Possible Risk Of Transmission Research Articles

Hepatitis B vaccination status among health workers in Nigeria: a nationwide survey between January to June 2021

BackgroundHepatitis B vaccination is the most important preventive measure against Hepatitis B viral (HBV) infection. Vaccination against HBV infection among healthcare workers is important because of their daily exposure to patients’ body fluids and the possible risk of transmission to other patients. Hence, this study assessed the risk of hepatitis B infection, vaccination status and associated factors among healthcare workers in six geopolitical zones of Nigeria.MethodsA nationwide cross-sectional study was conducted between January and June 2021 using electronic data capture techniques to enroll 857 healthcare workers (HCWs) in regular contact with patients and their samples through a multi-stage sampling method.ResultsThe participants’ mean (SD) age was 38.7 (8.0) years, and 453 (52.9%) were female. Each of the six geopolitical zones in Nigeria had a fair representation, with a range of 15.3 to 17.7% of the study population. The majority (83.8%) of healthcare workers in Nigeria knew that they were at an increased risk of being infected by their work. Also, 72.2% knew that if infected, there was a high risk of liver cancer in later life. Many participants (642 [74.9%]) responded that they consistently applied standard precautions, such as hand washing, gloves, and face masks while attending to patients. Three hundred and sixty (42.0%) participants were fully vaccinated. Of the 857 respondents, 248 (28.9%) did not receive any dose of the hepatitis B vaccine. Factors that were associated with not being vaccinated included age less than 25 [adjusted odds ratio (AOR) 4.796, 95% CI 1.119 to 20.547, p = 0.035], being a nurse (AOR 2.346, 95% CI 1.446 to 3.808, p = 0.010), being a health attendant (AOR 9.225, 95% CI 4.532 to 18.778, p = 0.010), and being a healthcare worker from the Southeast (AOR 2.152, 95% CI 1.186 to 3.904, p = 0.012) in Nigeria.ConclusionThis study showed a high level of awareness of the risks associated with hepatitis B infection and suboptimal uptake of the hepatitis B vaccine among healthcare workers in Nigeria.

Absence of Hepatitis E Virus (HEV) in Italian Lagomorph Species Sampled between 2019 and 2021.

The zoonotic hepatitis E virus genotype 3 (HEV-3) causes most autochthonous human hepatitis E cases in Europe, which are due to the consumption of raw or undercooked food products of animal origin. Pigs and wild boars are considered the main reservoirs of this genotype, while rabbits are the reservoir of a distinct phylogenetic group named HEV-3ra, which is classified within the HEV-3 genotype but in a separate clade. Evidence for the zoonotic potential of HEV-3ra was suggested by its detection in immunocompromised patients in several European countries. HEV-3ra infection was found in farmed and feral rabbit populations worldwide and its circulation was reported in a few European countries, including Italy. Furthermore, Italy is one of the major rabbit meat producers and consumers across Europe, but only a few studies investigated the presence of HEV in this reservoir. The aim of this study was to assess the presence of HEV in 328 Italian hares and 59 farmed rabbits collected in 3 Italian macro-areas (North, North-Central, and South-Central), between 2019 and 2021. For this purpose, liver samples were used to detect HEV RNA using broad-range real-time RT-PCR and nested RT-PCR. Using 28 liver transudates from hares, the ELISA test for anti-HEV IgG detection was also performed. Neither HEV RNA nor anti-HEV antibodies were detected. Further studies will be conducted to assess the HEV presence in Italian lagomorphs to establish the role of this host and the possible risk of transmission for workers with occupational exposure, to pet owners and via food.

Prevalence of Periodontal Pathogens in Slovak Patients with Periodontitis and Their Possible Aspect of Transmission from Companion Animals to Humans.

