Q 5 a (R1): Viral Safety Evaluation of Biotechnology Products Derived
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Risk Factors, Seroprevalence and Infectivity of Hepatitis B Virus
ISSN: 2474-3658 Ogbonna et al. J Infect Dis Epidemiol 2021, 7:186 DOI: 10.23937/2474-3658/1510186 Volume 7 | Issue 1 Journal of Open Access Infectious Diseases and Epidemiology Research ArticlE Risk Factors, Seroprevalence and Infectivity of Hepatitis B Virus amongst Children Resident in Orphanages in a Developing Country Chioma Paulina Ogbonna, MBBS, FMCPaed1, Christian Chukwukere Ogoke, MBBS, FWACP2* , Anthony Nnaemeka Ikefuna, MBBS, FMCPaed, FRCP3,4, Tochukwu 1 Check for Chukwukadibia Ezeofor, MBBS, FMCpaed, FRCP , Emeka Charles Nwolisa, MBBS, updates FWACP, FRCP5, Franklin Chime Emerenini, MBBch, FMCpaed1, and Christopher Bismarck Eke MBBS, FWACP4,6 1Consultant Paediatrician, Department of Paediatrics, Federal Medical Centre, Owerri, Nigeria 2Paediatric Neurology Unit, Department of Paediatrics, King Fahad Central Hospital, Abu Arish 82666, Kingdom of Saudi Arabia 3Professor of Paediatrics, Faculty of Medical Sciences, Department of Paediatrics, University of Nigeria, Nigeria 4Consultant Paediatrician, University of Nigeria Teaching Hospital, Nigeria 5Chief Consultant Paediatrician, Federal Medical Centre, Owerri, Nigeria 6Senior Lecturer, Department of Paediatrics, University of Nigeria, Nigeria *Corresponding authors: Dr. Christian Chukwukere Ogoke, Paediatric Neurology Unit, Department of Paediatrics, King Fahad Central Hospital, Abu Arish 82666, Kingdom of Saudi Arabia Abstract Results: Seroprevalence of HBsAg in children in orphanag- es was 20.0% versus 10.7% in the controls (P = 0.031). In- Background: Hepatitis B infection (HBV) remains a signifi- fectivity of HBV was higher in subjects (42.9%) than controls cant clinical and public health problem and is hyperendemic (20.0%) (P = 0.245). Sharing of towel (P = 0.014) sharing of in Nigeria. In highly endemic regions, infections spread from barbing devices (P = 0.001) and circumcision (P = 0.005) mother to child, or by horizontal transmission, with the bur- were the significant risk factors for Hepatitis B virus infec- den of infection being highest in under-fives. -
Scientific Committee Animal Health and Animal Welfare
EUROPEAN COMMISSION HEALTH and CONSUMER PROTECTION DIRECTORATE-GENERAL Directorate C - Scientific Opinions C2 - Management of scientific committees; scientific co-operation and networks Diagnostic Techniques and Vaccines for Foot-and-Mouth Disease, Classical Swine Fever, Avian Influenza and some other important OIE List A Diseases Report of the Scientific Committee on Animal Health and Animal Welfare Adopted 24-25th April 2003 TABLE OF CONTENTS 1. ABBREVIATIONS.....................................................................................................6 2. MANDATE.................................................................................................................9 3. BACKGROUND.........................................................................................................9 4. PREAMBLE..............................................................................................................10 5. RECENT DEVELOPMENTS IN THE DIAGNOSIS OF INFECTIOUS DISEASES ................................................................................................................14 5.1. Introduction .....................................................................................................14 5.2. Screening of animal products ..........................................................................19 5.3. Nucleic acid amplification methods ................................................................19 5.3.1. Extraction of nucleic acid from the test sample ................................20 5.3.2. Target amplification -
The Comparative Clinical Performance of Four SARS-Cov-2 Rapid Antigen Tests and Their Correlation to Infectivity in Vitro
