Pub Date : 2024-09-01DOI: 10.2807/1560-7917.ES.2024.29.36.2400161
Neil Cunningham, Claire Jenkins, Sarah Williams, Joanna Garner, Bernd Eggen, Amy Douglas, Tina Potter, Anthony Wilson, Giovanni Leonardi, Lesley Larkin, Susan Hopkins
Shiga-toxin producing Escherichia coli (STEC) O157 is a food-borne pathogen which causes gastrointestinal illness in humans. Ruminants are considered the main reservoir of infection, and STEC exceedance has been associated with heavy rainfall. In September 2022, a large outbreak of STEC O157:H7 was identified in the United Kingdom (UK). A national-level investigation was undertaken to identify the source of the outbreak and inform risk mitigation strategies. Whole genome sequencing (WGS) was used to identify outbreak cases. Overall, 259 cases with illness onset dates between 5 August and 12 October 2022, were confirmed across the UK. Epidemiological investigations supported a UK grown, nationally distributed, short shelf-life food item as the source of the outbreak. Analytical epidemiology and food chain analysis suggested lettuce as the likely vehicle of infection. Food supply chain tracing identified Grower X as the likely implicated producer. Independent of the food chain investigations, a novel geospatial analysis triangulating meteorological, flood risk, animal density and land use data was developed, also identifying Grower X as the likely source. Novel geospatial analysis and One Health approaches are potential tools for upstream data analysis to predict and prevent contamination events before they occur and to support evidence generation in outbreak investigations.
{"title":"An outbreak of Shiga toxin-producing <i>Escherichia coli</i> (STEC) O157:H7 associated with contaminated lettuce and the cascading risks from climate change, the United Kingdom, August to September 2022.","authors":"Neil Cunningham, Claire Jenkins, Sarah Williams, Joanna Garner, Bernd Eggen, Amy Douglas, Tina Potter, Anthony Wilson, Giovanni Leonardi, Lesley Larkin, Susan Hopkins","doi":"10.2807/1560-7917.ES.2024.29.36.2400161","DOIUrl":"10.2807/1560-7917.ES.2024.29.36.2400161","url":null,"abstract":"<p><p>Shiga-toxin producing <i>Escherichia coli</i> (STEC) O157 is a food-borne pathogen which causes gastrointestinal illness in humans. Ruminants are considered the main reservoir of infection, and STEC exceedance has been associated with heavy rainfall. In September 2022, a large outbreak of STEC O157:H7 was identified in the United Kingdom (UK). A national-level investigation was undertaken to identify the source of the outbreak and inform risk mitigation strategies. Whole genome sequencing (WGS) was used to identify outbreak cases. Overall, 259 cases with illness onset dates between 5 August and 12 October 2022, were confirmed across the UK. Epidemiological investigations supported a UK grown, nationally distributed, short shelf-life food item as the source of the outbreak. Analytical epidemiology and food chain analysis suggested lettuce as the likely vehicle of infection. Food supply chain tracing identified Grower X as the likely implicated producer. Independent of the food chain investigations, a novel geospatial analysis triangulating meteorological, flood risk, animal density and land use data was developed, also identifying Grower X as the likely source. Novel geospatial analysis and One Health approaches are potential tools for upstream data analysis to predict and prevent contamination events before they occur and to support evidence generation in outbreak investigations.</p>","PeriodicalId":12161,"journal":{"name":"Eurosurveillance","volume":null,"pages":null},"PeriodicalIF":9.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11378517/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142139741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01DOI: 10.2807/1560-7917.ES.2024.29.38.2400105
Kadir Akar, Hanka Brangsch, Tariq Jamil, Gülseren Yıldız Öz, Emin Ayhan Baklan, Buket Eroğlu, Eray Atıl, Sevil Erdenlig Gürbilek, Oktay Keskin, Osman Yaşar Tel, Ayfer Güllü Yücetepe, Vassilios Sandalakis, Evridiki Boukouvala, Anna Psaroulaki, Ashraf A Abd El Tawab, Falk Melzer, Mathias W Pletz, Heinrich Neubauer, Gamal Wareth
BackgroundBrucellosis is a bacterial zoonosis causing severe illness in humans and animals and leading to economic losses in the livestock production in Türkiye and other endemic countries.AimWe aimed at investigating genomic differences of Brucella isolates from animals and humans in Türkiye.MethodsWe used whole genome sequencing (WGS) to assess the genetic diversity of Brucella isolates from 41 provinces in Türkiye and compared with isolates from other countries. We applied allele-based typing and core genome single nucleotide polymorphism (cgSNP) determination.ResultsOf the 106 Turkish Brucella isolates included, 57 were B. abortus and 49 were B. melitensis. One B. melitensis and two B. abortus isolates were identified as vaccine strains. Most (n = 55) B. abortus isolates clustered in three major branches, with no spatial discernible pattern. Of the B. melitensis isolates, 48 were assigned to the Eastern Mediterranean lineage with no discernible patterns between host species, location and sampling date. The Turkish isolates clustered with isolates from neighbouring countries such as Greece and Syria, but some also with isolates from human patients in European countries, like Germany, Norway and Sweden, suggesting that the source may be travel-related.ConclusionSeveral B. melitensis and B. abortus lineages are circulating in Türkiye. To decrease the prevalence and prevent brucellosis in animals and humans, stricter control measures are needed, particularly in areas where humans and animals have close contact. Furthermore, illegal transportation of animals across borders should be more closely controlled and regulated.
