Near real-time surveillance of the SARS-CoV-2 epidemic with incomplete data.

Designing public health responses to outbreaks requires close monitoring of population-level health indicators in real-time. Thus, an accurate estimation of the epidemic curve is critical. We propose an approach to reconstruct epidemic curves in near real time. We apply this approach to characterize the early SARS-CoV-2 outbreak in two Spanish regions between March and April 2020. We address two data collection problems that affected the reliability of the available real-time epidemiological data, namely, the frequent missing information documenting when a patient first experienced symptoms, and the frequent retrospective revision of historical information (including right censoring). This is done by using a novel back-calculating procedure based on imputing patients' dates of symptom onset from reported cases, according to a dynamically-estimated "backward" reporting delay conditional distribution, and adjusting for right censoring using an existing package, NobBS , to estimate in real time (nowcast) cases by date of symptom onset. This process allows us to obtain an approximation of the time-varying reproduction number ( R t ) in real-time. At each step, we evaluate how different assumptions affect the recovered epidemiological events and compare the proposed approach to the alternative procedure of merely using curves of case counts, by report day, to characterize the time-evolution of the outbreak. Finally, we assess how these real-time estimates compare with subsequently documented epidemiological information that is considered more reliable and complete that became available later in time. Our approach may help improve accuracy, quantify uncertainty, and evaluate frequently unstated assumptions when recovering the epidemic curves from limited data obtained from public health surveillance systems in other locations.

Recent and historical pollution legacy in high altitude Lake Marboré (Central Pyrenees): A record of mining and smelting since pre-Roman times in the Iberian Peninsula.

We have analyzed potential harmful trace elements (PHTE; Pb, Hg, Zn, As and Cu) on sediment cores retrieved from lake Marboré (LM) (2612 m a.s.l, 42°41'N; 0° 2'E). PHTE variability allowed us to reconstruct the timing and magnitude of trace metal pollutants fluxes over the last 3000 years in the Central Pyrenees. A statistical treatment of the dataset (PCA) enabled us to discern the depositional processes of PHTE, that reach the lake via direct atmospheric deposition. Indeed, the location of LM above the atmospheric boundary layer makes this lake an exceptional site to record the long-range transport of atmospheric pollutants in the free troposphere. Air masses back-trajectories analyses enabled us to understand the transport pathways of atmospheric pollutants while lead isotopic analyses contributed to evaluate the source areas of metal pollution in SW Europe during the Late Holocene. PHTE variability, shows a clear agreement with the main exploitation phases of metal resources in Southern Europe during the Pre-Industrial Period. We observed an abrupt lead enrichment from 20 to 375 yrs CE mostly associated to silver and lead mining and smelting practices in Southern Iberia during the Roman Empire. This geochemical data suggests that regional atmospheric metal pollution during the Roman times rivalled the Industrial Period. PHTE also increased during the High and Late Middle Ages (10-15th centuries) associated to a reactivation of mining and metallurgy activities in high altitude Pyrenean mining sites during climate amelioration phases. Atmospheric mercury deposition in the Lake Marboré record mostly reflects global emissions, particularly from Almadén mines (central Spain) and slightly fluctuates during the last three millennia with a significant increase during the last five centuries. Our findings reveal a strong mining-related pollution legacy in alpine lakes and watersheds that needs to be considered in management plans for mountain ecosystems as global warming and human pressure effects may contribute to their future degradation.

Infection Rate by Trypanosoma cruzi and Biased Vertebrate Host Selection in the Triatoma dimidiata (Hemiptera: Reduvidae) Species Complex.

