Panchromatic Observations of SN 2011dh Point to a Compact Progenitor Star

We report the discovery and detailed monitoring of X-ray emission associated with the Type IIb SN 2011dh using data from the Swift and Chandra satellites, placing it among the best studied X-ray supernovae to date. We further present millimeter and radio data obtained with the SMA, CARMA, and EVLA during the first three weeks after explosion. Combining these observations with early optical photometry, we show that the panchromatic dataset is well-described by non-thermal synchrotron emission (radio/mm) with inverse Compton scattering (X-ray) of a thermal population of optical photons. In this scenario, the shock partition fractions deviate from equipartition by a factor, (e_e/e_B) ~ 30. We derive the properties of the shockwave and the circumstellar environment and find a shock velocity, v~0.1c, and a progenitor mass loss rate of ~6e-5 M_sun/yr. These properties are consistent with the sub-class of Type IIb SNe characterized by compact progenitors (Type cIIb) and dissimilar from those with extended progenitors (Type eIIb). Furthermore, we consider the early optical emission in the context of a cooling envelope model to estimate a progenitor radius of ~1e+11 cm, in line with the expectations for a Type cIIb SN. Together, these diagnostics are difficult to reconcile with the extended radius of the putative yellow supergiant progenitor star identified in archival HST observations, unless the stellar density profile is unusual. Finally, we searched for the high energy shock breakout pulse using X-ray and gamma-ray observations obtained during the purported explosion date range. Based on the compact radius of the progenitor, we estimate that the breakout pulse was detectable with current instruments but likely missed due to their limited temporal/spatial coverage. [Abridged]Comment: (27 pages, 5 figures, 2 tables, final version to appear in ApJ

Panchromatic Observations of SN2011dh Point to a Compact Progenitor Star

We report the discovery and detailed monitoring of X-ray emission associated with the Type IIb SN2011dh using data from the Swift and Chandra satellites, placing it among the best studied X-ray supernovae to date. We further present millimeter and radio data obtained with the SMA, CARMA, and EVLA during the first three weeks after explosion. Combining these observations with early optical photometry, we show that the panchromatic dataset is well-described by non-thermal synchrotron emission (radio/mm) with inverse Compton scattering (X-ray) of a thermal population of optical photons. We derive the properties of the shockwave and the circumstellar environment and find a time-averaged shock velocity of v approximately equals 0.1c and a progenitor mass loss rate of M-dot approximately equals 6 X 10 (exp 5) Solar M/ yr (wind velocity, v(sub w) = 1000 km/s). We show that these properties are consistent with the sub-class of Type IIb supernovae characterized by compact progenitors (Type cIIb) and dissimilar from those with extended progenitors (Type eIIb). Furthermore, we consider the early optical emission in the context of a cooling envelope model to estimate a progenitor radius of R(sub star) approximately equals 10(exp 11) cm, in line with the expectations for a Type cIIb supernova. Together, these diagnostics suggest that the putative yellow supergiant progenitor star identified in archival HST observations is instead a binary companion or unrelated to the supernova. Finally, we searched for the high energy shock breakout pulse using X-ray and gamma-ray observations obtained during the purported explosion date range. Based on the compact radius of the progenitor, we estimate that the shock breakout pulse was detectable with current instruments but likely missed due to their limited temporal/ spatial coverage. Future all-sky missions will regularly detect shock breakout emission from compact SN progenitors enabling prompt follow-up observations of the shockwave with the EVLA and ALMA

Infant contact in day-care centres in Vietnam: A cross-sectional study to understand infant infection risk

