WorldWideScience

Sample records for neue grippe influenza

  1. First nationwide web-based surveillance system for influenza-like illness in pregnant women: participation and representativeness of the French G-GrippeNet cohort.

    Science.gov (United States)

    Loubet, Paul; Guerrisi, Caroline; Turbelin, Clément; Blondel, Béatrice; Launay, Odile; Bardou, Marc; Blanchon, Thierry; Bonmarin, Isabelle; Goffinet, François; Ancel, Pierre-Yves; Colizza, Vittoria; Hanslik, Thomas; Kernéis, Solen

    2016-03-11

    Pregnancy is a risk factor for severe influenza resulting in increased risks of hospitalisation and death in mothers and their new-borns. Our objective was to assess the representativeness and participation of French women to a new web-based collaborative tool for data collection and monitoring of Influenza Like Illness (ILI) during pregnancy. During the 2014/2015 influenza season, pregnant women living in metropolitan France were enrolled through a web platform ( https://www.grippenet.fr/). Then throughout the season, participants were asked to report, on a weekly basis, if they had experienced symptoms of ILI. Representativeness was assessed by comparing the characteristics of participants to those of the French National Perinatal Survey. For each participant, the participation rate was the number of weekly questionnaires completed, divided by the length of follow-up (in weeks). Predictors of active participation (participation rate >15%) were assessed by multivariate logistic regression. A total of 153 women were enrolled. Participants were older (mean age 34 years vs. 29 years) and more highly educated (high school level 89% versus 52%) than the general population of pregnant women in France, but the sample did not differ on pregnancy-related characteristics (parity, history of hospitalisation during a previous pregnancy). The median rate of participation was high (78%, interquartile range: 34-96). Higher educational level and participation to a previous GrippeNet.fr season were associated with active participation. Despite small sample size and lack of representativeness, the retention rate was high, suggesting that pregnant women are prone to adhere to a longitudinal follow-up of their health status via the Internet.

  2. Coping with new food-related risks / Autour de la grippe aviaire au Viet Nam

    Directory of Open Access Journals (Sweden)

    Tristan Fournier

    2009-04-01

    Full Text Available This study on the sociology of food and sociology of risk examines the impact of the recent Avian Influenza epizootic (H5N1 virus on Vietnamese consumers in Hanoi. Precautions taken by consumers did not only include following official recommendations but also adopting their own avoidance tactics. Indeed “common” food practices and “magical thinking” regularly triumphed over recommendations when these were regarded as unacceptable. While food patterns in Hanoi originally appeared to represent one of the risk factors for the spread of the virus, we noticed that these patterns were updated by new food practices adopted in response to Avian Influenza. The question is to what extent have Hanoi consumers grown accustomed to this risk as a result of homespun prevention measures.Cette étude, à la croisée de la sociologie de l’alimentation et de la sociologie du risque, analyse l’impact de l’épizootie de grippe aviaire (le virus H5N1 sur les représentations et les réactions des consommateurs urbains à Hanoi. Afin de pouvoir se protéger du risque de grippe aviaire, les consommateurs ont non seulement suivi certaines recommandations officielles, mais ont aussi créé leurs propres manières de se protéger de ce risque. De plus, certaines pratiques alimentaires « traditionnelles » accompagnées de « pensée magique » ont pris le pas sur ces recommandations lorsque les consommateurs ne les considéraient pas comme acceptables. Alors que les modèles alimentaires à Hanoi semblaient premièrement constituer un facteur de risque de propagation du virus, nous avons remarqué que la grippe aviaire avait entraîné de nouvelles habitudes alimentaires, bousculant ainsi les modèles alimentaires en place. Enfin, il s’agira de voir comment l’adoption de ces manières propres de se protéger du risque de grippe aviaire a pu entraîner une accoutumance à ce risque.

  3. Tinha uma grippe no meio da cidade

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    Saulo de Araújo Lemos

    2015-06-01

    Full Text Available O mez da grippe, de Valêncio Xavier (1933-2008, é uma obra inovadora que cria um espaço e uma ânsia narrativa a partir de imagens e textos extraídos diretamente dos meios de comunicação da época, de fontes diversas, e de inserções ficcionais de texto escrito pelo autor-organizador. O tema que reúne os elementos dessa colagem é o episódio da epidemia de gripe espanhola que acometeu Curitiba em 1918, ano em que se encerrava tanto a I Guerra Mundial como a belle époque europeia. Neste artigo, pretende-se discutir de que modo a forma literária é móvel em sua aparente fixação, e como isso produz relações inusitadas entre o homem e seus outros (o animal, o vegetal, o vírus e ele mesmo; assim, entende-se que a civilização é alimentada pela barbárie que ameaça destruí-la, e nisso há uma espécie de música.

  4. Tinha uma grippe no meio da cidade

    Directory of Open Access Journals (Sweden)

    Saulo de Araújo Lemos

    2015-12-01

    Full Text Available http://dx.doi.org/10.5007/1984-784X.2015v15n23p18 O mez da grippe, de Valêncio Xavier (1933-2008, é uma obra inovadora que cria um espaço e uma ânsia narrativa a partir de imagens e textos extraídos diretamente dos meios de comunicação da época, de fontes diversas, e de inserções ficcionais de texto escrito pelo autor-organizador. O tema que reúne os elementos dessa colagem é o episódio da epidemia de gripe espanhola que acometeu Curitiba em 1918, ano em que se encerrava tanto a I Guerra Mundial como a belle époque europeia. Neste artigo, pretende-se discutir de que modo a forma literária é móvel em sua aparente fixação, e como isso produz relações inusitadas entre o homem e seus outros (o animal, o vegetal, o vírus e ele mesmo; assim, entende-se que a civilização é alimentada pela barbárie que ameaça destruí-la, e nisso há uma espécie de música.

  5. La Grippe and World War I: conflict participation and pandemic confrontation.

    Science.gov (United States)

    Steele, B J; Collins, C D

    2009-01-01

    This paper assesses whether a nation-state's participation in conflict influences its ability to confront global pandemic or disease. Two alternative hypotheses are proposed. First, increased levels of conflict participation lead to increased abilities of states to confront pandemics. A second and alternative hypothesis is that increased conflict participation decreases the ability of states to confront pandemics. The hypotheses are tested through the ultimate case of war and pandemic: the 1918 Influenza pandemic (Spanish Flu or 'La Grippe') that killed 20-100 million people worldwide. Using simple correlation and case illustrations, we test these hypotheses with special focus upon the ability of the participant countries to confront the pandemic. The findings suggest, in a limited and varied fashion, that while neutral countries enjoyed the lowest levels of pandemic deaths, of the participant countries greater levels of conflict participation correlate with lower levels of pandemic deaths. The paper concludes with some propositions regarding the relationship between the current 'war on terror' and prospective pandemics such as avian flu.

  6. Quelques considérations sur la grippe aviaire

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    Michel Maffesoli

    2006-06-01

    Full Text Available Dans le totalitarisme doux étendant son voile sirupeux sur des masses inquiètes, l’on sait que les divers technocrates assoient leur pouvoir en entretenant la crainte. Ce qui n’est pas très compliqué, tant la peur de l’ombre, la peur de son ombre travaille tout un chacun. Si l’on doit caractériser l’époque, c’est bien le terme de lâcheté généralisée qui vient, immédiatement, à l’esprit. L’on sait que le virus de la grippe aviaire ne peut infecter l’homme que par contact direct et prolongé. Par exemple, boire l’eau d’un marais infecté de fiente d’oiseaux contaminés ou forniquer avec une poule atteinte de ce mal. De même, le danger de pandémie ne pourrait advenir que s’il y avait conjonction avec la grippe humaine. Ainsi, les virologues considèrent qu’il faudrait plusieurs centaines de personnes infectées par la grippe aviaire, dans un milieu lui-même en pleine épidémie de grippe humaine pour qu’il y ait un danger réel d’infection généralisée. Comme on le voit le risque est grand! Mais là n’est pas le problème. Il suffit, pour nos technocrates, que l’imaginaire de l’insécurité soit là. Ils y trouvent une raison d’être. Ils peuvent, savamment, jouer les utilités. On sait que de tous temps, c’est en misant sur une angoisse diffuse que les divers pouvoirs ont assis leur légitimité. En fait ce qui est à prendre au sérieux, ce sont les hystéries collectives. La chute spectaculaire de la consommation de volailles de toutes sortes en témoigne. Souvenons-nous aussi que n’est pas loin le temps où la même suspicion planait sur la viande bovine! Trêve de plaisanterie! Actualisons l’apologue. Ainsi l’émotion provoquée par le «double scandale» qui frapperait le C.N.R.S ne manque pas de susciter inquiétudes et interrogations. En terme d’épidémiologie bien entendu. Inquiétudes quant à la santé mentale du «milieu» sociologique capable de pétionner en m

