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1.
Hum Genomics ; 18(1): 54, 2024 May 30.
Artigo em Inglês | MEDLINE | ID: mdl-38816866

RESUMO

This study evaluated ten nucleic acid extraction protocols (EP1 to EP10) for measuring five endogenous antibiotic resistance genes (ARGs) in four aircraft wastewater samples (AWW1 to AWW4). The targeted ARGs, including blaCTX-M, blaNDM-1, ermB, qnrS, and tetA, encompassed highly and minimally abundant ARGs. TetA and ermB were consistently detected across four aircraft wastewater samples using the DNeasy Blood and Tissue Kit and the AllPrep PowerViral DNA/RNA kit. QnrS displayed high detection rates with specific extraction protocols and aliquot volumes. Concentrations of ARGs varied across aircraft wastewater samples, with differing extraction protocols influencing quantitative results. The concentrations of tetA, ermB, and qnrS in AWW1 were distinct, while AWW2 to AWW4 exhibited a broader range for tetA, ermB, qnrS, blaCTX-M, and blaNDM-1. EP1 consistently produced the highest concentrations for several ARGs. Collective data analysis revealed varying ARG concentrations across the ten extraction protocols, suggesting the importance of careful extraction protocol selection in ARG monitoring in aircraft wastewater samples. Based on the results, we suggest that a small sample volume (as low as 0.2 mL) may be sufficient for ARG characterization in aircraft wastewater samples. The findings also emphasize the need for considering toilet paper removal without compromising nucleic acid extraction efficiency. The study highlights promising prospects for aircraft wastewater monitoring of ARGs, calling for further investigation into the import and spread of unique ARGs through transport hubs.


Assuntos
Aeronaves , Águas Residuárias , Águas Residuárias/microbiologia , Genes Bacterianos , Resistência Microbiana a Medicamentos/genética , Humanos , Ácidos Nucleicos/genética , Ácidos Nucleicos/isolamento & purificação , Farmacorresistência Bacteriana/genética , Antibacterianos
2.
BMC Public Health ; 24(1): 1088, 2024 Apr 19.
Artigo em Inglês | MEDLINE | ID: mdl-38641571

RESUMO

BACKGROUND: Estimating rates of disease importation by travellers is a key activity to assess both the risk to a country from an infectious disease emerging elsewhere in the world and the effectiveness of border measures. We describe a model used to estimate the number of travellers infected with SARS-CoV-2 into Canadian airports in 2021, and assess the impact of pre-departure testing requirements on importation risk. METHODS: A mathematical model estimated the number of essential and non-essential air travellers infected with SARS-CoV-2, with the latter requiring a negative pre-departure test result. The number of travellers arriving infected (i.e. imported cases) depended on air travel volumes, SARS-CoV-2 exposure risk in the departure country, prior infection or vaccine acquired immunity, and, for non-essential travellers, screening from pre-departure molecular testing. Importation risk was estimated weekly from July to November 2021 as the number of imported cases and percent positivity (PP; i.e. imported cases normalised by travel volume). The impact of pre-departure testing was assessed by comparing three scenarios: baseline (pre-departure testing of all non-essential travellers; most probable importation risk given the pre-departure testing requirements), counterfactual scenario 1 (no pre-departure testing of fully vaccinated non-essential travellers), and counterfactual scenario 2 (no pre-departure testing of non-essential travellers). RESULTS: In the baseline scenario, weekly imported cases and PP varied over time, ranging from 145 to 539 cases and 0.15 to 0.28%, respectively. Most cases arrived from the USA, Mexico, the United Kingdom, and France. While modelling suggested that essential travellers had a higher weekly PP (0.37 - 0.65%) than non-essential travellers (0.12 - 0.24%), they contributed fewer weekly cases (62 - 154) than non-essential travellers (84 - 398 per week) given their lower travel volume. Pre-departure testing was estimated to reduce imported cases by one third (counterfactual scenario 1) to one half (counterfactual scenario 2). CONCLUSIONS: The model results highlighted the weekly variation in importation by traveller group (e.g., reason for travel and country of departure) and enabled a framework for measuring the impact of pre-departure testing requirements. Quantifying the contributors of importation risk through mathematical simulation can support the design of appropriate public health policy on border measures.


