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viernes, 23 de diciembre de 2016

#HISTORY: The Spanish royal philanthropic expedition to bring #smallpox vaccination to the New World, XIX Century

The New World was ravaged by smallpox for several centuries after the Spanish conquest. Jenner's discovery of the smallpox vaccine made possible the prevention and control of smallpox epidemics. In response to a large outbreak of smallpox in the Spanish colonies, King Charles IV appointed Francisco Xavier de Balmis to lead an expedition that would introduce Jenner's vaccine to these colonies. During the journey, the vaccine was kept viable by passing it from arm to arm in orphaned children, who were brought along expressly for that purpose and remained under the care of the orphanage's director. This expedition was the first large scale mass vaccination of its kind. The historic legacy of this pioneering event in international health should be revisited in the current era of persistent inequalities in global health.

>> VER PELÍCULA (antes del 27DIC2016) <<

REFERENCIA:
Franco-Paredes C, Lammoglia L, Santos-Preciado JI. The Spanish royal philanthropic expedition to bring smallpox vaccination to the New World and Asia  in the 19th century. Clin Infect Dis. 2005 Nov 1;41(9):1285-9.
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lunes, 19 de diciembre de 2016

Use of transgenic Aedes aegypti in Brazil: risk perception and assessment.

Este artículo se encuentra en ESPAÑOL / This article is translated in multi languages
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The OX513A strain of Aedes aegypti, which was developed by the British company Oxitec, expresses a self-limiting transgene that prevents larvae from developing to adulthood. In April 2014, the Brazilian National Technical Commission on Biosafety completed a risk assessment of OX513A and concluded that the strain did not present new biological risks to humans or the environment and could be released in Brazil. At that point, Brazil became the first country to approve the unconstrained release of a genetically modified mosquito. During the assessment, the commission produced a comprehensive list of - and systematically analysed - the perceived hazards. Such hazards included the potential survival to adulthood of immature stages carrying the transgene - should the transgene fail to be expressed or be turned off by exposure to sufficient environmental tetracycline. Other perceived hazards included the potential allergenicity and/or toxicity of the proteins expressed by the gene, the potential for gene flow or increased transmission of human pathogens and the occupation of vacant breeding sites by other vector species. The Zika epidemic both elevated the perceived importance of Ae. aegypti as a vector - among policy-makers and regulators as well as the general public - and increased concerns over the release of males of the OX513A strain. We have therefore reassessed the potential hazards. We found that release of the transgenic mosquitoes would still be both safe and of great potential value in the control of diseases spread by Ae. aegypti, such as chikungunya, dengue and Zika.
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Uso de Aedes aegypti transgénicos en Brasil: percepción y evaluación de riesgos
La cepa OX513A de Aedes aegypti, que desarrolló la empresa británica Oxitec, expresa un transgén autolimitado que impide que las larvas se desarrollen hasta la edad adulta. En abril de 2014, la Comisión Nacional Técnica de Bioseguridad de Brasil realizó una evaluación de riesgos de OX513A y concluyó que la cepa no presentaba nuevos riesgos biológicos para los humanos o el medioambiente y que podría liberarse en Brasil. En ese momento, Brasil se convirtió en el primer país en aprobar la liberación ilimitada de un mosquito modificado genéticamente. A lo largo de la evaluación, la comisión redactó una lista completa, y analizada sistemáticamente, de las posibles contingencias. Entre dichos peligros se encontraba la posible supervivencia hasta la edad adulta de etapas inmaduras que portan el transgén, en caso de que éste no consiga expresarse o se inutilice debido a la exposición a la suficiente tetraciclina medioambiental. Otras posibles contingencias eran la alergia y/o toxicidad de las proteínas expresadas por el gen, la posibilidad de un flujo genético o el aumento de la transmisión de patógenos humanos y la ocupación de lugares de cría desocupados por parte de otras especies vectores. La epidemia por el virus de Zika aumentó la importancia de Ae. aegypti como vector, entre los responsables y reguladores políticos, así como entre el público general, y aumentó las preocupaciones acerca de la liberación de machos de la cepa OX513A. Por lo tanto, se han vuelto a evaluar los posibles riesgos. Se ha descubierto que la liberación de mosquitos transgénicos sería segura y tendría un gran valor potencial en el control de la propagación de enfermedades por Ae. aegypti, como la fiebre chikungunya, el dengue y la enfermedad por el virus de Zika.
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REFERENCE:
Paes de Andrade P, et al. Use of transgenic Aedes aegypti in Brazil: risk perception and assessment. Bull World Health Organ. 2016 Oct 1;94(10):766-771.
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sábado, 17 de diciembre de 2016

