Outbreak Of Respiratory Disease Research Articles

Cost-effectiveness of mask mandates on subways to prevent SARS-CoV-2 transmission in the United States.

Community-based mask wearing has been shown to reduce the transmission of SARS-CoV-2. However, few studies have conducted an economic evaluation of mask mandates, specifically in public transportation settings. This study evaluated the cost-effectiveness of implementing mask mandates for subway passengers in the United States by evaluating its potential to reduce COVID-19 transmission during subway travel. We assessed the health impacts and costs of subway mask mandates compared to mask recommendations based on the number of infections that would occur during subway travel in the U.S. Using a combined box and Wells-Riley infection model, we estimated monthly infections, hospitalizations, and deaths averted under a mask mandate scenario as compared to a mask recommendation scenario. The analysis included costs of implementing mask mandates and COVID-19 treatment from a limited societal perspective. The cost-effectiveness (net cost per averted death) of mandates was estimated for three different periods based on dominant SARS-CoV-2 variants: Alpha, Beta, and Gamma (November 2020 to February 2021); Delta (July to October 2021); and early Omicron (January to March 2022). Compared with mask recommendations only, mask mandates were cost-effective across all periods, with costs per averted death less than a threshold of $11.4 million (ranging from cost-saving to $3 million per averted death). Additionally, mask mandates were more cost-effective during the early Omicron period than the other two periods and were cost saving in January 2022. Our findings showed that mandates remained cost-effective when accounting for uncertainties in input parameters (e.g., even if mandates only resulted in small increases in mask usage by subway ridership). The findings highlight the economic value of mask mandates on subways, particularly during high virus transmissibility periods, during the COVID-19 pandemic. This study may inform stakeholders on mask mandate decisions during future outbreaks of novel viral respiratory diseases.

Equine herpesvirus type 1 (EHV-1) replication at the upper respiratory entry site is inhibited by neutralizing EHV-1-specific IgG1 and IgG4/7 mucosal antibodies.

Equine herpesvirus type 1 (EHV-1) is a contagious respiratory pathogen that infects the mucosa of the upper respiratory tract (URT). Mucosal immune responses at the URT provide the first line of defense against EHV-1 and are crucial for orchestrating immunity. To define host-pathogen interactions, we characterized B-cell responses, antibody isotype functions, and EHV-1 replication of susceptible (non-immune) and clinically protected (immune) horses after experimental EHV-1 infection. Nasal secretion and nasal wash samples were collected and used for the isolation of DNA, RNA, and mucosal antibodies. Shedding of infectious virus, EHV-1 copy numbers, viral RNA expression, and host B-cell activation in the URT were compared based on host immune status. Mucosal EHV-1-specific antibody responses were associated with EHV-1 shedding and viral RNA transcription. Finally, mucosal immunoglobulin G (IgG) and IgA isotypes were purified and tested for neutralizing capabilities. IgG1 and IgG4/7 neutralized EHV-1, while IgG3/5, IgG6, and IgA did not. Immune horses secreted high amounts of mucosal EHV-1-specific IgG4/7 antibodies and quickly upregulated B-cell pathway genes, while EHV-1 was undetected by virus isolation and PCR. RNA transcription analysis reinforced incomplete viral replication in immune horses. In contrast, complete viral replication with high viral copy numbers and shedding of infectious viruses was characteristic for non-immune horses, together with low or absent EHV-1-specific neutralizing antibodies during viral replication. These data confirm that pre-existing mucosal IgG1 and IgG4/7 and rapid B-cell activation upon EHV-1 infection are essential for virus neutralization, regulation of viral replication, and mucosal immunity against EHV-1.IMPORTANCEEquine herpesvirus type 1 (EHV-1) causes respiratory disease, abortion storms, and neurologic outbreaks known as equine herpes myeloencephalopathy (EHM). EHV-1 is transmitted with respiratory secretions by nose-to-nose contact or via fomites. The virus initially infects the epithelium of the upper respiratory tract (URT). Host-pathogen interactions and mucosal immunity at the viral entry site provide the first line of defense against the EHV-1. Robust mucosal immunity can be essential in protecting against EHV-1 and to reduce EHM outbreaks. It has previously been shown that immune horses do not establish cell-associated viremia, the prerequisite for EHM. Here, we demonstrate how mucosal antibodies can prevent the replication of EHV-1 at the epithelium of the URT and, thereby, the progression of the virus to the peripheral blood. The findings improve the mechanistic understanding of mucosal immunity against EHV-1 and can support the development of enhanced diagnostic tools, vaccines against EHM, and the management of EHV-1 outbreaks.

