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Multiplex real-time PCR for detecting and typing Clostridium botulinum group III organisms and their mosaic variants. 多重实时PCR检测和分型肉毒梭菌III群及其花叶变异。
Pub Date : 2013-09-01 DOI: 10.1089/bsp.2012.0084
Fabrizio Anniballi, Bruna Auricchio, Cédric Woudstra, Patrick Fach, Alfonsina Fiore, Hanna Skarin, Luca Bano, Bo Segerman, Rickard Knutsson, Dario De Medici

Botulism is a neuroparalytic disease that can occur in all warm-blooded animals, birds, and fishes. The disease in animals is mainly caused by toxins produced by Clostridium botulinum strains belonging to group III, although outbreaks due to toxins produced by group I and II organisms have been recognized. Group III strains are capable of producing botulinum toxins of type C, D, and C/D and D/C mosaic variants. Definitive diagnosis of animal botulism is made by combining clinical findings with laboratory investigations. Detection of toxins in clinical specimens and feed is the gold standard for laboratory diagnosis. Since toxins may be degraded by organisms contained in the gastrointestinal tract or may be present at levels below the detection limit, the recovery of C. botulinum from sick animal specimens is consistent for laboratory confirmation. In this article we report the development and in-house validation of a new multiplex real-time PCR for detecting and typing the neurotoxin genes found in C. botulinum group III organisms. Validation procedures have been carried out according to ISO 16140, using strains and samples recovered from cases of animal botulism in Italy and France.

肉毒杆菌中毒是一种神经麻痹性疾病,可发生在所有温血动物、鸟类和鱼类身上。动物中的疾病主要是由属于第三组的肉毒杆菌菌株产生的毒素引起的,尽管已确认由第一组和第二组生物体产生的毒素引起的暴发。III组菌株能够产生C型、D型、C/D型和D/C型花叶变异的肉毒杆菌毒素。动物肉毒杆菌中毒的明确诊断是通过结合临床结果和实验室调查作出的。在临床标本和饲料中检测毒素是实验室诊断的金标准。由于毒素可被胃肠道内的生物体降解,或其含量可能低于检出限,因此从患病动物标本中回收肉毒杆菌与实验室确认是一致的。在这篇文章中,我们报告了一种新的多重实时PCR检测和分型在肉毒杆菌III群生物中发现的神经毒素基因的开发和内部验证。验证程序根据ISO 16140进行,使用从意大利和法国动物肉毒杆菌中毒病例中回收的菌株和样本。
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引用次数: 18
Development and optimization of a biopreparedness protocol for extracting and detecting avian influenza virus in broiler chicken meat. 肉用鸡肉中禽流感病毒提取与检测的生物制备方案的建立与优化。
Pub Date : 2013-09-01 DOI: 10.1089/bsp.2012.0078
Simona Di Pasquale, Emiliana Falcone, Rickard Knutsson, Gabriele Vaccari, Dario De Medici, Livia Di Trani

Detection of avian influenza virus (AIV) in poultry meat is hampered by the lack of an efficient analytical method able to extract and concentrate viral RNA prior to PCR. In this study we developed a method for extracting and detecting AIV from poultry meat by a previously standardized 1-step real-time reverse transcriptase PCR (RRT-PCR) assay. In addition, a new process control, represented by feline calicivirus (FCV), was included in the original protocol, to evaluate all analytical steps from sample preparation to the detection phase. The detection limit was below 1×10(-1) TCID50 of AIV per sample, and the quantification limit corresponded to 1×10(1) TCID50 of AIV per sample. Moreover, the addition of 1×10(2) TCID50/sample of FCV did not affect the quantification and detection limit of the reaction. These results show that the developed assay is suitable for detecting small amounts of AIV in poultry meat. In addition, the developed biopreparedness protocol can be applied to detect AIV in legal or illegal imported broiler chicken meat. The availability of a rapid and sensitive diagnostic method based on molecular identification of AIV in poultry meat provides an important tool in the prevention of AIV circulation.

