Monitoring of the epidemic process of mumps morbidity in Chisinau through the successful results of immunoprophylaxis

Center of Public Health, Chisinau, the Republic of MoldovaBackground: The article presents an in-depth analysis of the long-term statistics that confirms the high effectiveness of vaccination, which has allowed reducing hundredfold the morbidity of mumps. Material and methods: To evaluate the epidemiological situation and determine the characteristics of the development of the epidemic process of the incidence of mumps in the municipality of Chisinau and to assess the effectiveness of the vaccination against mumps coverage in the reporting period we have used the data obtained from the mumps monitoring system. The data have been collected from the statistical forms of medical accounting. The analysis of the epidemiological situation of the incidence of mumps for the period of 1992-2012 has been conducted. The obtained data have been statistically processed with the usage of the methods of the epidemiological retrospective and operational analysis. Results: A significant reduction in the morbidity has become possible only due to the implementation of the specific preventive measures. The outbreaks of mumps have occurred in the gatherings of large numbers of people who were not vaccinated before against the disease or had been vaccinated only by one dose of the vaccine more than 10 years ago. The necessity of further increasing the coverage of children by the vaccine against mumps is justified. Conclusions: In the municipality of Chisinau there is a significant number of children susceptible to mumps, the fact that can support the transmission of this disease when the source of infection appears. The current situation necessitates organizational and methodical measures in order to ensure the vaccination of children against mumps strictly according to the national immunization calendar

Particularities of the tuberculosis epidemic process in Chisinau for the period of 2008-2012

In Chisinau, in the period of transition to the market economy the unfavorable situation concerning the morbidity of tuberculosis has developed. The morbidity and mortality rates have increased; there is a rejuvenation of tuberculosis. More than 60% of cases are presented by unemployed people who have no means for existence. The number of women and children is increasing among the tuberculosis patients. Often men and the persons of working age from 20 to 60 years old suffer from tuberculosis. The prevailing way of TB contracting is through communication (55%). Alarming is the fact of growing forms of multidrug-resistant tuberculosis (MDR-TB) among newly reported cases in children and adults. The appearance of MDR-TB cases is the cause of high level of TB morbidity, mortality and treatment failure. The data on the evolution of the incidence of tuberculosis in the city of Chisinau have been collected for many years from statistical sources, including questionnaires with health reporting results, the epidemiological survey of TB cases, observation of hospitalized patients and those treated in outpatient conditions. When processing these data the methods of retrospective and current epidemiological analysis as well as statistical ones were used

Integrated network models for predicting ecological thresholds::Microbial – carbon interactions in coastal marine systems

7siThis proof of concept study presents a Bayesian Network (BN) approach that integrates relevant biological and physical-chemical variables across spatial (two water layers) and temporal scales to identify the main contributing microbial mechanisms regulating POC accumulation in the northern Adriatic Sea. Three scenario tests (diatom, nanoflagellate and dinoflagellate blooms) using the BN predicted diatom blooms to produce high chlorophyll a at the water surface while nanoflagellate blooms were predicted to occur also at lower depths (>5 m) in the water column and to produce lower chlorophyll a concentrations. A sensitivity analysis using all available data identified the variables with the greatest influence on POC accumulation being the enzymes, which highlights the importance of microbial community interactions. However, the incorporation of experimental and field data changed the sensitivity of the model nodes ≥25% in the BN and therefore, is an important consideration when combining manipulated data sets in data limited conditions.noneopenMcDonald K.S.; Turk V.; Mozetic P.; Tinta T.; Malfatti F.; Hannah D.M.; Krause S.Mcdonald, K. S.; Turk, V.; Mozetic, P.; Tinta, T.; Malfatti, F.; Hannah, D. M.; Krause, S

May Measurement Month 2017: an analysis of blood pressure screening in Angola-Sub-Saharan Africa

Elevated blood pressure (BP) is a growing burden worldwide, leading to over 10 million deaths each year. May Measurement Month (MMM) is a global initiative aimed at raising awareness of high BP and to act as a temporary solution to the lack of screening programmes worldwide. There is increasing prevalence of hypertension in developing countries leading to increased risk of adverse outcomes. An opportunistic cross-sectional survey of volunteers aged ≥18 was carried out in May 2017. Blood pressure measurement, the definition of hypertension and statistical analysis followed the standard MMM protocol. In Angola, 17 481 individuals were screened in six provinces with an average BP of 126/78 mmHg. After multiple imputation, 6022 (34.5%) had hypertension. Of individuals not receiving antihypertensive medication, 4080 (26.3%) were hypertensive. Of those receiving antihypertensive medication, 1159 (59.7%) had uncontrolled BP. MMM17 was the largest BP screening campaign undertaken in Angola. These results suggest that there is still a significant percentage of patients who are not medicated and possibly require medication, and more than half of the hypertensive patients do not have controlled BP demonstrating the need for a more targeted and comprehensive screening of BP and more effective treatment

