SARS

2022 - 5 - 9

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Diagnostic performance of monocyte distribution width and other ... (News-Medical.net)

Researchers used a novel diagnostic screen, monocyte distribution width for SARS-CoV-2 and influenza infection.

In the future, research should focus on implementing MDW-based screening programs for SARS-CoV-2 and influenza infections and evaluate their utility in clinical settings. More importantly, the sensitivity of MDW for SARS-CoV-2 infection exceeded that of most antigen-based SARS-CoV-2 testing platforms. The authors noted negative likelihood ratios of 0.24 and 0.17 for SARS-CoV-2 and influenza infections. Further, the study findings indicated that SARS-CoV-2 or influenza might be the confounders when MDW served as a screening tool for sepsis. The overall diagnostic accuracy of MDW was similar, with an area under the receiver operating characteristic curve (AUC) of 0.83 for both SARS-CoV-2 and influenza. Of 1,923 ED visits, 104 (5.4%) tested positive for SARS-CoV-2. Conversely, of 2,090 ED visits, 48 (2.3%) tested positive for influenza. 19.1U). NLR values were similar for groups with and without viral infection, whereas median monocyte percentage and WBC slightly varied in positive versus negative patients for both viruses. In the current study, researchers measured MDW sensitivity and specificity to diagnose SARS-CoV-2 and influenza infections. The secondary outcome encompassed data for intensive care unit (ICU) admission, hospitalization, and mortality. The study primarily identified the SARS-CoV-2 or influenza infection via reverse transcriptase-polymerase chain reaction (RT-PCR) assay. The data for study outcomes were collected from the EHR and remained limited to the index hospital encounter. The researchers collected all demographic, clinical, and hospital-use data from the electronic health record (EHR) system.

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Deoxyribonucleic acid nanostructure sensor found to rapidly detect ... (News-Medical.net)

Researchers reported on a three-layer designer deoxyribonucleic acid (DNA) nanostructure (DDN) strategy-based sensor designed by them for rapid and accurate ...

In addition, the aptamer ends that were bound with the DNA Net were spaced at a distance of 5.6 nm. In the experiments, the complex of sensor aptamers patched onto SARS-CoV-2 virions and blocked the S-ACE2 binding on the host cell surface. The aptamers and the trimeric S proteins were present on the DNA Net and the outer surface of SARS-CoV-2, respectively. Based on analyzing the root mean square deviations (RMSD) of the MD simulations, this binding arrangement varied slightly for the proteins. - Neha Chauhan Yanyu Xiong, Shaokang Ren, Abhisek Dwivedy, Nicholas Magazine, Lifeng Zhou, Xiaohe Lin, Tianyi Zhang, Brian T. Cunningham, Sherwood Yao, Weishan Huang, Xing Wang. (2022). Net-shaped DNA nanostructure designed for rapid/sensitive detection and potential inhibition of SARS-CoV-2 virus. The nanostructure comprised of pattern-matched triangular spaces between the WT S-RBD-targeting aptamers and tri-aptamer clusters which measured 6 nm and 15 nm intra- and inter-trimer, respectively. The interactions between SARS-CoV-2 and the sensor aptamers triggered the rapid release of multiple Lock DNA and unquenching of the FAM reporters even at low viral concentrations. Further, the sensor’s design could also be customized to combat other life-threatening viruses such as human immunodeficiency virus (HIV) and influenza, whose surfaces possess trimeric forms of class-I viral envelope glycoproteins similar to those of SARS-CoV-2 S. The sensing motif of the sensor comprised a fluorescin amide (FAM)- aptamer, which was quenched by a partially complementary lock DNA. Using a designer nano switch, the aptamers could release fluorescent signals upon SARS-CoV-2 binding which were easily read with the help of a hand-held fluorimeter. The sensor was based on the DDN strategy and the viral capture and reading/inhibition (VCRi) approach. The minimum distance between the adjacent S trimers without steric hindrances was found to be 14 to 15 nm. NATs require ribonucleic acid (RNA) extraction, reverse transcription, and amplification, along with expensive equipment and stringent laboratory procedures.

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Study reveals immune responses to SARS-CoV-2 peptides in ... (News-Medical.net)

Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) emerged as a “pneumonia of unknown etiology” in Wuhan, China in 2019.

The results also identified that T-cell reactivity to S6, N6, and N19 was higher in COVID-19 patients as compared to controls. An increased serum reactivity with peptides S1, S7, S18, and N6 was observed in male COVID-19 patients while for females the reactivity was higher for peptides S7 and N6 as compared to the respective controls. A new study published in Frontiers in Microbiology aimed to demonstrate the reactivity of COVID-19 serum obtained from patients in Tatarstan, Russia with the S and N peptides that were previously identified as immunogenic. Also, younger COVID-19 patients were found to have higher reactivity with more peptides as compared to older patients. Peptides that were essential for virus replication and binding to the ACE2 receptor were selected for the study. One study also showed that the levels of S-specific or receptor-binding domain (RBD)-specific IgG antibodies were higher in patients who were not admitted to the intensive care unit (ICU) while the levels of N-specific IgG were higher in patients admitted to the ICU.

