AQA GCSE Combined Science: Trilogy Biology Paper 1 (Higher), 2018: Question 5
11 marks · Standard Demand difficulty · Extended Answer
Answer questions about measles using a table and graph, including under-reporting, percentage decrease in cases, herd immunity, and differences in antibody production after vaccination and later exposure to the virus.
Practise this questionQuestion
Question text
05 Measles is a serious disease. A person can die from measles.
Table 3 shows the number of medically confirmed cases of measles in England and
Wales between 2012 and 2015
Table 3
Year Number of medically
confirmed cases of measles
2012 2030
2013 1843
2014 121
2015 91
05.1 Suggest one reason why the actual number of cases of measles in England and
Wales might be higher than is shown in Table 3
[1 mark]
05.2 Calculate the percentage decrease in the number of medically confirmed cases of
measles between 2012 and 2015
[2 marks]
Percentage decrease =16 %
05.3 One reason for the decrease in the number of cases of measles is that more children
were vaccinated against the disease.
Vaccinating a large proportion of the population reduces the spread of the
measles virus.
Explain why.
[2 marks]
05.4 Figure 8 shows the concentration of measles antibodies in the blood of a boy.
Figure 8
Explain the differences between antibody production after the vaccine injection and
after exposure to the measles virus.
You should include data from Figure 8
[6 marks]
Mark scheme
Show the mark scheme
AO /
Question Answers Extra information Mark
Spec. Ref.
05.1 any one from: 1 AO2
• not everyone would go to the allow not all cases recorded 4.3.1.2
doctor allow only medically confirmed
cases recorded
ignore some cases are unknown
• sample will not always be
sent for analysis
• some cases not tested / allow idea that doctor may make
diagnosed / confirmed a judgemental error or mis-
diagnosis
05.2 an answer of 96 / 95.5 scores 2 AO2
marks 4.3.1.2
allow 1 mark only for 95 or other
incorrect rounding
1939 allow for 1 mark: 1
× 100
2030 91
� × 100 =�4.5%
2030
96 / 95.5 allow 2 marks for correct 1
rounding of 95.51724138
allow 1 mark for correct
calculation using incorrect
subtraction only if working
shown
05.3 most people are immune so do allow herd / community 1 AO1
not become ill (from infection) immunity so do not become ill 4.3.1.1
(from infection) 4.3.1.7
allow most people are immune
so do not become infected
ignore most people are immune
so don’t get / catch it
less chance of non-immune / reference to an organism is 1
unvaccinated individuals being needed
exposed to pathogen / measles /
virus allow ‘it’ for the measles virus
allow fewer people to pass it on
to non-immune people
AO /
Question Answers Mark
Spec. Ref.
05.4 Level 3: Relevant points (comparisons / reasons) are identified, 5–6 AO1
given in detail and logically linked to form a clear account.
Level 2: Relevant points (comparisons / reasons) are identified and 3–4 AO1
there are attempts at logical linking. The resulting account is not
fully clear.
Level 1: Points are identified and stated simply, but their relevance 1–2 AO2
is not clear and there is no attempt at logical linking.
No relevant content 0
Indicative content 4.2.2.3
4.3.1.2
differences (after exposure to measles virus): 4.3.1.6
4.3.1.7
• greater number / higher concentration of antibodies produced
• quantitative statement, eg 9 times higher or 0.8 to 7.2
• antibodies produced sooner – idea of immediate response
• antibodies produced quicker
• antibodies stay (in higher concentration) for longer
explanation
• white blood cells / leucocytes / lymphocytes / B cells
ignore phagocytes / macrophages
• reference to previous exposure (of white blood cells) to
pathogen / virus
• (white blood cells) recognise pathogen / virus / antigen
• memory cells
• production of specific / correct antibodies
Total 11
How to answer it
Measles, Vaccination and Antibodies
Revision focus
Interpreting a table and a graph, explaining why recorded cases may be lower than actual cases, doing a percentage decrease calculation, and describing how vaccination leads to faster and larger antibody production by memory cells after later exposure.
Question overview
Overall demand: this is mainly a Standard Demand question because it mixes recall, data handling, a calculation, and a longer explanation using the graph.
Key skills
- Read a table and spot the trend.
- Use the percentage decrease formula correctly.
- Explain herd immunity in simple terms.
- Compare primary and secondary immune responses using data from a graph.
How marks are awarded
- 1-mark answers need one correct idea.
- The calculation gives method and answer marks.
- The 6-mark question rewards detailed comparison plus biological explanation.
Part (05.1)
Suggest one reason why the actual number of cases might be higher than shown in Table 3
✅ Correct answer
Any one of these:
- Not everyone would go to the doctor.
