Live Attenuated B. pertussis as a Single-Dose Nasal Vaccine against Whooping Cough

Pertussis is still among the principal causes of death worldwide, and its incidence is increasing even in countries with high vaccine coverage. Although all age groups are susceptible, it is most severe in infants too young to be protected by currently available vaccines. To induce strong protective immunity in neonates, we have developed BPZE1, a live attenuated Bordetella pertussis strain to be given as a single-dose nasal vaccine in early life. BPZE1 was developed by the genetic inactivation or removal of three major toxins. In mice, BPZE1 was highly attenuated, yet able to colonize the respiratory tract and to induce strong protective immunity after a single nasal administration. Protection against B. pertussis was comparable to that induced by two injections of acellular vaccine (aPV) in adult mice, but was significantly better than two administrations of aPV in infant mice. Moreover, BPZE1 protected against Bordetella parapertussis infection, whereas aPV did not. BPZE1 is thus an attractive vaccine candidate to protect against whooping cough by nasal, needle-free administration early in life, possibly at birth

Natural heritage inventory of Mesa County, Colorado

Prepared by Peggy Lyon ... [et al.], Colorado Natural Heritage Program."Prepared for: Mesa County Commissioners, December 15, 1996"--Cover.Includes bibliographical references

Effectiveness of an electronic clinical decision support system in improving the management of childhood illness in primary care in rural Nigeria: an observational study

Objectives To evaluate the impact of ALgorithm for the MANAgement of CHildhood illness (‘ALMANACH’), a digital clinical decision support system (CDSS) based on the Integrated Management of Childhood Illness, on health and quality of care outcomes for sick children attending primary healthcare (PHC) facilities.Design Observational study, comparing outcomes of children attending facilities implementing ALMANACH with control facilities not yet implementing ALMANACH.Setting PHC facilities in Adamawa State, North-Eastern Nigeria.Participants Children 2–59 months presenting with an acute illness. Children attending for routine care or nutrition visits (eg, immunisation, growth monitoring), physical trauma or mental health problems were excluded.Interventions The ALMANACH intervention package (CDSS implementation with training, mentorship and data feedback) was rolled out across Adamawa’s PHC facilities by the Adamawa State Primary Health Care Development Agency, in partnership with the International Committee of the Red Cross and the Swiss Tropical and Public Health Institute. Tablets were donated, but no additional support or incentives were provided. Intervention and control facilities received supportive supervision based on the national supervision protocol.Primary and secondary outcome measures The primary outcome was caregiver-reported recovery at day 7, collected over the phone. Secondary outcomes were antibiotic and antimalarial prescription, referral, and communication of diagnosis and follow-up advice, assessed at day 0 exit interview.Results We recruited 1929 children, of which 1021 (53%) attended ALMANACH facilities, between March and September 2020. Caregiver-reported recovery was significantly higher among children attending ALMANACH facilities (adjusted OR=2·63, 95% CI 1·60 to 4·32). We observed higher parenteral and lower oral antimicrobial prescription rates (adjusted OR=2·42 (1·00 to 5·85) and adjusted OR=0·40 (0·22 to 0·73), respectively) in ALMANACH facilities as well as markedly higher rates for referral, communication of diagnosis, and follow-up advice.Conclusion Implementation of digital CDSS with training, mentorship and feedback in primary care can improve quality of care and recovery of sick children in resource-constrained settings, likely mediated by better guideline adherence. These findings support the use of CDSS for health systems strengthening to progress towards universal health coverage

Psychological determinants of physical activity across the life course: A "DEterminants of DIet and Physical ACtivity" (DEDIPAC) umbrella systematic literature review

