SARS-CoV-2 mRNA Vaccine Breakthrough Infections in Fully Vaccinated Healthcare Personnel: A Systematic Review

The number of people vaccinated against COVID-19 increases worldwide every day; however, it is important to study the risk of breakthrough infections in vaccinated individuals at high risk of exposure such as healthcare personnel (HCP). A systematic literature review (SLR) applying the PRISMA declaration and the PECOS format using the following entry terms was used: “Health Personnel OR Healthcare Worker OR Healthcare Provider OR Healthcare Personnel AND breakthrough OR infection after vaccine*”. The research was carried out utilizing the following databases: SCOPUS, PubMed, Embase, and Web of Sciences. An overall very low incidence of post-vaccination breakthrough infections was found, ranging from 0.011 to 0.001 (per 100 individuals at risk). Our findings further support the published high effectiveness rates of mRNA vaccines in preventing SARS-CoV-2 infections among fully vaccinated HCP. Additional studies are needed to define the duration of the vaccine-induced protection among HCP.

Protection afforded by prior infection against SARS-CoV-2 reinfection with the Omicron variant

BACKGROUND: Natural SARS-CoV-2 infection elicits strong protection against reinfection with the Alpha (B.1.1.7), Beta (B.1.351), and Delta (B.1.617.2) variants. However, the Omicron (B.1.1.529) variant harbors multiple mutations that can mediate immune evasion. We estimated effectiveness of prior infection in preventing reinfection (PES) with Omicron and other SARS-CoV-2 variants in Qatar. METHODS: PES was estimated using the test-negative, case-control study design, employing a methodology that was recently investigated and validated for derivation of robust estimates for PES. Cases (PCR-positive persons with a variant infection) and controls (PCR-negative persons) were exact-matched by sex, 10-year age group, nationality, and calendar time of PCR test, to control for known differences in the risk of exposure to SARS-CoV-2 infection in Qatar. RESULTS: PES against symptomatic reinfection was estimated at 90.2% (95% CI: 60.2-97.6) for Alpha, 84.8% (95% CI: 74.5-91.0) for Beta, 92.0% (95% CI: 87.9-94.7) for Delta, and 56.0% (95% CI: 50.6-60.9) for Omicron. Only 1 Alpha, 2 Beta, 0 Delta, and 2 Omicron reinfections progressed to severe COVID-19. None progressed to critical or fatal COVID-19. PES against hospitalization or death due to reinfection was estimated at 69.4% (95% CI: -143.6-96.2) for Alpha, 88.0% (95% CI: 50.7-97.1) for Beta, 100% (95% CI: 43.3-99.8) for Delta, and 87.8% (95% CI: 47.5-97.1) for Omicron. CONCLUSIONS: Protection afforded by prior infection in preventing symptomatic reinfection with Alpha, Beta, or Delta is robust, at about 90%. While such protection against reinfection with Omicron is lower, it is still considerable at nearly 60%. Prior-infection protection against hospitalization or death at reinfection appears robust, regardless of variant.

Risk assessment for the industrial facility impact on the atmosphere

Environmental pollution creates problems for health of people living in residential areas near pollution sources. Studies aimed at developing methods for investigating the impact of industrial facilities on the air is of interest. The purpose of this work is to analyze the methodology for assessing the risk of exposure of a technosphere object to the atmosphere. It was assumed that the enterprise in emergency mode emits pollutants through the source of emissions at the maximum single concentration of the substance exceeding the maximum permissible concentration. To calculate the impact on a human, various scenarios of an emergency situation are taken into account. These are constructing failure trees and using well-known health risk assessment techniques. The calculation took into account the wind rose for a specific enterprise location and wind speed projections obeying the normal distribution law. These assumptions allowed us to develop a method for calculating the risk of exceeding the concentration of a pollutant at a given point (x, y) during the year. Isolines of surface concentrations were built. Three toxic substances were taken for analysis. The method for calculating the dispersion of emissions of harmful (polluting) substances in the atmospheric airwas used; maps of the dispersion of isolines of pollutants in residential areas were constructed. When solving the inverse problem, emergency emission intensities at which excess of permissible concentrations occurred were determined. In the range of multiplicities exceeding the maximum single maximum permissible concentration from 1 to 5, the dependence was well approximated by a straight line. This technique can be used to determine the risk of diseases caused by carcinogenic and noncarcinogenic substances and minimize the risk of exposure to harmful substances.

Applications of ash аnd slag waste in agriculture

Environmental pollution creates problems for health of people living in residential areas near pollution sources. Studies aimed at developing methods for investigating the impact of industrial facilities on the air is of interest. The purpose of this work is to analyze the methodology for assessing the risk of exposure of a technosphere object to the atmosphere. It was assumed that the enterprise in emergency mode emits pollutants through the source of emissions at the maximum single concentration of the substance exceeding the maximum permissible concentration. To calculate the impact on a human, various scenarios of an emergency situation are taken into account. These are constructing failure trees and using well-known health risk assessment techniques. The calculation took into account the wind rose for a specific enterprise location and wind speed projections obeying the normal distribution law. These assumptions allowed us to develop a method for calculating the risk of exceeding the concentration of a pollutant at a given point (x, y) during the year. Isolines of surface concentrations were built. Three toxic substances were taken for analysis. The method for calculating the dispersion of emissions of harmful (polluting) substances in the atmospheric airwas used; maps of the dispersion of isolines of pollutants in residential areas were constructed. When solving the inverse problem, emergency emission intensities at which excess of permissible concentrations occurred were determined. In the range of multiplicities exceeding the maximum single maximum permissible concentration from 1 to 5, the dependence was well approximated by a straight line. This technique can be used to determine the risk of diseases caused by carcinogenic and noncarcinogenic substances and minimize the risk of exposure to harmful substances. Ash and slag wastes are the source of negative impact on the environment. This area is studied by a number of researchers. The article aims to systematize the data on possible applications, accumulated practical experience of using ash and slag waste in agriculture both in Russia and abroad. The analysis showed that waste from the fuel and energy industry can be widely used in various areas of agriculture. It can be used as ameliorants, zeolite-based mineral fertilizers, pesticides and insecticides for treating horticultural crops, microfertilizers, as well as for soil remediation and land reclamation. The use of ash and slag waste in agriculture and other sectors of the national economy can reduce the ecological load on the environment. The number of overfilled ash dumps can be reduced, and there will be no need to build new ones.