Película completa "22 angeles" online, por RTVE. Hasta Dic 27, 2016. #viruela

Ya pueden verla en línea. Disponible hasta el 27 de diciembre de 2016.
Gran historia basada en hechos reales: la expedición encabezada por el doctor Francisco Javier Balmis que llevó la vacuna de la viruela a las Américas a comienzos del siglo XIX.
En el barco en el que emprenden la travesía viajan 22 niños, los portadores de la vacuna de la viruela “brazo a brazo”. Junto a ellos, la directora de un orfanato de A Coruña, Isabel Cendal, la encargada de encontrar a los “22 ángeles” y la persona que se ocupará de ellos a lo largo de toda la travesía. Una mujer en un barco lleno de rudos marineros, pero donde también viaja el ayudante del doctor Balmis, el doctor Salvany.

>> VER COMPLETO "22 ÀNGELES" <<
http://www.rtve.es/alacarta/videos/22-angeles/22-angeles-cap-1-hd/3827192/

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martes, 13 de diciembre de 2016

Revista Mexicana de Bioseguridad 2016

La Asociación Mexicana de Bioseguridad presentó la nueva Revista MExicana de Bioseguridad 2016, que contiene como artículo principal los Lineamientos para la Gestión de Riesgo Biológico, un gran esfuerzo de profesionales de Bioseguridad en México, con base en el CWA15793: Laboratory Biorisk Management 2018. La revista contiene además, el archivo fotográfico y resúmenes de trabajos libres del 8º Simposio de Bioseguridad y Biocustodia desarrollado en 2016. Pueden descargar la revista y sus ediciones anteriores desde la página: http://amexbio.wildapricot.org/Revista

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lunes, 5 de diciembre de 2016

Establishing protocols for tick containment at Biosafety Level 4.

Tick-borne diseases continue to emerge and have a great impact on public health and agriculture. In addition, many of the agents of tick-borne diseases, which are classified as Biosafety Level 4 (BSL-4) viruses, have the potential to be used as biothreat agents. In spite of the known importance of these pathogens, there is an acute shortage of facilities and trained personnel to study the pathogenesis of tick-borne diseases and to assess vaccine as well as other therapeutic interventions against tick-borne diseases as they are transmitted in nature. We, at the Galveston National Laboratory, have developed facilities and protocols to safely work with BSL4 virus-infected ticks. This capability adds tremendous value to the Nation's training and research endeavors. In this report we describe the procedures and protocols to establish tick work in a BSL4 laboratory.

REFERENCE:
Thangamani S, Bente D. Establishing protocols for tick containment at Biosafety Level 4. Pathog Dis. 2014 Jul;71(2):282-5.
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lunes, 28 de noviembre de 2016

Preparation of viral samples within biocontainment for ultrastructural analysis

Transmission electron microscopy can be used to observe the ultrastructure of viruses and other microbial pathogens with nanometer resolution. In a transmission electron microscope (TEM), the image is created by passing an electron beam through a specimen with contrast generated by electron scattering from dense elements in the specimen. Viruses do not normally contain dense elements, so a negative stain that places dense heavy metal salts around the sample is added to create a dark border. To prepare a virus sample for a negative stain transmission electron microscopy, a virus suspension is applied to a TEM grid specimen support, which is a 3mm diameter fragile specimen screen coated with a few nanometers of plastic film. Then, deionized (dI) water rinses and a negative stain solution are applied to the grid. All infectious viruses must be handled in a biosafety cabinet (BSC) and many require a biocontainment laboratory environment. Staining viruses in biosafety levels (BSL) 3 and 4 is especially challenging because the support grids are small, fragile, and easily moved by air currents. In this study we evaluated a new device for negative staining viruses called mPrep/g capsule. It is a capsule that holds up to two TEM grids during all processing steps and for storage after staining is complete. This study reports that the mPrep/g capsule method is valid and effective to negative stain virus specimens, especially in high containment laboratory environments.

