ABSTRACT
BACKGROUND: Southern Alberta is home to many unique homogeneous communities that typically educate their children in private schools. A number of these communities do not promote immunization as a preventive public health measure, although the reasons behind this vary. People within these communities keep themselves somewhat secluded from other populations and thus do not benefit from overall herd immunity. This has led to frequent outbreaks of vaccine-preventable diseases in private schools affiliated with these homogeneous religious communities. OBJECTIVE: To report on low immunization rates of measles, mumps, rubella (MMR) and MMR-varicella in southern Alberta communities and schools and to compare the epidemiology of immunization rates in certain vulnerable communities with those of same-age cohorts in South Zone communities. METHODS: The analysis includes immunization data at the individual level submitted to the provincial immunization repository, Immunization and Adverse Reactions to Immunization, and the Alberta Health Services Meditech module between January 1, 2013, and June 30, 2013. RESULTS: Heterogeneity of immunization status was found among communities and among schools. The status of two year old children up to date on immunizations ranged from 46.6% in Fort Macleod to 71.9% in Oyen, with a mean of 57.3 children in every 100 up to date. By age seven, the mean percentage of immunized children in southern Alberta was 77.6%, ranging from 57.8% in Picture Butte to 94.6% in Oyen. Immunization status among schools ranged from 17% to 100%, with a mean of 89.3% of children fully immunized and a median of 91% immunized. CONCLUSION: There is heterogeneity of immunization uptake for childhood measles-containing vaccine by community and by school in southern Alberta. This study highlights that the location of the school may not align with geographic community as it pertains to immunization rates. Analysis of childhood immunization data at both community and school level is important in understanding the risks of vaccine-preventable illness spread in a given geographic region, such as Alberta South Zone. Data from this study can be used to inform specific interventions required to improve immunization coverage rates in these unique homogeneous cultural communities and their respective schools, and to decrease the risk of measles transmission in Southern Alberta.
ABSTRACT
The spliced leader RNA gene promoter in Leptomonas seymouri requires three promoter elements for efficient and accurate transcription of the spliced leader RNA. The upstream most element appears to have a functional homolog in Leishmania species and in the African trypanosomes. The protein factor, promoter binding protein-1, interacts with the upstream element and appears to function as a basal transcription factor. Promoter binding protein-1 has three subunits; 36, 41 and 57 kDa. Using microsequencing techniques, we have obtained peptide sequence from each subunit. These data have enabled us to recently identify the Leptomonas gene that encodes the 41 kDa subunit. The 41 kDa subunit, comprised of 381 amino acids, is a founding member of a new class of transcription factors since extensive database searches revealed no homology to any known protein. This subunit, encoded by a single copy gene, has a potential nuclear localisation signal at amino acid positions 71-76. There are also multiple dileucine repeats with unknown function. Anti-41 kDa protein polyclonal antibodies are being employed to test the function of the 41 kDa subunit in PBP-1 activities.