Low levels of physical activity (PA) are reported to contribute to the occurrence of non-communicable diseases over the life course. Although psychological factors have been identified as an important category concerning PA behavior, knowledge on psychological determinants of PA is still inconclusive. Therefore, the aim of this umbrella systematic literature review (SLR) was to summarize and synthesize the scientific evidence on psychological determinants of PA behavior across the life course. A systematic online search was conducted on MEDLINE, ISI Web of Science, Scopus, and SPORTDiscus databases. The search was limited to studies published in English from January 2004 to April 2016. SLRs and meta-analyses (MAs) of observational studies investigating the association of psychological variables and PA were considered eligible. Extracted data were evaluated based on importance of determinants, strength of evidence, and methodological quality. The full protocol is available from PROSPERO (Record ID: CRD42015010616). Twenty reviews (14 SLRs and 6 MAs), mostly of moderate methodological quality, were found eligible. Convincing evidence was found for self-efficacy (positive association with PA) in children and adolescents, and stress (negative association with PA) regardless of age. Most of the evidence revealing an association between psychological determinants and PA is probable and limited, mainly due to differences in the definition of PA and of psychological determinants across reviews. Thus, scholars are urged to reach a consensus on clear definitions of relevant psychological determinants of PA, subsuming cultural biases and allowing the possibility to obtain clear interpretations and generalizability of findings. Finally, most psychological determinants should be considered within a larger framework of other multi-level determinants that may interact or mediate some of the effects

Environmental, geographical and time-related impacts on avian malaria infections in native and introduced populations of house sparrows (Passer domesticus), a globally invasive species

AC K N OW L E D G M E N T S This study was funded by projects: IB20089 from the Consejería de Economía, Ciencia y Agenda Digital of the Junta de Extremadura and Fondo Europeo de Desarrollo Regional, P11-RNM-7038 from Junta de Andalucía, and PR(19_ECO_0070) from Ayudas Fundación BBVA a Equipos de Investigación Científica 2019. MF was supported by a Juan de la Cierva 2017 Formación contract (FJCI-2017-34394) from the Ministry of Science, Innovation and Universities, by the European Union’s Horizon 2020 research and innovation programme under the Marie Sklodowska-Curie (grant agreement No 844285, ‘EpiEcoMod’) and she is currently funded by a Ramón y Cajal postdoctoral contract (RYC2021- 031613-I) from the Spanish Ministry of Science and Innovation (MICINN). JJP was supported by the Fundación Tatiana Pérez de Guzmán el Bueno. JMP was supported by ProyExcel_00049 financed by Proyectos I+D+i of Junta de Andalucía 2021. LGL was supported by Junta de Extremadura (IB20089, Post-Doc grant). JM was supported by a Juan de la Cierva - Formación contract (FJCI-2017-34109) from the Ministry of Science, Innovation and Universities, and he is currently supported by a postdoctoral researcher contract for scientific excellence under the Plan Propio de I+D+i of the Universidad de Castilla - La Mancha (UCLM), co-funded by the European Social Fund Plus (ESF+). LZG was supported by funds from the Hungary's National Research, Development and Innovation Office (K135841, RRF-2.3.1-21-2022- 00006). We also acknowledge the comments of four anonymous reviewers who improved the final version of this manuscript.DATA AVA I L A B I L I T Y S TAT E M E N T Data supporting the conclusions of this study are available in the supplementary material to this article. Any further details are available from the corresponding author on reasonable request.Aim The increasing spread of vector-borne diseases has resulted in severe health concerns for humans, domestic animals and wildlife, with changes in land use and the introduction of invasive species being among the main possible causes for this increase. We explored several ecological drivers potentially affecting the local prevalence and richness of avian malaria parasite lineages in native and introduced house sparrows (Passer domesticus) populations. Location Global. Time period 2002–2019. Major taxa studied Avian Plasmodium parasites in house sparrows. Methods We analysed data from 2,220 samples from 69 localities across all continents, except Antarctica. The influence of environment (urbanization index and human density), geography (altitude, latitude, hemisphere) and time (bird breeding season and years since introduction) were analysed using generalized additive mixed models (GAMMs) and random forests. Results Overall, 670 sparrows (30.2%) were infected with 22 Plasmodium lineages. In native populations, parasite prevalence was positively related to urbanization index, with the highest prevalence values in areas with intermediate urbanization levels. Likewise, in introduced populations, prevalence was positively associated with urbanization index; however, higher infection occurred in areas with either extreme high or low levels of urbanization. In introduced populations, the number of parasite lineages increased with altitude and with the years elapsed since the establishment of sparrows in a new locality. Here, after a decline in the number of parasite lineages in the first 30 years, an increase from 40 years onwards was detected. Main conclusions Urbanization was related to parasite prevalence in both native and introduced bird populations. In invaded areas, altitude and time since bird introduction were related to the number of Plasmodium lineages found to be infecting sparrows.Consejería de Economía, Innovación, Ciencia y Empleo, Junta de Andalucía, Grant/Award Number: P11-RNM-7038Fundación BBVA, Grant/Award Number: PR(19_ECO_0070Junta de Extremadura, Grant/Award Number: IB20089 and PO17024Marie Sklodowska- Curie Actions, Grant/Award Number: 844285Ministerio de Ciencia, Innovación y Universidades, Grant/Award Number: FJCI-2017-34109 and FJCI-2017-34394Proyectos I+D+i of Junta de Andalucía 2021, Grant/Award Number: ProyExcel_00049Universidad de Castilla- La Manch

