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Resurgence of Bordetella pertussis, including one macrolide-resistant isolate, France, 2024 百日咳博德特氏菌重新出现,包括一个耐大环内酯的分离株,法国,2024 年
IF 19 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-08-01 DOI: 10.2807/1560-7917.es.2024.29.31.2400459
Carla Rodrigues, Valérie Bouchez, Anaïs Soares, Sabine Trombert-Paolantoni, Fatima Aït El Belghiti, Jérémie F Cohen, Nathalie Armatys, Annie Landier, Thomas Blanchot, Marie Hervo, REMICOQ study group, Julie Toubiana, Sylvain Brisse

As other European countries, France is experiencing a resurgence of pertussis in 2024. Between 1 January and 31 May 2024, 5,616 (24.9%) positive Bordetella pertussis qPCR tests were identified, following a 3-year period of almost null incidence. Of 67 cultured and whole genome sequenced B. pertussis isolates, 66 produced pertactin and 56 produced FIM2, in contrast to pre-COVID-19 years. One isolate of genotype Bp-AgST4 was resistant to macrolides. Pertussis resurgence may favour isolates that produce FIM2 and pertactin.

与其他欧洲国家一样,法国在 2024 年也出现了百日咳复发的情况。从 2024 年 1 月 1 日到 5 月 31 日,在百日咳博德特菌 qPCR 检测中发现了 5,616 例(24.9%)阳性病例,而此前 3 年的发病率几乎为零。在 67 个经培养和全基因组测序的百日咳杆菌分离物中,66 个产生了 pertactin,56 个产生了 FIM2,这与 COVID-19 前的情况截然不同。一个基因型为 Bp-AgST4 的分离株对大环内酯类药物有抗药性。百日咳复发可能有利于产生FIM2和百日咳素的分离株。
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引用次数: 0
Hospital surveillance of respiratory viruses during the COVID-19 pandemic and beyond: contribution to the WHO mosaic framework, Israel, 2020 to 2023. COVID-19 大流行期间及以后的呼吸道病毒医院监测:2020 至 2023 年以色列对世卫组织马赛克框架的贡献。
IF 9.9 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-08-01 DOI: 10.2807/1560-7917.ES.2024.29.32.2300634
Lea Gur-Arie, Michal Stein, Hanna Sefty, Ilana S Fratty, Ital Nemet, Limor Kliker, Nofar Atari, Neta S Zuckerman, Alina Rosenberg, Heftziba Ivgi, Orit Golan-Shany, Nadav Sorek, Orna Schwartz-Harari, Michal Bromberg, Lital Keinan-Boker, Michal Mandelboim, Aharona Glatman-Freedman

BackgroundA new respiratory virus surveillance platform, based on nationwide hospital laboratory data, was established in Israel during the COVID-19 pandemic.AimWe aimed to evaluate the performance of this platform with respect to the detection of influenza and respiratory syncytial virus (RSV) from week 36 in 2020 to week 15 in 2023, and how it fits with the World Health Organization (WHO) mosaic surveillance framework.MethodsData of respiratory samples from hospitalised patients sent for laboratory confirmation of influenza virus or RSV from 25 general hospital laboratories nationwide were collected. We analysed the weekly number and percentage of samples positive for influenza virus or RSV vis-à-vis SARS-CoV-2 activity and compared data from the new surveillance platform with existing surveillance platforms. Using data in the new surveillance platform, we analysed early stages of a 2021 out-of-season RSV outbreak and evaluated the capabilities of the new surveillance system with respect to objectives and domains of the WHO mosaic framework.ResultsThe new hospital-laboratory surveillance platform captured the activity of influenza virus and RSV, provided crucial data when outpatient sentinel surveillance was not operational and supported an out-of-season RSV outbreak investigation. The new surveillance platform fulfilled important objectives in all three domains of the mosaic framework and could serve for gathering additional information to fulfil more domain objectives.ConclusionThe new hospital laboratory surveillance platform provided essential data during the COVID-19 pandemic and beyond, fulfilled important domain objectives of the mosaic framework and could be adapted for the surveillance of other viruses.

