Epidemics, pandemics, and social conflict: Lessons from the past and possible scenarios for COVID-19.

Since COVID-19 broke out, there has been renewed interest in understanding the economic and social dynamics of historical and more recent epidemics and pandemics, from the plagues of Antiquity to modern-day outbreaks like Ebola. These events can have significant impacts on the interplay between poverty and social cohesion, i.e. how different groups in society interact and cooperate to survive and prosper. To that effect, this paper provides a theory-driven overview of how social responses to past epidemics and pandemics were determined by the epidemiological and non-epidemiological characteristics of these outbreaks, with a particular focus on the conditions giving rise to scapegoating and persecution of minority groups, including migrants. We discuss existing theories as well as historical and quantitative studies, and highlight the cases where epidemics and pandemics may lead to milder or more severe forms of scapegoating. Finally, we conclude with a summary of priorities for future research on epidemics, pandemics and social conflict and discuss the possible effects and policy implications of COVID-19.

Ionization techniques in capillary electrophoresis-mass spectrometry: principles, design, and application.

A major step forward in the development and application of capillary electrophoresis (CE) was its coupling to ESI-MS, first reported in 1987. More than two decades later, ESI has remained the principal ionization technique in CE-MS, but a number of other ionization techniques have also been implemented. In this review the state-of-the-art in the employment of soft ionization techniques for CE-MS is presented. First the fundamentals and general challenges of hyphenating conventional CE and microchip electrophoresis with MS are outlined. After elaborating on the characteristics and role of ESI, emphasis is put on alternative ionization techniques including sonic spray ionization (SSI), thermospray ionization (TSI), atmospheric pressure chemical ionization (APCI), atmospheric pressure photoionization (APPI), matrix-assisted laser desorption ionization (MALDI) and continuous-flow fast atom bombardment (CF-FAB). The principle of each ionization technique is outlined and the experimental set-ups of the CE-MS couplings are described. The strengths and limitations of each ionization technique with respect to CE-MS are discussed and the applicability of the various systems is illustrated by a number of typical examples.

Drug impurity profiling by capillary electrophoresis/mass spectrometry using various ionization techniques.

Capillary electrophoresis/mass spectrometry (CE/MS) is predominantly carried out using electrospray ionization (ESI). Recently, atmospheric pressure chemical ionization (APCI) and atmospheric pressure photoionization (APPI) have become available for CE/MS. With the VUV lamp turned off, the APPI source may also be used for CE/MS by thermospray ionization (TSI). In the present study the suitability of ESI, APCI, APPI and TSI for drug impurity profiling by CE/MS in the positive ion mode is evaluated. The drugs carbachol, lidocaine and proguanil and their potential impurities were used as test compounds, representing different molecular polarities. A background electrolyte of 100 mM acetic acid (pH 4.5) provided baseline separation of nearly all impurities from the respective drugs. APPI yielded both even- and odd-electron ions, whereas the other ionization techniques produced even-electron ions only. In-source fragmentation was more pronounced with APCI and APPI than with ESI and TSI, which was most obvious for proguanil and its impurities. In general, ESI and TSI appeared the most efficient ionization techniques for impurities that are charged in solution achieving detection limits of 100 ng/mL (full-scan mode). APPI and APCI showed a lower efficiency, but allowed ionization of low and high polarity analytes, although quaternary ammonium compounds (e.g. carbachol) could not be detected. Largely neutral compounds, such as the lidocaine impurity 2,6-dimethylaniline, could not be detected by TSI, and yielded similar detection limits (500 ng/mL) for ESI, APPI and APCI. In many cases, impurity detection at the 0.1% (w/w) level was possible when 1 mg/mL of parent drug was injected with at least one of the CE/MS systems. Overall, the tested CE/MS systems provide complementary information as illustrated by the detection and identification of an unknown impurity in carbachol.

Capillary electrophoresis-atmospheric pressure chemical ionization-mass spectrometry using an orthogonal interface: set-up and system parameters.

The feasibility of atmospheric pressure chemical ionization (APCI) as an alternative ionization technique for capillary electrophoresis-mass spectrometry (CE-MS) was investigated using a grounded sheath-flow CE-MS sprayer and an orthogonal APCI source. Infusion experiments indicated that highest analyte signals were achieved when the sprayer tip was in close vicinity of the vaporizer entrance. The APCI-MS set-up enabled detection of basic, neutral, and acidic compounds, whereas apolar and ionic compounds could not be detected. In the positive ion mode, analytes could be detected in the entire transfer voltage range (0-5 kV), whereas highest signal intensities were observed when the corona discharge current was between 1000 and 2000 nA. In the negative ion mode, the transfer voltage typically was 500 V and the optimum corona discharge current was 6000 nA. Analyte signals were raised with increasing nebulizing gas pressure, but the pressure was limited to 25 psi to avoid siphoning and current drops. Signal intensities appeared to be optimal and constant over a wide range of sheath liquid flow rate (5-25 microL/min) and vaporizer temperature (200-350 degrees C). APCI-MS signals were unaffected by the composition of the background electrolyte (BGE), even when it contained sodium phosphate and sodium dodecyl sulfate (SDS). Consequently, BGE composition, sheath-liquid flow rate, and vaporizer temperature can be optimized with respect to the CE separation without affecting the APCI-MS response. The analysis of a mixture of basic compounds and a steroid using volatile and nonvolatile BGEs further demonstrates the feasibility of CE-APCI-MS. Detection limits (S/N = 3) were 1.6-10 microM injected concentrations.

