Abstract
We report the potential risk for an infectious disease through tainted transfusion in 10 countries of South and Central America in 1993 and in two countries of South America in 1994, as well as the cost of reagents as partial estimation of screening costs. Of the 12 countries included in the study, nine screened all donors for HIV; three screened all donors for hepatitis B virus (HBV); two screened all donors for Trypanosoma cruzi; none screened all donors for hepatitis C virus (HCV); and six screened some donors for syphilis. Estimates of the risk of acquiring HIV through blood transfusion were much lower than for acquiring HBV, HCV, or T. cruzi because of significantly higher screening and lower prevalence.rates for HIV. An index of infectious disease spread through blood transfusion was calculated for each country. The highest value was obtained for Bolivia (233 infections per 10,000 transfusions); in five other countries, it was 68 to 103 infections per 10,000. The risks were lower in Honduras (nine per 10,000), Ecuador (16 per 10,000), and Paraguay (19 per 10,000). While the real number of potentially infected units or infected persons is probably lower than our estimates because of false positives and already infected recipients, the data reinforce the need for an information system to assess the level of screening for infectious diseases in the blood supply. Since this information was collected, Chile, Colombia, Costa Rica, and Venezuela have made HCV screening mandatory; serologic testing for HCV has increased in those countries, as well as in El Salvador and Honduras. T. cruzi screening is now mandatory in Colombia, and the percentage of screened donors increased not only in Colombia, but also in Ecuador, El Salvador, and Paraguay. Laws to regulate blood transfusion practices have been enacted in Bolivia, Guatemala, and Peru. However, donor screening still needs to improve for one or more diseases in most countries.
Highlights
Rates To determine the expected demographics, rates of hospitalization, and international travel among patients with Salmonella Infantis infections compared with patients with infections caused by other common nontyphoidal Salmonella serotypes, we analyzed data collected through the Foodborne Disease Active Surveillance Network (FoodNet; https://www.cdc.gov/foodnet/index.html) during 2012–2015
The 2014 and 2015 St. Louis encephalitis virus (SLEV) isolates are genetically distinct from the 2003 Imperial Valley, California, strain that was isolated before the 11-year absence of SLEV activity in the state [49]. These results suggest there was likely a single introduction of SLEV into the United States from South America, and possibly Argentina, no later than November 2014, the earliest dated sample from which SLEV was isolated in Arizona and that the virus spread in the summer of 2015 from Arizona to California [49]
Investigation of Feeder Rats Owned by the Patient Because the patient kept feeder rats at home and these rats are a known source of Seoul virus (SEOV) infection, the rats were collected for source investigation
Summary
Rates To determine the expected demographics, rates of hospitalization, and international travel among patients with Salmonella Infantis infections compared with patients with infections caused by other common nontyphoidal Salmonella serotypes, we analyzed data collected through the Foodborne Disease Active Surveillance Network (FoodNet; https://www.cdc.gov/foodnet/index.html) during 2012–2015. Begun in 1996, FoodNet has conducted active, population-based surveillance for culture-confirmed cases of infection caused by 9 pathogens transmitted commonly through food, including Salmonella. The FoodNet surveillance area includes 15% of the US population; these data are used to estimate the burden of US foodborne illnesses, hospitalizations, and deaths [1]. L(+) tartrate+, Blockley, Anatum, Mississippi, and Panama. These 20 serotypes represented 69% of nontyphoidal Salmonella isolates reported to FoodNet in 2015
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