Child Swaddling or Back Wrapping During Street Trading

The study is premised on social responsibility and social epidemiological theories and examined the exposure of back-wrapped babies to health risk during street trading. Data were collected using structured face-to-face interviews and snowballing techniques among 228 Street trading women (with children aged ≤ 11 months), in one local government area of Ogun State, Nigeria. Data analyses involved univariate and multivariate methods. The results show that 58.3% of women interviewed wrapped their babies at their back while trading on the streets, ≥80% were not aware of any campaign against baby back-wrapping, 35% viewed baby back-wrapping as medicinal for the baby, and as traditional practice (59.2%). The multivariate analysis revealed that children wrapped while trading on the street are at higher risk of exposure to illness than those not back wrapped (OR=1.778, p=0.042). The authors suggested media campaign against back-wrapping baby while trading on the street to reduce exposure to diseases, mortalities and possibly achievement of sustainable development goal (SDG-3).

Seroprevalence and hematological abnormalities associated with Ehrlichia canis in dogs referred to a veterinary teaching hospital in central-western Brazil

ABSTRACT: Ticks are significant parasites of dogs in the tropics, where tick-borne pathogens are highly prevalent, especially in areas where tick control measures are frequently neglected. This study investigated the seroprevalence and hematological abnormalities associated with Ehrlichia canis in dogs referred to a veterinary teaching hospital in Central-western Brazil. Out of 264 dogs tested for anti-Ehrlichia canis antibodies by an indirect immunofluorescence assay (IFA), 59.1% (156/264) were positive. Seropositivity was significantly associated to anemia and thrombocytopenia, alone or in combination, and to leukopenia. Conversely, there were no differences in terms of seroprevalence according to sex, breed and age. This study demonstrated that dogs referred to a veterinary teaching hospital in Central-western Brazil are highly exposed to E. canis and that seropositive dogs are more likely to present hematological abnormalities, particularly anemia, thrombocytopenia and leukopenia. To our knowledge, this is the first study on detection of anti-E. canis antibodies by means of IFA among dogs in the state of Goiás. These findings highlighted the need for increasing awareness among dog owners regarding tick control measures in Central-western Brazil, ultimately to reduce the risk of exposure to E. canis and other tick-borne pathogens.

Is Suicidality Increased in Covid-19 Pandemic? A Scoping Review and Quality Assessment

Background: There are emerging concerns that the COVID-19 pandemic may specifically increase suicide. Methods: Scoping Review in the MEDLINE/PubMed, SCOPUS, Web of Science, PsycINFO, Science Direct databases and in the medRxiv, bioRxiv and PsyArXiv preprint servers, using the descriptors “Covid-19”, “coronavirus infection”, “coronavirus”, “2019-nCoV”, “2019 new coronavirus disease”, “SARS-CoV-2”, “Suicide”, “General Public” and “Mental Health”. Results: A total of 62 studies were included in this review, where 10 studies were reported to have been conducted between March and May 2021; 39 in 2020; 4 in 2019; 3 in 2018; 1 in 2015; 2 in 2014; 2 in 2010 and 1 in 2004, all were conducted via online platforms. Limitations: We have interpreted our study findings in the context of the overall significant risk of exposure to suicide in our study population, while recognizing that individual level data of exposure to COVID-19 is a significant confounding variable. Conclusions: Being one of the first reviews in this context, the findings are anticipated to be helpful to predict the possible solutions for reducing the number of suicides in and facilitate further studies on strategies of how to alleviate such a stressful situation in COVID-19.

PERSEPSI TENTANG RISIKO BREAKTHROUGH INFECTION COVID-19 DALAM LINGKUNGAN HEALTH RISK MESSAGES

The Covid-19 vaccination rate continues to increase, it is important to pay attention to the possibility of a breakthrough infection, which is a viral infection that occurs after a person has been vaccinated. This is a case that is expected to occur in some of those who have received the vaccine, as no vaccine for any disease is 100 percent effective. During the time of living in this period of the Covid-19 pandemic, people are always exposed to information about the dangers or threats of exposure to the virus, known as health risk messages. This study was conducted to explain how a number of individual characteristics in the health risk message information environment correlate to their attitudes towards the risk of exposing Covid-19. This online survey of people who have received the Covid-19 vaccine found that several variables related to lifestyle and disease history were correlated to perceptions of the risk of exposure to Covid-19. It also confirms that there is a positive correlation between awareness of the amount of risk an individual has and perceptions of the risk of exposing Covid-19.