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Disease Transmission (disease + transmission)
Selected AbstractsA Preface to the Economic Analysis of Disease TransmissionAUSTRALIAN ECONOMIC PAPERS, Issue 1 2000Mark Gersovitz Infectious diseases are transmitted from person to person or from vectors such as mosquitos to people. The uninfected take precautions against these diseases and the infected try to mitigate their symptoms and to get cured. In doing so, people may weigh the costs of illness, prevention and therapy. They may also (altruistically) weigh the costs of people whom their own behavior puts at risk, for instance their sexual partners, or they may act entirely selfishly. Some of these behaviours may therefore lead to externalities and a corresponding rationale for government interventions. A recent literature uses economics to investigate the implications of rational choice by individuals about their response to infectious diseases. It analyzes decisions about prevention, vaccination, testing, therapies and government intervention. This paper reviews this literature with an emphasis on examples from the HIV/AIDS epidemic. [source] The spatial distribution of badgers, setts and latrines: the risk for intra-specific and badger-livestock disease transmissionECOGRAPHY, Issue 4 2008Monika Böhm The spatial distribution of wildlife hosts and the associated environmental distribution of their excretory products are important factors associated with the risk of disease transmission between wildlife and livestock. At a landscape scale, heterogeneous distribution of a wildlife host will create regional hot spots for disease risk, while at the farm level, distributional patterns of wildlife excretory products as well as habitat use are of primary importance to the assessment of disease risk to livestock. In the UK, badgers have been implicated in the transmission of bovine tuberculosis to cattle. In this study, we focus on the spatial and social organization and habitat use of badgers as well as the distributions of their excretions at latrine and sett sites to assess intra- and inter-species (badger,cattle) disease risk. Across the study site, badger latrines and setts were found in prominent clusters, at distances of up to 250 and 200 m respectively. This was partly due to small-scale clustering of latrines around sett sites, so that disease risk may be higher within the vicinity of setts. The clustered distribution suggests that sites of high risk for TB transmission may be localised within farms. Exclusion of cattle from the few sett and latrine sites within their grazing pasture is therefore likely to provide an effective way of reducing the risk of disease transmission. We also found evidence of social sub-division within badger social groups based on differences in the use of main and outlier setts. This may contribute to localised clusters of infection within the badger population, resulting in heterogeneous patterns of environmental disease risk to the wider host community. A greater understanding of variation in host behaviour and its implications for patterns of disease will allow the development of more targeted and effective management strategies for wildlife disease in group-living hosts. [source] Costs of cannibalism in the presence of an iridovirus pathogen of Spodoptera frugiperdaECOLOGICAL ENTOMOLOGY, Issue 2 2006Trevor Williams Abstract., 1.,The costs of cannibalism were examined in larvae of Spodoptera frugiperda (J. E. Smith) (Lepidoptera: Noctuidae) in the presence of conspecifics infected by a lethal invertebrate iridescent virus (IIV). The hypothesis of a positive correlation between insect density and the likelihood of disease transmission by cannibalism was examined in laboratory microcosms and a field experiment. 2.,Transmission was negligible following peroral infection of early instars with purified virus suspensions or following coprophagy of virus-contaminated faeces excreted by infected insects. In contrast, 92% of the insects that predated infected conspecifics acquired the infection and died prior to adult emergence in the laboratory. Diseased larvae were more likely to be victims of cannibalism than healthy larvae. 3.,The prevalence of cannibalism was density dependent in laboratory microcosms with a low density (10 healthy insects + one infected insect) or high density (30 healthy insects + one infected insect) of insects, and field experiments performed on maize plants infested with one or four healthy insects + one infected insect. 4.,Cannibalism in the presence of virus-infected conspecifics was highly costly to S. frugiperda; in all cases, insect survival was reduced by between ,,50% (laboratory) and ,,30% (field) in the presence of the pathogen. Contrary to expectations, the prevalence of disease was not sensitive to density because cannibalism resulted in self-thinning. As infected individuals are consumed and disappear from the population, the prevalence of disease will be determined by the timescale over which transmission can be achieved, and the rate at which individuals that have acquired an infection become themselves infectious to conspecific predators. [source] Ecology of invasive mosquitoes: effects on resident species and on human healthECOLOGY LETTERS, Issue 5 2005Steven A. Juliano Abstract Investigations of biological invasions focus on patterns and processes that are related to introduction, establishment, spread and impacts of introduced species. This review focuses on the ecological interactions operating during invasions by the most prominent group of insect vectors of disease, mosquitoes. First, we review characteristics of non-native mosquito species that have established viable populations, and those invasive species that have spread widely and had major impacts, testing whether biotic characteristics are associated with the transition from established non-native to invasive. Second, we review the roles of interspecific competition, apparent competition, predation, intraguild predation and climatic limitation as causes of impacts on residents or as barriers to invasion. We concentrate on the best-studied invasive mosquito, Aedes albopictus, evaluating the application of basic ecological theory to invasions by Aedes albopictus. We develop a model based on observations of Aedes albopictus for effects of resource competition and predation as barriers to invasion, evaluating which community and ecosystem characteristics favour