  7. Neues bei Kopfschmerzen

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    Diener HC

    2010-01-01

    Full Text Available Neue epidemiologische Studien waren in der Lage, Faktoren zu identifizieren, die den Übergang von episodischer zur chronischen Migräne voraussagen. Zu diesen gehören die häufige Einnahme von Migräne- oder Schmerzmitteln, psychiatrische Begleitmorbidität und niedrige soziale Schicht. In der Migräneprophylaxe zeigte sich Botulinumtoxin bei chronischer Migräne wirksam. Valproinsäure ist bei der Migräne bei Jugendlichen zur Prophylaxe nicht wirksam. Eine neue Option zur Behandlung des chronischen therapieresistenten Clusterkopfschmerzes ist die bilaterale chronische Stimulation des Nervus occipitalis major. Beim Pseudotumor cerebri muss nicht zwangsläufig eine Stauungspapille nachweisbar sein. Bei klinischem Verdacht muss daher zum sicheren Ausschluss eine Liquorpunktion mit Druckmessung erfolgen.

  8. Dynamique des populations : Histoire de $R_0$, de Fibonacci à la grippe H1N1

    OpenAIRE

    Bacaër, Nicolas

    2009-01-01

    International audience; En ces temps de grippe, les modélisateurs sont particulièrement sollicités pour essayer de prévoir l'évolution de l'épidémie ou l'effet que pourraient avoir certaines interventions comme la fermeture d'écoles, la restriction des voyages, une campagne de vaccination, etc. Dans le discours de ces apprentis futurologues revient souvent un paramètre connu sous le nom de $R_0$ (prononcer R-zéro) et qui représente grosso modo le nombre de cas secondaires qu'un malade peut in...

  9. Neue Anti-Spam-Techniken

    OpenAIRE

    Richter, Frank

    2004-01-01

    Workshop "Netz- und Service-Infrastrukturen" Dieser Beitrag zum Workshop "Netz- und Service-Infrastrukturen" 2004 analysiert den Stand der Anti-Spam-Maßnahmen an der TU Chemnitz und zeigt neue Techniken auf.

  10. Eine neue Lyrikanthologie / Marianne Vogel

    Index Scriptorium Estoniae

    Vogel, Marianne

    2000-01-01

    Arvustus: Die Freiheit der Kartoffelkeime : Poesie aus Estland : Jaan Kaplinski, Doris Kareva, Hasso Krull, Viivi Luik, Ene Mihkelson, Paul-Eerik Rummo / hrsg. Gregor Laschen ; Nachdichtungen von Marcel Beyer, Friedrich Christian Delius, Katja Lange-Müller, Gregor Laschen, Johann P. Tammen, Ralf Thenior. Bremerhaven : Wirtschaftsverlag NW Verlag für neue Wissenschaft GmbH, 1999. (edition die horen ; 24).

  11. Eine neue Lyrikanthologie / Marianne Vogel

    Index Scriptorium Estoniae

    Vogel, Marianne

    2000-01-01

    Arvustus: Die Freiheit der Kartoffelkeime : Poesie aus Estland : Jaan Kaplinski, Doris Kareva, Hasso Krull, Viivi Luik, Ene Mihkelson, Paul-Eerik Rummo / hrsg. Gregor Laschen ; Nachdichtungen von Marcel Beyer, Friedrich Christian Delius, Katja Lange-Müller, Gregor Laschen, Johann P. Tammen, Ralf Thenior. Bremerhaven : Wirtschaftsverlag NW Verlag für neue Wissenschaft GmbH, 1999. (edition die horen ; 24).

  12. Weltall im Wandel. Die neue Astronomie.

    Science.gov (United States)

    Elsässer, H.

    Contents: Alte und neue Astronomie. Die Sterne des Milchstraßensystems. Sternentstehung und interstellare Materie. Unser Sonnensystem und seine Geschichte. Interplanetarer Staub. Vom Sterben der Sterne. Arbeitsmittel der optischen Astronomie. Ein neues Zentrum astronomischer Forschung. Galaxien. Ursprung und Entwicklung des Weltalls.

  13. Influenza

    Directory of Open Access Journals (Sweden)

    Forleo-Neto Eduardo

    2003-01-01

    Full Text Available A influenza (gripe é doença infecciosa aguda de origem viral que acomete o trato respiratório e a cada inverno atinge mais de 100 milhões de pessoas na Europa, Japão e Estados Unidos, causando anualmente a morte de cerca de 20 a 40 mil pessoas somente neste último país. O agente etiológico é o Myxovirus influenzae, ou vírus da gripe. Este subdivide-se nos tipos A, B e C, sendo que apenas os do tipo A e B apresentam relevância clínica em humanos. O vírus influenza apresenta altas taxas de mutação, o que resulta freqüentemente na inserção de novas variantes virais na comunidade, para as quais a população não apresenta imunidade. São poucas as opções disponíveis para o controle da influenza. Dentre essas, a vacinação constitui a forma mais eficaz para o controle da doença e de suas complicações. Em função das mutações que ocorrem naturalmente no vírus influenza, recomenda-se que a vacinação seja realizada anualmente. No Brasil, segundo dados obtidos pelo Projeto VigiGripe - ligado à Universidade Federal de São Paulo -, verifica-se que a influenza apresenta pico de atividade entre os meses de maio e setembro. Assim, a época mais indicada para a vacinação corresponde aos meses de março e abril. Para o tratamento específico da influenza estão disponíveis quatro medicamentos antivirais: os fármacos clássicos amantadina e rimantidina e os antivirais de segunda geração oseltamivir e zanamivir. Os últimos, acrescentam alternativas para o tratamento da influenza e ampliam as opções disponíveis para o seu controle.

  14. Neue Entwicklungen antikonvulsiv wirksamer Medikamente

    Directory of Open Access Journals (Sweden)

    Hansen N

    2014-01-01

    Full Text Available Dieser Artikel informiert über Studien zu kürzlich zugelassenen Antikonvulsiva wie Eslicarbazepin, Lacosamid, Retigabin und Perampanel. Es werden neue erfolgversprechende Wirkmechanismen, wie die Modulation der Galanin- und γ-Aminobuttersäure- (GABA- ARezeptoren, der Kaliumkanalöffnung (Kv7.2/ Kv7.3, der kompetitive Antagonismus an α-Amino- 3-Hydroxy-5-Methyl-4-Isoxazol-Propionsäure- (AMPA- Typ-Glutamatrezeptoren oder die Inhibition der Glykolyse aufgezeigt. Darüber hinaus werden potenzielle Antiepileptika wie Brivaracetam, 2-Desoxyglucose, Ganaxolon, Huperzine A, ICA-1065665, T-2007 und Valnoctamid beschrieben, die sich in präklinischer oder klinischer Entwicklung befinden. Durch diese wird das medikamentöse Arsenal im Kampf gegen die Epilepsie erweitert werden trotz eines wahrscheinlich nur moderaten Effektes auf die Langzeitremission von Epilepsiepatienten.

  15. Neue Techniken in der Neurorehabilitation

    Science.gov (United States)

    Riener, Robert

    Zentralmotorische Lähmungen durch Schädigungen im Hirn oder Rückenmark stellen weltweit ein großes sozialmedizinisches Problem dar. In Deutschland treten mehr als 250.000 neue Schlaganfälle pro Jahr auf. Zudem leben in Deutschland mehr als 40.000 Menschen mit Querschnittlähmung. Dazu kommen Patienten mit Schädel-Hirn-Trauma, Zerebralparesen, Multipler Sklerose, Parkinson oder Entzündungen und Tumoren des zentralen Nervensystems. Solche zentralmotorische Pathologien können durch manuelle oder automatisierte Bewegungstherapien erfolgreich behandelt werden. Dabei wird durch ein häufiges, repetitives Bewegen von Körpersegmenten die Lern- und Anpassungsfähigkeit des Gehirns und Rückenmarks genutzt. Ist eine Heilung oder Behandlung nicht mehr möglich, so können zahlreiche Techniken dazu beitragen, Bewegungsfunktionen zu unterstützen, so dass die Patienten alltägliche Aktivitäten normal ausführen können und in die Gesellschaft reintegriert werden.

