Northwestern Romania Research Articles

Serological evidence of human exposure to foodborne zoonotic parasites in Romanian patients and possible association with food habits and hygiene

Humans may become accidental dead-end hosts for a series of zoonotic foodborne parasites, of which Toxoplasma gondii, Echinococcus spp., Toxocara spp., and Trichinella spiralis are of major public health interest, due to their potential pathological implications. The aims of the study were to evaluate the exposure to these pathogens in north-western Romania, and to investigate their potential association to risk factors. From June 2022 to January 2024, 554 patients admitted to a tertiary hospital in north-western Romania were screened for the presence of IgG antibodies against T. gondii, Echinococcus spp., Toxocara canis, and T. spiralis by ELISA, and potential risks were assessed using a questionnaire. Overall, 225 samples (40.6%) were positive for at least one pathogen. The highest seroprevalence for IgG was found for T. gondii (33.9%), followed by Echinococcus spp. (9.1%), T. spiralis (2.9%), and T. canis (1.1%). For T. spiralis, raw meat consumption was associated with positivity. For T. gondii, increased age, rural environment, contact with cats, consumption of unwashed fruits/vegetables and drinking water from unverified sources were significantly associated to seropositivity. The present study provides new insights into the epidemiological status of zoonotic foodborne parasite in Romania, underlining the need to increase awareness on the importance of water, sanitation and food habits in relation with this neglected pathology.

Chemical composition and nutritional characteristics of popular wild edible mushroom species collected from North-Western Romania

Wild edible mushrooms contain substances of nutritional and biological importance for humans, but they can also accumulate potentially toxic elements. The study aimed to determine the proximate composition, fatty acids profile and content of 18 elements (As, B, Ca, Cd, Co, Cr, Cu, Fe, Hg, K, Li, Mg, Mn, Na, Ni, P, Pb, S, Zn) in four species of popular wild edible mushrooms (Agaricus campestris, Boletus edulis, Lepiota Procera, and Russula cyanoxantha) collected from NW Romania. The analysed mushrooms contained 22 – 28 % proteins and 2 – 5 % lipids dry weight (dw) basis, in which the total unsaturated fatty acids contents prevailed over saturated fatty acids. The average contents (mg kg−1dw) of the essential macroelements were: 22900 (K), 5500 (P), 1920 (S), 1250 (Na), 701 (Ca), and 565 (Mg). The contents of potentially toxic elements were lower and decreased in the order of Zn>Fe>Cu>Mn>Cr>Hg>Ni>Pb>As>Cd. The toxicity of these elements is related to the ingested amounts, and thus the health risk was assessed considering their contents. The obtained scores indicated non-carcinogenic health risks, primarily because of the high Hg contents, and children’s vulnerability compared to adults. Fortunately, no carcinogenic risk was indicated for the ingestion of the studied mushrooms.

Beyond Nationalism and State Authorities: Voices of the Moți Colonists from the Carei Area

Following the creation of Greater Romania and the Hungarian–Romanian War in 1919, the Romanian state decided to colonize the new Hungarian–Romanian border with ethnic Romanians. Among other ethnic Romanians from the Apuseni Mountains and Maramureș, the authorities considered the Moți the most suitable settlers. This article examines this process by focusing on the Moți colonies in the Carei region, situated in northwestern Romania. In contrast to most research on the topic, which has relied exclusively on written sources from archives and newspapers, examining colonization from the perspective of state authorities, this article explores the topic from the perspective of the settlers themselves. Drawing on oral histories with the Moţi, it examines the challenges they faced in adapting to their new environment, their relationships with other ethnic groups, and their negotiations with state authorities. By analyzing oral sources alongside official and elite sources, it provides a more nuanced portrait of colonization that showcases the voices of ordinary people.

Prevalence and Genotyping of Water- and Food-Borne Parasitic Protozoans (Giardia duodenalis and Cryptosporidium spp.) in Hospitalized Patients from Northwestern Romania.

