Mapping human impacts to support sustainable uses of marine ecosystems in the Mediterranean sea

European Geosciences Union (EGU) General Assembly, 23-27 May 2022, Vienna, AustriaLocal and global anthropogenic pressures due to climate change and to local uses and activities are exerting significant cumulative impacts to greater extents of the oceans and seas. Coastal ecosystems are particularly threatened by the intensity and coexistence of several marine uses and pressures, including sewage and urban constructions, tourism, ship traffic, fisheries and aquaculture. Assessment of pressures and the identification of mitigation measures are key urgent actions, as already highlighted by the EU Marine Strategy Framework Directive and the United Nations Sustainable Development Goal 14. The aim of this work, developed within the Interreg-Med project SHAREMED, is to systematize existing knowledge on threats and pollution, including those of transboundary origin, for long term strategies and common action marine spatial planning, jointly developed with stakeholders. The quest is to assess coexisting environmental threats, and their propagation in space and time, at proper spatial and temporal scales, according to the type and action of each stressor (i.e. global vs. local). Cumulative pressures are tackled within a dedicated Atlas comprising three sub-basinsins of the Mediterranean Sea: the North Adriatic Sea, the Sicilian Channel and the North-Western region. The Atlas integrates information generated at the best available resolutions by 1) in-situ sampling, 2) remote observations, 3) numerical models, and 4) focusing on target ecosystems and habitat forming species. These sub-basins are subjected to multiple local and larger scale (e.g. climate) pressures that propagate in space and time, and across political boundaries, that need to be addressed through coordinated actions, based on evidence-rooted common understanding. Interactions with relevant Stakeholders, solicited through an online survey, and meetings, were used to select target ecosystems and to identify the key relevant pressures. The Atlas is based on open-access databases and portals, literature reviews and from ad-hoc model simulations concerning marine heatwaves, ship traffic, oil pollution, marine litter and fishing efforts. We will present the main preliminary results and needs and gaps in observations related to marine ecosystems threatsPeer reviewe

COVID-19 Severity in Multiple Sclerosis: Putting Data Into Context

Background and objectives: It is unclear how multiple sclerosis (MS) affects the severity of COVID-19. The aim of this study is to compare COVID-19-related outcomes collected in an Italian cohort of patients with MS with the outcomes expected in the age- and sex-matched Italian population. Methods: Hospitalization, intensive care unit (ICU) admission, and death after COVID-19 diagnosis of 1,362 patients with MS were compared with the age- and sex-matched Italian population in a retrospective observational case-cohort study with population-based control. The observed vs the expected events were compared in the whole MS cohort and in different subgroups (higher risk: Expanded Disability Status Scale [EDSS] score > 3 or at least 1 comorbidity, lower risk: EDSS score ≤ 3 and no comorbidities) by the χ2 test, and the risk excess was quantified by risk ratios (RRs). Results: The risk of severe events was about twice the risk in the age- and sex-matched Italian population: RR = 2.12 for hospitalization (p < 0.001), RR = 2.19 for ICU admission (p < 0.001), and RR = 2.43 for death (p < 0.001). The excess of risk was confined to the higher-risk group (n = 553). In lower-risk patients (n = 809), the rate of events was close to that of the Italian age- and sex-matched population (RR = 1.12 for hospitalization, RR = 1.52 for ICU admission, and RR = 1.19 for death). In the lower-risk group, an increased hospitalization risk was detected in patients on anti-CD20 (RR = 3.03, p = 0.005), whereas a decrease was detected in patients on interferon (0 observed vs 4 expected events, p = 0.04). Discussion: Overall, the MS cohort had a risk of severe events that is twice the risk than the age- and sex-matched Italian population. This excess of risk is mainly explained by the EDSS score and comorbidities, whereas a residual increase of hospitalization risk was observed in patients on anti-CD20 therapies and a decrease in people on interferon