Assuntos
Viagem Aérea , COVID-19 , Humanos , SARS-CoV-2 , COVID-19/epidemiologia , COVID-19/prevenção & controle , Canadá/epidemiologia , Viagem , França
3.
Proc Natl Acad Sci U S A ; 118(31)2021 08 03.
Artigo em Inglês | MEDLINE | ID: mdl-34285082

RESUMO

Since its outbreak in December 2019, the novel coronavirus 2019 (COVID-19) has spread to 191 countries and caused millions of deaths. Many countries have experienced multiple epidemic waves and faced containment pressures from both domestic and international transmission. In this study, we conduct a multiscale geographic analysis of the spread of COVID-19 in a policy-influenced dynamic network to quantify COVID-19 importation risk under different policy scenarios using evidence from China. Our spatial dynamic panel data (SDPD) model explicitly distinguishes the effects of travel flows from the effects of transmissibility within cities, across cities, and across national borders. We find that within-city transmission was the dominant transmission mechanism in China at the beginning of the outbreak and that all domestic transmission mechanisms were muted or significantly weakened before importation posed a threat. We identify effective containment policies by matching the change points of domestic and importation transmissibility parameters to the timing of various interventions. Our simulations suggest that importation risk is limited when domestic transmission is under control, but that cumulative cases would have been almost 13 times higher if domestic transmissibility had resurged to its precontainment level after importation and 32 times higher if domestic transmissibility had remained at its precontainment level since the outbreak. Our findings provide practical insights into infectious disease containment and call for collaborative and coordinated global suppression efforts.


Assuntos
COVID-19/transmissão , Doenças Transmissíveis Importadas/transmissão , COVID-19/epidemiologia , COVID-19/prevenção & controle , China/epidemiologia , Cidades , Controle de Doenças Transmissíveis/legislação & jurisprudência , Doenças Transmissíveis Importadas/epidemiologia , Doenças Transmissíveis Importadas/prevenção & controle , Humanos , Modelos Estatísticos , Risco , SARS-CoV-2 , Análise Espaço-Temporal , Viagem
4.
J Clin Microbiol ; 61(8): e0025923, 2023 08 23.
Artigo em Inglês | MEDLINE | ID: mdl-37439675

RESUMO

Carbapenem-resistant Enterobacterales (CRE) are among the most concerning antibiotic resistance threats due to high rates of multidrug resistance, transmissibility in health care settings, and high mortality rates. We evaluated the potential for regional genomic surveillance to track the spread of blaKPC-carrying CRE (KPC-CRE) by using isolate collections from health care facilities in three U.S. states. Clinical isolates were collected from Connecticut (2017 to 2018), Minnesota (2012 to 2018), and Tennessee (2016 to 2017) through the U.S. Centers for Disease Control and Prevention's Multi-site Gram-negative Surveillance Initiative (MuGSI) and additional surveillance. KPC-CRE isolates were whole-genome sequenced, yielding 255 isolates from 214 patients across 96 facilities. Case report data on patient comorbidities, facility exposures, and interfacility patient transfer were extracted. We observed that in Connecticut, most KPC-CRE isolates showed evidence of importation from outside the state, with limited local transmission. In Minnesota, cases were mainly from sporadic importation and transmission of blaKPC-carrying Klebsiella pneumoniae ST258, and clonal expansion of blaKPC-carrying Enterobacter hormaechei ST171, primarily at a single focal facility and its satellite facilities. In Tennessee, we observed transmission of diverse strains of blaKPC-carrying Enterobacter and Klesbiella, with evidence that most derived from the local acquisition of blaKPC plasmids circulating in an interconnected regional health care network. Thus, the underlying processes driving KPC-CRE burden can differ substantially across regions and can be discerned through regional genomic surveillance. This study provides proof of concept that integrating genomic data with information on interfacility patient transfers can provide insights into locations and drivers of regional KPC-CRE burden that can enable targeted interventions.


Assuntos
Infecções por Klebsiella , beta-Lactamases , Humanos , beta-Lactamases/genética , Proteínas de Bactérias/genética , Plasmídeos , Klebsiella pneumoniae/genética , Carbapenêmicos , Antibacterianos/farmacologia , Testes de Sensibilidade Microbiana , Infecções por Klebsiella/epidemiologia
5.
Malar J ; 22(1): 72, 2023 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-36859263