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Protection against SARS-CoV-2 highest after infection-acquired ... (2 Minute Medicine)

1. SARS-CoV-2 infection-acquired immunity waned after 1 year, but immune protection remained high beyond 1 year in those boosted with vaccination.

Conversely, participants who were previously infected had an 86% lower risk (95% CI, 38-84) of reinfection compared to the risk of primary infection in unvaccinated participants without previous infection. With respect to vaccine effectiveness, participants receiving BNT162b2 with a long interval between doses had an 85% reduction in risk of infection (95% Confidence Interval [CI], 72-92) within two months of vaccination but decreased to 51% (95% CI, 22-69) after a median of 201 days. 94.9% of the entire cohort had received two doses of vaccine against SARS-CoV-2 of either BNT162b2 (Pfizer-BioNTech) or ChAdOx1 nCoV-19 (AstraZeneca). Cox regression models were used for statistical analysis of differences in time to SARS-CoV-2 infection amongst different group comparisons. In-Depth [prospective cohort]: The SARS-CoV-2 Immunity and Reinfection Evaluation (SIREN) study is a multicenter, prospective cohort study that aimed to assess the rate of primary SARS-CoV-2 infection in a previously uninfected cohort or reinfection in a previously infected cohort following vaccination. However, participants who were previously infected and then receive vaccination maintain a high level of immune protection beyond 1 year of follow-up. However, combined protection of participants who were previously infected and subsequently received BNT162b2 vaccination had immunity of over 90% which remained throughout the 1 year follow-up period.

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An anti-SARS-CoV-2 metabolite is reduced in diabetes - Nature ... (Nature.com)

A glucose-like metabolite, which is reduced in the serum of diabetic patients, inhibits the entry of SARS-CoV-2 into key cellular targets.

Thus, future steps will be: (i) to develop 1,5-AG derivate(s) with long-term metabolic kinetics, (ii) to determine the anti-SARS-CoV-2 activity of the newly identified metabolites in humans, and (iii) to assess the role of 1,5-AG and other metabolites as biomarkers to identify disease outcome and patient prognosis. A key finding of this study is that the levels of the antiviral metabolite identified here were significantly lower in people with diabetes than in those without. In addition, the serum 1,5-AG levels in patients with severe COVID-19 were lower than in those with milder disease or in those who were uninfected. In this recent study, the role of 1,5-AG in disease progression and its antiviral effect was shown. The authors also provide a mechanistical explanation showing how 1,5-AG inhibits viral fusion with the cellular membrane by binding to the S2 subunit of the SARS-CoV-2 spike protein. Untargeted metabolomic profiles of serum samples were used to identify a list of small molecules filtered via the Human Metabolome Database ( https://hmdb.ca) with in vitro anti-SARS-CoV-2 activity. These results for SARS-CoV-2 correlate with prior studies in which diabetes was also found to be a poor prognosis marker for MERS and SARS infections 7, 8, highlighting that 1,5-AG might be an indicator of disease progression. The work led by Cheng and colleagues provides a molecular explanation for the increased risk of severe COVID-19 in patients with diabetes. It has been long suspected that prior metabolic disorders such as diabetes in COVID-19 patients may predispose to a severe course of viral infections 5. Since then, understanding which risk factors increase the severity of COVID-19 in patients with diabetes has become a priority for improving their clinical management 1. However, many other -omic platforms could be extremely useful in underscoring and revealing new pathways associated with critical disease, offering the possibility of finding novel therapeutic targets to benefit those at higher risk. Patients at higher risk of severe complications and hospitalizations could benefit from early treatments 2, but they need to be diagnosed in a timely manner.

Parental Willingness to Vaccinate Children against SARS-CoV2 ... (Dove Medical Press)

Study investigating the prevalence and determinants of parental willingness towards vaccinating the children against COVID-19 in a developing country ...