背景在 COVID-19 大流行期间,以色列建立了一个基于全国医院实验室数据的新型呼吸道病毒监测平台。AimWe aimed to evaluate the performance of this platform with regard to the detection of influenza and respiratory syncytial virus (RSV) from week 36 in 2020 to week 15 in 2023, and how it fits with the World Health Organization (WHO) mosaic surveillance framework.方法我们收集了全国 25 家综合医院实验室送检的住院患者呼吸道样本数据,以对流感病毒或 RSV 进行实验室确认。我们分析了每周流感病毒或 RSV 阳性样本的数量和百分比与 SARS-CoV-2 活动的对比情况,并将新监测平台的数据与现有监测平台的数据进行了比较。利用新监测平台的数据,我们分析了 2021 年非季节性 RSV 爆发的早期阶段,并评估了新监测系统在世界卫生组织马赛克框架的目标和领域方面的能力。结果新的医院实验室监测平台捕捉到了流感病毒和 RSV 的活动,在门诊病人哨点监测无法运行时提供了重要数据,并为非季节性 RSV 爆发调查提供了支持。结论新的医院实验室监测平台在 COVID-19 大流行期间及之后提供了重要数据,实现了马赛克框架的重要领域目标,可用于监测其他病毒。
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引用次数: 0
Twenty-five years of sentinel laboratory-based surveillance of shigellosis in a high-income country endemic for the disease, Israel, 1998 to 2022 1998 年至 2022 年,在一个志贺氏杆菌病流行的高收入国家以色列,开展了 25 年基于哨点实验室的志贺氏杆菌病监测工作
IF 19 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-08-01 DOI: 10.2807/1560-7917.es.2024.29.31.2400022
Dani Cohen, Orit Treygerman, Shifra Ken-Dror, Orli Sagi, Merav Strauss, Miriam Parizade, Sophy Goren, Analía V Ezernitchi, Assaf Rokney, Lital Keinan-Boker, Ravit Bassal
Background

Shigella is a leading cause of moderate-to-severe diarrhoea worldwide and diarrhoeal deaths in children in low- and-middle-income countries.

Aim

We investigated trends and characteristics of shigellosis and antimicrobial resistance of Shigella sonnei in Israel.

Methods

We analysed data generated by the Sentinel Laboratory-Based Surveillance Network for Enteric Pathogens that systematically collects data on detection of Shigella at sentinel laboratories, along with the characterisation of the isolates at the Shigella National Reference Laboratory. Trends in the shigellosis incidence were assessed using Joinpoint regression and interrupted time-series analyses.

Results

The average incidence of culture-confirmed shigellosis in Israel declined from 114 per 100,000 population (95% confidence interval (CI): 112–115) 1998–2004 to 80 per 100,000 population (95% CI: 79–82) 2005–2011. This rate remained stable 2012–2019, being 18–32 times higher than that reported from the United States or European high-income countries. After decreasing to its lowest values during the COVID-19 pandemic years (19/100,000 in 2020 and 5/100,000 in 2021), the incidence of culture-confirmed shigellosis increased to 39 per 100,000 population in 2022. Shigella sonnei is the most common serogroup, responsible for a cyclic occurrence of propagated epidemics, and the proportion of Shigella flexneri has decreased. Simultaneous resistance of S. sonnei to ceftriaxone, ampicillin and sulphamethoxazole-trimethoprim increased from 8.5% (34/402) in 2020 to 92.0% (801/876) in 2022.

Conclusions

These findings reinforce the need for continuous laboratory-based surveillance and inform the primary and secondary prevention strategies for shigellosis in Israel and other endemic high-income countries or communities.