{"title":"Genomic analysis of <i>Brucella</i> isolates from animals and humans, Türkiye, 2010 to 2020.","authors":"Kadir Akar, Hanka Brangsch, Tariq Jamil, Gülseren Yıldız Öz, Emin Ayhan Baklan, Buket Eroğlu, Eray Atıl, Sevil Erdenlig Gürbilek, Oktay Keskin, Osman Yaşar Tel, Ayfer Güllü Yücetepe, Vassilios Sandalakis, Evridiki Boukouvala, Anna Psaroulaki, Ashraf A Abd El Tawab, Falk Melzer, Mathias W Pletz, Heinrich Neubauer, Gamal Wareth","doi":"10.2807/1560-7917.ES.2024.29.38.2400105","DOIUrl":"10.2807/1560-7917.ES.2024.29.38.2400105","url":null,"abstract":"<p><p>BackgroundBrucellosis is a bacterial zoonosis causing severe illness in humans and animals and leading to economic losses in the livestock production in Türkiye and other endemic countries.AimWe aimed at investigating genomic differences of <i>Brucella</i> isolates from animals and humans in Türkiye.MethodsWe used whole genome sequencing (WGS) to assess the genetic diversity of <i>Brucella</i> isolates from 41 provinces in Türkiye and compared with isolates from other countries. We applied allele-based typing and core genome single nucleotide polymorphism (cgSNP) determination.ResultsOf the 106 Turkish <i>Brucella</i> isolates included, 57 were <i>B. abortus</i> and 49 were <i>B. melitensis</i>. One <i>B. melitensis</i> and two <i>B. abortus</i> isolates were identified as vaccine strains. Most (n = 55) <i>B. abortus</i> isolates clustered in three major branches, with no spatial discernible pattern. Of the <i>B. melitensis</i> isolates<i>,</i> 48 were assigned to the Eastern Mediterranean lineage with no discernible patterns between host species, location and sampling date. The Turkish isolates clustered with isolates from neighbouring countries such as Greece and Syria, but some also with isolates from human patients in European countries, like Germany, Norway and Sweden, suggesting that the source may be travel-related.ConclusionSeveral <i>B. melitensis</i> and <i>B. abortus</i> lineages are circulating in Türkiye. To decrease the prevalence and prevent brucellosis in animals and humans, stricter control measures are needed, particularly in areas where humans and animals have close contact. Furthermore, illegal transportation of animals across borders should be more closely controlled and regulated.</p>","PeriodicalId":12161,"journal":{"name":"Eurosurveillance","volume":null,"pages":null},"PeriodicalIF":9.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11484290/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142282649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01DOI: 10.2807/1560-7917.ES.2024.29.36.240830e
{"title":"Erratum for Euro Surveill. 2024;29(35).","authors":"","doi":"10.2807/1560-7917.ES.2024.29.36.240830e","DOIUrl":"10.2807/1560-7917.ES.2024.29.36.240830e","url":null,"abstract":"","PeriodicalId":12161,"journal":{"name":"Eurosurveillance","volume":null,"pages":null},"PeriodicalIF":9.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11378512/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142139743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01DOI: 10.2807/1560-7917.ES.2024.29.36.2400069
Caroline Rouard, David R Greig, Thamida Tauhid, Susann Dupke, Elisabeth Njamkepo, Ettore Amato, Boas van der Putten, Umaer Naseer, Marion Blaschitz, Georgia D Mandilara, James Cohen Stuart, Alexander Indra, Harold Noël, Theologia Sideroglou, Florian Heger, Maaike van den Beld, Astrid Louise Wester, Marie-Laure Quilici, Holger C Scholz, Inga Fröding, Claire Jenkins, François-Xavier Weill
BackgroundThe number of cholera cases reported to the World Health Organization (WHO) in 2022 was more than double that of 2021. Nine countries of the WHO European Region reported 51 cases of cholera in 2022 vs five reported cases in 2021.AimWe aimed to confirm that the Vibrio cholerae O1 isolates reported by WHO European Region countries in 2022 belonged to the seventh pandemic El Tor lineage (7PET). We also studied their virulence, antimicrobial resistance (AMR) determinants and phylogenetic relationships.MethodsWe used microbial genomics to study the 49 V. cholerae O1 isolates recovered from the 51 European cases. We also used > 1,450 publicly available 7PET genomes to