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 question

Question

The question page is about measles and contains four parts labelled 05.1 to 05.4, worth a total of 11 marks. At the top is Table 3, a two-column table showing medically confirmed measles cases in England and Wales: 2012 = 2030, 2013 = 1843, 2014 = 121, and 2015 = 91; students are asked to suggest why the actual number of cases may be higher than shown and to calculate the percentage decrease between 2012 and 2015. Another part asks why vaccinating a large proportion of the population reduces spread of measles. The final 6-mark part includes Figure 8, a line graph of concentration of measles antibodies in blood in arbitrary units against time in weeks from 0 to 16, with markers showing vaccine injected near week 1 and exposure to measles virus near week 7; the graph shows a small rise after vaccination to about 0.8 around week 3 to 4, then a sharp rise after exposure to about 7.2 around week 8 followed by a gradual fall to about 6 by week 16.
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 The mark scheme lists accepted answers for each part of Question 05. For 05.1, one mark is awarded for ideas such as not everyone goes to the doctor, samples are not always sent for analysis, or some cases are not tested, diagnosed, or confirmed; for 05.2, the calculation is shown as 1939 divided by 2030 times 100, giving 96 or 95.5 percent, with partial credit for methods such as using 91 divided by 2030 times 100 to find 4.5 percent. For 05.3, marks are for explaining herd immunity: most people are immune so do not become ill, and non-immune or unvaccinated people are less likely to be exposed to the measles virus. For 05.4, a levels-based scheme awards up to 6 marks for comparing antibody responses after vaccination and after later exposure, including that the second response is faster, higher, and lasts longer, with data from the graph and explanations involving white blood cells, lymphocytes or B cells, memory cells, antigen recognition, and production of specific antibodies.

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

What this question tests

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.
1 mark = 1 valid reason.

💡 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

  1. Find the decrease: 2030 - 91 = 1939
  2. Divide by the original number: 1939 ÷ 2030
  3. Multiply by 100: (1939 ÷ 2030) × 100 = 95.5%

Percentage decrease = 95.5%

Accept 96% if rounded correctly. A fully correct answer scores 2 marks.

💡 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.
2 marks = two linked points.

💡 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.
Level 3 answers are detailed, comparative, and clearly linked.

💡 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:

  1. Compare the two responses.
  2. Use data from the graph.
  3. 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.

This would be in the top band because it compares, uses data, and explains the biology clearly.

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.