Simple SummaryPeriodontal disease represents a worldwide health problem. Human periodontal pathogens such as Treponema denticola, Porphyromonas gingivalis, Tannerella forsythia and Aggregatibacter actinomycetemcomitans are the cause of inflammatory response resulting in periodontitis. Porphyromonas gulae is mostly involved in periodontitis in dogs; however, it is not a common pathogen in humans. This study deals with the prevalence of periodontal pathogens in Slovak patients with periodontitis. Furthermore, based on the previous findings of animal-to-human transmission of periodontal pathogens, this study also assesses the possible bacterial transmission between animals and their owners. The highest prevalence in Slovak patients amongst the monitored periodontal pathogens had T. forsythia. In regard to the limited information available on T. forsythia, antibiotic sensitivity of this bacterium was evaluated. Most of the T. forsythia isolates were susceptible to antibiotics, namely amoxicillin-clavulanic acid, clindamycin and moxifloxacin, while they were resistant to metronidazole. Moreover, the transmission of P. gulae between animals and their owners was confirmed. Based on the similarity of P. gulae with human P. gingivalis, there arises the question as to whether P. gulae can also be involved in the periodontitis pathogenesis in humans. However, more studies are required for further clarification.Oral health and diseases are greatly influenced by oral bacteria. During dysbiosis, bacterial composition changes, which can lead to periodontitis. Periodontitis in humans is associated with periodontal pathogens such as Treponema denticola, Porphyromonas gingivalis, Tannerella forsythia and Aggregatibacter actinomycetemcomitans. Animal-to-human transmission of some of these pathogens has also been reported. The aim of this study was to evaluate the prevalence of periodontal pathogens in Slovak patients and to assess the possible risk of transmission of these pathogens from animals to their owners. The presence of periodontal pathogens in dental plaque was monitored by PCR. Amplified products were analysed using Sanger sequencing. T. forsythia isolates were assessed for the susceptibility to different antibiotics using the disk diffusion method. In humans, T. denticola, P. gingivalis, T. forsythia and A. actinomycetemcomitans were present in 69.23%, 69.23%, 100% and 84.62%, respectively. Most isolates of T. forsythia were susceptible to amoxicillin-clavulanic acid, clindamycin and moxifloxacin, but they were resistant to metronidazole. The transmission of T. forsythia from animals to their owners was not proven based on sequence analysing. On the other hand, transmission of Porphyromonas gulae was confirmed, but the risk of its involvement in the pathogenesis of periodontitis in humans must be further investigated.

Edukasi Masyarakat Umum Seputar Covid-19 Di Masa Pandemi Guna Mencegah Penularan

Coronavirus Disease 2019 (Covid-19) is a disease caused by the corona virus. The corona virus is a new type of virus that started attacking in 2019 and has never previously been identified to attack humans. During the Covid-19 pandemic, it caused changes in the order of life in carrying out the wheels of daily life. Humans are entering the new normal era, an era where we adapt to new habits. Our cohesiveness and compliance are indispensable in implementing health protocols during daily activities as a preventive measure. Behavior change is key in handling the Covid-19 pandemic. Changes that require each individual to apply the 3M health protocol (wearing a mask, keeping a distance and avoiding crowds, and washing hands with soap) as a daily habit. The community must also be able to adapt to health protocol regulations when carrying out activities, especially in public spaces. This health protocol arrangement is intended to protect the public, so that all activities can run with the lowest possible risk of transmission.

Zoonotic bacteria in clinically healthy goats in petting zoo settings of zoological gardens in Germany.