DMTs and Covid-19 severity in MS: a pooled analysis from Italy and France

We evaluated the effect of DMTs on Covid-19 severity in patients with MS, with a pooled-analysis of two large cohorts from Italy and France. The association of baseline characteristics and DMTs with Covid-19 severity was assessed by multivariate ordinal-logistic models and pooled by a fixed-effect meta-analysis. 1066 patients with MS from Italy and 721 from France were included. In the multivariate model, anti-CD20 therapies were significantly associated (OR = 2.05, 95%CI = 1.39–3.02, p < 0.001) with Covid-19 severity, whereas interferon indicated a decreased risk (OR = 0.42, 95%CI = 0.18–0.99, p = 0.047). This pooled-analysis confirms an increased risk of severe Covid-19 in patients on anti-CD20 therapies and supports the protective role of interferon

Neutralizing antibodies to Omicron after the fourth SARS-CoV-2 mRNA vaccine dose in immunocompromised patients highlight the need of additional boosters

IntroductionImmunocompromised patients have been shown to have an impaired immune response to COVID-19 vaccines.MethodsHere we compared the B-cell, T-cell and neutralizing antibody response to WT and Omicron BA.2 SARS-CoV-2 virus after the fourth dose of mRNA COVID-19 vaccines in patients with hematological malignancies (HM, n=71), solid tumors (ST, n=39) and immune-rheumatological (IR, n=25) diseases. The humoral and T-cell responses to SARS-CoV-2 vaccination were analyzed by quantifying the anti-RBD antibodies, their neutralization activity and the IFN-γ released after spike specific stimulation.ResultsWe show that the T-cell response is similarly boosted by the fourth dose across the different subgroups, while the antibody response is improved only in patients not receiving B-cell targeted therapies, independent on the pathology. However, 9% of patients with anti-RBD antibodies did not have neutralizing antibodies to either virus variants, while an additional 5.7% did not have neutralizing antibodies to Omicron BA.2, making these patients particularly vulnerable to SARS-CoV-2 infection. The increment of neutralizing antibodies was very similar towards Omicron BA.2 and WT virus after the third or fourth dose of vaccine, suggesting that there is no preferential skewing towards either virus variant with the booster dose. The only limited step is the amount of antibodies that are elicited after vaccination, thus increasing the probability of developing neutralizing antibodies to both variants of virus.DiscussionThese data support the recommendation of additional booster doses in frail patients to enhance the development of a B-cell response directed against Omicron and/or to enhance the T-cell response in patients treated with anti-CD20

Small-scale variability of the current in the Strait of Bonifacio

International audienceCurrent dynamics in the Strait of Bonifacio (south Corsica) were investigated at a small scale during the STELLAMARE1 multidisciplinary cruise in summer 2012, using in situ measurements and modeling data. The Strait of Bonifacio is a particularly sensitive marine area in which specific conservation measures have been taken to preserve the natural environment and wild species. Good knowledge of the hydrodynamics in this area is essential to optimize the Marine Protected Area’s management rules. Therefore, we used a high-resolution model (400 m) based on the MARS3D code to investigate the main flux exchanges and to formulate certain hypotheses about the formation of possible eddy structures. The aim of the present paper is first to synthetize the results obtained by combining Acoustic Doppler Current Profiler data, hydrological parameters, Lagrangian drifter data, and satellite observations such as MODIS OC5 chlorophyll a data or Metop-A AVHRR Sea Surface Temperature (SST) data. These elements are then used to validate the presence of the mesoscale eddies simulated by the model and their recurrence outside the cruise period. To complete the analysis, the response of the 3D hydrodynamical model was evaluated under two opposing wind systems and certain biases were detected. Strong velocities up to 1 m s−1 were recorded in the east part due to the Venturi effect; a complementary system of vortices governed by Coriolis effect and west wind was observed in the west part, and horizontal stratification in the central part has been identified under typical wind condition