由于缺乏一种有效的分析方法,无法在聚合酶链反应之前提取和浓缩病毒RNA,因此对禽肉中禽流感病毒(AIV)的检测受到阻碍。在这项研究中,我们建立了一种通过标准化的1步实时逆转录酶PCR (RRT-PCR)方法从禽肉中提取和检测AIV的方法。此外,在原始方案中加入了以猫杯状病毒(FCV)为代表的新过程控制,以评估从样品制备到检测阶段的所有分析步骤。检出限低于1×10(-1) TCID50,定量限对应于1×10(1) TCID50。此外,1×10(2) TCID50/样品的加入不影响反应的定量和检出限。结果表明,该方法适用于禽肉中少量禽流感病毒的检测。此外,所开发的生物准备方案可用于检测合法或非法进口肉用鸡肉中的AIV。基于禽肉中AIV分子鉴定的快速、灵敏的诊断方法的建立为预防AIV的传播提供了重要的工具。
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引用次数: 0
Rodents as potential couriers for bioterrorism agents. 啮齿类动物作为潜在的生物恐怖制剂的信使。
Pub Date : 2013-09-01 DOI: 10.1089/bsp.2012.0085
Mare Lõhmus, Ingmar Janse, Frank van de Goot, Bart J van Rotterdam

Many pathogens that can cause major public health, economic, and social damage are relatively easily accessible and could be used as biological weapons. Wildlife is a natural reservoir for many potential bioterrorism agents, and, as history has shown, eliminating a pathogen that has dispersed among wild fauna can be extremely challenging. Since a number of wild rodent species live close to humans, rodents constitute a vector for pathogens to circulate among wildlife, domestic animals, and humans. This article reviews the possible consequences of a deliberate spread of rodentborne pathogens. It is relatively easy to infect wild rodents with certain pathogens or to release infected rodents, and the action would be difficult to trace. Rodents can also function as reservoirs for diseases that have been spread during a bioterrorism attack and cause recurring disease outbreaks. As rats and mice are common in both urban and rural settlements, deliberately released rodentborne infections have the capacity to spread very rapidly. The majority of pathogens that are listed as potential agents of bioterrorism by the Centers for Disease Control and Prevention and the National Institute of Allergy and Infectious Diseases exploit rodents as vectors or reservoirs. In addition to zoonotic diseases, deliberately released rodentborne epizootics can have serious economic consequences for society, for example, in the area of international trade restrictions. The ability to rapidly detect introduced diseases and effectively communicate with the public in crisis situations enables a quick response and is essential for successful and cost-effective disease control.

许多可造成重大公共卫生、经济和社会损害的病原体相对容易获得,并可用作生物武器。野生动物是许多潜在的生物恐怖主义制剂的天然储存库,而且,正如历史所表明的那样,消除在野生动物中传播的病原体是极具挑战性的。由于许多野生啮齿动物与人类生活在一起,因此啮齿动物构成了病原体在野生动物、家畜和人类之间传播的媒介。本文综述了故意传播啮齿动物病原体的可能后果。用某些病原体感染野生啮齿动物或释放受感染的啮齿动物相对容易,且作用难以追踪。啮齿类动物还可以作为在生物恐怖袭击中传播的疾病的宿主,并导致疾病的反复爆发。由于大鼠和小鼠在城市和农村住区都很常见,因此故意释放的啮齿动物传播的感染具有迅速传播的能力。被疾病控制和预防中心和国家过敏和传染病研究所列为生物恐怖主义潜在病原体的大多数病原体都利用啮齿动物作为媒介或宿主。除了人畜共患疾病外,故意释放啮齿动物传播的动物流行病也可能对社会造成严重的经济后果,例如在国际贸易限制方面。迅速发现传入疾病并在危机情况下与公众有效沟通的能力,能够迅速作出反应,对于成功和具有成本效益的疾病控制至关重要。
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引用次数: 7
Dengue: how imported mosquito-borne diseases take hold. 登革热:输入性蚊媒疾病如何流行。
Pub Date : 2013-09-01 Epub Date: 2013-08-28 DOI: 10.1089/bsp.2013.0814
Amesh A Adalja
Medicine for Policymakers is a Journal column that provides decision makers with brief explanations of the meaning and implications for biosecurity of clinical issues. The articles describe, for a nonmedical audience, hospital practices, medical challenges, healthcare delivery issues, and other topics of current interest. Readers may submit ideas to the column's editor, Amesh A. Adalja, MD, through the Journal's editorial office at jjfox@upmc.edu.
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引用次数: 0
Evaluation of direct 16S rDNA sequencing as a metagenomics-based approach to screening bacteria in bottled water. 直接16S rDNA测序作为基于宏基因组学的瓶装水中细菌筛选方法的评价
Pub Date : 2013-09-01 DOI: 10.1089/bsp.2012.0073
Trine Hansen, Beate Skånseng, Jeffrey Hoorfar, Charlotta Löfström

