Pub Date : 2024-02-01DOI: 10.1016/j.bsheal.2023.12.005
Shan Mei , Liang Wei , Yu Xie , Fei Zhao , Yu Huang , Zhangling Fan , Yamei Hu , Liming Wang , Lingwa Wang , Ying Wang , Fengwen Xu , Fei Guo
Monkeypox (mpox) outbreak in 2022 has caused more than 91,000 cases, has spread to 115 countries, regions, and territories, and has thus attracted much attention. The stability of poxvirus particles in the environment is recognized as an important factor in determining their transmission. However, few studies have investigated the persistence of poxviruses on material surfaces under various environmental conditions, and their sensitivity to biocides. Here, we systematically measured the stability of vaccinia virus (VACV) under different environmental conditions and sensitivity to inactivation methods via plaque assay, quantitative real-time polymerase chain reaction (qPCR), and Gaussia luciferase (G-luciferase) reporter system. The results show that VACV is stable on the surface of stainless steel, glass, clothing, plastic, towel, A4 paper, and tissue and persists much longer at 4 °C and −20 °C, but is effectively inactivated by ultraviolet (UV) irradiation, heat treatment, and chemical reagents. Our study raises the awareness of long persistence of poxviruses in the environment and provides a simple solution to inactivate poxviruses using common disinfectants, which is expected to help the control and prevention of mpox virus and future poxvirus outbreaks.
{"title":"Vaccinia virus viability under different environmental conditions and different disinfectants treatment","authors":"Shan Mei , Liang Wei , Yu Xie , Fei Zhao , Yu Huang , Zhangling Fan , Yamei Hu , Liming Wang , Lingwa Wang , Ying Wang , Fengwen Xu , Fei Guo","doi":"10.1016/j.bsheal.2023.12.005","DOIUrl":"10.1016/j.bsheal.2023.12.005","url":null,"abstract":"<div><p>Monkeypox (mpox) outbreak in 2022 has caused more than 91,000 cases, has spread to 115 countries, regions, and territories, and has thus attracted much attention. The stability of poxvirus particles in the environment is recognized as an important factor in determining their transmission. However, few studies have investigated the persistence of poxviruses on material surfaces under various environmental conditions, and their sensitivity to biocides. Here, we systematically measured the stability of vaccinia virus (VACV) under different environmental conditions and sensitivity to inactivation methods via plaque assay, quantitative real-time polymerase chain reaction (qPCR), and Gaussia luciferase (G-luciferase) reporter system. The results show that VACV is stable on the surface of stainless steel, glass, clothing, plastic, towel, A4 paper, and tissue and persists much longer at 4 °C and −20 °C, but is effectively inactivated by ultraviolet (UV) irradiation, heat treatment, and chemical reagents. Our study raises the awareness of long persistence of poxviruses in the environment and provides a simple solution to inactivate poxviruses using common disinfectants, which is expected to help the control and prevention of mpox virus and future poxvirus outbreaks.</p></div>","PeriodicalId":36178,"journal":{"name":"Biosafety and Health","volume":"6 1","pages":"Pages 21-27"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590053623001556/pdfft?md5=54dd3bfe0705a2c035a9fdae099789cc&pid=1-s2.0-S2590053623001556-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139194018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-01DOI: 10.1016/j.bsheal.2023.11.001
Xiaoliang Li , Xizhu Xu , Jichen Li , Huanhuan Lu , Congcong Wang , Rui Wang , Jinbo Xiao , Ying Liu , Yang Song , Jingdong Song , Qiang Sun , Yong Zhang