Common cold viruses circulating in children threaten wild chimpanzees through asymptomatic adult carriers

Reverse zoonotic respiratory diseases threaten great apes across Sub-Saharan Africa. Studies of wild chimpanzees have identified the causative agents of most respiratory disease outbreaks as “common cold” paediatric human pathogens, but reverse zoonotic transmission pathways have remained unclear. Between May 2019 and August 2021, we conducted a prospective cohort study of 234 children aged 3–11 years in communities bordering Kibale National Park, Uganda, and 30 adults who were forest workers and regularly entered the park. We collected 2047 respiratory symptoms surveys to quantify clinical severity and simultaneously collected 1989 nasopharyngeal swabs approximately monthly for multiplex viral diagnostics. Throughout the course of the study, we also collected 445 faecal samples from 55 wild chimpanzees living nearby in Kibale in social groups that have experienced repeated, and sometimes lethal, epidemics of human-origin respiratory viral disease. We characterized respiratory pathogens in each cohort and examined statistical associations between PCR positivity for detected pathogens and potential risk factors. Children exhibited high incidence rates of respiratory infections, whereas incidence rates in adults were far lower. COVID-19 lockdown in 2020–2021 significantly decreased respiratory disease incidence in both people and chimpanzees. Human respiratory infections peaked in June and September, corresponding to when children returned to school. Rhinovirus, which caused a 2013 outbreak that killed 10% of chimpanzees in a Kibale community, was the most prevalent human pathogen throughout the study and the only pathogen present at each monthly sampling, even during COVID-19 lockdown. Rhinovirus was also most likely to be carried asymptomatically by adults. Although we did not detect human respiratory pathogens in the chimpanzees during the cohort study, we detected human metapneumovirus in two chimpanzees from a February 2023 outbreak that were genetically similar to viruses detected in study participants in 2019. Our data suggest that respiratory pathogens circulate in children and that adults become asymptomatically infected during high-transmission times of year. These asymptomatic adults may then unknowingly carry the pathogens into forest and infect chimpanzees. This conclusion, in turn, implies that intervention strategies based on respiratory symptoms in adults are unlikely to be effective for reducing reverse zoonotic transmission of respiratory viruses to chimpanzees.

Pharmacological activation of TLR7 exerts inhibition on the replication of EV-D68 in respiratory cells.

The globally reemerging respiratory pathogen enterovirus D68 (EV-D68) is implicated in outbreaks of severe respiratory illness and associated with acute flaccid myelitis. However, there remains a lack of effective treatments for EV-D68 infection. In this work, we found that the host Toll-like receptor 7 (TLR7) proteins, which function as powerful innate immune sensors, were selectively elevated in expression in response to EV-D68 infection. Subsequently, we investigated the impact of Vesatolimod (GS-9620), a Toll-like receptor 7 agonist, on EV-D68 replication. Our findings revealed that EV-D68 infection resulted in increased mRNA levels of TLR7. Treatment with Vesatolimod significantly inhibited EV-D68 replication [half maximal effective concentration (EC50) = 0.1427 µM] without inducing significant cytotoxicity at virucidal concentrations. Although Vesatolimod exhibited limited impact on EV-D68 attachment, it suppressed RNA replication and viral protein synthesis after virus entry. Vesatolimod broadly inhibited the replication of circulating isolated strains of EV-D68. Furthermore, our findings demonstrated that treatment with Vesatolimod conferred resistance to both respiratory and neural cells against EV-D68 infection. Overall, these results present a promising strategy for drug development by pharmacologically activating TLR7 to initiate an antiviral state in EV-D68-infected cells selectively.IMPORTANCEConventional strategies for antiviral drug development primarily focus on directly targeting viral proteases or key components, as well as host proteins involved in viral replication. In this study, based on our intriguing discovery that enterovirus D68 (EV-D68) infection specifically upregulates the expression of immune sensor Toll-like receptor 7 (TLR7) protein, which is either absent or expressed at low levels in respiratory cells, we propose a potential antiviral approach utilizing TLR7 agonists to activate EV-D68-infected cells into an anti-viral defense state. Notably, our findings demonstrate that pharmacological activation of TLR7 effectively suppresses EV-D68 replication in respiratory tract cells through a TLR7/MyD88-dependent mechanism. This study not only presents a promising drug candidate and target against EV-D68 dissemination but also highlights the potential to exploit unique alterations in cellular innate immune responses induced by viral infections, selectively inducing a defensive state in infected cells while safeguarding uninfected normal cells from potential adverse effects associated with therapeutic interventions.