invasion. Third, we evaluate the ways in which invasive mosquitoes have contributed to outbreaks of human and animal disease, considering specifically whether invasive mosquitoes create novel health threats, or modify disease transmission for existing pathogen,host systems. [source] Risk and control of waterborne cryptosporidiosisFEMS MICROBIOLOGY REVIEWS, Issue 2 2002Joan B. Rose Abstract Cryptosporidium remains at the forefront of studies on waterborne disease transmission and abatement. The impact of environmental land use patterns which contribute animal and human waste, climatic precipitation leading to a strong association with outbreaks, and community infrastructure and water treatment are now recognized as contributing factors in the potential for waterborne spread of the protozoan. Advances in detection methodologies, including the ability to genotype various strains of this organism, have shown that human wastes are often the source of the contamination and cell culture techniques have allowed insight into the viability of the oocyst populations. Currently water treatment has focused on UV and ozone disinfection as most promising for the inactivation of this protozoan pathogen. [source] Voracious invader or benign feline?FISH AND FISHERIES, Issue 3 2009A review of the environmental biology of European catfish Silurus glanis in its native, introduced ranges Abstract A popular species for food and sport, the European catfish (Silurus glanis) is well-studied in its native range, but little studied in its introduced range. Silurus glanis is the largest-bodied freshwater fish of Europe and is historically known to take a wide range of food items including human remains. As a result of its piscivorous diet, S. glanis is assumed to be an invasive fish species presenting a risk to native species and ecosystems. To assess the potential risks of S. glanis introductions, published and ,grey' literature on the species' environmental biology (but not aquaculture) was extensively reviewed. Silurus glanis appears well adapted to, and sufficiently robust for, translocation and introduction outside its native range. A nest-guarding species, S. glanis is long-lived, rather sedentary and produces relatively fewer eggs per body mass than many fish species. It appears to establish relatively easily, although more so in warmer (i.e. Mediterranean) than in northern countries (e.g. Belgium, UK). Telemetry data suggest that dispersal is linked to flooding/spates and human translation of the species. Potential impacts in its introduced European range include disease transmission, hybridization (in Greece with native endemic Aristotle's catfish [Silurus aristotelis]), predation on native species and possibly the modification of food web structure in some regions. However, S. glanis has also been reported (France, Spain, Turkmenistan) to prey intensively on other non-native species and in its native Germany to be a poor biomanipulation tool for top-down predation of zooplanktivorous fishes. As such, S. glanis is unlikely to exert trophic pressure on native fishes except in circumstances where other human impacts are already in force. In summary, virtually all aspects of the environmental biology of introduced S. glanis require further study to determine the potential risks of its introduction to novel environments. [source] Haemophilia care then, now and in the futureHAEMOPHILIA, Issue 2009J. OLDENBURG Summary., Epidemiological data show the benefits of dramatically improved haemophilia care in all life-stages. There are improved administration techniques and dosing regimens, a shift from on-demand treatment to prophylaxis, successful treatment protocols for immune tolerance induction in patients with inhibitors and enhanced approaches to overall patient management. Improvements also include the introduction of virus inactivation methods for plasma derived clotting factor concentrates and the development of recombinant factor VIII therapy, which practically eliminated the risk of infectious disease transmission. Recombinant factor concentrates are recommended as treatment of choice by several guidelines today. All these developments have resulted in increased health-related quality of life and life expectancy in haemophilia patients, who are transitioning from childhood to adulthood with healthy joints and an overall healthy status today. Because of increased life expectancy, these patients are expected to experience age-related clinical problems that were not previously observed in this population. With respect to this, the spectrum of haemophilia care will be extended to diseases of older ages with the need of including further disciplines in comprehensive haemophilia care programmes. Despite these advances, the short half-life of factor VIII, requiring re-administration every 2 or 3 days and the development of inhibitors remains a challenge. Bayer's research and development currently focuses on the optimization of recombinant coagulation factors to address these challenges. Haemophilia care has experienced significant improvements within the past decades. Novel technologies and continued clinical research have facilitated the development of treatment regimen that resulted in dramatic increases in the life expectancy and quality of life of haemophilia patients. To set the scene for the following papers dealing with haemophilia care from paediatrics to geriatrics, developments behind these improvements and some aspects of future research will be presented in this paper. [source] Review and comparison between the Wells,Riley and dose-response approaches to risk assessment of infectious respiratory diseasesINDOOR AIR, Issue 1 2010G. N. Sze To Abstract, Infection risk assessment is very useful in understanding the transmission dynamics of infectious diseases and in predicting the risk of these diseases to the public. Quantitative infection risk assessment can provide quantitative analysis of disease transmission and the effectiveness of infection control measures. The Wells,Riley model has been extensively used for quantitative infection risk assessment of respiratory infectious diseases in indoor premises. Some newer studies have also proposed the use of dose-response models for such purpose. This study reviews and compares these two approaches to infection risk assessment of respiratory infectious diseases. The Wells,Riley model allows quick assessment and does not require interspecies extrapolation of