Temperate Climate Countries Research Articles

Clinical Update on Diagnosis, Treatment and Prevention of Dengue

Dengue is a vector-borne disease that has a significant impact on global public health. The vector mosquito belongs to the genus Aedes. Two species play a key role in human transmission: Ae. aegypti, which has adapted to the urban environment of highly populated areas in tropical and subtropical countries, leading to a dramatic increase in dengue cases over the years, and Ae. albopictus, which poses a potential threat to temperate climate countries due to its ability to adapt to colder climates. The disease is widespread across the world, posing a risk to nearly half of the world's population. Although most cases are asymptomatic, dengue causes a burden on healthcare systems and mainly affects the younger population. The disease is also spreading to temperate climate countries, thus becoming a global threat. Vector control measures and vaccine development have been the main prevention strategies, as there is still no effective treatment for the disease.

Polio: Background and perspective on how international travel can be made safe against polio.

International spread of polio continues to be a Public Health Emergency of International Concern since its declaration by the World Health Organization in 2014 and its reiteration in 2024. In 2023 and 2024, two countries remained endemic for wild poliovirus (WPV) but 20 countries reported polio outbreaks due to vaccine-derived polioviruses (VDPVs) in 2023 and 10 countries in 2024 (up to mid-June). Guidelines from various agencies recommend polio vaccination before travelling to or from polio-affected countries, or attending mass gatherings anywhere in the world, particularly if the crowd is international. Immunity protects against polio paralysis but not against poliovirus re-infection, irrespective of which vaccine was involved - live attenuated oral polio vaccine (OPV) or inactivated poliovirus vaccine (IPV). Infection with WPV or circulating VDPV in the vast majority of non-immune individuals (first infection) is asymptomatic, while they are efficient virus transmitters. Re-infections in immune individuals are always asymptomatic, but they are also infectious and may act as source for further transmission, although less efficiently than the former. Thus, travellers can become transmission vectors, illustrated by many episodes of importations of WPV or VDPVs into polio-free countries in recent years. The route of poliovirus transmission remains controversial, with many believing it to be faecal-oral, but epidemiological analysis is consistent with respiratory route and not faecal-oral. Transmission occurs person-to-person during social contact. Travellers must ensure they are adequately immunised to avoid polio, and becoming vectors of virus importation. The vaccine efficacy (VE) of OPV is highly variable - high in temperate climate countries, particularly rich countries, but low or very low in tropical low-income countries. On the other hand, VE of IPV is excellent everywhere irrespective of geography.

Performance and enteric methane emissions from housed beef cattle fed silage produced on pastures with different forage profiles.

Methane (CH4) produced by ruminants is a significant source of greenhouse gases from agriculture in the United Kingdom (UK), accounting for approximately 50% of the emissions in this sector. Ration modification is linked to changes in rumen fermentation and can be an effective means of CH4 abatement. In temperate climate countries, forage silage represents a major feed component for cattle during the housing period. The objective of this study was, therefore, to compare enteric CH4 emission from cattle offered silage produced from different types of grassland. Beef cattle, steers (n=89) and heifers (n=88) with average liveweight (LW) of 328±57.1kg were evaluated during two housing seasons (2016-2017 and 2017-2018) from November to April, at the Rothamsted Research North Wyke Farm Platform (UK). The treatments corresponded to three diet types, comprising silage harvested from three different pastures: MRG, monoculture of perennial ryegrass (PRG, Lolium perenne L.cv. AberMagic), bred to express the high-sugar phenotype; RG-WC, a mixed sward comprised of the same perennial ryegrass cultivar with white clover (Trifolium repens L.) with a target clover proportion of 30% as land cover; and permanent pasture (PP) dominated by PRG and a small number of non-introduced species. MRG and PP received 160-200kgN/ha/year. Cattle were weighed every 30days, and the enteric CH4 emission was determined using GreenFeed automated systems. No significant differences in enteric CH4 emission per head or per kg LW were observed between treatments. However, emission expressed per average daily gain (ADG) in LW was greater (P<0.001) for MRG compared with RG-WC and PP, at 270, 248 and 235g CH4/kg ADG, respectively. This related to a lower ADG (P=0.041) for the animals fed MRG silage compared with RG-WC and PP which were similar, with respective values of 0.67, 0.71 and 0.74kg/day. The forages compared in this study showed little or no potential to reduce enteric CH4 emission when fed as silage to growing beef cattle during the winter housing period.