Antiviral Activity of Low-Molecular-Weight Fluorinated Compounds Against Influenza A (H1N1) Virus

Influenza A virus takes a stable position in annual acute respiratory disease outbreaks during the autumn-winter period. Antiviral drugs for influenza infection help significantly ease the course of the disease and prevent complications, but there is still no drug to which none of the circulating strains would be resistant. Therefore, the search for new effective drugs against influenza A virus is constantly being conducted, in particular among fluorine-containing organic compounds, taking into account the special properties of fluorine. The goal of the study is to investigate the activity of a group of low-molecular-weight fluorinated compounds against the influenza A (H1N1) virus and to determine the potential mechanism of their action using in silico methods. Methods. Five fluorinated compounds designated as 10S-45, 10S-46, 10S-47, 10S-48 and 10S-49 were studied. In vitro experiments were performed using MDCK cell culture, A/FM/1/47 strain of influenza A (H1N1) virus, and oseltamivir phosphate as a reference drug. The cytotoxic effect on cell culture was determined using the MTT test. Antiviral effect was investigated by post-exposure incubation of compound solutions with cells, and visualization of results was performed using crystal violet dye. The possibility of the interaction of compounds with the cap-binding domain (CBD) of the PB2 subunit of the RNA-dependent RNA polymerase (RdRp) of the virus was evaluated using molecular dynamics simulation. Results. It was established that the studied compounds have a moderate cytotoxic effect on MDCK cell culture: the calculated CC50 values are in the range of 471─577 μg/mL for 10S-45, 10S-46, 10S-47 and 10S-48. Substance 10S-49 is almost 2 times less toxic compared to the rest, but it also has no effect on the influenza virus. Compounds 10S-45, 10S-46 and 10S-48 demonstrate antiviral activity in the range of 12─78 % inhibition of viral reproduction with an inverse dose-dependent effect. Substance 10S-47 showed a relatively stable inhibition of viral reproduction in the range of 63─69 % at all tested concentrations, which is similar to the results of the reference drug. According to the results of the selectivity index calculation, compound 10S-48 has the highest value, and 10S-47 has the lowest one, for the rest of the substances, this indicator is acceptable, but low, compared to the reference drug. For in silico studies, all possible spatial forms of the compounds presented as a mixture of diastereoisomers were generated: 4 stereoisomers each for 10S-45 and 10S-46, as well as 3 for 10S-47. According to the results of molecular docking of substances to the active center of CBD, 10S-45 has the lowest calculated affinity, and 10S-47 has the highest. Accordingly, compound 10S-45 showed no tendency to form ordered interactions with CBD. The 10S-47/CBD complex was not characterized by the presence of stable orientational bonds between receptor and ligand, similar to 10S-48/CBD. However, compound 10S-46 showed a generally stable interaction with CBD, albeit with a period of conformational instability. Conclusions. All studied compounds (except for 10S-49) demonstrate an antiviral effect in vitro against the influenza A (H1N1) virus. Based on the results of the in silico analysis of their interactions with CBD PB2, compound 10S-46 is highly likely to be an inhibitor of the cap-binding activity of RdRp.