Goats and other small ruminants are frequently used as contact animals in petting zoo settings of zoological gardens. However, they are capable to carry a broad spectrum of zoonotic pathogens without clinical signs. In this study, we analysed the presence of different zoonotic pathogens in 300 clinically healthy goats from 14 zoological gardens in Germany. Rectal and nasal swabs were investigated with a series of cultural and molecular techniques. In addition, vaginal swabs of the 230 female goats were investigated for the presence of Coxiella burnetii by real-time PCR. Antibodies against C.burnetii were tested in milk and serum by ELISA. Campylobacter spp. were found in 22.7%, Shiga-toxigenic Escherichia coli in 20.0% and Arcobacter spp. were found in 1.7% of the tested 300 goats after culture from rectal swabs and subsequent PCR. One sample contained an Escherichia fergusonii isolate with a blaCTX-M-1 -encoded extended-spectrum beta-lactamase phenotype. Neither Yersinia spp. nor Salmonella spp. were found. Nasal swabs of 20.7% of the goats yielded Staphylococcus aureus including one mecC-positive methicillin-resistant isolate. Neither Yersinia spp. nor Salmonella spp. were found, and none of the 230 vaginal swabs was positive for C.burnetii. Attempts to detect dermatophytes failed. In conclusion, a possible risk of transmission of zoonotic bacteria from goats in petting zoos to visitors should be considered. Appropriate information and facilities for hand washing and disinfection should be provided in all zoological gardens using goats as contact animals due to the regular presence of zoonotic bacteria in the collection.

Infection rates, species diversity, and distribution of zoonotic Babesia parasites in ticks: a global systematic review and meta-analysis.

Zoonotic Babesia species are emerging public health threats globally, and are the cause of a mild to severe malaria-like disease which may be life threatening in immunocompromised individuals. In this study, we determine the global infection rate, distribution, and the diversity of zoonotic Babesia species in tick vectors using a systematic review and meta-analysis. We used the random-effects model to pool data and determined quality of individual studies using the Joanna Briggs Institute critical appraisal instrument for prevalence studies, heterogeneity using Cochran's Q test, and across study bias using Egger's regression test. Herein, we reported a 2.16% (3915/175345, 95% CI: 1.76-2.66) global infection rate of zoonotic Babesia species (B. divergens, B. microti, and B. venatorum) in tick vectors across 36 countries and 4 continents. Sub-group infection rates ranged between 0.65% (95% CI: 0.09-4.49) and 3.70% (95% CI: 2.61-5.21). B. microti was the most prevalent (1.79%, 95% CI: 1.38-2.31) species reported in ticks, while Ixodes scapularis recorded the highest infection rate (3.92%, 95% CI: 2.55-5.99). Larvae 4.18% (95% CI: 2.15-7.97) and females 4.08% (95% CI: 2.56-6.43) were the tick stage and sex with the highest infection rates. The presence of B. divergens, B. microti, and B. venatorum in tick vectors as revealed by the present study suggests possible risk of transmission of these pathogens to humans, especially occupationally exposed population. The control of tick vectors through chemical and biological methods as well as the use of repellants and appropriate clothing by occupationally exposed population are suggested to curtail the epidemiologic, economic, and public health threats associated with this emerging public health crisis.

The estimated risk of SARS-CoV- 2 infection via cornea transplant in Canada.

In late 2019 the respiratory illness, Corona Virus Disease-19 caused by the SARS-CoV-2 virus emerged in China and quickly spread to other countries. The primary mode of transmission is person-to-person via respiratory droplets. SARS-CoV-2 has been identified in conjunctiva. Transmission by cornea transplant has not been reported but is theoretically possible. We aimed to estimate the possible risk of transmission in Canada via cornea transplant during the first wave of the pandemic, and the potential risk reduction from testing decedents. We constructed a deterministic model in which the risk of transmission was estimated as the product of three proportions: decedents with SARS-CoV-2 infection, corneas that are NAT positive, and NAT positive corneas presumed to transmit. Risk was estimated according to 3 scenarios: most likely, optimistic and pessimistic. At the peak of the first wave of the pandemic risk was estimated to be 1 in 63,031 cornea transplants in Canada but could be as low as 1 in 175,821 or as high as 1 in 10,129. It would take 16 years at the peak infection of the first wave of the pandemic to observe 1 transmission. Testing would reduce the risk of 1 in 63,031 to 1 in 210,104 assuming 70% test sensitivity. The theoretical risk of SARS-CoV-2 transmission by cornea transplant is extremely low and decedent testing is unlikely to be beneficial.