Giardia duodenalis and Cryptosporidium spp. are important zoonotic protozoan pathogens that infect the gastro-intestinal tract of numerous vertebrates, including humans, and both parasites are responsible for water- or food-borne outbreaks of disease worldwide. Although, globally, both parasites are highly prevalent, particularly in developing countries, epidemiological data from Romania are scarce, and genotyping has rarely been performed. The aims of the present study were to investigate the occurrence and genetic diversity of G. duodenalis and Cryptosporidium spp. in patients hospitalized in Northwestern Romania in relation to clinical and paraclinical presentation and to identify the relative frequency of non-specific symptoms and potential risk factors. Between June 2022 and January 2024, 426 fecal samples were screened for gastro-intestinal parasites by rapid tests and microscopical examination, further confirmed by PCR and sequencing. Giardia duodenalis was detected and characterized in 12 samples (2.82%), while Cryptosporidium parvum was confirmed in four samples (0.94%). A majority of positive patients were symptomatic and reported nausea and vomiting with a significantly higher frequency compared to negative ones. This study provides new insights into the epidemiological status and clinical implications of gastro-intestinal parasite species and genospecies in Romania that are necessary for an in-depth understanding of the potential zoonotic transmission and improvement of patient care.

An unusual case of low concentration mineral brines in the geothermal waters from Beiuș Basin (Northwestern Romania)

The aim of the BrineRIS project is to explore brines in RIS countries potential for critical metal extraction In the frame of this project the concentration of mineral brines in three geothermal wells located in the Beiuș Basin (northwestern Romania) was determined by analyzing the water from the wells. Until recently no reliable trace element data were available from Beiuș basin. Following the new analyses, the geothermal water extracted by TRANSGEX SA company from wells F-3001H, F-3003H, and F-3005H revealed exceptionally low concentrations of associated chemical compounds. The Li-concentration is only ~ 22 – 32 µg/l. Zn, I, Rb and As present in similar concentrations, while other trace elements (e.g. Co, V, Ti) are below detection limit. The Sr (~ 540 – 680 µg/l), Ba (~ 170 – 200 µg/l) and B (~ 70 – 100 µg/l) concentrations are slightly elevated, but still low. Therefore, the water in this "geothermal reservoir" can be classified as relatively potable, but it is not appropriate for critical metal extraction. In this paper, some documented concentrations from previous years have been compared to recent concentrations. In addition, the relationship between geology and water chemistry is emphasized in order to determine the reason for the absence of solutes that were expected to be found in this water.

Labour Force Composition and Labour Shortage in North-Western Romania: A Cross-County Comparison1

Abstract The paper analyses the labour force composition of two adjacent counties in north-west Romania: Maramureș and Sălaj. Regionally, employers stress the lack of available labour force and resort to commuter networks from nearby rural areas and immigrant labour. Why labour shortage? It is argued that Romania’s FDI-reliant export-led growth model factors in. Namely, the growth model’s reliance on low-cost labour that reduces employment incentives to a minimum (often minimum wage) and employment in repetitive labour-intensive activities make the prospect less attractive. If technological upgrading – requiring skilled employees – is absent, regional labour availability tends to be an issue. Alternative subsistence methods are favoured: seasonal transnational migration, household agricultural subsistence and remittances from relatives. Tying livelihood to families and households, these methods pool resources to replace (even if in part) wage labour under global market-dependency conditions.

Airplane Parts and Covid Masks: Labour Commuters of North-Western Romania Between Central and Eastern European “Re-Industrialisation” and the Global Market

Abstract This article aims to uncover two main features of ‘re-industrialisation’ in Central and Eastern Europe: the reconfiguration of the economic geography in Northwest Romania and the multiple ways in which the Romanian working class is being integrated into the new economy. Post-socialist shifts towards a low-skilled, flexible, and generally insecure economy have underlined the need for cheap, easily disposable labour, and the emergence of the new economic geography has changed the accumulation of capital in the region and the patterns of labour mobility. Despite massive migration, many have continued to work in the region or have combined migration periods with work close to home. This study explores the different mobilities individuals engage in and seeks to understand why some workers choose to stay and live in the region and how the available opportunities for workers aiming to stay in the region influence their prospects. This study traces the patterns of labour commuting and how this is structured by individuals’ strategies and motivations, as well as the social relationships that support this work. The article analyses labour commuting to two major industrial hubs in the region: one which manufactures aerospace components, and one that produces medical textiles. Both companies are foreign-owned and concentrate a significant proportion of the region’s workforce. The micro-dynamics revealed will contribute to understanding the patterns of work in the specific form of re-industrialisation in contemporary Romania.

Epidemiological Surveillance of Hypodermosis in Cattle from Romania.