Simulation-based suggestions for lockdown rules in dense urban areas considering indoor-outdoor droplet transmission under natural ventilation conditions

Lockdown rules have been arbitrarily applied to curtail respiratory disease outbreaks without being certain about indoor-outdoor droplet transmission mechanisms and associated infection risks, causing enormous economic losses and arousing social unrest. This study addressed these issues by proposing lockdown rules for dense urban areas using computational fluid dynamics (CFD) simulations of indoor-outdoor droplet dispersion originating from various source locations in single-sided and cross-ventilated spaces of a six-story building in idealized urban areas with plan area densities (λp) of 0.25, 0.44, 0.59, 0.69, and 0.82. The findings suggest issuing lockdown orders based on the relative locations of the patient and vulnerable persons. For example, droplets exhaled by a patient on the upper and middle floors can enter the apartments on one or two floors below under single-sided ventilation, while the droplets are transmitted to the same level downstream spaces by cross-ventilation. Although pedestrians and building occupants pose no infection risk to each other in urban areas with λp = 0.25, they are both exposed to high droplet concentrations in dense urban areas with λp = 0.69 and 0.82. Therefore, this study recommends area lockdowns for dense urban areas to protect residents and pedestrians from virus-laden droplets carried by indoor-outdoor droplet transmission.

Geographical Expansion of Avian Metapneumovirus Subtype B: First Detection and Molecular Characterization of Avian Metapneumovirus Subtype B in US Poultry.

Avian metapneumovirus (aMPV), classified within the Pneumoviridae family, wreaks havoc on poultry health. It typically causes upper respiratory tract and reproductive tract infections, mainly in turkeys, chickens, and ducks. Four subtypes of AMPV (A, B, C, D) and two unclassified subtypes have been identified, of which subtypes A and B are widely distributed across the world. In January 2024, an outbreak of severe respiratory disease occurred on turkey and chicken farms across different states in the US. Metagenomics sequencing of selected tissue and swab samples confirmed the presence of aMPV subtype B. Subsequently, all samples were screened using an aMPV subtype A and B multiplex real-time RT-PCR kit. Of the 221 farms, 124 (56%) were found to be positive for aMPV-B. All samples were negative for subtype A. Six whole genomes were assembled, five from turkeys and one from chickens; all six assembled genomes showed 99.29 to 99.98% nucleotide identity, indicating a clonal expansion event for aMPV-B within the country. In addition, all six sequences showed 97.74 to 98.58% nucleotide identity with previously reported subtype B sequences, e.g., VCO3/60616, Hungary/657/4, and BR/1890/E1/19. In comparison to these two reference strains, the study sequences showed unique 49-62 amino acid changes across the genome, with maximum changes in glycoprotein (G). One unique AA change from T (Threonine) to I (Isoleucine) at position 153 in G protein was reported only in the chicken aMPV sequence, which differentiated it from turkey sequences. The twelve unique AA changes along with change in polarity of the G protein may indicate that these unique changes played a role in the adaptation of this virus in the US poultry. This is the first documented report of aMPV subtype B in US poultry, highlighting the need for further investigations into its genotypic characterization, pathogenesis, and evolutionary dynamics.

Occurrence in sick animals and genetic heterogeneity of Siberian isolates of bovine respiratory syncytial virus (Pneumoviridae: <i>Orthopneumovirus</i>; BRSV) identified in the territories of the Ural, Siberian Federal District and the Republic of Kazakhstan

Introduction. Bovine respiratory syncytial virus (Pneumoviridae: Orthornavirae, Orthopneumovirus; Bovine orthopneumovirus, Bovine respiratory syncytial virus, BRSV) is one of causative agents of respiratory diseases in animals. The study of the occurrence and genetic diversity of this pathogen is of particular importance.
 Objective. To study the frequency of virus in animals using RT-PCR and genetic heterogeneity of isolates based on determining the complete nucleotide sequence of glycoprotein G gene.
 Materials and methods. A 381-bp region of glycoprotein F gene was used for identification of virus genome, while complete nucleotide sequences of G gene were used for phylogenetic analysis. Phylogenetic trees were constructed using the maximum likelihood method in MEGA 7.0 software.
 Results. During outbreaks of respiratory diseases, BRSV RNA was detected in animals of all ages in samples of lungs, nasal secretions, pulmonary lymph nodes. Complete nucleotide sequences of glycoprotein G gene, 771 bp in length were obtained for five isolates and 789 bp in length ‒ for two isolates. Nucleotide similarity between them was 87–100%. Phylogenetic analysis assigned the isolates to subgroups II and III, each of which included two isolates. A separate clade formed by K18 isolate from animals imported from Canada and sequences from vaccines containing the attenuated «375» strain.
 Conclusion. The virus genome was identified in cows and heifers (20.0 and 14.3%), in calves up 1 month of age (3.05%), and in calves from 1 to 6 months of age (6.7%). Complete G gene nucleotide sequence analysis is a useful tool for studying the molecular epidemiology of BRSV on particular territories.