Identification of tick-borne pathogens using metagenomic analyses in H. longicornis feeding on humans in downtown Beijing

On August 14th, 2018, a Beijing resident living in Xicheng District found a female H. longicornis tick attached to the skin at the front of his upper shin. On examination, the patient was afebrile and appeared well. The species of the tick was identified through morphological characteristics and phylogenetic analysis based on cytochrome C oxidase subunit I. This H. longicornis tick was screened for tick-borne pathogens such as viruses, bacteria and parasites. RNA pathogens were screened by PCR and sequencing, while DNA pathogens were screened by metagenomic analyses. It was found that the tick was positive for the DNA sequences of zoonotic and animal pathogens such as A. phagocytophilum, Ehrlichia minasensis and C. burnetii. Considering the good health condition of the patient, we hypothesized that the pathogens originated from the tick specimen itself rather than host blood meal. For the first time, our study reveals the possible risk of transmission of tick-borne pathogens to human beings through tick bit in downtown Beijing. Further research is needed to screen for tick-borne pathogens among unfed ticks collected from central Beijing.

Breast Milk and Breastfeeding of Infants Born to SARS-CoV-2 Positive Mothers: A Prospective Observational Cohort Study

There are limited published data on the transmission of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus from mothers to newborns through breastfeeding or from breast milk. The World Health Organization released guidelines encouraging mothers with suspected or confirmed COVID-19 to breastfeed as the benefits of breastfeeding outweighs the possible risk of transmission. The objective of this study was to determine if SARS-CoV-2 was present in the breast milk of lactating mothers who had a positive SARS-CoV-2 nasopharyngeal swab test prior to delivery, and the clinical outcomes for their newborns. This was a single-center, observational, prospective cohort study. Maternal-newborn dyads that delivered at New York University Langone Hospital Brooklyn with confirmed maternal SARS-CoV-2 positive screen test at the time of admission were recruited for the study. Breast milk samples were collected during postpartum hospitalization and tested for the presence of SARS-CoV-2 genes N1 and N2 by two-step reverse transcription polymerase chain reaction. Additionally, the clinical characteristics of the maternal newborn dyad, results of nasopharyngeal SARS-CoV-2 testing, and neonatal follow-up data were collected. A total of 19 mothers were included in the study and their infants who were all fed breast milk. Breast milk samples from 18 mothers tested negative for SARS-CoV-2, and 1 was positive for SARS-CoV-2 RNA. The infant who ingested the breast milk that tested positive had a negative nasopharyngeal test for SARS-CoV-2, and had a benign clinical course. There was no evidence of significant clinical infection during the hospital stay or from outpatient neonatal follow-up data for all the infants included in this study. In a small cohort of SARS-CoV-2 positive lactating mothers giving birth at our institution, most of their breast milk samples (95%) contained no detectable virus, and there was no evidence of COVID-19 infection in their breast milk-fed neonates. · Breast milk may rarely contain detectable SARS-CoV-2 RNA and was not detected in asymptomatic mothers.. · Breast milk with detectable SARS-CoV-2 RNA from a symptomatic mother had no clinical significance for her infant.. · Breast feeding with appropriate infection control instructions appears to be safe in mother with COVID infection..

Hepatitis C viral RNA in blood mononuclear cells of patients treated with directly acting antivirals