Microbial Air Quality in the Built Environment—Case Study of Darvas-La Roche Heritage Museum House, Oradea, Romania

Problems in the degradation and biodegradation of cultural heritage objects exposed or stored in public buildings and museums and of construction materials are caused (between others) by the activity of microorganisms. Biodeterioration can be observed not only at the level of the building materials of museum buildings, but also at the level of materials from which art objects are made (natural or artificial) and is determined by factors such as the chemical composition and nature of the composition material, the microclimate characteristics and exposure objects, but also through the manner and frequency of surface cleaning and housekeeping in museums. Based on this, the present study offers, through classical methods, a qualitative and quantitative identification of microorganisms inside a heritage museum building located in a temperate climate country. The purpose of the work was to determine to what extent the bacteriological microflora inside can directly and indirectly contribute to the health quality of the building’s occupants as well as the degradation of its materials and structures. The results emphasize the presence of some fungi and bacteria, among them Alternaria spp., Aspergillus spp., Penicillium spp., Cladosporium spp., and Botrytis spp. All of the analyzed rooms have a high and very high degree of fungal contamination (between 524 and 3674 UFC/m3), which can represent a danger to both human health and the integrity of the exhibitions. This is more pronounced considering that some of species of fungi identified are associated with sick building syndrome, problems in humans due to harmful exposure to viruses, bacteria, and pathogens, which generate possible symptoms such as rhinorrhea, nasal congestion, hoarseness, coughing, sneezing, and irritability for the personnel and visitors.

A Global Assessment: Can Renewable Energy Replace Fossil Fuels by 2050?

Our study evaluated the effectiveness of using eight pathways in combination for a complete to transition from fossil fuels to renewable energy by 2050. These pathways included renewable energy development; improving energy efficiency; increasing energy conservation; carbon taxes; more equitable balancing of human wellbeing and per capita energy use; cap and trade systems; carbon capture, utilization, and storage; and nuclear power development. We used the annual ‘British Petroleum statistical review of world energy 2021’ report as our primary database. Globally, fossil fuels, renewable (primarily hydro, wind and solar), nuclear energy accounted for 83%, 12.6%, and 6.3% of the total energy consumption in 2020. To achieve zero fossil fuel use by 2050, we found that renewable energy production will need to be increased by up to 6-fold or 8-fold if energy demand is held constant at, or increased 50% from, the 2020 energy demand level. Constraining 2050 world energy demand to a 25% increase over the 2020 level, improves the probability of achieving independence from fossil fuels. Improvements in energy efficiency need to accelerate beyond the current rate of ~1.5% per year. Aggressive application of energy conservation policies involving land use and taxation could potentially reduce world energy use by 10% or more by 2050. Our meta-analysis shows that the minimum level of per capita energy consumption that would allow 8 billion people to have a ‘Decent Living Standard’ is on average ~70 GJ per capita per year, which is 93% of the 2020 global average. Developed countries in temperate climates with high vehicle-dependency needed ~120 GJ per capita year−1, whereas equatorial countries with low vehicle-dependency needed 30 GJ per capita year−1. Our meta-analyses indicated replacement of fossil fuels with renewable energy by 2050 may be possible but will require aggressive application of all eight pathways, major lifestyle changes in developed countries, and close cooperation among all countries.

Ornamental Flowers Grown in Human Surroundings as a Source of Anthocyanins with High Anti-Inflammatory Properties.