Evaluating the Effectiveness of Public Health Measures During Infectious Disease Outbreaks: A Systematic Review.

Over the previous three decades, the incidence of infectious disease outbreaks has considerably increased and the trend is expected to increase further. Public health measures are essential for controlling and preventing emerging outbreaks of infectious illnesses. This study is aimed at evaluating the effectiveness of public health measures during infectious disease outbreaks by summarizing the outcomes from the available evidence in the literature. A systematic review was carried out through a detailed search strategy using specific keywords applied across different electronic databases, including the Science Direct, PubMed, and EMBASE databases. Studies published between 2015 and 2024 were included with a focus on cohorts, clinical trials, longitudinal studies, case-control, and quasi-experimental studies. Low-quality studies and those published before 2015 along withincorrect findings or measures were excluded. A standardized form was used for data extraction. The quality of included studies and the risk of bias were assessed through relevant techniques. The obtained data was narrative synthesized and findings were organized systematically. The reviewed studies revealed that public health measures are considerably effective against infectious disease outbreaks. The success of various measures such as social isolation, confinement measures, and public education on hygiene against different outbreaks of respiratory infectious diseases has been well-established in the literature. Moreover, the timing of intervention application plays a vital role in their success. The implementation in the early phase of an outbreak is highly effective, as it protects more people from infectionand controls the overall burden of the disease. The systematic review provided valuable insights into the efficiency of public health measures in monitoring outbreaks of infectious illnesses. The main findings suggest that appropriate public health interventions are effective in controlling the incidence of contagious disease outbreaks. Ongoing research strives to investigate measures that are most effective from the perspective of public health against various transmittable diseases to prevent future outbreaks.

Identification of neuropathogenic Varicellovirus equidalpha1 as a potential cause of respiratory disease outbreaks among horses in North Xinjiang, China, from 2021-2023.

Varicellovirus equidalpha1 (formerly Equid alphaherpesvirus 1, EqAHV-1) is among the most important viruses responsible for respiratory disease outbreaks among horses throughout the world. No reports to date have detailed the association between EqAHV-1 and respiratory disease among horses in China. This study described one such outbreak among a population of horses in north Xinjiang that occurred from April 2021 - May 2023. qPCR revealed that EqAHV-1 was detectable in all samples and this virus was identified as a possible source of respiratory disease, although a limited subset of these samples were also positive for EqAHV-2, EqAHV-4, and EqAHV-5. In total, three EqAHV-1 strains responsible for causing respiratory illness in horses were isolated successfully, and full-length ORF33 sequence comparisonsand phylogenetic analyses indicated that these isolates may have originated from EqAHV-1 strains detected in Yili horse abortions. ORF30 sequence data additionally suggested that these strains were neuropathic, as evidenced by the presence of a guanine residue at nucleotide position 2254 corresponding to the aspartic acid present at position 752 in the DNA polymerase encoded by this virus. This study is the first report of an outbreak of respiratory disease among horses in China caused by EqAHV-1. ORF30 sequence characterization revealed that these EqAHV-1 strains harbored a neuropathogenic genotype. Given the detection of this virus in horses suffering from respiratory disease, concern is warranted with respect to this neuropathogenic EqAHV-1 outbreak.

