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Lumpy skin disease (LSD) is a transboundary, viral disease of cattle with a significant economic impact on the livestock industry. This study describes the epidemiological investigations of outbreaks of LSD that occurred in 2022 in three Indian states viz., Haryana, Himachal Pradesh and Rajasthan and the genetic characterization of Lumpy skin disease viruses (LSDVs). Also, the population structure analysis of LSDVs was carried out. Out of 138 scab samples tested from suspected cattle for LSDV, 106 were found positive. Of these, nine representative scab samples were further genetically characterized. Phylogenetic analysis based on the P32 and EEV gene sequences depicted that the LSDV strains of the present study had nucleotide identity of 100% and 99.10–99.45%, respectively with the LSDV/2019 field strains of India. Multiple sequence alignment of the EEV glycoprotein gene sequences revealed nucleotide polymorphisms at three positions viz., G178A, G253A and A459G in circulating LSDV/2022 field strains. Based on the median joining network analysis of the EEV gene, 12 haplotypes were identified among the LSDV populations. Population structure analysis corresponding to the EEV gene revealed high haplotype (0.8486 ± 0.026) and low nucleotide diversities (0.00636 ± 0.0006) and negative values for neutrality indices, indicating a high number of closely related haplotypes and the studied population may have undergone a recent expansion. The findings will help in understanding the distribution and dynamics of LSDV populations, which will prove pivotal in designing and implementing effective management and control strategies. [ABSTRACT FROM AUTHOR]

Classification of pathogenic E. coli has been focused either in mammalian host or infection site, which offers limited resolution. This review presents a comprehensive framework for classifying all E. coli branches within a single, unifying figure. This approach integrates established methods based on virulence factors, serotypes and clinical syndromes, offering a more nuanced and informative perspective on E. coli pathogenicity. The presence of the LEE island in pathogenic E. coli is a key genetic marker differentiating EHEC from STEC strains. The coexistence of stx and eae genes within the bacterial genome is a primary characteristic used to distinguish STEC from other pathogenic E. coli strains. The presence of the inv plasmid, Afa/Dr adhesins, CFA-CS-LT-ST and EAST1 are key distinguishing features for identifying pathogenic E. coli strains belonging to EIEC, DAEC, ETEC and EAEC pathotypes respectively. Food microbiological criteria differentiate pathogenic E. coli in food matrices. 'Zero-tolerance' applies to most ready-to-eat (RTE) foods due to high illness risk. Non-RTE foods' roles may allow limited E. coli presence, which expose consumers to potential risk; particularly from the concerning Shiga toxin-producing E. coli (STEC) strains, which can lead to life-threatening complications in humans, including haemolytic uremic syndrome (HUS) and even death in susceptible individuals. These findings suggest that decision-makers should consider incorporating the separate detection of STEC serotypes into food microbiological criteria, in addition to existing enumeration methods. Contamination of STEC is mainly linked to food consumption, therefore, outbreaks of E. coli STEC has been reviewed here and showed a link also to water as a potential contamination route. Since their discovery in 1982, over 39,787 STEC cases associated with 1,343 outbreaks have been documented. The majority of these outbreaks occurred in the Americas, followed by Europe, Asia and Africa. The most common serotypes identified among the outbreaks were O157, the 'Big Six' (O26, O45, O103, O111, O121, and O145), and other serotypes such as O55, O80, O101, O104, O116, O165, O174 and O183. This review provides valuable insights into the most prevalent serotypes implicated in STEC outbreaks and identifies gaps in microbiological criteria, particularly for E. coli non-O157 and non-Big Six serotypes. [ABSTRACT FROM AUTHOR]

The impact of climate change on forests is difficult to predict, as it depends on multiple factors and the final effect may vary in different parts of our planet. However, these effects can be sorted in "direct", when they act directly on plants, and "indirect", when they act through other agents. Among the indirect ones, there are those mediated by biotic factors, particularly insect pests. The impact of climate change on insect pests varies depending on the insect species and the type of forest. Some plant-feeding insects may be disfavoured by climate change, with a consequent reduction in population density and thus in damage to forests. However, many outbreaks of forest insects have been recently recorded as related to climate change. In fact, some insect pests, in certain regions of the world, may benefit from higher temperatures, as it has been demonstrated for some devastating defoliators. In addition, more frequent drought and extreme events may favour other pests, particularly bark beetles and wood-boring insects. Bark beetles are the most dangerous ones because their aggressiveness changes with population density. They can attack only stressed trees at low population densities, while, once the populations have reached high density, they are even able to attack healthy trees in widespread areas. [ABSTRACT FROM AUTHOR]

The article discusses the potential impact of the 2024 Olympics and Paralympic Games in Paris on the risk of dengue outbreaks in the region. It highlights the rise in dengue cases globally in 2024 and the presence of Aedes albopictus mosquitoes capable of transmitting dengue, chikungunya, and Zika viruses in mainland France. The article emphasizes the importance of surveillance, vector-control measures, and healthcare provider awareness to prevent and manage potential dengue outbreaks during and after the Olympics. Additionally, it mentions the lack of antiviral treatment for dengue and the licensing of a live-attenuated tetravalent dengue vaccine for consideration in France. [Extracted from the article]

Research represents an essential component of the response to infectious disease outbreaks and to other public health emergencies, whether they are localised, of international concern, or global. Research conducted in such contexts also comes with particular ethics challenges, the awareness of which has significantly grown following the Ebola outbreak in West Africa, the Zika outbreak in Latin America and the COVID-19 pandemic. These challenges include the need for implementing meaningful community engagement with the researched communities, not just to build unidirectional trust towards the research team, but to achieve a genuine and mutually respectful partnership before, during and after the research. Here, we describe the real-life experience of 10 well-established research clinics in Nairobi, where a successful experience of community engagement linking prevention and care to research was interrupted during the COVID19 pandemic. We contrast this experience with the concept and processes of community engagement as described in selected scientific manuscripts and guidelines, to formulate some conclusions and recommendations. We contend that more action is needed, from research ethics committees and other key-research stakeholders, to align policies and practices with ethics guidance and with evidence-based recommendations from the academic literature, to achieve meaningful community engagement during emergency research, irrespective of the scale and location of an outbreak or public health crisis. Failure to do so, will aggravate the (postcolonial) asymmetries of power in global health and local systems. [ABSTRACT FROM AUTHOR]

Background and Aims: Infectious disease outbreaks pose significant challenges in Africa due to its ecology, socioeconomic conditions, and weak health systems. Implementing institutional quarantine and isolation (Q&I) measures is crucial for managing major outbreaks. However, the cultural context often determines the success of these measures. This scoping review aims to examine existing evidence on the cultural aspects of institutional Q&I in Africa over the past two decades, focusing on the COVID‐19 pandemic and other major multi‐country disease outbreaks. Methods: This scoping review's protocol was registered with the Open Science Framework registry. Nine research databases were systematically searched to retrieve all relevant literature, followed by deduplication and a two‐stage screening process using the Rayyan web application. The inclusion of any literature into this review was based on a set of eligibility criteria. Also, manual searching of the reference lists of included literature was done to retrieve any other eligible literature. From the included literature, data were charted, collected, and summarized. Findings: Out of the 787 articles retrieved from the database searches, this review found only one to be eligible for inclusion. Also, no other eligible article was obtained after manual searching of the reference list for this article. The reviewed article presented empirical findings on the impact of COVID‐19 Q&I protocols on traditional burial rites in Ghana. Many Ghanaian families were against their country's protocol because they felt it was insensitive to their traditional values and burial practices. Also, the way the protocol was implemented made some Ghanaian families feel that foreign burial practices were imposed on them, which bred feelings of cultural exclusion and neglect (by the government) among Ghanaians. Conclusion: Research evidence on the cultural implications of Q&I in Africa is very scanty. More research is needed on this topic of public health interest. [ABSTRACT FROM AUTHOR]

