Class 9 · Science · Chapter 13 · बिहार बोर्ड (BSEB)CBSE · NCERT 2026-27

Why Do We Fall Ill

Why Do We Fall Ill

How to use this page:
1. Read — 13.1 disaster · 13.2 water · 13.3 waste · 13.4 survey · 13.5 antibiotics · 13.6 height · 13.7 rabies, diagram, worked example, board tip
2. Check — each lesson has its own questions; the number follows the lesson
3. Mastery ★ — all of that lesson correct. Redo the wrong ones
4. The picture to remember is a chain, in which disease goes from a sick person through air, water or a vector to the next person.

In the Bihar book this is chapter 13, and the Exploration book does not place this topic at the same number. Progress stays in this browser.

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  • 1 Health and its failure — Activities 13.1, 13.2, 13.3
  • 2 Acute and chronic — Activity 13.4
  • 3 Infectious agents — Activity 13.5
  • 4 The paths of spread
  • 5 Prevention and treatment — Activity 13.6
  • 6 Immunisation — Activity 13.7
  • Chapter winner — every lesson at mastery ★

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1

Health and its failure — Activities 13.1, 13.2, 13.3

स्वास्थ्य और उसका गिरना — क्रियाकलाप 13.1, 13.2, 13.3 · Section 13.1 · Activities 13.1 to 13.3

New
Health and its failureBacteriaVirusFungusProtozoaThese tiny living things or particles can spread disease
Bacteria, viruses, fungi or protozoa can spread disease.
Being well, not only the absence of diseaseNotes

Health means being able to function properly. A grandmother going to the market, a child playing and a steady mind all belong here. The body, the mind and the society around are joined.

Disease means that some part of the body or the mind has stopped its own work. A person free of disease can still be unwell from dirty water and hunger. So the conditions for good health and the conditions for freedom from disease are not exactly the same.

Activities 13.1, 13.2 and 13.3Activity

In 13.1 take a disaster such as an earthquake or a cyclone. Some injuries happen while the event is on. Some illnesses come later, because water, houses and food break down. Both groups are caused by the disaster, and the time is different.

In 13.2 ask how the panchayat or the municipal corporation supplies clean drinking water and whether it reaches every home. In 13.3 ask who lifts the solid waste of the neighbourhood. If the measures are few, also write how a family can cut one day of waste.

Worked exampleExample

Question: A person has no named disease, yet is weak. Should that person be called healthy?

Answer: No. Having no disease is only one part of health. Food, clean water and the capacity to function also have to be seen.

10-second revision
  • Health = functioning properly
  • Disease and being unwell are not exactly the same
  • Clean water and waste are public health
Board tip · BSEBBoard tip

In an answer about two conditions, write both personal and public ones.

Board tip · CBSEBoard tip

Do not cut a later illness off from the disaster. The cause still remains afterwards.

Check your understandingall correct = mastery ★
1
The closest meaning of health is —
Check
2
Having no disease is by itself complete health.
Check
3
Ask the ______ or the municipal corporation about clean drinking water.
Check
4
An illness that spreads weeks after an earthquake —
Check
5
Write two conditions for good health.
Check2 marks
Next lesson →
2

Acute and chronic — Activity 13.4

तीव्र और दीर्घकालिक — क्रियाकलाप 13.4 · Sections 13.2.2–13.2.3 · Activity 13.4

New
Acute and chronicBacteriaVirusFungusProtozoaThese tiny living things or particles can spread disease
Bacteria, viruses, fungi or protozoa can spread disease.
Duration changes how we see a diseaseNotes

Some diseases last a very short time. These are called acute. A common cold is acute. Some diseases run for a long time. These are called chronic. Elephantiasis is chronic.

A long disease pulls down weight, study and earnings. A short disease often heals and does not stay behind. So a chronic disease weighs more on a poor family. Causes also have two levels. The immediate cause can be a microbe. A contributory cause can be dirty water or weak food.

Activity 13.4 — the count in the neighbourhoodActivity

Ask: how many people had an acute disease in the last three months, how many developed a chronic disease in the same period, and how many people in the neighbourhood are living with a chronic disease in all.

The first and the second counts can differ, because not every patient keeps a long disease. The second and the third can also differ, because old patients began before these three months. This difference falls on the general health of the population.

Worked exampleExample

Question: A child has loose motions. The immediate cause is a virus and the water was dirty. Name both kinds of cause.