Chagas disease is a vector-borne disease, caused by the protozoan parasite Trypanosoma cruzi and transmitted by hematophagous insects. Triatoma dimidiata (Hemiptera: Reduvidae (Latreille 1811)) is one of the main vectors, and recent molecular studies indicate that it is a species complex, with potentially different vectorial competences. We investigated the differences in natural T. cruzi infection rate within T. dimidiata complex in Yucatan, Mexico. ITS-2 hybrid bugs had a twofold higher infection rate than ITS-2 Groups 2 and 3 bugs, and this pattern was consistent over time and in several villages. To test if T. dimidiata ITS-2 hybrid bugs could feed more frequently on T. cruzi-infected hosts, we evaluated their host-seeking behavior in a dual-choice chamber. Group 2 and 3 bugs were equally attracted to T. cruzi-infected or uninfected mice. On the contrary, ITS-2 hybrid bugs reached three times more frequently the T. cruzi-infected mouse, compared to the uninfected one, indicating a significant bias toward an infected host. This behavior may explain in part their higher natural infection rate. Further studies should explore the complex and unique interactions among T. cruzi, triatomines vectors, and mammalian hosts, as this may led to new strategies to interfere with transmission cycles and improve Chagas disease control.

First secondary case of Ebola outside Africa: epidemiological characteristics and contact monitoring, Spain, September to November 2014.

On 6 October 2014, a case of Ebola virus disease (EVD) acquired outside Africa was detected in Madrid in a healthcare worker who had attended to a repatriated Spanish missionary and used proper personal protective equipment. The patient presented with fever <38.6 °C without other EVD-compatible symptoms in the days before diagnosis. No case of EVD was identified in the 232 contacts investigated. The experience has led to the modification of national protocols.

Accumulation of mercury in Typha domingensis under field conditions.

Typha species is a common wetland plant used in the treatment of urban and industrial effluents. But, despite their widespread implementation, there are not many studies based on the behaviour of this plant growing in an areas affected by mercury. The present work investigates the ability of Typha domingensis to accumulate mercury under field conditions. The study area was along the Valdeazogues river which flows through the Almadén mining district (Ciudad Real, Spain) that is considered the largest mercury reservoir in the world. The mercury concentration in different plant fractions was measured as well as the available and total concentration in the bottom sediments. The results showed that the highest mercury concentrations were found in the belowground organs. T. domingensis had a high efficiency to accumulate mercury in their organs although available metal concentrations in the environment did not exceed 0.16 mg kg(-1). Bioaccumulation factors (BAF) ranged between 121 and 3168 in roots. Furthermore, significant correlations were found between mercury concentration in all plant organs and Hg in sediments (both total and available). These results demonstrated that T. domingensis could be used as a biomonitor as well as in phytoextraction technology in areas affected by mercury.

Impact of the lavender rhizosphere on the mercury uptake in field conditions.

Lavender plants as well as their rhizosphere and bulk soil were sampled on a wide range of soils with different land use within the Almadén mercury mining district. The aim of this work is to evaluate the role of the rhizosphere on mercury behavior in soil-lavender plant system including chemometric analysis. The edaphic parameters that significantly differed between lavender rhizosphere and bulk soil were: total Hg; easily available Hg; electrical conductivity; organic matter; cation exchange capacity; soluble ions (Cl(-); SO(4)(2-); PO(4)(3-); NO(3)(-); Al(+); Mn(2+); Ca(2+) and Mg(2+)). The most important variable in the differentiation is electrical conductivity. Furthermore, both organic matter and Mn(2+) in rhizosphere soil seem to block Hg availability to plant. However, the presence of sulfates seems to favor it. Regarding other relationships, Hg seems to block Pb uptake by lavender plants and, on the other hand, the presence of Mn(2+) seems to favor it. Furthermore, Hg root uptake by lavender and its distribution throughout the plant have been studied. The more available Hg in rhizosphere soil, the more Hg is translocated to aerial part and less Hg is retained by root. In all cases, the Hg concentration in the root was higher than in the aerial part.

Potential cultivation of Hordeum vulgare L. in soils with high mercury background concentrations.