- Some cases would not be tested, diagnosed, or confirmed.
- Some samples would not be sent for analysis.
💡 Key knowledge
The table shows medically confirmed cases only. That means it does not include every person who actually had measles.
🧠 Exam technique
Use a reason linked to recording or diagnosis. The examiner accepts ideas such as misdiagnosis or a doctor making a judgement error.
❌ Common errors
- Saying only “some cases are unknown” is too vague.
- Talking about vaccines here is not answering the question.
- Do not say the data is wrong unless you explain why it is incomplete.
Part (05.2)
Calculate the percentage decrease in medically confirmed cases between 2012 and 2015
📐 Calculation: step by step
- Find the decrease: 2030 - 91 = 1939
- Divide by the original number: 1939 ÷ 2030
- Multiply by 100: (1939 ÷ 2030) × 100 = 95.5%
Percentage decrease = 95.5%
💡 Key knowledge
The formula for percentage decrease is:
(decrease ÷ original value) × 100
Here, the original value is 2030 because that is the 2012 number.
🧠 Exam technique
- Always show your working for method marks.
- Use the starting value as the original number.
- Write the final answer with a percentage sign.
❌ Common errors
- Subtracting in the wrong order gives a negative answer.
- Using 91 as the original value is incorrect.
- Forgetting ×100 means no percentage.
- Rounding too early can lead to 95% instead of 95.5%.
Part (05.3)
Explain why vaccinating a large proportion of the population reduces the spread of measles virus
✅ Correct answer
A full-mark answer should include both ideas:
- Most people are immune, so they do not become ill.
- There is less chance of non-immune or unvaccinated people being exposed to the measles virus.
💡 Key knowledge
This is herd immunity or community immunity. If many people are protected, the virus has fewer opportunities to spread from person to person.
🧠 Exam technique
Link the idea of immunity to reduced transmission. The key biological chain is:
more vaccinated people → fewer infected people → less spread → unvaccinated people are less likely to catch it
❌ Common errors
- Saying “everyone is immune” is too absolute.
- Saying “people don’t get it” without mentioning spread loses the second mark.
- You must mention the virus or pathogen, not just “it”.
Part (05.4)
Explain the differences between antibody production after the vaccine injection and after exposure to the measles virus. Use data from Figure 8.
✅ Correct answer: what to include
- After the vaccine injection, antibodies rise slowly and only to a low level.
- In the graph, the vaccine causes a small increase to about 0.8 arbitrary units around weeks 3–4.
- After exposure to the measles virus, antibodies rise much faster and to a much higher concentration.
- The graph shows a sharp rise to about 7.2 arbitrary units by about week 8–9.
- After exposure, the antibody level stays high for longer than after the vaccine.
- This is because memory cells from the first exposure recognise the antigen and make the correct antibodies quickly.
💡 Key knowledge
- Vaccination gives a primary immune response.
- Later exposure to the real virus triggers a secondary immune response.
- B lymphocytes and memory cells are involved in making specific antibodies.
- The immune system recognises the measles antigen more quickly the second time.
🧠 Exam technique
To reach the top level, do three things:
- Compare the two responses.
- Use data from the graph.
- Explain why the second response is faster and larger.
Good comparative phrases: higher than , faster than , for longer , whereas .
❌ Common errors
- Describing only one part of the graph.
- Forgetting to mention memory cells or previous exposure.
- Using “antibodies” without saying they are specific to the antigen.
- Not quoting any data from Figure 8.
📐 What a strong 6-mark response sounds like
After the vaccine injection, the boy produces a small amount of antibodies slowly, rising to about 0.8 arbitrary units by around week 4, then it falls again. After exposure to the measles virus, antibody concentration rises much more quickly and reaches about 7.2 arbitrary units by around week 8–9. The response is much greater because memory cells made after the vaccine recognise the measles antigen quickly and stimulate B lymphocytes to make lots of the correct antibodies. The higher antibody level also stays for longer than after the vaccine response.
Examiner insight: what separated strong answers?
Top-scoring features
- Precise reasons for undercounting in 05.1.
- Correct use of the percentage decrease formula in 05.2.
- Clear herd immunity explanation in 05.3.
- For 05.4, a well-linked comparison using numbers from the graph.
Where marks are often lost
- Writing vague phrases like “it spreads less” without explaining why.
- Doing the calculation with the wrong original value.
- Describing the graph without comparing both responses.
Topics
Biology · B3: Infection and Response
Question and mark scheme from the AQA GCSE Combined Science: Trilogy examination, Biology Paper 1 (Higher), 2018. QuestionVault is an independent revision resource; questions remain the copyright of the awarding body.