provide a global phylogenetic context for these 49 isolates.ResultsAll 46 good-quality genomes obtained belonged to the 7PET lineage. All but two isolates belonged to genomic Wave 3 and were grouped within three sub-lineages, one of which, Pre-AFR15, predominated (34/44). This sub-lineage, corresponding to isolates from several countries in Southern Asia, the Middle East and Eastern or Southern Africa, was probably a major contributor to the global upsurge of cholera cases in 2022. No unusual AMR profiles were inferred from analysis of the AMR gene content of the 46 genomes.ConclusionReference laboratories in high-income countries should use whole genome sequencing to assign V. cholerae O1 isolates formally to the 7PET or non-epidemic lineages. Periodic collaborative genomic studies based on isolates from travellers can provide useful information on the circulating strains and their evolution, particularly as concerns AMR.
{"title":"Genomic analysis of <i>Vibrio cholerae</i> O1 isolates from cholera cases, Europe, 2022.","authors":"Caroline Rouard, David R Greig, Thamida Tauhid, Susann Dupke, Elisabeth Njamkepo, Ettore Amato, Boas van der Putten, Umaer Naseer, Marion Blaschitz, Georgia D Mandilara, James Cohen Stuart, Alexander Indra, Harold Noël, Theologia Sideroglou, Florian Heger, Maaike van den Beld, Astrid Louise Wester, Marie-Laure Quilici, Holger C Scholz, Inga Fröding, Claire Jenkins, François-Xavier Weill","doi":"10.2807/1560-7917.ES.2024.29.36.2400069","DOIUrl":"10.2807/1560-7917.ES.2024.29.36.2400069","url":null,"abstract":"<p><p>BackgroundThe number of cholera cases reported to the World Health Organization (WHO) in 2022 was more than double that of 2021. Nine countries of the WHO European Region reported 51 cases of cholera in 2022 vs five reported cases in 2021.AimWe aimed to confirm that the <i>Vibrio cholerae</i> O1 isolates reported by WHO European Region countries in 2022 belonged to the seventh pandemic El Tor lineage (7PET). We also studied their virulence, antimicrobial resistance (AMR) determinants and phylogenetic relationships.MethodsWe used microbial genomics to study the 49 <i>V. cholerae</i> O1 isolates recovered from the 51 European cases. We also used > 1,450 publicly available 7PET genomes to provide a global phylogenetic context for these 49 isolates.ResultsAll 46 good-quality genomes obtained belonged to the 7PET lineage. All but two isolates belonged to genomic Wave 3 and were grouped within three sub-lineages, one of which, Pre-AFR15, predominated (34/44). This sub-lineage, corresponding to isolates from several countries in Southern Asia, the Middle East and Eastern or Southern Africa, was probably a major contributor to the global upsurge of cholera cases in 2022. No unusual AMR profiles were inferred from analysis of the AMR gene content of the 46 genomes.ConclusionReference laboratories in high-income countries should use whole genome sequencing to assign <i>V. cholerae</i> O1 isolates formally to the 7PET or non-epidemic lineages. Periodic collaborative genomic studies based on isolates from travellers can provide useful information on the circulating strains and their evolution, particularly as concerns AMR.</p>","PeriodicalId":12161,"journal":{"name":"Eurosurveillance","volume":null,"pages":null},"PeriodicalIF":9.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11378513/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142139756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01DOI: 10.2807/1560-7917.ES.2024.29.21.240906A
{"title":"Addendum for Euro Surveill. 2024;29(38).","authors":"","doi":"10.2807/1560-7917.ES.2024.29.21.240906A","DOIUrl":"10.2807/1560-7917.ES.2024.29.21.240906A","url":null,"abstract":"","PeriodicalId":12161,"journal":{"name":"Eurosurveillance","volume":null,"pages":null},"PeriodicalIF":9.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11484347/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142344355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01DOI: 10.2807/1560-7917.ES.2024.29.39.2400020
Eeva K Broberg, Olov Svartström, Maximilian Riess, Annette Kraus, Maja Vukovikj, Angeliki Melidou