Background and study aimsOccult hepatitis C viral infection (OCI) may have serious complications, such as relapse, ongoing histological impairment, hepatic decompensation, hepatocellular carcinoma, and the possible risk of transmission. This study was conducted to assess the occurrence and prevalence of secondary OCI in patients with chronic hepatitis C viral infection (HCV) who received a complete course of directly acting antivirals (DAAs). Patients and methodsAntiviral therapy consisted of sofosbuvir + daclatasvir ± ribavirin for 12 weeks to 90 treatment-naive, compensated, chronic HCV patients. Plasma and peripheral blood mononuclear cells (PBMCs) were tested for HCV RNA viral load by quantitative, reverse transcription, real-time PCR at 8, 12 (Group I, n = 45), and 24 (Group II, n = 45) weeks after treatment initiation. ResultsBy week 8, only 2 and 7 patients were positive for HCV RNA in plasma and PBMCs, respectively. No HCV RNA was detected by weeks 12 or 24 in the PBMCs of Groups I and II, respectively. Older age was significantly associated with HCV RNA positivity in plasma and PBMCs (n = 8) at week 8 compared with HCV RNA negativity (n = 82). No other significant differences were observed for any other variables. ConclusionThe development of secondary OCI among easy-to-treat patients following a full course of DAA treatment doesn't exist, hence, we do not recommend testing the HCV RNA in the PBMCs after complete course of treatment in this patient category. The detection of HCV RNA in PBMCs is recommended as a confirmatory test of cure following a shortened DAA treatment regimen.

Breastfeeding and COVID-19.

The coronavirus disease 2019 (COVID-19) pandemic has affected all dimensions of health care, including exclusive breastfeeding assurance and its promotion. The risk of contagion and the consequences of the pandemic have raised concerns among future mothers or in those who are already breastfeeding due to the risk of possible transmission of the virus through breast milk, although active severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has not yet been detected in breast milk. The fear of contagion has favored mother-child isolation policies. So far, there is no evidence of vertical transmission, and the risk of horizontal transmission in the infant is similar to that of the general population. In infants with COVID-19, breastfeeding can even favorably change the clinical course of the disease.

Prevalence assessment of ectoparasitic arthropods among commonly consumed wildlife in Nsukka, southeast Nigeria

BackgroundWildlife reservoirs not only act as a source of infection for vectors but also serve as hosts for the vectors themselves, supporting their populations. Their public health significance in developing countries is of growing importance as a result of zoonotic and enzootic diseases associated with the pathogens they transmit. Therefore, a study was carried out to determine the prevalence of ectoparasites of wild game in Nsukka, southeast Nigeria. Physical examinations were carried out on 143 wildlife, and laboratory identification was employed on the ectoparasites. The collected ectoparasites were identified in the laboratory using literature and with the help of a taxonomist.ResultsOut of the 143 game examined, 114 was infected with at least one parasite representing about 98.6% of an infestation. Among the parasites identified, Amblyomma spp. showed the highest prevalence of 24.5% at 95% confidential intervals of CI (1.45–3.19)–24.5% (p ≤ 0.05). No difference was observed in the prevalence of the ectoparasites according to sex, except for Ixodes holocyclus. Similarly, no difference was observed in prevalence with reference to age except for Rhipicephalus spp. and Polyplax spinulosa which showed differences.ConclusionsThe present study provides basic data about the most prevalent ectoparasitic arthropod among game in Nsukka, southeast Nigeria, which requires an evaluation of its zoonotic control measures. This work can elicit the risk of possible transmission of some zoonotic and enzootic diseases via game. Improving awareness among local people and bushmeat dealers about the risk of contracting a vector-borne disease through wildlife is crucial.

Commentary: Eye banking in post-COVID-19 era.

