Host and Viral Traits Predict Zoonotic Spillover from Mammals Kevin J
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Building Resilience to Biothreats: an Assessment of Unmet Core Global Health Security Needs
An assessment of unmet core global health security needs A Copyright © 2019 by EcoHealth Alliance Suggested citation: Carlin EP, Machalaba C, Berthe FCJ, Long KC, Karesh WB. Building resilience to biothreats: an assessment of unmet core global health security needs. EcoHealth Alliance. 2019. An assessment of unmet core BUILDING global health security needs TO BIOTHREATS BUILDING RESILIENCE TO BIOTHREATS AUTHORS AND CONTRIBUTORS ACKNOWLEDGEMENTS Ellen P. Carlin Numerous individuals contributed to this endeavor. We wish to thank Senior Health and Policy Specialist, EcoHealth Alliance the participants who attended our Washington, D.C. roundtable, many Catherine Machalaba of whom came from great distances to do so, including across the Atlantic Policy Advisor and Research Scientist, EcoHealth Alliance Ocean. We thank the World Bank Group for hosting the roundtable Franck C.J. Berthe and for generously providing additional expertise and collaboration Senior Livestock Specialist, World Bank throughout the study process, including through a Knowledge Exchange Kanya C. Long event. The written report benefitted considerably from the input of many AAAS Roger Revelle Fellow in Global Stewardship/Health Specialist, World Bank interview participants and peer reviewers. Officials from the government William B. Karesh of Liberia were especially gracious with their time to provide valuable Executive Vice President, EcoHealth Alliance country perspective. Jim Desmond and Amanda Andre, both from EcoHealth Alliance, provided significant guidance, coordination, -
Zoonotic Diseases Fact Sheet
ZOONOTIC DISEASES FACT SHEET s e ion ecie s n t n p is ms n e e s tio s g s m to a a o u t Rang s p t tme to e th n s n m c a s a ra y a re ho Di P Ge Ho T S Incub F T P Brucella (B. Infected animals Skin or mucous membrane High and protracted (extended) fever. 1-15 weeks Most commonly Antibiotic melitensis, B. (swine, cattle, goats, contact with infected Infection affects bone, heart, reported U.S. combination: abortus, B. suis, B. sheep, dogs) animals, their blood, tissue, gallbladder, kidney, spleen, and laboratory-associated streptomycina, Brucellosis* Bacteria canis ) and other body fluids causes highly disseminated lesions bacterial infection in tetracycline, and and abscess man sulfonamides Salmonella (S. Domestic (dogs, cats, Direct contact as well as Mild gastroenteritiis (diarrhea) to high 6 hours to 3 Fatality rate of 5-10% Antibiotic cholera-suis, S. monkeys, rodents, indirect consumption fever, severe headache, and spleen days combination: enteriditis, S. labor-atory rodents, (eggs, food vehicles using enlargement. May lead to focal chloramphenicol, typhymurium, S. rep-tiles [especially eggs, etc.). Human to infection in any organ or tissue of the neomycin, ampicillin Salmonellosis Bacteria typhi) turtles], chickens and human transmission also body) fish) and herd animals possible (cattle, chickens, pigs) All Shigella species Captive non-human Oral-fecal route Ranges from asymptomatic carrier to Varies by Highly infective. Low Intravenous fluids primates severe bacillary dysentery with high species. 16 number of organisms and electrolytes, fevers, weakness, severe abdominal hours to 7 capable of causing Antibiotics: ampicillin, cramps, prostration, edema of the days. -
The Resistance to Host Antimicrobial Peptides in Infections Caused by Daptomycin-Resistant Staphylococcus Aureus
antibiotics Communication The Resistance to Host Antimicrobial Peptides in Infections Caused by Daptomycin-Resistant Staphylococcus aureus Md Saruar Bhuiyan 1,† , Jhih-Hang Jiang 1,† , Xenia Kostoulias 1, Ravali Theegala 1, Graham J. Lieschke 2 and Anton Y. Peleg 1,3,* 1 Infection and Immunity Program, Monash Biomedicine Discovery Institute, Department of Microbiology, Monash University, Clayton, VIC 3800, Australia; [email protected] (M.S.B.); [email protected] (J.-H.J.); [email protected] (X.K.); [email protected] (R.T.) 2 Australian Regenerative Medicine Institute, Monash University, Clayton, VIC 3800, Australia; [email protected] 3 Department of Infectious Diseases, The Alfred Hospital and Central Clinical School, Monash University, Melbourne, VIC 3004, Australia * Correspondence: [email protected] † These authors contributed equally to this work. Abstract: Daptomycin is an important antibiotic for the treatment of infections caused by Staphylococcus aureus. The emergence of daptomycin resistance in S. aureus is associated with treatment failure and persistent infections with poor clinical outcomes. Here, we investigated host innate immune responses against clinically derived, daptomycin-resistant (DAP-R) and -susceptible S. aureus paired isolates using a zebrafish infection model. We showed that the control of DAP-R S. aureus infections was attenuated in vivo due to cross-resistance to host cationic antimicrobial Citation: Bhuiyan, M.S.; Jiang, J.-H.; peptides. These data provide mechanistic understanding into persistent infections caused by DAP-R Kostoulias, X.; Theegala, R.; Lieschke, S. aureus and provide crucial insights into the adaptive evolution of this troublesome pathogen. G.J.; Peleg, A.Y. The Resistance to Host Antimicrobial Peptides in Keywords: S. -