BackgroundInfluenza viruses can cause large seasonal epidemics with high healthcare impact and severity as they continually change their virological properties such as genetic makeup over time.AimWe aimed to monitor the characteristics of circulating influenza viruses over the 2022/23 influenza season in the EU/EEA countries. In addition, we wanted to compare how closely the circulating viruses resemble the viral components selected for seasonal influenza vaccines, and whether the circulating viruses had acquired resistance to commonly used antiviral drugs.MethodsWe performed a descriptive analysis of the influenza virus detections and characterisations reported by National Influenza Centres (NIC) from the 30 EU/EEA countries from week 40/2022 to week 39/2023 to The European Surveillance System (TESSy) as part of the Global Influenza Surveillance and Response System (GISRS).ResultsIn the EU/EEA countries, the 2022/23 influenza season was characterised by co-circulation of A(H1N1)pdm09, A(H3N2) and B/Victoria-lineage viruses. The genetic evolution of these viruses continued and clade 6B.1A.5a.2a of A(H1N1)pdm09, 3C.2a1b.2a.2b of A(H3N2) and V1A.3a.2 of B/Victoria viruses dominated. Influenza B/Yamagata-lineage viruses were not reported.DiscussionThe World Health Organization (WHO) vaccine composition recommendation for the northern hemisphere 2023/24 season reflects the European virus evolution, with a change of the A(H1N1)pdm09 component, while keeping the A(H3N2) and B/Victoria-lineage components unchanged.
{"title":"Co-circulation of seasonal influenza A(H1N1)pdm09, A(H3N2) and B/Victoria lineage viruses with further genetic diversification, EU/EEA, 2022/23 influenza season.","authors":"Eeva K Broberg, Olov Svartström, Maximilian Riess, Annette Kraus, Maja Vukovikj, Angeliki Melidou","doi":"10.2807/1560-7917.ES.2024.29.39.2400020","DOIUrl":"10.2807/1560-7917.ES.2024.29.39.2400020","url":null,"abstract":"<p><p>BackgroundInfluenza viruses can cause large seasonal epidemics with high healthcare impact and severity as they continually change their virological properties such as genetic makeup over time.AimWe aimed to monitor the characteristics of circulating influenza viruses over the 2022/23 influenza season in the EU/EEA countries. In addition, we wanted to compare how closely the circulating viruses resemble the viral components selected for seasonal influenza vaccines, and whether the circulating viruses had acquired resistance to commonly used antiviral drugs.MethodsWe performed a descriptive analysis of the influenza virus detections and characterisations reported by National Influenza Centres (NIC) from the 30 EU/EEA countries from week 40/2022 to week 39/2023 to The European Surveillance System (TESSy) as part of the Global Influenza Surveillance and Response System (GISRS).ResultsIn the EU/EEA countries, the 2022/23 influenza season was characterised by co-circulation of A(H1N1)pdm09, A(H3N2) and B/Victoria-lineage viruses. The genetic evolution of these viruses continued and clade 6B.1A.5a.2a of A(H1N1)pdm09, 3C.2a1b.2a.2b of A(H3N2) and V1A.3a.2 of B/Victoria viruses dominated. Influenza B/Yamagata-lineage viruses were not reported.DiscussionThe World Health Organization (WHO) vaccine composition recommendation for the northern hemisphere 2023/24 season reflects the European virus evolution, with a change of the A(H1N1)pdm09 component, while keeping the A(H3N2) and B/Victoria-lineage components unchanged.</p>","PeriodicalId":12161,"journal":{"name":"Eurosurveillance","volume":null,"pages":null},"PeriodicalIF":9.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11484342/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142344357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01DOI: 10.2807/1560-7917.ES.2024.29.36.240905m
{"title":"Note from the editors: Celebrating collaboration on World Field Epidemiology Day.","authors":"","doi":"10.2807/1560-7917.ES.2024.29.36.240905m","DOIUrl":"10.2807/1560-7917.ES.2024.29.36.240905m","url":null,"abstract":"","PeriodicalId":12161,"journal":{"name":"Eurosurveillance","volume":null,"pages":null},"PeriodicalIF":9.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11378511/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142139757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01DOI: 10.2807/1560-7917.ES.2024.29.38.2400592