Experimental work was carried out under close-to-real conditions to study mercury uptake by Hordeum vulgare L. cultivated in lysimeter experiments. The soil in the lysimeter experiment was obtained from a test plot located near Almadén (Spain) and had a mean mercury content of 22.9 mg kg(-1). A sequence of four crops was sown starting in autumn 2000 and repeated on a yearly basis until 2004. The first crop was grown in the field prior to the extraction of 5 one-cubic-meter lysimeters. The succeeding crops were sown in the lysimeter experiments at the CIEMAT Research Centre (Madrid, Spain). Samples of root and shoot were obtained during the four seasons. Concentrations of mercury at plant maturity in roots vary between I and 3 mg kg(-1) and in straw and grain the concentrations range from 72 to 480 microg kg(-1) and from 5 to 257 microg kg(-1), respectively. In order to assess the potential risk for human health and animal feed, an evaluation of the mercury content in the edible part of the crop has been carried out. According to legislation, there is no human health intoxication risk with a balanced consumption; otherwise, the forage use would have to be controlled.

A combination DNA vaccine encoding nucleoside hydrolase 36 and glycoproteine 63 protects female but not male hamsters against Leishmania mexicana.

Leishmaniasis is a group of diseases caused by protozoan parasites of the Leishmania genus. Previous studies have shown that a DNA vaccine encoding Leishmania donovani antigen nucleoside hydrolase 36 and L. mexicana glycoprotein 63 is protective in mice. We investigated here the efficacy of this DNA vaccine to induce protection in golden hamsters. Male hamsters were more susceptible to infection by Leishmania mexicana than females. Following immunization with two doses of the DNA vaccine, only females resulted protected while males developed normal lesions.

Mercury uptake and distribution in Lavandula stoechas plants grown in soil from Almadén mining district (Spain).

This work studies mercury root uptake by Lavandula stoechas var. Kew Red (lavender) and the distribution of this metal through the plant under greenhouse conditions along three consecutive seasons. Mercury concentration in plant tissues and in the different products obtained from lavender plants (essential oil, toilet water and in lavender tea) was assessed in order to evaluate the possible cultivation of lavender as a profitable alternative land use to mercury mining in the Almadén area once the mine had been closed down. Mercury concentration in useful parts of the plant was low (0.03-0.55 mg kg(-1)). Likewise, the essential oil, toilet water and tea obtained from these plants presented very low mercury levels, below the detection limit of the used equipment (<0.5 microg kg(-1)). In the case of the obtained tea, according to the recommendations given by the World Health Organization, the maximum daily intake of it without intoxication risk would be 85.2l. So, although other sources of mercury intake should also be considered in order to elaborate a complete toxicological risk assessment. Lavender data, obtained under this greenhouse working conditions, shows that lavender cultivation could be an alternative crop in the Almadén area.

Variations in sex ratio, feeding, and fecundity of Triatoma dimidiata (Hemiptera: Reduviidae) among habitats in the Yucatan Peninsula, Mexico.

Chagas' disease is a major public health concern in most Latin American countries and its prevention is based on insect vector control. Previous work showed that in the Yucatan peninsula of Mexico, houses are transiently infested by adult Triatoma dimidiata, which then fail to establish sustained colonies. The present study was designed to evaluate the seasonality and possible causes of the dispersal of sylvatic T. dimidiata toward the houses and the subsequent failure of colonization. Dispersal was highly seasonal and correlated with temperature, pressure, and wind speed. Analysis of sex ratio, feeding status, and fecundity of sylvatic populations of T. dimidiata indicated a rather low feeding status and low potential fecundity, suggesting that seasonal dispersal may be associated with foraging for better conditions. Also, feeding status and potential fecundity tended to improve in the domestic habitat but remained largely suboptimal, suggesting that these factors may contribute to the ineffective colonization of this habitat.

Usefulness of community participation for the fine temporal monitoring of house infestation by non-domiciliated triatomines.