The majority of participants who reported willingness “agreed” with the statements that pediatrics’ recommendation (86%), number COVID-19 infection in the community (77.6%), and type of vaccine (74.8%), affect their decisions to vaccinate their children. This study provides an insight about the low rate of parents’ acceptability of COVID-19 vaccine for their children in Jordan. Vaccine hesitancy appears to be driven by multiple factors. Higher exposure to positive COVID-19 related information was associated with higher parental willingness to vaccinate their children while higher exposure to negative information was negatively associated with parental willingness. Shall healthcare providers be left alone to provide guidance to parents in this regard, one can expect that parental willingness to vaccinate their children be higher that this observed in the majority of countries. The main outcome of the study was parental willingness to vaccinate their children with COVID-19 vaccine. While 25.4% of parents self-reported willingness to vaccinate their 5–12 years old children against SARS-CoV-2, 74.6% reported being not willing (62.4%) or undecided (12.2%). Distribution of study participants by willingness to vaccinate and background characteristics ( Table 1) showed significant differences by age of respondents, income levels, and health insurance coverage. Of which, the majority were mothers (82.8%), 30 years of age or older (85.3%), and in the higher education category (bachelor’s degrees or higher (75.9%)). Respondents were almost equally distributed by income level and one quarter reported lack of health insurance coverage for their children. The survey was developed by the study researchers in Arabic language to investigate parents’ perceptions and attitude towards COVID-19 vaccination for their children. 11, 12 More recent studies reported relatively positive attitude towards children vaccination against COVID-19 with an overall VH being ranging between 33% 13 and 21%. 14 In a systematic review, which included 17 studies and 45,783 parents, the overall proportion of parents who intended to vaccinate their children against COVID-19 was 56.8%. 15 The main predictors of parental intentions were male gender, older age of parents and children, higher socio-economic status, white race, positive attitudes toward vaccination, higher levels of knowledge, and higher levels of perceived threat from COVID-19. 15 A low rate of VH in Jordan, among adults, was reported as “alarming” with a low level reported for vaccinating children as only 20.1% of participants reporting to “agreed/strongly agreed” to vaccinate their children against COVID-19. As well, participants reported more COVID-19 acceptance for the elderly than themselves than for their children. This is especially true as VH is different between cultures and may be shaped by multiple factors that are then critical in shaping parents’ attitude towards vaccinating their children against COVID-19. 19–21 The aim of this study is to investigate the prevalence and determinants of parents’ VH towards vaccinating their children against COVID-19. This study investigates the prevalence and determinants of parental willingness towards vaccinating their children (5– 12 years old) against COVID-19 in a developing country setting, Jordan. 10 In Western cultures, even before the official declaration of COVID-19 vaccine use among children, caregivers’ intentions toward vaccination, once available, were reported at 65%, 11 and the majority of parents reported to “definitely accept” or to be “unsure but leaning towards accepting a COVID-19 vaccine” for their children.

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RM15 mil in additional funds for third phase of SARS-CoV-2 ... (The Edge Markets MY)

PUTRAJAYA (May 9): An additional fund of RM15 million under the National Covid-19 Immunisation Programme (PICK) has been approved for the third phase of the ...

The genome sequencing was carried out by laboratories under MOSTI, the Ministry of Health (MOH) and the Ministry of Higher Education (MOHE) through the SARS-CoV-2 genomic surveillance project, it said. The consortium of 11 laboratories consists of MGVI-NIBM under MOSTI, the Institute for Medical Research (IMR) under MOH and nine laboratories under MOHE including Institute of Health and Community Medicine from Universiti Malaysia Sarawak, Universiti Sains Malaysia Hospital, Universiti Putra Malaysia Teaching Hospital and Universiti Malaysia Sabah Biotechnology Research Institute. PUTRAJAYA (May 9): An additional fund of RM15 million under the National Covid-19 Immunisation Programme (PICK) has been approved for the third phase of the SARS-CoV-2 genomic surveillance project, said the Ministry of Science, Technology and Innovation (MOSTI).

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Could a COVID Infection Help You Ward Off the Common Cold? (HealthDay)

MONDAY, May 9, 2022 (HealthDay News) -- If you get infected with COVID-19, there may be a sliver of a silver lining: COVID may help protect you against the ...

The results were published online in the journal Science Advances. This suggests that previous exposure to SARS-CoV-2 could help protect against other coronaviruses, including those that cause colds, according to scientists at the Scripps Research Institute in La Jolla, Calif. To find out if that's true, they took blood samples from 11 people to look for serum antibodies -- proteins that help fight off infection.

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WHO EMRO Weekly Epidemiological Monitor: Volume 15; Issue no ... (ReliefWeb)

English Situation Report on Iran (Islamic Republic of) and 21 other countries about Health and Epidemic; published on 09 May 2022 by WHO.

WHO has been working with countries to develop a roadmap to further expand GISRS into GISRS+, with an emphasis on achieving strong integrated surveillance for influenza and a range of other respiratory viruses with epidemic and pandemic potential. Several countries used multiplex Rt-PCR for the simultaneous detection of influenza and SARS-CoV-2, while others screened sentinel surveillance samples for a broader array of respiratory viruses and bacteria. Revised interim guidelines for the end-to-end integration of SARS-CoV-2 and influenza sentinel surveillance have now been published by WHO (see box).

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Severe COVID-19 Suspected as Cause of Temporary ... (Hypoparathyroidism News)

A man in Greece was diagnosed with primary hypoparathyroidism that responded to treatment after taking ill with severe COVID-19; he recovered.

Only two previous cases of hypoparathyroidism secondary to severe SARS-CoV-2 infection have been reported in the literature. After five days of hospitalization, his clinical condition and blood calcium levels had improved. Hypoparathyroidism is characterized by abnormally low levels of the parathyroid hormone (PTH), which is produced by the parathyroid glands, located in the neck region. A 53-year-old man came to Laiko General Hospital, in Athens, complaining of fever and cough for the past 10 days. These showed the man also had PTH deficiency, but normal vitamin D levels, and confirmed the diagnosis of hypoparathyroidism. COVID-19 infection, caused by the SARS-CoV-2 virus, affects several organs, most often the lungs.