RESUMO

BACKGROUND: Since 2004, malaria transmission on Bioko Island has declined significantly as a result of the scaling-up of control interventions. The aim of eliminating malaria from the Island remains elusive, however, underscoring the need to adapt control to the local context. Understanding the factors driving the risk of malaria infection is critical to inform optimal suits of interventions in this adaptive approach. METHODS: This study used individual and household-level data from the 2015 and 2018 annual malaria indicator surveys on Bioko Island, as well as remotely-sensed environmental data in multilevel logistic regression models to quantify the odds of malaria infection. The analyses were stratified by urban and rural settings and by survey year. RESULTS: Malaria prevalence was higher in 10-14-year-old children and similar between female and male individuals. After adjusting for demographic factors and other covariates, many of the variables investigated showed no significant association with malaria infection. The factor most strongly associated was history of travel to mainland Equatorial Guinea (mEG), which increased the odds significantly both in urban and rural settings (people who travelled had 4 times the odds of infection). Sleeping under a long-lasting insecticidal net decreased significantly the odds of malaria across urban and rural settings and survey years (net users had around 30% less odds of infection), highlighting their contribution to malaria control on the Island. Improved housing conditions indicated some protection, though this was not consistent across settings and survey year. CONCLUSIONS: Malaria risk on Bioko Island is heterogeneous and determined by a combination of factors interacting with local mosquito ecology. These interactions grant further investigation in order to better adapt control according to need. The single most important risk factor identified was travel to mEG, in line with previous investigations, and represents a great challenge for the success of malaria control on the Island.


Assuntos
Culicidae , Malária , Criança , Animais , Humanos , Feminino , Masculino , Adolescente , Fatores de Risco , Ecologia , Guiné Equatorial
6.
Malar J ; 22(1): 239, 2023 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-37605226

RESUMO

Border malaria is frequently cited as an obstacle to malaria elimination and sometimes used as a justification for the failure of elimination. Numerous border or cross-border meetings and elimination initiatives have been convened to address this bottleneck to elimination. In this Perspective, border malaria is defined as malaria transmission, or the potential for transmission, across or along shared land borders between countries where at least one of them has ongoing malaria transmission. Border malaria is distinct from malaria importation, which can occur anywhere and in any country. The authors' analysis shows that the remaining transmission foci of malaria-eliminating countries tend to occur in the vicinity of international land borders that they share with neighbouring endemic countries. The reasons why international land borders often represent the last mile in malaria elimination are complex. The authors argue that the often higher intrinsic transmission potential, the neglect of investment and development, the constant risk of malaria importation due to cross-border movement, the challenges of implementing interventions in complex environments and uncoordinated action in a cross-border shared transmission focus all contribute to the difficulties of malaria elimination in border areas. Border malaria reflects the limitations of the current tools and interventions for malaria elimination and implies the need for social cohesion, basic health services, community economic conditions, and policy dialogue and coordination to achieve the expected impact of malaria interventions. Given the uniqueness of each border and the complex and multifaceted nature of border malaria, a situation analysis to define and characterize the determinants of transmission is essential to inform a problem-solving mindset and develop appropriate strategies to eliminate malaria in these areas.


Assuntos
Investimentos em Saúde , Malária , Humanos , Malária/epidemiologia , Malária/prevenção & controle , Movimento
7.
Epidemiol Infect ; 151: e60, 2023 03 21.
Artigo em Inglês | MEDLINE | ID: mdl-36941091

RESUMO

From 1 January 2022 to 4 September 2022, a total of 53 996 mpox cases were confirmed globally. Cases are predominantly concentrated in Europe and the Americas, while other regions are also continuously observing imported cases. This study aimed to estimate the potential global risk of mpox importation and consider hypothetical scenarios of travel restrictions by varying passenger volumes (PVs) via airline travel network. PV data for the airline network, and the time of first confirmed mpox case for a total of 1680 airports in 176 countries (and territories) were extracted from publicly available data sources. A survival analysis technique in which the hazard function was a function of effective distance was utilised to estimate the importation risk. The arrival time ranged from 9 to 48 days since the first case was identified in the UK on 6 May 2022. The estimated risk of importation showed that regardless of the geographic region, most locations will have an intensified importation risk by 31 December 2022. Travel restrictions scenarios had a minor impact on the global airline importation risk against mpox, highlighting the importance to enhance local capacities for the identification of mpox and to be prepared to carry out contact tracing and isolation.


Assuntos
Mpox , Humanos , Viagem , Aeroportos , Busca de Comunicante , Europa (Continente)/epidemiologia
8.
J Math Biol ; 87(1): 17, 2023 06 26.
Artigo em Inglês | MEDLINE | ID: mdl-37358658

RESUMO

A natural biological system under human interventions may exhibit complex dynamical behaviors which could lead to either the collapse or stabilization of the system. The bifurcation theory plays an important role in understanding this evolution process by modeling and analyzing the biological system. In this paper, we examine two types of biological models that Fred Brauer made pioneer contributions: predator-prey models with stocking/harvesting and epidemic models with importation/isolation. First we consider the predator-prey model with Holling type II functional response whose dynamics and bifurcations are well-understood. By considering human interventions such as constant harvesting or stocking of predators, we show that the system under human interventions undergoes imperfect bifurcation and Bogdanov-Takens bifurcation, which induces much richer dynamical behaviors such as the existence of limit cycles or homoclinic loops. Then we consider an epidemic model with constant importation/isolation of infective individuals and observe similar imperfect and Bogdanov-Takens bifurcations when the constant importation/isolation rate varies.