The COVID-19 (Coronavirus Disease 2019) pandemic with its multiple waves of infection has affected the normalcy of our day-to-day lives with its high infectivity and the associated mortality, especially among healthcare workers. With the progression of the pandemic, our understanding of the disease’s natural course, modes of infection, and transmissibility have evolved with time and the subsequent guidelines to reduce the spread of the infection have been modified accordingly. The annual collection of corneas and their utilization in India were significantly inadequate to address the backlog of treatable corneal blindness even before the pandemic.[1] This pandemic and its aftermath have affected eye banking in particular with a reduction in donors, potential risk of transmission to the healthcare workers during corneal retrieval and processing, and the possible risk of transmission of infection to the recipient through the donor cornea, and thereby, causing an increase in the backlog of treatable corneal blindness.[2] Also, the nationwide lockdown reduced the travel of patients to seek healthcare for non-emergency eye care procedures.[3] Over the course of this pandemic, our understanding of the disease and the pathogen has evolved, leading to modifications in the guidelines for cornea retrieval.[24] With the subsequent reduction in the number of infections, our government relaxed the lockdown guidelines in a staged manner. This helped the patients seeking eye care for emergency and non-emergency ophthalmic diseases to reach out to the eye care centers and get appropriate treatment. It is encouraging to see that eye banking and keratoplasty have been on the rise in most centers to pre-COVID-19 levels in India following the decline in the COVID-19 cases.[5] However, there is still a significant backlog of patients requiring keratoplasty and an imminent third wave of the pandemic can further worsen it. It is the responsibility of the corneal surgeons and the eye banks to reduce this backlog as we crawl toward normalcy day by day.

Literatur review: Dukungan nutrisi untuk bayi yang lahir dari ibu dengan Covid-19

COVID-19 suffered by mothers who gave birth has an impact on newborns, including the risk of possible transmission. However, all the needs of newborns must remain a priority, especially regarding protection against possible transmission and nutritional needs, especially breast milk or formula milk. The care of the baby depends on the health condition or the wishes of the mother and family. In mothers with severe COVID-19, babies must be treated separately from their mothers. Conversely, if the mother is asymptomatic, the baby can be treated together, but still according to health protocols. Two impacts on the baby are related to breastfeeding are the risk of transmission and the effects of drugs taken by the mother that can be transmitted through breast milk. There are three ways to provide nutrition for the newborn, depending on the severity of the COVID-19 that the mother is suffering from. If without symptoms, breastfeeding is direct. If symptoms are mild, breastfeeding is indirect. Meanwhile, if COVID-19 with severe symptoms, the baby is only given donor breast milk or formula milk. Provision of advanced nutrition, after treatment, is complete, the baby is still given breast milk from the mother and stops donor breast milk or formula milk.

Which dialysis method should be used for patients with COVID-19?

KEY FINDINGS• Very low-quality evidence from a single retrospective study suggests that continuous renal replacementtherapy (CRRT) may reduce mortality among COVID-19 patients on invasive mechanical ventilation. Guidelinesrecommend CRRT for critically ill patients to minimize the risk of possible transmission, if this option is available.• Although uncommon, acute kidney injury (AKI) can occur in association with coronavirus disease 2019(COVID-19) and is associated with increased in-hospital mortality.• There are currently no published or ongoing clinical trials directly comparing dialysis modalities for acutekidney injury in COVID-19 patients.• In reducing the risk of transmission during dialysis: currently, there are no studies comparing one dialysismodality to another. The method of dialysis is still primarily determined by the clinical picture of the patient, theexpertise of the center, and the resources available. The American Society of Nephrology (ASN) recommendsCRRT over intermittent hemodialysis (IHD) for critically ill patients with COVID-19 to minimize patient contactwhen it is available, and resources allow. Otherwise, intermittent hemodialysis may be done provided that,infection control measures are strictly followed.• Several international and local guidelines recommend strict adherence to infection prevention and controlmeasures (e.g. hand hygiene, physical distancing, proper use of personal protective equipment (PPE), andcohorting of patients) who are undergoing dialysis.

CTX-M-producing Escherichia coli in pigs from a Czech farm during production cycle.