Enterovirus-D68 – a reemerging non-polio enterovirus that causes severe respiratory and neurological disease in children

The past decade has seen the global reemergence and rapid spread of enterovirus D68 (EV-D68), a respiratory pathogen that causes severe respiratory illness and paralysis in children. EV-D68 was first isolated in 1962 from children with pneumonia. Sporadic cases and small outbreaks have been reported since then with a major respiratory disease outbreak in 2014 associated with an increased number of children diagnosed with polio-like paralysis. From 2014-2018, major outbreaks were reported every other year in a biennial pattern with > 90% of the cases occurring in children under the age of 16. With the outbreak of SARS-CoV-2 and the subsequent COVID-19 pandemic, there was a significant decrease in the prevalence EV-D68 cases along with other respiratory diseases. However, since the relaxation of pandemic social distancing protocols and masking mandates the number of EV-D68 cases have begun to rise again-culminating in another outbreak in 2022. Here we review the virology, pathogenesis, and the immune response to EV-D68, and discuss the epidemiology of EV-D68 infections and the divergence of contemporary strains from historical strains. Finally, we highlight some of the key challenges in the field that remain to be addressed.

A Comprehensive Review on Potentially Therapeutic Agents against COVID-19 from Natural Sources

Abstract: Acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has caused the recent pandemic and worldwide outbreak of respiratory disease. Since there are no known specific drugs for fighting this virus and the process for new drug development is lengthy, scientists have been trying to develop drugs against this viral infection. The potent antiviral activity of natural products has been confirmed in several previous studies. Viral and host proteins contributing to COVID-19 infections can be targeted by natural compounds derived from plants, marine organisms, and microorganisms. The most important of these compounds are polyphenols (e.g., anthraquinone polyphenol, hinokinin, curcumin, and epigallocatechin gallate), alkaloids (e.g., isoquinoline, 10- hydroxyusambarensine, anisotine, and adhatodine), and terpenoids (salvinorin A, thymoquinone, bilobalide, ginkgolide A, and celastrol) from plants, sulphated polysaccharides (carrageenans, chondroitin sulfate C, and fucoidan) from marine organisms, and glycocin F and lactococcin G phycocyanin, and lipopeptide from microorganisms. This study reviews these compounds and their mechanism of action for treating COVID-19 infection and guides researchers in developing effective and safe therapeutic agents against this disease from naturally derived compounds.

Coronaviruses in rodents and insectivores in Altai Republic

Coronaviruses (family Coronaviridae, genera Alphacoronavirus, Betacoronavirus) are dangerous viral pathogens that have caused three outbreaks of severe respiratory diseases, SARS, MERS, COVID-19. In Russia, data on coronaviruses in natural reservoirs are limited, as investigations began only during the COVID-19 pandemic.The aim. To study the diversity of coronaviruses among rodents and insectivores in the Republic of Altai.Materials and methods. Rodents (n = 67) and shrews (n = 52) were captured in 2022. Samples were analyzed by reverse transcription-polymerase chain reaction followed by sequencing.Results and conclusions. Four samples from rodents (Myodes rutilus, M. glareolus, Apodemus peninsulae, A. agrarius) and two samples from an insectivore (Crocidura sibirica) were positive for coronaviruses, among which three different coronaviruses were detected. Rodent-borne coronaviruses are classified in the genus Betacoronavirus, subgenera Embecovirus, and have shown host associated clustering. The nucleotide sequences of Siberian coronaviruses from rodents were identical for closely related species (M. rutilus and M. glareolus, A. agrarius and A. peninsulae) and close (> 94 % homology) to previously published sequences in each of the groups of carriers found in the territory Novosibirsk region, Europe and China. The coronavirus identified from the insectivore, possibly belonging to a new subgenera of the family Coronaviridae, has also been assigned to the genus Betacoronavirus.Conclusion. Five species of natural carriers of three different coronaviruses were detected in the Altai Republic. A high level of identity of coronaviruses genomes from rodents has been revealed, indicating a relatively low rate of their evolution.

