22 research outputs found

    Low incidence of SARS-CoV-2, risk factors of mortality and the course of illness in the French national cohort of dialysis patients

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    The evolving SARS-CoV-2 epidemic in Africa: Insights from rapidly expanding genomic surveillance

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    INTRODUCTION Investment in Africa over the past year with regard to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) sequencing has led to a massive increase in the number of sequences, which, to date, exceeds 100,000 sequences generated to track the pandemic on the continent. These sequences have profoundly affected how public health officials in Africa have navigated the COVID-19 pandemic. RATIONALE We demonstrate how the first 100,000 SARS-CoV-2 sequences from Africa have helped monitor the epidemic on the continent, how genomic surveillance expanded over the course of the pandemic, and how we adapted our sequencing methods to deal with an evolving virus. Finally, we also examine how viral lineages have spread across the continent in a phylogeographic framework to gain insights into the underlying temporal and spatial transmission dynamics for several variants of concern (VOCs). RESULTS Our results indicate that the number of countries in Africa that can sequence the virus within their own borders is growing and that this is coupled with a shorter turnaround time from the time of sampling to sequence submission. Ongoing evolution necessitated the continual updating of primer sets, and, as a result, eight primer sets were designed in tandem with viral evolution and used to ensure effective sequencing of the virus. The pandemic unfolded through multiple waves of infection that were each driven by distinct genetic lineages, with B.1-like ancestral strains associated with the first pandemic wave of infections in 2020. Successive waves on the continent were fueled by different VOCs, with Alpha and Beta cocirculating in distinct spatial patterns during the second wave and Delta and Omicron affecting the whole continent during the third and fourth waves, respectively. Phylogeographic reconstruction points toward distinct differences in viral importation and exportation patterns associated with the Alpha, Beta, Delta, and Omicron variants and subvariants, when considering both Africa versus the rest of the world and viral dissemination within the continent. Our epidemiological and phylogenetic inferences therefore underscore the heterogeneous nature of the pandemic on the continent and highlight key insights and challenges, for instance, recognizing the limitations of low testing proportions. We also highlight the early warning capacity that genomic surveillance in Africa has had for the rest of the world with the detection of new lineages and variants, the most recent being the characterization of various Omicron subvariants. CONCLUSION Sustained investment for diagnostics and genomic surveillance in Africa is needed as the virus continues to evolve. This is important not only to help combat SARS-CoV-2 on the continent but also because it can be used as a platform to help address the many emerging and reemerging infectious disease threats in Africa. In particular, capacity building for local sequencing within countries or within the continent should be prioritized because this is generally associated with shorter turnaround times, providing the most benefit to local public health authorities tasked with pandemic response and mitigation and allowing for the fastest reaction to localized outbreaks. These investments are crucial for pandemic preparedness and response and will serve the health of the continent well into the 21st century

    Catering for Uncertainty in a Conceptual Rainfall Runoff Model: Model Preparation for Climate Change Impact Assessment and the Application of GLUE using Latin Hypercube Sampling

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    Changes in Irish climate may pose a number of obstacles for water resource management. There is a need to approach this problem using the catchment as the basic unit of analysis. The application of a lumped conceptual rainfall-runoff model for simulating beyond a baseline calibration set is a major challenge for climate change impact assessment. This is due in no small part to the limitations associated with the use of these models, with uncertainty in model output being associated with model structure and the non-uniqueness of optimised parameter sets. In this paper, HYSIM, an “off-the-shelf” conceptual rainfall runoff model using data on a daily time-step is applied to a suite of catchments throughout Ireland in preparation for use with downscaled climate data. Uncertainties relating to process parameter calibration due to parameter interaction and equifinality are highlighted. In an attempt to improve the reliability of model output the generalised likelihood uncertainty estimation (GLUE) framework is adopted to analyse the uncertainty in model output derived from parametric sources. Traditionally this approach has been applied using Monte Carlo random sampling (MCRS). However, when using an “off-the-shelf” type model, source code may not be available and it may not be feasible to run the model for large MCRS samples without user intervention. In order to make the propagation of uncertainty through the model more efficient, input parameter sets are generated using Latin Hypercube sampling (LHS). A number of acceptable parameter sets are generated and uncertainty bounds are constructed for each time step using the 5th and 95th percentile at each temporal interval. These uncertainty bounds will be used to quantify the uncertainty in simulations carried out beyond the baseline calibration period as they include the error derived from data measurement, model structure, and parameterisation

