases

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