Background: A significant portion of the Muslim community participates in the Arba'een pilgrimage, with participant numbers increasing each year. There have been relatively few studies on the health of Arba'een Mass gathering (MG). Researching the prevalence and distribution of diseases among Arba'een pilgrims is essential to recognize any outbreaks and take timely responses to contain them. The current study aimed to identify exposures and risk factors for diarrheal disease in pilgrims who referred to the clinics located in Iraq among the Arba'een MG in 2023. Methods: This case-control study randomly selected 200 outpatients (100 cases and 100 controls) who were referred to Iraq clinics. Cases were patients with gastrointestinal symptoms (diarrhea), while controls were randomly selected from unaffected pilgrims at the same time for the cases. The study groups matched for age, and sex. Face-to-face interviews using a reliable field based checklist of the Center for Disease Control and Prevention of Iran's Ministry of Health to collect potential exposures and risk factors for diarrheal disease. Multiple logistic regression was used to estimate the crude and adjusted odds ratio (AOR) for the risk of diarrhea with a 95% confidence interval (CI). Results: The average age of the participants was 38.6 years. Diarrhea in 100% and fever in 81% were the most common clinical symptoms in patients. Having underlying diseases was not associated with an increased risk of diarrhea disease (P > 0.05). Regarding risk factors for diarrheal, the final analysis after adjusting for potential confounders indicated that consumption of insanitary (unpackaged) drinking water (AOR = 1.95; 95% CI: 1.05–3.6; P = 0.024), inappropriate hand washing (AOR = 3.82; 95% CI: 1.7–8.6; P = 0.001), ritual foods (AOR = 2.56; 95% CI: 1.3–5.2; P = 0.004), and public toilets (AOR = 1.46; 95% CI: 1.04–4.3; P = 0.038) were significantly increased the likelihood of diarrheal disease. Conclusions: Contamination of water sources, food, inadequate and poor hand washing were the most common sources of diarrheal diseases among Arba'een pilgrims. The results indicate that the potential occurrence of outbreaks, especially water- and foodborne diseases, threatens participants in the Arba'een MG. It is recommended to provide risk assessment, improve pilgrims' awareness, pre-and post-screening, vaccination, compliance with personal hygiene, improvement of the environment, provision of sanitary water and food sources and hygienic disposal of sewage, laboratory diagnosis to identify the common types of pathogens in Arba'een MG. [ABSTRACT FROM AUTHOR]

Recent theoretical advances in the One Health approach have suggested that cancer pathologies should be given greater consideration, as cancers often render their hosts more vulnerable to infectious agents, which could turn them into super spreaders within ecosystems. Although biologically plausible, this hypothesis has not yet been validated experimentally. Using a community of cnidarians of the Hydra genus (Hydra oligactis, Hydra viridissima, Hydra vulgaris) and a commensal ciliate species (Kerona pediculus) that colonizes them, we tested whether tumoral polyps of H. oligactis, compared to healthy ones, played an amplifying role in the number of ciliates, potentially resulting in a higher likelihood of infection for other community members through spillovers. Our results indicate that K. pediculus has a higher proliferation rate on tumoral polyps of H. oligactis than on healthy ones, which results in the infestation of other hydras. However, the magnitude of the spillover differed between recipient species. This study provides to our knowledge the first elements of proof of concept that tumoral individuals in communities could act as super spreaders of symbionts within and between species, and thus affect biotic interactions and dynamics in ecosystems. [ABSTRACT FROM AUTHOR]

Despite Parvovirus B19 (B19V) generally causing mild or asymptomatic infections, and only certain high-risk groups such as hematological or immunocompromised patients and pregnant women tending to develop complications, several factors challenge the assumption of a "benign" clinical course in immunocompetent adults and adolescents. A significant proportion of the population may harbor undiagnosed health conditions or genetic predispositions that could render them more susceptible to severe B19V complications. These could include mild hematological disorders, immune dysregulation not resulting in overt immunodeficiency, or underlying cardiac conditions. Concurrent infections with other pathogens, even seemingly minor ones, could synergistically increase the severity of B19V infection, leading to more pronounced clinical manifestations. While not definitively proven, the possibility of emerging B19V strains with increased virulence or altered tissue tropism cannot be entirely discounted. Additionally, the period of pandemic-related restrictions likely led to reduced B19V circulation, potentially resulting in a cohort of young adults with limited natural immunity, making them more vulnerable to infection. Potential clinical consequences include atypical and severe presentations, even in individuals without known risk factors. The traditional focus on B19V primarily as a pediatric concern might lead to underdiagnosis or delayed diagnosis in adults, potentially hindering timely intervention and management. A surge in B19V-related complications, even if individually mild, could collectively strain healthcare resources, particularly in settings with limited capacity or pre-existing pressures. Possible recommendations are to heighten clinical awareness with a high index of suspicion for B19V infection in adults and adolescents presenting with compatible symptoms, even in the absence of classic risk factors. Additionally, expanding testing criteria and enhancing public health surveillance efforts would be prudent. [ABSTRACT FROM AUTHOR]

The low specificity of Ebola virus disease clinical signs increases the risk for nosocomial transmission to patients and healthcare workers during outbreaks. Reducing this risk requires identifying patients with a high likelihood of Ebola virus infection. Analyses of retrospective data from patients suspected of having Ebola virus infection identified 13 strong predictors and time from disease onset as constituents of a prediction score for Ebola virus disease. We also noted 4 highly predictive variables that could distinguish patients at high risk for infection, independent of their scores. External validation of this algorithm on retrospective data revealed the probability of infection continuously increased with the score.

In September 2021, eight campylobacteriosis cases were identified in a town in Nebraska, USA. We assessed potential exposures for a case–control analysis. We conducted whole-genome sequencing on Campylobacter isolates from patients’ stool specimens. We collected large-volume dead-end ultrafiltration water samples for Campylobacter and microbial source tracking testing at the Centers for Disease Control and Prevention. We identified 64 cases in 2 waves of illnesses. Untreated municipal tap water consumption was strongly associated with illness (wave 1 odds ratio 15.36; wave 2 odds ratio 16.11). Whole-genome sequencing of 12 isolates identified 2 distinct Campylobacter jejuni subtypes (1 subtype/wave). The town began water chlorination, after which water testing detected coliforms. One dead-end ultrafiltration sample yielded nonculturable Campylobacter and avian-specific fecal rRNA genomic material. Our investigation implicated contaminated, untreated, municipal water as the source. Results of microbial source tracking supported mitigation with continued water chlorination. No further campylobacteriosis cases attributable to water were reported.

Abstract Background A significant portion of the Muslim community participates in the Arba’een pilgrimage, with participant numbers increasing each year. There have been relatively few studies on the health of Arba’een Mass gathering (MG). Researching the prevalence and distribution of diseases among Arba’een pilgrims is essential to recognize any outbreaks and take timely responses to contain them. The current study aimed to identify exposures and risk factors for diarrheal disease in pilgrims who referred to the clinics located in Iraq among the Arba’een MG in 2023. Methods This case-control study randomly selected 200 outpatients (100 cases and 100 controls) who were referred to Iraq clinics. Cases were patients with gastrointestinal symptoms (diarrhea), while controls were randomly selected from unaffected pilgrims at the same time for the cases. The study groups matched for age, and sex. Face-to-face interviews using a reliable field based checklist of the Center for Disease Control and Prevention of Iran’s Ministry of Health to collect potential exposures and risk factors for diarrheal disease. Multiple logistic regression was used to estimate the crude and adjusted odds ratio (AOR) for the risk of diarrhea with a 95% confidence interval (CI). Results The average age of the participants was 38.6 years. Diarrhea in 100% and fever in 81% were the most common clinical symptoms in patients. Having underlying diseases was not associated with an increased risk of diarrhea disease (P > 0.05). Regarding risk factors for diarrheal, the final analysis after adjusting for potential confounders indicated that consumption of insanitary (unpackaged) drinking water (AOR = 1.95; 95% CI: 1.05–3.6; P = 0.024), inappropriate hand washing (AOR = 3.82; 95% CI: 1.7–8.6; P = 0.001), ritual foods (AOR = 2.56; 95% CI: 1.3–5.2; P = 0.004), and public toilets (AOR = 1.46; 95% CI: 1.04–4.3; P = 0.038) were significantly increased the likelihood of diarrheal disease. Conclusions Contamination of water sources, food, inadequate and poor hand washing were the most common sources of diarrheal diseases among Arba’een pilgrims. The results indicate that the potential occurrence of outbreaks, especially water- and foodborne diseases, threatens participants in the Arba’een MG. It is recommended to provide risk assessment, improve pilgrims’ awareness, pre-and post-screening, vaccination, compliance with personal hygiene, improvement of the environment, provision of sanitary water and food sources and hygienic disposal of sewage, laboratory diagnosis to identify the common types of pathogens in Arba’een MG.