Recognition and prioritization of flexible design strategies in student dormitories during respiratory disease outbreaks

This study aimed to address the evolving needs of student dormitories during and after the COVID-19 pandemic by employing flexible strategies to optimize the use of these buildings during respiratory disease outbreaks. Initially, the relationship between architecture and respiratory infections was examined using the descriptive-analytical method and library research, and the operational spaces impact on airborne transmissions was identified. Subsequently, a conceptual model for flexible design was developed. A questionnaire was then distributed amongst architecture experts, and the results were compared through the Friedman test and Shannon’s entropy to prioritize flexible design strategies for dormitories during quarantine. Amongst these strategies, ‘segregation of space’ had the highest impact on the operational spaces of dormitories. Generally, the priorities of employing flexible strategies on dormitory spaces are as follows: ‘privatizing wet spaces’, ‘converting communal rooms into suites’, ‘splitting suites’, ‘creating screening spaces’, and ‘designing hierarchical access’. Next, a case study was conducted on the current dormitory of the Iran University of Science and Technology, and a proposed dormitory was presented based on the prioritized strategies. Finally, the current and the suggested dormitory were compared with space syntax criteria, including connectivity, depth and integration, and the pandemic responsiveness of the new plan was evaluated.

Tuberculosis experience in possible respiratory infectious disease outbreaks with lessons learned during the COVID-19 pandemic

The analysis of the lessons learned during the COVID-19 pandemic was carried out and the provision of treatment and preventive services to the population in health care facilities was improved in case of possible emergencies in connection with possible outbreaks of respiratory infectious diseases in the Republic of Tajikistan using the experience of the anti-tuberculosis service.During the COVID-19 pandemic, individual employees of anti-tuberculosis facilities reflected the relationship of coronavirus infection with contacts at work. The relationship between the dynamics of reducing the incidence of tuberculosis among employees of specific medical institutions and the volume of implemented interventions for anti-tuberculosis infection control, which, in combination with other anti-epidemic measures, plays a significant role in reducing the risk of spreading tuberculosis infection and is an essential element of protecting the health of medical workers, has been scientifically proven. The experience of TB facilities in complying with infection control rules and regulations can be used to prepare health systems for various likely outbreaks of respiratory infections.

Label-free electrochemical immunosensor employing new redox probes/porous organic polymers/graphene oxide nanocomposite towards multiplex detection of three SARS-COV2-induced storming proteins for severe COVID-19 diagnosis

Since an outbreak of severe acute respiratory disease caused by coronavirus 2 (SARS-CoV-2) in the province of Wuhan, China, coronavirus disease 2019 (COVID-19) has tremendously evolved into a global pandemic. COVID-19 causing serious failures in organ functions is found to be involved in many groups or kinds of “cytokine storm effect” protein biomarkers resulting from the human immunological responses to the virus. The in-body abnormalities and clinical features relevant to COVID-19 exhibit a wide range and it is difficult to forecast the severity of infection in patients. Consequently, the development of a fast and highly accurate method for screening, diagnosis, monitoring, rapid identification, and isolation of COVID-19-infected patients, and monitoring its severity is urgently needed. This work aims to develop a highly sensitive multiplex label-free electrochemical immunosensor based on a porous organic polymer (POP-AQ)/graphene oxide (GO) electrode to screen and diagnose COVID-19 severity. The screen-printed carbon electrode (SPCE) consisting of three working electrodes is modified by a new POP-AQ/GO nanocomposite to enhance its specific surface area and electrochemical reactivity. The resultant platform is functionalized with three different chitosan-encapsulated redox probes (m-cresol purple (mCP), thymol blue (TMB), and polydopamine (PDA)), followed by three different antibodies, which are employed to quantitatively detect the corresponding proteins from the immunological response. This novel platform allows for the simultaneous measurement of critical illness biomarkers (IL-6, D-dimer, and ferritin), with high sensitivities and low detection limits (LODs). The biosensor displays an excellent analytical performance with wide linear dynamic ranges of 0.005–5, 2.5−100, and 2.5−100 ng mL−1, and LODs of 0.0040, 0.844, and 0.806 ng mL−1 for IL-6, D-dimer, and ferritin, respectively. Moreover, this platform reveals high reproducibility and stability, while maintaining low instrumentation complexity, and cost-effectiveness. This proposed multiplex immunosensor has excellent potential for fast COVID-19 diagnosis and severity screening in infected patients. Additionally, its versatility suggests applicability in diagnosing other diseases and emerging pathogens.