Flowers have always accompanied people thanks to their manifold aesthetic properties. Some species have also become a component of the human diet. Recent years have seen an increased interest in edible flowers and, consequently, research has been undertaken to determine their chemical composition. Dyes that are abundantly contained in flowers, whose role is to attract pollinating animals, are recognized substances with health-promoting properties. Anthocyanins are a group of dyes that are very common in petals and other parts of flowers. Studies carried out in the twentieth and twenty-first century on flowers growing in temperate climates have found very strong antioxidant and anti-inflammatory properties of anthocyanins. Therefore, flowers used by humans for centuries to decorate their surroundings may become an easily available source of nutrients and health-promoting substances. This paper discusses the health-promoting properties of anthocyanins and collects literature on anthocyanin content in edible flowers commonly grown on balconies, terraces, and roofs in countries of temperate climate.

Epidemiology of Pityriasis versicolor in Tunisia: Clinical features and characterization of Malassezia species

Malassezia (M.) genus includes commensal yeasts of increasing medical importance, as they result in many diseases, ranging from pityriasis versicolor (PV) to systemic infections. Previous studies reported geographical variations in distribution of Malassezia species in PV lesions. The aims of the current study were to define the clinico-demographic features of PV in Tunisia, to characterize Malassezia isolates using phenotypic and molecular techniques and to find out any association between species and clinico-demographic parameters.In total, 120 PV patients were enrolled in this study. Skin scrapings were collected and inoculated on Sabouraud agar and modified Dixon medium. Malassezia species were identified using conventional phenotypic methods and 26 s rDNA PCR-RFLP. The highest prevalence of PV was observed among young adults’ group. The most affected body areas were the back and neck. In overall, 50.8% and 35% of PV cases had pruritus and history of recurrence respectively. The overall concordance between phenotypic and molecular methods was high (80.95%). The discordant results are rather due to the presence of multiple species in a single culture than true misidentification. Using PCR-RFLP, M. furfur was the most isolated species (38.7%) followed by M. globosa (37.7%), M. restricta and M. sympodialis. No statistically significant association was noted between Malassezia spp. and clinico-demographic characteristics. Unlike many reports from temperate climate countries, M. furfur and M. globosa along together were the most frequently isolated species in Tunisian PV patients. Although phenotypic methods remain simple and cost-effective, molecular techniques are considered as fast and accurate methods for diagnosis purposes.

Feasibility of selective anthelmintic therapy to horses in tropical conditions: the Cuban scenario.

For the past several decades, selective anthelmintic therapy (SAT) has been recommended in temperate climate countries for controlling gastrointestinal parasites in horses. However, the feasibility of this approach in tropical climates remains unknown, given the very different parasite transmission patterns and a larger representation of working equids. The aim of this study was to evaluate the bio-economic feasibility of SAT in horses kept under tropical conditions of Camagüey, Cuba. Fecal egg counts were determined from 794 adult horses and used for evaluating three different putative treatment thresholds; > 500 strongylid eggs per gram of feces (EPG); > 1000 EPG; and treatments yielding > 80% of the total herd egg output. These scenarios were evaluated under three treatment frequencies (every 2, 6, and 12months). The bio-economic feasibility of these nine possible selective anthelmintic therapy scenarios was evaluated taking into account the cost of parasitological tests, and the mean cost of anthelmintic treatment in Camagüey. The majority (96.7%) of the samples tested were positive for strongyle eggs, with a mean of 1549 EPG. The percentage of horses exceeding the cut-off points at the nine scenarios varied between 40.1 and 93.8%. All owners surveyed used extra-label anthelmintic product in their horses on a routine basis. The economic analysis demonstrated that selective therapy generally was much more costly than deworming the entire herd without determining egg counts. However, we consider that the deworming every 6months of the horses that expel 80% of the eggs in the herd allows a reduction of the treatment intensity without increasing costs, and it can be considered as a viable selective deworming scheme under similar conditions.