Answer: The virus is the immediate cause. Dirty water and a weak body are contributory causes. Not every child who gets dirty water falls ill, because the contributory conditions differ.

10-second revision
  • A cold is acute, elephantiasis is chronic
  • The three-month count and the total of patients can differ
  • The immediate cause and the contributory cause are different
Board tip · BSEBBoard tip

An acute-chronic answer is incomplete without the duration.

Board tip · CBSEBoard tip

In the loose-motions answer keep the virus in a different line from the contributory water.

Check your understandingall correct = mastery ★
1
A common cold is —
Check
2
A chronic disease weighs on health for longer than an acute disease.
Check
3
Elephantiasis is a ______ disease.
Check
4
What are the three counts in Activity 13.4?
Check3 marks
Next lesson →
3

Infectious agents — Activity 13.5

संक्रामक कारक — क्रियाकलाप 13.5 · Sections 13.2.5–13.3.1 · Activity 13.5

New
Infectious agentsBacteriaVirusFungusProtozoaThese tiny living things or particles can spread disease
Bacteria, viruses, fungi or protozoa can spread disease.
Five groups, five kinds of treatmentNotes

An infectious disease is caused by some other organism. The groups are: viruses, bacteria, fungi, protozoa and worms. The group matters because treatment acts on a life process that belongs to that group.

Viruses: cold, influenza, dengue, AIDS. Bacteria: typhoid, cholera, tuberculosis, anthrax. Many skin infections are caused by fungi. Malaria and kala-azar are caused by protozoa. Intestinal worms and elephantiasis are caused by worms.

A peptic ulcer was long blamed only on lifestyle. Marshall and Warren showed the bacterium Helicobacter pylori. The 2005 Nobel prize was for this work. A short antibiotic treatment works.

Activity 13.5 — a cold and antibioticsActivity

In class, ask how many recently had a cold, a cough or a fever, how many days the illness lasted, how many took an antibiotic, and whether the duration differs between the two groups.

Penicillin blocks the cell wall of bacteria. A human cell does not make a cell wall, so this effect does not fall on us. Viruses do not make that wall. A cold is usually caused by a virus, so antibiotics do not shorten it. Do not take these medicines without a doctor.

Worked exampleExample

Question: Which group does the agent of malaria belong to, and which the agent of a cold?

Answer: Malaria is caused by a protozoan. A cold is caused by a virus. So the two are not treated as one tablet.

10-second revision
  • Five groups: virus, bacterium, fungus, protozoan, worm
  • Penicillin blocks the cell wall
  • Helicobacter pylori in an ulcer
Board tip · BSEBBoard tip

AIDS is a virus and malaria is a protozoan. Do not join them in one line.

Board tip · CBSEBoard tip

The answer about antibiotics and a cold should come from Activity 13.5.

Check your understandingall correct = mastery ★
1
The agent of malaria is —
Check
2
Penicillin harms a human by breaking the wall of a human cell.
Check
3
Cholera is caused by ______.
Check
4
Antibiotics often do not work on a common cold because —
Check
5
Name the five infectious groups and one disease of each.
Check5 marks
6
A peptic ulcer is caused only by stress, not by any bacterium.
Check
Next lesson →
4

The paths of spread

फैलने के रास्ते · Section 13.3.2 · air, water, vector

New
The path of a communicable diseaseNotes

Microbes that pass from one person to another make communicable diseases. A cold, pneumonia and tuberculosis spread by air. Drops from a sneeze reach a person standing nearby. A crowd and a closed room raise the risk.

Cholera spreads by water when stool mixes with drinking water. Syphilis and AIDS spread by sexual contact. They do not spread by a handshake, a hug or wrestling. The AIDS virus can also go from blood to blood, and to a baby during pregnancy or through milk.

If another animal carries the agent from a sick person to the next host, it is a vector. The most common vector is the mosquito. The female needs blood for her eggs.

From a sick person to the next personSick personSourceAirWaterVectorNext personNew hostAIDS or syphilis do not spread by a handshake.The mosquito is a common vector.
The source is on the left, three paths are in the middle, and the new host is on the right.
Worked exampleExample

Question: Why are the paths of cholera and a common cold different?

Answer: A cold travels in the air by drops from a sneeze. Cholera travels in water mixed with stool. The path is different, so prevention is also different: less crowding for air, and a safe supply for water.

10-second revision
  • Air: cold, pneumonia, tuberculosis
  • Water: cholera
  • The common example of a vector is the mosquito
Board tip · BSEBBoard tip

Write three paths of AIDS: sexual contact, blood, mother to baby. Not a handshake.