Supichaya Wangpitipanit,1 Sangduen Piyatrakul,1 Thida Tongvichean2 1Division of Community Health Nursing, Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand; 2Faculty of Nursing, Shinawatra University, Pathum Thani, ThailandCorrespondence: Sangduen Piyatrakul, Division of Community Health Nursing, Ramathibodi School of Nursing, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, 270 Rama VI Road, Thung Phaya Thai, Bangkok, 10400, Thailand, Tel +66914155255, Email sangduen.tan@mahidol.ac.thBackground: The coronavirus disease 2019 (COVID-19) pandemic has significantly impacted family caregivers of older dependents, leading to fatigue, anxiety, depression, and financial burdens, which in turn diminish their quality of life. This study investigated the integration of community participatory systems in older care to address potential COVID-19 recurrence and develop policy proposals for the integrated care of dependent older people.Methods: An explanatory sequential design was used, with stratified random sampling across six provinces, resulting in a sample of 440 family caregiver dyads and 154 full-time community stakeholders (October 2021--May 2022). Five validated tools were employed, with a content validity of 0.91 and a Cronbach’s alpha of 0.69. The data analysis included descriptive statistics and thematic analysis.Results: Among the 440 primary caregiver households, 42.73% of the older people had moderate dependence, 30.00% had severe dependence, and 27.27% had complete dependence, with common health issues, including chronic illness and comorbidities. Most older adults lived with their children/grandchildren, had insufficient income, and were informed about COVID-19 prevention measures. Family caregivers, predominantly female (average age 54), had multiple underlying conditions and provided an average of 37 hours of care per week, primarily communicating via phones or apps. The 154 stakeholders included public health volunteers and professional nurses, with an average age of 55 years, and were predominantly female (74.55%). They adhered strictly to COVID-19 precautions during their caregiving duties. This study highlights the impact of trust and COVID-19 perceptions on older care, emphasizing the need for specific forms of care, community support, and resources. Perceptions of “trust”, “stay home”, “self-care”, and “distance” significantly influenced care for dependents. The findings will inform health and social workers’ planning, operation, and training, addressing the specific care needs of dependent older adults.Conclusion: This study recommends policy interventions such as budget allocations for essential equipment, better compensation for community work, and the fostering of expertise in elder care. Emphasis is placed on fostering collaborative community agreements.Keywords: community-based care, participation, dependent older people, recurrent, outbreaks, COVID-19

Abstract Recent theoretical advances in the One Health approach have suggested that cancer pathologies should be given greater consideration, as cancers often render their hosts more vulnerable to infectious agents, which could turn them into super spreaders within ecosystems. Although biologically plausible, this hypothesis has not yet been validated experimentally. Using a community of cnidarians of the Hydra genus (Hydra oligactis, Hydra viridissima, Hydra vulgaris) and a commensal ciliate species (Kerona pediculus) that colonizes them, we tested whether tumoral polyps of H. oligactis, compared to healthy ones, played an amplifying role in the number of ciliates, potentially resulting in a higher likelihood of infection for other community members through spillovers. Our results indicate that K. pediculus has a higher proliferation rate on tumoral polyps of H. oligactis than on healthy ones, which results in the infestation of other hydras. However, the magnitude of the spillover differed between recipient species. This study provides to our knowledge the first elements of proof of concept that tumoral individuals in communities could act as super spreaders of symbionts within and between species, and thus affect biotic interactions and dynamics in ecosystems.

Formal infectious disease surveillance in Ukraine has been disrupted by Russia’s 2022 invasion, leading to challenges with tracking and containing epidemics. To analyze the effects of the war on infectious disease epidemiology, we used open-source data from EPIWATCH, an artificial intelligence early-warning system. We analyzed patterns of infectious diseases and syndromes before (November 1, 2021–February 23, 2022) and during (February 24–July 31, 2022) the conflict. We compared case numbers for the most frequently reported diseases with numbers from formal sources and found increases in overall infectious disease reports and in case numbers of cholera, botulism, tuberculosis, HIV/AIDS, rabies, and salmonellosis during compared with before the invasion. During the conflict, although open-source intelligence captured case numbers for epidemics, such data (except for diphtheria) were unavailable/underestimated by formal surveillance. In the absence of formal surveillance during military conflicts, open-source data provide epidemic intelligence useful for infectious disease control.

Objective: The aim of the study is to provide a comprehensive overview of the epidemiology and evolution of dengue virus (DV) in Bangladesh from 2020 to 2023. Methods: From January 1, 2020, to December 31, 2023, we analyzed the daily press releases on the dengue situation made public by the government. The published sequences from the period were then subjected to phylogenetic analysis, amino acid substitutions, evolutionary rate, and selection pressure analysis. Results: In Bangladesh, dengue fever usually peaks during the monsoon season. However, the increase in cases began considerably earlier, at the end of April 2023 and the disease had claimed 1705 lives, marking its highest annual death toll ever. Dhaka is the city most severely affected. The phylogenetic analysis revealed that the Bangladeshi DV-1 strains clustered far from any known genotype, indicating the circulation of a novel genotype, whereas the DV-3 strains clustered within the existing circulating genotype I. The DV-1 strains had a total of 107 amino acid alterations and two deletions, while the DV-3 strains had 17 alterations. The Bangladeshi DV-1 and DV-3 strains evolve rapidly. Additionally, selection pressure analysis revealed one positive selection site in DV-1 and three in DV-3, respectively, which require further research. Conclusions: The circulation of novel genotypes, a higher mutation rate, and positive selection of DV might result in the recent dengue outbreaks in the country. The study will help in the development of strategies to control outbreaks in Bangladesh and other nations with similar conditions in the future.

ABSTRACTIntroduction The epidemiology of invasive meningococcal disease (IMD), a rare but potentially fatal illness, is typically described as unpredictable and subject to sporadic outbreaks.Areas covered Meningococcal epidemiology and vaccine use during the last ~ 200 years are examined within the context of meningococcal characterization and classification to guide future IMD prevention efforts.Expert opinion Historical and contemporary data highlight the dynamic nature of meningococcal epidemiology, with continued emergence of hyperinvasive clones and affected regions. Recent shifts include global increases in serogroup W disease, meningococcal antimicrobial resistance (AMR), and meningococcal urethritis; additionally, unvaccinated populations have experienced disease resurgences following lifting of COVID-19 restrictions. Despite these changes, a close analysis of meningococcal epidemiology indicates consistent dominance of serogroups A, B, C, W, and Y and elevated IMD rates among infants and young children, adolescents/young adults, and older adults. Demonstrably effective vaccines against all 5 major disease-causing serogroups are available, and their prophylactic use represents a powerful weapon against IMD, including AMR. The World Health Organization's goal of defeating meningitis by the year 2030 demands broad protection against IMD, which in turn indicates an urgent need to expand meningococcal vaccination programs across major disease-causing serogroups and age-related risk groups.