REFERENCE:
Monninger MK, et al. Preparation of viral samples within biocontainment for ultrastructural analysis: Utilization of an innovative processing capsule for negative staining. J Virol Methods. 2016 Dec;238:70-76. doi: 10.1016/j.jviromet.2016.10.005. PubMed PMID: 27751950.
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martes, 22 de noviembre de 2016

#VIDEO: Safety Precautions and Operating Procedures in an (A)BSL-4 Laboratory

Biosafety level 4 (BSL-4) suit laboratories are specifically designed to study high-consequence pathogens for which neither infection prophylaxes nor treatment options exist. The hallmarks of these laboratories are: custom-designed airtight doors, dedicated supply and exhaust airflow systems, a negative-pressure environment, and mandatory use of positive-pressure (“space”) suits. The risk for laboratory specialists working with highly pathogenic agents is minimized through rigorous training and adherence to stringent safety protocols and standard operating procedures. Researchers perform the majority of their work in BSL-2 laboratories and switch to BSL-4 suit laboratories when work with a high-consequence pathogen is required. Collaborators and scientists considering BSL-4 projects should be aware of the challenges associated with BSL-4 research both in terms of experimental technical limitations in BSL-4 laboratory space and the increased duration of such experiments. Tasks such as entering and exiting the BSL-4 suit laboratories are considerably more complex and time-consuming compared to BSL-2 and BSL-3 laboratories. The focus of this particular article is to address basic biosafety concerns and describe the entrance and exit procedures for the BSL-4 laboratory at the NIH/NIAID Integrated Research Facility at Fort Detrick. Such procedures include checking external systems that support the BSL-4 laboratory, and inspecting and donning positive-pressure suits, entering the laboratory, moving through air pressure-resistant doors, and connecting to air-supply hoses. We will also discuss moving within and exiting the BSL-4 suit laboratories, including using the chemical shower and removing and storing positive-pressure suits.

REFERENCE:
Janosko, Krisztina et al. “Safety Precautions and Operating Procedures in an (A)BSL-4 Laboratory: 1. Biosafety Level 4 Suit Laboratory Suite Entry and Exit Procedures.” Journal of Visualized Experiments : JoVE 116 (2016): 52317. PMC. Web. 17 Nov. 2016.
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lunes, 14 de noviembre de 2016

Containment of Arthropod Disease Vectors

Arthropods
Effective containment of arthropod vectors of infectious diseases is necessary to prevent transmission of pathogens by released, infected vectors and to prevent vectors that escape from establishing populations that subsequently contribute to increased disease. Although rare, past releases illustrate what can go wrong and justify the need for guidelines that minimize risks. An overview of recommendations for insectary facilities, practices, and equipment is provided, and features of four recently published and increasingly rigorous arthropod containment levels (ACLs 1-4) are summarized. ACL-1 is appropriate for research that constitutes the lowest risk level, including uninfected arthropods or vectors that are infected with micro-organisms that do not cause disease in humans, domestic animals, or wildlife. ACL-2 is appropriate for indigenous and exotic arthropods that represent a moderate risk, including vectors infected or suspected of being infected with biosafety level (BSL)-2 infectious agents and arthropods that have been genetically modified in ways that do not significantly affect their fecundity, survival, host preference, or vector competence. ACL-3 is recommended for arthropods that are or may be infected with BSL-3 infectious agents. ACL-3 places greater emphasis on pathogen containment and more restricted access to the insectary than ACL-2. ACL-4 is intended for arthropods that are infected with the most dangerous BSL-4 infectious agents, which can cause life-threatening illness by aerosol or arthropod bite. Adherence to these guidelines will result in laboratory-based arthropod vector research that minimizes risks and results in important new contributions to applied and basic science.

REFERENCE:
Scott TW. Containment of arthropod disease vectors. ILAR J. 2005;46(1):53-61. Review.