Board tip · CBSEBoard tip

A vector is not itself the name of the disease. It carries the agent.

Check your understandingall correct = mastery ★
1
Cholera mainly spreads —
Check
2
AIDS spreads by a handshake.
Check
3
A mosquito is a ______, because it carries the agent to another person.
Check
4
A group that spreads by air is —
Check
5
Write four paths of communicable disease.
Check3 marks
Next lesson →
5

Prevention and treatment — Activity 13.6

रोकथाम और उपचार — क्रियाकलाप 13.6 · Sections 13.3.4–13.3.5 · Activity 13.6

New
Prevention and treatmentBacteriaVirusFungusProtozoaThese tiny living things or particles can spread disease
Bacteria, viruses, fungi or protozoa can spread disease.
Symptoms and the cause, bothNotes

Treatment has two paths. The first is to reduce the effect: medicine for fever, pain or loose motions, and rest in bed so that energy goes into healing. Bland nourishing food belongs here. This path does not kill the microbe.

The second path is to kill the cause. An antibiotic works on bacteria. The same tablet does not work on a virus. Pressing only the symptoms does not cure the disease.

Prevention includes public cleanliness: less crowding, treated water, and no place for mosquitoes to breed. We meet infections every day, but not everyone falls ill, because the immune system often wins.

Activity 13.6 — children under fiveActivity

Take ten well-off families and ten poor families. Both should have children under five. Measure the height and the age of each child. Draw a graph of both groups.

If there is a difference, nutrition and repeated infections can be the cause. If there is no difference, do not decide that poverty is unrelated to health. The sample can be small. After general prevention, the specific prevention is preparing the immune system.

Worked exampleExample

Question: Why does tuberculosis not end even after a fever medicine?

Answer: The fever medicine reduces a symptom. The cause of tuberculosis is a bacterium. Until that cause is killed by an antibiotic, the disease remains. Rest and nourishing food save energy, but they are not the cure by themselves.

10-second revision
  • Reducing symptoms is half the path of treatment
  • Killing the cause is the other half
  • Public cleanliness is general prevention
Board tip · BSEBBoard tip

In an answer on the two principles, write both rest and an antibiotic.

Board tip · CBSEBoard tip

In 13.6 the graph is of height and age. Do not change it into a weight graph.

Check your understandingall correct = mastery ★
1
A fever medicine alone —
Check
2
Stopping mosquitoes from breeding is public hygiene.
Check
3
During illness we are told to take bland ______ food.
Check
4
Activity 13.6 measures —
Check
5
Write the two principles of treatment of an infectious disease.
Check3 marks
6
If one child in class has a cold, every nearby child must fall ill.
Check
Next lesson →
6

Immunisation — Activity 13.7

टीकाकरण — क्रियाकलाप 13.7 · Section 13.3.5 · Activity 13.7

New
ImmunisationBacteriaVirusFungusProtozoaThese tiny living things or particles can spread disease
Bacteria, viruses, fungi or protozoa can spread disease.
An immune system prepared in advanceNotes

General cleanliness is the same for every disease. Specific prevention matches one disease. Immunisation gives the body a weak or killed introduction to that disease in advance, so that a later real infection does not become disease.

In an older method, crusts of smallpox were put on healthy skin. Edward Jenner saw that milkmaids who had been through cowpox were spared smallpox. Cowpox is a mild disease. Cow is vacca in Latin, and from that came vaccinia and the word vaccine.

Vaccines for tetanus, diphtheria, whooping cough, measles and polio are in the public childhood programme. The programme works only when it reaches every child.

Activity 13.7 — rabiesActivity

The rabies virus spreads by the bite of an infected dog or another animal. There are vaccines for both humans and animals. Ask about the local plan: stray dogs, the vaccine after a bite, and where a bite is reported.

If the plan is not enough, write an improvement. Which immunisations run at the nearby health centre, and which diseases are the large ones in your area, are also part of the list.

Worked exampleExample

Question: How did Jenner’s trial protect against smallpox?

Answer: He gave people the mild disease cowpox. The smallpox virus is close to it, so the body became ready for smallpox too. That is the principle of a vaccine.

10-second revision
  • A vaccine is disease-specific prevention
  • Jenner and cowpox
  • Rabies spreads by a bite
Board tip · BSEBBoard tip

In the vaccine list write all five names: tetanus, diphtheria, whooping cough, measles, polio.