infectivity. Dose-response models can consider other disease transmission routes in addition to airborne route and can calculate the infectious source strength of an outbreak in terms of the quantity of the pathogen rather than a hypothetical unit. Spatial distribution of airborne pathogens is one of the most important factors in infection risk assessment of respiratory disease. Respiratory deposition of aerosol induces heterogeneous infectivity of intake pathogens and randomness on the intake dose, which are not being well accounted for in current risk models. Some suggestions for further development of the risk assessment models are proposed. Practical Implications This review article summarizes the strengths and limitations of the Wells,Riley and the dose-response models for risk assessment of respiratory diseases. Even with many efforts by various investigators to develop and modify the risk assessment models, some limitations still persist. This review serves as a reference for further development of infection risk assessment models of respiratory diseases. The Wells,Riley model and dose-response model offer specific advantages. Risk assessors can select the approach that is suitable to their particular conditions to perform risk assessment. [source] Identification and isolation of cDNA clones encoding the abundant secreted proteins in the saliva proteome of Culicoides nubeculosusINSECT MOLECULAR BIOLOGY, Issue 3 2009C. L. Russell Abstract Culicoides spp. are vectors of several infectious diseases of veterinary importance and a major cause of allergy in horses and other livestock. Their saliva contains a number of proteins which enable blood feeding, enhance disease transmission and act as allergens. We report the construction of a novel cDNA library from Culicoides nubeculosus linked to the analysis of abundant salivary gland proteins by mass spectrometry. Fifty-four novel proteins sequences are described including those of the enzymes maltase, hyaluronidase and two serine proteases demonstrated to be present in Culicoides salivary glands, as well as several members of the D7 family and protease inhibitors with putative anticoagulant activity. In addition, several families of abundant proteins with unknown function were identified including some of the major candidate allergens that cause insect bite hypersensitivity in horses. [source] Isolation of cDNA clones encoding putative odourant binding proteins from the antennae of the malaria-transmitting mosquito, Anopheles gambiaeINSECT MOLECULAR BIOLOGY, Issue 2 2002Harald Biessmann Abstract One way of controlling disease transmission by blood-feeding mosquitoes is to reduce the frequency of insect,host interaction, thus reducing the probability of parasite transmission and re-infection. A better understanding of the olfactory processes responsible for allowing mosquitoes to identify human hosts is required in order to develop methods that will interfere with host seeking. We have therefore initiated a molecular approach to isolate and characterize the genes and their products that are involved in the olfactory recognition pathway of the mosquito Anopheles gambiae, which is the main malaria vector in sub-Saharan Africa. We report here the isolation and preliminary characterization of several cDNAs from male and female A. gambiae antennal libraries that encode putative odourant binding proteins. Their conceptual translation products show extensive sequence similarity to known insect odourant binding proteins (OBPs)/pheromone binding proteins (PBPs), especially to those of D. melanogaster. The A. gambiae OBPs described here are expressed in the antennae of both genders, and some of the A. gambiae OBP genes are well conserved in other disease-transmitting mosquito species, such as Aedes aegypti and Culex quinquefasciatus. [source] Climate change and vector-borne viral diseases potentially transmitted by transfusionISBT SCIENCE SERIES: THE INTERNATIONAL JOURNAL OF INTRACELLULAR TRANSPORT, Issue 1 2009M. Rios Vector-borne diseases occur when infectious agents (virus, protozoa, bacteria, or helminthes) are transmitted to their hosts by a carrier organism. Climate conditions and their changes play a role in the inter-relationship between these agents, the vectors and the host (or hosts). This review is focused on arthropod-borne viruses (Arboviruses). These viruses are transmitted between susceptible vertebrate hosts by blood-feeding arthropods, and may be transmitted by blood transfusion, tissue and organ transplantation and breast feeding. The lifecycle of arboviruses is influenced by changes in temperature, rainfall, humidity, length of day, average daily solar radiation and/or storm patterns, as well as changes in the frequency of rare events such as floods or droughts. A plethora of studies have suggested that climate changes, particularly temperature changes, are likely to be induced by increase in the amount of greenhouse gases, such as methane, carbon dioxide (CO2) and chlorofluorocarbons, which deplete ozone in the atmosphere leading to an increase in ultraviolet radiation. Current models predict that ambient temperature will increase by 3,5°C on average with a doubling in CO2 concentration in the atmosphere. Vectors, pathogens and hosts each survive and reproduce within a range of optimal climatic conditions: temperature and precipitation being most important, while sea level elevation, wind and daylight duration are also important. Climate changes may affect important determinants of vector-borne disease transmission including (i) vector survival and reproduction, (ii) the vector's biting rate, and (iii) the pathogen's incubation rate within the vector organism. Droughts can increase the dissemination of arboviral diseases in urban areas by allowing a boost in the population of mosquitoes in foul water concentrated in catch basins where they breed. Furthermore, eggs can be vertically infected with arboviruses and heat waves speed up the maturation of the mosquitoes and of the viruses within mosquitoes. Droughts also cause a decline in mosquito predators like frogs, darning needles and dragonflies. In addition, birds congregate around shrinking water sites, enhancing circulation of viruses among birds and mosquitoes. In conclusion, the seriousness of some of the recent epidemics like West Nile virus and Dengue appear to has been influenced by climate change. As most of the arboviral infections are asymptomatic in humans, there is an increased opportunity for blood, organ and tissue donations by infected individuals during the viraemic period, resulting in an increased risk of transmission of arboviruses. [source] Host culling as an adaptive management tool for chronic wasting disease in white-tailed deer: a modelling studyJOURNAL OF APPLIED ECOLOGY, Issue 2 2009Gideon Wasserberg Summary 1Emerging wildlife diseases pose a significant threat to natural and human systems. Because of real or perceived risks of delayed actions, disease management strategies such as culling are often implemented before thorough scientific knowledge of disease dynamics is available. Adaptive management is a valuable approach in addressing the uncertainty and complexity associated with wildlife disease problems and can be facilitated by using a formal model. 