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lunes, 7 de noviembre de 2016

Communicable Diseases and Outbreak Control

Infectious disease during an emergency condition can raise the death rate 60 times in comparison to other causes including trauma. An epidemic, or outbreak, can occur when several aspects of the agent (pathogen), population (hosts), and the environment create an ideal situation for spread. Overcrowding, poor regional design and hygiene due to poverty, dirty drinking water, rapid climate changes, and natural disasters, can lead to conditions that allow easier transmission of disease. Once it has been established that an emergency condition exists, there must be a prompt and thorough response for communicable disease control. A camp should be created, and the disease managed rapidly. The overall goals are rapid assessment, prevention, surveillance, outbreak control, and disease management.
REFERENCE:
AMELI, Jonathan. “Communicable Diseases and Outbreak Control.” Turkish Journal of Emergency Medicine 15.Suppl 1 (2015): 20–26. PMC.

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lunes, 31 de octubre de 2016

Informe Mundial sobre el Paludismo 2015

El Informe Mundial sobre el Paludismo 2015 resume la información recibida de los países en los que esta enfermedad es endémica, así como de otras fuentes. En él se evalúan las tendencias mundiales y regionales del paludismo, se destacan los progresos realizados hacia la consecución de las metas mundiales, y se describen las oportunidades y los desafíos en el control y eliminación de la enfermedad.
El informe muestra una disminución dramática en la carga global del paludismo desde el 2000. Cincuenta y siete países redujeron sus casos de paludismo en un 75%, en línea con las metas de la Asamblea Mundial de la Salud para el 2015.
A pesar de este enorme progreso, todavía queda mucho por hacer para reducir aún más la carga del paludismo. La Estrategia Técnica Mundial contra la Malaria 2016-2030, aprobada por la Asamblea Mundial de la Salud en mayo de 2015, establece objetivos ambiciosos pero alcanzables para el año 2030, incluyendo una reducción de por lo menos el 90% en la incidencia y mortalidad por paludismo a nivel mundial.

REFERENCE:
Informe Mundial sobre el Paludismo 2015
Número de páginas: 32
Fecha de publicación: 2016
Idiomas: Español, francés e inglés
Número de referencia OMS: WHO/HTM/GMP.2016.2 (resumen)
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Recent Advances in Antimicrobial Polymers: A Mini-Review

Human safety and well-being is threatened by microbes causing numerous infectious diseases resulting in a large number of deaths every year. Despite substantial progress in antimicrobial drugs, many infectious diseases remain difficult to treat. Antimicrobial polymers offer a promising antimicrobial strategy for fighting pathogens and have received considerable attention in both academic and industrial research. This mini-review presents the advances made in antimicrobial polymers since 2013. Antimicrobial mechanisms exhibiting either passive or active action and polymer material types containing bound or leaching antimicrobials are introduced. This article also addresses the applications of these antimicrobial polymers in the medical, food, and textile industries.

REFERENCE:
Huang, Keng-Shiang et al. “Recent Advances in Antimicrobial Polymers: A Mini-Review.” Ed. Antonella Piozzi and Iolanda Francolini. International Journal of Molecular Sciences 17.9 (2016): 1578.
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jueves, 27 de octubre de 2016

VIDEO: Safety procedures for handling sharps

This VIDEO discusses proper safety procedures for handling sharps in the lab:


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lunes, 24 de octubre de 2016

The Weekly Epidemiological Record (WER)

The Weekly Epidemiological Record (WER) serves as an essential instrument for the rapid and accurate dissemination of epidemiological information on cases and outbreaks of diseases under the International Health Regulations and on other communicable diseases of public health importance, including emerging or re-emerging infections.

REFERENCE:
Weekly Epidemiological Record (WER)

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martes, 18 de octubre de 2016

Niveles de bioseguridad

A partir de la publicación del nuevo manual de bioseguridad en el laboratorio de la OMS en Dic/2020, desaparecen los niveles de bioseguridad, y se establecen las medidas de bioseguridad basadas en riesgos. 