背景志贺氏菌是导致全球中重度腹泻和中低收入国家儿童腹泻死亡的主要原因。方法我们分析了基于哨点实验室的肠道病原体监测网络(Sentinel Laboratory-Based Surveillance Network for Enteric Pathogens)生成的数据,该网络系统地收集了哨点实验室检测到的志贺氏菌数据以及国家志贺氏菌参考实验室分离菌株的特征。结果以色列培养确诊的志贺氏杆菌病平均发病率从 1998-2004 年的每 10 万人 114 例(95% 置信区间 (CI):112-115)下降到 2005-2011 年的每 10 万人 80 例(95% 置信区间 (CI):79-82)。这一比率在 2012-2019 年期间保持稳定,比美国或欧洲高收入国家报告的比率高出 18-32 倍。在 COVID-19 大流行期间,发病率降至最低值(2020 年为 19/100,000,2021 年为 5/100,000),2022 年经培养确诊的志贺氏杆菌病发病率增至 39/100,000。子代志贺氏菌是最常见的血清群,导致流行病的周期性传播,而柔性志贺氏菌的比例有所下降。宋内志贺菌对头孢曲松、氨苄西林和磺胺甲噁唑-三甲氧苄氨嘧啶的同时耐药性从 2020 年的 8.5%(34/402)增加到 2022 年的 92.0%(801/876)。
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引用次数: 0
Syphilis testing in blood donors, France, 2007 to 2022. 2007年至2022年法国献血者梅毒检测情况。
IF 9.9 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-08-01 DOI: 10.2807/1560-7917.ES.2024.29.32.2400036
Syria Laperche, Claire Sauvage, Sophie Le Cam, Florence Lot, Lucile Malard, Pierre Gallian, Elodie Pouchol, Pascale Richard, Pascal Morel, Philippe Grange, Pierre Tiberghien, Nadjet Benhaddou, Nicolas Dupin

BackgroundSyphilis in blood donors (BD) has increased in many countries.AimWe aimed to describe trends in syphilis seroposivity in BD in France, to identify risk factors and assess if a non-treponemic test (NTT) could define BD having recovered from syphilis for more than 1 year.MethodsThe analysis covered the period 2007 to 2022 and 45,875,939 donations. Of the 474 BD syphilis-positive in 2022, 429 underwent additional investigations with an NTT. History of syphilis was obtained at the post-donation interview or based on serology results for repeat donors.ResultsUntil 2021, positivity rates remained stable (mean: 1.18/10,000 donations, range: 1.01-1.38). An increased rate was observed in 2022 (1.74/10,000; p = 0.02). Over the whole study period, prevalence was 2.2 times higher in male than in female BD (4.1 times higher in 2022). The proportion of males with an identified risk factor who have sex with men increased from 16.7% in 2007 to 64.9% in 2022. Based on NTT, 79 (18%) of the donors who were seropositive in 2022 were classified as having been infected in the previous year. History of syphilis was available for 30 of them. All had an infection within the previous 3 years. Among seven donors with a syphilis < 12 months before testing, one had an NTT titre ≥ 8, three a titre between 1 and 4, three were negative.ConclusionSyphilis seropositivity increased considerably in BDs in 2022, mostly in males, notably MSM. Available data did not allow appropriate evaluation of the NTT to distinguish recent from past infection.

背景在许多国家,献血者(BD)的梅毒感染率都在上升。目的我们旨在描述法国BD梅毒血清阳性率的变化趋势,确定风险因素,并评估非抗梅毒试验(NTT)能否确定BD梅毒痊愈时间是否超过1年。方法分析涵盖2007年至2022年期间的45,875,939次献血。在2022年梅毒阳性的474名BD中,有429人接受了NTT的进一步检查。梅毒病史是在捐献后访谈中获得的,或根据血清学结果对重复捐献者进行调查。结果直到2021年,阳性率保持稳定(平均:1.18/10,000次捐献,范围:1.01-1.38)。2022 年,阳性率有所上升(1.74/10,000;P = 0.02)。在整个研究期间,男性 BD 患病率是女性的 2.2 倍(2022 年为 4.1 倍)。具有已确定风险因素的男性同性性行为者比例从 2007 年的 16.7% 上升到 2022 年的 64.9%。根据 NTT,在 2022 年血清反应呈阳性的捐献者中,有 79 人(18%)被归类为在上一年感染过梅毒。其中 30 人有梅毒史。所有捐献者都在过去 3 年内感染过梅毒。在 7 名梅毒捐献者中
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引用次数: 0
Outbreak of Vibrio cholerae, Mayotte, France, April to July 2024. 2024 年 4 月至 7 月,法国马约特岛爆发霍乱弧菌疫情。
IF 9.9 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-08-01 DOI: 10.2807/1560-7917.ES.2024.29.35.2400518
Sara Mazzilli, Hassani Youssouf, Julie Durand, Marion Soler, Tanguy Cholin, François Herry, Louis Collet, Maxime Jean, Maxime Ransay-Colle, Thierry Benoit-Cattin, Caroline Rouard, Julie Figoni, Harold Noël, Renaud Piarroux, Annabelle Lapostolle

On 22 April 2024, a locally-acquired case of cholera was confirmed in Mayotte. Subsequently, local transmission resulted in eight outbreak clusters with 221 notified cases in densely populated neighbourhoods with limited or no access to drinking water. The last case was detected on 12 July. A case-area targeted intervention strategy was applied to contain the outbreak. However, improving access to drinking water and basic sanitation is crucial to prevent further exposure.