2We developed a multi-state computer simulation model using age, sex, infection-stage, and seasonality as a tool for scientific learning and managing chronic wasting disease (CWD) in white-tailed deer Odocoileus virginianus. Our matrix model used disease transmission parameters based on data collected through disease management activities. We used this model to evaluate management issues on density- (DD) and frequency-dependent (FD) transmission, time since disease introduction, and deer culling on the demographics, epizootiology, and management of CWD. 3Both DD and FD models fit the Wisconsin data for a harvested white-tailed deer population, but FD was slightly better. Time since disease introduction was estimated as 36 (95% CI, 24,50) and 188 (41,>200) years for DD and FD transmission, respectively. Deer harvest using intermediate to high non-selective rates can be used to reduce uncertainty between DD and FD transmission and improve our prediction of long-term epidemic patterns and host population impacts. A higher harvest rate allows earlier detection of these differences, but substantially reduces deer abundance. 4Results showed that CWD has spread slowly within Wisconsin deer populations, and therefore, epidemics and disease management are expected to last for decades. Non-hunted deer populations can develop and sustain a high level of infection, generating a substantial risk of disease spread. In contrast, CWD prevalence remains lower in hunted deer populations, but at a higher prevalence the disease competes with recreational hunting to reduce deer abundance. 5Synthesis and applications. Uncertainty about density- or frequency-dependent transmission hinders predictions about the long-term impacts of chronic wasting disease on cervid populations and the development of appropriate management strategies. An adaptive management strategy using computer modelling coupled with experimental management and monitoring can be used to test model predictions, identify the likely mode of disease transmission, and evaluate the risks of alternative management responses. [source] Applied issues with predators and predation: editor's introductionJOURNAL OF APPLIED ECOLOGY, Issue 2 2002S. J. Ormerod Summary 1,The effects of predation are among the most pervasive in ecology. As parasitoids, parasites, grazers or top carnivores, predators have large influences on the distribution, density, dynamics and evolved traits of other organisms. Effects scale-up to influence community attributes such as species coexistence and ecosystems processes such as production or trophic cascades. 2,Increasingly, however, some of the largest predation issues fall clearly within the scope of applied ecology. They include instances where, due to their ecological attributes and trophic position: (i) predators are valuable to nature conservation, as biocontrol agents, as natural enemies, or as grazers used in rangeland or ecosystem management; (ii) natural or introduced predators are viewed negatively due to effects on conservation, agriculture, forestry, hunting or disease transmission; (iii) predators are affected by human activities such as resource exploitation, or from exposure to factors such as biomagnified pollutants and disturbance; (iv) predators are controversial because different groups view them as either desirable or undesirable. 3,In all these cases, ecologists have a pivotal rôle in facilitating appropriate management. For valued predators, this involves developing sufficient ecological understanding to optimize habitat, increase prey abundance or to reinforce, establish or reintroduce desirable species. For predators considered undesirable, management can involve direct control. In other cases, predation and its consequences can be mitigated by deterrent, exclusion, supplementary feeding, habitat management to favour prey, predator swamping, or by compensating losses financially. These latter strategies are often used where predators are themselves considered too valuable to remove or control. 4,This collection of seven papers illustrates many of these themes by examining contrasting aspects of the applied ecology of Eurasian lynx; by further probing the interaction between predatory birds and red grouse; by exploring the effects of weather on biocontrol; and by illustrating effects on plant species where grazing or seed predation play a dominant rôle. 5,A key lesson from these and other recent papers in the Journal of Applied Ecology is that the successful management of predators depends invariably on understanding adequately the exact ecological context in which predator,prey interactions take place and in which problems arise. With predator-related issues growing rather than diminishing, ecologists will need sufficient resources to maintain current research if they are to provide the understanding required to offer and evaluate sound management. [source] Modelling the spatial dynamics of parapoxvirus disease in red and grey squirrels: a possible cause of the decline in the red squirrel in the UK?JOURNAL OF APPLIED ECOLOGY, Issue 6 2000S.P. Rushton Summary 1. ,A stochastic individual-based model for simulating the dynamics of an infectious disease in sympatric red and grey squirrel populations is described. The model simulates the spread of parapoxvirus between squirrels in fragmented populations based on the dispersal of infected animals, the probability of encounters between individuals, exposure to the virus and subsequent mortality. 