Multiple traces of monkeypox detected in non-sewered wastewater with sparse sampling from a densely populated metropolitan area in Asia

The monkeypox virus is excreted in the feces of infected individuals. Therefore, there is an interest in using viral load detection in wastewater for sentinel early surveillance at a community level and as a complementary approach to syndromic surveillance. We collected wastewater from 63 sewered and non-sewered locations in Bangkok city center between May and August 2022. Monkeypox viral DNA copy numbers were quantified using real-time polymerase chain reaction (PCR) and confirmed positive by Sanger sequencing. Monkeypox viral DNA was first detected in wastewater from the second week of June 2022, with a mean copy number of 16.4 copies/ml (n = 3). From the first week of July, the number of viral DNA copies increased to a mean copy number of 45.92 copies/ml. Positive samples were Sanger sequenced and confirmed the presence of the monkeypox virus. Our study is the first to detect monkeypox viral DNA in wastewater from various locations within Thailand. Results suggest that this could be a complementary source for detecting viral DNA and predicting upcoming outbreaks

The Recognition of and Care Seeking Behaviour for Childhood Illness in Developing Countries: A Systematic Review

Background: Pneumonia, diarrhoea, and malaria are among the leading causes of death in children. These deaths are largely preventable if appropriate care is sought early. This review aimed to determine the percentage of caregivers in low- and middle-income countries (LMICs) with a child less than 5 years who were able to recognise illness in their child and subsequently sought care from different types of healthcare providers. Methods and Findings: We conducted a systematic literature review of studies that reported recognition of, and/or care seeking for episodes of diarrhoea, pneumonia or malaria in LMICs. The review is registered with PROSPERO (registration number: CRD42011001654). Ninety-one studies met the inclusion criteria. Eighteen studies reported data on caregiver recognition of disease and seventy-seven studies on care seeking. The median sensitivity of recognition of diarrhoea, malaria and pneumonia was low (36.0%, 37.4%, and 45.8%, respectively). A median of 73.0% of caregivers sought care outside the home. Care seeking from community health workers (median: 5.4% for diarrhoea, 4.2% for pneumonia, and 1.3% for malaria) and the use of oral rehydration therapy (median: 34%) was low. Conclusions: Given the importance of this topic to child survival programmes there are few published studies. Recognition of diarrhoea, malaria and pneumonia by caregivers is generally poor and represents a key factor to address in attempts to improve health care utilisation. In addition, considering that oral rehydration therapy has been widely recommended for over forty years, its use remains disappointingly low. Similarly, the reported levels of care seeking from community health workers in the included studies are low even though global action plans to address these illnesses promote community case management. Giving greater priority to research on care seeking could provide crucial evidence to inform child mortality programmes

Natural rubber latex-clay nanocomposite: use of montmorillonite clay as an alternative for conventional CaCO3

Natural rubber (NR) latex-clay nanocomposite (NRLCN) synthesized with montmorillonite (MMT) clay aqueous dispersion was evaluated for reinforcement and barrier properties. The physio-mechanical properties of the NRLCN were compared with the conventional NR latex composites containing CaCO3. The NRLCN structure was characterized with X-ray diffraction and scanning electron microscope techniques. The X-ray diffraction data showed that, with a lower concentration of clay, a highly exfoliated clay structure was achieved whilst the clay aggregation gradually resulted in a higher concentration of clay. The crosslink density as computed based on the solvent absorption data of the latex nanocomposite films was increased with the increase of clay concentration. As a result of nanoscale dispersion of the montmorillonite clay and higher crosslink density of the latex nanocomposite films, the resistance to permeation of small molecules through the NRLCN was significantly enhanced in comparison to conventional NR latex-CaCO3 composites. Solid state mechanical properties of NRLCNs showed a significant reinforcement effect of dispersed clay platelets but without significantly reducing the elastic properties. The higher mechanical properties and improved barrier resistance indicated that NR latex nanocomposites containing montmorillonite clay is a potential replacement for conventional NR latex composites containing CaCO3