Assuntos
Epidemias , Modelos Biológicos , Animais , Humanos , Comportamento Predatório , Dinâmica Populacional , Cadeia Alimentar , Ecossistema
9.
J Public Health (Oxf) ; 45(2): 481-487, 2023 Jun 14.
Artigo em Inglês | MEDLINE | ID: mdl-36418232

RESUMO

BACKGROUND: Tuberculosis (TB) drugs and their import are costly. We assessed how shorter TB drug regimens, which were non-inferior or superior in recent TB trials, can affect the costs for purchasing and importing TB drugs. METHODS: We estimated the drug costs and import costs of 39 longer and shorter TB drug regimens using TB drug prices from the Global Drug Facility and import cost estimates for a TB program in Karakalpakstan, Uzbekistan. Drug regimens from recent TB trials were compared with TB drug regimens following present or past World Health Organization recommendations. RESULTS: We estimated an import cost of $4.19 and a drug cost of $43 per standard 6-month drug-sensitive (DS)-TB regimen. A new 17-week DS-TB regimen from the TBTC Study 31 currently requires more tablets and is more expensive to import ($6.08) and purchase ($233). The TB program can substantially decrease import costs ($2.26-14) and drug costs ($391-2308) per multidrug-resistant (MDR)-TB regimen when using new 6-month or shorter drug regimens from the Nix-TB, NExT, TB PRACTECAL, ZeNix, or BEAT TB trials instead of 9-20-month regimens with import costs of $9.96-507 and drug costs of $354-15 028. For a commonly used 20-month all-oral, bedaquiline-containing MDR-TB regimen, we estimated costs of $41 for drug import and $1773 for drug purchase. CONCLUSIONS: The implementation of a new and shorter DS-TB regimen may increase the costs for drug purchase and import. The implementation of new and shorter MDR-TB regimens may decrease the costs for drug purchase and/or drug import.


Assuntos
Antituberculosos , Tuberculose Resistente a Múltiplos Medicamentos , Humanos , Antituberculosos/uso terapêutico , Uzbequistão , Tuberculose Resistente a Múltiplos Medicamentos/tratamento farmacológico , Organização Mundial da Saúde , Protocolos Clínicos
10.
BMC Public Health ; 23(1): 1776, 2023 09 12.
Artigo em Inglês | MEDLINE | ID: mdl-37700251

RESUMO

BACKGROUND: There have been many prediction studies for imported infectious diseases, employing air-travel volume or the importation risk (IR) index, which is the product of travel-volume and disease burden in the source countries, as major predictors. However, there is a lack of studies validating the predictability of the variables especially for infectious diseases that have rarely been reported. In this study, we analyzed the prediction performance of the IR index and air-travel volume to predict disease importation. METHODS: Rabies and African trypanosomiasis were used as target diseases. The list of rabies and African trypanosomiasis importation events, annual air-travel volume between two specific countries, and incidence of rabies and African trypanosomiasis in the source countries were obtained from various databases. RESULTS: Logistic regression analysis showed that IR index was significantly associated with rabies importation risk (p value < 0.001), but the association with African trypanosomiasis was not significant (p value = 0.923). The univariable logistic regression models showed reasonable prediction performance for rabies (area under curve for Receiver operating characteristic [AUC] = 0.734) but poor performance for African trypanosomiasis (AUC = 0.641). CONCLUSIONS: Our study found that the IR index cannot be generally applicable for predicting rare importation events. However, it showed the potential utility of the IR index by suggesting acceptable performance in rabies models. Further studies are recommended to explore the generalizability of the IR index's applicability and to propose disease-specific prediction models.