Development of ELISA test kits for semi-quantitative detection of anti-HEV antibodies in pigs in the Republic of Belarus

Viral hepatitis E infection affects up to 80-100 % of domestic pigs worldwide and is characterized by high seroprevalence among domestic pigs in temperate climate countries. Epizootic monitoring of HEV infection is insufficient in the Republic of Belarus due to lack of the required number of available and inexpensive diagnostic ELISA kits with good sensitivity and specificity. In this regard, research on development of domestic ELISA kit for semi-quantitative detection of antibodies to hepatitis E virus in pigs with subsequent assessment of seroprevalence to HEV in pig population in the Republic of Belarus is relevant. The results of studies on development of enzyme-linked immunosorbent assay kit for semi-quantitative determination of class G immunoglobulins to HEV in pig blood serum using recombinant proteins, including immunodominant amino acid sequences corresponding to the ORF2 and ORF3 proteins of HEV genotype 3 are presented in the paper. The optimal concentration for sorption of ORF2 and ORF3 proteins has been determined, which is 2 μg/ml and 1 μg/ml, respectively. The diagnostic sensitivity of this test kit makes 94.8 %, and the diagnostic specificity makes 100 %. Coefficients of variation being the criterion for assessing the intra-serial and inter-serial reproducibility of this test kit, make 3.5 % and 12.4 %, respectively, which allows to obtain reproducible results and identify specific anti-HEV antibodies in all positive samples of pig blood serum. When studying 1235 pig sera samples from various pig farms of Brest, Vitebsk, Gomel, Grodno, Minsk and Mogilev regions, seroprevalence of anti-HEV antibodies has been determined in 168 or 13.6 % of animals. The described diagnostic method can be widely used in science and practice for the further study of seroprevalence of anti-HEV. Acknowledgments. The research was carried out as part of the Interstate program of innovation cooperation of States - participants of the CIS up to 2020, with the financial support of the Ministry of education and science of the Russian Federation, the project ID RFMEFI61316X0 061, and the State Committee for Science and Technology of the Republic of Belarus.

Green roofs in the tropics: design considerations and vegetation dynamics

Green roofs (GR) have been proposed as a possible solution for urban stressors that, integrated with other remediation and mitigation actions, can lead the way to a more sustainable society. Even when some aspects of green roof design are well established and known (i.e. depth arrangements, materials, structural components, etc.) there is a need for further development on ecological attributes. This study is a descriptive analysis of suitable plant species for their possible incorporation in green roof designs with tropical climate conditions. Green roof research has been mostly led by temperate climate countries and has neglected to address tropical areas; this study aims to move research towards this knowledge gap. The evaluation of the vegetation dynamics in these novel ecosystems was done through a case study in the renovated facilities of the International Institute of Tropical Forestry in Río Piedras, Puerto Rico, which incorporated a set of green roofs in their infrastructure. We also sampled an older green roof built in the Social Sciences Faculty at the University of Puerto Rico at Río Piedras. A three-dimensional approach, the Point-Intercept Method, was taken in the vegetation surveys to capture as much as possible the green infrastructure of the roofs. Most of the originally planted species did not appear in these surveys. On the contrary, mainly new species dominated the areas. Along with the findings of these surveys and those in other tropical countries, a list of suitable species for green roofs in Puerto Rico is suggested, and some general recommendations are made for the better management of green roofs in tropical zones.

Indoor air quality and sick building syndrome in a university setting: a case study in Greece

ABSTRACT The perceived Indoor Air Quality (IAQ), the prevalence of Sick Building Syndrome (SBS) symptoms and its contributing risk factors were assessed in a university during the period of the economic crisis in Greece. Data was collected from 613 employees via questionnaires. Hierarchical linear regression analysis was performed. The most prevalent perceived IAQ complaints were ‘Dust and dirt’ (63.2%), ‘Room temperature too low’ (24.9%) and ‘Varying room temperature’ (24.4%). The most frequently reported SBS symptom was ‘Fatigue’ (34.1%). The prevalence of General, Mucosal and Dermal symptoms was 40.8%, 19.8% and 8.1%, respectively. Several contributing risk factors were identified, such as IAQ Discomfort Scale, atopy, sleep problems, female, exposure to biological and chemical agents, PC-use, Psychosocial Work Scale and job satisfaction. Poor perceived IAQ and high prevalence of SBS symptoms were reported from the university staff in a temperate climate country. SBS seemed to be multifactorial.