  16. Neue Miolispa aus dem Leidener Museum

    NARCIS (Netherlands)

    Kleine, R.

    1917-01-01

    Gelegentlich einer umfassenden Aufarbeitung der Gattung Miolispa Pascoe hat mir das Leidener Museum in dankenswerter Weise das noch unbestimmte Material zur Verfügung gestellt, unter welchem sich zwei neue Arten vorfanden. Beide stammen aus Neu-Guinea. Trotz des herrschenden Weltkrieges und der

  17. Eine neue Microcreagris (Pseudoscorpionidea) aus Frankreich

    NARCIS (Netherlands)

    Beier, M.

    1965-01-01

    In einem umfangreichen Material europäischer Pseudoscorpione, das mir Herr Dr. L. van der Hammen vom Rijksmuseum van Natuurlijke Historie in Leiden zur Bearbeitung zuleitete, befand sich folgende neue Microcreagris-Art: Microcreagris gallica n. sp. (Fig. 1) Relativ kleine Tiere mit blass

  18. Neue Miolispa aus dem Leidener Museum

    NARCIS (Netherlands)

    Kleine, R.

    1917-01-01

    Gelegentlich einer umfassenden Aufarbeitung der Gattung Miolispa Pascoe hat mir das Leidener Museum in dankenswerter Weise das noch unbestimmte Material zur Verfügung gestellt, unter welchem sich zwei neue Arten vorfanden. Beide stammen aus Neu-Guinea. Trotz des herrschenden Weltkrieges und der Schw

  19. Neue orale immunmodulierende Therapien bei Multipler Sklerose

    Directory of Open Access Journals (Sweden)

    Berger T

    2014-01-01

    Full Text Available Seit 20 Jahren sind nun krankheitsmodifizierende Therapien zur Behandlung von Patienten mit insbesondere schubförmiger Multipler Sklerose (MS verfügbar. Ungeachtet der therapeutischen Errungenschaften der aktuellen Basis- und Eskalationstherapien bestehen Limitationen hinsichtlich Nutzen einerseits und Risiken andererseits. Die Konsequenz daraus, gemeinsam mit neuen Konzepten zur Immunopathogenese von MS, ist die Weiterentwicklung neuer und innovativer MS-Therapien. Die vorliegende Übersicht beschreibt im Detail 3 neue orale Immunmodulatoren zur Behandlung der schubförmigen MS. Darüber hinaus werden die Ergebnisse und die erfolgte/anstehende/eingereichte EU-Marktzulassung dieser 3 Therapien in den Kontext der Erwartungshaltungen an neue immunmodulierende Therapien bei MS gesetzt.

  20. WikiLeaks: neue Dimensionen des Medienaktivismus

    OpenAIRE

    Stalder, Felix

    2011-01-01

    "Mit WikiLeaks hat der Medienaktivismus eine neue Dimension erreicht. WikiLeaks versteht die neuen sozio-technischen Möglichkeiten und institutionellen Widersprüche, die die gegenwärtige Phase der Entwicklung der Netzwerkgesellschaft kennzeichnen, für sein Projekt nutzbar zu machen. Politisch bleibt das Projekt allerdings schwer kategorisierbar, da es gleichzeitig eine markt-libertäre und eine institutionskritische Haltung vertritt, gleichermassen staatliche wie privat-wirtscha...

  1. Neue Anwendungsgebiete der Elektronzyklotronresonanzheizung an ASDEX Upgrade

    OpenAIRE

    Höhnle, Hendrik

    2012-01-01

    In dieser Arbeit wurden Heizszenarien der Elektronzyklotronresonanzheizung (ECRH) für neue Parametergebiete am Tokamak ASDEX Upgrade im Hinblick auf ITER entwickelt. Die ECRH wird seit dem Umbau des Materials der ersten Wand von Kohlenstoff zu Wolfram auch für die Kontrolle der Wolframkonzentration im Plasmazentrum gebraucht. In ITER-relevanten Entladungen an ASDEX Upgrade wird der Einsatz der ECRH in der üblich verwendeten außerordentlichen Mode an der zweiten Harmonischen (X2-Mode) jedoch b...

  2. "Neue Liebe, neues Leben" - Ein Goethe-Gedicht in der Vertonung durch Ludwig van Beethoven

    Directory of Open Access Journals (Sweden)

    Körndle, Franz

    2001-12-01

    Full Text Available Ludwig van Beethoven composed two versions of Goethe's poem „Neue Liebe, neues Leben" in 1798/99 and 1810 respectively. A comparison of both versions reveals a change in the composer's intention. At first in several passages he followed the more traditional technique of transferring single words of the text directly into musical figures. Later on he seemed more intent on expressing the general mood and eliminated some of the rather simplistic details in favour of a more subjective rendering of the poems content.

    [de] Ludwig van Beethoven vertonte das Goethe-Gedicht „Neue Liebe, neues Leben" in zwei Fassungen 1798/99 und 1810. Der Vergleich der beiden Fassungen ergibt, daß sich in der Zeit zwischen diesen beiden Fassungen die Vorstellungen des Komponisten von der musikalischen Umsetzung teilweise gewandelt haben müssen. Zunächst scheint Beethoven eher nach der traditionellen Méthode einer direkten Übertragung von Begriffen aus dem Text komponiert zu haben. Später war er dann aber eher an einer subjektiven Darstellung des Inhalts interessiert und drângte drängte zu einfach gerate Einzelheiten zugunsten der - nunmehr freilich recht differenziert gestalteten - Gesamtstimmung zurück.

  3. Evaluating the feasibility and participants' representativeness of an online nationwide surveillance system for influenza in France.

    Directory of Open Access Journals (Sweden)

    Marion Debin

    Full Text Available The increasing Internet coverage and the widespread use of digital devices offer the possibility to develop new digital surveillance systems potentially capable to provide important aid to epidemiological and public health monitoring and research. In France, a new nationwide surveillance system for influenza-like illness, GrippeNet.fr, was introduced since the 2011/2012 season based on an online participatory mechanism and open to the general population. We evaluate the recruitment and participation of users to the first pilot season with respect to similar efforts in Europe to assess the feasibility of establishing a participative network of surveillance in France. We further investigate the representativeness of the GrippeNet.fr population along a set of indicators on geographical, demographic, socio-economic and health aspects. Participation was widespread in the country and with rates comparable to other European countries with partnered projects running since a longer time. It was not representative of the general population in terms of age and gender, however all age classes were represented, including the older classes (65+ years old, generally less familiar with the digital world, but considered at high risk for influenza complications. Once adjusted on demographic indicators, the GrippeNet.fr population is found to be more frequently employed, with a higher education level and vaccination rate with respect to the general population. A similar propensity to commute for work to different regions was observed, and no significant difference was found for asthma and diabetes. Results show the feasibility of the system, provide indications to inform adjusted epidemic analyses, and highlight the presence of specific population groups that need to be addressed by targeted communication strategies to achieve a higher representativeness in the following seasons.

  4. Evaluating the feasibility and participants' representativeness of an online nationwide surveillance system for influenza in France.