Assuntos
Doenças Transmissíveis Importadas , Raiva , Humanos , Doenças Transmissíveis Importadas/epidemiologia , Raiva/epidemiologia , Efeitos Psicossociais da Doença , Bases de Dados Factuais , Fatores de Risco
11.
Proc Natl Acad Sci U S A ; 117(13): 7504-7509, 2020 03 31.
Artigo em Inglês | MEDLINE | ID: mdl-32170017

RESUMO

The novel coronavirus outbreak (COVID-19) in mainland China has rapidly spread across the globe. Within 2 mo since the outbreak was first reported on December 31, 2019, a total of 566 Severe Acute Respiratory Syndrome (SARS CoV-2) cases have been confirmed in 26 other countries. Travel restrictions and border control measures have been enforced in China and other countries to limit the spread of the outbreak. We estimate the impact of these control measures and investigate the role of the airport travel network on the global spread of the COVID-19 outbreak. Our results show that the daily risk of exporting at least a single SARS CoV-2 case from mainland China via international travel exceeded 95% on January 13, 2020. We found that 779 cases (95% CI: 632 to 967) would have been exported by February 15, 2020 without any border or travel restrictions and that the travel lockdowns enforced by the Chinese government averted 70.5% (95% CI: 68.8 to 72.0%) of these cases. In addition, during the first three and a half weeks of implementation, the travel restrictions decreased the daily rate of exportation by 81.3% (95% CI: 80.5 to 82.1%), on average. At this early stage of the epidemic, reduction in the rate of exportation could delay the importation of cases into cities unaffected by the COVID-19 outbreak, buying time to coordinate an appropriate public health response.


Assuntos
Betacoronavirus , Controle de Doenças Transmissíveis/legislação & jurisprudência , Controle de Doenças Transmissíveis/métodos , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/transmissão , Epidemias , Pneumonia Viral/epidemiologia , Pneumonia Viral/transmissão , Viagem , COVID-19 , China/epidemiologia , Infecções por Coronavirus/prevenção & controle , Saúde Global , Humanos , Incidência , Internacionalidade , Funções Verossimilhança , Programas de Rastreamento , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Saúde Pública , Risco , SARS-CoV-2
12.
Violence Vict ; 38(5): 754-784, 2023 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-37827579

RESUMO

There has been limited study of the link between victimization and the criminal offense in the correctional context, despite the extensive literature supporting the overlap of victims and offenders in the general population. In this study, 2,880 inmates in 12 institutional correction facilities in Taiwan were examined to explore the common factors of the victim-offender overlap, guided by the importation, deprivation, and low self-control theories. The results of bivariate probit regression analysis revealed the presence of the victim-offender phenomenon in Taiwanese inmates. Specifically, the inmates who had experienced violent victimization in childhood and those who held negative perceptions of corrections staff and management tended to be both victims and offenders as measured by various types of prison misconduct and victimization. The results also showed that importation and deprivation factors have similar explanatory power for both misconduct and victimization, and low self-control has greater explanatory power for misconduct than for victimization.


Assuntos
Vítimas de Crime , Criminosos , Prisioneiros , Autocontrole , Humanos , Prisões
13.
Artigo em Inglês | MEDLINE | ID: mdl-37690835

RESUMO

BACKGROUND: Dengue fever is a viral infection transmitted to humans through the bite of a mosquito infected with the dengue virus. Dengue is one of the most common infectious diseases in the world, and its incidence is rapidly increasing. We estimated the risk of dengue importation from endemic countries to Japan and the transmission risk within Japan using data collected between 2016 and 2018. METHODS: We conducted simulations that included the number of reported dengue infections and travelers per month in ten countries in Southeast and South Asia. RESULTS: The estimated importation risks for Japanese returnees and international travelers from each of the ten endemic countries was approximately 1.0 every month from 2016 to 2018. The autochthonous transmission risk in Japan from any target country was 1.0 from June to September yearly. The estimated number of Japanese dengue cases returning to Japan is approximately 25 times higher than that of imported cases reported in Japan. CONCLUSIONS: The risk of dengue importation into Japan can be sufficiently high. Attention should be paid to autochthonous transmission spread between June and September when mosquitoes are active in Japan. Estimates of seasonal risk variation from each dengue virus-endemic country can be used to inform preventive and control measures for dengue in Japan.


Assuntos
Clima , Dengue , Humanos , Animais , Ásia Meridional , Japão/epidemiologia , Salários e Benefícios , Dengue/epidemiologia
14.
Emerg Infect Dis ; 28(5): 1053-1055, 2022 05.
Artigo em Inglês | MEDLINE | ID: mdl-35271791

RESUMO

The Pacific Island country of Vanuatu is considering strategies to remove border restrictions implemented during 2020 to prevent imported coronavirus disease. We performed mathematical modeling to estimate the number of infectious travelers who had different entry scenarios and testing strategies. Travel bubbles and testing on entry have the greatest importation risk reduction.