Deliberate or accidental contamination of food, feed, and water supplies poses a threat to human health worldwide. A rapid and sensitive detection technique that could replace the current labor-intensive and time-consuming culture-based methods is highly desirable. In addition to species-specific assays, such as PCR, there is a need for generic methods to screen for unknown pathogenic microorganisms in samples. This work presents a metagenomics-based direct-sequencing approach for detecting unknown microorganisms, using Bacillus cereus (as a model organism for B. anthracis) in bottled water as an example. Total DNA extraction and 16S rDNA gene sequencing were used in combination with principle component analysis and multicurve resolution to study detection level and possibility for identification. Results showed a detection level of 10(5) to 10(6) CFU/L. Using this method, it was possible to separate 2 B. cereus strains by the principal component plot, despite the close sequence resemblance. A linear correlation between the artificial contamination level and the relative amount of the Bacillus artificial contaminant in the metagenome was observed, and a relative amount value above 0.5 confirmed the presence of Bacillus. The analysis also revealed that background flora in the bottled water varied between the different water types that were included in the study. This method has the potential to be adapted to other biological matrices and bacterial pathogens for fast screening of unknown bacterial threats in outbreak situations.

蓄意或意外污染食品、饲料和水供应对全世界的人类健康构成威胁。迫切需要一种快速灵敏的检测技术,以取代目前劳动密集型和耗时的基于培养的方法。除了诸如聚合酶链反应(PCR)之类的物种特异性测定外,还需要通用方法来筛选样品中的未知致病微生物。这项工作提出了一种基于宏基因组学的检测未知微生物的直接测序方法,以瓶装水中的蜡样芽孢杆菌(作为炭疽芽孢杆菌的模式生物)为例。采用总DNA提取和16S rDNA基因测序,结合主成分分析和多曲线分辨率研究检测水平和鉴定可能性。结果显示,检测水平为10(5)~ 10(6)CFU/L。使用该方法,可以通过主成分图分离出2株蜡样芽孢杆菌,尽管序列相似。人工污染水平与芽孢杆菌人工污染物在宏基因组中的相对量呈线性相关,相对量大于0.5则证实了芽孢杆菌的存在。分析还显示,瓶装水中的背景菌群在研究中包括的不同类型的水之间有所不同。这种方法有可能适用于其他生物基质和细菌病原体,以便在疫情情况下快速筛选未知的细菌威胁。
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引用次数: 12
Animal botulism outcomes in the AniBioThreat project. 动物肉毒杆菌中毒的结果在AniBioThreat项目。
Pub Date : 2013-09-01 DOI: 10.1089/bsp.2012.0074
Cédric Woudstra, Annica Tevell Åberg, Hanna Skarin, Fabrizio Anniballi, Dario De Medici, Luca Bano, Miriam Koene, Charlotta Löfström, Trine Hansen, Mikael Hedeland, Patrick Fach