    Science.gov (United States)

    Debin, Marion; Turbelin, Clément; Blanchon, Thierry; Bonmarin, Isabelle; Falchi, Alessandra; Hanslik, Thomas; Levy-Bruhl, Daniel; Poletto, Chiara; Colizza, Vittoria

    2013-01-01

    The increasing Internet coverage and the widespread use of digital devices offer the possibility to develop new digital surveillance systems potentially capable to provide important aid to epidemiological and public health monitoring and research. In France, a new nationwide surveillance system for influenza-like illness, GrippeNet.fr, was introduced since the 2011/2012 season based on an online participatory mechanism and open to the general population. We evaluate the recruitment and participation of users to the first pilot season with respect to similar efforts in Europe to assess the feasibility of establishing a participative network of surveillance in France. We further investigate the representativeness of the GrippeNet.fr population along a set of indicators on geographical, demographic, socio-economic and health aspects. Participation was widespread in the country and with rates comparable to other European countries with partnered projects running since a longer time. It was not representative of the general population in terms of age and gender, however all age classes were represented, including the older classes (65+ years old), generally less familiar with the digital world, but considered at high risk for influenza complications. Once adjusted on demographic indicators, the GrippeNet.fr population is found to be more frequently employed, with a higher education level and vaccination rate with respect to the general population. A similar propensity to commute for work to different regions was observed, and no significant difference was found for asthma and diabetes. Results show the feasibility of the system, provide indications to inform adjusted epidemic analyses, and highlight the presence of specific population groups that need to be addressed by targeted communication strategies to achieve a higher representativeness in the following seasons.

  5. Effectiveness of 2012–2013 influenza vaccine against influenza-like illness in general population

    Science.gov (United States)

    Debin, Marion; Colizza, Vittoria; Blanchon, Thierry; Hanslik, Thomas; Turbelin, Clement; Falchi, Alessandra

    2014-01-01

    Most of the methods used for estimating the influenza vaccine effectiveness (IVE) target the individuals who have an influenza-like illness (ILI) rather than virologically-proven influenza and access the healthcare system. The objective of this study was to estimate the 2012–2013 IVE in general French population, using a cohort of volunteers registered on GrippeNet.fr, an online surveillance system for ILI. The IVE estimations were obtained through a logistic regression, and analyses were also performed by focusing on at-risk population of severe influenza, and by varying inclusion period and ILI definition. Overall, 1996 individuals were included in the analyses. The corrected IVE was estimated to 49% (20 to 67) for the overall population, and 32% (0 to 58) for the at-risk population. Three covariables appeared with a significant effect on the occurrence of at least one ILI during the epidemic: the age (P = 0.045), the presence of a child in the household (P < 10−3), and the frequency of cold/flu (P < 10−3). Comparable results were found at epidemic peak time in the hypothesis of real-time feed of data. In this study, we proposed a novel, follow-up, web-based method to reveal seasonal vaccine effectiveness, which enables analysis in a portion of the population that is not tracked by the health care system in most VE studies. PMID:24343049

  6. Neue Techniken zur Therapie der Varikose

    Directory of Open Access Journals (Sweden)

    Böhler K

    2006-01-01

    Full Text Available Der Trend zu minimalinvasiven Verfahren hat in den letzten Jahren auch die Varizentherapie revolutioniert. Radiofrequenzablation (RFA, endovenöse Laserkoagulation und ultraschallgezielte Schaumverödung stellen neue Alternativen zum konventionellen Stripping dar. Vorangetrieben wurde diese Entwicklung auch durch die schlechten Langzeitergebnisse des Strippings, die mit einer Rezidivrate von 60 % nach 30 Jahren enttäuschend sind. Die schonendste, aber kosten- und zeitaufwendigste Methode ist zweifellos die RFA. Die Laserkoagulation ist wohl schneller und kostengünstiger, im Nebenwirkungsprofil aber fallweise dem konventionellen Stripping vergleichbar. In bezug auf die Rezidivrate entsprechen die minimalinvasiven, endoluminalen Verfahren dem operativen Stripping, mit der Einschränkung, daß derzeit maximal 5 Jahresergebnisse vorliegen. Die duplexkontrollierte Schaumverödung ist eine vielversprechende Therapiealternative, Langzeitergebnisse liegen jedoch für die Stammvarikose noch nicht vor.

  7. Braunes Fettgewebe: Die neue Waffe gegen Adipositas?

    Directory of Open Access Journals (Sweden)

    Fenzl A

    2014-01-01

    Full Text Available Adipositas entsteht, wenn die Energieaufnahme den Energieverbrauch übersteigt. Braunes Fett – im Gegensatz zu weißem Fett – ist darauf ausgerichtet, Energie in Form von Wärmeproduktion (Thermogenese zu verbrauchen. Bei diesem Vorgang wird die Atmungskette von der ATP-Synthese entkoppelt, was durch das Molekül „Uncoupling Protein-1“ (UCP-1 vermittelt wird, welches praktisch nur in braunem Fettgewebe vorkommt. Aufgrund seiner hohen Stoffwechselaktivität und der rezenten Entdeckung, dass aktives braunes Fett auch in Erwachsenen vorkommt, hat dieses Gewebe in den vergangenen Jahren einen hohen Stellenwert in der Adipositasforschung erlangt. In zahlreichen Tiermodellen führt die Aktivierung von braunem Fett oder die Transformation von weißem in braunes Fett (browning zu einer Erhöhung des Energieumsatzes sowie zum Schutz vor Adipositas und metabolischen Komplikationen. Zusätzlich zu klassisch braunem und weißem Fett wurde kürzlich eine neue Fettart beschrieben, die sowohl weiße als auch braune Eigenschaften aufweist – das so genannte „beige“ Fett. Beige Fettzellen kommen zwar primär im weißen Fettgewebe vor, können aber, ähnlich wie braune Adipozyten, thermogenetisch hoch aktiv sein. Es werden laufend neue Faktoren entdeckt, die die Entwicklung und/oder Funktion von beigem bzw. braunem Fett kontrollieren. Die Bemühungen, molekulare Mechanismen und Stoffwechselvorgänge in braunem Fett besser zu verstehen, haben sich noch intensiviert, als man kürzlich mittels FDG-PET-Untersuchungen entdeckte, dass aktives braunes Fettgewebe nicht nur in Erwachsenen vorkommt, sondern auch den Energieverbrauch steigert. Derzeit existieren allerdings noch keine pharmakologischen Ansätze, um die metabolischen Eigenschaften von braunem Fett therapeutisch nutzen zu können, doch das Rennen ist längst im Gange.

  8. Neues Denken in der Unternehmensführung

    Science.gov (United States)

    Zahn, Erich; Bullinger, Hans-Jörg; Gagsch, Bernd; Westkämper, Engelbert; Balve, Patrick; Gausemeier, Jürgen; Pfänder, Tomas; Wenzelmann, Christoph; Schloske, Alexander; Thieme, Paul; Bleicher, Knut; Dierkes, Meinolf; Wildemann, Horst; Ackermann, Karl-Friedrich; Bahner, Jens; Antoni, Conny H.

    Tiefgreifende und turbulente Veränderungen im Aufgabenumfeld schaffen neue, kritische Anforderungen an die Wettbewerbsfähigkeit von Unternehmen. Unternehmensführer sind herausgefordert, das vorherrschende Geschäftsverständnis zu hinterfragen, neue Quellen der Wirtschaftlichkeit zu erschließen, ihre Unternehmen beweglicher und lernfähiger zu gestalten sowie mehrere Strategiehebel gleichzeitig zu bedienen. Als Vorlage zur notwendigen Transformation von Unternehmen aus starren, mechanistischen in bewegliche, lernfähige Organisationen kann die "Idee des wandlungsfähigen Unternehmens“ oder das Konzept der "kreativen Compartments“ dienen. Mit diesem Wandel der Unternehmen verändert sich das Rollenverständnis der Führungskräfte. An die Führungsinstrumente werden neue Anforderungen gestellt. Unternehmenssteuerung in einer sich entwickelnden "Wissens-Wirtschaft“ erfordert neben ergebnisorientierten Informationssystemen umfassende Wissenssysteme. Planung und Kontrolle müssen ihren mechanistisch-instrumentellen Charakter ablegen und mehr zu Prozessen des Lernens und Verlernens werden.