Abstract Objective Digital technologies have improved the performance of surveillance systems through early detection of outbreaks and epidemic control. The aim of this study is to introduce an outbreak detection web application called OBDETECTOR (Outbreak Detector), which as a professional web application has the ability to process weekly or daily reported data from disease surveillance systems and facilitates the early detection of disease outbreaks. Results OBDETECTOR generates a histogram that exhibits the trend of infection within a time range selected by the user. The output comprises red triangles and plus signs, where the former denotes outbreak days determined by the algorithm applied to the data, and the latter represents days identified as outbreaks by the researcher. The graph also displays threshold values and its symbols enable researchers to compute evaluation criteria for outbreak detection algorithms, including sensitivity and specificity. OBDETECTOR allows users to modify algorithm parameters based on their research objectives immediately after loading data. The implementation of automatic web applications results in immediate reporting, precise analysis, and prompt alert notification. Moreover, Public Health authorities and other stakeholders of surveillance can benefit from the widespread accessibility and user-friendliness of these tools, enhancing their knowledge and skills for better engagement in surveillance programs.

We evaluated the spatiotemporal clustering of rapid diagnostic test−positive cholera cases in Uvira, eastern Democratic Republic of the Congo. We detected spatiotemporal clusters that consistently overlapped with major rivers, and we outlined the extent of zones of increased risk that are compatible with the radii currently used for targeted interventions.

Abstract Background Community Health Workers (CHWs) play a crucial role in outbreak response, including health education, contact tracing, and referral of cases if adequately trained. A pilot project recently trained 766 CHWs in Wakiso district Uganda on epidemic and pandemic preparedness and response including COVID-19. This evaluation was carried out to generate evidence on the outcomes of the project that can inform preparations for future outbreaks in the country. Methods This was a qualitative evaluation carried out one year after the project. It used three data collection methods: 30 in-depth interviews among trained CHWs; 15 focus group discussions among community members served by CHWs; and 11 key informant interviews among community health stakeholders. The data was analysed using a thematic approach in NVivo (version 12). Results Findings from the study are presented under four themes. (1) Improved knowledge and skills on managing epidemics and pandemics. CHWs distinguished between the two terminologies and correctly identified the signs and symptoms of associated diseases. CHWs reported improved communication, treatment of illnesses, and report writing skills which were of great importance including for managing COVID-19 patients. (2) Enhanced attitudes towards managing epidemics and pandemics as CHWs showed dedication to their work and more confidence when performing tasks specifically health education on prevention measures for COVID-19. (3) Improved health practices such as hand washing, vaccination uptake, and wearing of masks in the community and amongst CHWs. (4) Enhanced performance in managing epidemics and pandemics which resulted in increased work efficiency of CHWs. CHWs were able to carry out community mobilization through door-to-door household visits and talks on community radios as part of the COVID-19 response. CHWs were also able to prioritize health services for the elderly, and support the management of patients with chronic diseases such as HIV, TB and diabetes by delivering their drugs. Conclusions These findings demonstrate that CHWs can support epidemic and pandemic response when their capacity is enhanced. There is need to invest in routine training of CHWs to contribute to outbreak preparedness and response.

Abstract Environmental conditions profoundly impact the health, welfare, and productivity of laying hens in commercial poultry farming. We investigated the association between microclimate variations, production indices, and histopathological responses to accidental Newcastle disease virus (NDV) infection within a controlled closed-house system. The study was conducted over seven months in a laying hen facility in Cairo, Egypt. Microclimate measurements included temperature, relative humidity (RH%), air velocity (AV), and the temperature humidity index (THI) that were obtained from specific locations on the front and back sides of the facility. Productivity indices, including the egg production percentage (EPP), egg weight (EW), average daily feed intake, and feed conversion ratio, were assessed monthly. During an NDV outbreak, humoral immune responses, gross pathology, and histopathological changes were evaluated. The results demonstrated significant (p

The year 2023 saw a challenging epizootiological and epidemiological situation regarding highly pathogenic avian influenza. The virus affected 150 bird species and dozens of mammal species. More than 650 outbreaks were reported in poultry across 29 countries, resulting in the death or destruction of approximately 19 million specimens. There was a high incidence of the influenza among wild birds (approximately 3,000 outbreaks in 65 countries) and mammals (more than 16,000 cases). The majority of outbreaks in wild birds, poultry and mammals were caused by influenza A(H5N1) clade 2.3.4.4b viruses. Many countries in Europe, Asia, Africa, North and South America experienced the outbreaks throughout the year. For the first time, a polar bear death from A(H5N1) virus was documented. Moreover, molecular markers of virus adaptation to mammals were found in PB2 proteins of 50 % of influenza A(H5N1) viruses that caused the death of animals. During the year 2023, human infections with highly pathogenic avian influenza A(H5N1) viruses were reported in Cambodia, Chile, China, and the UK. In addition, human infections with A(H3N8), A(H5N6), A(H9N2) and A(H10N5) viruses were reported in China. In Russia in 2023, outbreaks among wild birds and poultry were registered in 25 regions, as well as an outbreak among fur seals in the Sakhalin Region. The stated outbreaks were caused by highly virulent influenza A(H5N1) clade 2.3.4.4b. Hemagglutinin sequences of all Russian viruses analyzed in this study in 2023 were genetically close to the WHO candidate vaccine strains A/Astrakhan/3212/2020 (H5N8), A/chicken/ Ghana/AVL-763_21VIR7050-39/2021 (H5N1) and A/American Wigeon/South Carolina/22-000345-001/2021 (H5N1). All studied A(H5N1) viruses were antigenically similar to the A/Astrakhan/3212/2020 vaccine strain.

ObjectiveTo investigate and analyse a foodborne disease outbreak caused by food contaminated with Salmonella typhimurium at a rural home-hosted banquet， and to provide a basis for the management of similar incidents in the future.MethodsData analysis on the outbreak of foodborne diseases caused by Salmonella typhimurium at a rural self-run banquet in Yaodu District， Linfen City， Shanxi Province in April 2019.ResultsA total of 41 cases were searched and the incidence rate was 14.64% （41/280）. The main clinical manifestations were abdominal pain （95.12%）， diarrhea （92.68%）， nausea （34.15%） and dizziness （31.71%）. The epidemic curve showed point source exposure， case-control and single-factor analysis showed that cold pork head meat （OR=3.85，95% CI：1.52-9.75） was suspected food. Salmonella typhimurium was detected in the stool sample of the three patients， which was consistent with the clinical symptoms and incubation period of the patients.ConclusionThis was an outbreak of foodborne illness caused by the consumption of pork head meat contaminated with Salmonella typhimurium.

Objective: Digital technologies have improved the performance of surveillance systems through early detection of outbreaks and epidemic control. The aim of this study is to introduce an outbreak detection web application called OBDETECTOR (Outbreak Detector), which as a professional web application has the ability to process weekly or daily reported data from disease surveillance systems and facilitates the early detection of disease outbreaks. Results: OBDETECTOR generates a histogram that exhibits the trend of infection within a time range selected by the user. The output comprises red triangles and plus signs, where the former denotes outbreak days determined by the algorithm applied to the data, and the latter represents days identified as outbreaks by the researcher. The graph also displays threshold values and its symbols enable researchers to compute evaluation criteria for outbreak detection algorithms, including sensitivity and specificity. OBDETECTOR allows users to modify algorithm parameters based on their research objectives immediately after loading data. The implementation of automatic web applications results in immediate reporting, precise analysis, and prompt alert notification. Moreover, Public Health authorities and other stakeholders of surveillance can benefit from the widespread accessibility and user-friendliness of these tools, enhancing their knowledge and skills for better engagement in surveillance programs. [ABSTRACT FROM AUTHOR]