Background: Infant contact information (skin-to-skin contact between infants and others) is important to understand Streptococcus pneumoniae transmission patterns. A few studies have investigated infant contact patterns by asking the mother/guardian to record all contacts a child makes in one day. However, this approach does not capture contact behaviour in day-care. Our study describes the frequency and nature of physical contacts of infants in day-care to understand infant infection risk in day-care in Nha Trang, central Vietnam. Methods: This cross-sectional study enrolled infants aged less than 12 months, attending 10 randomly selected day-care centres in Nha Trang. Physical contacts of each infant for one day at the day-care centre were observed and recorded. The mean number of contacts of infants and its factors were assessed using negative binomial regression. Results: In total 14 infants, aged 6 to 11 months, were enrolled, and a total of 96 contacts were observed. The mean number of contacts an infant made in one day was 6.9. Infants who walked independently (age-adjusted rate ratio 1.68, 95% confidence interval 1.06-2.68) and those cared for in a larger group (1.99, 1.42-2.79) had more contacts at day-care. About 50% of infants made contact with at least one person from a commune different from the infant\u27s, and 50% made contact with at least one other infant at day-care. Conclusion: This study found that day-care attendance may be one factor that increases contact rates of infants in Nha Trang and diversifies them in terms of age and geographical spread. In this study, day-care attendance not only increased contact rates beyond those usually experienced by young children cared at home but specifically increased the contact rates with other children and adults from other communes. Day-care may play a key role in the transmission of respiratory pathogens like Streptococcus pneumoniae to infants

Prevalence of Streptococcus pneumoniae in conjunctival flora and association with nasopharyngeal carriage among children in a Vietnamese community.

Conjunctival pneumococcal serotypes among members of a community have not been investigated well. We determined the prevalence and association of Streptococcus pneumoniae in the nasopharynx and conjunctiva among children in a community before pneumococcal conjugate vaccine introduction. In October 2016, conjunctival and nasopharyngeal swabs were collected from children (< 24 months old) and nasopharyngeal swabs from mothers in Nha Trang, Vietnam. Quantitative lytA PCR and DNA microarray were performed to detect and serotype S. pneumoniae. The association between S. pneumoniae in the nasopharynx and conjunctiva was evaluated using multivariable logistic regression model. Among 698 children, 62 (8.9%, 95% CI 6.9-11.2%) were positive for S. pneumoniae in the conjunctiva. Non-encapsulated S. pneumoniae were most commonly identified, followed by serotypes 6A, 6B, and 14. Nasopharyngeal and conjunctival detection were positively associated (aOR 47.30, 95% CI 24.07-92.97). Low birth-weight, day-care attendance, and recent eye symptoms were independently associated with S. pneumoniae detection in the conjunctiva (aOR 11.14, 95% CI 3.76-32.98, aOR 2.19, 95% CI 1.45-3.31, and aOR 3.59, 95% CI 2.21-5.84, respectively). Serotypes and genotypes in the conjunctiva and nasopharynx matched in 87% of the children. Three mothers' nasopharyngeal pneumococcal samples had matched serotype and genotype with their child's in the conjunctiva and nasopharynx. S. pneumoniae presence in nasopharynx and conjunctiva were strongly associated. The high concordance of serotypes suggests nasopharyngeal carriage may be a source of transmission to the conjunctiva

Differences in clinical severity of respiratory viral infections in hospitalized children.

It is uncertain whether clinical severity of an infection varies by pathogen or by multiple infections. Using hospital-based surveillance in children, we investigate the range of clinical severity for patients singly, multiply, and not infected with a group of commonly circulating viruses in Nha Trang, Vietnam. RT-PCR was performed to detect 13 respiratory viruses in nasopharyngeal samples from enrolled patients. We apply a novel clinical severity score and examine associations with the odds of being severe and differences in raw severity scores. We find no difference in severity between 0-, 1-, and 2-concurrent infections and little differences in severity between specific viruses. We find RSV and HMPV infections to be associated with 2- and 1.5-fold increase in odds of being severe, respectively, and that infection with ADV is consistently associated with lower risk of severity. Clinically, based on the results here, if RSV or HMPV virus is suspected, PCR testing for confirmatory diagnosis and for detection of multiple coinfecting viruses would be fruitful to assess whether a patient's disease course is going to be severe