  9. Vers une signature spatiale de la vulnérabilité épidémiologique en France : l'exemple de la grippe

    Directory of Open Access Journals (Sweden)

    Martine Tabeaud

    2010-10-01

    Full Text Available L'épidémiologie des maladies infectieuses est au cœur des préoccupations de nombreuses instances de santé publique. Plus que jamais d'actualité, cette thématique fut réactivée par les angoisses générées par le syndrome respiratoire aigu sévère (SRAS ou plus récemment par les craintes d'une pandémie grippale issue d'une souche aviaire. Les recherches actuelles concernent aussi les épidémies "banales", telles que les grippes saisonnières, génératrices de situations de crise qu'une meilleure compréhension permettrait de scénariser pour mieux les gérer et pour en tirer des leçons transférables ensuite à des menaces de plus grande ampleur.La géographie a pris part très tôt au débat sur les maladies, mais l'évolution de ses techniques n'a permis que récemment d'entrevoir son opérabilité dans le champ de l'épidémiologie descriptive. C'est en croisant sa vision du risque avec les techniques d'analyse spatiale que la géographie peut proposer une territorialisation des facteurs de vulnérabilité à la grippe : une spatialisation d'un risque sanitaire.The epidemiology of infectious diseases is in the heart of the concerns of numerous authorities of Public health. This theme was reactivated by the anguishes generated by the Severe Acute Respiratory Syndrome (SARS or more recently by the fears of a flu-like pandemic stemming from an avian origin. The current researches also concern "common" epidemics such as the seasonal flu, generating crisis situations. A better understanding would allow to manage them better and to pull them transferable lessons then in bigger scale threats.The geography took part very early in the debate about diseases but the evolution of its techniques allowed only recently glimpsing its operability in the field of the descriptive epidemiology. While crossing the vision of the risk with the techniques of spatial analysis, the geography can propose a territorialization of the vulnerability factors

  10. Neue Technologien und Erziehung/Bildung

    Directory of Open Access Journals (Sweden)

    Norbert Meder

    2015-03-01

    Full Text Available Es wird gezeigt, dass Computertechnologie zur pädagogischen Aufgabe wird, weil es sich um eine Kulturtechnik handelt. Ausgehend vom Begriff der Bildung als Ausbildung eines Verhältnisses zu mir selbst, zu anderen und zur Welt wird Computertechnologie als Problemlösungsautomat, Sprachentwicklungsmaschine, Simulationsmaschine, Kommunikationsmaschine, Bildschirmgestaltungsmaschine, Schlüsselloch und Superzeichenmaschine analysiert. Die Analyse zeigt, daß Computertechnologie ein neues Bildungsideal erforderlich macht: Den Sprachspieler. Der Sprachspieler kennt sein doppelt reflexives Verhältnis zu sich selbst, zu anderen und zur Welt und beherrscht so das Spiel mit der Sprache zur Ausübung von Macht und Gewalt in der Informationsgesellschaft. Der Text geht in folgenden Schritten vor: Zunächst werden mit den Begriffen "Kulturtechnik" und "Bildung" die Prinzipien der Analyse bestimmt. Anschließend wird eine Sachanalyse der Computertechnologie durchgeführt und die gefundenen Eigenschaften jeweils in Relation zum Kulturtechnik- und Bildungsbegriff gesetzt. Computer technology becomes a challenge for education if it is understood as a cultural technology. Starting with the term bildung as the formation of relations to my self, to others and the world, computer technology is analysed as problem solving machine, language development machine, simulation machine, communication machine, screen design machine, keyhole, and super sign machine. It is shown, that computertechnology reqiures a new ideal for bildung: the language player. The language player knows his double reflective relation to his self, to others and the world and thus rules the game with language that is used to excercise power and force in the information society. The text argues in the following steps: At first the principles of the analyses are defined with the terms cultural technology and bildung. Susequently, computer technology is analysed. The identified qualities are finally

  11. Diffuser Haarausfall und klinische Endokrinologie: Neue Erkenntnisse

    Directory of Open Access Journals (Sweden)

    Liptak J

    2013-01-01

    zu kontrollieren. Auch zur Rolle des Eisenhaushaltes bzw. des Ferritinspiegels existieren widersprüchliche Daten. Ein Ferritinwert 40 μg/l könnte mit verstärktem Haarausfall assoziiert sein. Unklar bleibt, ob eine Eisensubstitution in diesen Fällen zum Nachwachsen der Haare führt. Verschiedene Hormone können endokrin, autokrin oder parakrin vermittelt das Haarwachstum beeinflussen. Neue Studien können Aufschluss über das komplexe Zusammenspiel diverser Regelkreisläufe geben und mögliche zukünftige Therapiemöglichkeiten aufzeigen.

  12. Vaccination contre la grippe aurpsè des professionnels de santé : tour d'horizon des pays développés, quelles recommandations pour quelle efficacité ?

    OpenAIRE

    Doumont, Dominique; Libion, France

    2007-01-01

    L’ASBL Question Santé mène un groupe de réflexion et de travail sur la problématique de la vaccination contre la grippe auprès des professionnels de santé (médecine du travail, service de soins à domicile, milieu hospitalier, maison de repos, etc.). L’ASBL Question Santé s’interroge notamment sur les pratiques et recommandations en matière de vaccination dans d’autres pays développés et sollicite l’unité RESO pour réaliser un état de la question.

  13. Volkswagen`s new Passat; Der neue Passat von Volkswagen

    Energy Technology Data Exchange (ETDEWEB)

    Winterkorn, M.; Roessler, H.

    1996-12-01

    The new Passat is not just a routine `follow-on act`. In terms of quality, comfort, safety and design, it represents another leap forward in automotive development. For four model generations, the existing Passat has been VW`s stalwart representative in the middle range. But the new Passat will burst the boundaries of tranditional model hierarchies, founding a class all of its own. The car`s dynamic and dominant exterior gives off all the right signals. And the generously proportioned interior simply confirms those first impressions. (orig.) [Deutsch] Der neue Passat ist mehr als nur ein Nachfolgemodell. In Qualitaet, Komfort, Sicherheit und Design repraesentiert er einen neuen Wertmassstab. War der bisherige Passat vier Modellgenerationen hindurch ein typischer Vertreter der Mittelklasse, so soll der neue Passat ueber die Grenzen der traditionellen Modellhierarchie hinaus eine Klasse fuer sich begruenden. In diese Richtung weist sein aeusserer dynamischer und sourveraener Auftritt; ein Eindruck, der durch die grosszuegigen Verhaeltnisse im Innenraum bestaetigt wird. (orig.)

  14. Neues aus dem Forschungsfeld Deutsch als Zweitsprache. Sammelrezension

    Directory of Open Access Journals (Sweden)

    Claus Altmayer

    2015-03-01

    Full Text Available Neues aus dem Forschungsfeld Deutsch als Zweitsprache. Sammelrezension (Teil 2 von Bernt Ahrenholz (Hrsg. (2009, Empirische Befunde zu DaZ-Erwerb und Sprachförderung. Beiträge aus dem 3. ‚Workshop Kinder mit Migrationshintergrund‘; Karen Schramm & Christoph Schröder (Hrsg. (2009, Empirische Zugänge zu Spracherwerb und Sprachförderung in Deutsch als Zweitsprache; Stefan Jeuk (2010, Deutsch als Zweitsprache in der Schule. Grundlagen - Diagnose – Förderung

  15. Einführungsstrategien für neue Kraftstoffe

    OpenAIRE

    Kronisch, Stefan

    2008-01-01

    Die endliche Verfügbarkeit von Erdöl sowie die klima- und umweltschädigende Wirkung fossilen Kraftstoffverbrauchs machen die Bereitstellung neuer Kraftstoffe zwingend erforderlich. Die vorliegende Arbeit zeigt, wie neue Kraftstoffe in den Kraftstoffmarkt eingeführt werden können. Hierzu wird ein Marktüberblick über die bereits etablierten Kraftstoffarten gegeben sowie eine Marktsegmentierung des weltweiten Kraftstoffmarktes anhand des Kriteriums der Kraftstoffqualität vorgenommen. Ferner werd...

  16. Effectiveness of 2012-2013 influenza vaccine against influenza-like illness in general population: estimation in a French web-based cohort.