Comparison of electrospray ionization and atmospheric pressure photoionization for coupling of micellar electrokinetic chromatography with ion trap mass spectrometry.

The performance of dopant-assisted atmospheric pressure photoionization (DA-APPI) and electrospray ionization (ESI) for the coupling of micellar electrokinetic chromatography (MEKC) with ion trap mass spectrometry (ITMS) was compared using a set of test drugs comprising basic amines, steroids, esters, phenones and a quaternary ammonium compound. The influence of the surfactant sodium dodecyl sulfate (SDS) on analyte signals was studied by infusion of sample through the CE capillary into the respective ion sources. It was found that background electrolytes (BGEs) containing 20-50 mM SDS in 10 mM sodium phosphate (pH 7.5) caused major ionization suppression for both polar and apolar compounds in ESI-MS, whereas APPI-MS signal intensities remained largely unaffected. ESI gave rise to the formation of SDS clusters, which occasionally may cause space-charge effects in the ion trap. Furthermore, extensive sodium-adduct formation was observed for medium polar compounds with ESI-MS, whereas these compounds were detected as their protonated molecules with APPI-MS. Using the BGE containing 20 mM SDS, MEKC-ESI-MS still provides slightly lower limits of detection (LODs) (2.6-3.1 microM) than MEKC-APPI-MS (4.3-6.4 microM) for basic amines. For less polar compounds, highest S/Ns were obtained with APPI-MS detection (LODs, 4.5-71 microM). For BGEs containing 50 mM SDS, the limits of detection for MEKC-APPI-MS were more favorable (factor 1.5-12) than MEKC-ESI-MS for nearly all tested drugs. Spray shield contamination by SDS was lower in DA-APPI-MS than in ESI-MS. It is concluded that DA-APPI shows the most favorable characteristics for MEKC-MS, especially when compounds of low polarity have to be analyzed.

Photon-independent gas-phase-ion formation in capillary electrophoresis-mass spectrometry using atmospheric pressure photoionization.

In a previous study on capillary electrophoresis-atmospheric pressure photoionization mass spectrometry (CE-APPI-MS), it was observed that the formation of gas-phase ions does not always proceed through photon-induced mechanisms (Hommerson, P.; Khan, A. M.; De Jong, G. J.; Somsen, G. W. Electrophoresis 2007, 28, 1444-1453). That is, analyte signals were observed when the VUV excitation source was switched off. The aim of the present study was to further explore this photon-independent ionization (PII) process. Parameters such as MS capillary voltage, compound nature, background electrolyte (BGE) composition, and presence of dopants were studied using a CE-APPI-MS setup. Infusion experiments showed a relatively low MS capillary voltage of approximately 600 V to be the main prerequisite for PII. Quaternary ammonium compounds showed strong responses in PII-MS but could not be observed in dopant-assisted APPI. Basic amines could be ionized by both photoionization (PI) and PII, whereas neutral compounds (steroids) could only be observed using PI. Nonvolatile BGEs appeared to cause substantial ionization suppression in PII, while PI signals remained largely unaffected. Selection of the proper interface and MS settings allowed PI and PII to proceed simultaneously, which broadened the range of compounds that could be analyzed in a single CE-APPI-MS run. Based on the observed characteristics, it is concluded that PII most probably occurs by a liquid-phase ionization mechanism, which appears to arise in the APPI source when specific conditions are selected.

Comparison of atmospheric pressure photoionization and ESI for CZE-MS of drugs.

The performance of atmospheric pressure photoionization (APPI) and ESI for CZE was compared using a set of seven drugs (basic amines, quaternary amines and steroids) and four different BGEs. The influence of volatile and nonvolatile BGEs of acidic and neutral pH on the MS responses of test compounds was evaluated by infusion of test solutions into the respective ion sources, and by actual CZE-MS experiments. The infusion experiments indicate that sodium phosphate buffers cause ionization suppression in ESI-MS, although for the amines the suppression was modest (25-60% signal reduction). By contrast, APPI-MS responses were not affected by nonvolatile BGEs. With phosphate buffers, ESI-MS responses for the basic amines were still a factor 3-13 higher than the APPI-MS signals, whereas the steroids yielded similar responses in ESI-MS and APPI-MS. The quaternary amines could readily be detected in ESI-MS, but detection in APPI-MS required specific interface conditions. Using typical CZE-APPI-MS settings, quaternary amines remained undetected. Remarkably, the S/Ns observed in CZE-ESI-MS for the test compounds, were generally similar when using volatile and nonvolatile BGEs. For basic compounds, the S/Ns obtained in CZE-ESI-MS were a factor 2-5 higher than in CZE-APPI-MS, whereas steroids yielded equal S/Ns in both methods. Overall, it is concluded that when using relatively low BGE concentrations, the sensitivity of ESI-MS detection in CZE is more favorable than APPI-MS detection, even when nonvolatile BGEs are employed.