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A glucose-like metabolite deficient in diabetes inhibits cellular entry ... (Nature.com)

Diabetic (db/db) mice undergo SARS-CoV-2 infection accompanied by much higher viral loads and more severe respiratory tissue damage when compared to wild-type ...

The viral load was normalized to the mouse GAPDH. Each dot represents one mouse (n = 8 control PBS, n = 7 db/db PBS and n = 8 db/db 1,5-AG). P = 0.0056, P = 0.0157 and P = 0.0013 for control PBS versus db/db PBS of lung, trachea and nasal turbinate. The 293T cells expressing the SARS-CoV-2 spike protein (4 × 105 cells per well) and 293T cells expressing human ACE2 protein (1 × 105 cells per well) were mixed and incubated in the absence or presence of 1,5-AG at the indicated graded concentrations at 37 °C for 1 h. The concentrations of CDCA (c) and 5-MT (d) in the serum were measured using LC-MS/MS. The data are presented as the means±S.E.M. Each dot represents one donor (n = 27 healthy donors and n = 27 diabetic patients). (e) Cytotoxicity of 1,5-AG in Caco-2 cells. We thank the core facilities of the Center for Life Sciences and Center of Biomedical Analysis for technical assistance (Tsinghua University). We thank the assistance of Protein Preparation and Identification Facility at Technology Center for Protein Science of Tsinghua University. We thank Y. Xiang from Tsinghua University for his assistance in protein purification and ELISA experiment. Drug complementation in a sustained-releasing manner significantly enhanced the concentration of 1,5-AG in the mouse serum (Fig. 4a), lung (Fig. 4b) and BALF (Extended Data Fig. 4a). The clinical quantification of disease severity was based on the World Health Organization Ordinal Scale (WOS). The presence of serum 1,5-AG was normalized to the mean value of serum 1,5-AG in the healthy participants according to the available raw data. Vero cells were pre-seeded in a 96-well plate (104 cells per well). Cells were treated with gradient concentrations of the compounds at 37 °C for 48 h. Incubation with 1,5-AG inhibited the formation of syncytium between the effector cells and the target cells (Fig. 3d–f). SARS-CoV-2 was incubated with Caco-2 cells at 4 °C for 1 h in the presence or absence of 1,5-AG to allow viral attachment but not internalization into host cells 32 and unbound virions were then removed by extensive washing with ice-cold PBS. 1,5-AG does not interfere with SARS-CoV-2 attachment to host cells (Fig. 3c, left). Nonetheless, the viral internalization was significantly reduced by 1,5-AG treatment in a dose-dependent manner (Fig. 3c, right). Moreover, 1,5-AG did not directly block the interaction between the spike protein and hACE2 (Extended Data Fig. 2f). Epithelial culture of bronchoscopy was derived from patient biopsies 28, 29 (Supplementary Table 1e). The differentiated bronchiolar epithelium was detected by staining for a specific surface marker in ciliated columnar cells, goblet cells and basal cells (Fig. 2g). In fact, the viability of cells from bronchiolar epithelial cultures was not influenced by serial of 1,5-AG incubation (Extended Data Fig. 1g). Incubation with 1,5-AG reduced the amount of viral RNA in the supernatant (Fig. 2h) and tissue (Fig. 2i) of human bronchiolar epithelial cultures in a dose-dependent manner. The 1,5-AG concentration was reduced by 5–10 times in the serum of individuals with diabetes compared to that of healthy controls (Fig. 2a). The amount of viral RNA was much higher in Vero cells treated with the sera from patients with diabetes than in cells treated with sera from healthy donors. The significant increase in fasting glucose indicated that the serum from patients with diabetes was tied to hyperglycemia (Extended Data Fig. 1b and Supplementary Table 1c,d). In fact, we found that the 1,5-AG serum level was much lower in patients with diabetes than that in healthy donors (Fig. 2a), whereas the CDCA (Extended Data Fig. 1c) and 5-MT levels (Extended Data Fig. 1d) were not.

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Mosti: RM15m in additional funds for third phase of SARS-CoV-2 ... (Malay Mail)

PUTRAJAYA, May 9 — An additional fund of RM15 million under the National Covid-19 Immunisation Programme (PICK) has been approved for the third phase of the ...

The consortium of 11 laboratories consists of MGVI-NIBM under Mosti, the Institute for Medical Research (IMR) under MOH and nine laboratories under MOHE including Institute of Health and Community Medicine from Universiti Malaysia Sarawak, Universiti Sains Malaysia Hospital, Universiti Putra Malaysia Teaching Hospital and Universiti Malaysia Sabah Biotechnology Research Institute. The genome sequencing was carried out by laboratories under Mosti, the Ministry of Health (MOH) and the Ministry of Higher Education (MOHE) through the SARS-CoV-2 genomic surveillance project, it said. It said in a statement today that the SARS-CoV-2 genomic surveillance project was very important and strategic to identify and monitor SARS-CoV-2 virus variants in Malaysia, especially variants of concern (VOC) such as Omicron and Delta.