2024 年 4 月 22 日,马约特岛确诊一例当地感染的霍乱病例。随后,当地传播导致 8 个疫情集群,在人口稠密、饮用水有限或没有饮用水的居民区共报告 221 例病例。最后一个病例于 7 月 12 日发现。为控制疫情,采取了以病例区为目标的干预策略。然而,改善饮用水和基本卫生条件对于防止疫情进一步蔓延至关重要。
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引用次数: 0
Focus, vigilance, resilience: towards stronger infectious disease surveillance, threat detection and response in the EU/EEA. 重点、警惕、应变能力:加强欧盟/欧洲经济区的传染病监测、威胁检测和应对。
IF 9.9 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-08-01 DOI: 10.2807/1560-7917.ES.2024.29.34.2400066
Phillip Zucs, Julien Beauté, Daniel Palm, Gianfranco Spiteri

This perspective summarises and explains the long-term surveillance framework 2021-2027 for infectious diseases in the European Union/European Economic Area (EU/EEA) published in April 2023. It shows how shortcomings in the areas of public health focus, vigilance and resilience will be addressed through specific strategies in the coming years and how these strategies will lead to stronger surveillance systems for early detection and monitoring of public health threats as well as informing their effective prevention and control. A sharper public health focus is expected from a more targeted list of notifiable diseases, strictly public-health-objective-driven surveillance standards, and consequently, leaner surveillance systems. Vigilance should improve through mandatory event reporting, more automated epidemic intelligence processing and increased use of genomic surveillance. Finally, EU/EEA surveillance systems should become more resilient by modernising the underlying information technology infrastructure, expanding the influenza sentinel surveillance system to other respiratory viruses for better pandemic preparedness, and increasingly exploiting potentially more robust alternative data sources, such as electronic health records and wastewater surveillance. Continued close collaboration across EU/EEA countries will be key to ensuring the full implementation of this surveillance framework and more effective disease prevention and control.

本视角总结并解释了 2023 年 4 月发布的 2021-2027 年欧盟/欧洲经济区(EU/EEA)传染病长期监测框架。它说明了未来几年将如何通过具体战略来解决公共卫生重点、警惕性和应变能力方面的不足,以及这些战略将如何带来更强大的监测系统,以便及早发现和监测公共卫生威胁,并为其有效预防和控制提供信息。更有针对性的应通报疾病清单、严格的公共卫生目标驱动的监测标准,以及随之而来的更精简的监测系统,有望使公共卫生重点更加突出。应通过强制性事件报告、更自动化的流行病情报处理和更多地使用基因组监测来提高警惕。最后,欧盟/欧洲经济区的监测系统应通过以下方式提高复原力:实现基本信息技术基础设施的现代化;将流感定点监测系统扩大到其他呼吸道病毒,以更好地做好大流行病的准备;以及更多地利用潜在的更强大的替代数据源,如电子健康记录和废水监测。欧盟/欧洲经济区各国继续密切合作将是确保全面实施这一监测框架和更有效地预防和控制疾病的关键。
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引用次数: 0
Persistent elevation in incidence of pneumonia in children in England, 2023/24. 2023/24 年英格兰儿童肺炎发病率持续上升。
IF 9.9 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-08-01 DOI: 10.2807/1560-7917.ES.2024.29.32.2400485
Daniel Todkill, Theresa Lamagni, Richard Pebody, Mary Ramsay, Daisy Woolham, Alicia Demirjian, Antoine Salzmann, Meera Chand, Helen E Hughes, Christopher Bennett, Russell Hope, Conall H Watson, Colin S Brown, Alex J Elliot

Since November 2023, the absolute number of attendances at emergency departments for pneumonia among children aged 5-14 years in England have been above expected levels for the time of year. This increased signal peaked during March 2024 but then persisted into early summer 2024 despite decreases in prevalence of seasonal respiratory pathogens. Record linkage between emergency department and laboratory databases points to this unusual activity being driven largely by Mycoplasma pneumoniae.