Tony Wawina-Bokalanga, Prince Akil-Bandali, Eddy Kinganda-Lusamaki, Emmanuel Lokilo, Daan Jansen, Adrienne Amuri-Aziza, Jean-Claude Makangara-Cigolo, Elisabeth Pukuta-Simbu, Rilia Ola-Mpumbe, Mamito Muyembe, Cris Kacita, Princesse Paku-Tshambu, Pedro Hlf Dantas, Olivier Tshiani-Mbaya, Gradi Luakanda, Antoine Nkuba-Ndaye, Meris Matondo, Emmanuel Hasivirwe Vakaniaki, Sofonias Tessema, Nicaise Ndembi, Áine O'Toole, Tessa De Block, Christian Ngandu, Nicole A Hoff, Nicola Low, Lorenzo Subissi, Sydney Merritt, Jean-Jacques Muyembe-Tamfum, Laurens Liesenborghs, Martine Peeters, Eric Delaporte, Jason Kindrachuk, Anne W Rimoin, Steve Ahuka-Mundeke, Andrew Rambaut, Dieudonné Mwamba, Koen Vercauteren, Placide Mbala-Kingebeni
Between January and August 2024, mpox cases have been reported in nearly all provinces of the Democratic Republic of the Congo (DRC). Monkeypox virus genome sequences were obtained from 11 mpox cases' samples, collected in July-August 2024 in several health zones of Kinshasa. Characterisation of the sequences showed subclades Ia and Ib co-circulating in the Limete health zone, while phylogenetic analyses suggested multiple introductions of the two subclades in Kinshasa. This illustrates the growing complexity of Clade I mpox outbreaks in DRC.
{"title":"Co-circulation of monkeypox virus subclades Ia and Ib in Kinshasa Province, Democratic Republic of the Congo, July to August 2024.","authors":"Tony Wawina-Bokalanga, Prince Akil-Bandali, Eddy Kinganda-Lusamaki, Emmanuel Lokilo, Daan Jansen, Adrienne Amuri-Aziza, Jean-Claude Makangara-Cigolo, Elisabeth Pukuta-Simbu, Rilia Ola-Mpumbe, Mamito Muyembe, Cris Kacita, Princesse Paku-Tshambu, Pedro Hlf Dantas, Olivier Tshiani-Mbaya, Gradi Luakanda, Antoine Nkuba-Ndaye, Meris Matondo, Emmanuel Hasivirwe Vakaniaki, Sofonias Tessema, Nicaise Ndembi, Áine O'Toole, Tessa De Block, Christian Ngandu, Nicole A Hoff, Nicola Low, Lorenzo Subissi, Sydney Merritt, Jean-Jacques Muyembe-Tamfum, Laurens Liesenborghs, Martine Peeters, Eric Delaporte, Jason Kindrachuk, Anne W Rimoin, Steve Ahuka-Mundeke, Andrew Rambaut, Dieudonné Mwamba, Koen Vercauteren, Placide Mbala-Kingebeni","doi":"10.2807/1560-7917.ES.2024.29.38.2400592","DOIUrl":"10.2807/1560-7917.ES.2024.29.38.2400592","url":null,"abstract":"<p><p>Between January and August 2024, mpox cases have been reported in nearly all provinces of the Democratic Republic of the Congo (DRC). Monkeypox virus genome sequences were obtained from 11 mpox cases' samples, collected in July-August 2024 in several health zones of Kinshasa. Characterisation of the sequences showed subclades Ia and Ib co-circulating in the Limete health zone, while phylogenetic analyses suggested multiple introductions of the two subclades in Kinshasa. This illustrates the growing complexity of Clade I mpox outbreaks in DRC.</p>","PeriodicalId":12161,"journal":{"name":"Eurosurveillance","volume":null,"pages":null},"PeriodicalIF":9.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11484285/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142282648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01DOI: 10.2807/1560-7917.ES.2024.29.39.2400159
Maike Winters, Agnieszka Sochoń-Latuszek, Anastasiia Nurzhynska, Kseniia Yoruk, Katarzyna Kukuła, Mutribjon Bahruddinov, Aleksandra Kusek, Dorota Kleszczewska, Anna Dzielska, Tomasz Maciejewski, Joanna Mazur, Hannah Melchinger, John Kinsman, Piotr Kramarz, Sarah Christie, Saad B Omer
BackgroundSince February 2022, the start of the full-scale war in Ukraine, millions of women and children have fled the country. Vaccination of refugee children is important to protect this vulnerable population from disease.AimWe investigate the determinants of vaccination intention in refugee mothers from Ukraine residing in Poland and test the effect of three message frames.MethodsParticipants were randomised into either a control group or one of three intervention groups encouraging vaccination using a specific frame: (i) trust in the Polish health system, (ii) ease of access to vaccination or (iii) risk aversion. Primary outcomes were intention to vaccinate a child in Poland and