83 research outputs found

    Clinical validation of automated and rapid mariPOC SARS-CoV-2 antigen test

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    Publisher Copyright: © 2021, The Author(s).COVID-19 diagnostics was quickly ramped up worldwide early 2020 based on the detection of viral RNA. However, based on the scientific knowledge for pre-existing coronaviruses, it was expected that the SARS-CoV-2 RNA will be detected from symptomatic and at significant rates also from asymptomatic individuals due to persistence of non-infectious RNA. To increase the efficacy of diagnostics, surveillance, screening and pandemic control, rapid methods, such as antigen tests, are needed for decentralized testing and to assess infectiousness. A novel automated mariPOC SARS-CoV-2 test was developed for the detection of conserved structural viral nucleocapsid proteins. The test utilizes sophisticated optical laser technology for two-photon excitation and individual detection of immunoassay solid-phase particles. We validated the new method against qRT-PCR. Sensitivity of the test was 100.0% (13/13) directly from nasopharyngeal swab specimens and 84.4% (38/45) from swab specimens in undefined transport mediums. Specificity of the test was 100.0% (201/201). The test's limit of detection was 2.7 TCID50/test. It showed no cross-reactions. Our study shows that the new test can detect infectious individuals already in 20 min with clinical sensitivity close to qRT-PCR. The mariPOC is a versatile platform for syndromic testing and for high capacity infection control screening of infectious individuals.Peer reviewe

    COVID-19 cases in spectators returning to Finland from UEFA Euro 2020 matches in Saint Petersburg

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    UEFA Euro 2020 tournament was scheduled to take place in 2020, but due to the coronavirus disease 2019 (COVID-19) pandemic was rescheduled to start on 11 June 2021. Approximately 4500 Finnish spectators participated, travelling between Finland and Russia during the period of 16 to 30 June to attend matches played on 16 and 21 June. A total of 419 persons returning from Russia or with a connection to Russia were detected positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Of the 321 sequenced samples 303 turned out to be of the Delta variant. None of these cases was hospitalised. In the following weeks findings of the Delta variant increased rapidly. Thus, EURO 2020 travel-related imported cases likely facilitated this rapid surge of Delta variant, but this impact would likely have been seen with the typical increase in the number of travellers entering Finland later in the summer.Peer reviewe

    Best practices for the provision of prior information for Bayesian stock assessment

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    This manual represents a review of the potential sources and methods to be applied when providing prior information to Bayesian stock assessments and marine risk analysis. The manual is compiled as a product of the EC Framework 7 ECOKNOWS project (www.ecoknows.eu). The manual begins by introducing the basic concepts of Bayesian inference and the role of prior information in the inference. Bayesian analysis is a mathematical formalization of a sequential learning process in a probabilistic rationale. Prior information (also called ”prior knowledge”, ”prior belief”, or simply a ”prior”) refers to any existing relevant knowledge available before the analysis of the newest observations (data) and the information included in them. Prior information is input to a Bayesian statistical analysis in the form of a probability distribution (a prior distribution) that summarizes beliefs about the parameter concerned in terms of relative support for different values. Apart from specifying probable parameter values, prior information also defines how the data are related to the phenomenon being studied, i.e. the model structure. Prior information should reflect the different degrees of knowledge about different parameters and the interrelationships among them. Different sources of prior information are described as well as the particularities important for their successful utilization. The sources of prior information are classified into four main categories: (i) primary data, (ii) literature, (iii) online databases, and (iv) experts. This categorization is somewhat synthetic, but is useful for structuring the process of deriving a prior and for acknowledging different aspects of it. A hierarchy is proposed in which sources of prior information are ranked according to their proximity to the primary observations, so that use of raw data is preferred where possible. This hierarchy is reflected in the types of methods that might be suitable – for example, hierarchical analysis and meta-analysis approaches are powerful, but typically require larger numbers of observations than other methods. In establishing an informative prior distribution for a variable or parameter from ancillary raw data, several steps should be followed. These include the choice of the frequency distribution of observations which also determines the shape of prior distribution, the choice of the way in which a dataset is used to construct a prior, and the consideration related to whether one or several datasets are used. Explicitly modelling correlations between parameters in a hierarchical model can allow more effective use of the available information or more knowledge with the same data. Checking the literature is advised as the next approach. Stock assessment would gain much from the inclusion of prior information derived from the literature and from literature compilers such as FishBase (www.fishbase.org), especially in data-limited situations. The reader is guided through the process of obtaining priors for length–weight, growth, and mortality parameters from FishBase. Expert opinion lends itself to data-limited situations and can be used even in cases where observations are not available. Several expert elicitation tools are introduced for guiding experts through the process of expressing their beliefs and for extracting numerical priors about variables of interest, such as stock–recruitment dynamics, natural mortality, maturation, and the selectivity of fishing gears. Elicitation of parameter values is not the only task where experts play an important role; they also can describe the process to be modelled as a whole. Information sources and methods are not mutually exclusive, so some combination may be used in deriving a prior distribution. Whichever source(s) and method(s) are chosen, it is important to remember that the same data should not be used twice. If the 2 | ICES Cooperative Research Report No. 328 plan is to use the data in the analysis for which the prior distribution is needed, then the same data cannot be used in formulating the prior. The techniques studied and proposed in this manual can be further elaborated and fine-tuned. New developments in technology can potentially be explored to find novel ways of forming prior distributions from different sources of information. Future research efforts should also be targeted at the philosophy and practices of model building based on existing prior information. Stock assessments that explicitly account for model uncertainty are still rare, and improving the methodology in this direction is an important avenue for future research. More research is also needed to make Bayesian analysis of non-parametric models more accessible in practice. Since Bayesian stock assessment models (like all other assessment models) are made from existing knowledge held by human beings, prior distributions for parameters and model structures may play a key role in the processes of collectively building and reviewing those models with stakeholders. Research on the theory and practice of these processes will be needed in the future