自 2023 年 11 月以来,英格兰 5-14 岁儿童因肺炎到急诊科就诊的绝对人数一直高于一年中该时间段的预期水平。这一增长信号在 2024 年 3 月达到顶峰,但随后一直持续到 2024 年初夏,尽管季节性呼吸道病原体的流行率有所下降。急诊科和实验室数据库之间的记录联系表明,这种异常活动主要是由肺炎支原体引起的。
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引用次数: 0
Rapid regional mobile laboratory response and genomic monkeypox virus (MPXV) surveillance in seven East African Community partner states, August 2024: preparedness activities for the ongoing outbreak. 2024 年 8 月在东非共同体七个伙伴国开展快速区域流动实验室响应和基因组猴痘病毒 (MPXV) 监测:为正在爆发的疫情开展准备活动。
IF 9.9 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-08-01 DOI: 10.2807/1560-7917.ES.2024.29.35.2400541
Florian Gehre, Eric Nzeyimana, Hakim Idris Lagu, Emmanuel Achol, Julien A Nguinkal, Eric Kezakarayagwa, Théogene Ihorimbere, Néhémie Nzoyikorera, Francine Kabatesi, Marie-Noelle Uwineza, Abdi Roba, Millicent Nyakio Ndia, John Ndemi Kiiru, Gwokpan Awin Nykwec, Isaac Gatkuoth Chot Moun, Mamdouh A Aguer, James A Maror, Gregory Wani Dumo, Michael Losuba, Lul Lojok Deng, Neema Omari, Grace Ochido, Aryse Martins Melo, Peter Bernard Mtesigwa Mkama, Edna Mgimba, Monica Fredrick Francis, Lawrence A Mapunda, Alex Magesa, Nyambura Moremi, Godfrey Pimundu, Tonny Muyigi, Susan Ndidde Nabadda, Emmanuel Kabalisa, Isabelle Mukagatare, Daniel Mukadi-Bamuleka, Erick Ntambwe Kamangu, Jürgen May, Muna Affara

The East African Community (EAC) is experiencing an unprecedented, emerging mpox outbreak since July 2024 in five of eight partner states. We highlight rapid regional response measures, initiated August 2024 coordinated by EAC: field deployment of six mobile laboratories in Burundi, Rwanda, Uganda, Tanzania, Kenya, South Sudan to high-risk areas, donation of one mobile laboratory to Democratic Republic of the Congo and genomic monkeypox virus (MPXV) surveillance support. These interventions aim to limit local mpox spread and support international containment.

自 2024 年 7 月以来,东非共同体(EAC)的八个伙伴国中有五个国家正在经历一场前所未有的新麻风疫情爆发。在东非共同体的协调下,我们重点介绍了 2024 年 8 月启动的快速区域应对措施:在布隆迪、卢旺达、乌干达、坦桑尼亚、肯尼亚和南苏丹的高风险地区实地部署六个流动实验室,向刚果民主共和国捐赠一个流动实验室,并提供基因组猴痘病毒(MPXV)监测支持。这些干预措施旨在限制猴痘在当地的传播并支持国际遏制工作。
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引用次数: 0
Mobile vaccination units to increase COVID-19 vaccination uptake in areas with lower coverage: a within-neighbourhood analysis using national registration data, the Netherlands, September-December 2021. 流动疫苗接种单位提高覆盖率较低地区的 COVID-19 疫苗接种率:利用全国登记数据进行的邻近地区内分析,荷兰,2021 年 9 月至 12 月。
IF 9.9 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-08-01 DOI: 10.2807/1560-7917.ES.2024.29.34.2300503
Mattijs S Lambooij, Joyce Pijpers, Jan van de Kassteele, Mirjam P Fransen, Susan Jm Hahné, Niek Hof, Floor M Kroese, Hester de Melker, Mart van Dijk, Ellen Uiters, Marijn de Bruin