Coxsackievirus A6 of the D3a genotype (CVA6 D3a) is a primary pathogen causingmainland of China's hand, foot, and mouth disease (HFMD). Viral-like particle (VLP) vaccines represent a potential candidate vaccine to prevent HFMD. This study collected Anti-CVA6 D3a VLPs serum from BALB/c female mice immunized using CVA6 D3a VLPs. The neutralizing antibody levels were compared against the representative 14-JX2018 (D3a) and N4-YN2015 (D3b) strains between the antisera of different immune pathways. The immunoprotective effect of anti-CVA6 D3a VLPs against these strains was monitored using pathological sections and immunohistochemical results of lung and skeletal muscle tissues in seven-day-old Institute of Cancer Research (ICR) mice. Immunological protection against different branches of viruses was evaluated in 7-day-old (serum passive immune protection) and 14-day-old (VLPs active immune protection) neonatal ICR mice models. Serum-neutralizing antibody levels were positively correlated with the number of immunizations and higher against 14-JX2018 than against N4-YN2015. Furthermore, these levels were significantly higher with abdominal injection than intramuscular injection. The immunized serum of 7-day-old ICR mice inoculated three times was 100 % protected against CVA6 D3a 14-JX2018 (lethal titer: 106.25 TCID50) and CVA6 D3b N4-YN2015 (lethal titer: 105.25TCID50) fatal attacks, respectively. For ICR mice that have completed two active immunizations for 14 days, both CVA6 D3a 14-JX2015 (challenge titer: 108.25 TCID50) and CVA6 D3b N4-YN2015 (challenge titer: 107.25 TCID50) were used for the challenge, and the mice were able to survive. Overall, the CVA6 D3a VLPs prepared in this study are a potential vaccine candidate for CVA6, as it has the optimal protective effect against both CVA6 D3a and D3b evolutionary branches viruses.
{"title":"Preparation and immunoprotective effects of a virus-like particle candidate vaccine of the dominant epidemic D3 genotype coxsackievirus A6 in China","authors":"Xiaoliang Li , Xizhu Xu , Jichen Li , Huanhuan Lu , Congcong Wang , Rui Wang , Jinbo Xiao , Ying Liu , Yang Song , Jingdong Song , Qiang Sun , Yong Zhang","doi":"10.1016/j.bsheal.2023.11.001","DOIUrl":"10.1016/j.bsheal.2023.11.001","url":null,"abstract":"<div><p>Coxsackievirus A6 of the D3a genotype (CVA6 D3a) is a primary pathogen causingmainland of China's hand, foot, and mouth disease (HFMD). Viral-like particle (VLP) vaccines represent a potential candidate vaccine to prevent HFMD. This study collected Anti-CVA6 D3a VLPs serum from BALB/c female mice immunized using CVA6 D3a VLPs. The neutralizing antibody levels were compared against the representative 14-JX2018 (D3a) and N4-YN2015 (D3b) strains between the antisera of different immune pathways. The immunoprotective effect of anti-CVA6 D3a VLPs against these strains was monitored using pathological sections and immunohistochemical results of lung and skeletal muscle tissues in seven-day-old Institute of Cancer Research (ICR) mice. Immunological protection against different branches of viruses was evaluated in 7-day-old (serum passive immune protection) and 14-day-old (VLPs active immune protection) neonatal ICR mice models. Serum-neutralizing antibody levels were positively correlated with the number of immunizations and higher against 14-JX2018 than against N4-YN2015. Furthermore, these levels were significantly higher with abdominal injection than intramuscular injection. The immunized serum of 7-day-old ICR mice inoculated three times was 100 % protected against CVA6 D3a 14-JX2018 (lethal titer: 10<sup>6.25</sup> TCID<sub>50</sub>) and CVA6 D3b N4-YN2015 (lethal titer: 10<sup>5.25</sup>TCID<sub>50</sub>) fatal attacks, respectively. For ICR mice that have completed two active immunizations for 14 days, both CVA6 D3a 14-JX2015 (challenge titer: 10<sup>8.25</sup> TCID<sub>50</sub>) and CVA6 D3b N4-YN2015 (challenge titer: 10<sup>7.25</sup> TCID<sub>50</sub>) were used for the challenge, and the mice were able to survive. Overall, the CVA6 D3a VLPs prepared in this study are a potential vaccine candidate for CVA6, as it has the optimal protective effect against both CVA6 D3a and D3b evolutionary branches viruses.</p></div>","PeriodicalId":36178,"journal":{"name":"Biosafety and Health","volume":"6 1","pages":"Pages 28-34"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590053623001301/pdfft?md5=d73fb1c5fc096cd13631fe46e9e53c53&pid=1-s2.0-S2590053623001301-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135763704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-01DOI: 10.1016/j.bsheal.2024.01.001