Assuntos
COVID-19 , Quarentena , COVID-19/prevenção & controle , Humanos , SARS-CoV-2 , Viagem , Vanuatu
15.
New Phytol ; 235(1): 173-187, 2022 07.
Artigo em Inglês | MEDLINE | ID: mdl-35347735

RESUMO

Chloroplasts are hypersensitive to heat stress (HS). SUMOylation, a critical post-translational modification, is conservatively involved in HS responses. However, the functional connection between SUMOylation and chloroplasts under HS remains to be studied. The bioinformatics, biochemistry, and cell biology analyses were used to detect the SUMOylation statuses of Arabidopsis nuclear-encoded chloroplast proteins and the effect of SUMOylation on subcellular localization of these proteins under HS. PSBR, a subunit of photosystem II, was used as an example for a detailed investigation of functional mechanisms. After a global SUMOylation site prediction of nuclear-encoded chloroplast proteins, biochemical data showed that most of the selected candidates are modified by SUMO3 in the cytoplasm. The chloroplast localization of these SUMOylation targets under long-term HS is partially maintained by the SUMO ligase AtSIZ1. The HS-induced SUMOylation on PSBR contributes to the maintenance of its chloroplast localization, which is dependent on its chloroplast importation efficiency correlated to phosphorylation. The complementation analysis provided evidence that SUMOylation is essential for the physiological function of PSBR under HS. Our study illustrated a general regulatory mechanism of SUMOylation in maintaining the chloroplast protein importation during HS and provided hints for further investigation on protein modifications associated with plant organelles under stress conditions.


Assuntos
Proteínas de Arabidopsis , Arabidopsis , Arabidopsis/metabolismo , Proteínas de Arabidopsis/metabolismo , Proteínas de Cloroplastos/metabolismo , Resposta ao Choque Térmico , Proteínas Nucleares/metabolismo , Sumoilação
16.
BMC Infect Dis ; 22(1): 460, 2022 May 13.
Artigo em Inglês | MEDLINE | ID: mdl-35562690

RESUMO

BACKGROUND: With the decline in local malaria transmission in Vietnam as a result of the National Malaria Control Program (NMCP) elimination activities, a greater focus on the importation and potential reintroduction of transmission are essential to support malaria elimination objectives. METHODS: We conducted a multi-method assessment of the demographics, epidemiology, and clinical characteristics of imported malaria among international laborers returning from African or Southeast Asian countries to Vietnam. Firstly, we conducted a retrospective review of hospital records of patients from January 2014 to December 2016. Secondly, we conducted a mixed-methods prospective study for malaria patients admitted to the study sites from January 2017 to May 2018 using a structured survey with blood sample collection for PCR analysis and in-depth interviews. Data triangulation of the qualitative and quantitative data was used during analysis. RESULTS: International laborers were young (median age 33.0 years IQR 28.0-39.5 years), predominantly male (92%) adults returning mostly from the African continent (84%) who stayed abroad for prolonged periods (median time 13.5 months; IQR 6.0-331.5 months) and were involved in occupations that exposed them to a higher risk of malaria infection. Epidemiological trends were also similar amongst study strands and included the importation of Plasmodium falciparum primarily from African countries and P. vivax from Southeast Asian countries. Of 11 P. malariae and P. ovale infections across two study strands, 10 were imported from the African continent. Participants in the qualitative arm demonstrated limited knowledge about malaria prior to travelling abroad, but reported knowledge transformation through personal or co-worker's experience while abroad. Interestingly, those who had a greater understanding of the severity of malaria presented to the hospital for treatment sooner than those who did not; median of 3 days (IQR 2.0-7.0 days) versus 5 days (IQR 4.0-9.5 days) respectively. CONCLUSION: To address the challenges to malaria elimination raised by a growing Vietnamese international labor force, consideration should be given to appropriately targeted interventions and malaria prevention strategies that cover key stages of migration including pre-departure education and awareness, in-country prevention and prophylaxis, and malaria screening upon return.


Assuntos
Malária Vivax , Malária , Adulto , Feminino , Humanos , Malária/tratamento farmacológico , Malária/epidemiologia , Malária/prevenção & controle , Malária Vivax/epidemiologia , Masculino , Plasmodium falciparum , Estudos Prospectivos , Vietnã/epidemiologia
17.
BMC Vet Res ; 18(1): 66, 2022 Feb 10.
Artigo em Inglês | MEDLINE | ID: mdl-35144598