BackgroundVaccine uptake differs between social groups. Mobile vaccination units (MV-units) were deployed in the Netherlands by municipal health services in neighbourhoods with low uptake of COVID-19 vaccines.AimWe aimed to evaluate the impact of MV-units on vaccine uptake in neighbourhoods with low vaccine uptake.MethodsWe used the Dutch national-level registry of COVID-19 vaccinations (CIMS) and MV-unit deployment registrations containing observations in 253 neighbourhoods where MV-units were deployed and 890 contiguous neighbourhoods (total observations: 88,543 neighbourhood-days). A negative binomial regression with neighbourhood-specific temporal effects using splines was used to study the effect.ResultsDuring deployment, the increase in daily vaccination rate in targeted neighbourhoods ranged from a factor 2.0 (95% confidence interval (CI): 1.8-2.2) in urbanised neighbourhoods to 14.5 (95% CI: 11.6-18.0) in rural neighbourhoods. The effects were larger in neighbourhoods with more voters for the Dutch conservative Reformed Christian party but smaller in neighbourhoods with a higher proportion of people with non-western migration backgrounds. The absolute increase in uptake over the complete intervention period ranged from 0.22 percentage points (95% CI: 0.18-0.26) in the most urbanised neighbourhoods to 0.33 percentage point (95% CI: 0.28-0.37) in rural neighbourhoods.ConclusionDeployment of MV-units increased daily vaccination rate, particularly in rural neighbourhoods, with longer travel distance to permanent vaccination locations. This public health intervention shows promise to reduce geographic and social health inequalities, but more proactive and long-term deployment is required to identify its potential to substantially contribute to overall vaccination rates at country level.

背景不同社会群体的疫苗接种率不同。在荷兰,市政卫生服务机构在 COVID-19 疫苗接种率较低的社区部署了流动疫苗接种单位(MV-units)。方法我们使用了荷兰国家级 COVID-19 疫苗接种登记表(CIMS)和 MV 单位部署登记表,其中包含对部署了 MV 单位的 253 个社区和 890 个毗邻社区的观察结果(总观察结果:88543 个社区日)。结果在部署期间,目标社区的每日疫苗接种率提高了 2.0 倍(95% 置信区间 (CI):1.8-2.2),农村社区提高了 14.5 倍(95% 置信区间 (CI):11.6-18.0)。在荷兰保守派改革基督教党选民较多的社区,这种影响较大,但在非西方移民背景人口比例较高的社区,这种影响较小。在整个干预期间,接种率的绝对增幅从最城市化社区的 0.22 个百分点(95% CI:0.18-0.26)到农村社区的 0.33 个百分点(95% CI:0.28-0.37)不等。这一公共卫生干预措施有望减少地域和社会卫生不平等,但需要更积极、更长期的部署,以确定其在国家层面大幅提高整体疫苗接种率的潜力。
{"title":"Mobile vaccination units to increase COVID-19 vaccination uptake in areas with lower coverage: a within-neighbourhood analysis using national registration data, the Netherlands, September-December 2021.","authors":"Mattijs S Lambooij, Joyce Pijpers, Jan van de Kassteele, Mirjam P Fransen, Susan Jm Hahné, Niek Hof, Floor M Kroese, Hester de Melker, Mart van Dijk, Ellen Uiters, Marijn de Bruin","doi":"10.2807/1560-7917.ES.2024.29.34.2300503","DOIUrl":"10.2807/1560-7917.ES.2024.29.34.2300503","url":null,"abstract":"<p><p>BackgroundVaccine uptake differs between social groups. Mobile vaccination units (MV-units) were deployed in the Netherlands by municipal health services in neighbourhoods with low uptake of COVID-19 vaccines.AimWe aimed to evaluate the impact of MV-units on vaccine uptake in neighbourhoods with low vaccine uptake.MethodsWe used the Dutch national-level registry of COVID-19 vaccinations (CIMS) and MV-unit deployment registrations containing observations in 253 neighbourhoods where MV-units were deployed and 890 contiguous neighbourhoods (total observations: 88,543 neighbourhood-days). A negative binomial regression with neighbourhood-specific temporal effects using splines was used to study the effect.ResultsDuring deployment, the increase in daily vaccination rate in targeted neighbourhoods ranged from a factor 2.0 (95% confidence interval (CI): 1.8-2.2) in urbanised neighbourhoods to 14.5 (95% CI: 11.6-18.0) in rural neighbourhoods. The effects were larger in neighbourhoods with more voters for the Dutch conservative Reformed Christian party but smaller in neighbourhoods with a higher proportion of people with non-western migration backgrounds. The absolute increase in uptake over the complete intervention period ranged from 0.22 percentage points (95% CI: 0.18-0.26) in the most urbanised neighbourhoods to 0.33 percentage point (95% CI: 0.28-0.37) in rural neighbourhoods.ConclusionDeployment of MV-units increased daily vaccination rate, particularly in rural neighbourhoods, with longer travel distance to permanent vaccination locations. This public health intervention shows promise to reduce geographic and social health inequalities, but more proactive and long-term deployment is required to identify its potential to substantially contribute to overall vaccination rates at country level.</p>","PeriodicalId":12161,"journal":{"name":"Eurosurveillance","volume":"29 34","pages":""},"PeriodicalIF":9.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11367067/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142035631","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}
引用次数: 0
Epidemiological and environmental investigation of the 'big four' Vibrio species, 1994 to 2021: a Baltic Sea retrospective study. 1994 年至 2021 年 "四大 "弧菌的流行病学和环境调查:波罗的海回顾性研究。
IF 9.9 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-08-01 DOI: 10.2807/1560-7917.ES.2024.29.32.2400075
Greta Gyraitė, Marija Kataržytė, Martynas Bučas, Greta Kalvaitienė, Sandra Kube, Daniel Pr Herlemann, Christian Pansch, Anders F Andersson, Tarja Pitkanen, Anna-Maria Hokajärvi, Aune Annus-Urmet, Gerhard Hauk, Martin Hippelein, Eglė Lastauskienė, Matthias Labrenz