Hypodermosis, or warble fly, is an endemic parasitic disease, common in countries from the northern hemisphere. The use of effective insecticides has decreased the frequency of this parasitic disease, with untreated cattle remaining to act as reservoirs. This study focused on assessing the status of hypodermosis in northwestern Romania by means of clinical examination (skin inspection and palpation performed in order to identify nodules) conducted on a number of 11.741 cattle. The study was carried out from March until June 2021. The identified larvae were subject to molecular assays for species identification and genotyping, followed by comparison with data available in the GenBank database. The average prevalence rate of parasitism caused by Hypoderma spp. was 0.31%, with values ranging from a minimum of 0.11% to a maximum of 1.32%. The dominant age group among positive animals was the 1-3 years old category and in terms of breed distribution, most positive cases were seen in cows belonging to an indigenous breed: Bruna de Maramures. April was the most prolific month in terms of nodule count/animal. The species identified in our study by means of molecular assays was H. bovis with two haplotypes: HB3 and HB8.

Comparative Assessment of Phenolic Compounds from Authentic Wine Varieties from North-Western Romania from the 2021-2022 Harvest

Wine is one of the most consumed beverages in the world. Romania, as a country, has a history in vineyards and wine making. This present study analyzed the phenolic compounds of 5 varieties of wine from Romania (Fetească Regală Muscat Ottonel, Riesling Italian, Pinot Gris and Merlot). The results suggested that some of the wines present a wide category of phenolic compounds where others present low values and some of the compounds are absent as detected with a developed HPLC-DAD-ESI+ method. Phenolic compounds were identified after the retention time. Merlot wine presented, in most cases, the highest values for phenolic compounds, with a few exceptions. As a conclusion, romanian wines are rich in phenolic compounds that possess a series of beneficial properties.

Variation of Aerosol Optical Properties over Cluj-Napoca, Romania, Based on 10 Years of AERONET Data and MODIS MAIAC AOD Product

Aerosols play an important role in Earth’s climate system, and thus long-time ground- based measurements of aerosol optical properties are useful in understanding this role. Ten years of quality-assured measurements between 2010 and 2020 are used to investigate the aerosol climatology in the Cluj-Napoca area, in North-Western Romania. In this study, we analyze the aerosol optical depth (AOD), single scattering albedo (SSA) and angstrom exponent obtained by the CIMEL sun photometer, part of the aerosol robotic network (AERONET), to extract the seasonality of aerosols in the region and investigate the aerosol climatology of the area. Higher aerosol loads are found during July and August. The angstrom exponent has the lowest values in April and May, and the highest in August. The classification of aerosols using AERONET data is performed to separate dust, biomass burning, polluted urban, marine and continental-dominant aerosol mixtures. In addition, the study presents the validation efforts of the Multi-Angle Implementation of Atmospheric Correction (MAIAC) dataset against AERONET AOD over a 10-year period.

The Epidemiology of Dental Pathologies in Elderly Patients Admitted to a Tertiary Level Hospital in Oradea, NW Romania: A 5-Year Retrospective Study.

Oral diseases can affect the quality of life of all individuals, including elderly people. In elderly people, the associated general diseases can increase the risk of dental pathologies or can impact their treatment. The main aim of this study was to identify elderly patients with dental pathology out of the total number of patients admitted to the Department of Oral and Maxillofacial Surgery at a tertiary-level hospital in North-Western Romania. Another aim was to describe the characteristics of the patients included in this study, as well as to analyze data from patients with dental pathologies. In this retrospective study, the medical records of patients admitted to the Department of Oral and Maxillofacial Surgery at the Bihor County Emergency Hospital between 2016 and 2020 were analyzed, with a focus on patients aged 65 years or more. After applying the exclusion criteria, 721 patients were kept in the study, of which 316 (43.8%) had at least one dental pathology. Most elderly patients with dental pathologies were admitted in 2018 (n = 89). The most common associated systemic diseases were arterial hypertension (n = 268) and ischemic heart disease (n = 233), while the most common dental pathologies were pulpitis (n = 185), chronic apical periodontitis (n = 61) and abscesses (n = 35). Most patients were either healed or had an improved condition at the time of discharge. The great number of dental pathologies, as well as the diversity in dental pathologies, underline the necessity for better preventive programs aimed not only at children, adolescents or young people but at the elderly population as well.