Jing Lu , Zexin Tao , Yong Zhang
{"title":"Progressing our knowledge of enterovirus: Epidemiology, diagnosis, prevention, control, and beyond","authors":"Jing Lu , Zexin Tao , Yong Zhang","doi":"10.1016/j.bsheal.2024.01.001","DOIUrl":"10.1016/j.bsheal.2024.01.001","url":null,"abstract":"","PeriodicalId":36178,"journal":{"name":"Biosafety and Health","volume":"6 1","pages":"Pages 3-4"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590053624000016/pdfft?md5=a5b83533dfac6870ac78217f61094e71&pid=1-s2.0-S2590053624000016-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139454406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-01DOI: 10.1016/j.bsheal.2023.12.006
Shuang Zhao , Amelia Siqi Huang , Weibo Zhang , Lili Ren , Hexiang Wang , Jianbin Wang , Xinyang Shao , Guanbo Wang
The coronavirus disease of 2019 (COVID-19), a global pandemic caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), can result in severe health complications. In addition to physical preventative measures, pharmaceutical intervention is also crucial. Numerous natural products from medicinal fungi have shown promise as potential antiviral drugs and may serve as a source of effective components with antiviral activity against SARS-CoV-2 and other coronaviruses. In this study, we developed a workflow that integrates viral infection inhibition assays at both cellular and molecular levels, as well as molecular separation and characterization, to screen and identify natural products with antiviral activity. Using this workflow, we screened 167 extracts extracted from 36 medicinal fungi using optimized extraction methods. We assessed the antiviral effects of these extracts by measuring their ability to inhibit SARS-CoV-2 infection and receptor binding domain - human angiotensin-converting enzyme 2 (RBD-hACE2) binding in vitro. Following charge- and size-based characterization of the active compounds through filtration and chromatographic fractionation, mass spectrometry characterization of the fractionated compounds revealed that the active components are polysaccharides and determined their monosaccharide residue composition. Our findings provide new insights into the antiviral potential of natural products and their screening strategies and may contribute to the development of effective antiviral therapeutics against COVID-19 and other diseases.
{"title":"Screening and identifying natural products with SARS-CoV-2 infection inhibitory activity from medicinal fungi","authors":"Shuang Zhao , Amelia Siqi Huang , Weibo Zhang , Lili Ren , Hexiang Wang , Jianbin Wang , Xinyang Shao , Guanbo Wang","doi":"10.1016/j.bsheal.2023.12.006","DOIUrl":"10.1016/j.bsheal.2023.12.006","url":null,"abstract":"<div><p>The coronavirus disease of 2019 (COVID-19), a global pandemic caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), can result in severe health complications. In addition to physical preventative measures, pharmaceutical intervention is also crucial. Numerous natural products from medicinal fungi have shown promise as potential antiviral drugs and may serve as a source of effective components with antiviral activity against SARS-CoV-2 and other coronaviruses. In this study, we developed a workflow that integrates viral infection inhibition assays at both cellular and molecular levels, as well as molecular separation and characterization, to screen and identify natural products with antiviral activity. Using this workflow, we screened 167 extracts extracted from 36 medicinal fungi using optimized extraction methods. We assessed the antiviral effects of these extracts by measuring their ability to inhibit SARS-CoV-2 infection and receptor binding domain - human angiotensin-converting enzyme 2 (RBD-hACE2) binding <em>in vitro</em>. Following charge- and size-based characterization of the active compounds through filtration and chromatographic fractionation, mass spectrometry characterization of the fractionated compounds revealed that the active components are polysaccharides and determined their monosaccharide residue composition. Our findings provide new insights into the antiviral potential of natural products and their screening strategies and may contribute to the development of effective antiviral therapeutics against COVID-19 and other diseases.</p></div>","PeriodicalId":36178,"journal":{"name":"Biosafety and Health","volume":"6 1","pages":"Pages 12-20"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590053623001568/pdfft?md5=877e3eb206dcad46e6c0cde9dc7a3818&pid=1-s2.0-S2590053623001568-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139193986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-01DOI: 10.1016/j.bsheal.2023.11.002