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New oral vaccine protects against Covid and reduces its ... (WION)

A study conducted on animals has shown that a covid vaccine developed to be administered orally not only protects fighting against the coronavirus, ...

They said that these mucosal ports of entry are then protected making it rare for a vaccinated person to transfer infection during cough or sneezing. The SARS-CoV-2 uses the spike protein to enter and infect human cells. According to researchers, the vaccinations that are injected to muscle, enhance the production of immunoglobulin A (IgA), the immune system’s first line of defence against pathogens in the lungs and nose

Seroprevalence of Antibodies Against SARS-CoV-2 Among Health ... (Cureus)

Background The number of confirmed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections is vastly underestimated.

The study was limited to health care workers working in a single tertiary care institute. A comparison of serosurveillance data between HCWs and the National Centre for Disease Control (NCDC) by the Ministry of Health and Family Welfare (MoHFW) in June 2020 showed significantly higher seroprevalence in the community than in HCWs at our institute [15]. The lower seropositivity of COVID-19 infection among HCWs as compared with other places could be due to effective and vigorous training and awareness by the hospital administration, effective implementation of infection control practices in the institute, the availability and righteous use of personal protective equipment (PPE), availability of rapid diagnostic tests for early identification of cases, and prompt screening associated with contact tracing and quarantine. on SARS-CoV-2 antibody seroprevalence in India stated that among the laboratory-confirmed COVID-19 cases, 81% of patients were having SARS-CoV-2 IgG antibodies [14], which is significantly higher in patients compared to HCWs in our study. Therefore, regular screening of HCWs for SARS-CoV-2 infection is necessary to identify asymptomatic cases and exposure trends and formulate hospital policy to curb infection in the hospital setting. Of the 704 participants, 14 were seropositive for IgG antibodies against SARS-CoV-2. On RT-PCR, a total of 17 HCWs were detected positive. The details of demographic characteristics, job descriptions, exposure to COVID-19, any related symptoms, prior comorbidities, and details of previous COVID-19 reverse transcription-polymerase chain reaction (RT-PCR) tests done were collected through a checklist from the questionnaire filled in by on-duty physicians during the screening OPD visit or hospital admission of HCWs. A total of nine incomplete records or missing data were excluded from the final analysis of the study. Potential occupational exposures place HCWs at a higher risk of acquiring SARS-CoV-2 infection, which in turn may serve as an essential source of infection for their families and other community members [9]. Therefore, health care workers, such as doctors, nurses, hospital attendants, and lab technicians, are exposed to a higher risk of acquiring the disease than the general population [10-11]. To plan an adequate public health response for HCWs and anticipate the disease dynamics, the measurement of anti-SARS-CoV-2 antibodies is of utmost importance. Data were extracted to investigate study participants from e-hospital records and data available with the medical record department (MRD) by a pre-validated checklist. Health care workers (HCWs) are the frontline workforce directly or indirectly involved in the clinical care of suspected and confirmed COVID-19 cases. In India, the total numbers of cases reported were 906,752, and fatalities were 23,7272. In Uttarakhand, the total cases reported till July 15, 2020, were 3785 and deaths were 50 [4]. The present study shows a low prevalence of SARS-CoV-2 IgG antibodies among health care workers.

News Scan for May 09, 2022 (CIDRAP)

In a study published in Open Forum Infectious Diseases, researchers showed canine olfaction—or dog sniffing—was both highly sensitive and specific when it ...

The patient is currently hospitalized, and had a recent history of travel from Nigeria, which is where he is believed to have contracted the infection, UKHSA said in a news release. "However, the culture-positive rate of the Omicron variant was higher than that of the Delta variant." The United Kingdom reported three monkeypox cases last summer that involved an index patient who had traveled from Nigeria and two members of the person's household. The researchers added that duration of fever, which many isolation guidelines consider, may not correlate well with the time to positivity on culture. A total of 22% to 100% of unvaccinated patients were positive for Omicron on viral culture. "The results confirm that canines can be taught to discriminate between sweat samples from SARS-CoV-2-positive and SARS-CoV-2-negative individuals," the authors concluded.

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At-home sample collection is an effective strategy for diagnosis and ... (BMC Infectious Diseases)

Diagnostic testing accessibility and asymptomatic transmission of SARS-CoV-2 present major challenges for curbing and preventing community prevalence of ...

