Forced Migration and the Spread of Infectious Diseases.

We examine the role of Venezuelan forced migration on the propagation of 15 infectious diseases in Colombia. For this purpose, we use rich municipal-monthly panel data. We exploit the fact that municipalities closer to the main migration entry points have a disproportionate exposure to infected migrants when the cumulative migration flows increase. We find that higher refugee inflows are associated with increments in the incidence of vaccine-preventable diseases, such as chickenpox and tuberculosis, as well as sexually transmitted diseases, namely syphilis. However, we find no significant effects of migration on the propagation of vector-borne diseases. Contact with infected migrants upon arrival seems to be the main driving mechanism.

Acute extensive myelopathy after single heroin and cocaine exposure in a patient with toxicological evidence of long-term drug abstinence.

Heroin-related myelopathy is an uncommon but often devastating complication of heroin intake. It is usually reported in individuals exposed to intravenous heroin after a variable drug-free period, leading to acute and complete spinal cord injury with poor long-term outcome. We describe an original case of acute longitudinally extensive transverse myelopathy following single heroin and cocaine intravenous exposure after a long period of abstinence confirmed by toxicological hair and retrospective urine drug analysis. This case could provide new insights in the understanding of this rare neurological complication.

An engineered innate immune defense protects grapevines from Pierce disease.

We postulated that a synergistic combination of two innate immune functions, pathogen surface recognition and lysis, in a protein chimera would lead to a robust class of engineered antimicrobial therapeutics for protection against pathogens. In support of our hypothesis, we have engineered such a chimera to protect against the gram-negative Xylella fastidiosa (Xf), which causes diseases in multiple plants of economic importance. Here we report the design and delivery of this chimera to target the Xf subspecies fastidiosa (Xff), which causes Pierce disease in grapevines and poses a great threat to the wine-growing regions of California. One domain of this chimera is an elastase that recognizes and cleaves MopB, a conserved outer membrane protein of Xff. The second domain is a lytic peptide, cecropin B, which targets conserved lipid moieties and creates pores in the Xff outer membrane. A flexible linker joins the recognition and lysis domains, thereby ensuring correct folding of the individual domains and synergistic combination of their functions. The chimera transgene is fused with an amino-terminal signal sequence to facilitate delivery of the chimera to the plant xylem, the site of Xff colonization. We demonstrate that the protein chimera expressed in the xylem is able to directly target Xff, suppress its growth, and significantly decrease the leaf scorching and xylem clogging commonly associated with Pierce disease in grapevines. We believe that similar strategies involving protein chimeras can be developed to protect against many diseases caused by human and plant pathogens.

Reduction by gaseous ozone of Salmonella and microbial flora associated with fresh-cut cantaloupe.

This research investigates the efficacy of gaseous ozone, applied under partial vacuum in a controlled reaction chamber, for the elimination of Salmonella inoculated on melon rind. The performance of high dose, short duration treatment with gaseous ozone, in this pilot system, on the microbial and sensory quality of fresh-cut cantaloupes was also evaluated. Gaseous ozone (10,000 ppm for 30 min under vacuum) reduced viable, recoverable Salmonella from inoculated physiologically mature non-ripe and ripe melons with a maximum reduction of 4.2 and 2.8 log CFU/rind-disk (12.6 cm(2)), respectively. The efficacy of ozone exposure was influenced by carrier matrix. Salmonella adhering to cantaloupe was more resistant to ozone treatment when suspended in skim-milk powder before aqueous inoculation to the rind. This indicated that organic matter interferes with the contact efficiency and resultant antimicrobial activity of gaseous ozone applied as a surface disinfectant. Conversely, in the absence of an organic carrier, Salmonella viability loss was greater on dry exocarp surfaces than in the wetted surfaces, during ozone treatment, achieving reductions of 2.8 and 1.4 initial log CFU/rind-disk, respectively. Gaseous ozone treatment of 5000 and 20,000 ppm for 30 min reduced total coliforms, Pseudomonas fluorescens, yeast and lactic acid bacteria recovery from fresh-cut cantaloupe. A dose Ct-value (concentration x exposure time) of 600,000 ppm min achieved maximal log CFU/melon-cube reduction, under the test conditions. Finally, fresh-cut cantaloupe treated with gaseous ozone, maintained an acceptable visual quality, aroma and firmness during 7-day storage at 5 degrees C. Conclusions derived from this study illustrate that gaseous ozone is an effective option to risk reduction and spoilage control of fresh and fresh-cut melon. Moreover, depending on the timing of contamination and post-contamination conditions, rapid drying combined with gaseous ozone exposure may be successful as combined or sequential disinfection steps to minimize persistence of Salmonella on the surface of cantaloupe melons and transference during fresh-cut processing of home preparation. Based on these results, greater efficacy would be anticipated with mature but non-ripe melons while ripe tissues reduce the efficacy of these gaseous ozone treatments, potentially by oxidative reaction with soluble refractive solids.

Diversas causas y costos del desplazamiento: quíén los compensa? / Variety causes and displacement costs: who it compenses?

El desplazamiento forzado es considerado por el DIH como una violación de los derechos humanos. Tanto en el contexto internacional como en el nacional existe aun gran ambiguedad en la definición legal del término. a diferencia del caso de los refugiados no se ha establecido una legislación clara al respecto. Los avances más significativos en la aproximación legal al tema de desplazados a nivel internacional son bastante recientes, siendo evidente el amplio camino por recorrer en las legislaciones nacionales, que en este tipo de temas, por lo general están a la zaga de la pauta dada por las instancias multilaterales. La investigación en el ámbito social y económico sobre desplazados en Colombia no ha corrido con mejor suerte

Neurofibromatosis: con xantogranulomatosis cutánea juvenil y leucemia mielomonocítica crónica juvenil / Neurofibromatosis: with juvenile cutaneous xanthogranulomatosis and juvenile chronic myelomonicytic leukemia

El objetivo del presente reporte es la descripción de un paciente de la Clínica Pediátrica "B" del hospital "Pereira Rossell", portador de la asociación: Neurofibromatosis de Von Recklinghausen (NF); Xantogranulomatosis Cutánea Juvenil (XCJ) y Leucemia Mielomonocítica Crónica Juvenil (LMMCJ)