Accelerating TB diagnosis during the COVID-19 pandemic.

SETTING: The COVID-19 pandemic has caused significant disruption worldwide to economies and healthcare systems, even those with well-developed infrastructure.OBJECTIVE: To examine the effects of COVID-19 on TB diagnosis in Singapore, and to identify any factors that could facilitate early detection of TB among persons screened.DESIGN: To assess the impact of testing and diagnosis of the pandemic on TB, the number of TB-related tests from January 2018 to December 2020 were collected. We also conducted a retrospective case-control study of all adult patients admitted for COVID-19, TB or coinfection from 23 January to 31 May 2020.RESULTS: Nationwide testing for TB from 2018 to 2020 increased by 24.2%. We analysed 253 adult inpatients, of whom 107 (42.3%) were diagnosed with COVID-19, 134 (53.0%) had TB, while 12 (4.7%) had co-infection. Patients with TB were more likely to have chest X-ray abnormalities than those with COVID-19 (89.9% vs. 76.0%; P < 0.01). Patients with TB were more likely to have prolonged cough vs. those with COVID-19 infection (28 vs. 5 days; P < 0.01).CONCLUSION: Early screening for TB, even among patients with COVID-19, could lead to earlier diagnosis and treatment, thereby breaking the chain of transmission.

Influence of sublethal exposure to abamectin on the biological performance of Neoseiulus longispinosus (Acari: Phytoseiidae).

Effects of sublethal exposure to abamectin on the biological performance of Neoseiulus longispinosus (Evans) were studied under ambient laboratory conditions of 28 +/- 2 degrees C and 80 +/- 15% RH with 24 h light. The red form of the twospotted spider mite, Tetranychus urticae Koch, complex (Acari: Tetranychidae), was offered as prey. The LC50 obtained from the contact bioassay at 48 h after treatment was 0.015 ppm (AI). A big change in kill for a given variation in dosage for the regression slope probably indicated that abamectin was unlikely selective. Sublethal exposure to abamectin caused a reduction in survival with the female reaching 50% mortality by the sixth day and the male 4 d later. The mean preoviposition period was extended by almost 1 d, whereas the mean oviposition period was shortened by almost 5 d causing a reduction in the mean fecundity female-1 to almost half that of the untreated females. The net reproductive rate (Ro), the intrinsic rate of increase (rm), and the finite rate of increase (lambda) of the treated females were markedly inferior. Treated males were seriously affected; the mean life span was almost half that of the untreated.