    Lack of robust evidence for a Wolbachia infection in Anopheles gambiae from Burkina Faso

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    The endosymbiont Wolbachia can have major effects on the reproductive fitness, and vectorial capacity of host insects and may provide new avenues to control mosquito‐borne pathogens. Anopheles gambiae s.l is the major vector of malaria in Africa but the use of Wolbachia in this species has been limited by challenges in establishing stable transinfected lines and uncertainty around native infections. High frequencies of infection of Wolbachia have been previously reported in An. gambiae collected from the Valle du Kou region of Burkina Faso in 2011 and 2014. Here, we re‐evaluated the occurrence of Wolbachia in natural samples, collected from Valle du Kou over a 12‐year time span, and in addition, expanded sampling to other sites in Burkina Faso. Our results showed that, in contrast to earlier reports, Wolbachia is present at an extremely low prevalence in natural population of An. gambiae. From 5341 samples analysed, only 29 were positive for Wolbachia by nested PCR representing 0.54% of prevalence. No positive samples were found with regular PCR. Phylogenetic analysis of 16S rRNA gene amplicons clustered across supergroup B, with some having similarity to sequences previously found in Anopheles from Burkina Faso. However, we cannot discount the possibility that the amplicon positive samples we detected were due to environmental contamination or were false positives. Regardless, the lack of a prominent native infection in An. gambiae s.l. is encouraging for applications utilizing Wolbachia transinfected mosquitoes for malaria control

    Effects of Age and Size on Anopheles gambiae s.s. Male Mosquito Mating Success

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    Before the release of genetically-modiÞed or sterile male mosquitoes in an attempt to control local populations of malaria vectors, it is crucial to determine male traits involved in mating success. The effects of male size and age as determinants of male mating success in Anopheles gambiae s.s. were measured in the Þeld and under laboratory conditions in Burkina Faso. First, the body sizes (estimated by wing length) of mating, swarming, and indoor-resting male mosquitoes were compared over a 3-yr period (2006Ð2009) from July to October in Soumousso and ValleÂŽe du Kou, two villages in western Burkina Faso. Second, the age structure of swarming and resting male mosquitoes were characterized based on the number of spermatocysts and the proportion of sperm in the reservoir of wild-caught male testis. Third, male age effects on the insemination rate of female An. gambiae were investigated in the laboratory. The mean size of males collected in copula was signiÞcantly larger than the mean for swarming males and indoor-resting males. The optimum male age for successful insemination of females was 4Ð8 d. These results suggest that male size is an important trait in determining male mating competitiveness in the Þeld. Although age was not found to be a signiÞcant factor in mating competitiveness, it was signiÞcantly correlated with swarming behaviors in the Þeld and insemination success in the laboratory.Theimplications of these results in terms of sexual selection in An. gambiae and vector control programs are further discussed. (RĂ©sumĂ© d'auteur

    Efficacy of sunlight-activatable porphyrin formulates on larvae of Anophelesgambiae M and S molecular forms and An. arabiensis: A potential novelbiolarvicide for integrated malaria vector control

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    Biolarvicides, such as microbial formulations based on Bacillus thuringiensis and B. sphaericus, have been found to be highly effective against mosquito larvae and are currently employed as eco-friendly alternatives to synthetic chemical insecticides for vector control. Recently, a porphyrin of natural origin has been suggested as a sunlight-activatable larvicide against the dengue vector Aedes aegypti. In order to validate the approach for the control of the malaria vector, we tested the photo-larvicidal activity of a novel porphyrin, namely meso-tri(N-methyl-pyridyl), mono(N-dodecyl-pyridyl)porphine, C12, associated with two specifically selected carriers, against Anopheles gambiae s.s. and An. arabiensis larvae, both laboratory reared and collected from malaria endemic sites in Burkina Faso. Both C12-porphyrin formulates, when administered to larvae at a 50 M porphyrin dose, were accumulated in the alimentary canal. Subsequent exposure of the porphyrin-loaded larvae to sunlight for short times (0.5–3 h) led to a complete mortality. The high efficacy exhibited by a “foodstuff” porphyrin formulate also in the presence of typical larval food particles opens promising perspectives for the development of an effective photocidal larvicide
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