Assessing Cement Stabilized Rammed Earth Durability in A Humid Continental Climate

The article compared the test results of a number of features determining the durability of rammed earth durability in a humid continental climate. The results of wet to dry compressive strength ratio, frost resistance, linear shrinkage, resistance to erosion under the influence of a stream of pressurized water, and resistance to erosion under the influence of cyclic wetting and drying were presented. All of the tests were done on the same soil-cement mixture. On this basis, it was determined which of the methods of durability assessment is more and which is less restrictive. A new method for assessing the durability of CSRE in a humid continental climate has been proposed, which is the frost resistance test. This test is determined by the method that is described in the national annex of the European concrete standard of one of the temperate climate countries. The article also shows that a minimum of 9% of the cement additive and a soil mixture containing a gravel fraction are required, in order to ensure adequate rammed earth durability in a humid continental climate (i.e., frost resistance).

Nutritional Behavior of Heliconia Grown Under Different Levels of Lime

Production and commercialization of tropical flowers and plants has grown in recent years, mainly due to the increasing value of these products in temperate climate countries, such as heliconia, one of the most cultivated tropical ornamental plants in Brazil. This study was developed to determine the effect of lime applications on the nutrients in heliconia plants (Heliconia psittacorum L. &amp;times; Heliconia sparthocircinata Arist. [cv. Golden Torch]) cultivated in yellow latosol in a greenhouse. The macronutrient levels in the leaves, pseudostem and roots of the heliconia plants were determined after cultivating the plants in containers with a medium texture, yellow latosol, collected from the 0 to 20 cm layer and submitted to doses of 0, 0.9, 2.6, 4.2 and 5.9 t of lime ha-1. Nitrogen and phosphorous performed better in the absence of the correction and in the 0.9 t ha-1 dose for the vegetative parts of the heliconia plants. The application of dolomitic lime promoted greater absorption of potassium, calcium and magnesium, and sulfur performed better for the doses 2.6 and 5.9 t of lime ha-1, for the pseudostem and roots, respectively.

Symptomatologie et évolution de la maladie « pieds-mains-bouche »

Hand, foot and mouth disease (HFMD) and herpangina (HA) are common childhood diseases mostly associated with human enteroviruses (EV). Although usually benign illnesses, neurological complications may be observed during large epidemics when enterovirus A71 (EV-A71) is involved, as observed in the Asia Pacific Region and in China since the late 1990s. The occurrence of these complications warrants reinforcing the surveillance of the emergence of EV-A71 infections in France and Europe. Monitoring EV infections associated with HFMD can be considered as an effective tool to detect an upsurge of EV-A71 infections in a timely manner. In 2014, a national sentinel surveillance system for HFMD/HA was set up in France through a network of volunteer pediatricians and coordinated by the National Reference Center for Enteroviruses and Parechoviruses. Although classical manifestations of HFMD/HA can be easily recognized, there are several atypical presentations of the disease that can be confused with other skin conditions. Delayed cutaneous manifestations, such as onychomadesis and acral desquamation, may also occur and should prompt consideration of HFMD in the preceding weeks. Severe complications following HFMD include neurological manifestations (mainly rhombencephalitis) or less frequently cardiopulmonary failure and can sometimes be fatal. In China, the case severity rate has been estimated at 1%, with a case fatality rate at 0.03%. EV-A71 was involved in more than 90% of the fatal cases. Diagnosis of EV infections associated with severe neurological manifestations is based on the molecular detection of the EV genome in vesicles, cerebrospinal fluid (CSF), throat and stool given that EV-A71 is rarely recovered from the CSF. Positive EV genome detection should be followed by EV genotyping to identify the type of the EV. In temperate-climate countries, outbreaks of HFMD occur mostly but not exclusively during summer and autumn months. Adults may also present with HFMD. In 2016, an upsurge of severe neurological manifestations was reported in France; EV-A71 accounted for 50% of the cases. No specific treatment is available, but two inactivated EV-A71 vaccines are currently available in China.

Characteristics of seasonal influenza A and B in Latin America: Influenza surveillance data from ten countries.