Journal of Clinical Medicine Article The Comparative Clinical Performance of Four SARS-CoV-2 Rapid Antigen Tests and Their Correlation to Infectivity In Vitro Niko Kohmer 1,†, Tuna Toptan 1,† , Christiane Pallas 1, Onur Karaca 1, Annika Pfeiffer 1 , Sandra Westhaus 1, Marek Widera 1 , Annemarie Berger 1, Sebastian Hoehl 1 , Martin Kammel 2,3, Sandra Ciesek 1,4,5,*,‡ and Holger F. Rabenau 1,*,‡ 1 Institute for Medical Virology, University Hospital, Goethe University Frankfurt, 60596 Frankfurt, Germany; [email protected] (N.K.); [email protected] (T.T.); [email protected] (C.P.); [email protected] (O.K.); [email protected] (A.P.); [email protected] (S.W.); [email protected] (M.W.); [email protected] (A.B.); [email protected] (S.H.) 2 Institut fuer Qualitaetssicherung in der Virusdiagnostik-IQVD der GmbH, 14129 Berlin, Germany; [email protected] 3 INSTAND Gesellschaft zur Foerderung der Qualitaetssicherung in Medizinischen Laboratorien e.V., 40223 Duesseldorf, Germany 4 German Centre for Infection Research, External Partner Site, 60323 Frankfurt, Germany 5 Fraunhofer Institute for Molecular Biology and Applied Ecology (IME), Branch Translational Medicine and Pharmacology, 60596 Frankfurt, Germany * Correspondence: [email protected] (S.C.); [email protected] (H.F.R.); Tel.: +49-696-301-5219 (S.C.); Tel.: +49-696-301-5312 (H.F.R.) † These authors contributed equally to this work. ‡ These authors contributed equally to this work. Abstract: Citation: Kohmer, N.; Toptan, T.; Due to globally rising numbers of severe acute respiratory syndrome coronavirus 2 (SARS- Pallas, C.; Karaca, O.; Pfeiffer, A.; CoV-2) infections, resources for real-time reverse-transcription polymerase chain reaction (rRT-PCR)- Westhaus, S.; Widera, M.; Berger, A.; based testing have been exhausted. -
Guide for Common Viral Diseases of Animals in Louisiana
Sampling and Testing Guide for Common Viral Diseases of Animals in Louisiana Please click on the species of interest: Cattle Deer and Small Ruminants The Louisiana Animal Swine Disease Diagnostic Horses Laboratory Dogs A service unit of the LSU School of Veterinary Medicine Adapted from Murphy, F.A., et al, Veterinary Virology, 3rd ed. Cats Academic Press, 1999. Compiled by Rob Poston Multi-species: Rabiesvirus DCN LADDL Guide for Common Viral Diseases v. B2 1 Cattle Please click on the principle system involvement Generalized viral diseases Respiratory viral diseases Enteric viral diseases Reproductive/neonatal viral diseases Viral infections affecting the skin Back to the Beginning DCN LADDL Guide for Common Viral Diseases v. B2 2 Deer and Small Ruminants Please click on the principle system involvement Generalized viral disease Respiratory viral disease Enteric viral diseases Reproductive/neonatal viral diseases Viral infections affecting the skin Back to the Beginning DCN LADDL Guide for Common Viral Diseases v. B2 3 Swine Please click on the principle system involvement Generalized viral diseases Respiratory viral diseases Enteric viral diseases Reproductive/neonatal viral diseases Viral infections affecting the skin Back to the Beginning DCN LADDL Guide for Common Viral Diseases v. B2 4 Horses Please click on the principle system involvement Generalized viral diseases Neurological viral diseases Respiratory viral diseases Enteric viral diseases Abortifacient/neonatal viral diseases Viral infections affecting the skin Back to the Beginning DCN LADDL Guide for Common Viral Diseases v. B2 5 Dogs Please click on the principle system involvement Generalized viral diseases Respiratory viral diseases Enteric viral diseases Reproductive/neonatal viral diseases Back to the Beginning DCN LADDL Guide for Common Viral Diseases v. -
Inferring the Association Between the Risk of COVID-19 Case Fatality and N501Y Substitution in SARS-Cov-2
viruses Article Inferring the Association between the Risk of COVID-19 Case Fatality and N501Y Substitution in SARS-CoV-2 Shi Zhao 1,2,* , Jingzhi Lou 1, Marc K. C. Chong 1,2 , Lirong Cao 1,2 , Hong Zheng 1, Zigui Chen 3 , Renee W. Y. Chan 4,5,6,7 , Benny C. Y. Zee 1,2 , Paul K. S. Chan 3 and Maggie H. Wang 1,2,* 1 JC School of Public Health and Primary Care, Chinese University of Hong Kong, Hong Kong, China; [email protected] (J.L.); [email protected] (M.K.C.C.); [email protected] (L.C.); [email protected] (H.Z.); [email protected] (B.C.Y.Z.) 2 CUHK Shenzhen Research Institute, Shenzhen 518000, China 3 Department of Microbiology, Chinese University of Hong Kong, Hong Kong, China; [email protected] (Z.C.); [email protected] (P.K.S.C.) 4 Department of Pediatrics, Chinese University of Hong Kong, Hong Kong, China; [email protected] 5 Hong Kong Hub of Pediatric Excellence, Chinese University of Hong Kong, Shatin, N.T., Hong Kong, China 6 CUHK-UMCU Joint Research Laboratory of Respiratory Virus & Immunobiology, Chinese University of Hong Kong, Shatin, N.T., Hong Kong, China 7 Li Ka Shing Institute of Health Sciences, Faculty of Medicine, Chinese University of Hong Kong, Shatin, N.T., Hong Kong, China * Correspondence: [email protected] (S.Z.); [email protected] (M.H.W.) Abstract: As COVID-19 is posing a serious threat to global health, the emerging mutation in SARS- CoV-2 genomes, for example, N501Y substitution, is one of the major challenges against control of the Citation: Zhao, S.; Lou, J.; Chong, pandemic. -