    Science.gov (United States)

    Debin, Marion; Colizza, Vittoria; Blanchon, Thierry; Hanslik, Thomas; Turbelin, Clement; Falchi, Alessandra

    2014-01-01

    Most of the methods used for estimating the influenza vaccine effectiveness (IVE) target the individuals who have an influenza-like illness (ILI) rather than virologically-proven influenza and access the healthcare system. The objective of this study was to estimate the 2012-2013 IVE in general French population, using a cohort of volunteers registered on GrippeNet.fr, an online surveillance system for ILI. The IVE estimations were obtained through a logistic regression, and analyses were also performed by focusing on at-risk population of severe influenza, and by varying inclusion period and ILI definition. Overall, 1996 individuals were included in the analyses. The corrected IVE was estimated to 49% (20 to 67) for the overall population, and 32% (0 to 58) for the at-risk population. Three covariables appeared with a significant effect on the occurrence of at least one ILI during the epidemic: the age (P = 0.045), the presence of a child in the household (P<10(-3)), and the frequency of cold/flu (P<10(-3)). Comparable results were found at epidemic peak time in the hypothesis of real-time feed of data. In this study, we proposed a novel, follow-up, web-based method to reveal seasonal vaccine effectiveness, which enables analysis in a portion of the population that is not tracked by the health care system in most VE studies.

  17. Vorläufige Mitteilung über neue Fische von Lombok

    NARCIS (Netherlands)

    Popta, C.M.L.

    1911-01-01

    Herr Dr. J. ELBERT, Leiter der Sunda-Expedition des Frankfurter Vereins für Geographie, hat von Lombok eine Sammlung Fische mitgebracht, wobei sich zwei neue Arten und zwei neue Varietäten befinden. Es sind folgende: Barbus maculatus (Kuhl & v. Hasselt) Cuv. & Val., v. hagenii, var. n. Zu Ehren des

  18. Influenza vaccination

    DEFF Research Database (Denmark)

    Østerhus, Sven Frederick

    2015-01-01

    The Cochrane Library was systematically searched for meta-analyses regarding influenza vaccination of various populations, both healthy and sick. An effect in reducing the number of cases of influenza, influenza-like illness or complications to influenza was found in some studies, but, generally......, the quality of the studies was low, and several studies lacked hard clinical endpoints. Data on adverse effects were scarce. More randomised controlled trials investigating the effects of influenza vaccination are warranted....

  19. Update - Behandlung der Multiplen Sklerose: Orale Therapie und neue Biologika

    Directory of Open Access Journals (Sweden)

    Seifert-Held T

    2014-01-01

    Full Text Available In der Schubprophylaxe der Multiplen Sklerose werden künftig mehrere, oral einzunehmende Substanzen zur Verfügung stehen, die in dieser Übersichtsarbeit in ihrer aus klinischen Phase-III-Studien bekannten Wirkung und dem Nebenwirkungsprofil dargestellt werden. Mit Fingolimod findet sich darunter die in der Medizin neue Substanzklasse der Sphingosin-1- Phosphat-Rezeptor-Modulatoren. Andere Präparate (Teriflunomid, Dimethylfumarat sind bereits aus Anwendungen in der Rheumatologie und Dermatologie bekannt. In der Hämatologie verwendete Lymphozyten-depletierende monoklonale Antikörper (Alemtuzumab, Anti-CD20-Antikörper können künftig möglicherweise auch als Optionen zur Therapieeskalation zur Verfügung stehen.

  20. Der neue „Feminalismus“ – Quo vadis femina?

    Directory of Open Access Journals (Sweden)

    Sigrid Schmitz

    2001-07-01

    Full Text Available Anhand der Bücher von Hilde Neunhöffer und Natalie Angier wird die neue Forschungsrichtung des „Feminalismus“ kritisch beleuchtet. Die Aufwertung naturalisierter Weiblichkeitsprinzipien in der Evolutionsforschung und in neuen Körperkonzepten liegt dabei voll im Trend der Zeit, wie die positive Resonanz quer durch wissenschaftliche wie feministische Rezensionen zeigt. Genauere Analyse deckt jedoch die gleiche Zirkelschlusspraxis zur Naturalisierung von Geschlechterunterschieden in diesen Konzepten auf, die feministische Naturwissenschaftsforschung an der biologisch-medizinischen Forschung kritisiert. Die gleichzeitige Ignoranz, ja Verdammung feministischer Kritik durch die Autorinnen als subjektiv und damit unwissenschaftlich birgt die Gefahr, dass biologistischer Feminalismus in Zukunft als wissenschaftlich „akzeptierte“ Richtung die kritische feministische Forschung verdrängen soll.

  1. Meningitis - H. influenzae

    Science.gov (United States)

    H. influenzae meningitis; H. flu meningitis; Haemophilus influenzae type b meningitis ... H. influenzae meningitis is caused by Haemophilus influenzae type b bacteria. This illness is not the same as the flu ( influenza ), ...

  2. [Human influenza].

    Science.gov (United States)

    Stock, Ingo

    2006-10-01

    Human influenza is one of the most common human infectious diseases, contributing to approximately one million deaths every year. In Germany, each year between 5.000 and 20.000 individuals die from severe influenza infections. In several countries, the morbidity and mortality of influenza is greatly underestimated. This is reflected by general low immunization rates. The emergence of avian influenza against the background of the scenario of a human influenza pandemic has revived public interest in the disease. According to the World Health Organisation, it is only the question on the beginning of a new influenza pandemic. The virus type of the new pandemic is still uncertain and it is also unclear, if a pandemic spread of the virus may be prevented by consistent controlling of avian influenza.

  3. Photovoltaics - new horizons. Proceedings; Photovoltaik - Neue Horizonte. Tagungsband

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2004-02-01

    The FVS (Forschungsverbund Sonnenenergie) asked for a doubling of the funds within the next five years for research on renewable energy sources. According to the FVS, this is urgently necessary for solving the following impending problems: a) Protection of our natural basis of life; b) Overcoming energy shortage in many parts of the world; c) Reduction of the geopolitical potential for conflicts; d) Development of new marketable products. To solve these four problems, three development windows must be considered strategically: 1) Further development of the technology on which rapid growth on the market is based today; 2) Development of technologies that will gain profile 'at the horizon'; 3) Research into energy conversion processes 'beyond the horizon'. The papers presented at this forum concentrated on photovoltaic power generation, with the focus on cost reduction. (orig.) [German] Fuer ein neues Energieforschungsprogramm der Bundesrepublik fordert der FVS (Forschungsverbund Sonnenenergie) in seinem Eckpunktepapier eine Verdoppelung der Foerdermittel des Bundes im Bereich Erneuerbare Energien innerhalb der naechsten fuenf Jahre. Eine derartige Forderung zur Erhoehung von Finanzmitteln in diesem Forschungs- und Entwicklungsfeld ist - nach Meinung des FVS - unabdingbar, um die folgenden draengenden Problemkreise mit der unbedingt notwendigen Geschwindigkeit anzugeben: a) Schutz unserer natuerlichen Lebensgrundlage b) Bekaempfung der Energiearmut in weiten Teilen der Welt c) Verringerung des geopolitischen Konfliktpotenzials d) Erzeugung neuer Produkte fuer den Markt. Bei der Loesung der eingangs erwaehnten vier Problemkreise muss Forschung auf dem Feld der Photovoltaik drei Entwicklungsfenster strategisch bruecksichtigen. 1) Weiterentwicklung der Technologie, die heute das rasante Marktwachstum traegt 2) Entwicklung von Technologien, die,am Horizont' Profil gewinnen 3) Erforschung von Energiekonversionsverfahren, die teilweise noch &apos

  4. Freiheit in Der neue Advokat : Kafkas Sehnsucht und Resignation

    OpenAIRE

    佐々木, 博康

    2009-01-01

    カフカの『新しい弁護士』は,1917年2月に執筆され,1920年に刊行された短編集『田舎医者』に収められた散文である。作品の内容は,かつてアレクサンドロス大王の軍馬であったブケファロスが,現代においては人間の弁護士として法律書を読みふけっているという奇妙なものである。きわめて短い散文であるためか,さまざまな解釈が並立している。正義の問題,真理の探究,自己実現などが追究されているとするものや,現代人のカリカチュア,あるいは知識人や研究者の諷刺とするものなどがある。しかし,多くの研究者はこの作品の精妙なユーモアを見逃している。この散文は,カフカ自身の自由への憧れとその断念をユーモアとペーソスをもって表現したものである。###Die vorliegende Arbeit ist eine Interpretation von Kafkas kurzem Prosastück Der neue Advokat. Das Werk wurde 1917 verfasst und in die 1920 veröffentlichte Sammlung Ein Landarzt aufgen...