The irregular presence and low abundance of wild triatomines inside domiciles make their detection more difficult than that of domiciled species, so that vector surveillance and evaluation of Chagas disease transmission risk are more challenging. We compared timed manual searches, considered as the gold standard, with community-based collections, for their efficacy at monitoring domestic and peridomestic infestation by non-domiciliated Triatoma dimidiata, and community-based collection was the most sensitive and cost effective. Scaling up community participation permitted investigation of fine temporal variations in infestation by T. dimidiata in over 700 houses. We confirmed a large seasonal infestation during March-July, but weekly and daily collections showed a rather stochastic pattern of bug presence in the houses, even during this period. These data are of key importance for the successful implementation of vector control, and community participation is a method of choice for sustained monitoring of infestation by non-domesticated triatomines.

Dynamics and distribution of house infestation by Triatoma dimidiata in central and southern Belize.

Chagas disease is a major public health problem from South America to Mexico, with approximately 10 million infected people. Chagas disease is known to occur in Belize, but little is known about the prevalence of Trypansoma cruzi infection in the Belizean population or the Chagas vector in this region. An entomologic survey of triatomines in the central and southern region of Belize was thus performed. Triatomines were collected by community participation in 37 villages of the Cayo (central) and Toledo (southern) districts and analyzed for infection with T. cruzi by microscopic examination and polymerase chain reaction. Two hundred fifty-six triatomines were collected in 34/37 villages, indicating a wide distribution, and all were identified as T. dimidiata. The majority (87%) were adults (42% males, 58% females), and 13% were larval stages. The infection rate with T. cruzi was 28%. Triatomines were more abundant during the hot season (March-July) compared with the cooler season (September-February). These results confirm that there is a significant risk for autochthonous Chagas disease transmission in central and southern Belize and suggest a pattern of seasonal infestation by nondomiciliated adult triatomines, which are likely to be closely related to T. dimidiata from Yucatan, Mexico. Further entomologic and epidemiologic studies should be performed to precisely determine T. cruzi transmission risk to humans, as well as the seroprevalence of T. cruzi infection and incidence of Chagasic cardiomyopathy in the Belizean population.

Potential use of Solanum melongena in agricultural areas with high mercury background concentrations.

Solanum melongena L. (eggplant) is a native culture from India, found throughout the world, and is one of the most popular vegetables in the Mediterranean area. This work evaluates the potential use of eggplant as an economic alternative in an area with high mercury background concentrations. This implies the study of several factors such as the mercury absorption capacity of eggplant and the capacity of the soil for agricultural use. The research work has been carried out using soil from the mercury mining district of Almadén (Spain), where total mercury concentration was on average 14.16+/-0.65mgkg(-1). In this area, eggplant is a typical crop that is widely used for human consumption. The experimental work was performed in pots under greenhouse conditions. Three samplings were performed during the entire cultivation cycle. Mercury concentration was determined in the different plant organs, where the highest concentration was located in the root system. The results obtained show that the consumption of eggplant, growing under these controlled conditions, does not suppose a risk for human health according to the recommendations of the World Health Organization.

Urban infestation by Triatoma dimidiata in the city of Mérida, Yucatán, México.

The observation of widespread seasonal infestation by Triatoma dimidiata in rural villages around the city of Mérida, Yucatán, México, led us to reconsider the presence of Chagas disease vectors and the risk factors for house infestation in the city itself. Bugs were collected in 150 houses from 30 neighborhoods distributed throughout the city. We observed a widespread infestation by T. dimidiata in the city, with 38% of infested houses and 48% of the collected triatomines testing positive for Trypanosoma cruzi. House infestation by triatomines was greatest during the months of April-June. Infestation risk factors were related with backyard characteristics rather than housing type and quality of housing: houses located in the periphery of the city, with abandoned lots on the sides and large backyards, had a higher risk of being infested, while those with mosquito screens and occasional insecticide spraying in their yards had a lower risk. Several human blood meals were also identified and seropositive patients were distributed through most of the city, confirming the potential for urban transmission of Chagas disease to humans. This study shows that urban Chagas disease should not be neglected and surveillance programs should be implemented to further evaluate the magnitude of the problem.

Mercury content in vegetation and soils of the Almadén mining area (Spain).