Chapter 2 Disease and Disease Transmission
DISEASE AND DISEASE TRANSMISSION Chapter 2 Disease and disease transmission An enormous variety of organisms exist, including some which can survive and even develop in the body of people or animals. If the organism can cause infection, it is an infectious agent. In this manual infectious agents which cause infection and illness are called pathogens. Diseases caused by pathogens, or the toxins they produce, are communicable or infectious diseases (45). In this manual these will be called disease and infection. This chapter presents the transmission cycle of disease with its different elements, and categorises the different infections related to WES. 2.1 Introduction to the transmission cycle of disease To be able to persist or live on, pathogens must be able to leave an infected host, survive transmission in the environment, enter a susceptible person or animal, and develop and/or multiply in the newly infected host. The transmission of pathogens from current to future host follows a repeating cycle. This cycle can be simple, with a direct transmission from current to future host, or complex, where transmission occurs through (multiple) intermediate hosts or vectors. This cycle is called the transmission cycle of disease, or transmission cycle. The transmission cycle has different elements: The pathogen: the organism causing the infection The host: the infected person or animal ‘carrying’ the pathogen The exit: the method the pathogen uses to leave the body of the host Transmission: how the pathogen is transferred from host to susceptible person or animal, which can include developmental stages in the environment, in intermediate hosts, or in vectors 7 CONTROLLING AND PREVENTING DISEASE The environment: the environment in which transmission of the pathogen takes place. -
A Framework for Investments to Prevent Emerging Diseases
Publication: Bulletin of the World Health Organization; Type: Perspectives Article ID: BLT.17.199547 Daniel L Schar et al. Emerging disease economics This online first version has been peer-reviewed, accepted and edited, but not formatted and finalized with corrections from authors and proofreaders A framework for investments to prevent emerging diseases Daniel L Schar,a Gavin Mark Yamey,b Catherine C Machalaba c & William B c Karesh a United States Agency for International Development, Regional Development Mission for Asia, Athenee Tower, 25th Floor, 63 Wireless Road, Lumpini, Patumwan, 10330, Bangkok, Thailand. b Duke Global Health Institute, Duke University, Durham, United States of America (USA). c EcoHealth Alliance, New York, USA. Correspondence to Daniel L Schar (email: [email protected]). (Submitted: 15 March 2017 – Revised version received: 3 October 2017 – Accepted: 5 October 2017 – Published online: 14 November 2017) The increase in both the number of events and diversity of emerging infectious diseases is threatening public and animal health. 1 Over the last decade alone, the global community has experienced the repeated burden of emerging diseases, from pandemic influenza to Ebola and Zika virus epidemics. Other pathogens, notably influenza A (H7N9), Middle East respiratory syndrome coronavirus and Nipah virus, have demonstrated their capacity to become global threats. In parallel, the increasing incidence of multidrug-resistant pathogens has become a pressing global health threat that challenges both the human and animal health sectors. The prospect of a post-antibiotic era prompted a high-level consultation on antimicrobial resistance at the 2016 United Nations General Assembly. It was only the fourth such occasion Member States convened and issued a declaration associated with a developing health crisis. -
STD (Sexually Transmitted Disease) Or STI (Sexually Transmitted Infection): Should We Choose? Janet Byron Anderson, Phd
STD (sexually transmitted disease) or STI (sexually transmitted infection): Should we choose? Janet Byron Anderson, PhD 1. Clinical foundation of the problem Another surprise: Documented incidence had shown Each of the terms—“sexual(ly)”, “transmitted”, “disease”, that the two routes of sexual transmission were male-to- and “infection”—is problematic independently, as this female and male-to-male. However, on 15 July 2016 the study will show. Moreover, co-occurring variants, used CDC reported the first case of suspected female-to-male as synonyms in English medical articles worldwide, ag- sexual transmission in New York City [4]. Since 2008, gravate the problem. The purpose of this study is to pro- then, the Zika virus has shown that it is now sexually pose a single term that can stimulate discussion about transmissible. “Transmissible” denotes a potential, and is whether the co-occurring variants are clinically and lin- distinct from “transmitted”, which denotes a reality. guistically justifiable—especially now, when STDs/STIs To say that Zika has proved to be transmissible through have become a global health problem, and public health sexual contact means that it can be transmitted through agencies in every country are scrambling to educate their sex but that it need not be (Zika remains a chiefly vec- citizens. [Until the presentation advances to the point tor-borne disease). However, cases reported since 2008 where the question posed in the title can be definitively document the reality of transmittedness through sexual answered, I’ll use the expression “STD/STI” or the terms contact. “illness(es)” and “condition(s)”.] The predisposing epidemiologic context will first be clar- This carefully differentiated language is used by the ified, for it sheds light on two of the problematic terms: European Centre for Disease Prevention and Control chiefly “transmitted” but also “sexual(ly)”. -