Considering the relative contribution of asymptomatic transmission to the growth of the pandemic, and that we found nearly half of SARS-CoV-2 positive test results were in cases that didn’t report symptoms at the time of testing, we believe at-home collection and mail-in lab tests may be vital in reducing SARS-CoV-2 spread in high-transmission areas. The sample population only represented adults > 18 years of age and was biased toward asymptomatic individuals and those with mild to moderate symptoms as those with severe symptoms were redirected to a hospital setting, impacting the generalizability in children or those with more severe symptoms. This observation was supported by the skewness and modality of the relative distributions, with the distribution of Ct values from cases without symptoms being bimodal and slightly left skewed (µ3 = − 0.09) while the distribution of Ct values from cases with symptoms was unimodal and slightly right skewed (µ3 = 0.45). This study is one of the largest of its kind to compare the distribution of Ct values between symptomatic and asymptomatic individuals. Of these, 199,673 (70.6%) tested for SARS-CoV-2 only once, 40,312 (14.3%) tested twice, and 42,846 (15.1%) tested ≥ 3 times, resulting in a total of 639,332 collection kit results over the 16-month study period (Table 1). Testing and re-testing were electively chosen and individuals’ reasons for testing either once or more than once were not captured. On May 13, 2020, the United States (U.S.) Food and Drug Administration (FDA) issued an Emergency Use Authorization (EUA) for the Everlywell COVID-19 Test Home Collection Kit that allowed for the rapid expansion of SARS-CoV-2 testing nationally (EUA 200283, EUA203174) [ 20, 21]. The Everlywell COVID-19 Test Home Collection Kit was composed of sample registration instructions, sample collection instructions, sample preparation and shipping instructions, nasal swab, saline in a tube, shipping materials, and return labels. The primary statistical methods used were estimates of prevalence of SARS-CoV-2 among asymptomatic and symptomatic cases, the total prevalence of the virus in the study population and estimates of relative risk of infection given symptom status overall and stratified by demographic characteristics. For analysis, responses were grouped as: “No Known Exposure” (a), “Area Community Spread” (b), and “Known Exposure” (c and d). Those reporting mild and moderate symptoms were grouped as symptomatic, while those reporting no symptoms or symptoms not listed were considered asymptomatic for the analysis. These types of tests combine at-home sample collection with high sensitivity reverse transcriptase polymerase chain reaction (RT-PCR) diagnostic assays to detect SARS-CoV-2. Secondary objectives included characterizing the case positivity rate of SARS-CoV-2 by symptom status and the relative risk of infection among asymptomatic and symptomatic individuals. An under-reported feature of the SARS-CoV-2 pandemic is the prevalence and relative risk of asymptomatic and symptomatic SARS-CoV-2 infections among at-home test users, which may inform strategies to help lessen the burden on the health care system [ 18, 19]. Our primary aim was to determine the prevalence and relative risk of SARS-CoV-2 among asymptomatic versus symptomatic individuals using at-home sample collection kits for diagnosis.

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RM15 million in additional funds for third phase of SARS-CoV-2 ... (New Straits Times Online)

PUTRAJAYA: An additional funding of RM15 million under the National Covid-19 Immunisation Programme has been approved for the third phase of the SARS-CoV-2 ...

The consortium of 11 laboratories consists of MGVI-NIBM under the ministry, the Institute for Medical Research (IMR) under the Health Ministry and nine laboratories under the Higher Education Ministry, including the Institute of Health and Community Medicine from Universiti Malaysia Sarawak, Universiti Sains Malaysia Hospital, Universiti Putra Malaysia Teaching Hospital and Universiti Malaysia Sabah Biotechnology Research Institute. The genome sequencing was carried out by laboratories under the ministry, the Health Ministry and the Higher Education Ministry through the SARS-CoV-2 genomic surveillance project, it said. It said in a statement today that the SARS-CoV-2 genomic surveillance project was very important and strategic to identify and monitor virus variants in Malaysia, especially variants of concern (VOC) such as Omicron and Delta.

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Study finds unmitigated spread of SARS-CoV-2 in the US could lead ... (WSWS)

The White House changes its rosy assessment of the pandemic as evidence emerges for mass infection and deaths this fall and winter.

Not once has Jha or his master Biden taken responsibility for the current state of affairs, which is set to see the third year of the pandemic horrifically unrelenting in its assault. Jha’s attempt to shift the blame for the exhaustion of pandemic funding onto the backs of Republicans is another diversion. They wrote, “In this work, we demonstrate that a return to pre-pandemic conditions following modestly high levels of vaccination will efficiently select for pre-existing vaccine-evading viral variants within the population, causing a high level of infection and potentially death.” Any attempt to reinstitute mask mandates, restricting the size of social gatherings, going back to online classes, or limiting the operation of large public venues would lead to severe economic repercussions on Wall Street and a political maelstrom. … Overly optimistic predictions about the ending of the ongoing pandemic have tremendously complicated the public health response to the crisis.” Dr. Arijit Chakravarty, COVID researcher and CEO of Fractal Therapeutics, explained that the world had entered a dangerous phase of the pandemic.

