They are too small to see, yet they shape human history. Pathogens have caused pandemics that killed millions, and they are still among the greatest threats to human health. Understanding your enemy is the first step to defeating it.
Imagine you could shrink to the size of a cell and travel through a drop of pond water or a sneeze droplet.
Write down your answers before reading on:
The single-celled invaders
Bacteria
Bacteria are single-celled organisms that can live almost anywhere — in soil, water, on your skin, and inside your body. Most bacteria are harmless or even beneficial, but some cause disease.
Disease-causing bacteria harm the body in two main ways:
Bacteria can be treated with antibiotics — drugs that kill bacteria or stop them from multiplying. However, bacteria are becoming increasingly resistant to antibiotics, which is a major global health concern.
The cellular hijackers
Viruses are not cells — they are tiny infectious particles made of genetic material (DNA or RNA) surrounded by a protein coat. They are much smaller than bacteria and can only replicate inside living cells.
Viruses cause disease by:
Because viruses use the host cell's own machinery, antibiotics do not work against viruses. Antiviral drugs and vaccines are the main tools for fighting viral infections.
The other disease-causers
While bacteria and viruses cause the most well-known diseases, three other types of pathogens are also important:
Fungi include yeasts and moulds. Fungal infections typically affect the skin, nails, or mucous membranes. Examples include athlete's foot, ringworm, and thrush. Fungi thrive in warm, moist environments.
Protists are single-celled eukaryotes. The most significant disease-causing protist is Plasmodium, which causes malaria. It has a complex life cycle involving both mosquitoes and humans. Another example is Giardia, which causes diarrhoeal disease through contaminated water.
Prions are infectious proteins that cause normal proteins in the brain to misfold. This leads to devastating neurodegenerative diseases like variant Creutzfeldt-Jakob disease (vCJD), sometimes called "mad cow disease." Prions are extremely unusual because they contain no genetic material at all.
Why treatment depends on the pathogen type
| Pathogen | Size | Living? | How It Causes Disease | Treatment |
|---|---|---|---|---|
| Bacteria | 1-10 micrometres | Yes | Toxins, tissue invasion | Antibiotics |
| Virus | 20-300 nanometres | No | Hijacks cells, bursts them | Antivirals, vaccines |
| Fungi | 2-10 micrometres | Yes | Tissue invasion, toxins | Antifungals |
| Protist | 1-50 micrometres | Yes | Tissue invasion, toxins | Antiparasitics |
| Prion | Very small | No | Misfolds brain proteins | No effective treatment |
This table explains why your doctor will not prescribe antibiotics for a cold (viral) but will for a bacterial throat infection. Using the wrong treatment is not just ineffective — it can be dangerous.
"All bacteria are harmful." No — most bacteria are harmless or beneficial. Your gut contains trillions of bacteria that help digest food and support your immune system. Only a small fraction of bacterial species cause disease.
"Viruses are just small bacteria." No — viruses are fundamentally different from bacteria. Bacteria are living cells that can reproduce on their own. Viruses are not cells and can only replicate inside host cells.
The Doherty Institute: Based in Melbourne, the Peter Doherty Institute for Infection and Immunity is one of Australia's leading centres for pathogen research. Scientists there study how viruses like influenza and SARS-CoV-2 infect human cells, develop new vaccines, and track disease outbreaks across the country.
CSIRO and infectious disease: Australia's national science agency, CSIRO, conducts research on emerging infectious diseases, antimicrobial resistance, and new treatments. During the COVID-19 pandemic, CSIRO scientists were the first outside China to grow the virus in cell culture, enabling critical research worldwide.
Ross River virus: First identified near the Ross River in Townsville, Queensland, in 1959, this mosquito-borne virus remains one of the most common infectious diseases in Australia, with thousands of cases reported annually. Symptoms include joint pain, rash, and fever. There is no specific treatment or vaccine.
1. Which of the following is a virus?
2. Antibiotics are effective against:
3. Which pathogen causes malaria?
4. Why can viruses not be treated with antibiotics?
5. Prions are unusual because they:
1. Compare bacteria and viruses in terms of structure, how they cause disease, and how they are treated. Use specific examples. 4 MARKS
2. Explain how protists like Plasmodium and prions cause disease using completely different mechanisms. 4 MARKS
3. Evaluate the statement: "Because most bacteria are harmless, we should not worry about bacterial infections." Use evidence about bacterial diseases and antimicrobial resistance. 4 MARKS
Go back to your Think First answer. Has your understanding changed?
C — Influenza is caused by the influenza virus. E. coli, Streptococcus, and Salmonella are all bacteria.
B — Antibiotics work by targeting structures found in bacterial cells, such as cell walls. They have no effect on viruses, which are not cells.
C — Malaria is caused by Plasmodium, a protist transmitted by mosquitoes.
B — Viruses are not cells and lack the structures (like cell walls) that antibiotics target. Antiviral drugs work by interfering with viral replication instead.
B — Prions are infectious proteins that cause normal proteins to misfold. Unlike all other pathogens, they contain no DNA or RNA.
Model answer: Bacteria are single-celled organisms with cell walls, cytoplasm, and the ability to reproduce independently. They cause disease by producing toxins (e.g., Clostridium botulinum produces botulinum toxin) or invading tissues (e.g., Streptococcus causes strep throat). Bacteria are treated with antibiotics. Viruses are much smaller, not cells, and consist only of genetic material (DNA or RNA) inside a protein coat. They cause disease by invading host cells, hijacking cellular machinery to replicate, and then bursting out to infect more cells (e.g., influenza virus infects respiratory cells). Antibiotics are ineffective against viruses; antiviral drugs or vaccines are used instead.
Model answer: Plasmodium (the protist that causes malaria) is a single-celled eukaryotic organism with a complex life cycle involving both mosquitoes and humans. It invades liver cells and red blood cells, multiplying inside them and causing fever, anaemia, and organ damage. Prions, by contrast, contain no genetic material and are not living organisms. They are misfolded proteins that convert normal proteins in the brain into the same misfolded shape. This creates a chain reaction that destroys brain tissue, leading to neurodegenerative diseases like vCJD. While Plasmodium actively invades and replicates in cells, prions passively corrupt the structure of existing proteins.
Model answer: This statement is dangerously incorrect. While it is true that most bacteria are harmless or beneficial (e.g., gut bacteria aid digestion), pathogenic bacteria remain a major cause of death worldwide. Tuberculosis (caused by Mycobacterium tuberculosis) kills over a million people annually. Furthermore, antimicrobial resistance is making bacterial infections increasingly difficult to treat. When antibiotics are overused or misused, bacteria evolve resistance, creating "superbugs" like MRSA that cannot be treated with standard antibiotics. Responsible use of antibiotics, hygiene, and vaccination are essential to controlling bacterial diseases, even though most bacterial species are harmless.
Identify and blast different types of pathogens before they infect the host! Learn their features and weaknesses in this action-packed game.
Tick when you have finished all activities and checked your answers.