Sexually Transmitted Infections Treatment Guidelines, 2021
Morbidity and Mortality Weekly Report Recommendations and Reports / Vol. 70 / No. 4 July 23, 2021 Sexually Transmitted Infections Treatment Guidelines, 2021 U.S. Department of Health and Human Services Centers for Disease Control and Prevention Recommendations and Reports CONTENTS Introduction ............................................................................................................1 Methods ....................................................................................................................1 Clinical Prevention Guidance ............................................................................2 STI Detection Among Special Populations ............................................... 11 HIV Infection ......................................................................................................... 24 Diseases Characterized by Genital, Anal, or Perianal Ulcers ............... 27 Syphilis ................................................................................................................... 39 Management of Persons Who Have a History of Penicillin Allergy .. 56 Diseases Characterized by Urethritis and Cervicitis ............................... 60 Chlamydial Infections ....................................................................................... 65 Gonococcal Infections ...................................................................................... 71 Mycoplasma genitalium .................................................................................... 80 Diseases Characterized -
Transmission of SARS-Cov-2: Implications for Infection Prevention Precautions
Transmission of SARS-CoV-2: implications for infection prevention precautions Scientific brief 9 July 2020 This document is an update to the scientific brief published on 29 March 2020 entitled “Modes of transmission of virus causing COVID-19: implications for infection prevention and control (IPC) precaution recommendations” and includes new scientific evidence available on transmission of SARS-CoV-2, the virus that causes COVID-19. Overview This scientific brief provides an overview of the modes of transmission of SARS-CoV-2, what is known about when infected people transmit the virus, and the implications for infection prevention and control precautions within and outside health facilities. This scientific brief is not a systematic review. Rather, it reflects the consolidation of rapid reviews of publications in peer-reviewed journals and of non-peer-reviewed manuscripts on pre-print servers, undertaken by WHO and partners. Preprint findings should be interpreted with caution in the absence of peer review. This brief is also informed by several discussions via teleconferences with the WHO Health Emergencies Programme ad hoc Experts Advisory Panel for IPC Preparedness, Readiness and Response to COVID-19, the WHO ad hoc COVID-19 IPC Guidance Development Group (COVID-19 IPC GDG), and by review of external experts with relevant technical backgrounds. The overarching aim of the global Strategic Preparedness and Response Plan for COVID-19(1) is to control COVID-19 by suppressing transmission of the virus and preventing associated illness and death. Current evidence suggests that SARS-CoV-2, the virus that causes COVID-19, is predominantly spread from person-to-person. -
Investing in One Health a Concerted Approach to Address Shared Risks to Humans, Animals, and the Environment
POLICY BRIEF Investing in One Health A concerted approach to address shared risks to humans, animals, and the environment Health disasters like Ebola in West Africa, H5N1 Avian Influenza in Asia and Europe, and Zika virus in Latin America have significantly harmed both health and economies. Many of these countries afflicted by diseases of pandemic potential also face a persistent burden of endemic diseases such as rabies, Lassa virus, and brucellosis, and are challenged by bacteria increasingly resistant to antibiotics. Zoonotic diseases (transmitted between animals and humans) account for over a billion human cases and a million deaths annually. These disease threats compound poverty and obstruct development. Ecosystem alteration, climate change, and inadequate biosecurity are also disproportionately present in the developing world, and exacerbate existing and emergent disease risk. Strong, environmentally considerate, public health systems are needed to prevent, reduce, and manage risks to humans, animals, and the environment and are critical to achieve the World Bank’s twin goals of ending extreme poverty and boosting shared prosperity. The One Health concept recognizes these connections and promotes coordination to better understand and manage risks. This approach can help countries achieve progress on national and global priorities includ- ing poverty alleviation, economic growth, food security, health, and well-being, toward achievement of the Sustainable Development Goals (SDGs). One Health: What It Is and Why It Matters Public health challenges at the human-animal-environment interfaces are inherently multi-sectoral, and therefore warrant whole-of-society solutions. The One Health concept recognizes the connections between humans, animals, and the environment and promotes coordination to better understand and manage risks. -