Subterranean transport of microplastics as evidenced in karst springs and their characterization using Raman spectroscopy

The increasing use of plastic materials has led to accumulation of large amounts of plastic waste in environment and a global challenge to be tackled with. The natural process of macro-plastics aging generates a multitude of secondary microplastic fragments accumulating in all areas of the planet. The pollution with microplastics of large water bodies, such as rivers, seas and oceans was already proven, but the presence of microplastics even in karst spring water was not reported yet. In this study, Raman micro-spectroscopy was used to confirm the presence of microplastics in the spring water samples collected from two rural karst springs in the Apuseni Mountains (Țarina and Josani), North-Western Romania. Two sets of water samples of 1000 L collected in spring time 2021 and one in autumn 2021 were filtered and analyzed. Using the Python programming language and combining two separate Raman databases, one for plastics and the other for pigments, we established a customized database to unambiguously identify the type of plastic and pigment present in the discovered micro-fragments. The generated reference pigment-plastic spectra were compared to those of potential microplastics found on filters and Pearson's coefficient was used to measure the level of similarity. The presence of microplastics in karst spring waters was confirmed and a quantitative estimation expressed as number of fragments or fibers per liter was 0.034 in Josani and 0.06 in Țarina karst spring. Five months later sampling (autumn 2021) revealed 0.05 microplastics per liter. The spectral results revealed that most microplastics found were dominated by polyethylene terephthalate (PET), followed by polypropylene and interestingly, abundant blue micro-fragments were identified according to their copper phthalocyanine pigments (pigment Blue 15) or indigo carmine (pigment Blue 63) characteristic spectral fingerprints, which surpassed the inherent spectral background level characteristic for the Raman spectra of naturally contaminated waste micro-samples. Their origin in mountain karst spring waters and potential decrease in time is discussed.

Economical implications and the impact of gonadotropin-releasing hormone administration at the time of artificial insemination in cows raised in the extensive system in North Romania.

Artificial insemination (AI) is the first and the most used biotechnologies in reproduction all over the world. Many studies reported the beneficial role of gonadotropin-releasing hormone (GnRH) administrated some hours before the AI or at the artificial insemination time. This study aimed to assess the effect of GnRH analogs given at the time of insemination on the first, second, and third AIs and to assess the economical implications of GnRH administration. We hypothesized that administration of GnRH at the time of insemination would increase ovulation and pregnancy rate. The study was conducted on small farms in northwestern Romania and included animals of the Romanian Brown and Romanian Spotted breeds. Animals in estrous at the first, second, and third inseminations were randomly divided into groups that received GnRH at insemination and groups that did not. A comparison between the groups was performed and the cost of GnRH administration to obtain one gestation was calculated. The GnRh administration increased the pregnancy rate at the first and the second inseminations by 12 and 18%, respectively. For one pregnancy, the cost of GnRH administration was approximately 49 euros for the first insemination group and around 33 euros for the second insemination group. No improvement of the pregnancy rate was observed after the GnRH administration for the cows at the third insemination, so, for this group, no economic statistics were performed.

PAH Pathogenic Variants and Clinical Correlations in a Group of Hyperphenylalaninemia Patients from North-Western Romania.

Phenylketonuria (PKU) is caused by mutations in the phenylalanine hydroxylase (PAH) gene and is characterized by altered amino acid metabolism. More than 1500 known PAH variants intricately determine a spectrum of metabolic phenotypes. We aim to report on clinical presentation and PAH variants identified in 23 hyperphenylalaninemia (HPA)/PKU Romanian patients. Our cohort exhibited classic PKU (73.9%, 17/23), mild PKU (17.4%, 4/23), and mild HPA (8.7%, 2/23). Severe central nervous system sequelae are frequent in our cohort in late-diagnosis symptomatic patients, which highlights yet again the significance of an early dietary treatment, neonatal screening and diagnosis, and facilitated access to treatment. Next-generation sequencing (NGS) identified a total of 11 PAH pathogenic variants, all previously reported, mostly missense changes (7/11) in important catalytic domains. c.1222C>T p.Arg408Trp was the most frequent variant, with an allele frequency of 56.5%. Twelve distinct genotypes were identified, the most frequent of which was p.Arg408Trp/p.Arg408Trp (34.8%, 8/23). Compound heterozygous genotypes were common (13/23), three of which had not been previously reported to the best of our knowledge; two correlated with cPKU and one showed an mPKU phenotype. Generally, there are genotype-phenotype correlation overlaps with the public data reported in BIOPKUdb; as our study shows, clinical correlates are subject to variation, in part due to uncontrolled or unknown epigenetic or environmental regulatory factors. We highlight the importance of establishing the genotype on top of using blood phenylalanine levels.