clicking on a vaccination scheduling link.ResultsThe study was completed by 1,910 Ukrainian refugee mothers. Compared with the control group, the risk aversion message significantly increased vaccination intention (adjusted odds ratio (AOR): 2.35, 95% confidence interval (CI): 1.25-4.42) and clicking on the vaccine scheduling link (AOR: 1.53, 95% CI: 1.12-2.09). Messages around trust and ease of access did not have an effect. Important determinants of vaccination intention were perceived importance of vaccination (AOR: 1.12 95% CI: 1.01-1.25) and trusting vaccination information official health institutes (AOR: 1.40 95% CI: 1.06-1.83) and social media (AOR: 2.09 95% CI: 1.33-3.27).DiscussionUsing a risk aversion frame highlighting the vulnerability to infection that refugees face resulted in increased vaccination intention and clicks on a vaccination scheduler. Health workers who interact with Ukrainian refugees could use this frame in their vaccination communication.
{"title":" \"Vaccinating your child during an emergency is more important than ever\": a randomised controlled trial on message framing among Ukrainian refugees in Poland, 2023.","authors":"Maike Winters, Agnieszka Sochoń-Latuszek, Anastasiia Nurzhynska, Kseniia Yoruk, Katarzyna Kukuła, Mutribjon Bahruddinov, Aleksandra Kusek, Dorota Kleszczewska, Anna Dzielska, Tomasz Maciejewski, Joanna Mazur, Hannah Melchinger, John Kinsman, Piotr Kramarz, Sarah Christie, Saad B Omer","doi":"10.2807/1560-7917.ES.2024.29.39.2400159","DOIUrl":"10.2807/1560-7917.ES.2024.29.39.2400159","url":null,"abstract":"<p><p>BackgroundSince February 2022, the start of the full-scale war in Ukraine, millions of women and children have fled the country. Vaccination of refugee children is important to protect this vulnerable population from disease.AimWe investigate the determinants of vaccination intention in refugee mothers from Ukraine residing in Poland and test the effect of three message frames.MethodsParticipants were randomised into either a control group or one of three intervention groups encouraging vaccination using a specific frame: (i) trust in the Polish health system, (ii) ease of access to vaccination or (iii) risk aversion. Primary outcomes were intention to vaccinate a child in Poland and clicking on a vaccination scheduling link.ResultsThe study was completed by 1,910 Ukrainian refugee mothers. Compared with the control group, the risk aversion message significantly increased vaccination intention (adjusted odds ratio (AOR): 2.35, 95% confidence interval (CI): 1.25-4.42) and clicking on the vaccine scheduling link (AOR: 1.53, 95% CI: 1.12-2.09). Messages around trust and ease of access did not have an effect. Important determinants of vaccination intention were perceived importance of vaccination (AOR: 1.12 95% CI: 1.01-1.25) and trusting vaccination information official health institutes (AOR: 1.40 95% CI: 1.06-1.83) and social media (AOR: 2.09 95% CI: 1.33-3.27).DiscussionUsing a risk aversion frame highlighting the vulnerability to infection that refugees face resulted in increased vaccination intention and clicks on a vaccination scheduler. Health workers who interact with Ukrainian refugees could use this frame in their vaccination communication.</p>","PeriodicalId":12161,"journal":{"name":"Eurosurveillance","volume":null,"pages":null},"PeriodicalIF":9.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11484345/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142344354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01DOI: 10.2807/1560-7917.ES.2024.29.38.2400607
Concetta Castilletti, Federico Giovanni Gobbi
{"title":"Author's response: Oropouche virus risk for European travellers to Cuba: an emerging public health concern.","authors":"Concetta Castilletti, Federico Giovanni Gobbi","doi":"10.2807/1560-7917.ES.2024.29.38.2400607","DOIUrl":"10.2807/1560-7917.ES.2024.29.38.2400607","url":null,"abstract":"","PeriodicalId":12161,"journal":{"name":"Eurosurveillance","volume":null,"pages":null},"PeriodicalIF":9.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11484287/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142282647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}