The Almadén area is an exceptional case of mercury concentration in the world, where cinnabar is the predominant mineralised form. Mining activities have been carried out over the past two thousand years and once this activity is concluded, a restoration of the environment is necessary for the affected areas. That implies the selection, optimisation and application of the most appropriate techniques focused on the recovery of contaminated areas. Phytotechnology is one of the proposed techniques, which considers the use of plants due to the low environmental impact and their proved efficiency. In this framework, it is necessary to study the behaviour of mercury in the soil-plant system and to determine the mercury absorption capacity of the different Almadén plant species. Therefore, field and laboratory studies have been carried out to determine the easily available forms of mercury in ten test plots in the Almadén area and the resulting data is related to the mercury accumulation in different plant species of the studied territory. Special attention is given to the easily available forms of mercury in the analysed soils and used as the transfer factor for the Hg-availability index that relates the amount of mercury in a plant with the total amount of mercury in a soil and with the easily available forms. The result of this experimental work is selecting the plant species suitable to be used in a future implementation of phytotechnologies in this area.

[Importance of heterotrimeric G proteins in prostate cancer molecular biology]. / Importancia de las proteínas G heterotriméricas en la biología molecular del cáncer de próstata.

OBJECTIVE: To deep in the knowledge of the involvement of G-protein alphas and alphai subunits in human prostate cancer. METHODS: Prostate tissue from 9 patients undergoing radical prostatectomy for prostate cancer and 5 controls undergoing cystoprostatectomy for bladder carcinoma. G-protein alphas and alphai subunits were studied for expression (mRNA by RT-PCR and protein by Western-blot), functionality (adenylyl cyclase activity, AC) and possibility of mutations (analysis with restriction enzymes and cDNA sequentiation). RESULTS: At mRNA level, the expression of alphas, alphai1, alphai2 y alphai3 was detected in healthy and cancerous tissues. At protein level, the expression of alphas y alphai1,2 diminished (25% and 40%, respectively) in prostate cancer. The expression of alphai3/0 also diminished, whereas that of beta subunit was not modified. Basal AC activity in adenocarcinoma membranes was 40% inferior to the control. Digestion with restriction enzymes Eag I or AlwN I did not allow to locate mutations in alphas. However, digestion at alphai2 level with BstU I enzyme served to observe a change of Gln205 (CAG triplet) to Pro (CCG). CONCLUSIONS: The functionality and expression of heterotrimeric G proteins are selectively modified in human prostate adenocarcinoma, occurring in addition some punctual mutation. The observed substitution of Gln205 by Pro may result in a low GTPase activity for alphai2 that, therefore, is stabilized in its active form.

Acute diarrhea in Paraguayan children population: detection of rotavirus electropherotypes.

Group A rotavirus infections were detected in 93 of 410 fecal samples from children with acute diarrhea, admitted in three main hospitals of Asunción, Paraguay, from August 1998 to August 2000. Most of the rotavirus-infected patients were admitted during the winter season in the three epidemic years. The rotavirus infection rate was highest in infants from 6 to 23 months of age. In the 93 samples examined, 10 different rotavirus electropherotypes were recognized, but two of them largely predominated. Only one sample showed a short electropherotype pattern, thus indicating a minor involvement of the rotavirus subgroup I in rotaviral acute diarrhea in the area and the time during which the survey was carried out.

Electropherotypes of rotaviral RNA from cases of infantile diarrhea in Uruguay.

Electropherotypes of human rotavirus isolates from infants with acute diarrhea belonging to two populations with different clinical features were determined. Thirteen electropherotypes were identified in total 69 isolates; 46 (66.6%) isolates had long RNA migration patterns and 23 (33.3%) isolates had short migration pattern. One of the long-pattern electropherotypes (47.82% of the total electropherotypes) was predominant. It was detected in both populations almost throughout the whole period of the study, while other electropherotypes were found only occasionally. The co-circulation of long and short electropherotypes was not frequent.