2. ,The disease model was integrated with a spatially explicit population dynamics model that simulated red and grey squirrel populations in real landscapes, using habitat information held in a geographical information system. Latin hypercube sampling was used to create a range of realistic life-history and infection scenarios and the model was used to investigate the dynamics of red and grey squirrels in Norfolk between 1966 and 1980. 3. ,The model predicted that parapoxvirus, like interspecific competition, could have led to the extinction of the red squirrel in Norfolk. The results suggest that the red squirrel,grey squirrel,parapoxvirus interaction represents a system of apparent competition mediated by an infectious agent, as seen in other interactions between resident and exotic species. 4. ,The need for further epidemiological research on the virus is emphasized. We believe that the combined effects on disease transmission of habitat, behaviour and grey squirrels acting as reservoir hosts will lead to a patchy prevalence and sporadic incidence of parapoxvirus disease in red squirrels and a more rapid local replacement by grey squirrels. 5. ,These results have implications for conservation management of the red squirrel in the UK. Schemes in which animals are translocated or given supplementary feeding may enhance disease spread by bringing infected animals into contact with others. [source] Biology and control of Dicladispa gestroi Chapuis (Col., Chrysomelidae)JOURNAL OF APPLIED ENTOMOLOGY, Issue 9-10 2001V. Delucchi The beetle Dicladispa gestroi is known only from Madagascar, where it is considered to be a pest of rice. Research were carried out from 1885 to 1994 in the Alaotra lake region, the main rice-producing area of the country, characterized by a warm rainy season from October to April and a cool dry season from April to October. The adult beetles invade the rice nurseries and the first direct-seeded fields at the beginning of the rainy season; they have a gregarious behaviour and their feeding activity, together with the mines bored by the larvae, determines a change of colour from green to pale yellow in the damage areas, which resemble outbreak areas of rice leafhoppers. Oviposition takes place only on young rice plants in the tillering stage. Females emerging after the end of February enter a reproductive diapause and leave the rice fields to ,hibernate'. Temperature summations for the egg, larval, and pupal development, as well as for the preoviposition period have been calculated. There is no yield loss up to a larval density of 0.6 per leaf and this economic injury level is seldom exceeded in the Alaotra lake region. Life tables carried out under field conditions show that chalcid parasitoids are the main mortality factor and are responsible for the collapse of entire outbreak areas. Since the discovery of the rice yellow mottle virus in 1989 in the Alaotra lake region and the disease transmission by chrysomelids, the pest status of D. gestroi has changed and control measures have to be applied. However, to avoid interference with the action of the parasitoids, chemical applications should be limited to rice nurseries. [source] The occurrence of Campylobacter in river water and waterfowl within a watershed in southern Ontario, CanadaJOURNAL OF APPLIED MICROBIOLOGY, Issue 3 2010M.I. Van Dyke Abstract Aims:, Quantitative PCR and a culture method were used to investigate Campylobacter occurrence over 3 years in a watershed located in southern Ontario, Canada that is used as a source of drinking water. Methods and Results:, Direct DNA extraction from river water followed by quantitative PCR analysis detected thermophilic campylobacters at low concentrations (<130 cells 100 ml,1) in 57,79% of samples taken from five locations. By comparison, a culture-based method detected Campylobacter in 0,23% of samples. Water quality parameters such as total Escherichia coli were not highly correlated with Campylobacter levels, although higher pathogen concentrations were observed at colder water temperatures (<10°C). Strains isolated from river water were primarily nalidixic acid-susceptible Campylobacter lari, and selected isolates were identified as Campylobacter lari ssp. concheus. Campylobacter from wild birds (seagulls, ducks and geese) were detected at a similar rate using PCR (32%) and culture-based (29%) methods, and although Campylobacter jejuni was isolated most frequently, C. lari ssp. concheus was also detected. Conclusions:,Campylobacter were frequently detected at low concentrations in the watershed. Higher prevalence rates using quantitative PCR was likely because of the formation of viable but nonculturable cells and low recovery of the culture method. In addition to animal and human waste, waterfowl can be an important contributor of Campylobacter in the environment. Significance and Impact of the Study:, Results of this study show that Campylobacter in surface water can be an important vector for human disease transmission and that method selection is important in determining pathogen occurrence in a water environment. [source] Rationale for medical director acceptance or rejection of allogeneic plateletpheresis donors with underlying medical disordersJOURNAL OF CLINICAL APHERESIS, Issue 3 2002Ronald G. Strauss Abstract A survey was completed by 25 medical directors at different institutions performing plateletpheresis. The practices of these 25 physicians were analyzed regarding the acceptance/rejection of plateletpheresis donors with a history of cardiac disease/surgery, seizures/epilepsy, cancer, or autoimmune diseases. Although available medical literature documents little risk of these disorders either to donors (i.e., donation reactions) or to transfusion recipients (i.e., disease transmission), up to 24% of medical directors outright reject some of these potential donors while others accept patients/donors with these illnesses, providing they meet certain medical/health criteria. Acceptance/rejection of individuals with medical disorders has relevance for the availability of the blood supply and blood product shortages because several million Americans, diagnosed with these illnesses, represent a sizable pool of potential blood and platelet donors. J. Clin. Apheresis 17:111,117, 2002. © 2002 Wiley-Liss, Inc. [source] Extracorporeal immunoadsorption with protein A: Technical aspects and clinical resultsJOURNAL OF CLINICAL APHERESIS, Issue 1 2001G. Samuelsson The use of therapeutic plasma exchange (TPE) for removal of large molecular-weight substances form patients' circulation is limited by the method's non-selectivity