We evaluated the prevalence and epidemiology of extended-spectrum beta-lactamase (ESBL)-producing Escherichia coli isolates in pigs during production cycle on a Czech farm with the history of previous use of ceftiofur. ESBL-producing E. coli isolates were obtained from rectal swabs from pigs of different age groups (suckling piglets, weaned piglets, growers and sows). Collected samples were directly cultivated on MacConkey agar with cefotaxime (2mgl-1 ), whereas intestinal swabs of slaughtered pigs and surface swabs from pig carcasses were also pre-enriched in buffered peptone water without antimicrobials before the cultivation. Clonal relationship of selected isolates was determined by XbaI pulse-field gel electrophoresis and multi-locus sequence typing. The transferability of plasmids carrying blaCTX-M genes was tested by conjugation experiments. From all examined samples, 141 (43·7%, n=323) were positive for ESBL-producing E. coli. All ESBL-producing isolates showed resistance to multiple antimicrobials and were positive for blaCTX-M genes. The blaCTX-M-1 was carried by conjugative IncN/ST1 plasmids (c.40-45kb) while the blaCTX-M-15 was located on conjugative F plasmids with F:18:A5:B1 formula (c.165kb). This study demonstrated the persistence of CTX-M-positive E. coli isolates 2months after banner of ceftiofur usage and indicated possible risk of transmission of these isolates to humans via the food chain.

Commentary: Eye banking during COVID-19 pandemic.

The coronavirus disease 2019 (COVID 19) pandemic has affected the normalcy of our day to day lives with its high infectivity and the associated mortality, especially among health care workers. In the early days of the pandemic, all medical infrastructures were focussed on containing this problem which meant that even the needy nonemergency procedures were indefinitely delayed. The general hospitals were overwhelmed with providing care to a large number of patients. The mortuary workers, who usually champion the cause of organ donations, were burdened with demanding protocols. The potential risk of transmission to health care workers during corneal retrieval and processing and the possible risk of transmission of infection to the recipient through the donor cornea was a significant concern for all eye care professionals.[1] All these factors resulted in a complete cessation of eye donation activities in the initial months of the pandemic. The most common indication for keratoplasty in India is still acute infective keratitis and the associated corneal perforation.[2] While elective procedures could wait, these eyes required urgent keratoplasty. Hence, there was an even more urgent need for professionals in our country to respond to the situation. The general secretary of the All India Ophthalmological Society (AIOS) took a lot of proactive steps and was in constant dialogue with the corneal surgeons as well as the nodal governmental agencies. Effective lobbying and the collaboration between the AIOS and the Eye Bank Association of India resulted in the guidelines being drafted keeping the welfare of all stakeholders in mind.[3] Screening donors based on medical symptoms, use of personal protective equipment during tissue retrieval, appropriate disinfection of the materials used, avoiding retrieval from COVID 19 designated hospitals, containment zones, and cessation of preparation of lamellar grafts were advocated to reduce the transmission of the virus. Routine testing for the presence of virus was not recommended.[3] In this context, this article is very timely and the authors have highlighted the management of emergency corneal transplants and newer eye banking protocols that were adopted during and after the lockdown period in India.[4] It is gratifying to note that the eye donation movement has restarted. This rapid resurgence of the corneal donation movement with its attendant precautionary procedures is a standing testimony to the professional commitment of our ophthalmologists, eye donation activists, eye bank technicians, and more importantly a tribute to the generosity of the donors in these trying times.

Detection of Toxoplasma gondii antibodies in trade donkeys (Equus asinus) at Ganawuri district market, Riyom Local Government area, Plateau State, North Central Nigeria

Background and Aim: Toxoplasma gondii is a parasite of public health significance due to its possible transmission to humans through ingestion of tissue cysts in raw or undercooked meat or food or water contaminated with oocysts shed by felids and transplacental transmission. This study was carried out to provide information on the possible risk of transmission through eating undercooked donkey meat by conducting a market based cross-sectional study design to determine the presence of T. gondii antibodies in trade donkeys in Ganawuri district, Riyom Local Government Area, Plateau State, North Central, Nigeria. Materials and Methods: One hundred and thirteen serum samples were collected from trade donkeys at the market and analyzed for T. gondii antibodies using latex agglutination test (LAT). Serum samples with LAT titer >10 μl/ml were considered positive. Results: The distribution of the donkeys based on their sources showed that greater proportions (61.1%) were from North Eastern part of the country. The study showed that 31 of the serum samples collected and analyzed were positive for T. gondii antibodies given an overall prevalence of 27.4%. The prevalence ranges between 22.2 and 33.3% across the states where the donkeys were sourced. The study showed that seropositivity increases with age (p=0.003; OR=11.8) and ranges between 12.5 and 47.2%. The prevalence did not vary significantly based on sex and source/location (p=0.494, OR=0.05; 0.920, 1.45, respectively). Conclusion: This study showed that trade donkeys at Ganawuri district market have antibodies to T. gondii and suggest a public health risk from the consumption of undercooked donkey meat.