Kang Tang , Yusi Zhang , Xinyu Li , Chunmei Zhang , Xiaozhou Jia , Haifeng Hu , Lihua Chen , Ran Zhuang , Yun Zhang , Boquan Jin , Ying Ma
{"title":"Erratum to “HLA-E-restricted Hantaan virus-specific CD8+ T cell responses enhance the control of infection in hemorrhagic fever with renal syndrome” [Biosaf. Health 5 (2023) 289–299]","authors":"Kang Tang , Yusi Zhang , Xinyu Li , Chunmei Zhang , Xiaozhou Jia , Haifeng Hu , Lihua Chen , Ran Zhuang , Yun Zhang , Boquan Jin , Ying Ma","doi":"10.1016/j.bsheal.2023.11.002","DOIUrl":"10.1016/j.bsheal.2023.11.002","url":null,"abstract":"","PeriodicalId":36178,"journal":{"name":"Biosafety and Health","volume":"6 1","pages":"Page 59"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590053623001507/pdfft?md5=c0dcd5db4375dcbbe8ade92ad85ccf5a&pid=1-s2.0-S2590053623001507-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138612025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-01DOI: 10.1016/j.bsheal.2023.12.001
Qun Yan , Kieran Gary Thow
{"title":"Launch of the transdisciplinary health science journal hLife","authors":"Qun Yan , Kieran Gary Thow","doi":"10.1016/j.bsheal.2023.12.001","DOIUrl":"10.1016/j.bsheal.2023.12.001","url":null,"abstract":"","PeriodicalId":36178,"journal":{"name":"Biosafety and Health","volume":"6 1","pages":"Pages 1-2"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590053623001519/pdfft?md5=2077617f0fbca8ece0bd02d93c6205df&pid=1-s2.0-S2590053623001519-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139014145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-01DOI: 10.1016/j.bsheal.2023.12.003
Zikora Kizito Glory Anyaegbunam , Ifeanyi Elibe Mba , Yandev Doowuese , Ngozi J. Anyaegbunam , Toluwalase Mba , Fetuata Aminat Aina , Vincent Nnamdigadi Chigor , Emeka Innocent Nweze , Emmanuel A. Eze
Worldwide, infections caused by drug-resistant pathogens constitute a significant challenge threatening therapeutic efforts. According to the World Health Organization (WHO), antimicrobial resistance (AMR) ranks among the top 10 global public health threats. Organisms with a high rate of multiple host adaptivity, significant genetic diversity (multiple lineages), high virulence factors, and genetic exchange have been isolated from various sources (humans, animals, and the environment) even without exposure to prior antibiotics. Till now, the source of AMR and how resistant clones are selected in the environment remain largely elusive, and potential anthropogenic transmission has been reported in different studies. Various drug-resistant pathogens, lineages, resistant clones, outbreak clusters, plasmid replicates, and genes that play a critical role in resistance dissemination have been identified. Maintenance of certain multidrug-resistant (MDR) determinants has also been shown to enhance or support the propagation of MDR. So far, significant advances have been made in understanding the burden of AMR. However, overcoming AMR requires a holistic approach, as there is no single approach with sufficient precision to curb the threat. While strengthening AMR surveillance efforts is essential, as we have shown, there is also a need to intensify efforts to strengthen therapeutic interventions, especially in priority regions such as Africa. Herein, we discussed the burden of AMR and the dissemination of AMR in humans, animals, and the environment (non-medical drivers). We further delved into the big questions on Africa and discussed how therapeutic interventions involving vaccines and other viable biomaterials could be pivotal in reducing the burden of AMR to the barest minimum.
