Reducing Disease Threats through Vaccination
How Vaccination Protects Populations Against Disease
A child, who has just received a seasonal influenza vaccine.
Centers for Disease Control and Prevention (CDC)
- Grades:
- Length: 60 Minutes
Overview
By working through three simulations of the spread of an imaginary infectious disease called “yuckyitis,” students learn how vaccination can protect populations against disease, and they relate this knowledge to the COVID-19 vaccination efforts.
- Teacher
Background - Objectives and Standards
- Materials and
Setup - Procedure and
Extensions - Handouts and
Downloads
Teacher Background
The Science
Vaccines are used to stimulate a person’s immune system to produce antibodies against disease. They are made from weakened or killed microbes, or parts of the disease-causing microbe. Vaccines enable the immune system to create a memory of the microbe so that if the microbe enters the body, it is recognized and the body can respond quickly to defend itself against it.
The antibodies that are produced help you develop an immunity to the disease without your having to get the disease first. Vaccines prevent disease. If enough people are vaccinated against a disease, it is harder for the disease to spread among the members of a populations.
Objectives and Standards
Learning Objectives
Students compare the rates of disease spread among populations and calculate how illnesses spread more slowly in populations in which most individuals have been immunized.
Science, Health, or Math Skills
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Observing
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Comparing
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Quantifying
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Predicting
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Interpreting
NGSS Science & Engineering Practices
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Developing and Using Models
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Analyzing and Interpreting Data
Time
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Setup—15 minutes
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Activity—60 minutes
Materials and Setup
Teacher will need:
- Device and projection capability, depending on teaching situation
Students will need:
- Copies of the three Fairhaven USA pages for each student. Alternately, project the images from the accompanying slide deck and conduct a class discussion while modeling each scenario.
- Markers and crayons, if conducted in class. Or, students may complete the sheets as homework in paper or electronic formats.
Set Up and Teaching Tips
This activity may be conducted in class or online as a synchronous session. Or, you may assign the three simulations depicted on the Fairhaven USA student pages as asynchronous work to be completed ahead of class. Students should work separately on their own set of handouts or as part of physically distanced teams in which students take turns completing one of the scenarios.
Procedure and Extensions
Engage
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Ask, Has anyone ever received a vaccine? Discuss student responses. Typical immunizations received by school-age children include MMR (measles, mumps, rubella), DTaP® (tetanus and whooping cough), and flu (influenza).
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Briefly review what is meant by the term “vaccine.” Typically, a vaccine contains the same germs or fragments of germs as the ones that cause a particular disease. But the material in the vaccine has been either killed or weakened. Some vaccines, such as the newest ones being developed for COVID-19, contain only a part of the microbe that causes the disease. Exposure to the killed or weakened germs or germ fragments helps the immune system create a memory of the invaders. This memory enables the immune system to be ready and act quickly if the body encounters the same germ again.
COVID-19 is caused by a virus called SARS-CoV-2. The name is an acronym for Severe Acute Respiratory Syndrome Coronavirus Number 2. It is the second coronavirus that has been found to cause serious infections of the respiratory system. Recent research has shown that SARS-CoV-2 can also infect other parts of the body, such as the nervous system and gastrointestinal system.
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Individuals who receive a vaccine develop immunity (protection) to a disease without having to be infected with it first. Refer to students’ earlier responses related to common childhood vaccines. As appropriate, discuss different vaccinations given to children and vaccination schedules. The following site is a good source for information on vaccination schedules:
http://www.cdc.gov/vaccines/parents/downloads/parent-ver-sch-0-6yrs.pdf -
Explain that vaccines teach the body’s immune system to defend against a particular microbe—even when the person hasn’t actually had the disease.
Explore
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Depending on your teaching situation, give each student the first of three Fairhaven USA sheets, or project each sheet for students to view. If students are working with paper copies, provide a red marker or red crayon. You also may distribute the sheets electronically.
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Tell students to imagine that someone in the town of Fairhaven USA has contracted the dreaded infectious disease yuckyitis, caused by the yucky virus. If you wish, make up a few “yucky” symptoms for this imaginary disease. Have students note that there are more than 60 residents in the town and that straight lines indicate the people with whom each individual has contact every day.
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Point out that the profiles at the top represent different people.
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The uncolored profile represents someone who is healthy but unprotected with a vaccine.
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Green represents someone who is healthy and unprotected with a vaccine but immune to the microbe that causes yuckyitis because they already have had the disease.
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Blue represents someone who is protected with the yuckyitis vaccine.
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Red represents people who have become infected with the yucky virus that causes yuckyitis.
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Tell teams to randomly pick one healthy, unprotected person on the page and color that person red to indicate that she or he has acquired yuckyitis. The simplest way to do this is to have the student close their eyes and touch the paper with the pointer finger. If you are using slides, simply click to the next slide and one image will appear in red.
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Tell students that the infected person now passes the virus that causes yuckyitis to each person with whom they come in close contact during the next day. You may want to create a criterion for close contact, such as the one used for COVID-19 (within 6 feet for 15 minutes or more). Color the people who have acquired the virus red. (The scenario is based on the assumption that yuckyitis is 100% contagious, unless an individual has immunity.)