  5. The new Skoda Octavia; Der neue Skoda Octavia

    Energy Technology Data Exchange (ETDEWEB)

    Bockelmann, W.; Bohn, H.J.

    1997-01-01

    In the one hundred and first year of its existence, Skoda a.a.s. has introduced the new Skoda Octavia at the paris Autosalon. The Octavia, besides the Felicia, initiates a second Skoda type in the medium class. The car`s design concept is a brand new one. The outstanding features of the Skoda Octavia are superior safety equipment, high comfort and environment friendliness, which surpasses usual standards. For the first time in its long history Skoda a.a.s. offers cars with direct injection diesel engines, five valve gasoline engines and automatic gearboxes. The Octavia presents a synthesis of the tradition of the Skoda brand and its comparatively recent incorporation into the Volkswagen Group. While outwardly pure-bread Skoda, it follows the platform strategy in offering the customer state-of-the-art aggregates, axle constructions, etc. Following the Skoda tradition, the new Octavia, too, is a reliable car representing excellent value for money. (orig.) [Deutsch] Im 101. Jahr seines Bestehens stellt Skoda a.a.s. auf dem Pariser Autosalon den neuen Octavia vor. Mit dem Octavia eroeffnet Skoda oberhalb der Felicia eine zweite Baureihe in der Mittelklasse. Es handelt sich um ein voellig neu konzipiertes Fahrzeug. Der Octavia zeichnet sich durch eine gute Sicherheitsausstattung, grossen Komfort und hoher Umweltvertraeglichkeit aus. Erstmals in der langen Geschichte bietet Skoda a.a.s. Automobile mit direkteinspritzenden Dieselmotoren, Fuenfventil-Ottomotoren und Automatikgetrieben an. Der Octavia stellt die Synthese zwischen de Tradition der Marke Skoda und ihrer relativ jungen Einbindung in die Volkswagen-Gruppe dar. Aeusserlich ein reinrassiger Skoda, bietet er den Kunden im Sinne der Plattformstrategie hochmoderne Aggregate, Achskonstruktionen etc. In der Tradition von Skoda ist auch der neue Octavia ein funktionales Automobil mit einem ueberragenden Preis-/Leistungsverhaeltnis. (orig.)

  6. Swine Influenza/Variant Influenza Viruses

    Science.gov (United States)

    ... Address What's this? Submit What's this? Submit Button Influenza Types Seasonal Avian Swine Variant Other Information on Swine Influenza/Variant Influenza Virus Language: English (US) Español ...

  7. Parnassiana nova : XLVII. Neue Unterarten von Parnassius apollo L. und Parnassius mnemosyne L.

    NARCIS (Netherlands)

    Eisner, C.

    1974-01-01

    1. DREI NEUE PARNASSIUS APOLLO L. UNTERARTEN AUS SPANIEN Die Herren P. Capdeville und P. C. Rougeot haben in den letzten Jahren die verschiedenen Flugplätze von Parnassius apollo L. in Spanien aufgesucht und eine Anzahl neuer Unterarten aufgestellt. Die Kenntnis wird ergänzt durch die Beschreibung v

  8. Neue Phoriden aus Belgisch-Kongo, gesammelt von Dr. Jos. Bequaert

    NARCIS (Netherlands)

    Schmitz, H.

    1916-01-01

    Durch die Güte des Herrn Dr. Jos. Bequaert konnte ich einige Phoriden untersuchen, die dieser eifrige Entomologe während seines letzten Aufenthalts am Kongo und im Ruwenzori-Gebirge gesammelt hat. Es lagen im ganzen 5 Arten vor, darunter zwei neue, die im folgenden beschrieben werden. Von den drei b

  9. Neue Phoriden aus Belgisch-Kongo, gesammelt von Dr. Jos. Bequaert

    NARCIS (Netherlands)

    Schmitz, H.

    1916-01-01

    Durch die Güte des Herrn Dr. Jos. Bequaert konnte ich einige Phoriden untersuchen, die dieser eifrige Entomologe während seines letzten Aufenthalts am Kongo und im Ruwenzori-Gebirge gesammelt hat. Es lagen im ganzen 5 Arten vor, darunter zwei neue, die im folgenden beschrieben werden. Von den drei

  10. Parnassiana nova : XLVII. Neue Unterarten von Parnassius apollo L. und Parnassius mnemosyne L.

    NARCIS (Netherlands)

    Eisner, C.

    1974-01-01

    1. DREI NEUE PARNASSIUS APOLLO L. UNTERARTEN AUS SPANIEN Die Herren P. Capdeville und P. C. Rougeot haben in den letzten Jahren die verschiedenen Flugplätze von Parnassius apollo L. in Spanien aufgesucht und eine Anzahl neuer Unterarten aufgestellt. Die Kenntnis wird ergänzt durch die Beschreibung

  11. Avian influenza

    Science.gov (United States)

    ... of avian influenza A in Asia, Africa, Europe, Indonesia, Vietnam, the Pacific, and the near East. Hundreds ... to detect abnormal breath sounds) Chest x-ray Culture from the nose or throat A method or ...

  12. Avian Influenza

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This is a letter from a professor at Clemson University about waterfowl that had been tested for avian influenza at Santee National Wildlife Refuge

  13. Solar alligator. Berlin company introduces novel collector assembly system; Solarer Alligator. Berliner Unternehmen setzt auf neues Kollektor-Montagesystem

    Energy Technology Data Exchange (ETDEWEB)

    Franken, M.

    2001-01-01

    A Berlin company presented a new assembly system for solar collectors which will facilitate installation. [German] Ein Berliner Unternehmen setzt auf ein neues Montagesystem fuer Sonnenkollektoren, das vor allem die Handwerker begeistern soll. (orig.)

  14. A new generation of medium-voltage switchboards and circuit-breakers; Eine neue Generation von Mittelspannungsschaltanlagen und -leistungsschaltern

    Energy Technology Data Exchange (ETDEWEB)

    Saemann, D.; Weichert, R.; Werner, S. [Siemens AG, Erlangen (Germany). Bereich Energieuebertragung und -verteilung

    1998-04-06

    Todays market and the trend towards globalization of business both call for new products. The authors describe the new generation of medium-voltage switchgears and circuit-breakers, along with the benefit they bring for customers. (orig./RHM) [Deutsch] Der Markt und die Globalisierung des Geschaeftes fordern neue Produkte. Die Verfasser beschreiben die neue Generation von Mittelspannungsschaltanlagen und -schaltern sowie deren Nutzen fuer die Anwender. (orig./RHM)

  15. Neue Optionen zum Einsatz des Diodenlasers in der Behandlung therapie-refraktärer oto-rhinologischer Erkrankungen

    OpenAIRE

    Caffier, PP

    2011-01-01

    Hintergrund: Der Laser stellt die Querschnittstechnologie der Gegenwart dar und zählt zu den bedeutendsten Erfindungen des 20. Jahrhunderts. Die daraus entstandene und sich immer weiter entwickelnde Technik hat in ihrer Anwendung die moderne Medizin revolutioniert und eröffnet völlig neue Behandlungsmöglichkeiten.Material und Methoden: In experimentell-labortechnischen und klinisch-praktischen Anwendungen wurden neue Optionen zum Einsatz des Diodenlasers in der Behandlung anderweitig therap...

  16. Avian Influenza.

    Science.gov (United States)

    Zeitlin, Gary Adam; Maslow, Melanie Jane

    2005-05-01

    The current epidemic of H5N1 highly pathogenic avian influenza in Southeast Asia raises serious concerns that genetic reassortment will result in the next influenza pandemic. There have been 164 confirmed cases of human infection with avian influenza since 1996. In 2004, there were 45 cases of human H5N1 in Vietnam and Thailand, with a mortality rate more than 70%. In addition to the potential public health hazard, the current zoonotic epidemic has caused severe economic losses. Efforts must be concentrated on early detection of bird outbreaks with aggressive culling, quarantining, and disinfection. To prepare for and prevent an increase in human cases, it is essential to improve detection methods and stockpile effective antivirals. Novel therapeutic modalities, including short-interfering RNAs and new vaccine strategies that use plasmid-based genetic systems, offer promise should a pandemic occur.