    Laboratory-based surveillance of COVID-19 in the Greater Helsinki area, Finland, February-June 2020

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    Objectives: The aim was to characterise age-and sex-specific severe acute respiratory syndrome coronavirus disease-2 (SARS-CoV-2) RT-PCR sampling frequency and positivity rate in Greater Helsinki area in Finland during February & ndash;June 2020. We also describe the laboratory capacity building for these diagnostics. Methods: Laboratory registry data for altogether 80,791 specimens from 70,517 individuals was analysed. The data included the date of sampling, sex, age and the SARS-CoV-2 RT-PCR test result on specimens collected between 1 February and 15 June 2020. Results: Altogether, 4057/80,791 (5.0%) of the specimens were positive and 3915/70,517 (5.6%) of the individuals were found positive. In all, 37% of specimens were from male and 67% from female subjects. While the number of positive cases was similar in male and female subjects, the positivity rate was significantly higher in male subjects: 7.5% of male and 4.4% of female subjects tested positive. The highest incidence/100,000 was observed in those aged >80 years. The proportion of young adults in positive cases increased in late May 2020. Large dips in testing frequency were observed during every weekend and also during public holidays. Conclusions: Our data suggest that men pursue SARS-CoV-2 testing less frequently than women. Consequently, a subset of coronavirus disease-2019 infections in men may have gone undetected. People sought testing less frequently on weekends and public holidays, and this may also lead to missing of positive cases. The proportion of young adults in positive cases increased towards the end of the study period, which may suggest their returning back to social behaviour with an increased risk of infection. (c) 2020 The Author(s). Published by Elsevier Ltd on behalf of International Society for Infectious Diseases. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-ncnd/4.0/).Peer reviewe

    Clinical validation of automated and rapid mariPOC SARS-CoV-2 antigen test

    Get PDF
    COVID-19 diagnostics was quickly ramped up worldwide early 2020 based on the detection of viral RNA. However, based on the scientific knowledge for pre-existing coronaviruses, it was expected that the SARS-CoV-2 RNA will be detected from symptomatic and at significant rates also from asymptomatic individuals due to persistence of non-infectious RNA. To increase the efficacy of diagnostics, surveillance, screening and pandemic control, rapid methods, such as antigen tests, are needed for decentralized testing and to assess infectiousness. A novel automated mariPOC SARS-CoV-2 test was developed for the detection of conserved structural viral nucleocapsid proteins. The test utilizes sophisticated optical laser technology for two-photon excitation and individual detection of immunoassay solid-phase particles. We validated the new method against qRT-PCR. Sensitivity of the test was 100.0% (13/13) directly from nasopharyngeal swab specimens and 84.4% (38/45) from swab specimens in undefined transport mediums. Specificity of the test was 100.0% (201/201). The test's limit of detection was 2.7 TCID50/test. It showed no cross-reactions. Our study shows that the new test can detect infectious individuals already in 20 min with clinical sensitivity close to qRT-PCR. The mariPOC is a versatile platform for syndromic testing and for high capacity infection control screening of infectious individuals.</p

    Genetic Relationship between Cocirculating Human Enteroviruses Species C

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    Recombination events between human enteroviruses (HEV) are known to occur frequently and to participate in the evolution of these viruses. In a previous study, we reported the isolation of a panel of viruses belonging to the Human enterovirus species C (HEV-C) that had been cocirculating in a small geographic area of Madagascar in 2002. This panel included type 2 vaccine-derived polioviruses (PV) that had caused several cases of acute flaccid paralysis in humans. Previous partial sequencing of the genome of these HEV-C isolates revealed considerable genetic diversity, mostly due to recombination. In the work presented herein, we carried out a more detailed characterization of the genomes of viruses from this collection. First, we determined the full VP1 sequence of 41 of these isolates of different types. These sequences were compared with those of HEV-C isolates obtained from other countries or in other contexts. The sequences of the Madagascan isolates of a given type formed specific clusters clearly differentiated from those formed by other strains of the same type isolated elsewhere. Second, we sequenced the entire genome of 10 viruses representing most of the lineages present in this panel. All but one of the genomes appeared to be mosaic assemblies of different genomic fragments generated by intra- and intertypic recombination. The location of the breakpoints suggested potential preferred genomic regions for recombination. Our results also suggest that recombination between type HEV-99 and other HEV-C may be quite rare. This first exhaustive genomic analysis of a panel of non-PV HEV-C cocirculating in a small human population highlights the high frequency of inter and intra-typic genetic recombination, constituting a widespread mechanism of genetic plasticity and continually shifting the HEV-C biodiversity
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