Board tip · CBSEBoard tip

Rabies is a virus. Do not change the answer by writing bacterium.

Check your understandingall correct = mastery ★
1
The start of the smallpox vaccine is linked with —
Check
2
The polio vaccine is in the childhood immunisation programme.
Check
3
Rabies spreads by the bite of an infected ______.
Check
4
Define immunisation. Give one example.
Check3 marks
Question bank →

❓ Full question bank — with answers and explanations — 66 questions

No question is marked as a verified past paper. The BSEB set is a model for practice. CBSE items are CBSE-style, not a copy of any year’s paper.

Multiple choice

0/13
Pick one option.
1
It is not enough for complete health —
Board-style (practice)1 mark
2
Elephantiasis is —
Board-style (practice)1 mark
3
The agent of dengue is —
Board-style (practice)1 mark
4
Anthrax is caused by —
Board-style (practice)1 mark
5
Kala-azar is caused by —
Board-style (practice)1 mark
6
Penicillin blocks —
Board-style (practice)1 mark
7
Tuberculosis spreads mainly by —
Board-style (practice)1 mark
8
Syphilis spreads —
Board-style (practice)1 mark
9
An example of a vector is —
Board-style (practice)1 mark
10
The second principle of treatment is —
Board-style (practice)1 mark
11
Jenner used, to protect against smallpox —
Board-style (practice)1 mark
12
Rabies spreads —
Board-style (practice)1 mark
13
Helicobacter pylori is linked with —
Board-style (practice)1 mark
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True or false

0/8
1
Clean water can be a condition of good health.
Board-style (practice)1 mark
2
The difference between acute and chronic is only the colour of the agent.
Board-style (practice)1 mark
3
Many skin infections are caused by fungi.
Board-style (practice)1 mark
4
Antibiotics always end every cold in one day.
Board-style (practice)1 mark
5
Crowding increases airborne disease.
Board-style (practice)1 mark
6
A symptom medicine by itself kills the microbe.
Board-style (practice)1 mark
7
An immunisation programme is useful only when it reaches all children.
Board-style (practice)1 mark
8
AIDS spreads only by air.
Board-style (practice)1 mark
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Fill in the blanks

0/8
1
A disease of short duration is called ______.
Board-style (practice)1 mark
2
A disease of long duration is called ______.
Board-style (practice)1 mark
3
The agent of AIDS is a ______.
Board-style (practice)1 mark
4
The agent of tuberculosis is a ______.
Board-style (practice)1 mark
5
The antibiotic that blocks the cell wall is ______.
Board-style (practice)1 mark
6
The mild disease that protected against smallpox was ______.
Board-style (practice)1 mark
7
An animal that carries the agent is called a ______.
Board-style (practice)1 mark
8
The ulcer bacterium is named Helicobacter ______.
Board-style (practice)1 mark
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Match

0/2
1
Match the disease with the agent.
Board-style (practice)2 marks
Column B: A. Protozoan · B. Virus · C. Worm · D. Bacterium
1. Cholera
2. Malaria
3. AIDS
4. Elephantiasis
2
Match the disease with its path.
NCERT-style · practice2 marks
Column B: A. Water · B. Sexual contact · C. Vector · D. Air
1. Common cold
2. Cholera
3. Syphilis
4. Malaria
↑ Question hub

Assertion–reason

0/5
1

Assertion (A): A common cold is an acute disease.

Reason (R): It lasts a short time.

Board-style (practice)1 mark
2

Assertion (A): Penicillin stops a bacterium from building a wall.

Reason (R): Malaria is caused by a protozoan.

Board-style (practice)1 mark
3

Assertion (A): Airborne diseases can increase in a crowd.

Reason (R): AIDS spreads by a handshake.

CBSE-style · competency-based (not a PYQ)1 mark
4

Assertion (A): A fever medicine alone kills the tuberculosis bacterium.

Reason (R): Killing the cause is a separate principle of treatment.

Board-style (practice)1 mark
5

Assertion (A): Cowpox became a preparation against smallpox.

Reason (R): The two viruses are close.