IntroductionThe increased availability of influenza surveillance data in recent years justifies an actual and more complete overview of influenza epidemiology in Latin America. We compared the influenza surveillance systems and assessed the epidemiology of influenza A and B, including the spatio-temporal patterns of influenza epidemics, in ten countries and sub-national regions in Latin America.MethodsWe aggregated the data by year and country and characteristics of eighty-two years were analysed. We calculated the median proportion of laboratory-confirmed influenza cases caused by each virus strain, and compared the timing and amplitude of the primary and secondary peaks between countries.Results37,087 influenza cases were reported during 2004–2012. Influenza A and B accounted for a median of 79% and, respectively, 21% of cases in a year. The percentage of influenza A cases that were subtyped was 82.5%; for influenza B, 15.6% of cases were characterized. Influenza A and B were dominant in seventy-five (91%) and seven (9%) years, respectively. In half (51%) of the influenza A years, influenza A(H3N2) was dominant, followed by influenza A(H1N1)pdm2009 (41%) and pre-pandemic A(H1N1) (8%). The primary peak of influenza activity was in June-September in temperate climate countries, with little or no secondary peak. Tropical climate countries had smaller primary peaks taking place in different months and frequently detectable secondary peaks.ConclusionsWe found that good influenza surveillance data exists in Latin America, although improvements can still be made (e.g. a better characterization of influenza B specimens); that influenza B plays a considerable role in the seasonal influenza burden; and that there is substantial heterogeneity of spatio-temporal patterns of influenza epidemics. To improve the effectiveness of influenza control measures in Latin America, tropical climate countries may need to develop innovative prevention strategies specifically tailored to the spatio-temporal patterns of influenza in this region.

The biodiversity of temperate extensive green roofs – a review of research and practice

From its beginnings in Germany in the twentieth century, a thriving extensive green roof industry has become established in many countries in temperate climates. Based upon the success of the industry, and with an expectation that this technology will be adopted in other climates, this review of the ecological research of extensive green roofs aims to evaluate the application of this knowledge. The modern extensive green roof is the product of research in the 1970s by German green roof pioneers; the selection of suitable species from analogue habitats led to green roof vegetation dominated by drought tolerant taxa. The commercial success of extensive green roof systems can be attributed to engineering and horticultural research, to policy mechanisms in some places, and to a market that encourages innovation, and the origins in ecological design are now easily overlooked. Some of the work reviewed here, including the classification of spontaneous roof vegetation into plant communities, is not widely known due to its confinement to the German literature. By re-visiting the history of the extensive green roof and reviewing the ecological research that has contributed to our understanding of it, the intention is, for this paper, to inform those considering green roofs in other climatic regions, to apply an ecologically informed approach in using local knowledge for developing installations that are suited to the bioregion in which they occur. Finally the paper considers some future directions for research and practice.

A multi-period Markov model for monthly rainfall in Lagos, Nigeria

Long periods of historical hydrological data such as rainfall and streamflow which are necessary for planning and design of water resources projects, are often not available and have to be forecasted. Many models available for this were developed and tested in developed countries in temperate climates and so their application in tropical climates is questionable. A twelve-period Markov model has been developed for the monthly rainfall data for Lagos, along the coast of South Western Nigeria. The goodness of fit of the model was assessed by estimating the autocorrelations of the residuals of the historical data (from January 1924 to December 1983) for lags one to sixty. A 95% confidence band was also established for the autocorrelations. The results show that all but two of the autocorrelations fall within the 95% confidence band confirming that the residuals are indeed white noise. This indicates that the model is very adequate. Keywords : Markov, multi-perio, rainfall model

Influenza seasonality and vaccination timing in tropical and subtropical areas of southern and south-eastern Asia.

To characterize influenza seasonality and identify the best time of the year for vaccination against influenza in tropical and subtropical countries of southern and south-eastern Asia that lie north of the equator. Weekly influenza surveillance data for 2006 to 2011 were obtained from Bangladesh, Cambodia, India, Indonesia, the Lao People's Democratic Republic, Malaysia, the Philippines, Singapore, Thailand and Viet Nam. Weekly rates of influenza activity were based on the percentage of all nasopharyngeal samples collected during the year that tested positive for influenza virus or viral nucleic acid on any given week. Monthly positivity rates were then calculated to define annual peaks of influenza activity in each country and across countries. Influenza activity peaked between June/July and October in seven countries, three of which showed a second peak in December to February. Countries closer to the equator had year-round circulation without discrete peaks. Viral types and subtypes varied from year to year but not across countries in a given year. The cumulative proportion of specimens that tested positive from June to November was > 60% in Bangladesh, Cambodia, India, the Lao People's Democratic Republic, the Philippines, Thailand and Viet Nam. Thus, these tropical and subtropical countries exhibited earlier influenza activity peaks than temperate climate countries north of the equator. Most southern and south-eastern Asian countries lying north of the equator should consider vaccinating against influenza from April to June; countries near the equator without a distinct peak in influenza activity can base vaccination timing on local factors.

