Promising Technologies in the Field of Helminth Vaccines.

Helminths contribute a larger global burden of disease than both malaria and tuberculosis. These eukaryotes have caused human infections since before our earliest recorded history (i.e.: earlier than 1200 B.C. for Schistosoma spp.). Despite the prevalence and importance of these infections, helminths are considered a neglected tropical disease for which there are no vaccines approved for human use. Similar to other parasites, helminths are complex organisms which employ a plethora of features such as: complex life cycles, chronic infections, and antigenic mimicry to name a few, making them difficult to target by conventional vaccine strategies. With novel vaccine strategies such as viral vectors and genetic elements, numerous constructs are being defined for a wide range of helminth parasites; however, it has yet to be discussed which of these approaches may be the most effective. With human trials being conducted, and a pipeline of potential anti-helminthic antigens, greater understanding of helminth vaccine-induced immunity is necessary for the development of potent vaccine platforms and their optimal design. This review outlines the conventional and the most promising approaches in clinical and preclinical helminth vaccinology.

Ultraviolet sensitivity of WASH (water, sanitation, and hygiene) -related helminths: A systematic review.

BACKGROUND: Helminthiases are a group of disabling neglected tropical diseases that affect billions of people worldwide. Current control methods use preventative chemotherapy but reinfection is common and an inter-sectoral approach is required if elimination is to be achieved. Household and community scale water treatment can be used to provide a safe alternative water supply for contact activities, reducing exposure to WASH (water, sanitation, and hygiene) -related helminths. With the introduction of ultraviolet light emitting diodes (UV-C LEDs), ultraviolet (UV) disinfection could be a realistic option for water treatment in low-income regions in the near future, to provide safe alternative water supplies for drinking and contact activities such as handwashing, bathing, and laundry, but currently there is no guidance for the use of UV or solar disinfection against helminths. METHODOLOGY: A qualitative systematic review of existing literature was carried out to establish which WASH-related helminths are more susceptible to UV disinfection and identify gaps in research to inform future studies. The search included all species that can infect humans and can be transmitted through water or wastewater. Five online databases were searched and results were categorized based on the UV source: sunlight and solar simulators, UV-A and UV-B (long wavelength) sources, and UV-C (germicidal) sources. CONCLUSIONS: There has been very little research into the UV sensitivity of helminths; only 47 studies were included in this review and the majority were carried out before the standard protocol for UV disinfection experiments was published. Only 18 species were studied; however all species could be inactivated by UV light. Fluences required to achieve a 1-log inactivation ranged from 5 mJ/cm2 to over 800 mJ/cm2. Larval forms were generally more sensitive to UV light than species which remain as an egg in the environment. This review confirms that further research is required to produce detailed recommendations for household or community scale UV-C LED or solar disinfection (SODIS) of water for preventing helminthiases.

Electron Beam Technology for Environmental Pollution Control.

Worldwide, there are over 1700 electron beam (EB) units in commercial use, providing an estimated added value to numerous products, amounting to 100 billion USD or more. High-current electron accelerators are used in diverse industries to enhance the physical and chemical properties of materials and to reduce undesirable contaminants such as pathogens, toxic byproducts, or emissions. Over the past few decades, EB technologies have been developed aimed at ensuring the safety of gaseous and liquid effluents discharged to the environment. It has been demonstrated that EB technologies for flue gas treatment (SO x and NO x removal), wastewater purification, and sludge hygienization can be effectively deployed to mitigate environmental degradation. Recently, extensive work has been carried out on the use of EB for environmental remediation, which also includes the removal of emerging contaminants such as VOCs, endocrine disrupting chemicals (EDCs), and potential EDCs.

Impact of tilling on biosolids drying and indicator microorganisms survival during solar drying process.