In this study, methods are proposed for analyzing the susceptibility of forest stands to attacks by forest insects on the basis of Earth remote sensing data. As an indicator of the state of forest stands, we proposed to use a parameter of the sensitivity of a vegetation index (normalized difference vegetation index; NDVI) during a vegetative period to changes in the radiative temperature of the territory (land surface temperature; LST) determined from satellite data of the Terra/Aqua system. The indicator was calculated as a spectrum of a response function in an integral equation linking changes of NDVI to those of LST. Backtesting was carried out using data from two outbreaks of the Siberian silk moth Dendrolimus sibiricus Tschetv. and outbreaks of the white mottled sawyer Monochamus urussovi Fischer and of the four-eyed fir bark beetle Polygraphus proximus Blandford in taiga forests of Krasnoyarsk Territory in Russia. In addition, the state of fir stands in the year 2023 was examined when damage to the forest stands was not yet noticeable, but Siberian silk moth adults were found in pheromone traps. It was shown that the proposed indicator of susceptibility of forest stands changed significantly 2–3 years before the pest outbreak in outbreak foci of the studied areas. Thus, the proposed indicator can be used to predict outbreaks of insect pests. The proposed approach differs from commonly used remote sensing methods in that, rather than using absolute values of remote indicators (such as, for example, NDVI), it focuses on indicators of the susceptibility of these remote indicators to the characteristics of the natural environment. Since any given point on the planet is characterized by a seasonally varying temperature, it is always possible to determine the sensitivity of a remote sensing indicator to changes in the environment that are not directly related to the absolute value of the indicator. Future studies are expected to examine susceptibility indices as a function of forest stand location and species, and to examine the length of spatial correlation of susceptibility indices, which may provide information on the possible extent of future insect outbreaks. [ABSTRACT FROM AUTHOR]

Background: Community Health Workers (CHWs) play a crucial role in outbreak response, including health education, contact tracing, and referral of cases if adequately trained. A pilot project recently trained 766 CHWs in Wakiso district Uganda on epidemic and pandemic preparedness and response including COVID-19. This evaluation was carried out to generate evidence on the outcomes of the project that can inform preparations for future outbreaks in the country. Methods: This was a qualitative evaluation carried out one year after the project. It used three data collection methods: 30 in-depth interviews among trained CHWs; 15 focus group discussions among community members served by CHWs; and 11 key informant interviews among community health stakeholders. The data was analysed using a thematic approach in NVivo (version 12). Results: Findings from the study are presented under four themes. (1) Improved knowledge and skills on managing epidemics and pandemics. CHWs distinguished between the two terminologies and correctly identified the signs and symptoms of associated diseases. CHWs reported improved communication, treatment of illnesses, and report writing skills which were of great importance including for managing COVID-19 patients. (2) Enhanced attitudes towards managing epidemics and pandemics as CHWs showed dedication to their work and more confidence when performing tasks specifically health education on prevention measures for COVID-19. (3) Improved health practices such as hand washing, vaccination uptake, and wearing of masks in the community and amongst CHWs. (4) Enhanced performance in managing epidemics and pandemics which resulted in increased work efficiency of CHWs. CHWs were able to carry out community mobilization through door-to-door household visits and talks on community radios as part of the COVID-19 response. CHWs were also able to prioritize health services for the elderly, and support the management of patients with chronic diseases such as HIV, TB and diabetes by delivering their drugs. Conclusions: These findings demonstrate that CHWs can support epidemic and pandemic response when their capacity is enhanced. There is need to invest in routine training of CHWs to contribute to outbreak preparedness and response. [ABSTRACT FROM AUTHOR]

Environmental conditions profoundly impact the health, welfare, and productivity of laying hens in commercial poultry farming. We investigated the association between microclimate variations, production indices, and histopathological responses to accidental Newcastle disease virus (NDV) infection within a controlled closed-house system. The study was conducted over seven months in a laying hen facility in Cairo, Egypt. Microclimate measurements included temperature, relative humidity (RH%), air velocity (AV), and the temperature humidity index (THI) that were obtained from specific locations on the front and back sides of the facility. Productivity indices, including the egg production percentage (EPP), egg weight (EW), average daily feed intake, and feed conversion ratio, were assessed monthly. During an NDV outbreak, humoral immune responses, gross pathology, and histopathological changes were evaluated. The results demonstrated significant (p < 0.05) variations in EPP and EW between the front and back sides except in April and May. AV had a significant (p = 0.006) positive effect (Beta = 0.346) on EW on the front side. On the back side, AV had a significant (p = 0.001) positive effect (Beta = 0.474) on EW, while it negatively influenced (p = 0.027) EPP (Beta = − 0.281). However, temperature, RH%, and THI had no impact and could not serve as predictors for EPP or EW on either farm side. The humoral immune response to NDV was consistent across microclimates, highlighting the resilience of hens. Histopathological examination revealed characteristic NDV-associated lesions, with no significant differences between the microclimates. This study underscores the significance of optimizing microclimate conditions to enhance laying performance by providing tailored environmental management strategies based on seasonal variations, ensuring consistent airflow, particularly near cooling pads and exhaust fans, and reinforcing the importance of biosecurity measures under field challenges with continuous monitoring and adjustment. [ABSTRACT FROM AUTHOR]

Background: Candida auris, a multidrug‐resistant fungal pathogen, has received considerable attention owing to its recent surge, especially in South America, which coincides with the ongoing global COVID‐19 pandemic. Understanding the clinical and microbiological characteristics of outbreaks is crucial for their effective management and control. Objective: This retrospective observational study aimed to characterize a C. auris outbreak at a Peruvian referral hospital between January 2021 and July 2023. Methods: Data were collected from hospitalized patients with positive C. auris culture results. Microbiological data and antifungal susceptibility test results were analysed. Additionally, infection prevention and control measures have been described. Statistical analysis was used to compare the characteristics between the infected and colonized patients. Results: Thirty‐three patients were identified, mostly male (66.7%), with a median age of 53 years. Among them, 18 (54.5%) were colonized, and 15 (45.5%) were infected. Fungemia was the predominant presentation (80%), with notable cases of fungemia in tuberculosis patients with long‐stay devices for parenteral anti‐tuberculosis therapy. Seventy‐five percent of the isolates exhibited fluconazole resistance. Echinocandins were the primary treatment, preventing fungemia recurrence within 30 days. Infected patients had significantly longer hospital stays than colonized patients (100 vs. 45 days; p =.023). Hospital mortality rates were 46.7% and 25% in the infected and fungemia patients, respectively. Simultaneous outbreaks of multidrug‐resistant bacteria were documented. Conclusions: This study underscores the severity of a C. auris outbreak at a referral hospital in Peru, highlighting its significant impact on patient outcomes and healthcare resources. The high prevalence of fluconazole‐resistant isolates, leading to prolonged hospital stay and high mortality rates, particularly in cases of fungemia, underscores the critical need for effective infection prevention and control strategies. [ABSTRACT FROM AUTHOR]

Introduction:Mumps is a highly contagious viral infection affecting the salivary glands, primarily caused by the mumps virus, a member of the Paramyxoviridae family. Despite being a self-limiting disease, mumps can lead to severe complications such as meningitis, encephalitis, orchitis, oophoritis, and permanent hearing loss. The introduction of the MMR vaccine has significantly reduced the incidence of mumps globally, but outbreaks continue to occur, particularly in areas with low vaccination coverage. In India, mumps is not a notifiable disease, and the vaccine is not included in the Universal Immunization Program (UIP), leading to underreporting and insufficient control measures. This study aims to analyze the recent trends in mumps cases in a paediatric population in Vijiyapura town of Bangalore Rural district and emphasize the need for including the mumps vaccine in the national immunization schedule. Methodology:This study was conducted at the Community Health Center (CHC) of Vijiyapura town in Bangalore Rural district. Cases were collected on an Paediatric Outpatient department (OPD) basis from children presenting with symptoms of mumps between March and May 2024. The World Health Organization (WHO) clinical case definition was used to diagnose mumps. Data were collected from all children who visited the OPD and met the clinical case definition. Results:A total of 18 cases of mumps were identified between March and May 2024. The age distribution ranged from 3 to 14 years, with a mean age of 7.1 years and a median age of 7 years. The majority of cases (77.8%) were male. Clinical presentations included fever (100%), constitutional symptoms such as headache and myalgia (80%), swelling of salivary glands (100%), with (27%) having unilateral parotid swelling and (73%) having bilateral parotid swelling. Cough and cold were observed in (80%) of the cases. Conclusion: The study highlights the increasing incidence of mumps in the paediatric population of Vijiyapura town of Bangalore Rural district, emphasizing the need for the inclusion of the mumps vaccine in the UIP. Strengthening the surveillance system and healthcare infrastructure is crucial for better management and control of mumps outbreaks. Collaboration among government agencies, healthcare workers, parents, and the community is essential to implement sustainable solutions and prevent future outbreaks. [ABSTRACT FROM AUTHOR]