Factors affecting vitamin D status in different populations in the city of São Paulo, Brazil: the São PAulo vitamin D Evaluation Study (SPADES)

BackgroundHypovitaminosis D is a common condition among elderly individuals in temperate-climate countries, with a clear seasonal variation on 25 hydroxyvitamin D [(25(OH)D] levels, increasing after summer and decreasing after winter, but there are few data from sunny countries such as Brazil. We aimed to evaluate 25-hydroxyvitamin D concentrations and its determining factors, in individuals in the city of São Paulo belonging to different age groups and presenting different sun exposure habits.Methods591 people were included as follows: 177 were living in institutions (NURSING HOMES, NH, 76.2 ± 9.0 years), 243 were individuals from the community (COMMUNITY DWELLINGS, CD, 79.6 ± 5.3 years), 99 were enrolled in physical activity program designed for the elderly (PHYSICAL ACTIVITY, PA, 67.6 ± 5.4 years) and 72 were young (YOUNG, 23.9 ± 2.8 years). Ionized calcium, PTH, 25(OH)D, creatinine and albumin were evaluated. ANOVA, Mann–Whitney and Kruskal Wallis tests, Pearson Linear Correlation and Multiple Regression were used in the statistical analysis.Results25(OH)D mean values during winter for the different groups were 36.1 ± 21.2 nmol/L (NH), 44.1 ± 24.0 nmol/L (CD), 78.9 ± 30.9 nmol/L (PA) and 69.6 ± 26.2 nmol/L (YOUNG) (p < 0.001) while during summer they were 42.1 ± 25.9 nmol/L, 59.1 ± 29.6 nmol/L, 91.6 ± 31.7 nmol/L and 103.6 ± 29.3 nmol/L, respectively (p < 0.001). The equation which predicts PTH values based on 25(OH)D concentration is PTH = 10 + 104.24.e-(vitD-12.5)/62.36 and the 25(OH)D value above which correlation with PTH is lost is 75.0 nmol/L. In a multiple regression analysis having 25(OH)D concentration as the depending variable, the determining factors were PTH, ionized calcium and month of the year (p < 0.05).ConclusionsMuch lower 25(OH)D values were found for the older individuals when compared to younger individuals. This finding is possibly due to age and habit-related differences in sunlight exposure. The existence of seasonal effects on 25(OH)D concentration throughout the year was evident for all the groups studied, except for the nursing home group. According to our data, PTH values tend to plateau above 75 nmol/L.

The transmission potential of Rift Valley fever virus among livestock in the Netherlands: a modelling study.

sRift Valley fever virus (RVFV) is a zoonotic vector-borne infection and causes a potentially severe disease. Many mammals are susceptible to infection including important livestock species. Although currently confined to Africa and the near-East, this disease causes concern in countries in temperate climates where both hosts and potential vectors are present, such as the Netherlands. Currently, an assessment of the probability of an outbreak occurring in this country is missing. To evaluate the transmission potential of RVFV, a mathematical model was developed and used to determine the initial growth and the Floquet ratio, which are indicators of the probability of an outbreak and of persistence in a periodic changing environment caused by seasonality. We show that several areas of the Netherlands have a high transmission potential and risk of persistence of the infection. Counter-intuitively, these are the sparsely populated livestock areas, due to the high vector-host ratios in these areas. Culex pipiens s.l. is found to be the main driver of the spread and persistence, because it is by far the most abundant mosquito. Our investigation underscores the importance to determine the vector competence of this mosquito species for RVFV and its host preference.