在全球范围内,耐药性病原体引起的感染是威胁治疗工作的重大挑战。据世界卫生组织(WHO)称,抗菌药耐药性(AMR)是全球十大公共卫生威胁之一。从各种来源(人类、动物和环境)分离出了具有高度多宿主适应性、显著遗传多样性(多系)、高毒力因子和基因交换的生物体,即使之前没有接触过抗生素。迄今为止,AMR 的来源以及耐药克隆是如何在环境中被筛选出来的,在很大程度上仍是未知数,不同的研究也报道了潜在的人为传播。各种耐药病原体、菌系、耐药克隆、疫情集群、质粒复制以及在耐药性传播中发挥关键作用的基因已被确认。某些耐多药(MDR)决定因子的维持也被证明会增强或支持 MDR 的传播。迄今为止,在了解 AMR 的负担方面已经取得了重大进展。然而,克服 AMR 需要采取综合方法,因为没有一种方法能够足够精确地遏制这一威胁。正如我们所表明的那样,加强 AMR 监测工作至关重要,同时还需要加大力度加强治疗干预,尤其是在非洲等重点地区。在此,我们讨论了 AMR 的负担以及 AMR 在人类、动物和环境中的传播(非医疗驱动因素)。我们进一步深入探讨了有关非洲的重大问题,并讨论了涉及疫苗和其他可行生物材料的治疗干预措施如何能够在最大程度上减轻 AMR 负担方面发挥关键作用。
{"title":"Antimicrobial resistance containment in Africa: Moving beyond surveillance","authors":"Zikora Kizito Glory Anyaegbunam , Ifeanyi Elibe Mba , Yandev Doowuese , Ngozi J. Anyaegbunam , Toluwalase Mba , Fetuata Aminat Aina , Vincent Nnamdigadi Chigor , Emeka Innocent Nweze , Emmanuel A. Eze","doi":"10.1016/j.bsheal.2023.12.003","DOIUrl":"10.1016/j.bsheal.2023.12.003","url":null,"abstract":"<div><p>Worldwide, infections caused by drug-resistant pathogens constitute a significant challenge threatening therapeutic efforts. According to the World Health Organization (WHO), antimicrobial resistance (AMR) ranks among the top 10 global public health threats. Organisms with a high rate of multiple host adaptivity, significant genetic diversity (multiple lineages), high virulence factors, and genetic exchange have been isolated from various sources (humans, animals, and the environment) even without exposure to prior antibiotics. Till now, the source of AMR and how resistant clones are selected in the environment remain largely elusive, and potential anthropogenic transmission has been reported in different studies. Various drug-resistant pathogens, lineages, resistant clones, outbreak clusters, plasmid replicates, and genes that play a critical role in resistance dissemination have been identified. Maintenance of certain multidrug-resistant (MDR) determinants has also been shown to enhance or support the propagation of MDR. So far, significant advances have been made in understanding the burden of AMR. However, overcoming AMR requires a holistic approach, as there is no single approach with sufficient precision to curb the threat. While strengthening AMR surveillance efforts is essential, as we have shown, there is also a need to intensify efforts to strengthen therapeutic interventions, especially in priority regions such as Africa. Herein, we discussed the burden of AMR and the dissemination of AMR in humans, animals, and the environment (non-medical drivers). We further delved into the big questions on Africa and discussed how therapeutic interventions involving vaccines and other viable biomaterials could be pivotal in reducing the burden of AMR to the barest minimum.</p></div>","PeriodicalId":36178,"journal":{"name":"Biosafety and Health","volume":"6 1","pages":"Pages 50-58"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590053623001532/pdfft?md5=6c97c2651afb1db4e3276a7909e28a99&pid=1-s2.0-S2590053623001532-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139191022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The real-time reverse transcription-polymerase chain reaction (RT-PCR) test is the gold standard for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) detection. Proper specimen collection and obtaining a sufficient specimen are the most essential steps for laboratory diagnosis. The nasopharyngeal (NP) swab is recommended as the reference collection method. However, NP swab collection is invasive and uncomfortable for patients and poses some risk to healthcare workers. This study aimed to compare the efficacy of SARS-CoV-2 RNA detection from surgical masks with the NP swab method using RT-PCR testing. Of 269 patients, RT-PCR RNA from NP swabs was detected among 82 patients (30.5%) and was undetected among 187 patients (69.5%). All patients were tested for SARS-CoV-2 RNA from surgical masks. SARS-CoV-2 RNA was detected in 25/82 (30.5%) surgical mask filters, while undetected among 57 (69.5%). For the surgical mask with an average use time of 7.05 h, the sensitivity was 30.5%, the specificity was 100.0%, with positive predictive value of 100.0% and negative predictive value of 76.2%. Therefore, surgical masks could be an alternative non-invasive specimen source for SARS-CoV-2 RT-PCR testing. The results of our study suggest that the test could be employed after wearing surgical masks for at least 8-12 h, with increased sensitivity when used for more than 12 h.