Retrospective Survey of Human Trichinellosis in a Romanian Infectious Diseases Hospital over a Thirty-Year Interval—The Never-Ending Story

Trichinellosis remains a food-safety risk in Romania due to cultural traditions and food behavior. The aim of the present study was to evaluate the epidemiological, clinical and therapeutical data of all human trichinellosis cases in patients admitted to an Infectious Diseases Hospital from northwestern Romania during a thirty-year interval. Between 1 January 1988 and 31 December 2018, a total of 558 patients were hospitalized with the diagnosis of trichinellosis. The number of cases/year varied between 1 and 86. The source of infection was known for 524 patients, represented by domestic pig meat (n = 484; 92.37%) and wild boar (n = 40; 7.63%). Most patients (410; 73.48%) presented were part of family or group outbreaks. Demographical and clinical data of patients will be presented. Antiparasitic therapy was prescribed in 99.46% of cases, and corticosteroids were prescribed in 77.06% of patients. In total, 48 patients (8.6%) presented complications of trichinellosis: 44 for a single complication (neurological, cardiovascular or respiratory); the others multiple complications. Pregnancy was documented in five patients. No fatalities occurred during the study period. Although the number of hospitalized patients has decreased in the last years, trichinellosis still remains an important public health problem in northwestern Romania.

Diversity, distribution and organic substrates preferences of microbial communities of a low anthropic activity cave in North-Western Romania.

Karst caves are characterized by relatively constant temperature, lack of light, high humidity, and low nutrients availability. The diversity and functionality of the microorganisms dwelling in caves micro-habitats are yet underexplored. Therefore, in-depth investigations of these ecosystems aid in enlarging our understanding of the microbial interactions and microbially driven biogeochemical cycles. Here, we aimed at evaluating the diversity, abundance, distribution, and organic substrate preferences of microbial communities from Peștera cu Apă din Valea Leșului (Leșu Cave) located in the Apuseni Mountains (North-Western Romania). To achieve this goal, we employed 16S rRNA gene amplicon sequencing and community-level physiological profiling (CLPP) paralleled by the assessment of environmental parameters of cave sediments and water. Pseudomonadota (synonym Proteobacteria) was the most prevalent phylum detected across all samples whereas the abundance detected at order level varied among sites and between water and sediment samples. Despite the general similarity at the phylum-level in Leșu Cave across the sampled area, the results obtained in this study suggest that specific sites drive bacterial community at the order-level, perhaps sustaining the enrichment of unique bacterial populations due to microenvironmental conditions. For most of the dominant orders the distribution pattern showed a positive correlation with C-sources such as putrescine, γ-amino butyric acid, and D-malic acid, while particular cases were positively correlated with polymers (Tween 40, Tween 80 and α-cyclodextrin), carbohydrates (α-D-lactose, i-erythritol, D-mannitol) and most of the carboxylic and ketonic acids. Physicochemical analysis reveals that sediments are geochemically distinct, with increased concentration of Ca, Fe, Al, Mg, Na and K, whereas water showed low nitrate concentration. Our PCA indicated the clustering of different dominant orders with Mg, As, P, Fe, and Cr. This information serves as a starting point for further studies in elucidating the links between the taxonomic and functional diversity of subterranean microbial communities.

THE COMPLEMENTARY USE OF CHARCOAL NUMBER AND MORPHOLOGY TO RECONSTRUCT FIRE HISTORY IN A LATE HOLOCENE PEAT SEQUENCE FROM NW ROMANIA

Fires influence basic ecosystem processes, including the distribution, the structure and the composition of vegetation, as well as the carbon cycle and climate at the global scale. Long-term knowledge (i.e., centuries or millennia) of fire regime history and forest fire ecology and dynamic in local environments is necessary for sustainable ecosystem management and biodiversity conservation strategies. Charcoal is a widely used proxy for reconstructing fire regime history and vegetation burning. Charcoal analysis is based on the accumulation of charred particles in depositional environments such as lakes and bogs, during and shortly after the occurrence of fire events. Ombrotrophic peat bogs are sensitive to local environmental changes and, given that the deposition of allochthonous material is exclusively atmospheric, they are ideal archives for reconstructing charcoal fluxes resulting from biomass burning. This study quantifies charcoal abundance (number) in a peat sequence extracted from Tăul Mare ombrotrophic peat bog (Văratec Massif, Lăpuş Mts, north-western Romania) aiming to reconstruct local fire history over the last 3000 years and to explore potential drivers. As a novelty, observations concerning the morphology of charred fragments are added to provide additional information on the type of material burnt (woody vegetation or herbs), fire severity and charcoal source area, thus strengthening the interpretation of the charcoal record. Results showed moderate fire activity between 3000 and 2300 cal yr BP, which slightly decreased between 2300 and 700 cal yr BP and varied considerably throughout the last 700 years. Several major fire episodes were further identified around 2500, 1700, 1300, 900 and 500 cal yr BP. Of these, the first four overlapped two phases of progressive landscape opening and extension of pastoral activities, while the latter was unprecedented in the entire history of the bog and was likely associated with the development of mining activities in the area. This study provides the first complementary use of charcoal morphologies in fire history reconstruction in Romania and adds a valuable perspective on the extent of past human impact on the mid-elevation mountain landscape.