and non-specificity. In order to remove the target amount of pathogenic substance, usually amounting to less than 1 g per liter of plasma, one will also remove 60-80 g of proteins, some of which are essential. A further disadvantage of the method is the need for substitution fluids, which at least in some countries are expensive and of limited availability. Furthermore, there is a (low) risk of disease transmission. To overcome these limitations, the principle of affinity chromatography used in biochemistry was applied in medicine to develop the Excorim Extracorporeal Immunoadsorption System in the beginning of the 1980s [1]. [source] Male and female Silene latifolia plants differ in per-contact risk of infection by a sexually transmitted diseaseJOURNAL OF ECOLOGY, Issue 1 2001Oliver Kaltz Summary 1,Behavioural, physiological or immunological constraints often render one sex more susceptible to parasites, thereby potentially generating sex-specific trade-offs between traits associated with infection risk and other life-history characters. 2,The fungal pathogen Microbotryum violaceum systemically infects the dioecious plant Silene latifolia when pollinators deposit fungal spores on the flowers of healthy plants. Male plants produce many short-lived flowers, whereas females produce few flowers that remain connected with the plant after fertilization. We investigated how variation in flower production and flower longevity affects the infection risk for males and females. 3,In glasshouse experiments, we varied the number of flowers inoculated (4 vs. 16 per plant) with spores and the time until these flowers were removed (1 or 2 days for both sexes, 14 days for females only). We also measured the longevity of male flowers receiving simulated visits, with or without spores, to test for an abscission response to visitation and/or contamination. In a field survey, we measured male and female disease prevalence in 17 natural populations. 4,Varying the number of inoculated flowers did not affect infection probability, but females retaining inoculated flowers for 14 days became diseased more often (20.0%) than did plants with flowers removed within 2 days (7.3%). 5,Males that had dropped more inoculated flowers prematurely were more likely to remain uninfected. Spore-bearing visits shortened male flower longevity (38.4 ± 2.8 h) relative to non-spore visits (47.9 ± 5.2 h). 6,Female field disease prevalence (19.7 ± 3.5%) was higher than that of males (14.3 ± 2.6%), especially in populations with a high disease incidence. 7,Continuing physical connection during fruit ripening appears to increase invasion time and thus the per-contact infection risk in females. This is consistent with higher female field prevalences, although other explanations, unrelated to disease transmission, are possible. These results illustrate how interactions between plant reproductive behaviour and pollinator activity may affect disease spread. Female mating behaviour may evolve towards lower attractiveness to pollinators to minimize infectious contacts, while males can afford to be more promiscuous with an attractive, but disposable, floral display. [source] The transmission potential of Loma salmonae (Microspora) in the rainbow trout, Oncorhynchus mykiss (Walbaum), is dependent upon the method and timing of exposureJOURNAL OF FISH DISEASES, Issue 8 2001J M Ramsay The ability of a parasite to transmit from one fish to another is important in the dissemination of disease. Groups of 25 naive rainbow trout (RBT), Oncorhynchus mykiss (Walbaum), were exposed to Loma salmonae by feeding on the viscera (gills, hearts and spleens) from L. salmonae -infected donor RBT (DRBT) or by cohabitation with infected DRBT. Exposure occurred 3, 7, 11 and 15 weeks after the DRBT were infected. All naive RBT were examined 7 weeks post-exposure (PE) to the DRBT. Naive RBT, exposed to DRBT at week 3 PE, by feeding on viscera or by cohabitation, failed to develop visible branchial xenomas. Cohabiting naive RBT with DRBT, at week 7 PE and week 11 PE, resulted in the development of branchial xenomas. Xenomas failed to develop in naive RBT exposed via cohabitation to week 15 PE DRBT. Naive RBT, exposed by feeding on the viscera of DRBT at week 7 PE, week 11 PE and week 15 PE, developed branchial xenomas. The transmission potential of viscera from L. salmonae -infected DRBT at week 15 and week 20 PE was also examined. Naive RBT, fed with viscera free of visible branchial xenomas, from DRBT at week 15 PE and week 20 PE, developed branchial xenomas by week 7 PE. A polymerase chain reaction (PCR) was used to detect L. salmonae DNA from the water and sediments of a tank of L. salmonae -infected RBT at week 7 PE. The method and timing of exposure of naive fish to L. salmonae -infected fish are important in disease transmission and may be useful in predicting and preventing disease outbreaks in aquaculture. [source] Biopsy forceps: Reusable or disposable?JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY, Issue 7 2006Zvi Fireman Abstract Reusable and disposable biopsy forceps are both widely available for use in gastrointestinal endoscopy units. Biopsy forceps have design and material features that may interfere with cleaning, and reusable devices must be designed to function safely and effectively following sterilization in a healthcare setting. During the last decade, endoscopic accessories have evolved from reusable to disposable in many parts of the world. Although use of disposable devices helps reduce the potential risk of cross-contamination and spread of infection, there remains the factor of cost. Major concerns for reuse of endoscopic accessories center on two main areas: sterility, and the capability of the equipment to perform its function satisfactorily after repeated uses and sterilizations. Reusable biopsy forceps perform a designated number of procedures, thus becoming more cost-effective than disposable forceps, which are impossible to clean and sterilize. The potential risk of infectious disease transmission must be taken into account. There is also the consideration that reprocessing of disposable forceps may damage or destroy the fragile devices. [source] Pathogen inactivation technology: cleansing the blood supplyJOURNAL OF INTERNAL MEDICINE, Issue 3 2005H. G. KLEIN Abstract., Klein HG (The Johns Hopkins School of Medicine and Warren G. Magnuson Clinical Center, National Institutes of Health, Bethesda, MD, USA). Pathogen inactivation