Botulism disease in both humans and animals is a worldwide concern. Botulinum neurotoxins produced by Clostridium botulinum and other Clostridium species are the most potent biological substances known and are responsible for flaccid paralysis leading to a high mortality rate. Clostridium botulinum and botulinum neurotoxins are considered potential weapons for bioterrorism and have been included in the Australia Group List of Biological Agents. In 2010 the European Commission (DG Justice, Freedom and Security) funded a 3-year project named AniBioThreat to improve the EU's capacity to counter animal bioterrorism threats. A detection portfolio with screening methods for botulism agents and incidents was needed to improve tracking and tracing of accidental and deliberate contamination of the feed and food chain with botulinum neurotoxins and other Clostridia. The complexity of this threat required acquiring new genetic information to better understand the diversity of these Clostridia and develop detection methods targeting both highly specific genetic markers of these Clostridia and the neurotoxins they are able to produce. Several European institutes participating in the AniBioThreat project collaborated on this program to achieve these objectives. Their scientific developments are discussed here.

人类和动物的肉毒杆菌中毒是全世界关注的问题。由肉毒梭菌和其他梭菌产生的肉毒神经毒素是已知最有效的生物物质,是导致高死亡率的弛缓性麻痹的原因。肉毒梭菌和肉毒杆菌神经毒素被认为是生物恐怖主义的潜在武器,已被列入澳大利亚集团生物制剂清单。2010年,欧盟委员会(司法、自由和安全总局)资助了一个为期三年的项目,名为“反生物威胁”,以提高欧盟应对动物生物恐怖主义威胁的能力。需要一套含有肉毒杆菌毒素和事件筛选方法的检测组合,以改进对肉毒杆菌神经毒素和其他梭状菌对饲料和食物链的意外和故意污染的跟踪和追踪。这种威胁的复杂性需要获取新的遗传信息,以更好地了解这些梭菌的多样性,并开发针对这些梭菌的高度特异性遗传标记和它们能够产生的神经毒素的检测方法。参与AniBioThreat项目的几个欧洲研究所在这个项目上进行了合作,以实现这些目标。这里讨论它们的科学发展。
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引用次数: 6
Social media and its dual use in biopreparedness: communication and visualization tools in an animal bioterrorism incident. 社会媒体及其在生物防备中的双重用途:动物生物恐怖主义事件中的通信和可视化工具。
Pub Date : 2013-09-01 DOI: 10.1089/bsp.2013.0014
Elisabeth Sjöberg, Gary C Barker, Jonas Landgren, Isaac Griberg, Jeffrey E Skiby, Anna Tubbin, Anne von Stapelmohr, Malin Härenstam, Mikael Jansson, Rickard Knutsson

This article focuses on social media and interactive challenges for emergency organizations during a bioterrorism or agroterrorism incident, and it outlines the dual-use dilemma of social media. Attackers or terrorists can use social media as their modus operandi, and defenders, including emergency organizations in law enforcement and public and animal health, can use it for peaceful purposes. To get a better understanding of the uses of social media in these situations, a workshop was arranged in Stockholm, Sweden, to raise awareness about social media and animal bioterrorism threats. Fifty-six experts and crisis communicators from international and national organizations participated. As a result of the workshop, it was concluded that emergency organizations can collect valuable information and monitor social media before, during, and after an outbreak. In order to make use of interactive communication to obtain collective intelligence from the public, emergency organizations must adapt to social networking technologies, requiring multidisciplinary knowledge in the fields of information, communication, IT, and biopreparedness. Social network messaging during a disease outbreak can be visualized in stream graphs and networks showing clusters of Twitter and Facebook users. The visualization of social media can be an important preparedness tool in the response to bioterrorism and agroterrorism.