Assessment of mask associated dry eye among doctors and medical students at a tertiary care centre

When faced with outbreaks of infectious respiratory diseases in the past, the use of face masks has often been mandated. The world collectively experienced the devastating COVID-19 pandemic, which originated in Wuhan, China, in October 2019 and rapidly spread across the globe. Wearing face masks became the primary defense against infection. However, during this period, many individuals reported experiencing symptoms of dry eye. This study aimed to investigate the correlation between mask usage and dryness among healthcare workers.A hospital-based cross-sectional study was conducted using an online survey, which included a modified version of the Ocular Surface Disease Index (OSDI) questionnaire. Electronic consent was obtained to gather information about the occurrence of dryness while wearing masks.Among the 284 participants, females exhibited a higher OSDI score (12.5) compared to males. Notably, individuals with pre-existing dry eye conditions had a significantly higher OSDI score (23.96) when wearing face masks. Across different age groups, no significant variations were observed. In terms of the duration of face mask use, those who wore masks for less than 4 hours and more than 6 hours had an OSDI score of 12.5, whereas individuals wearing masks for 4 to 6 hours had a score of 8.3.Wearing face masks may pose a risk for dryness, particularly among females, and can exacerbate dryness symptoms in individuals with pre-existing dry eye conditions.

Changes in parental anxiety and intention to demand antibiotics: A longitudinal study among parents during the COVID-19 pandemic.

Assessing the effects of the COVID-19 pandemic on parental anxiety and preferences for antibiotic treatment can help inform antibiotic stewardship strategies. Therefore, this study aimed to examine COVID-19 pandemic-related changes in parental anxiety levels, their intentions to demand antibiotics and frequencies of practising preventative behaviours. This longitudinal quantitative study compared two groups of parents, those from Victoria and Western Australia, who experienced high and low COVID-19 risk, respectively. Participants were recruited through an online panel to complete three waves of surveys between October 2020 and August 2021. Anxiety scores and frequency of preventative behaviours were analysed using mixed-effects tobit regression, considering time, state, and their interaction as fixed effects predictors. Intention to demand antibiotics was modelled using multinomial logistic regression, with time, state, and their interaction as the predictors. The final longitudinal sample comprised 50 participants from Victoria and 51 from Western Australia. Parental anxiety did not significantly change over time for either state. Intention to demand antibiotics was also stable over time within each state; however, participants from Victoria exhibited stronger intentions to demand antibiotics compared to those from Western Australia. Frequencies of parental preventative behaviours declined from Wave 1 to Wave 2 before increasing again in Wave 3, but only for Western Australia. This longitudinal study among Australian parents found stable parental anxiety and intention to demand antibiotics within each state. However, the intention to demand antibiotics and preventative behaviours varied between states as per the COVID-19 risk. Thus, viral pandemics may not affect judicious antibiotic use, though the intention to demand antibiotics may increase in states with high COVID-19 risk. Though parental anxiety may not impact antibiotic stewardship during viral respiratory illness outbreaks, tailored messaging to maintain appropriate antibiotic use may be necessary, especially when the disease risk is high.

Higher affinities of fibers with cell receptors increase the infection capacity and virulence of human adenovirus type 7 and type 55 compared to type 3.

HAdV-3, -7, and -55 are the predominant types causing acute respiratory disease outbreaks and can lead to severe and fatal pneumonia in children and adults. In recent years, emerging or re-emerging strains of HAdV-7 and HAdV-55 have caused multiple outbreaks globally in both civilian and military populations, drawing increased attention. Clinical studies have reported that HAdV-7 and HAdV-55 cause more severe pneumonia than HAdV-3. This study aimed to investigate the mechanisms explaining the higher severity of HAdV-7 and HAdV-55 infection compared to HAdV-3 infection. Our findings provided evidence linking the receptor-binding protein fiber to stronger infectivity of the strains mentioned above by comparing several fiber-chimeric or fiber-replaced adenoviruses. Our study improves our understanding of adenovirus infection and highlights potential implications, including in novel vector and vaccine development.

Early detection of respiratory disease outbreaks through primary healthcare data

Early detection of respiratory disease outbreaks through primary healthcare data