REFERENCIA:
Página 15. Manual de bioseguridad en el laboratorio. Tercera edición, Organización Mundial de la Salud. 2005. ISBN 9243546503
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#WEBINAR: The Necrobiome - Microbial Life After Death

What happens to us after we die? A decomposing corpse becomes its own mini-ecosystem, hosting insects, scavengers and multitudes of microbes. Microbes from the environment, the corpse, as well as the insects and scavengers are blended together and work to recycle tissues back to their constituents. Dr. Jennifer DeBruyn will discuss the fascinating process of human decomposition, and how scientists are using that information to inform forensic science, livestock mortality management and fossilization. The talk will start promptly at 6:30 p.m. ET (CDMX: 5:30 p.m.), an you can watch onlineat the ASM Youtube Channel:  https://youtu.be/iqVpL0y5ofM

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jueves, 13 de octubre de 2016

HIGH-CONTAINMENT LABS: Improved Oversight of Dangerous Pathogens Needed to Mitigate Risk

The total number of incidents involving incomplete inactivation—a process to destroy the hazardous effects of pathogens while retaining characteristics for future use—that occurred from 2003 through 2015 is unknown for several reasons. One key reason is that the Select Agent Program—operated by the Departments of Health and Human Services (HHS) and Agriculture (USDA) to oversee certain dangerous pathogens, known as select agents—does not require laboratories to identify such incidents on reporting forms. According to the program, 10 incidents occurred from 2003 through 2015. However, GAO identified an additional 11 incidents that the program did not initially identify. Because the program cannot easily identify incidents involving incomplete inactivation, it does not know the frequency or reason they occur, making it difficult to develop guidance to help mitigate future incidents. The 21 identified incidents involved a variety of pathogens and laboratories, as shown below.

REFERENCE:
HIGH-CONTAINMENT LABORATORIES: Improved Oversight of Dangerous Pathogens Needed to Mitigate Risk. GAO-16-642: Published: Aug 30, 2016. Publicly Released: Sep 21, 2016.
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lunes, 10 de octubre de 2016

Measuring Pathogen Decay in Bioaerosols

This work aimed to develop an in vivo approach for measuring the duration of human bioaerosol infectivity. To achieve this, techniques designed to target short-term and long-term bioaerosol aging, were combined in a tandem system and optimized for the collection of human respiratory bioaerosols, without contamination. To demonstrate the technique, cough aerosols were sampled from two persons with cystic fibrosis and chronic Pseudomonas aeruginosa infection. Measurements and cultures from aerosol ages of 10, 20, 40, 900 and 2700 seconds were used to determine the optimum droplet nucleus size for pathogen transport and the airborne bacterial biological decay. The droplet nuclei containing the greatest number of colony forming bacteria per unit volume of airborne sputum were between 1.5 and 2.6 μm. Larger nuclei of 3.9 μm, were more likely to produce a colony when impacted onto growth media, because the greater volume of sputum comprising the larger droplet nuclei, compensated for lower concentrations of bacteria within the sputum of larger nuclei. Although more likely to produce a colony, the larger droplet nuclei were small in number, and the greatest numbers of colonies were instead produced by nuclei from 1.5 to 5.7 μm. Very few colonies were produced by smaller droplet nuclei, despite their very large numbers. The concentration of viable bacteria within the dried sputum comprising the droplet nuclei exhibited an orderly dual decay over time with two distinct half-lives. Nuclei exhibiting a rapid biological decay process with a 10 second half-life were quickly exhausted, leaving only a subset characterized by a half-life of greater than 10 minutes. This finding implied that a subset of bacteria present in the aerosol was resistant to rapid biological decay and remained viable in room air long enough to represent an airborne infection risk.

