Preceding anti-spike IgG levels predicted risk and severity of COVID-19 during the Omicron-dominant wave in Santa Fe city, Argentina.

The SARS-CoV-2 Omicron variant has increased infectivity and immune escape compared with previous variants, and caused the surge of massive COVID-19 waves globally. Despite a vast majority (~90%) of the population of Santa Fe city, Argentina had been vaccinated and/or had been infected by SARS-CoV-2 when Omicron emerged, the epidemic wave that followed its arrival was by far the largest one experienced in the city. A serosurvey conducted prior to the arrival of Omicron allowed to assess the acquired humoral defences preceding the wave and to conduct a longitudinal study to provide individual-level real-world data linking antibody levels and protection against COVID-19 during the wave. A very large proportion of 1455 sampled individuals had immunological memory against COVID-19 at the arrival of Omicron (almost 90%), and about half (48.9%) had high anti-spike immunoglobulin G levels (>200 UI/ml). However, the antibody titres varied greatly among the participants, and such variability depended mainly on the vaccine platform received, on having had COVID-19 previously and on the number of days elapsed since last antigen exposure (vaccine shot or natural infection). A follow-up of 514 participants provided real-world evidence of antibody-mediated protection against COVID-19 during a period of high risk of exposure to an immune-escaping highly transmissible variant. Pre-wave antibody titres were strongly negatively associated with COVID-19 incidence and severity of symptoms during the wave. Also, receiving a vaccine shot during the follow-up period reduced the COVID-19 risk drastically (15-fold). These results highlight the importance of maintaining high defences through vaccination at times of high risk of exposure to immune-escaping variants.

Factors associated with prevalence and intensity of the northern fowl mite (Ornithonyssus sylviarum) in commercial poultry farms of Argentina.

The haematophagous mite Ornithonyssus sylviarum may cause important economic losses in commercial poultry farms whilst also potentially affecting the health of farm workers. The dynamics of this ectoparasite has been linked to several factors, including wild birds, fomites, farm workers, management of hen houses, and host traits. Along two consecutive years, we carried out systematic sampling at three laying hen farms located in Santa Fe province, Argentina, with the aim of identifying factors that may influence O. sylviarum prevalence and intensity. We found that the density of feathers around the hen vent area and the presence of Menoponidae lice were negatively associated with mite abundance. We also found that the density of hens in the cages was negatively associated with mite prevalence, suggesting a possible dilution effect, whereas prior reports found a positive association with hen density. In addition, summer was the season with minimum mite prevalences and intensities, contrary to previous studies in northern farms where warm weather appeared to prompt an increase in mite populations. Another factor associated with mite intensity was age, but this effect varied depending on the season, which hints that the association between hen's age and mites is complex. Basic epidemiological knowledge on O. sylviarum in poultry farms from South America may aid in a more efficient and integrative approach to its control.

Survey of Philornis (Diptera: Muscidae) larvae in adult birds from central Argentina.

The majority of known Philornis species (Diptera: Muscidae) cause subcutaneous myiasis in Neotropical altricial and semi-altricial nestlings. Generating information about these parasites is of relevance as they are a threat for the conservation of some wild bird species and also because they are an excellent model to study the ecology of host-parasite interactions. Although there are records of this parasitism in adult birds, the parasitic larvae are primarily associated with nestlings. However, systematic surveys including active search for larvae in older birds have been very scarce. Here we present results from a survey conducted along 6 years and encompassing a sample of 3029 subadult and adult birds in Santa Fe province, Argentina, where broods are frequently parasitised by the Philornis torquans complex. We found only one dipteran larva parasitising a greater thornbird. This larva was morphologically compatible with Philornis. Given the extremely low estimated prevalence (1/3029 = 0.03%), we conclude that the presence of larvae in subadult and adult birds is an extremely rare event in the studied bird community and that the species belonging to the P. torquans complex present in central Argentina are almost exclusively parasites of nestlings.

Specialist by preference, generalist by need: availability of quality hosts drives parasite choice in a natural multihost-parasite system.