The Global Case-Fatality Rate of COVID-19 Has Been Declining Since May 2020
Am. J. Trop. Med. Hyg., 104(6), 2021, pp. 2176–2184 doi:10.4269/ajtmh.20-1496 Copyright © 2021 by The American Society of Tropical Medicine and Hygiene The Global Case-Fatality Rate of COVID-19 Has Been Declining Since May 2020 Mohammad Nayeem Hasan,1† Najmul Haider,2† Florian L. Stigler,3 Rumi Ahmed Khan,4 David McCoy,5 Alimuddin Zumla,6,7 Richard A. Kock,2 and Md. Jamal Uddin1 1Department of Statistics, Shahjalal University of Science and Technology, Sylhet 3114, Bangladesh; 2The Royal Veterinary College, University of London, Hawkshead Lane, North Mymms, Hatfield, Hertfordshire, United Kingdom; 3Austrian Sickness Fund, Vienna, Austria; 4Department of Critical Care Medicine, Orlando Regional Medical Centre, Orlando, Florida; 5Institute of Population Health Sciences, Barts and London Medical and Dental School, Queen Mary University of London, London, United Kingdom; 6Department of Infection, Division of Infection and Immunity, Centre for Clinical Microbiology, Royal Free Campus, University College London, London, United Kingdom; 7National Institute for Health Research Biomedical Research Centre, University College London Hospitals, London, United Kingdom Abstract. The objective of this study was to evaluate the trend of reported case fatality rate (rCFR) of COVID-19 over time, using globally reported COVID-19 cases and mortality data. We collected daily COVID-19 diagnoses and mortality data from the WHO’s daily situation reports dated January 1 to December 31, 2020. We performed three time-series models [simple exponential smoothing, auto-regressive integrated moving average, and automatic forecasting time- series (Prophet)] to identify the global trend of rCFR for COVID-19. We used beta regression models to investigate the association between the rCFR and potential predictors of each country and reported incidence rate ratios (IRRs) of each variable. -
Optimizing Product Lifecycle Management with Real World
1/17/2019 Optimizing Product Lifecycle Management With Real-World Evidence :: Medtech Insight This copy is for your personal, non-commercial use. For high-quality copies or electronic reprints for distribution to colleagues or customers, please call +44 (0) 20 3377 3183 Printed By Optimizing Product Lifecycle Management With Real- World Evidence 27 Dec 2018 SPONSORED Executive Summary Thought Leadership In Association With IQVIA An increasingly data-rich healthcare sector presents both opportunities and challenges for the MedTech industry, just as it does for the health systems and patients served by MedTech products. Used intelligently and appropriately, the vast quantities of real-world data emanating from multiple healthcare sources, such as electronic medical records (EMRs), claims databases, products and disease registries, provide the raw material for real-world evidence (RWE) that can inform strategy and decision- making throughout the MedTech-product lifecycle. An increasingly data-rich healthcare sector presents both opportunities and challenges for the MedTech industry, just as it does for the health systems and patients served by MedTech products. Used intelligently and appropriately, the vast quantities of real-world data emanating from multiple healthcare sources, such as electronic medical records (EMRs), claims databases, products and disease registries, provide the raw material for real-world evidence (RWE) that can inform strategy and decision-making throughout the MedTech-product lifecycle. “What we’re seeing in the industry -
Use of in Vivo and in Vitro Models to Guide Dose Selection for Neonatal Infections
