Prevalence and correlates of diphtheria toxoid antibodies in children and adults in Israel

ABSTRACTA seroepidemiological study was performed to evaluate immunity to diphtheria and to determine the correlates of diphtheria toxoid antibody levels among children and adults in Israel. In total, 3185 sera from an age-stratified sample of children and adults, obtained in 2000–2001, were tested for diphtheria toxoid antibodies by an in-house double-antigen ELISA. A level of ≤0.01 IU /mL (no immune protection or seronegativity) was found in 168 (5.3%) of the 3185 subjects, 639 (20.1%) had antibody levels of 0.011–0.099 IU /mL (basic immunity or low seropositivity), and 2378 (74.7%) had antibody levels ≥0.1 IU /mL (full protection or seropositivity). Seronegativity increased significantly in subjects aged >50 years, reaching levels of 9.7%, 12.6% and 18.9% in the groups aged 50–54, 55–59 and >60 years, respectively (p 0.001), with rates of basic immunity following a similar pattern. Subjects born abroad had higher seronegativity rates than those born in Israel (7.7%vs. 4.9%; p 0.019). No difference in diphtheria toxoid antibody levels was found according to other demographical variables, such as gender, Jewish or Arab ethnicity, urban or rural settlements, and the subjects’ place of residence. The level of immunity to diphtheria among children and adults in Israel was satisfactory, with the exception of individuals aged >50 years. The risk of diphtheria outbreaks is low, but sporadic cases may occur among individuals lacking basic immunity against the disease

Femtosecond RMS timing jitter from 1 GHz InP on-chip mode-locked laser at 1550 nm

In this work, we analyze the timing stability of a 1 GHz InP on-chip monolithic mode-locked laser at 1550 nm. 504 fs RMS timing jitter is achieved by a hybrid mode-locking operation

Amplitude noise and RF response analysis of 1 GHz mode-locked pulses from an InP-based laser chip at 1550 nm

In this work, we investigate a 1 GHz InP-based hybrid mode-locked laser chip and find an amplitude noise of 0.036 percent. An RF response simulation of its custom-designed mounting PCB is performed providing power transmission between 86 and 92 percent

RF Analysis of a Sub-GHz InP-Based 1550 nm Monolithic Mode-Locked Laser Chip

We report a monolithic sub-GHz repetition rate mode-locked laser with record low pulse-to-pulse RMS timing jitter of 3.65 ps in the passive mode locking regime. We analyse the optical pulse generation in passive and hybrid mode-locking operating regimes, finding narrower RF tone linewidth in the passive regime, attributed to the improved contact structure of the gain sections. The noise performance is also characterized in passive and hybrid regimes, showing RMS integrated timing jitter of approximately 600 fs. For hybrid modelocking, the repetition rate can be varied over a large range from 880 to 990 MHz. We observe broad pulse widths of few hundred picoseconds attributed to the (long folded) waveguide architecture and on-chip multimode interference mirrors. This device subjects a stand-alone, ultra-compact, mode-locking based clock source to realize frequency synthesizers operating over a frequency range from sub-GHz up to approximately 15 GHz

Microevolution and Patterns of Transmission of Shigella sonnei within Cyclic Outbreaks of Shigellosis, Israel

Whole-genome sequencing unveiled host and environment-related insights to Shigella sonnei transmission within cyclic epidemics during 2000-2012 in Israel. The Israeli reservoir contains isolates belonging to S. sonnei lineage III but of different origin, shows loss of tetracycline resistance genes, and little genetic variation within the O antigen: highly relevant for Shigella vaccine development

Comparing three basic models for seasonal influenza

In this paper we report the use of the open source Spatiotemporal Epidemiological Modeler (STEM, www.eclipse.org/stem) to compare three basic models for seasonal influenza transmission. The models are designed to test for possible differences between the seasonal transmission of influenza A and B. Model 1 assumes that the seasonality and magnitude of transmission do not vary between influenza A and B. Model 2 assumes that the magnitude of seasonal forcing (i.e., the maximum transmissibility), but not the background transmission or flu season length, differs between influenza A and B. Model 3 assumes that the magnitude of seasonal forcing, the background transmission, and flu season length all differ between strains. The models are all optimized using 10 years of surveillance data from 49 of 50 administrative divisions in Israel. Using a cross-validation technique, we compare the relative accuracy of the models and discuss the potential for prediction. We find that accounting for variation in transmission amplitude increases the predictive ability compared to the base. However, little improvement is obtained by allowing for further variation in the shape of the seasonal forcing function

Increased risk of malignancies in a population-based study of 818 soft-tissue sarcoma patients

Soft-tissue sarcomas (STS) have been associated with various rare cancer syndromes and occur at increased frequencies in survivors of childhood cancer. Also adult patients with STS have been suggested to be at an increased risk of additional malignancies. After exclusion of syndrome-associated and radiation-induced sarcomas, we studied multiple primary malignancies in a population-based cohort of 818 patients with primary STS of the extremities and the trunk wall. In total, 203 other malignancies developed in 164 (20%) patients median 10 (0–32) years before and median 4 (0–35) years after the sarcoma diagnosis. Standardised morbidity ratios (SMRs) were determined for primary malignancies following a STS. Hereby individuals who had developed a STS were identified to be at increased risk of second primary malignancies (SMR for all malignant tumours=1.3; 95% CI=1.0–1.5; P=0.02) with STS being the only specific tumour type that occurred at an increased risk (SMR=17.6; 95% CI=8.1–33.5; P<0.001). Hence, this population-based series demonstrates a high frequency of second primary tumours among STS patients and indicates a particularly increased risk of developing a new STS