{"title":"Efficacy of SARS-CoV-2 detection from used surgical masks compared with standard detection method","authors":"Uraporn Phumisantiphong , Anan Manomaipiboon , Yuttana Apichatbutr , Kittisak Pholtawornkulchai , Chunlanee Sangketchon , Busaba Supawattanabodee , Thananda Trakarnvanich","doi":"10.1016/j.bsheal.2023.12.004","DOIUrl":"10.1016/j.bsheal.2023.12.004","url":null,"abstract":"<div><p>The real-time reverse transcription-polymerase chain reaction (RT-PCR) test is the gold standard for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) detection. Proper specimen collection and obtaining a sufficient specimen are the most essential steps for laboratory diagnosis. The nasopharyngeal (NP) swab is recommended as the reference collection method. However, NP swab collection is invasive and uncomfortable for patients and poses some risk to healthcare workers. This study aimed to compare the efficacy of SARS-CoV-2 RNA detection from surgical masks with the NP swab method using RT-PCR testing. Of 269 patients, RT-PCR RNA from NP swabs was detected among 82 patients (30.5%) and was undetected among 187 patients (69.5%). All patients were tested for SARS-CoV-2 RNA from surgical masks. SARS-CoV-2 RNA was detected in 25/82 (30.5%) surgical mask filters, while undetected among 57 (69.5%). For the surgical mask with an average use time of 7.05 h, the sensitivity was 30.5%, the specificity was 100.0%, with positive predictive value of 100.0% and negative predictive value of 76.2%. Therefore, surgical masks could be an alternative non-invasive specimen source for SARS-CoV-2 RT-PCR testing. The results of our study suggest that the test could be employed after wearing surgical masks for at least 8-12 h, with increased sensitivity when used for more than 12 h.</p></div>","PeriodicalId":36178,"journal":{"name":"Biosafety and Health","volume":"6 1","pages":"Pages 35-39"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590053623001544/pdfft?md5=4f3ea2cfc201bb2d805f6d26766e1f60&pid=1-s2.0-S2590053623001544-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139191095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-01DOI: 10.1016/j.bsheal.2023.12.002
Yu Sun , Runan Zhu , Yang Pan , Ri De , Shuang Liu , Liping Jia , Bing Lv , Xiaoyun Li , Dongmei Chen , Yao Yao , Dong Qu , Daitao Zhang , Linqing Zhao
The risk factors of severe infections in children during the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) outbreak in Beijing remain elusive. SARS-CoV-2-positive children admitted to the intensive care unit (ICU) with collected plasma specimens were enrolled and screened for common pathogens using capillary electrophoresis-based multiplex PCR from December 12, 2022, to January 24, 2023. The SARS-CoV-2 sub-variants were identified using next-generation sequencing. Plasma was positive for two (positive; P), one (suspicious; S), or no (negative; N) SARS-CoV-2 genes were classified as plasmatic RNA-positive (RNAemia; P + S) or without RNAemia (N). Clinical and laboratory data of the enrolled cases were then collected and analyzed. The 34 enrolled children included 26 males and 24 younger than three years. All were negative for other respiratory pathogens. BF.7.14 (18/29) was the predominant subvariant. Viral loads in respiratory specimens, hours from symptom onset to the first respiratory specimen collection (time-variable), with comorbidities and BF.7.14 and BA.5.2 distributions were significantly different in P vs. N and RNAemia vs. without RNAemia group. Among most cases, the T lymphocyte ratios decreased, while the cytokine level and the B lymphocyte ratio increased. The time variables were 2.22 ± 2.05 and 4.00 ± 2.49 days in BF.7.14 and BA.5.2 infections, respectively. In conclusion, SARS-CoV-2 was more likely to cause severe infections among males aged ≤ 3 years old with comorbidities during the SARS-CoV-2 outbreak in Beijing, while RNAemia is more common in children at the early stage of severe BF.7.14 infections, and most had high cytokine levels and B-cell activation.