本文关注的是在生物恐怖主义或农业恐怖主义事件中应急组织面临的社交媒体和互动挑战,并概述了社交媒体的双重使用困境。攻击者或恐怖分子可以利用社交媒体作为他们的作案手法,而维权者,包括执法部门的应急组织以及公共和动物卫生部门,可以将其用于和平目的。为了更好地了解在这些情况下社交媒体的使用,在瑞典斯德哥尔摩安排了一个讲习班,以提高对社交媒体和动物生物恐怖主义威胁的认识。来自国际和国家组织的56名专家和危机传播者参加了会议。讲习班得出的结论是,应急组织可以在疫情爆发之前、期间和之后收集有价值的信息并监测社交媒体。为了利用互动传播获取公众的集体智慧,应急组织必须适应社交网络技术,这需要信息、通信、IT和生物防备领域的多学科知识。在疾病爆发期间,社交网络信息可以在流图和网络中可视化,显示Twitter和Facebook用户群。社交媒体的可视化可以成为应对生物恐怖主义和农业恐怖主义的重要准备工具。
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引用次数: 10
Development of a comparative risk ranking system for agents posing a bioterrorism threat to human or animal populations. 对人类或动物种群构成生物恐怖主义威胁的物质制定比较风险排名系统。
Pub Date : 2013-09-01 DOI: 10.1089/bsp.2012.0070
Katharina Tomuzia, Andrea Menrath, Hendrik Frentzel, Matthias Filter, Armin A Weiser, Juliane Bräunig, Anja Buschulte, Bernd Appel

Various systems for prioritizing biological agents with respect to their applicability as biological weapons are available, ranging from qualitative to (semi)quantitative approaches. This research aimed at generating a generic risk ranking system applicable to human and animal pathogenic agents based on scientific information. Criteria were evaluated and clustered to create a criteria list. Considering availability of data, a number of 28 criteria separated by content were identified that can be classified in 11 thematic areas or categories. Relevant categories contributing to probability were historical aspects, accessibility, production efforts, and possible paths for dispersion. Categories associated with impact are dealing with containment measures, availability of diagnostics, preventive and treatment measures in human and animal populations, impact on society, human and veterinary public health, and economic and ecological consequences. To allow data-based scoring, each criterion was described by at least 1 measure that allows the assignment of values. These values constitute quantities, ranges, or facts that are as explicit and precise as possible. The consideration of minimum and maximum values that can occur due to natural variations and that are often described in the literature led to the development of minimum and maximum criteria and consequently category scores. Missing or incomplete data, and uncertainty resulting therefrom, were integrated into the scheme via a cautious (but not overcautious) approach. The visualization technique that was used allows the description and illustration of uncertainty on the level of probability and impact. The developed risk ranking system was evaluated by assessing the risk originating from the bioterrorism threat of the animal pathogen bluetongue virus, the human pathogen Enterohemorrhagic Escherichia coli O157:H7, the zoonotic Bacillus anthracis, and Botulinum neurotoxin.

根据生物制剂作为生物武器的适用性确定其优先次序的系统有多种,从定性方法到(半)定量方法不等。本研究旨在建立一个基于科学信息的适用于人类和动物病原体的通用风险排序系统。对标准进行评估和聚类,以创建一个标准列表。考虑到数据的可得性,确定了按内容划分的28项标准,可分为11个专题领域或类别。对概率有贡献的相关类别是历史方面、可及性、生产努力和可能的分散路径。与影响相关的类别涉及控制措施、诊断方法的可得性、对人类和动物群体的预防和治疗措施、对社会的影响、人类和兽医公共卫生以及经济和生态后果。为了允许基于数据的评分,每个标准由至少一个允许值分配的度量来描述。这些值构成数量、范围或事实,尽可能明确和精确。考虑到由于自然变化而可能出现的最小值和最大值,并且经常在文献中描述,导致了最小值和最大值标准的发展,从而导致了类别得分。缺失或不完整的数据,以及由此产生的不确定性,通过谨慎(但不是过度谨慎)的方法整合到方案中。所使用的可视化技术允许在概率和影响层面上描述和说明不确定性。通过对动物致病菌蓝舌病病毒、人类致病菌肠出血性大肠杆菌O157:H7、人畜共患炭疽芽孢杆菌和肉毒杆菌神经毒素等生物恐怖威胁的风险进行评估,对所建立的风险排序系统进行评价。
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引用次数: 4
The need for high-quality whole-genome sequence databases in microbial forensics. 微生物法医学中对高质量全基因组序列数据库的需求。
Pub Date : 2013-09-01 DOI: 10.1089/bsp.2013.0007
Andreas Sjödin, Tina Broman, Öjar Melefors, Gunnar Andersson, Birgitta Rasmusson, Rickard Knutsson, Mats Forsman