As biosolids application to croplands becomes a common practice, potential harm from pathogenic microbes needs to be mitigated for its safe reuse. The objective of this study was to investigate the impacts of tilling treatment on biosolids drying and microbial inactivation during the solar drying process in a semi-arid and temperate region. Solar drying experiments were conducted in sand and gravel dying beds open-to-the-air and under covering structures with biosolids to 20 cm depth from 2004 to 2006. Anaerobically- and Aerobically-digested biosolids received different tilling treatments throughout the drying process, while a series of biosolids samples were collected to determine the impact on total solids and microbial concentrations (Salmonella spp and heminth ova). Tilling treatments appeared to enhance the biosolids drying and microbial inactivation. Tilling was more effective during the cold season compared with the summer season and tilling treatments were also helpful in elevating biosolids temperature by expediting biosolids drying. The combined effect of temperature increase and moisture decrease by tilling may have resulted in faster microbial inactivation, particularly for persistent helminth ova. It was concluded that incorporation of tilling into biosolids solar drying can expedite biosolids drying as well as microbial inactivation, and thus can be an effective measure for shortening the biosolids conversion to Class A biosolids in which pathogens are reduced to below detectable levels.

Urban water reuse: microbial pathogens control by direct filtration and ultraviolet disinfection.

Physicochemical treatment efficiency for unrestricted urban water reuse was evaluated at a conventional activated-sludge wastewater treatment plant (WWTP). Pilot plant set-up consisted of an alum coagulation step, granular media upflow flocculation and direct downflow dual-media filtration followed by ultraviolet disinfection (dose of 95 mJ cm⁻²). Optimum aluminum sulfate dosage of 10 mg L⁻¹ and coagulation pH 7.0 were preset based on bench scale tests. Under WWTP stable operation, water quality met United States Environmental Protection Agency (USEPA) suggested guidelines for unrestricted urban reuse regarding turbidity (mean value 1.3 NTU) and suspended solids (mean value 2.1 mg L⁻¹). When WWTP overall plant performance dropped from 90 to 80% (although BOD value stayed below 6 mg O2 L⁻¹, suggesting unrestricted reuse), solids breakthrough in filtrate was observed. Microorganism removal rates were: total coliforms 60.0%, Escherichia coli 63.0%, Giardia spp. 81.0%, and helminth eggs 62.5%; thus organisms still remained in filtrate. Ultraviolet (UV) disinfection efficiency was 4.1- and 3.8-log for total coliforms and E. coli, respectively. Considering low UV efficiency obtained for helminths and the survival of protozoa and helminths in the environment, effluent quality presents risk to public health if destined for unrestricted urban reuse.

Inactivation of bacteria and helminth in wastewater treatment plant effluent using oxidation processes.

The contamination of bodies of water by raw and even treated sewage is worrying because pathogens that affect public health and the environment are not fully eliminated in wastewater treatment systems. The disinfection step is an important barrier to adopt to reduce this contamination. However, widely used disinfectants such as chlorine do not guarantee the inactivation of resistant organisms such as spore-forming bacteria and helminth eggs. This study evaluated the effectiveness of processes of peroxidation (H2O2), ultraviolet radiation (UV) and peroxidation assisted by ultraviolet radiation (H2O2/UV) in terms of reduction and inactivation of total coliform bacteria, Escherichia coli, helminth eggs and larvae present in a treated sewage. Doses of UV radiation of 70 mJ cm(-2) and hydrogen peroxide concentration of 30 mg L(-1) were used. The number of bacteria reduced after UV and H2O2/UV processes was 3 and 4 log, respectively. An average reduction of 59% in the number of eggs was verified when using H2O2, UV, and H2O2/UV processes. Helminth larvae were reduced by 24% after H2O2 and UV; the process H2O2/UV did not reduce the number of larvae. Statistically significant differences between the processes for both organisms were not observed.

The efficacy of simulated solar disinfection (SODIS) against Ascaris, Giardia, Acanthamoeba, Naegleria, Entamoeba and Cryptosporidium.