NCERT-style · practice1 mark
↑ Question hub

Coefficient practice

0/4
These equations are not results of this chapter. They are only coefficient practice on H2 + O2 → H2O.
1
This is coefficient practice. This equation is not a result of this chapter. Balance it by filling coefficients (blank = 1).
Board-style (practice)1 mark
H2 + O2 → H2O
2
This is coefficient practice. This equation is not a result of this chapter. Balance it by filling coefficients (blank = 1).
Board-style (practice)1 mark
H2 + O2 → H2O
3
This is coefficient practice. This equation is not a result of this chapter. Balance it by filling coefficients (blank = 1).
Board-style (practice)1 mark
H2 + O2 → H2O
4
This is coefficient practice. This equation is not a result of this chapter. Balance it by filling coefficients (blank = 1).
Board-style (practice)2 marks
H2 + O2 → H2O
↑ Question hub

Classify

0/2
1
Place each disease as acute or chronic.
Board-style (practice)2 marks
Common cold
Elephantiasis
A fever of one or two days that ends
An infection that runs for years
2
Place each disease in its agent group.
NCERT-style · practice2 marks
Influenza
Typhoid
Malaria
Dengue
↑ Question hub

Very short answer

0/5
1
Write the meaning of health in one line.
Board-style (practice)1 mark
2
Write one difference between acute and chronic.
Board-style (practice)2 marks
3
What is a vector? Give one example.
NCERT-style · practice2 marks
4
What is immunisation?
Board-style (practice)1 mark
5
Why does penicillin not harm a human in the same way?
Board-style (practice)2 marks
↑ Question hub

Short answer

0/4
1
Write three paths of communicable disease with examples.
Board-style (practice)3 marks
2
Write the two principles of treatment with examples.
NCERT-style · practice3 marks
3
How did Jenner’s observation become the idea of a vaccine?
Board-style (practice)3 marks
4
What is learned from Activity 13.5 about antibiotics and a cold?
Board-style (practice)3 marks
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Long answer

0/3
1
Write the difference between health and disease. Add one example each of acute and chronic, and one public-health measure.
Board-style (practice)5 marks
2
Write the five agent groups with examples. On which group does an antibiotic work, and why not on a cold?
NCERT-style · practice5 marks
3
In one answer write the chain of spread, the two principles of treatment, and one example of immunisation.
BSEB model · practice (not an annual paper)5 marks
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BSEB model paper · practice

0/6

This model set is for practice. It is not a question from any year’s annual examination.

1
Kala-azar and malaria are both —
BSEB model · practice (not an annual paper)1 mark
2
The childhood programme includes —
BSEB model · practice (not an annual paper)1 mark
3
The diphtheria vaccine is part of the ______ programme.
BSEB model · practice (not an annual paper)1 mark
4
Write one example of a contributory cause.
BSEB model · practice (not an annual paper)2 marks
5
This is coefficient practice. This equation is not a result of this chapter. Balance H2 + O2 with H2O. A blank means 1.
BSEB model · practice (not an annual paper)1 mark
H2 + O2 → H2O
6
In one sentence each, what do Activities 13.1, 13.4 and 13.7 ask?
BSEB model · practice (not an annual paper)5 marks
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CBSE-style questions

0/6

These are competency-based practice questions. They are not copies of a CBSE paper.

1
After cholera in a village, people take only a fever tablet and the well stays the same. The best next step is —
CBSE-style · competency-based (not a PYQ)1 mark
2
Half the class took an antibiotic for a cold and the duration did not fall. The most reasonable conclusion is —
CBSE-style · competency-based (not a PYQ)1 mark
3

Assertion (A): A difference in height between poor and well-off children can be tied to nutrition.

Reason (R): Repeated infection and less food can hold back growth.

CBSE-style · competency-based (not a PYQ)1 mark
4

Assertion (A): Rabies vaccines are described for both humans and animals.

Reason (R): Rabies spreads by an ordinary handshake.

CBSE-style · competency-based (not a PYQ)1 mark
5
A neighbourhood has mosquitoes, open drinking water and children without vaccines. Write three separate measures.
CBSE-style · competency-based (not a PYQ)3 marks
6
A student says that a person is healthy if there is no disease. Answer using Activity 13.2.
CBSE-style · competency-based (not a PYQ)3 marks
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🧠 What you learned + equation sheet

What you learned

WhatKeep this
Acuteshort, such as a cold
Chroniclong, such as elephantiasis
Viruscold, influenza, dengue, AIDS
Bacteriatyphoid, cholera, TB, anthrax
Vectormosquito
Vaccinestetanus, diphtheria, whooping cough, measles, polio

The notes are original writing. The textbook was used only for activity order and numbers. “Verified” will be used only on a question that has a source page.