Microbial forensics is an important part of a strengthened capability to respond to biocrime and bioterrorism incidents to aid in the complex task of distinguishing between natural outbreaks and deliberate acts. The goal of a microbial forensic investigation is to identify and criminally prosecute those responsible for a biological attack, and it involves a detailed analysis of the weapon--that is, the pathogen. The recent development of next-generation sequencing (NGS) technologies has greatly increased the resolution that can be achieved in microbial forensic analyses. It is now possible to identify, quickly and in an unbiased manner, previously undetectable genome differences between closely related isolates. This development is particularly relevant for the most deadly bacterial diseases that are caused by bacterial lineages with extremely low levels of genetic diversity. Whole-genome analysis of pathogens is envisaged to be increasingly essential for this purpose. In a microbial forensic context, whole-genome sequence analysis is the ultimate method for strain comparisons as it is informative during identification, characterization, and attribution--all 3 major stages of the investigation--and at all levels of microbial strain identity resolution (ie, it resolves the full spectrum from family to isolate). Given these capabilities, one bottleneck in microbial forensics investigations is the availability of high-quality reference databases of bacterial whole-genome sequences. To be of high quality, databases need to be curated and accurate in terms of sequences, metadata, and genetic diversity coverage. The development of whole-genome sequence databases will be instrumental in successfully tracing pathogens in the future.

微生物取证是加强应对生物犯罪和生物恐怖主义事件能力的重要组成部分,有助于完成区分自然爆发和蓄意行为的复杂任务。微生物法医调查的目标是识别和刑事起诉那些对生物袭击负责的人,它涉及对武器的详细分析——也就是病原体。新一代测序(NGS)技术的发展大大提高了微生物法医分析的分辨率。现在有可能以一种快速和公正的方式,确定在密切相关的分离株之间以前无法检测到的基因组差异。这一发展与由遗传多样性水平极低的细菌谱系引起的最致命的细菌性疾病特别相关。预计病原体的全基因组分析对这一目的越来越重要。在微生物法医环境中,全基因组序列分析是菌株比较的最终方法,因为它在鉴定、表征和归因(调查的所有3个主要阶段)以及所有级别的微生物菌株身份鉴定(即,它解决了从家族到分离的全谱)中提供了信息。鉴于这些能力,微生物法医调查的一个瓶颈是细菌全基因组序列的高质量参考数据库的可用性。为了获得高质量的数据库,需要在序列、元数据和遗传多样性覆盖方面进行管理和准确。全基因组序列数据库的发展将有助于在未来成功地追踪病原体。
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引用次数: 20
EMAC volunteers: liability and workers' compensation. EMAC志工:责任与工伤赔偿。
Pub Date : 2013-09-01 DOI: 10.1089/bsp.2013.0040
Wilfredo Lopez, Stacie P Kershner, Matthew S Penn

The Emergency Management Assistance Compact (EMAC) provides a mechanism for states to assist each other during natural disasters and other emergencies. Congress ratified EMAC in 1996, and all 50 states and 3 territories have adopted it. EMAC allows a state affected by a disaster to request personnel and materiel from another state. For personnel requests, EMAC provides that the requesting state cover the tort liability and the responding state cover the workers' compensation liability. This article discusses the limitations of EMAC in deploying volunteers and how the Uniform Emergency Volunteer Health Practitioners Act and other provisions address those limitations.

《紧急情况管理援助契约》为各国在自然灾害和其他紧急情况下相互援助提供了一个机制。国会于1996年批准了EMAC,所有50个州和3个地区都采用了它。EMAC允许受灾害影响的州请求来自另一个州的人员和物资。对于人事请求,EMAC规定请求国承担侵权责任,回应国承担工人赔偿责任。本文讨论了EMAC在部署志愿者方面的局限性,以及《统一紧急志愿医疗从业人员法》和其他规定如何解决这些局限性。
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引用次数: 5
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Biosecurity and bioterrorism : biodefense strategy, practice, and science
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