Impactos ambientales, geográficos y relacionados con el tiempo en las infecciones por malaria aviar en poblaciones nativas e introducidas de gorriones domésticos (Passer domesticus), una especie invasora a nivel mundial

Aim: The increasing spread of vector-borne diseases has resulted in severe health concerns for humans, domestic animals and wildlife, with changes in land use and the introduction of invasive species being among the main possible causes for this increase. We explored several ecological drivers potentially affecting the local prevalence and richness of avian malaria parasite lineages in native and introduced house sparrows (Passer domesticus) populations. Location: Global. Time period: 2002–2019. Major taxa studied: Avian Plasmodium parasites in house sparrows. Methods: We analysed data from 2,220 samples from 69 localities across all continents, except Antarctica. The influence of environment (urbanization index and human density), geography (altitude, latitude, hemisphere) and time (bird breeding season and years since introduction) were analysed using generalized additive mixed models (GAMMs) and random forests. Results: Overall, 670 sparrows (30.2%) were infected with 22 Plasmodium lineages. In native populations, parasite prevalence was positively related to urbanization index, with the highest prevalence values in areas with intermediate urbanization levels. Likewise, in introduced populations, prevalence was positively associated with urbanization index; however, higher infection occurred in areas with either extreme high or low levels of urbanization. In introduced populations, the number of parasite lineages increased with altitude and with the years elapsed since the establishment of sparrows in a new locality. Here, after a decline in the number of parasite lineages in the first 30 years, an increase from 40 years onwards was detected. Main conclusions: Urbanization was related to parasite prevalence in both native and introduced bird populations. In invaded areas, altitude and time since bird introduction were related to the number of Plasmodium lineages found to be infecting sparrows.Objetivo: La creciente propagación de enfermedades transmitidas por vectores ha generado graves problemas de salud para los seres humanos, los animales domésticos y la vida silvestre, y los cambios en el uso de la tierra y la introducción de especies invasoras se encuentran entre las principales causas posibles de este aumento. Exploramos varios impulsores ecológicos que podrían afectar la prevalencia local y la riqueza de linajes de parásitos de la malaria aviar en poblaciones nativas e introducidas de gorriones domésticos (Passer domesticus). Ubicación: Mundial. Período de tiempo: 2002–2019. Principales taxones estudiados: parásitos aviares Plasmodium en gorriones domésticos. Métodos: Analizamos datos de 2220 muestras de 69 localidades de todos los continentes, excepto la Antártida. La influencia del medio ambiente (índice de urbanización y densidad humana), la geografía (altitud, latitud, hemisferio) y el tiempo (temporada de reproducción de aves y años desde la introducción) se analizaron utilizando modelos mixtos aditivos generalizados (GAMM) y bosques aleatorios. Resultados: En general, 670 gorriones (30,2%) estaban infectados con 22 linajes de Plasmodium. En poblaciones nativas, la prevalencia del parásito se relacionó positivamente con el índice de urbanización, con los valores de prevalencia más altos en áreas con niveles de urbanización intermedios. Asimismo, en poblaciones introducidas, la prevalencia se asoció positivamente con el índice de urbanización; sin embargo, se produjo una mayor infección en áreas con niveles de urbanización extremadamente altos o bajos. En las poblaciones introducidas, el número de linajes de parásitos aumentó con la altitud y con los años transcurridos desde el establecimiento de los gorriones en una nueva localidad. Aquí, después de una disminución en el número de linajes de parásitos en los primeros 30 años, se detectó un aumento a partir de los 40 años. Conclusiones principales: La urbanización se relacionó con la prevalencia de parásitos en las poblaciones de aves nativas e introducidas. En las áreas invadidas, la altitud y el tiempo transcurrido desde la introducción de las aves se relacionaron con el número de linajes de Plasmodium que infectaron a los gorriones