Encountering suitable hosts is key for parasite success. A general assumption for disease transmission is that the contact of a parasite with a potential host is driven by the density or relative frequency of hosts. That assumption ignores the potential role of differential host attractiveness for parasites that can drive the encounter of hosts. It has been posited that hosts may be chosen by parasites as a function of their suitability, but the existing literature addressing that hypothesis is still very scarce. In a natural system involving a parasitic Philornis botfly and its multiple bird hosts, there are profound differences in host quality. The Great Kiskadee tolerates and does not invest in resisting the infection, which makes it an optimal host. Alternative hosts are frequently used, but whilst some of them may be good options, others are bad alternatives. Here we examined the host selection processes that drive parasite dynamics in this system with 8 years of data from a longitudinal study under natural conditions. We found that the use of an alternative host was not driven by its density or relative frequency, but instead selection of these hosts was strongly dependent on availability of more suitable hosts. When optimal hosts are plentiful, the parasite tends to ignore alternative ones. As broods of optimal hosts become limited, good alternative hosts are targeted. The parasite chooses bad alternative hosts only when better alternatives are not sufficiently available. These results add evidence from a natural system that some parasites choose their hosts as a function of their profitability, and show that host selection by this parasite is plastic and context-dependent. Such findings could have important implications for the epidemiology of some parasitic and vector-borne infections which should be considered when modelling and managing those diseases. The facultative host selection observed here can be of high relevance for public health, animal husbandry, and biodiversity conservation, because reductions in the richness of hosts might cause humans, domestic animals, or endangered species to become increasingly targeted by parasites that can drive the encounter of hosts.

Mesostigmatid mites (Acari: Mesostigmata) at the domestic-wildlife interface: Poultry and passerine birds of central Argentina.

Wild birds may be considered a possible source of parasitic mesostigmatid mites for poultry, but only few studies explored this hypothesis. In addition, there is very little information about the parasitic mites present in commercial poultry systems from southern South America. To contribute with data on parasitic mesostigmatid mites at the domestic-wildlife interface, we conducted a study in which samples were systematically collected from laying hens and wild birds (adults and nestlings), for two years at three commercial laying hen farms. The occurrence of mesostigmatid mites were compared among hosts. A proportion of the collected mites were morphologically identified to the species level, finding that host preference varied greatly depending on mite species: laying hens were only parasitized by Ornithonyssus sylviarum, wild bird nestlings were mostly parasitized by Ornithonyssus bursa, and in small proportion, by O. sylviarum, while adult passerines were parasitized by both Ornithonyssus species, and sporadically by Pellonyssus cf. reedi and Dermanyssus cf. triscutatus. In laying hens, there was intra- and inter-annual variability in mite occurrence, but no consistent seasonal pattern, whereas in adult wild birds, mites showed the highest prevalence in spring and the lowest in summer. Not coinciding with this general pattern, the occurrence of O. bursa matched the reproductive activity of wild birds. A phylogenetic analysis based on a fragment of the 16S rRNA gene was carried out for a subsample of the mites collected, showing that the O. sylviarum mites present on adult wild birds and laying hens had the same haplotype (100% identity). Additionally, mites obtained from wild birds morphologically identified as O. bursa presented two distinctive haplotypes (89.8% identity), one phylogenetically related to O. sylviarum and the other to O. monteiroi. These findings show that in central Argentina commercial laying hens are parasitized mainly by O. sylviarum while wild birds are also hosts to other mite species. Adult wild passerines, especially house sparrows, may be a source of O. sylviarum for commercial poultry.

A prospective study of adverse effects of antipsychotics in adolescents with schizophrenia during a 6-month follow-up.

There is a paucity of follow-up studies of neurological, endocrine, and metabolic adverse effects of antipsychotics in adolescents from low-income and middle-income countries, who have a higher prevalence of obesity and overweight, and could present increased morbidity. A Mexican sample of 86 adolescents with schizophrenia was examined during a 6-month follow-up using the Simpson-Angus, abnormal involuntary movement and Barnes Akathisia rating scales, in addition to a side effects score sheet and other laboratory measures. Binary logistic regression models were used to identify specific variables as predictors of weight gain. Sleep difficulties, restlessness, drowsiness, changes in thyroid hormones, and a linear increase in weight gain were observed. A baseline positive and negative syndrome scale score greater than 97 predicted a 5 kg increase at month 3 (odds ratio: 4.52, 95% confidence interval: 1.5-13.2). The absence of a plateau in weight gain in the present study across the 6-month treatment period and its relationship with illness severity suggests that even longer follow-up time should be examined in future studies in these patient populations.