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Continue by following the network of contacts and coloring red all of the individuals who eventually contract yuckyitis. At the end, teams should count the total number of people in Fairhaven who have been infected with yuckyitis and write the number at the bottom of the page.
Note: If you are conducting this as a demonstration while teaching online, use a whiteboard function to color the infected individuals—or simply use the edit mode in PowerPoint to add a red dot or X on each person who becomes infected.
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Distribute or project the second Fairhaven USA sheet. In this scenario, some town members have been vaccinated against yuckyitis. Again, have students pick one healthy, unprotected person to be infected. Color that person red, along with everyone else who becomes infected through contact. Write the total number of infected people at the bottom of the page.
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Distribute or project the third Fairhaven USA sheet. On this sheet, many of the town’s residents have been vaccinated against yuckyitis. Again, pick one healthy, unprotected person, and color that person red, along with all the other healthy unprotected people who catch yuckyitis. Write the total number of infected people at the bottom of the page.
Explain
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Have students answer the questions below in their science notebooks, and then discuss their responses in class. Review the concept of vaccination. Have teams explain how vaccination helps reduce the incidence of disease in a population, using their Fairhaven sheets as evidence.
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How do vaccines help prevent the spread of disease?
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In which scenario were the residents of Fairhaven most protected from yuckyitis? Explain your answer.
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Suppose that a person has a weakened immune system or an allergy to the vaccine and can’t be immunized against yuckyitis? In which scenario would that person be least likely to become infected?
Discuss the concept of herd immunity. Herd immunity means that most members of a population have immunity to a particular infection and it is difficult for the disease to spread from one person to another. Thus, the more people who get vaccinated, the harder it is for an infectious disease to spread.
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Ask, How is this information about herd immunity relevant to the COVID-19 pandemic? Accept all responses. Discuss how the current vaccination efforts against COVID-19 are aimed at helping our population reach herd immunity status. The percentage of a population that must develop immunity depends on how contagious a disease is. Measles, for example, is highly contagious, so about 95% of the individuals in a group have to have immunity in order to eliminate the disease. Many experts believe that 70– 85% of the population will have to be immune in order to contain the spread of COVID-19.
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Mention the new COVID-19 vaccines that now are available. Ask students what they know or have heard about the vaccines. Explain that several different vaccines are available or being studied to prevent infection by SARS-CoV-2. At least two of these vaccines rely on messenger RNA, or mRNA. The mRNA vaccines are a new kind of vaccine to protect against infectious diseases. The COVID-19 mRNA vaccines teach our cells how to make proteins—or even just a piece of a protein—to trigger an immune response inside our bodies. The biotechnology to create these new vaccines has been under development for decades.
Importantly, mRNA vaccines do not use the live virus that causes COVID-19. In addition, they do not affect or interact with our DNA in any way. People who are vaccinated with this type of vaccine gain protection without ever having to risk the serious consequences of getting sick with COVID-19. You and your students can find more information about the COVID-19 mRNA vaccines here: https://www.cdc.gov/coronavirus/2019-ncov/vaccines/different-vaccines/mrna.html
- The CDC website provides complete information about all of the vaccines that are approved or under development to prevent COVID-19: https://www.cdc.gov/coronavirus/2019-ncov/vaccines/ different-vaccines.html
Extend
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As an extension, have teams repeat the Fairhaven activity with one more sheet. Tell teams in this scenario, the yucky virus only infects half (50%) of the people who are exposed through close contact. In other words, only half of the people (every other person) who come in contact with the initial sick person get the disease.
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Have students flip a coin to identify whether each individual will be infected or not. Use a different marker color to indicate people who do not get sick. How do these results compare to the other Fairhaven sheets?
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Have teams compare their Fairhaven charts to the Herd Immunity Diagram provided by the National Institute of Allergy and Infectious Diseases (included in the slide deck).
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Have students read the accompanying essay, Vaccines: An Important Protection Against Diseases.
Words to Know
Herd Immunity: When a large part of the population of an area is immune to a specific disease (through vaccination and/or prior infection with the disease).
Immunization: The process by which a person is made immune or resistant to a particular disease through a vaccine.
Transmission: Passing on an infectious disease through direct or indirect contact.
Vaccine: A biological preparation (usually a liquid), most often administered through an injection, that provides active acquired immunity to a particular disease.
Resources
Building Trust In Vaccines, Anthony Fauci, MD.
https://www.nih.gov/about-nih/what-we-do/science-health-public-trust/perspectives/science-health-public-trust/building-trust-vaccines
Vaccines: The Basics
https://www.cdc.gov/vaccines/vpd/vpd-vac-basics.html
Redford G. 2021. Is herd immunity closer than we think? AAMC News. https://www.aamc.org/news-insights/herd-immunity-closer-we-think
Zhang Y, Geng X, Tan Y, Li Q, Xu C, Xu J, Hao L, Zeng Z, Luo X, Liu F, Wang H. 2020. New understanding of the damage of SARS-CoV-2 infection outside the respiratory system. Biomedicine & Pharmacotherapy 127:110195. doi: 10.1016/j.biopha.2020.110195.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7186209/pdf/main.pdf
Funding
The COVID HACKS curriculum project is made possible thanks to the support from Laura & John Arnold and Baylor College of Medicine. Scientists, educators and physicians from Baylor College of Medicine provided content, feedback and technical reviews.