RESUMO

BACKGROUND: Onchocerca lupi is a filarial nematode affecting dogs, and occasionally cats and humans, in continental Europe, North Africa, the Middle East, and the USA. Adult worms are usually found in periocular nodules and enucleation is sometimes required if the infection fails to respond to other treatment options. CASE PRESENTATION: Here, we report the presence of O. lupi in the UK for the first time. Of two dogs re-homed from continental Europe, one developed an ocular nodule seven years after arrival from Portugal. The conjunctival perilimbal mass in its left eye was surgically removed but despite anthelminthic treatment, a further nodule developed in the same eye six months later. In the second case - a dog imported from Romania 12 months earlier - a perilimbal mass was excised from the left eye and prior anthelminthic treatment was supplemented with oral prednisolone and doxycycline. However, nodules recurred, and the left globe was subsequently enucleated. Conjunctival hyperaemia then appeared in the right eye and neither additional anthelminthic treatment nor removal of worm masses failed to prevent the further development of lesions. Excised adult worms were identified in both cases as O. lupi based on morphological characteristics, as well as PCR and sequencing of cytochrome c oxidase subunit I and 12S rRNA gene fragments. CONCLUSION: O. lupi parasitosis can apparently remain cryptic in dogs for several years before any clinical signs manifest. Moreover, the progression of infection can be highly aggressive and recalcitrant to both surgical intervention and anthelminthic treatment. Increasingly, former stray dogs of unknown infection status are entering the UK, raising both veterinary and public health concerns.


Assuntos
Doenças do Cão , Onchocerca , Animais , Doenças do Cão/diagnóstico , Doenças do Cão/tratamento farmacológico , Doenças do Cão/cirurgia , Cães , Olho , Onchocerca/genética , Saúde Pública , Reino Unido/epidemiologia
18.
BMC Health Serv Res ; 22(1): 570, 2022 Apr 28.
Artigo em Inglês | MEDLINE | ID: mdl-35484525

RESUMO

BACKGROUND: The purpose of the study was to assess the requirements for approval of the importation of unregistered medicines for use in the public sector in the Southern African Development Community (SADC) countries. METHODS: The study reviewed the legal provisions and requirements to be fulfilled when importing unregistered medicines for the public sector in SADC countries relative to two comparators drawn from countries with stringent regulatory systems through extant document analysis. The relative implementation index score was calculated and used to measure the level of implementing legal provisions and requirements to be fulfilled. Analysis was performed using the STATA software package. RESULTS: Approximately 13 out of 16 SADC countries had a relative implementation index below 50%. The aggregated implementation index across all SADC countries was 44%, ranging from 4 to 54%, while the two comparators had a relative implementation index of 81% and 85%, respectively. CONCLUSION: Implementing the minimum requirements for importing unregistered medicines for the public sector was deficient compared to the jurisdictions with stringent regulatory systems, and wide implementation gaps also existed within the SADC region.


Assuntos
Setor Público , África Subsaariana , Humanos
19.
Rev Sci Tech ; 41(1): 82-90, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-35925634

RESUMO

Drosophila melanogaster has been a model organism for experimental research for more than a century, and the knowledge and associated genetic technologies accumulated around this species make it extremely important to contemporary biomedical research. A large international community of highly collaborative scientists investigate a remarkable diversity of biological problems using genetically characterised strains of Drosophila, and frequently exchange these strains across borders. Despite its importance to the study of fundamental biological processes and human disease-related cellular mechanisms, and the fact that it presents minimal health, agricultural or environmental risks, Drosophila can be difficult to import. The authors argue that streamlined regulations and practices would benefit biomedical research by lowering costs and increasing efficiencies.


Drosophila melanogaster sert d'organisme modèle pour la recherche expérimentale depuis plus d'un siècle, aboutissant à une somme de connaissances sur cette espèce et sur les technologies génétiques qui lui sont associées qui la rendent extrêmement importante pour la recherche biomédicale contemporaine. Aujourd'hui, une vaste communauté internationale de chercheurs dotés d'une culture élevée de la collaboration étudie un nombre impressionnant de problèmes biologiques en utilisant des souches de drosophile caractérisées sur le plan génétique, ce qui conduit à un partage fréquent de ces souches au-delà des frontières nationales. Or, il est parfois difficile d'importer des drosophiles, en dépit de l'importance de cette espèce pour l'étude des processus biologiques fondamentaux et des mécanismes cellulaires liés aux maladies humaines, et du risque minime qu'elle représente pour la santé, l'agriculture ou l'environnement. Les auteurs estiment qu'une rationalisation des réglementations et des pratiques serait bénéfique pour la recherche biomédicale car elle permettrait de réduire les coüts et de gagner en efficacité.