Seroepidemiology and Carriage of Diphtheria in Epidemic-Prone Area and Implications for Vaccination Policy, Vietnam

In 2019, a community-based, cross-sectional carriage survey and a seroprevalence survey of 1,216 persons 1–55 years of age were conducted in rural Vietnam to investigate the mechanism of diphtheria outbreaks. Seroprevalence was further compared with that of an urban area that had no cases reported for the past decade. Carriage prevalence was 1.4%. The highest prevalence, 4.5%, was observed for children 1–5 years of age. Twenty-seven asymptomatic Coerynebacterium diphtheriae carriers were identified; 9 carriers had tox gene–bearing strains, and 3 had nontoxigenic tox gene–bearing strains. Child malnutrition was associated with low levels of diphtheria toxoid IgG, which might have subsequently increased child carriage prevalence. Different immunity patterns in the 2 populations suggested that the low immunity among children caused by low vaccination coverage increased transmission, resulting in symptomatic infections at school-going age, when vaccine-induced immunity waned most. A school-entry booster dose and improved infant vaccination coverage are recommended to control transmissions

An international partnership analysis of a cohort of Vietnamese children with hearing impairment

Aim: A better understanding of the hearing disability situation would advance hearing health care in the developing world. Vietnam is a lower middle income country with hearing health care in its early stages of development. This study examined the situation (degree, types, and causes) of hearing impairment, the effects of age and gender on hearing impairment, and the age of identification and its relationship with degree of hearing impairment, in a sample of Vietnamese children with hearing loss. Method: Sixty-nine participants aged from 20 to 129 months with prelingual-onset hearing loss were assessed during Global Foundation For Children With Hearing Loss international partnership activities. Data on hearing assessment findings, including case history and pure-tone audiometric outcomes, were analyzed. Results: Results showed that the hearing loss of participants ranged from moderate to profound levels (mean pure-tone average in better ear = 95.9 dB HL, range = 51.7–125.0 dB, SD = 17.37). Sensorineural pathologies accounted for 80% of identified hearing loss. Maternal rubella was the most commonly identified cause of hearing loss, with this disease reported as confirmed in 32% of children and suspected in another 13% of the participants. Genetic factors were suspected in at least 13% of children. Age and gender showed no statistically significant associations with degree of hearing impairment. The average age of identification was 23.2 months (range = 2–68 months, SD = 12.82) and a greater proportion (65%) of children with profound hearing loss than those with milder degrees of hearing loss were noted. Conclusion: To reduce the prevalence of childhood hearing loss and its adverse long-term effects, improved immunization programs against infectious diseases, further development of universal newborn hearing screening and early intervention programs, and greater access to hearing technology in Vietnam are highly recommended

Evidence for influenza and RSV interaction from 10 years of enhanced surveillance in Nha Trang, Vietnam, a modelling study.

Influenza and Respiratory Syncytial Virus (RSV) interact within their host posing the concern for impacts on heterologous viruses following vaccination. We aimed to estimate the population level impact of their interaction. We developed a dynamic age-stratified two-pathogen mathematical model that includes pathogen interaction through competition for infection and enhanced severity of dual infections. We used parallel tempering to fit its parameters to 11 years of enhanced hospital-based surveillance for acute respiratory illnesses (ARI) in children under 5 years old in Nha Trang, Vietnam. The data supported either a 41% (95%CrI: 36-54) reduction in susceptibility following infection and for 10.0 days (95%CrI 7.1-12.8) thereafter, or no change in susceptibility following infection. We estimate that co-infection increased the probability for an infection in <2y old children to be reported 7.2 fold (95%CrI 5.0-11.4); or 16.6 fold (95%CrI 14.5-18.4) in the moderate or low interaction scenarios. Absence of either pathogen was not to the detriment of the other. We find stronger evidence for severity enhancing than for acquisition limiting interaction. In this setting vaccination against either pathogen is unlikely to have a major detrimental effect on the burden of disease caused by the other