Microfilaria persistent foci during post MDA and the risk assessment of resurgence in India

BackgroundPondicherry, a union territory in India, is an endemic district for bancroftian lymphatic filariasis transmitted by Culex quinquefasciatus where eight rounds of mass drug administration (MDA) were completed in 2011 (annually once from 2004 to 2011).The objectives of this study were to conduct a focal survey to assess microfilaria and antigen (Ag) prevalence among young adults and to assess vector infection and infectivity through a focal entomological survey.MethodsMosquitoes were collected using gravid traps in Sedurapet village of Pondicherry and dissected to enumerate W. bancrofti larvae stage first larval stage (L1), second larval stage (L2), and third larval stage (L3). Microfilarias (Mf) were detected using blood smears collected from inhabitants.ResultsA total of 360 individuals from 67 houses were enrolled in this study of which 290 (80.6%) were surveyed for the presence of Mf. Two Mf carriers were detected yielding an overall prevalence of 0.69% and two out of 85 (2.35%) were Mf antigen positive. Of the 2875 mosquitoes collected by gravid trap, Culex quinquefasciatus (93.9%) was the predominant species, followed by Anopheles subpictus (2.3%) and Culex vishnui (3.8%). The density of Cx. quinquefasciatus was 28.1 per trap-night. A total of 2429 Cx. quinquefasciatus were dissected and microscopically examined for abdominal conditions (gravid 85%, semi-gravid 9.4%, unfed 3.8%, and fully fed 1.9%) and filarial infection. One mosquito (infection rate equal to 0.04%) was found to harbor a second stage filarial larva, and none of the mosquitoes had infective stage larva.ConclusionOur results show no reappearance of infection of lymphatic filariasis in Sedurapet village of Pondicherry after MDA, and thus, no further intervention is required in that area for possible resurgence of lymphatic filariasis. However, monitoring should be continued as part of post MDA activities until the endpoint of complete elimination is achieved. We demonstrated that xenomonitoring can be used to monitor the post MDA situation for possible risk of transmission to initiate control measures.

Experiences of renal transplants from donors with renal cell carcinoma afterex vivopartial nephrectomy

PurposeRoutine evaluation of kidney donors occasionally reveals an incidental renal mass with an otherwise satisfactory kidney function. The use of such a kidney with an enhancing mass for transplantation is a matter of debate owing to a possible risk of transmission of donor malignancies. We report our experience of kidney transplants from donors with renal cell carcinoma, after ex vivo resection of the renal mass.MethodsTwo women aged 44 and 56 years were diagnosed with enhancing renal masses measuring 0.9 cm and 0.7 cm, respectively, during donor evaluation for kidney transplantation. Both patients and their families were informed of a potential risk of recurrent renal cell carcinoma following transplantation.ResultsRenal function test results of both donors satisfied the living donor selection criteria. Laparoscopic live donor nephrectomy was performed with ex vivo resection of renal masses on the bench table. Immediate pathological analysis revealed a renal cell carcinoma with a margin of normal renal parenchyma before transplantation. Regimens based on mammalian target of rapamycin inhibitors, which are known for their antitumoral properties, were used for immunosuppression in both recipients. None of the recipients showed recurrence or metastasis during the follow-up period, which was longer than 3 years after transplantation.ConclusionIn light of the ongoing shortage of kidney donors, kidneys with small renal cell carcinoma could be considered for transplantation after appropriate removal of the lesion, with a very low risk of recurrent disease.