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Targets for Infection: How SARS-CoV-2 Damages the Kidneys (Forbes)

Kidney complications are some of the most common and severe symptoms associated with Covid-19. Estimates show that 30% of people hospitalized for severe ...

The podocytes were just as vulnerable to infection when they were exposed to the live virus, as they were with the pseudovirus. The next part of this series will continue discussing the findings from Kalejaiye et al.’s investigation, which takes a deeper look at how the expression of specific proteins and enzymes makes podocytes particularly vulnerable to infection. Although the upregulation of these genes enables podocytes to further extend their foot-like projections, this maladaptive mechanism also exposes more of the cell’s surface to SARS-CoV-2, making the cell more susceptible to infection. Each day that the podocytes were exposed to this pseudovirus they experienced an exponential increase in the number of viral RNA, confirming that the viral S protein had gained entry to these cells. The process of generating these cells capitalizes on the natural ability of stem cells to transform into any type of cell. measured a high amount of intracellular and extracellular viral RNA. They found that the longer the cells were exposed to the virus, the less viral RNA was detected. The loss of these supportive cells dysregulates the kidneys’ ability to filter blood, which could lead to organ failure. Exposure to SARS-CoV-2 can overwhelm the kidneys as a consequence of robust inflammatory responses to infection in other parts of the body, as well as through direct infection. This allows the kidneys to resist severe damage, especially when exposed to toxins from alcohol and drugs. Small pores through these blood vessels allow particles from the blood to pass through the glomerular barrier and into the kidney’s cavities. This allows increased levels of proteins to leak into the urine and signals that vital nutrients are being lost. In this first installment of a two-part series, we will explore the consequences of viral infection in kidneys.

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mRNA boosters enhance neutralization of SARS-CoV-2 BA.1, BA.2 ... (News-Medical.net)

A study recently published in the journal Cell Host & Microbe has described that all three sublineages of the omicron variant of severe acute respiratory ...

However, the majority of monoclonal therapeutic antibodies against COVID-19 fail to neutralize the most transmissible BA.2 sublineage of the omicron variant. The findings revealed that all tested vaccination regimens effectively and equivalently neutralized all three omicron variant sublineages. The antibodies induced by a three-dose regimen of homologous or heterologous COVID-19 vaccination (two prime and one booster vaccination) can neutralize all the sublineages with equivalent efficiency. The COVID-19 vaccine efficacy against omicron sublineages was tested using serum samples collected from vaccinated participants. The cell-cell fusion assays conducted in the study showed that the BA.1 sublineage had a reduced ability to form syncytia compared to the SARS-CoV-2 delta variant. In contrast, the residues 69-70 and 143-145 are absent in the BA.1 and BA.3 spikes but are present in the BA.2 spike. The only antibody that effectively neutralized BA.2 was Cilgavimab. A total of eight monoclonal antibodies that are used for COVID-19 therapy were tested against omicron sublineages. Regarding mode of entry, all sublineages were found to enter host cells via angiotensin-converting enzyme 2 (ACE2)-mediated pathway, similar to the ancestor virus. Studies have shown that the BA.2 sublineage has comparatively higher transmissibility than BA.1 and BA.3 sublineages and is currently circulating predominantly in many countries, including Denmark and the UK. The omicron variant of SARS-CoV-2 was first detected in South Africa on November 24, 2021. While the amino acid residues 24-26 are missing from the BA.2 spike NTD, these residues are present in the NTDs of BA.1 and BA.3 sublineages.

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The potential for SARS-CoV-2 to be transmitted biologically or ... (News-Medical.net)

The emergence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which resulted in the coronavirus disease 2019 (COVID-19) pandemic, ...

The authors determined that the low quantity of infectious virus carried by flies limits their potential to transmit SARS-CoV-2 since the infectious virus could not be detected on these surfaces. Although the virus was found in Aedes albopictus, mechanical transmission is unlikely due to the low viral load. Mosquitoes that consumed the infected blood were allowed to lay eggs, which then developed into larva, some of which were kept to generate adults. If this method failed to infect mosquitos, the presumption was that oral contact with the virus in blood would not lead to infection. Because SARS-CoV-2, SARS-CoV, and MERS-CoV are related, it was fair to predict that SARS-CoV-2 would share some aspects of these other beta coronaviruses, such as those of these other beta coronaviruses the routes of transmission. In a recent review published in Viruses, researchers examined results from field studies, laboratory-based research, and environmental studies to analyze the potential of SARS-CoV-2 transmission either biologically or mechanically among arthropods.

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More tax for thousands of retirees in South Africa (BusinessTech)

The tax rates in the directives have been calculated by SARS based on your aggregated pension and salary income in the last tax year for which you have been ...

Work out, or get your financial or tax adviser to help you work out what your combined pension and salary income from all sources for the year will be. Compare that to what is being deducted from your pension/s and salary now, he says. It has now asked administrators to apply the fixed rates it has calculated to retirees’ pensions instead. Many pensioners have found themselves indebted to SARS as a result. If you opt out of the tax rate SARS has instructed your pension administrator to deduct, you will be warned by the administrator that you must be in a position to pay any tax you owe at the end of the tax year, McDonald says. Thousands more already had this experience at the end of last month.