Contrasting consequences of different defence strategies in a natural multihost-parasite system.

Hosts counteract infections using two distinct defence strategies, resistance (reduction in pathogen fitness) and tolerance (limitation of infection damage). These strategies have been minimally investigated in multi-host systems, where they may vary across host species, entailing consequences both for hosts (virulence) and parasites (transmission). Comprehending the interplay among resistance, tolerance, virulence and parasite success is highly relevant for our understanding of the ecology and evolution of infectious and parasitic diseases. Our work investigated the interaction between an insect parasite and its most common bird host species, focusing on two relevant questions: (i) are defence strategies different between main and alternative hosts and, (ii) what are the consequences (virulence and parasite success) of different defence strategies? We conducted a matched field experiment and longitudinal studies at the host and the parasite levels under natural conditions, using a system comprising Philornis torquans flies and three bird hosts - the main host and two of the most frequently used alternative hosts. We found that main and alternative hosts have contrasting defence strategies, which gave rise in turn to contrasting virulence and parasite success. In the main bird host, minor loss of fitness, no detectable immune response, and high parasite success suggest a strategy of high tolerance and negligible resistance. Alternative hosts, on the contrary, resisted by mounting inflammatory responses, although with very different efficiency, which resulted in highly dissimilar parasite success and virulence. These results show clearly distinct defence strategies between main and alternative hosts in a natural multi-host system. They also highlight the importance of defence strategies in determining virulence and infection dynamics, and hint that defence efficiency is a crucial intervening element in these processes.

Effectiveness of a treatment guideline for schizophrenia in adolescents: Lessons from a middle-income country.

INTRODUCTION: Treatment guidelines for schizophrenia represent a standard way to manage patients, especially in countries with limited staff resources. However, they have not been compared on their efficacy with treatment as usual, despite adult studies suggesting they can be more effective. METHODS: Inpatient and outpatient adolescents with schizophrenia were randomly allocated to be either treated according to a guideline-based treatment ( n = 43) or treatment as usual ( n = 44). The effects on symptoms, psychosocial functioning and cognition were compared in a 6-month follow-up. RESULTS: There were no differences between groups in the pharmacological treatment, reduction in symptom severity or cognition. The guideline-based treatment group showed a better functioning at months 3 and 6. CONCLUSION: The guideline-based treatment had a greater effect than the treatment as usual in the psychosocial functioning of adolescent patients ( www.clinicaltrials.gov ; II3/02/0811).

Validity and reliability of the Spanish version of the Personal and Social Performance scale in adolescents with schizophrenia.

BACKGROUND: The Personal and Social Performance (PSP) scale is a widely used tool to evaluate adults with schizophrenia; however, more studies are needed regarding its usefulness in the assessment of adolescent patients, since the evaluation of their functioning could require adaptations according to development. OBJECTIVE: To examine construct validity, convergent validity, internal consistency and interrater reliability of the PSP in a sample of Mexican adolescents with schizophrenia. METHODS: A total of 40 patients with a DSM-IV diagnosis of schizophrenia or schizophreniform disorder were evaluated with PSP, CGAS, PANSS and the MATRICS battery. Construct and convergent validity were determined by the correlation between PSP with PANSS factors, MATRICS dimensions and CGAS. In addition, reliability was evaluated with Cronbach's alpha and intraclass correlation coefficients. RESULTS: PSP scores correlated with negative, excitement and cognitive factors of PANSS, CGAS as well as MATRICS domains. The PSP also showed high internal consistency and interrater reliability. CONCLUSIONS: The PSP is a valid and reliable instrument for the assessment of adolescent patients.