[Prevention of pertussis in newborns: Should pregnant women be vaccinated at each pregnancy?] / Prévention de la coqueluche chez le nouveau-né : faut-il vacciner les femmes enceintes à chaque grossesse ?

Pertussis is a respiratory disease that can be fatal at all ages but especially in infants before their mandatory vaccination. Recent epidemiological data shows a decrease in the number of pertussis cases, but a resurgence cannot be excluded in the coming years due to the cyclic evolution of the disease and the loosening of hygiene measures. Two approaches are used to protect infants before their vaccination: vaccination of the mother during pregnancy and vaccination of all the infant's close relatives (cocooning). The vaccination of the mother during pregnancy is more effective. The uncertain risk of chorioamniotitis associated with vaccination during pregnancy is insufficient to question this strategy.

Initial risk perception and feeling of preparedness of primary care physicians regarding the COVID-19 pandemic in Belgium, France and Spain in February 2020.

BACKGROUND: The knowledge of risk perceptions in primary care could help health authorities to manage epidemics. METHODS: A European multi-center cross-sectional study was conducted in France, Belgium and Spain to describe the perceptions, the level of anxiety and the feeling of preparedness of primary healthcare physicians towards the COVID-19 infection at the beginning of the pandemic. The factors associated with the feeling of preparedness were studied using multivariate logistic regressions. RESULTS: A total of 511 physicians participated to the study (response rate: 35.2%). Among them, only 16.3% (n=82) were highly anxious about the pandemic, 50.6% (n=254) had the feeling to have a high level of information, 80.5% (n=409) found the measures taken by the health authorities suitable to limit the spread of COVID-19, and 45.2% (n=229) felt prepared to face the epidemic. Factors associated with feeling prepared were: being a Spanish practitioner (adjusted OR=4.34; 95%CI [2.47; 7.80]), being a man (aOR=2.57, 95%CI [1.69; 3.96]), finding the measures taken by authorities appropriate (aOR=1.72, 95%CI [1.01; 3.00]) and being highly informed (aOR=4.82, 95%CI [2.62; 9.19]). CONCLUSIONS: Regarding the dramatic evolution of the pandemic in Europe in the weeks following the study, it appears that information available at this time and transmitted to the physicians could have given a wrong assessment of the spread and the severity of the disease. It seems essential to better integrate the primary care physicians into the information, training and protection channels. A comparison between countries could help to select the most effective measures in terms of information and communication.

Salmonella in fattening pigs in Reunion Island: herd prevalence and risk factors for infection.

Our objective was to identify the risk factors for Salmonella infection in fattening pigs in Reunion Island. Sixty pig farms were studied from April to August 2008 on the whole island. A questionnaire was submitted to the farmers, and samples of fresh faeces and gauze socks were taken to assess the Salmonella status of each herd. 40% of the herds tested positive for Salmonella spp. The most prevalent serovars were S. Typhimurium and S. Derby. The risk of Salmonella infection for the fattening pigs was increased when there was no disinfection at the farrowing stage (OR=5.2), when large numbers of cockroaches were present on the premises (OR=5.5) and when these facilities were not resistant to feral birds (OR=4.5). The risk for Salmonella infection of the herd was decreased when the number of visits from technical personnel was limited (<1 per month) (OR=0.38), when castration of piglets was done after 1 week of age (OR=0.38) and when the all-in all-out system was respected (OR=0.13).