Hepatitis E is a significant cause of acute hepatitis, contributing to high morbidity and mortality rates, and capable of causing large epidemics through fecal–oral transmission. Currently, no specific treatment for hepatitis E has been approved. Given the notably high mortality rate among HEV-infected pregnant women and individuals with underlying chronic liver disease, concerted efforts have been made to develop effective vaccines. The only licensed hepatitis E vaccine worldwide, the HEV 239 (Hecolin) vaccine, has been demonstrated to be safe and efficacious in Phase III clinical trials, in which the efficacy of three doses of HEV 239 remained at 86.6% (95% confidence interval (CI): 73.0–94.1) at the end of 10 years follow-up. In this review, the progress and challenges for hepatitis E vaccines are summarized. [ABSTRACT FROM AUTHOR]

Although cases of Legionnaires' disease are notifiable, data on the phenotypic and genotypic characterisation of clinical isolates are limited. This retrospective study aims to report the results of the characterisation of Legionella clinical isolates in Spain from 2012 to 2022. Monoclonal antibodies from the Dresden panel were used for phenotypic identification of Legionella pneumophila. Genotypic characterisation and sequence type assignment were performed using the Sequence-Based Typing scheme. Of the 1184 samples, 569 were identified as Legionella by culture. Of these, 561 were identified as L. pneumophila, of which 521 were serogroup 1. The most common subgroups were Philadelphia (n = 107) and Knoxville (n = 106). The SBT analysis revealed 130 different STs, with the most common genotypes being ST1 (n = 87), ST23 (n = 57), ST20 (n = 30), and ST42 (n = 29). Knoxville has the highest variability with 32 different STs. ST23 is mainly found in Allentown/France (n = 46) and ST42 in Benidorm (n = 18), whereas ST1 is widely distributed. The results demonstrate that clinical isolates show high genetic diversity, although only a few sequence types (STs) are responsible for most cases. However, outbreaks can also occur with rare genotypes. More data on LD and associated epidemiological studies are needed to establish the risk of an isolate causing outbreak in the future. [ABSTRACT FROM AUTHOR]

This narrative review was aimed at collecting updated knowledge on the risk factors, illnesses caused, and measures for the prevention of protozoan infections transmitted by food and drinking water. Reports screened dated from 2019 to the present and regarded global prevalence in food handlers, occurrence in food and drinking water, impact on human health, and recently reported outbreaks and cases of severe infections attributable to the dietary route. Cryptosporidium spp., Cyclospora cayetanensis, Entamoeba histolytica, and Cystoisospora belli were the protozoans most frequently involved in recently reported waterborne and foodborne outbreaks and cases. Blastocystis hominis was reported to be the most widespread intestinal protozoan in humans, and two case reports indicated its pathogenic potential. Dientamoeba fragilis, Endolimax nana, and Pentatrichomonas hominis are also frequent but still require further investigation on their ability to cause illness. A progressive improvement in surveillance of protozoan infections and infection sources took place in developed countries where the implementation of reporting systems and the application of molecular diagnostic methods led to an enhanced capacity to identify epidemiological links and improve the prevention of foodborne and waterborne protozoan infections. [ABSTRACT FROM AUTHOR]

Filamentous fungi exhibit remarkable adaptability to diverse substrates and can synthesize a plethora of secondary metabolites. These metabolites, produced in response to environmental stimuli, not only confer selective advantages but also encompass potentially deleterious mycotoxins. Mycotoxins, exemplified by those originating from Alternaria, Aspergillus, Penicillium, and Fusarium species, represent challenging hazards to both human and animal health, thus warranting stringent regulatory control. Despite regulatory frameworks, mycotoxin contamination remains a pressing global challenge, particularly within cereal-based matrices and their derived by-products, integral components of animal diets. Strategies aimed at mitigating mycotoxin contamination encompass multifaceted approaches, including biological control modalities, detoxification procedures, and innovative interventions like essential oils. However, hurdles persist, underscoring the imperative for innovative interventions. This review elucidated the prevalence, health ramifications, regulatory paradigms, and evolving preventive strategies about two prominent mycotoxins, aflatoxins and ochratoxin A. Furthermore, it explored the emergence of new fungal species, and biocontrol methods using lactic acid bacteria and essential mustard oil, emphasizing their efficacy in mitigating fungal spoilage and mycotoxin production. Through an integrative examination of these facets, this review endeavored to furnish a comprehensive understanding of the multifaceted challenges posed by mycotoxin contamination and the emergent strategies poised to ameliorate its impact on food and feed safety. [ABSTRACT FROM AUTHOR]

AbstractRodent pests pose significant impacts to agricultural systems and public health globally. Effective strategies for sustainable management while minimizing environmental impacts are crucial. To address the multifaceted nature of rodent impacts, well-coordinated initiatives are necessary to support control strategies, raise awareness among authorities, and inform the public. There is increasing global evidence of Working Groups delivering successful management of a range of natural resource management issues. We outline three case study working groups to tackle rodent pests: (1) National Mouse Group in Australia to manage mouse plague impacts, (2) Working Group Common Vole Management in Germany to manage common vole impacts, and (3) FREDON network for vole management in France. Each working group evolved independently, but all have remarkably similar structures, including monitoring, modelling/forecasting, regular stakeholder meetings (including producers, researchers, government agency staff and others), developing advice for management and identifying research priorities. The success of these working groups was related to: (1) broad stakeholder engagement (particularly farmers/producers), (2) dedicated funding to conduct direct research to inform control strategies, (3) maintained momentum through all phases of rodent population cycles, and (4) benefit for all stakeholders. As rodenticides are increasingly restricted, such working groups will become more important in the future, because stakeholder engagement is necessary to develop rodent management “toolboxes”. [ABSTRACT FROM AUTHOR]

This article provides an overview of the epidemiology and evolution of dengue outbreaks in Bangladesh from 2020 to 2023. The study found that dengue fever cases peaked earlier than usual in 2023, resulting in the highest annual death toll ever. A novel genotype of the dengue virus was identified, and the virus strains were found to be rapidly evolving. The study suggests that this information can help in developing strategies to control future outbreaks. In 2023, there were a total of 1,705 deaths recorded, with the highest number of deaths occurring in August, September, and October. The Dhaka division had the most severe outbreak, and the majority of cases were male. Amino acid substitutions were observed in the virus, indicating the emergence of a new genotype. The study also found that the evolutionary rate of the virus was higher for one strain compared to another. The incidence rate of dengue has been increasing globally, and Bangladesh experienced a severe outbreak in 2023. The outbreak may be attributed to climate change and increased rainfall. Dengue surpassed COVID-19 as the leading cause of mortality in Bangladesh during this period. The majority of cases occurred in young adults, and there was a male predominance. The study highlights the importance of continuously monitoring the virus and its variants to prepare for future outbreaks. The article acknowledges the limitations of the study and declares no conflict of interest. The data supporting the findings are available upon request. [Extracted from the article]