Supporting North Carolina's Vaccination Efforts
Supporting North Carolina’s Vaccination Efforts Toolkit for Partner Organizations Updated June 17th, 2021 Current State of North Carolina COVID-19 Vaccinations: COVID-19 vaccines are available for free in North Carolina to everyone ages 12 and older. Those 18 and over can receive any of the three approved vaccines, while youth aged 12-17 may only receive the Pfizer vaccine. Individuals and CBOs may use the CDC Vaccine Finder to find locations that carry the Pfizer vaccine. While walk-in vaccinations are available, some locations may require appointments. In North Carolina, anyone can get vaccinated regardless of immigration status – getting vaccinated will not affect your immigration. No government-issued ID or insurance is required. Everyone can read the frequently asked questions on the DHHS website to learn more about vaccinations and what you can do after you’re vaccinated. Earning the Trust of North Carolinians: The injustices that drive the disparate impact of COVID-19 on historically marginalized populations (HMP)1 can also cause very legitimate reasons for community members to have questions about vaccines. That is why NCDHHS are working to partner with trusted leaders and organizations to provide accurate information to communities. NCDHHS is committed to earning the trust of North Carolinians related to the COVID-19 vaccine and beyond and building upon already established relationships. Organizations can consider the following strategies to support North Carolina’s vaccination efforts: 1. Share information about the COVID-19 vaccine: • Use the NCDHHS COVID-19 vaccine communications toolkit to make sure all North Carolinians have accurate and up-to-date information on the vaccine. -
Cationic Host Defense (Antimicrobial) Peptides Kelly L Brown and Robert EW Hancock
Cationic host defense (antimicrobial) peptides Kelly L Brown and Robert EW Hancock Members of the cationic host defense (antimicrobial) peptide Peptides are expressed with elements of immunity family are widely distributed in nature, existing in organisms Innate immunity is the most ancient form of immune from insects to plants to mammals and non-mammalian defense, conserved throughout the animal kingdom and vertebrates. Although many demonstrate direct antimicrobial vital to invertebrate host defenses. More recently dis- activity against bacteria, fungi, eukaryotic parasites and/or covered aspects of innate immunity — most notably, the viruses, it has been established that cationic peptides have a family of Toll-like receptors (TLRs) — have illuminated key modulatory role in the innate immune response. More the previously unrecognized complexity and heterogene- recent evidence suggests that host defense peptides are ity within the innate immune system. Many factors sup- effective adjuvants, are synergistic with other immune port important and diverse roles for antimicrobial effectors, polarize the adaptive response, and support wound peptides in immunity: the robust membership, broad healing. In addition, the mechanisms of action are being diversity in sequence and structure, thematic similarity unraveled, which support more effective implementation of of vertebrate and invertebrate antimicrobial peptides, derivatives of these endogenous peptides as therapeutic wide distribution in cells of the immune system (leuko- agents. cytes, Paneth -
One Health in Action (2009-2020)
MALAYSIA One Health in action (2009-2020) The PREDICT project in Malaysia is an exemplary One Health success between EcoHealth Alliance and the Malaysian Government (human, wildlife and veterinary authorities) working together to find new viruses and strengthen human and laboratory capacity, an important step towards sustainable disease surveillance. MALAYSIA The PREDICT project, as part of USAID’s collaboration on zoonotic disease surveillance. Emerging Pandemic Threats program, seeks This close working and comitted group of to discover zoonotic viruses in wildlife before individuals and institutions have made significant they become human epidemics, and identify the advances in Malaysian research and surveillance factors that drive their emergence, amplification, infrastructure and have strengthened technical and spread in populations. EcoHealth Alliance capacity in that time, including the creation (EHA) and Conservation Medicine, the Ministry of two internationally certified labs dedicated of Health, Department of Wildlife and National to wildlife disease screening. In Malaysia, the Parks Peninsular Malaysia, and the Department project to date has identified 76 novel viruses of Veterinary Services have been working and 29 known viruses, providing the Malaysian together on zoonotic disease surveillance government with actionable data to inform risk in Malaysia since 2005. Expanding to Sabah mitigation policies at the national and state level. in 2012, EHA, Sabah Wildlife Department, and Sabah State Health Department began a LOCAL PARTNERS