Use of In Vivo and In Vitro Models to Guide Dose Selection for Neonatal Infections Professor William Hope Antimicrobial Pharmacodynamics & Therapeutics University of Liverpool September 2016 Disclosures • William Hope has received research funding from Pfizer, Gilead, Astellas, AiCuris, Amplyx, Spero Therapeutics and F2G, and acted as a consultant and/or given talks for Pfizer, Basilea, Astellas, F2G, Nordic Pharma, Medicines Company, Amplyx, Mayne Pharma, Spero Therapeutics, Auspherix, Cardeas and Pulmocide. First of all BIOMARKER OUTCOME OF CLINICAL DOSE INTEREST/IMPORTANCE •Decline in Log10CFU/mL •Linked to an outcome of clinical interest •Survival 7 6 5 4 CFU/g) CNS 10 3 Effect (log 2 1 0 0.01 0.1 1 10 100 1000 Total doseDose 5FC (mg/kg) PHARMACOKINETICS PHARMACODYNAMICS Concept of Expensive Failure COST Derisking White Powder Preclinical Program Clinical Program Concept from Trevor Mundell & Gates Foundation And this… Normal Therapeutics Drug A, Dose A1 versus Drug B, Dose B1 Pharmacodynamics is the Bedrock of ALL Therapeutics…it sits here without being seen One of the reasons simple scaling does not work is the fact pharmacodynamics are different Which means the conditions that govern exposure response relationships in neonates need to be carefully considered …Ignore these at your peril Summary of Preclinical Pharmacodynamic Studies for Neonates** • Hope el al JID 2008 – Micafungin for neonates – Primary question of HCME – Rabbit model with hematogenous dissemination • Warn et al AAC 2010 – Anidulafungin for neonates – Primary question -
In Vitro–In Vivo Correlation (IVIVC): a Strategic Tool in Drug Development
alenc uiv e & eq B io io B a f v o a Sakore and Chakraborty, J Bioequiv Availab 2011, S3 i l l a a b n r i l i u DOI: 10.4172/jbb.S3-001 t y o J Journal of Bioequivalence & Bioavailability ISSN: 0975-0851 Review Article OpenOpen Access Access In Vitro–In Vivo Correlation (IVIVC): A Strategic Tool in Drug Development Somnath Sakore* and Bhaswat Chakraborty Cadila Pharmaceuticals Ltd, Research & Development, 1389, Trasad Road, Dholka, Ahmedabad 387810, Gujarat, India Abstract In Vitro–In Vivo Correlation (IVIVC) plays a key role in pharmaceutical development of dosage forms. This tool hastens the drug development process and leads to improve the product quality. It is an integral part of the immediate release as well as modified release dosage forms development process. IVIVC is a tool used in quality control for scale up and post-approval changes e.g. to improve formulations or to change production processes & ultimately to reduce the number of human studies during development of new pharmaceuticals and also to support the biowaivers. This article provides the information on the various guidances, evaluation, validation, BCS application in IVIVC, levels of IVIVC, applications of IVIVC in mapping, novel drug delivery systems and prediction of IVIVC from the dissolution profile characteristics of product. Keywords: IVIVC definitions; Predictions; BCS classification; IVIVC definitions IVIVC Levels; Applications, Guidance United state pharmacopoeia (USP) definition of IVIVC Abbreviations: IVIVC: In Vitro In Vivo correlation; FDA: Food and Drug Administration; AUC: Area Under Curve; MDT vitro: The establishment of a rational relationship between a biological Mean in vitro Dissolution Time; MRT: Mean Residence Time; BCS: property, or a parameter derived from a biological property produced Biopharmaceutical Classification System by a dosage form, and a physicochemical property or characteristic of the same dosage form [2]. -
Opportunities and Gaps in Real-World Evidence for Medical Devices 1201 Pennsylvania Ave
Robert J. Margolis, MD Center for Health Policy Duke Opportunities and Gaps in Real-World Evidence for Medical Devices 1201 Pennsylvania Ave. NW Suite 500 ● Washington, DC 20004 April 26, 2017 Meeting Summary Purpose Medical devices have substantially improved our ability to manage and treat a wide variety of conditions. Given the extent of their use, it is important that there be an effective system for monitoring medical device performance and the associated patient outcomes. Although significant steps have been takento enable evaluation and safety surveillance of medical products, critical gaps remain in capturingreal-world data(RWD) to evaluate medical devices before and afterFDA approval. As the collection and use of RWD advances, real-world evidence (RWE) will be able to incorporate data captured throughout the total medical device lifecycle, informing and improving the next iteration of devices. 