Purpose of Review: The aim of this review is to examine healthcare-associated fungal outbreaks (HAFO) in children. Our primary objective is to dissect epidemiology and etiology aspects to contribute to the investigation, prevention, and control of HAFO in pediatric settings. Recent Findings: Latest studies have highlighted an increase in fungal infections among hospitalized children. These studies have revealed the involvement of environmental sources and cross-transmission through healthcare workers in the development of outbreaks. The diagnosis of fungal infections poses challenges, as does outbreak control due to non-routine surveillance and resistance of fungi to disinfectants and therapeutic drugs. Summary: Recognition of risk factors, etiologic agents, diagnostic methods, and types of transmission that facilitate fungal infections in children is crucial to understand the importance of prompt outbreak investigation and control. Addressing research gaps in disinfection technologies and exploring the potential application of artificial intelligence on outbreak anticipation could aid in mitigating the impact of HAFO on pediatric populations. [ABSTRACT FROM AUTHOR]

Outbreaks of airborne viral emerging infectious diseases (EIDs) cause an increasing burden on global public health, particularly with a backdrop of intensified climate change. However, infection sources and drivers for outbreaks of airborne viral EIDs remain unknown. Here, we aim to explore the driving mechanisms of outbreaks based on the one health perspective. Outbreak information for 20 types of airborne viral EIDs was collected from the Global Infectious Disease and Epidemiology Network database and a systematic literature review. Four statistically significant and high‐risk spatiotemporal clusters for airborne viral EID outbreaks were identified globally using multivariate scan statistic tests. There were 112 outbreaks with clear infection sources, and zoonotic spillover was the most common source (95.54%, 107/112). Since 1970, the majority of outbreaks occurred in healthcare facilities (24.82%), followed by schools (17.93%) and animal‐related settings (15.93%). Significant associations were detected between the number of earthquakes, storms, duration of floods, and airborne viral EIDs' outbreaks using a case‐crossover study design and multivariable conditional logistic regression. These findings implied that zoonotic spillover and extreme weather events are driving global outbreaks of airborne viral EIDs, and targeted prevention and control measures should be made to reduce the airborne viral EIDs burden. [ABSTRACT FROM AUTHOR]

Data and geographical trend of Salmonella serovars infecting poultry in Malaysia is limited. In this study, the trend of Salmonella serovars infection was presented for the past ten years from 2011 to 2020 and the predominant serovars were mapped based on geographical distribution. Analysis of passive surveillance data demonstrated a shift of Salmonella serovars that infected poultry in Malaysia. The Salmonella serovars varied within ten years of registered cases with the Veterinary Research Institute, Ipoh, Malaysia involving samples from live and dead birds. Total number of cases found from the year 2011 to 2020 were 391 cases, involving 73 Salmonella serovars with an additional one group of unclassified serovars known as Salmonella spp. Further analysis revealed that eight serovars were found predominant throughout the ten-year period. These included S. Albany, S. Braenderup, S. Brancaster, S. Corvallis, S. Enteritidis, S. Kentucky, S. Typhimurium and S. Weltevreden. Salmonella spp. (Salmonella that is incapable to be identified based on serotyping) were also one of the major groups observed throughout the years. This study could help the authorities to improvise policies for better disease control programs through the establishment of diagnostic tools for rapid Salmonella screening in poultry. [ABSTRACT FROM AUTHOR]

Outbreak prediction is a crucial component of forest pest management. Weather plays a substantial role in outbreaks of leaf-eating insects. Weather-based prediction models in this field are numerous and more or less precise. We have attempted to create such a model for the Siberian moth (SM) Dendrolimus sibiricus Tschetv., one of the most harmful defoliators in the southern taiga of Siberia. For the territory of interest (the southern taiga and hemiboreal forests of Tomsk oblast, Kemerovo oblast, and Krasnoyarsk krai), the gradient boosting (XBGoost) model was created with an accuracy of 0.952. Temperatures of the vegetation period in the fourth and fifth years before the onset of outbreak are better predictors. [ABSTRACT FROM AUTHOR]

Before the COVID-19 pandemic, an optimistic belief prevailed worldwide that the protracted struggle against infectious diseases had ended. However, COVID-19 later emerged as a truly global phenomenon with a considerably higher fatality rate than that of other infectious diseases. To date, no country has been unaffected by this virus. COVID-19 has tested the resilience of healthcare systems and the deployment of response forces globally. This circumstance underscores the relevance of assessing past experiences in combating infectious diseases and eradicating certain dangerous infections. This article attempts to uncover the challenges encountered in implementing imperial and Soviet government policies related to epidemic control in Kazakhstan. It analyses the major epidemics in Kazakhstan, measures taken against them, and initial steps toward vaccinating the population. In pre-revolutionary Kazakhstan, infectious disease control was episodic owing to limited resources and insufficient well-trained and experienced doctors, paramedics, and nurses. Despite the post-civil war complexities of rebuilding the economy, the Soviet Union has prioritised the prevention of epidemics. Infectious diseases, such as typhus, typhoid fever, cholera, smallpox, and dysentery that spread via the digestive tract have presented the greatest challenge. The government has funded vaccination programs and adopted sanitation measures to prevent the transmission of these diseases. [ABSTRACT FROM AUTHOR]

Abstract Background and Aims Infectious disease outbreaks pose significant challenges in Africa due to its ecology, socioeconomic conditions, and weak health systems. Implementing institutional quarantine and isolation (Q&I) measures is crucial for managing major outbreaks. However, the cultural context often determines the success of these measures. This scoping review aims to examine existing evidence on the cultural aspects of institutional Q&I in Africa over the past two decades, focusing on the COVID‐19 pandemic and other major multi‐country disease outbreaks. Methods This scoping review's protocol was registered with the Open Science Framework registry. Nine research databases were systematically searched to retrieve all relevant literature, followed by deduplication and a two‐stage screening process using the Rayyan web application. The inclusion of any literature into this review was based on a set of eligibility criteria. Also, manual searching of the reference lists of included literature was done to retrieve any other eligible literature. From the included literature, data were charted, collected, and summarized. Findings Out of the 787 articles retrieved from the database searches, this review found only one to be eligible for inclusion. Also, no other eligible article was obtained after manual searching of the reference list for this article. The reviewed article presented empirical findings on the impact of COVID‐19 Q&I protocols on traditional burial rites in Ghana. Many Ghanaian families were against their country's protocol because they felt it was insensitive to their traditional values and burial practices. Also, the way the protocol was implemented made some Ghanaian families feel that foreign burial practices were imposed on them, which bred feelings of cultural exclusion and neglect (by the government) among Ghanaians. Conclusion Research evidence on the cultural implications of Q&I in Africa is very scanty. More research is needed on this topic of public health interest.

IntroductionDengue is a public health challenge worldwide. Brazil registered about 70% of cases in Latin America in 2023; in 2024, the country is experiencing an unprecedented increase in the number of infected individuals. By May 2024, more than 4 million people were infected. Our goal was to: (1) determine the epidemiology of dengue cases and their spatiotemporal distribution and (2) carry out a survey of the storm drains and through a geospatial analysis to determine their possible correlation with cases of dengue in Presidente Prudente, São Paulo, Brazil.MethodsCases and information on the habitat of mosquito in the storm drain underground drainage system from 2020 to 2021 were obtained from public agencies. Larvae, pupae, and Ae. aegypti were identified according to species and described in taxonomic keys. Kernel density maps were constructed.ResultsFrom 1996 to 2023, the prevalence of cases peaked in 2016 and 2019, and in 2023 reached alarming levels, and the city was considered hyperendemic. In 2021, 2,609 cases were registered with 2 clusters of high density. Of 5,492 storm drains analyzed, 18.0% were found to have water, 9.0% had larvae or pupae of Aedes aegypti and 91.0% were classified as dirty or damaged. A direct correlation between the kernel layer of cases in 2021 with the kernel layer of storm drains containing water (r = 0.651) and larvae and pupae (r = 0.576) was found, suggesting that storm drains are risk factors and have an impact on the maintenance of dengue endemicity. The high number of damaged units found demonstrated the lack of storm drain management, compromising the urban drainage system and possibly contributing to dengue outbreaks.ConclusionPolicymakers may use these findings to improve existing dengue control strategies focusing on the control of storm drains and increase local and global perspectives on reducing dengue outbreaks.