Drosophila melanogaster es un organismo modelo para las investigaciones experimentales desde hace más de un siglo. El acervo de conocimientos y las correspondientes tecnologías genéticas que se han ido acumulando en relación con esta especie hacen de ella un elemento de suma importancia para la actual investigación biomédica. Hay una gran comunidad internacional de científicos que, trabajando en estrecha colaboración, investigan muy diversos problemas biológicos sirviéndose de cepas de Drosophila genéticamente caracterizadas, para lo cual intercambian a menudo estas cepas de uno a otro país. Pese a su importancia para el estudio de procesos biológicos fundamentales y de mecanismos celulares ligados a enfermedades humanas, y pese a que los riesgos sanitarios, agrícolas o ambientales que entraña son mínimos, la importación de Drosophila puede resultar dificultosa. Los autores postulan que la simplificación de procesos y reglamentos sería beneficiosa para la investigación biomédica, pues reduciría costos y permitiría ganar en eficiencia.


Assuntos
Pesquisa Biomédica , Drosophila melanogaster , Animais , Drosophila melanogaster/genética , Humanos
20.
Rev Sci Tech ; 41(1): 142-157, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-35925628

RESUMO

Informal science education institutions such as zoos, natural history museums and botanical gardens exhibit live native and exotic insects and other arthropods to improve the general public's knowledge about these organisms and promote their conservation in nature. The purpose of this paper is to summarise the process of shipping exotic arthropods for exhibits and the regulations that apply, and to discuss issues that affect international shipment for this type of activity. These issues include escapes affecting the environment and delays affecting the viability of shipped insects. The regulatory agencies that issue permits for the importation of live insects for education and exhibit are discussed. The number of butterflies flying in the exhibits ranges from 100 specimens at the Butterfly Encounter of the Connecticut Science Center to a high of 15,000 specimens at the Dubai Butterfly Garden, with a mean of 2,048 specimens (n = 32). If the outlier of 15,000 is removed, the mean is 1,630 (n = 31). Insect zoos and butterfly exhibits play an overwhelmingly positive educational role by introducing millions of children and adults to the immensely important world of insects.


Les institutions scientifiques à vocation éducative informelle telles que les parcs zoologiques, les muséums d'histoire naturelle et les jardins botaniques exposent nombre d'espèces tant natives qu'exotiques d'insectes et d'autres arthropodes afin de mieux les faire connaître du grand public et de promouvoir leur conservation dans la nature. Cet article a pour objet de présenter succinctement les modalités de l'expédition d'arthropodes exotiques destinés aux espaces d'exposition ainsi que les réglementations applicables, et d'examiner les problèmes affectant les expéditions internationales d'insectes dans ce type d'activités. Les problèmes relevés concernant principalement les évasions d'insectes et leurs effets sur l'environnement, et les retards de livraison et leurs effets sur la survie des insectes transportés. L'autrice évoque également les agences de réglementation chargées de délivrer les autorisations d'importer des insectes à des fins éducatives et d'exposition. Le nombre de papillons vivant dans des serres d'exposition va des 100 spécimens du site du Connecticut Science Center aux 15 000 spécimens du Jardin aux papillons de Dubaï, la moyenne étant de 2 048 spécimens par site (n = 32). Si l'on retire le cas particulier du site de Dubaï, la moyenne par site est de 1 630 spécimens (n = 31). Les insectariums et les serres à papillons jouent un rôle éducatif essentiel en permettant à des millions d'enfants et d'adultes de découvrir le monde des insectes et leur rôle fondamental.


Los establecimientos científicos que ejercen una labor pedagógica oficiosa, como zoológicos, museos de historia natural o jardines botánicos, exponen especies autóctonas y alóctonas de insectos y otros artrópodos para familiarizar al gran público con ellos y promover su conservación en el medio natural. La autora, tras presentar sucintamente el proceso de expedición de artrópodos exóticos con destino a espacios de exposición y los reglamentos aplicables, examina una serie de cuestiones que inciden en este tipo de transporte internacional, principalmente las fugas de ejemplares y sus consecuencias ambientales y los retrasos que afectan a la supervivencia de los insectos transportados. También se detiene en los organismos de reglamentación que expiden los permisos de importación de insectos vivos con fines pedagógicos o de exposición. El número de mariposas expuestas puede ir desde los 100 ejemplares presentados en el Connecticut Science Center hasta los 15 000 que alberga el mariposario de Dubai, con un promedio que se sitúa en los 2 048 ejemplares (n = 32), aunque, si no se tiene en cuenta el valor atípico de Dubai, la media resultante es de 1 630 ejemplares (n = 31). Los insectarios y mariposarios cumplen una extraordinaria función pedagógica, pues millones de niños y adultos descubren en ellos el importantísimo mundo de los insectos.


Assuntos
Borboletas , Animais , Comércio , Insetos , Internacionalidade
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