A Levels Biology (9700)•9700/11/O/N/24

Explanation
Cholera Transmission and Outbreak Factors
Steps:
- Cholera, caused by Vibrio cholerae, spreads via fecal-oral route, primarily through contaminated water (statement 3).
- The pathogen induces severe watery diarrhea, increasing fecal shedding and environmental contamination (statement 1).
- Global mobility from air travel disperses infected individuals, accelerating outbreaks across regions (statement 2).
- All three factors combine to explain why outbreaks occur frequently in vulnerable populations.
Why A is correct:
- Vibrio cholerae outbreaks require transmission via water, amplified by diarrhea's volume and human mobility, per WHO epidemiology guidelines.
Why the others are wrong:
- B: Excludes water transmission, the primary vector for cholera.
- C: Ignores mobility, which enables rapid international spread.
- D: Omits watery feces, essential for high pathogen loads in outbreaks.
Final answer: A
Topic: Infectious diseases
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