1 The recently launched National Evaluation System for health Technology CoordinatingCenter(NESTcc) is compilingalandscape analysis report to facilitate conversation and encourage the increased and improved use of RWD with stakeholders across the medical device ecosystem. The analysis will build on the work ofFDA,thePlanning Board, the Registry Taskforce, and many stakeholders and experts. The long-term goal is forthelandscape analysis to become a living document and a NESTcc-maintained resource that encourages communication and collaboration. This workshop convened a broad range of experts and stakeholders to provide input on the analysis, including highlighting some of the current uses of RWD/RWEand identifying where gaps still remain.2 For overadecade, there have been increasing concerns that the post-market surveillance system in the United States was not fully meeting the demands of a constantly evolving medical device ecosystem. -
Meta-Analysis of Randomized Trials of Ivermectin to Treat SARS-Cov-2 Infection
Meta-analysis of randomized trials of ivermectin to treat SARS-CoV-2 infection Andrew Hill ( [email protected] ) University of Liverpool Ahmed Abdulamir College of Medicine, Alnahrain University, Baghdad, Iraq Sabeena Ahmed International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh, Asma Asghar Department of Medicine, Combined Military Hospital, Lahore, Pakistan Olufemi Emmanuel Babalola Bingham University / Lagos University, Nigeria Rabia Basri Fatima Memorial Hospital, Lahore, Pakistan Carlos Chaccour Barcelona Institute for Global Health, Clinica Universidad de Navarra, Spain Aijaz Zeeshan Khan Chachar Fatima Memorial Hospital, Lahore, Pakistan Abu Tauib Mohammed Chowdhury Xi'an Jiaotong University Medical College First Aliated Hospital, Shaannxi, China Ahmed Elgazzar Faculty of Medicine, Benha University, Benha, Egypt Leah Ellis Faculty of Medicine, Imperial College, London, UK Jonathan Falconer Department of Infectious Diseases, Chelsea and Westminster Hospital, London, UK Anna Garratt Department of Infectious Diseases, University Hospital of Wales, Cardiff and Vale University Health Board, UK Basma Hany Faculty of Medicine, Benha University, Benha, Egypt Hashim A Hashim Alkarkh Hospital, Alateya, Baghdad, Iraq Wasim Ul Haque Department of Nephrology, BIRDEM General Hospital, Dhaka, Bangladesh Arshad Hayat Department of Medicine, Combined Military Hospital, Lahore, Pakistan Shuixiang He Xi'an Jiaotong University Medical College First Aliated Hospital, Shaanxi, China Ramin Jamshidian Jundishapur University School -
In Vitro Diagnostic Medical Devices
In vitro diagnostic medical devices SUMMARY In vitro diagnostic medical devices are tests used on biological samples to determine the status of a person's health. The industry employs about 75 000 people in Europe, and generates some €11 billion in revenue per year. In September 2012, the European Commission (EC) published a proposal for a new regulation on in vitro diagnostic medical devices, as part of a larger legislative package on medical devices. The proposed legislation aims at enhancing safety, traceability and transparency without inhibiting innovation. In April 2014, the European Parliament (EP) amended the legislative proposals to strengthen the rights of patients and consumers and take better into account the needs of small and medium-sized enterprises (SMEs). Some stakeholders consider that a provision for mandatory genetic counselling interferes with the practice of medicine in Member States and violates the subsidiarity principle. Device manufacturers warn that the proposed three-year transition period may be too tight. In this briefing: Introduction EU legislation Commission proposal for a new Regulation European Parliament Expert analysis and stakeholder positions Further reading EPRS In vitro diagnostic medical devices Glossary Companion diagnostic: (in vitro) medical device which provides information that is essential for the safe and effective use of a corresponding drug or biological product. In vitro diagnostic medical device: test performed outside the human body on biological samples to detect diseases, conditions, or infections. Notified body: (private-sector) organisation appointed by an EU Member State to assess whether a product meets certain standards, for example those set out in the Medical Devices Directive.