REFERENCE:
Johnson, Graham R. et al. “A Novel Method and Its Application to Measuring Pathogen Decay in Bioaerosols from Patients with Respiratory Disease.” Ed. Nicole M. Bouvier. PLoS ONE 11.7 (2016): e0158763.
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jueves, 6 de octubre de 2016

Concentrations and Sources of Airborne Particles in a Neonatal Intensive Care Unit

Premature infants in neonatal intensive care units (NICUs) have underdeveloped immune systems, making them susceptible to adverse health consequences from air pollutant exposure. Little is known about the sources of indoor airborne particles that contribute to the exposure of premature infants in the NICU environment. In this study, we monitored the spatial and temporal variations of airborne particulate matter concentrations along with other indoor environmental parameters and human occupancy. The experiments were conducted over one year in a private-style NICU. The NICU was served by a central heating, ventilation and air-conditioning (HVAC) system equipped with an economizer and a high-efficiency particle filtration system. The following parameters were measured continuously during weekdays with 1-min resolution: particles larger than 0.3 μm resolved into 6 size groups, CO2 level, dry-bulb temperature and relative humidity, and presence or absence of occupants. Altogether, over sixteen periods of a few weeks each, measurements were conducted in rooms occupied with premature infants. In parallel, a second monitoring station was operated in a nearby hallway or at the local nurses’ station. The monitoring data suggest a strong link between indoor particle concentrations and human occupancy. Detected particle peaks from occupancy were clearly discernible among larger particles and imperceptible for submicron (0.3–1 μm) particles. The mean indoor particle mass concentrations averaged across the size range 0.3–10 μm during occupied periods was 1.9 μg/m3, approximately 2.5 times the concentration during unoccupied periods (0.8 μg/m3). Contributions of within-room emissions to total PM10 mass in the baby rooms averaged 37–81%. Near-room indoor emissions and outdoor sources contributed 18–59% and 1–5%, respectively. Airborne particle levels in the size range 1–10 μm showed strong dependence on human activities, indicating the importance of indoor-generated particles for infant’s exposure to airborne particulate matter in the NICU.

REFERENCE:
Licina, Dusan et al. “Concentrations and Sources of Airborne Particles in a Neonatal Intensive Care Unit.” Ed. Jeffrey Shaman. PLoS ONE 11.5 (2016): e0154991.

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lunes, 3 de octubre de 2016

Recent advances in synthetic biosafety

Synthetically engineered organisms hold promise for a broad range of medical, environmental, and industrial applications. Organisms can potentially be designed, for example, for the inexpensive and environmentally benign synthesis of pharmaceuticals and industrial chemicals, for the cleanup of environmental pollutants, and potentially even for biomedical applications such as the targeting of specific diseases or tissues. However, the use of synthetically engineered organisms comes with several reasonable safety concerns, one of which is that the organisms or their genes could escape their intended habitats and cause environmental disruption. Here we review key recent developments in this emerging field of synthetic biocontainment and discuss further developments that might be necessary for the widespread use of synthetic organisms. Specifically, we discuss the history and modern development of three strategies for the containment of synthetic microbes: addiction to an exogenously supplied ligand; self-killing outside of a designated environment; and self-destroying encoded DNA circuitry outside of a designated environment.

REFERENCE:
Simon, Anna J., and Andrew D. Ellington. “Recent Advances in Synthetic Biosafety.” F1000 Research 5 (2016): F1000 Faculty Rev–2118. PMC. Web. 19 Sept. 2016.
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jueves, 29 de septiembre de 2016

Microneedles: A New Frontier in Nanomedicine Delivery

This review aims to concisely chart the development of two individual research fields, namely nanomedicines, with specific emphasis on nanoparticles (NP) and microparticles (MP), and microneedle (MN) technologies, which have, in the recent past, been exploited in combinatorial approaches for the efficient delivery of a variety of medicinal agents across the skin. This is an emerging and exciting area of pharmaceutical sciences research within the remit of transdermal drug delivery and as such will undoubtedly continue to grow with the emergence of new formulation and fabrication methodologies for particles and MN. Firstly, the fundamental aspects of skin architecture and structure are outlined, with particular reference to their influence on NP and MP penetration. Following on from this, a variety of different particles are described, as are the diverse range of MN modalities currently under development. The review concludes by highlighting some of the novel delivery systems which have been described in the literature exploiting these two approaches and directs the reader towards emerging uses for nanomedicines in combination with MN.