{"title":"More common RNAemia in the early stage of severe SARS-CoV-2 BF.7.14 infections in pediatric patients","authors":"Yu Sun , Runan Zhu , Yang Pan , Ri De , Shuang Liu , Liping Jia , Bing Lv , Xiaoyun Li , Dongmei Chen , Yao Yao , Dong Qu , Daitao Zhang , Linqing Zhao","doi":"10.1016/j.bsheal.2023.12.002","DOIUrl":"10.1016/j.bsheal.2023.12.002","url":null,"abstract":"<div><p>The risk factors of severe infections in children during the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) outbreak in Beijing remain elusive. SARS-CoV-2-positive children admitted to the intensive care unit (ICU) with collected plasma specimens were enrolled and screened for common pathogens using capillary electrophoresis-based multiplex PCR from December 12, 2022, to January 24, 2023. The SARS-CoV-2 sub-variants were identified using next-generation sequencing. Plasma was positive for two (positive; P), one (suspicious; S), or no (negative; N) SARS-CoV-2 genes were classified as plasmatic RNA-positive (RNAemia; P + S) or without RNAemia (N). Clinical and laboratory data of the enrolled cases were then collected and analyzed. The 34 enrolled children included 26 males and 24 younger than three years. All were negative for other respiratory pathogens. BF.7.14 (18/29) was the predominant subvariant. Viral loads in respiratory specimens, hours from symptom onset to the first respiratory specimen collection (time-variable), with comorbidities and BF.7.14 and BA.5.2 distributions were significantly different in P vs. N and RNAemia vs. without RNAemia group. Among most cases, the T lymphocyte ratios decreased, while the cytokine level and the B lymphocyte ratio increased. The time variables were 2.22 ± 2.05 and 4.00 ± 2.49 days in BF.7.14 and BA.5.2 infections, respectively. In conclusion, SARS-CoV-2 was more likely to cause severe infections among males aged ≤ 3 years old with comorbidities during the SARS-CoV-2 outbreak in Beijing, while RNAemia is more common in children at the early stage of severe BF.7.14 infections, and most had high cytokine levels and B-cell activation.</p></div>","PeriodicalId":36178,"journal":{"name":"Biosafety and Health","volume":"6 1","pages":"Pages 5-11"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590053623001520/pdfft?md5=ba81f2f260178184e2a58320e62be649&pid=1-s2.0-S2590053623001520-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139191335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-01DOI: 10.1016/j.bsheal.2023.10.005
Rehab A. Rayan
Antimicrobial resistance (AMR) is a growing global threat, especially in low- and middle-income countries (LMICs), causing prolonged illnesses, heightened antimicrobial use, increased healthcare expenses, and avoidable deaths. If not tackled, AMR could force 24 million people into severe poverty by 2030 and hinder progress on Sustainable Development Goals (SDGs). AMR spreads through interconnected ecosystems, with humans, animals, and the environment serving as reservoirs. Pharmaceutical wastewater, loaded with antibiotics and resistance genes, poses a significant environmental risk, mainly due to inadequate treatment and irresponsible disposal. The pharmaceutical industry is a notable contributor to environmental antibiotic pollution, with varying effluent management practices. Contaminated pharmaceutical wastewater discharge harms water sources and ecosystems. Urgent collaborative efforts are needed across policymakers, regulators, manufacturers, researchers, civil society, and communities, adopting a One Health approach to curb AMR's spread. Developing global standards for pharmaceutical effluent antibiotic residues, effective treatment methods, and improved diagnostics are vital in addressing AMR's environmental impact while safeguarding public health and the environment. National action plans should encompass comprehensive strategies to combat AMR. Preserving antibiotic efficacy and ensuring sustainable production require a united front from all stakeholders.