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Abbott partners with Indian research firm to study transmission ... (Business Today)

“We are looking at viral evolution and transmission patterns for diseases including HIV, hepatitis, and SARS-CoV-2, especially in marginalized and transient ...

This allowed us to take the genetic data and merge it with air travel data to predict the import of SARS-CoV-2 into Senegal, and its export and dispersal from Senegal to other parts of the world. Our findings showed that these Senegalese variants had higher levels of fitness and infectivity from their mutation characteristics; in fact, one variant was able to prevent Alpha’s takeover of the country. “Beyond SARS-CoV-2, we are focusing on hepatitis and HIV to help in the global fight to address these ongoing epidemics and from our viral surveillance, we are discovering other viruses, like tropical diseases, that are showing up in new places or re-emerging undetected,” said Rodgers. Rodgers explained that Viruses are continuously changing through an accumulation of mutations - they are being tested by nature to make the virus fitter and more adapted to humans. We also work together on virus discovery to mitigate future pathogens of concern,” said Rodgers. We also work together on virus discovery to mitigate future pathogens of concern,” Mary Rodgers, a principal research scientist at Abbott said.

Protection against SARS-CoV-2 highest after infection-acquired ... (Physician's Weekly)

1. SARS-CoV-2 infection-acquired immunity waned after 1 year, but immune protection remained high beyond 1 year in those boosted with vaccination.

Conversely, participants who were previously infected had an 86% lower risk (95% CI, 38-84) of reinfection compared to the risk of primary infection in unvaccinated participants without previous infection. With respect to vaccine effectiveness, participants receiving BNT162b2 with a long interval between doses had an 85% reduction in risk of infection (95% Confidence Interval [CI], 72-92) within two months of vaccination but decreased to 51% (95% CI, 22-69) after a median of 201 days. 94.9% of the entire cohort had received two doses of vaccine against SARS-CoV-2 of either BNT162b2 (Pfizer-BioNTech) or ChAdOx1 nCoV-19 (AstraZeneca). Cox regression models were used for statistical analysis of differences in time to SARS-CoV-2 infection amongst different group comparisons. In-Depth [prospective cohort]: The SARS-CoV-2 Immunity and Reinfection Evaluation (SIREN) study is a multicenter, prospective cohort study that aimed to assess the rate of primary SARS-CoV-2 infection in a previously uninfected cohort or reinfection in a previously infected cohort following vaccination. However, participants who were previously infected and then receive vaccination maintain a high level of immune protection beyond 1 year of follow-up. However, combined protection of participants who were previously infected and subsequently received BNT162b2 vaccination had immunity of over 90% which remained throughout the 1 year follow-up period.

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Study co-authored by UMass Chan researchers finds broad ... (UMass Medical School)

The research provides an in-depth view of SARS-CoV-2 infection through serial viral testing by several methods: PCR test, antigen test and viral culture to ...

But there are a lot of caveats with that approach, and people should use diagnostic tests only with the specific sample type for which they are designed.” The models described patterns of not only viral expansion and clearance but also viral shedding, which generally indicates infectious activity as virus is released from the body. The PCR nasal sample was also tested in viral culture, a laboratory analysis that detects virus that is alive and replicating and therefore could spread to the next person. “We did find virus in saliva at least one day before nasal samples in about 85 percent of participants,” said Gibson. Based on results of the study, Gibson said, COVID-19 appears to be like most other infectious diseases in which some people get sick and some people don’t from the same infection. Nasal and saliva samples were obtained in late 2020 through early 2021 from 60 people at University of Illinois at Urbana-Champaign who were asymptomatic or mildly symptomatic for COVID-19. Participants had either received a new positive PCR result in the preceding 24 hours or had been exposed to someone with COVID-19 within the previous five days.

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A hybrid, multiscale, individual-based model to study the within-host ... (News-Medical.net)

Scientists have observed that every individual responds differently to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, the causal ...

One of the limitations of this study is the consideration of a single type and phenotype of macrophages and limited sets of cytokines to keep the model complexity at the lowest. Surprisingly, scientists observed that when MOI was increased, a local maximum in the intracellular viral load per grid occurred in an early phase of the simulation. To simulate the transmission of COVID-19 infection, scientists adapted and extended an established model that was primarily designed to understand the within-host spread of Mycobacterium tuberculosis infection. The present model elucidated the spread of COVID-19 infection over an epithelial monolayer. A new study published on the bioRxiv* preprint server has focused on developing a multiscale, hybrid, individual-based model to understand the within-host spread of SARS-CoV-2 infection and consequent innate immune responses. To date, most of the model-based studies associated with the within-host spread of infection have used ordinary differential equations (ODEs), and transmission dynamics studies have used SIR (Susceptible, Infectious, or Recovered) models.

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