REFERENCE:
Larrañeta, Eneko et al. “Microneedles: A New Frontier in Nanomedicine Delivery.” Pharmaceutical Research 33 (2016): 1055–1073. PMC.
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lunes, 26 de septiembre de 2016

Use of Ultraviolet (UV) Lights in Biological Safety Cabinets

The purpose of this paper is to review information available on the use, risks and benefits of using Ultraviolet (UV) lights in Biological Safety Cabinets (BSC) and set forth a position based on the risk and benefits.

REFERENCE:
BurgenerJ.  Position Paper on the Use of Ultraviolet Lights in Biological Safety Cabinets. Applied Biosafety (2006), 11(4) pp. 228-230
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jueves, 22 de septiembre de 2016

Respiratory Health in Waste Collection and Disposal Workers

Waste management, namely, collection, transport, sorting and processing, and disposal, is an issue of social concern owing to its environmental impact and effects on public health. In fact, waste management activities are carried out according to procedures that can have various negative effects on the environment and, potentially, on human health. The aim of our study was to assess the potential effects on respiratory health of this exposure in workers in the waste management and disposal field, as compared with a group of workers with no occupational exposure to outdoor pollutants. The sample consisted of a total of 124 subjects, 63 waste collectors, and 61 office clerks. Informed consent was obtained from all subjects before inclusion in the study. The entire study population underwent pulmonary function assessments with spirometry and completed two validated questionnaires for the diagnosis of rhinitis and chronic bronchitis. Statistical analyses were performed using STATA 13. Spirometry showed a statistically significant reduction in the mean Tiffenau Index values in the exposed workers, as compared with the controls, after adjusting for the confounding factors of age, BMI, and smoking habit. Similarly, the mean FEV1 values were lower in the exposed workers than in the controls, this difference being again statistically significant. The FVC differences measured in the two groups were not found to be statistically significant. We ran a cross-sectional study to investigate the respiratory health of a group of workers in the solid waste collection and disposal field as compared with a group of office workers. In agreement with most of the data in the literature, our findings support the existence of a prevalence of respiratory deficits in waste disposal workers. Our data suggest the importance of adopting preventive measures, such as wearing specific individual protection devices, to protect this particular category of workers from adverse effects on respiratory health.

REFERENCE:
Vimercati, Luigi et al. “Respiratory Health in Waste Collection and Disposal Workers.” Ed. Paul B. Tchounwou. International Journal of Environmental Research and Public Health 13.7 (2016): 631. PMC. Web. 18 Aug. 2016.

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lunes, 19 de septiembre de 2016

Pregnancy, Labor, Delivery & Ebola: Implications for Infection Control in Obstetrics

UNICEF pregnant woman
Many of the survivors of the 2014–2015 epidemic of Ebola virus disease (EVD) in West Africa were women of childbearing age. Limited clinical and laboratory data exist that describe these women’s pregnancies and outcomes. We report the case of an EVD survivor who became pregnant and delivered her child in the United States, and we discuss implications of this case for infection control practices in obstetric services. Hospitals in the United States must be prepared to care for EVD survivors.

REFERENCE:
Kamali, Amanda et al. “Pregnancy, Labor, and Delivery after Ebola Virus Disease and Implications for Infection Control in Obstetric Services, United States.” Emerging Infectious Diseases 22.7 (2016): 1156–1161. PMC. Web. 18 Aug. 2016.

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lunes, 12 de septiembre de 2016

#Ebola response in Sierra Leone: The impact on children

The West African Ebola virus disease (EVD) outbreak is the largest ever seen, with over 28,000 cases and 11,300 deaths since early 2014. The magnitude of the outbreak has tested fragile governmental health systems and non-governmental organizations (NGOs) to their limit. Here we discuss the outbreak in the Western Area of Sierra Leone, the shape of the local response and the impact the response had on caring for children suspected of having contracted EVD. Challenges encountered in providing clinical care to children whilst working in the “Red Zone” where risk of EVD is considered to be highest, wearing full personal protective equipment are detailed. Suggestions and recommendations both for further research and for operational improvement in the future are made, with particular reference as to how a response could be more child-focused.

REFERENCE:
Fitzgerald, Felicity et al. “Ebola Response in Sierra Leone: The Impact on Children.” The Journal of Infection 72.Suppl (2016): S6–S12. PMC. Web. 18 Aug. 2016.

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