抗菌药物耐药性(AMR)是一个日益严重的全球性威胁,尤其是在中低收入国家(LMICs),它导致病程延长、抗菌药物使用增加、医疗费用增加以及可避免的死亡。如果不加以解决,到 2030 年,AMR 可能会迫使 2400 万人陷入严重贫困,并阻碍可持续发展目标 (SDG) 的实现。AMR 通过相互关联的生态系统传播,人类、动物和环境都是传播源。制药废水中含有抗生素和抗药性基因,主要由于处理不当和不负责任的处置方式,对环境造成了严重危害。制药业是造成环境抗生素污染的重要因素,其污水管理方法各不相同。受污染的制药废水排放会危害水源和生态系统。迫切需要政策制定者、监管者、制造商、研究人员、民间社会和社区通力合作,采用 "一个健康 "方法遏制 AMR 的扩散。制定制药废水抗生素残留的全球标准、有效的处理方法和改进的诊断方法,对于在保护公众健康和环境的同时解决 AMR 对环境的影响至关重要。国家行动计划应包括抗击 AMR 的综合战略。保护抗生素的有效性和确保可持续生产需要所有利益相关者联合起来。
{"title":"Pharmaceutical effluent evokes superbugs in the environment: A call to action","authors":"Rehab A. Rayan","doi":"10.1016/j.bsheal.2023.10.005","DOIUrl":"10.1016/j.bsheal.2023.10.005","url":null,"abstract":"<div><p>Antimicrobial resistance (AMR) is a growing global threat, especially in low- and middle-income countries (LMICs), causing prolonged illnesses, heightened antimicrobial use, increased healthcare expenses, and avoidable deaths. If not tackled, AMR could force 24 million people into severe poverty by 2030 and hinder progress on Sustainable Development Goals (SDGs). AMR spreads through interconnected ecosystems, with humans, animals, and the environment serving as reservoirs. Pharmaceutical wastewater, loaded with antibiotics and resistance genes, poses a significant environmental risk, mainly due to inadequate treatment and irresponsible disposal. The pharmaceutical industry is a notable contributor to environmental antibiotic pollution, with varying effluent management practices. Contaminated pharmaceutical wastewater discharge harms water sources and ecosystems. Urgent collaborative efforts are needed across policymakers, regulators, manufacturers, researchers, civil society, and communities, adopting a One Health approach to curb AMR's spread. Developing global standards for pharmaceutical effluent antibiotic residues, effective treatment methods, and improved diagnostics are vital in addressing AMR's environmental impact while safeguarding public health and the environment. National action plans should encompass comprehensive strategies to combat AMR. Preserving antibiotic efficacy and ensuring sustainable production require a united front from all stakeholders.</p></div>","PeriodicalId":36178,"journal":{"name":"Biosafety and Health","volume":"5 6","pages":"Pages 363-371"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590053623001295/pdfft?md5=a6e45a4472199af2e4256dcedb217c5a&pid=1-s2.0-S2590053623001295-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136152481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}