MCQs on Herd Immunity:

By | February 6, 2025

Basic Concepts of Herd Immunity

  1. What is herd immunity?
    • A) Immunity developed after natural infection
    • B) Protection of susceptible individuals due to a high proportion of immune individuals in a population
    • C) Immunity acquired through vaccination only
    • D) A type of genetic immunity
  2. Which of the following is essential for herd immunity?
    • A) High vaccine coverage
    • B) High birth rates
    • C) Increased pathogen virulence
    • D) Widespread antibiotic use
  3. Herd immunity primarily protects:
    • A) Only vaccinated individuals
    • B) Entire population, including unvaccinated individuals
    • C) Only newborns
    • D) Only individuals who have had a previous infection
  4. Which of the following diseases has been eradicated globally due to herd immunity?
    • A) Polio
    • B) Smallpox
    • C) Measles
    • D) Tuberculosis
  5. Herd immunity is effective against:
    • A) Infectious diseases
    • B) Genetic disorders
    • C) Autoimmune diseases
    • D) Metabolic diseases
  6. The concept of herd immunity was first described in which type of disease?
    • A) Bacterial infections
    • B) Viral infections
    • C) Parasitic infections
    • D) Fungal infections

Threshold and Coverage

  1. Herd immunity threshold refers to:
    • A) The percentage of immune individuals needed to prevent disease spread
    • B) The percentage of infected individuals in an outbreak
    • C) The duration of vaccine protection
    • D) The total number of individuals vaccinated
  2. The herd immunity threshold for measles is approximately:
    • A) 60%
    • B) 70%
    • C) 80%
    • D) 95%
  3. Which factor does not affect the herd immunity threshold?
    • A) Population density
    • B) Vaccine efficacy
    • C) Mutation rate of the pathogen
    • D) Air pollution levels
  4. If a disease has a basic reproduction number (R₀) of 5, what is the approximate herd immunity threshold?
  • A) 20%
  • B) 60%
  • C) 80%
  • D) 90%
  1. Which of the following increases the herd immunity threshold?
  • A) A more contagious pathogen
  • B) Improved healthcare access
  • C) Lower birth rates
  • D) Reduced travel

Vaccination and Herd Immunity

  1. Herd immunity through vaccination works best when:
  • A) A vaccine provides lifelong immunity
  • B) A vaccine requires multiple booster doses
  • C) Only symptomatic individuals are vaccinated
  • D) People avoid vaccination
  1. Which type of vaccine is most effective in achieving herd immunity?
  • A) Live attenuated vaccines
  • B) Inactivated vaccines
  • C) Toxoid vaccines
  • D) mRNA vaccines
  1. Which disease is close to eradication due to herd immunity from vaccination?
  • A) Polio
  • B) Malaria
  • C) HIV/AIDS
  • D) Influenza
  1. A decrease in vaccination rates can lead to:
  • A) Strengthened herd immunity
  • B) Increased disease outbreaks
  • C) Permanent immunity in children
  • D) Elimination of vaccine-preventable diseases
  1. Which of the following populations benefits most from herd immunity?
  • A) Individuals with strong immune systems
  • B) Newborns and immunocompromised individuals
  • C) Adults with prior infections
  • D) People living in rural areas
  1. Why is herd immunity not effective against tetanus?
  • A) Tetanus is not contagious
  • B) The vaccine does not provide lifelong immunity
  • C) The pathogen mutates frequently
  • D) Herd immunity only works for viral diseases
  1. The concept of herd immunity does not apply to:
  • A) Rabies
  • B) Influenza
  • C) COVID-19
  • D) Pertussis

Epidemiology and Public Health

  1. Which of the following public health strategies supports herd immunity?
  • A) Mass vaccination campaigns
  • B) Use of antibiotics
  • C) Isolation of infected individuals
  • D) Genetic screening
  1. In a pandemic, herd immunity can be achieved by:
  • A) Natural infection
  • B) Vaccination
  • C) Both A and B
  • D) None of the above
  1. Which of the following challenges herd immunity efforts?
  • A) Vaccine hesitancy
  • B) High vaccine efficacy
  • C) Low pathogen mutation rates
  • D) Universal healthcare
  1. The “basic reproduction number” (R₀) refers to:
  • A) The number of people infected by one infected individual in a susceptible population
  • B) The number of vaccine doses required for immunity
  • C) The percentage of the population vaccinated
  • D) The number of deaths caused by an infection
  1. Why is herd immunity difficult to achieve for the flu?
  • A) The flu virus mutates frequently
  • B) Flu vaccines are ineffective
  • C) The flu is not contagious
  • D) The flu only affects older adults
  1. Which of the following reduces herd immunity?
  • A) Increased travel and migration
  • B) Mass vaccination programs
  • C) Strong health policies
  • D) Improved sanitation

Ethical and Social Considerations

  1. Ethical concerns about herd immunity arise when:
  • A) Vaccination is made mandatory
  • B) Governments fund vaccination programs
  • C) Individuals refuse vaccination, relying on others to be vaccinated
  • D) Scientists develop new vaccines
  1. “Free-riding” in herd immunity means:
  • A) Relying on others to be vaccinated without getting vaccinated oneself
  • B) Using public transportation to avoid exposure
  • C) Developing natural immunity through infection
  • D) Having a higher resistance to diseases naturally
  1. Which of the following groups cannot contribute to herd immunity?
  • A) Infants
  • B) Elderly individuals
  • C) Healthcare workers
  • D) School-aged children
  1. Herd immunity against COVID-19 was initially difficult to achieve because:
  • A) The virus had a high mutation rate
  • B) The vaccine was unavailable initially
  • C) Not enough people were vaccinated early
  • D) All of the above

Miscellaneous

  1. Which of the following factors increases herd immunity?
  • A) High vaccine uptake
  • B) Increased antibiotic resistance
  • C) Poor sanitation
  • D) Vaccine misinformation
  1. Which disease was nearly eradicated but resurged due to declining vaccination rates?
  • A) Measles
  • B) Smallpox
  • C) Ebola
  • D) HIV