Our study identified strains of the A/H5N1 virus in analyzed samples of subsistence poultry, wild birds, and mammals, belonging to clade 2.3.4.4b, genotype B3.2, with very high genetic similarity to strains from Chile, Uruguay, and Argentina. This suggests a migratory route for wild birds across the Pacific, explaining the phylogenetic relatedness. The Brazilian samples displayed similarity to strains that had already been previously detected in South America. Phylogeographic analysis suggests transmission of US viruses from Europe and Asia, co-circulating with other lineages in the American continent. As mutations can influence virulence and host specificity, genomic surveillance is essential to detect those changes, especially in critical regions, such as hot spots in the HA, NA, and PB2 sequences. Mutations in the PB2 gene (D701N and Q591K) associated with adaptation and transmission in mammals were detected suggesting a potential zoonotic risk. Nonetheless, resistance to neuraminidase inhibitors (NAIs) was not identified, however, continued surveillance is crucial to detect potential resistance. Our study also mapped the spread of the virus in the Southern hemisphere, identifying possible entry routes and highlighting the importance of surveillance to prevent outbreaks and protect both human and animal populations.

Combining genomic and geospatial data can be useful for understanding Mycobacterium tuberculosis transmission in high-burden tuberculosis (TB) settings. We performed whole-genome sequencing on M. tuberculosis DNA extracted from sputum cultures from a population-based TB study conducted in Gaborone, Botswana, during 2012-2016. We determined spatial distribution of cases on the basis of shared genotypes among isolates. We considered clusters of isolates with ≤5 single-nucleotide polymorphisms identified by whole-genome sequencing to indicate recent transmission and clusters of ≥10 persons to be outbreaks. We obtained both molecular and geospatial data for 946/1,449 (65%) participants with culture-confirmed TB; 62 persons belonged to 5 outbreaks of 10-19 persons each. We detected geospatial clustering in just 2 of those 5 outbreaks, suggesting heterogeneous spatial patterns. Our findings indicate that targeted interventions applied in smaller geographic areas of high-burden TB identified using integrated genomic and geospatial data might help interrupt TB transmission during outbreaks.

ObjectiveEpidemiological investigation of a foodborne disease outbreak triggered by Clostridium perfringens in a school in Guiyang， traceability analysis of etiologic foods and pathogens， and exploration of the application of the new technology of whole genome sequencing in the traceability of foodborne disease outbreaks.MethodsOn-site epidemiological analysis was used to collect samples of suspected organisms， food samples and samples from the external environment for Salmonella， diarrhea-causing Escherichia coli， Staphylococcus aureus， Bacillus cereus， and Clostridium perfringens for routine laboratory pathogen isolation and identification， and isolates of pathogens for toxin gene detection and whole-genome sequencing traceability analyses.ResultsSymptoms in 22 cases were dominated by abdominal pain （95.45%， 21/22）， diarrhea （95.45%， 21/22）； the epidemiological profile was point source exposure pattern with an incubation period of 6 h to 15 h. Clostridium perfringens was isolated from 5 anal swabs， 3 stool specimens and 1 retained sample of breakfast meat froth food， and the enterotoxin cpe gene was detected in all of them； Salmonella， diarrhea-causing Escherichia coli， Staphylococcus aureus， and Bacillus cereus were not detected in any of the samples. Among them， Clostridium perfringens was 3.5×105 CFU/g in the breakfast meat froth food， which was analyzed by whole genome sequencing to compare the molecular typing of Clostridium perfringens originating from the breakfast meat froth food and the anal swabs， which was ST139 type， and the strains all carried cpe virulence gene.ConclusionThrough on-site investigation and traceability analysis， it was determined that Clostridium perfringens-contaminated breakfast meat froth was the cause of the foodborne illness outbreak， and that the new technology of whole genome sequencing could play an accurate traceability role in the foodborne illness outbreak.

Abstract Background Anthrax is a zoonotic disease that is still regarded as a public health issue in developing nations. This paper aims to discuss the epidemiology of anthrax in Africa, the current outbreaks in Ghana and Nigeria, clinical presentations, diagnosis, and treatment of anthrax, challenges associated with the transmission of the disease to both countries and recommendations to reduce this current outbreak and curb future outbreaks in Africa. Main body of the abstract Online databases (PubMed, and Google Scholar) and Nigeria Ministry of Agriculture report were used to provide detailed information on the paper. On June 1, 2023, two suspected human cases of anthrax were reported, via a letter sent to all stakeholders in the country, with one death in Binduri District, Upper East region of Ghana. The cases were due to the consumption of dead cattle. Four cattle were reported dead at the time, and eleven suspected human cases were identified through contact tracing. Afterward, on July 17, 2023, the Federal Ministry of Agriculture and Rural Development of Nigeria announced the first case of anthrax disease in Nigeria. The National Veterinary Research Institute confirmed the case from samples collected from a suspected livestock farm in Niger State, Nigeria. No human case has been reported. Short conclusion Anthrax poses significant challenges to public health and requires cooperation between nations, especially in regions like Ghana and Nigeria, where animal movement and ecological changes can impact disease transmission. Challenges attributed to the spread of anthrax in both countries were discussed, focusing on the role of government and the general public in addressing this public health concern. Given the endemicity of certain transboundary animal diseases such as anthrax in sub-Saharan Africa, the control of animal movement across intra- and international borders in the region needs to be tightened. Regulations governing the transboundary movement of animals should be based on the World Organisation of Animal Health Terrestrial Code and should be strictly enforced to prevent ongoing and future outbreaks in Africa.

Abstract Background Conflict situations, armed or not, have been associated with emergence and transmission of infectious diseases. This review aims to identify the pathways through which infectious diseases emerge within conflict situations and to outline appropriate infectious disease preparedness and response strategies. Methods A systematic review was performed representing published evidence from January 2000 to October 2023. Ovid Medline and Embase were utilised to obtain literature on infectious diseases in any conflict settings. The systematic review adhered to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analysis). No geographical restrictions were imposed. Findings Our review identified 51 studies covering AIDS, Hepatitis B, Tuberculosis, Cholera, Coronavirus 2, Ebola, Poliomyelitis, Malaria, Leishmaniasis, Measles, Diphtheria, Dengue and Acute Bacterial Meningitis within conflict settings in Europe, Middle East, Asia, and Africa since October 2023. Key factors contributing to disease emergence and transmission in conflict situations included population displacement, destruction of vital infrastructure, reduction in functioning healthcare systems and healthcare personnel, disruption of disease control programmes (including reduced surveillance, diagnostic delays, and interrupted vaccinations), reduced access by healthcare providers to populations within areas of active conflict, increased population vulnerability due to limited access to healthcare services, and disruptions in the supply chain of safe water, food, and medication. To mitigate these infectious disease risks reported preparedness and response strategies included both disease-specific intervention strategies as well as broader concepts such as the education of conflict-affected populations through infectious disease awareness programmes, investing in and enabling health care in locations with displaced populations, intensifying immunisation campaigns, and ensuring political commitment and intersectoral collaborations between governments and international organisations. Conclusion Conflict plays a direct and indirect role in the transmission and propagation of infectious diseases. The findings from this review can assist decision-makers in the development of evidence-based preparedness and response strategies for the timely and effective containment of infectious disease outbreaks in conflict zones and amongst conflict-driven displaced populations. Funding European Centre for Disease Prevention and Control under specific contract No. 22 ECD.13,154 within Framework contract ECDC/2019/001 Lot 1B.