technology: cleansing the blood supply (Review). J Intern Med 2005; 257: 224,237. The calculated residual infectious risk of HIV, hepatitis B virus (HBV) and hepatitis C virus (HCV) from blood transfusion is extremely low. However, the risk of bacterial contamination remains and a variety of other agents including emerging viruses, protozoa and tick-borne agents threaten blood supplies and undermine public confidence in blood safety. Traditional methods of donor screening and testing have limited ability to further reduce disease transmission and cannot prevent an emerging infectious agent from entering the blood supply. Pathogen inactivation technologies have all but eliminated the infectious risks of plasma-derived protein fractions, but as yet no technique has proved sufficiently safe and effective for traditional blood components. Half-way technologies can reduce the risk of pathogen transmission from fresh frozen plasma and cryoprecipitate. Traditional methods of mechanical removal such as washing and filtration have limited success in reducing the risk of cell-associated agents, but methods aimed at sterilizing blood have either proved toxic to the cells or to the recipients of blood components. Several promising methods that target pathogen nucleic acid have recently entered clinical testing. [source] Occurrence and management of acute respiratory illnesses in early childhoodJOURNAL OF PAEDIATRICS AND CHILD HEALTH, Issue 3 2007Merci MH Kusel Aim: Acute respiratory illnesses (ARI) impose massive economic burden on health services. The growing costs, limited benefits of pharmacotherapeutic agents, and alarming rise in antibiotic resistance poses a major health challenge. Analysis of the nature and burden of ARI through well-designed epidemiologic studies will help in the development of a uniform public health approach to identify methods to reduce disease transmission and maximise prevention strategies. The aim of this study was to analyse the nature and magnitude of the burden of ARI encountered by a cohort of children in the first 5 years of life. Methods: This community-based prospective study of ARI followed a cohort of children from birth until 5 years of age. Information on all episodes of ARI encountered, and their management, was collected through daily symptom diary and fortnightly telephone calls. Results: Four episodes of ARI/year were reported in the first 2 years and 2,3 episodes/year between 2 and 5 years. The majority were upper respiratory infections. 53% had at least one lower respiratory infection in the first year. For the majority, symptoms lasted 1,2 weeks. 53% were treated with antitussives or cough mixtures, 44% with paracetamol and 23% with antibiotics. A total of 46% of the episodes presented to a family physician, with younger children and those with lower respiratory infection more likely to seek attention. Conclusion: ARI are common in childhood and although symptoms may last for 4 weeks, the majority resolve spontaneously. Use of medication does not appear to significantly alter the course or duration of symptoms of ARI. [source] Wild mammals and the human food chainMAMMAL REVIEW, Issue 2-3 2008PIRAN C. L. WHITE ABSTRACT 1Wild mammals have a long history of association with the human food chain, with some being the source for domesticated animals and others being considered traditionally as game species. Wild mammals are of negligible importance in terms of overall energy flows in agricultural ecosystems in Britain, but some wild mammals can have detrimental effects on the human food chain through predation, competition and disease transmission. 2Understanding these ecological processes at the level of populations and individuals can assist with devising appropriate management strategies to reduce human,wildlife conflict over limited resources. There remains a dearth of reliable information on the economic impacts of wild mammals on human food production, although the available quantified evidence suggests that the impacts are generally minor and localized, and are far outweighed by the wider public benefits associated with wild mammals. 3Greater public awareness of environmental and animal welfare issues, together with changes to rural communities resulting from human population movements, are changing the social landscape of interactions between people and wild mammals in the British countryside, and leading to an increase in more ambivalent attitudes towards wild mammals than has typically been the case in the past. 4Reform of agricultural policy is placing greater emphasis on the management of the land for biodiversity and environmental protection. While the benefits deriving from many previous agri-environment schemes have been mixed, there is increasing evidence that an emphasis on targeted and coordinated management at the landscape scale can enhance success. This type of approach is essential if some of the major threats facing declining wild mammal populations, such as population fragmentation, are to be overcome. 5There is an increasing divergence between regulation of agricultural ecosystems for food production and disease minimization and regulation of the land for biodiversity production via agri-environment schemes. The resolution of these tensions at the policy level will have major implications for future interactions between wild mammals and the human food chain. [source] Analysis of the activity patterns of two sympatric sandfly siblings of the Lutzomyia longipalpis species complex from BrazilMEDICAL AND VETERINARY ENTOMOLOGY, Issue 3 2008G. B. S. RIVAS AbstractLutzomyia longipalpis s.l. (Lutz & Neiva) (Diptera: Psychodidae) is the main vector of visceral leishmaniasis in Latin America. Differences in copulation songs, pheromones and molecular markers show that L. longipalpis is a species complex in Brazil. The patterns of activity of insect vectors are important in disease transmission. In addition, differences in activity rhythms have a potential role as a temporal reproductive isolation mechanism in closely related species. We compared the activity patterns of males and females of two sympatric species of the Longipalpis complex from Sobral (Ceará State, Brazil) in controlled laboratory conditions. We observed small but significant differences between the two species in the activity phase in both males and females. [source] Temperature-related duration of aquatic stages of the Afrotropical malaria vector mosquito Anopheles gambiae