The antimicrobial activity of simulated solar disinfection (SODIS) in the presence and absence of riboflavin against various protozoa and helminth organisms was investigated in this study. Assays were conducted in transparent 12 well microtitre plates containing a suspension of test organisms in the presence or absence of 250 µM riboflavin. Plates were exposed to simulated sunlight at an optical irradiance of 550 Wm(-2) (watts per square metre) delivered from a SUNTEST™ CPS+ solar simulator. Aliquots of the test suspensions were taken at set time points and the viability of the test organisms was determined by either culture, microscopy or flow cytometry where applicable. With Acanthamoeba, Naegleria, Entamoeba and Giardia exposure to SODIS at an optical irradiance of 550 Wm(-2) for up to 6h resulted in significant inactivation of these organisms. The addition of riboflavin to this system significantly increased the level of inactivation observed with cysts of A. castellanii. With Cryptosporidium oocysts and Ascaris ova exposure to SODIS in the presence and absence of riboflavin for 6-8h resulted in a negligible reduction in viability of both organisms. In this present study we have been able to show that SODIS is effective against a variety of previously untested waterborne organisms and with A. castellanii cysts the addition of micro-molar concentrations of riboflavin can enhance cyst inactivation. However, care must be taken as Ascaris larvae continue to develop inside the ova after exposure to SODIS and Cryptosporidium remain impermeable to propidium iodide staining indicating they may still be infectious.

Irradiated vaccines for helminth control in livestock.

For nearly 40 years, irradiated larval vaccines have been available for the control of parasitic bronchitis in cattle and sheep caused by Dictyocaulus spp. Despite research on a number of other host/parasite systems, no other vaccines have been commercially successful. Vaccination could provide a useful addition to other control methods in an integrated parasite management system where the criteria for vaccine success may not be complete control and sterile immunity, but a sufficient reduction in worm burden to decrease overall reinfection levels at the flock/herd level and, hence, prevent clinical disease and subclinical effects including production loss. Indeed, vaccination against Dictyocaulus spp. relies on continued natural infection to maintain levels of immunity. However, the difficulties of producing live larval vaccines are often cited as a reason why this line of research should not be pursued. This paper discusses some of the difficulties in vaccine production and offers some solutions and recommendations for those wishing to develop and register irradiated larval vaccines for other helminth diseases.

Effect of ultraviolet radiation on the infectivity of Taenia taeniaeformis eggs.

The effect of ultraviolet (UV) radiation on the infectivity of Taenia taeniaeformis eggs was observed. The eggs were exposed to various UV doses and orally inoculated to rats. The number of cysts and lesions decreased dose-dependently, and neither cyst nor lesion was observed from rats infected with eggs exposed to a total dose of 2,880 mJ/cm2 or more. For evaluation of protective role of embryophore against UV radiation, the onchospheres with/without embryophore were exposed to UV radiation. Remarkably lower numbers of cyst and lesions were observed in rats inoculated with eggs which were exposed to a total dose of 30 mJ/cm2 or more after removal of embryophore. These results suggested an importance of the protective function of the embryophore in the protection against UV radiation.

The pattern of peripheral blood leucocyte changes in mice infected with Nematospiroides dubius.

Experiments were carried out to define the haematological changes taking place during the first six weeks of a primary infection with Nematospiroides dubius. The general pattern of changes was observed to comprise a rapid increase in circulating leucocytes (4 to 5-fold increase) which consisted of a neutropl a, lymphocytosis, monocytosis and an eosinophilia. However, in strong responder NIH mice leucocyte counts returned to normal more rapidly than in other strains (by day 28). In contrast, in weak responder C57BL/10 mice the leucocyte counts whilst falling significantly relative to day 7 did not return to normal within the experimental period. Mice infected with irradiated larvae did not experience as high a leucocytosis as did mice given an identical number of normal larvae. The peak lymphocytosis, neutrophilia and monocytosis were all lower. The removal of adult worms from infected animals by treatment with pyrantel on days 9, 11, 13 and 16, also significantly altered the pattern of leucocytosis. The neutrophilia which was evident on day 7 returned rapidly to normal, whereas in mice which had retained their worms a peak neutrophilia was observed on day 14. These haematological changes were discussed and related to the failure of host-protective immunity to operate effectively during the early stages of a primary infection with N. dubius.