Jellyfish Modulate Bacterial Dynamic and Community Structure

Jellyfish blooms have increased in coastal areas around the world and the outbreaks have become longer and more frequent over the past few decades. The Mediterranean Sea is among the heavily affected regions and the common bloom - forming taxa are scyphozoans Aurelia aurita s.l., Pelagia noctiluca, and Rhizostoma pulmo. Jellyfish have few natural predators, therefore their carcasses at the termination of a bloom represent an organic-rich substrate that supports rapid bacterial growth, and may have a large impact on the surrounding environment. The focus of this study was to explore whether jellyfish substrate have an impact on bacterial community phylotype selection. We conducted in situ jellyfish - enrichment experiment with three different jellyfish species. Bacterial dynamic together with nutrients were monitored to assess decaying jellyfish-bacteria dynamics. Our results show that jellyfish biomass is characterized by protein rich organic matter, which is highly bioavailable to ‘jellyfish - associated’ and ‘free - living’ bacteria, and triggers rapid shifts in bacterial population dynamics and composition. Based on 16S rRNA clone libraries and denaturing gradient gel electrophoresis (DGGE) analysis, we observed a rapid shift in community composition from unculturable Alphaproteobacteria to culturable species of Gammaproteobacteria and Flavobacteria. The results of sequence analyses of bacterial isolates and of total bacterial community determined by culture independent genetic analysis showed the dominance of the Pseudoalteromonadaceae and the Vibrionaceae families. Elevated levels of dissolved proteins, dissolved organic and inorganic nutrient release, bacterial abundance and carbon production as well as ammonium concentrations characterized the degradation process. The biochemical composition of jellyfish species may influence changes in the amount of accumulated dissolved organic and inorganic nutrients. Our results can contribute insights into possible changes in bacterial population dynamics and nutrient pathways following jellyfish blooms which have important implications for ecology of coastal waters

Sinking Jelly-Carbon Unveils Potential Environmental Variability along a Continental Margin

Particulate matter export fuels benthic ecosystems in continental margins and the deep sea, removing carbon from the upper ocean. Gelatinous zooplankton biomass provides a fast carbon vector that has been poorly studied. Observational data of a large-scale benthic trawling survey from 1994 to 2005 provided a unique opportunity to quantify jelly-carbon along an entire continental margin in the Mediterranean Sea and to assess potential links with biological and physical variables. Biomass depositions were sampled in shelves, slopes and canyons with peaks above 1000 carcasses per trawl, translating to standing stock values between 0.3 and 1.4 mg C m2 after trawling and integrating between 30,000 and 175,000 m2 of seabed. The benthopelagic jelly-carbon spatial distribution from the shelf to the canyons may be explained by atmospheric forcing related with NAO events and dense shelf water cascading, which are both known from the open Mediterranean. Over the decadal scale, we show that the jelly-carbon depositions temporal variability paralleled hydroclimate modifications, and that the enhanced jelly-carbon deposits are connected to a temperature-driven system where chlorophyll plays a minor role. Our results highlight the importance of gelatinous groups as indicators of large-scale ecosystem change, where jelly-carbon depositions play an important role in carbon and energy transport to benthic systems

A global database of dissolved organic matter (DOM) concentration measurements in coastal waters (CoastDOM v1)

Measurements of dissolved organic carbon (DOC), nitrogen (DON), and phosphorus (DOP) con-centrations are used to characterize the dissolved organic matter (DOM) pool and are important components ofbiogeochemical cycling in the coastal ocean. Here, we present the first edition of a global database (CoastDOMv1; available at https://doi.org/10.1594/PANGAEA.964012, L\uf8nborg et al., 2023) compiling previously pub-lished and unpublished measurements of DOC, DON, and DOP in coastal waters. These data are complementedby hydrographic data such as temperature and salinity and, to the extent possible, other biogeochemical variables(e.g. chlorophyll a, inorganic nutrients) and the inorganic carbon system (e.g. dissolved inorganic carbon andtotal alkalinity). Overall, CoastDOM v1 includes observations of concentrations from all continents. However,most data were collected in the Northern Hemisphere, with a clear gap in DOM measurements from the SouthernHemisphere. The data included were collected from 1978 to 2022 and consist of 62 338 data points for DOC,20 356 for DON, and 13 533 for DOP. The number of measurements decreases progressively in the sequenceDOC > DON > DOP, reflecting both differences in the maturity of the analytical methods and the greater focuson carbon cycling by the aquatic science community. The global database shows that the average DOC concen-tration in coastal waters (average \ub1 standard deviation (SD): 182 \ub1 314 μmol C L−1; median: 103 μmol C L−1) is13-fold higher than the average coastal DON concentration (13.6 \ub1 30.4 μmol N L−1; median: 8.0 μmol N L−1),which is itself 39-fold higher than the average coastal DOP concentration (0.34 \ub1 1.11 μmol P L−1; median:0.18 μmol P L−1). This dataset will be useful for identifying global spatial and temporal patterns in DOM and willhelp facilitate the reuse of DOC, DON, and DOP data in studies aimed at better characterizing local biogeochem-ical processes; closing nutrient budgets; estimating carbon, nitrogen, and phosphorous pools; and establishing abaseline for modelling future changes in coastal waters

Bacterial community shift is induced by dynamic environmental parameters in a changing coastal ecosystem (northern Adriatic, northeastern Mediterranean Sea) - a 2-year time-series study

The potential link between the microbial dynamics and the environmental parameters was investigated in a semi-enclosed and highly dynamic coastal system (Gulf of Trieste, northern Adriatic Sea, NE Mediterranean Sea). Our comprehensive 2-year time-series study showed that despite the shallowness of this area, there was a significant difference between the surface and the bottom bacterial community structure. The bottom bacterial community was more diverse than the surface one and influenced by sediment re-suspension. The surface seawater temperature had a profound effect on bacterial productivity, while the bacterial community structure was more affected by freshwater-borne nutrients and phytoplankton blooms. Phytoplankton blooms caused an increase of Gammaproteobacteria (Alteromonadaceae, SAR86 and Vibrionaceae) and shift in dominance from SAR11 to Rhodobacteraceae taxon at the surface. Our results propose the importance of the water mass movements as drivers of freshwater-borne nutrients and of allochthonous microbial taxa. This study emphasizes the prediction power based on association networks analyses that are fed with long-term measurements of microbial and environmental parameters. These interaction maps offer valuable insights into the response of marine ecosystem to climate- and anthropogenic-driven stressors