in the laboratoryMEDICAL AND VETERINARY ENTOMOLOGY, Issue 2 2004M. N. Bayoh Abstract., Vector abundance is an important factor governing disease risk and is often employed when modelling disease transmission. The longevity of the aquatic stages of mosquitoes (Diptera: Culicidae) dictates the rate of production of adults and hence the intensity of disease transmission. We examined how temperature influences the survival of larval stages (larvae and pupae) of Anopheles gambiae Giles sensu stricto and subsequent adult production of this most efficient malaria vector. Groups of 30 mosquitoes were reared at constant temperatures (from 10 to 40 °C) from the first instar and observed until death or metamorphosis of the last individual. Larvae developed into adults at temperatures ranging from 16 to 34 °C. Larval survival was shortest (< 7 days) at 10,12 °C and 38,40 °C, and longest (> 30 days) at 14,20 °C. Within the temperature range at which adults were produced, larval mortality was highest at the upper range 30,32 °C, with death (rather than adult emergence) representing over 70% of the terminal events. The optimal survival temperatures were lower than the temperatures at which development was quickest, suggesting a critical relationship between temperature and the life cycle of the insect. These data provide fundamental information about An. gambiae s.s. adult productivity at different temperatures, which may facilitate the construction of process-based models of malaria risk in Africa and the development of early warning systems for epidemics. [source] JOINTLY-DETERMINED ECOLOGICAL THRESHOLDS AND ECONOMIC TRADE-OFFS IN WILDLIFE DISEASE MANAGEMENTNATURAL RESOURCE MODELING, Issue 4 2007ELI P. FENICHEL ABSTRACT. We investigate wildlife disease management, in a bioeconomic framework, when the wildlife host is valuable and disease transmission is density-dependent. Disease prevalence is reduced in density-dependent models whenever the population is harvested below a host-density threshold a threshold population density below which disease prevalence declines and above which a disease becomes epidemic. In conventional models, the threshold is an exogenous function of disease parameters. We consider this case and find a steady state with positive disease prevalence to be optimal. Next, we consider a case in which disease dynamics are affected by both population controls and changes in human-environmental interactions. The host-density threshold is endogenous in this case. That is, the manager does not simply manage the population relative to the threshold, but rather manages both the population and the threshold. The optimal threshold depends on the economic and ecological trade-offs arising from the jointly-determined system. Accounting for this endogene-ity can lead to reduced disease prevalence rates and higher population levels. Additionally, we show that ecological parameters that may be unimportant in conventional models that do not account for the endogeneity of the host-density threshold are potentially important when host density threshold is recognized as endogenous. [source] SAAG-4 is a novel mosquito salivary protein that programmes host CD4+ T cells to express IL-4PARASITE IMMUNOLOGY, Issue 6 2009V.D. BOPPANA Summary Mosquitoes represent the most important vector for transmitting pathogens that cause human disease. Central to pathogen transmission is the ability to divert the host immune system away from Th1 and towards Th2 responsiveness. Identification of the mosquito factor(s) critical for programming Th2 responsiveness should therefore lead to strategies to neutralize their function and thus prevent disease transmission. In the current study, we used a TCR transgenic adoptive transfer system to screen gene products present in the saliva of the mosquito Aedes aegypti for their ability to programme CD4 T cells to express the signature Th2 cytokine IL-4. The clone SAAG-4 encodes a secreted protein with a predicted size of 20 kDa whose function has previously been uncharacterized. Notably, SAAG-4 reduced host CD4 T cell expression of the signature Th1 cytokine IFN-, while simultaneously increasing expression of IL-4. SAAG-4 is therefore the first identified mosquito factor that can programme Th2 effector CD4 T cell differentiation. [source] Transmission of type 1 diabetes by bone marrow transplantation: A case reportPEDIATRIC TRANSPLANTATION, Issue 1 2009Fethi Mellouli Abstract:, T1D after BMT constitutes a human model of autoimmune disease transmission. This case report refers to T1D onset after allogeneic HLA-matched BMT in a six-yr-old recipient affected by aplastic anemia. The donor was his sister who had T1D. The recipient had a complication free course apart from grade 1 acute GVHD, which was resolved spontaneously. With the predictive value and significance of T1D-associated autoantibodies, we tried to consolidate the T1D transfer possibility based on our patient characteristics and a literature review. [source] The design and use of an agent-based model to simulate the 1918 influenza epidemic at Norway House, ManitobaAMERICAN JOURNAL OF HUMAN BIOLOGY, Issue 3 2009Connie Carpenter Agent-based modeling provides a new approach to the study of virgin soil epidemics like the 1918 flu. In this bottom-up simulation approach, a landscape can be created and populated with a heterogeneous group of agents who move and interact in ways that more closely resemble human behavior than is usually seen in other modeling techniques. In this project, an agent-based model was constructed to simulate the spread of the 1918 influenza pandemic through the Norway House community in Manitoba, Canada. Archival, ethnographic, epidemiological, and biological information were used to aid in designing the structure of the model and to estimate values for model parameters. During the epidemic, Norway House was a Hudson's Bay Company post and a Swampy Cree-Métis settlement with an economy based on hunting, fishing, and the fur trade. The community followed a traditional, seasonal travel pattern of summer aggregation and winter dispersal. The model was used to examine how seasonal community structures and associated population movement patterns may have influenced disease transmission and epidemic spread. Simulations of the model clearly demonstrate that human behavior can significantly influence epidemic outcomes. Am. J. Hum. Biol. 2009. © 2008 Wiley-Liss, Inc. [source] | |||||||||||||||||||||||||||||||