BackgroundThe Vibrio genus comprises several bacterial species present in the Baltic Sea region (BSR), which are known to cause human infections.AimTo provide a comprehensive retrospective analysis of Vibrio-induced infections in the BSR from 1994 to 2021, focusing on the 'big four' Vibrio species - V. alginolyticus, V. cholerae non-O1/O139, V. parahaemolyticus and V. vulnificus - in eight European countries (Denmark, Estonia, Finland, Germany, Latvia, Lithuania, Poland and Sweden) bordering the Baltic Sea.MethodsOur analysis includes data on infections, Vibrio species distribution in coastal waters and environmental data received from national health agencies or extracted from scientific literature and online databases. A redundancy analysis was performed to determine the potential impact of several independent variables, such as sea surface temperature, salinity, the number of designated coastal beaches and year, on the Vibrio infection rate.ResultsFor BSR countries conducting surveillance, we observed an exponential increase in total Vibrio infections (n = 1,553) across the region over time. In Sweden and Germany, total numbers of Vibrio spp. and infections caused by V. alginolyticus and V. parahaemolyticus positively correlate with increasing sea surface temperature. Salinity emerged as a critical driver of Vibrio spp. distribution and abundance. Furthermore, our proposed statistical model reveals 12 to 20 unreported cases in Lithuania and Poland, respectively, countries with no surveillance.ConclusionsThere are discrepancies in Vibrio surveillance and monitoring among countries, emphasising the need for comprehensive monitoring programmes of these pathogens to protect human health, particularly in the context of climate change.

背景波罗的海地区(BSR)的弧菌属包括多个细菌物种,已知可引起人类感染。目的对 1994 年至 2021 年波罗的海地区由弧菌引起的感染进行全面的回顾性分析,重点是 "四大 "弧菌物种--藻溶性弧菌、非 O1/O139 霍乱弧菌、副溶血性弧菌和弧菌。我们的分析包括从国家卫生机构获得的或从科学文献和在线数据库中提取的感染数据、弧菌物种在沿海水域的分布情况以及环境数据。我们进行了冗余分析,以确定几个自变量(如海面温度、盐度、指定沿海海滩的数量和年份)对弧菌感染率的潜在影响。结果对于进行监测的 BSR 国家,我们观察到整个地区的弧菌感染总数(n = 1,553 例)随着时间的推移呈指数增长。在瑞典和德国,弧菌总数以及藻溶性弧菌和副溶血性弧菌引起的感染与海面温度的升高呈正相关。盐度是影响弧菌分布和数量的关键因素。此外,我们提出的统计模型显示,在立陶宛和波兰,分别有 12 到 20 例未报告的病例,而这两个国家没有进行监测。结论:各国在弧菌的监测和监控方面存在差异,强调有必要对这些病原体进行全面监控,以保护人类健康,尤其是在气候变化的背景下。
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引用次数: 0
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