Geophysical Investigations within the Latus Dextrum of Porolissum Fort, Northwestern Romania—The Layout of a Roman Edifice

This paper summarizes the results of a recent geophysical investigation carried out at Porolissum, which is considered to be one of the most significant Roman sites in Romania. The geophysical survey was carried out within the latus dextrum of the fort, which is the same location that had been the subject of earlier geophysical surveys as well as older archaeological excavations (1970s) that had uncovered a multiroom building. A cesium vapor total field magnetometer and a multi-electrode resistivity meter for a dense Electrical Resistivity Tomography (ERT) survey were used. Eighty parallel ERT profiles in combination with the emerging total field magnetic data and an antecedent magnetic survey allowed us to complete a more precise interpretation regarding the building that once existed on the left side of Porolissum’s Principia (the commander’s house). In contrast to the magnetic survey, which only reveals a part of the building’s architecture, the ERT survey provides a comprehensive view of the structure’s layout. More than 20 rooms could be positively identified, and the existence of further rooms might be deduced from the data. The ERT scan revealed the existence of the building’s northern external wall as well, which is not reflected on the magnetic map. Because some parts of the building are not visible on the magnetic map, we can assume that the building was constructed with at least two types of rocks (magmatic and sedimentary). In addition to the archaeological interpretation of the geophysical anomalies, a number of discussions concerning the connection between our survey and the geology of the area were held. The complementarity of the magnetic and resistivity results prompted us to conceive a preliminary 3D reconstruction of the building. Even if the building function is unknown in the absence of reliable archaeological data, it could have been a storage building, a second praetorium, a valetudinarium (hospital), or an armamentarium (weapons storage building). The illustrative reconstruction was completed taking into consideration that the building was a Roman military hospital, which, based on the available data, may be considered a credible assumption.

Niche breadth and overlap of pseudogamous apomictic Crataegus hybrids and their progenitors in north-western Romania

Niche breadth and overlap of pseudogamous apomictic Crataegus hybrids and their progenitors in north-western Romania

Non-Syndromic Hearing Loss in a Romanian Population: Carrier Status and Frequent Variants in the GJB2 Gene.

The genetic causes of autosomal recessive nonsyndromic hearing loss (ARNSHL) are heterogeneous and highly ethnic-specific. We describe GJB2 (connexin 26) variants and carrier frequencies as part of our study and summarize previously reported ones for the Romanian population. In total, 284 unrelated children with bilateral congenital NSHL were enrolled between 2009 and 2018 in northwestern Romania. A tiered diagnostic approach was used: all subjects were tested for c.35delG, c.71G>A and deletions in GJB6 (connexin 30) using PCR-based methods. Furthermore, 124 cases undiagnosed at this stage were analyzed by multiplex-ligation-dependent probe amplifications (MLPA), probe mix P163, and sequencing of GJB2 exon 2. Targeted allele-specific PCR/restriction fragment length polymorphism (RFLP) established definite ethio-pathogenical diagnosis for 72/284 (25.35%) of the cohort. Out of the 124 further analyzed, in 12 cases (9.67%), we found compound heterozygous point mutations in GJB2. We identified one case of deletion of exon 1 of the WFS1 (wolframin) gene. Carrier status evaluation used Illumina Infinium Global Screening Array (GSA) genotyping: the HINT cohort-416 individuals in northwest Romania, and the FUSE cohort-472 individuals in southwest Romania. GSA variants yielded a cumulated risk allele presence of 0.0284. A tiered diagnostic approach may be efficient in diagnosing ARNSHL. The summarized contributions to Romanian descriptive epidemiology of ARNSHL shows that pathogenic variants in the GJB2 gene are frequent among NSHL cases and have high carrier rates, especially for c.35delG and c.71G>A. These findings may serve in health strategy development.