  17. Seasonal Influenza Questions & Answers

    Science.gov (United States)

    ... and Flu Vaccines Vaccine Effectiveness Types of Flu Vaccine Flu Shot Quadrivalent Influenza Vaccine Intradermal Influenza (Flu) Vaccination ... Cell-Based Flu Vaccines Flublok Seasonal Influenza (Flu) Vaccine Flu Vaccination by Jet Injector Adjuvant Vaccine Vaccine Virus ...

  18. Pandemisk influenza

    DEFF Research Database (Denmark)

    Andersen, Nina Blom; Almlund, Pernille

    danske myndigheder kommunikerede åbent og løbende om influenza-krisen og dens trusler. Indsatsen blev anerkendt fra alle sider og førte på intet tidspunkt til alvorlig og længerevarende kritik af myndighederne. Der var tale om en tilfredsstillende krisehåndtering, hvad angår den del, der fokuserede på...... kommunikation om denne tog en drejning i forhold til selve influenza-krisen. Myndighedernes kommunikation blev mere uklar, forvirringen voksede i befolkningen, og der blev rejst kritik i offentligheden. Forløbet rejser spørgsmålene om, den samlede håndtering af kommunikationsindsatsen kunne have været mere...

  19. Pandemisk influenza

    DEFF Research Database (Denmark)

    Andersen, Nina Blom; Almlund, Pernille

    danske myndigheder kommunikerede åbent og løbende om influenza-krisen og dens trusler. Indsatsen blev anerkendt fra alle sider og førte på intet tidspunkt til alvorlig og længerevarende kritik af myndighederne. Der var tale om en tilfredsstillende krisehåndtering, hvad angår den del, der fokuserede på...... kommunikation om denne tog en drejning i forhold til selve influenza-krisen. Myndighedernes kommunikation blev mere uklar, forvirringen voksede i befolkningen, og der blev rejst kritik i offentligheden. Forløbet rejser spørgsmålene om, den samlede håndtering af kommunikationsindsatsen kunne have været mere...

  20. Avian influenza

    Directory of Open Access Journals (Sweden)

    Tjandra Y. Aditama

    2006-06-01

    Full Text Available Avian influenza, or “bird flu”, is a contagious disease of animals which crossed the species barrier to infect humans and gave a quite impact on public health in the world since 2004, especially due to the threat of pandemic situation. Until 1st March 2006, laboratory-confirmed human cases have been reported in seven countries: Cambodia, Indonesia, Thailand, Viet Nam, China, Iraq and Turkey with a total of 174 cases and 94 dead (54.02%. Indonesia has 27 cases, 20 were dead (74.07%. AI cases in Indonesia are more in male (62.5% and all have a symptom of fever. An influenza pandemic is a rare but recurrent event. An influenza pandemic happens when a new subtype emerges that has not previously circulated in humans. For this reason, avian H5N1 is a strain with pandemic potential, since it might ultimately adapt into a strain that is contagious among humans. Impact of the pandemic could include high rates of illness and worker absenteeism are expected, and these will contribute to social and economic disruption. Historically, the number of deaths during a pandemic has varied greatly. Death rates are largely determined by four factors: the number of people who become infected, the virulence of the virus, the underlying characteristics and vulnerability of affected populations, and the effectiveness of preventive measures. Accurate predictions of mortality cannot be made before the pandemic virus emerges and begins to spread. (Med J Indones 2006; 15:125-8Keywords: Avian Influenza, Pandemic

  1. Targeting influenza in Kentucky.

    Science.gov (United States)

    Bennett, John M; Casey, Baretta; Samuels, Michael E; Whitler, Elmer

    2007-12-01

    Kentucky has the 5th highest influenza-related death rate in the United States with about 1000 Kentuckians dying each year from complications of influenza. The majority of these patients are in identifiable risk groups for complications of influenza. Yearly immunizations with the influenza vaccine reduce the risk for hospitalization and death.

  2. Zaletnõi gripp / Arseni Novenkov

    Index Scriptorium Estoniae

    Novenkov, Arseni

    2006-01-01

    Siseministeeriumi eestvõttel toimuvad Tallinnas kriisireguleerimise kompleksõppused Pandora 2006, erinevates asutustes ja ametkondades kontrollitakse valmisolekut tegutsemiseks kriisiolukordades. Ülevaade vanglas ja lennujaamas toimunud õppusest

  3. Liebe, Neugier, Spiel - Wie kommt das Neue in die Welt? Systemische und neurobiologische Betrachtungen

    OpenAIRE

    2011-01-01

    Wie für viele andere, so hat Gerald Hüther auch für mich das Tor zu den Neurowissenschat en aufgestoßen, Neugier und Faszination ob der vielen Entdeckungen und Entwicklungen geweckt. Einige seiner Bücher (Hüther, 1998, 2001b, 2004) haben eigene Bilder aktiviert: Vor und im Studium arbeitete ich viele Jahre im Straßenbau. Vom Vermessungswesen über die Erdarbeiten bis zur Teerkolonne hatte ich einige Stufen des Straßenbaus kennen gelernt. Mich faszinierte, wie eine neue Straße entstand: Ich er...

  4. Geared turbomachine for new markets; Getriebe-Turbomaschine fuer neue Maerkte

    Energy Technology Data Exchange (ETDEWEB)

    Faller, W. [Sulzer Turbo GmbH, Ravensburg (Germany)

    1998-07-01

    A number of turbomachines are required to produce nitric acid. In the case of small plants, these machines represent a substantial investment factor. A combination of proven air compressor modules with newly developed expansion turbines and nitrose gas compressors on a single gearbox provides a new, low-cost alternative and gives the plant contractor useful potential for optimization of his facilities. (orig.) [Deutsch] Fuer die Erzeugung von Salpetersaeure sind mehrere Turbomaschinen erforderlich, die bei kleinen Anlagen einen erheblichen Investitionsfaktor darstellen. Eine Kombination von erprobten Luftverdichtermodulen mit neu entwickelten Entspannungsturbinen und Nitrosegasverdichtern an einem einzigen Getriebe bietet eine neue, kostenguenstige Alternative und eroeffnet dem Anlagenbauer interessante Moeglichkeiten zur Anlagenoptimierung. (orig.)

  5. Genetic Reassortment Among the Influenza Viruses (Avian Influenza, Human Influenza and Swine Influenza in Pigs

    Directory of Open Access Journals (Sweden)

    Dyah Ayu Hewajuli

    2012-12-01

    Full Text Available Influenza A virus is a hazardous virus and harm to respiratory tract. The virus infect birds, pigs, horses, dogs, mammals and humans. Pigs are important hosts in ecology of the influenza virus because they have two receptors, namely NeuAc 2,3Gal and NeuAc 2,6Gal which make the pigs are sensitive to infection of influenza virus from birds and humans and genetic reassortment can be occurred. Classical swine influenza H1N1 viruses had been circulated in pigs in North America and other countries for 80 years. In 1998, triple reassortant H3N2 swine influenza viruses that contains genes of human influenza A virus (H3N2, swine influenza virus (H1N1 and avian influenza are reported as cause an outbreaks in pigs in North America. Furthermore, the circulation of triple reassortant H3N2 swine influenza virus resulting reassortant H1N1 swine influenza and reassortant H1N2 swine influenza viruses cause infection in humans. Humans who were infected by triple reassortant swine influenza A virus (H1N1 usually made direct contact with pigs. Although without any clinical symptoms, pigs that are infected by triple reassortant swine influenza A (H1N1 can transmit infection to the humans around them. In June 2009, WHO declared that pandemic influenza of reassortant H1N1 influenza A virus (novel H1N1 has reached phase 6. In Indonesia until 2009, there were 1005 people were infected by H1N1 influenza A and 5 of them died. Novel H1N1 and H5N1 viruses have been circulated in humans and pigs in Indonesia. H5N1 reassortant and H1N1 viruses or the seasonal flu may could arise because of genetic reassortment between avian influenza and humans influenza viruses that infect pigs together.

  6. Neue kardiovaskuläre Risikofaktoren - Ist die Suche danach sinnvoll?

    Directory of Open Access Journals (Sweden)

    Klein-Weigel P

    2007-01-01

    Full Text Available Kurzfassung: Bis heute wurden hunderte möglicher "neuer" Risikofaktoren mit dem Auftreten kardiovaskulärer Erkrankungen assoziiert. Nur wenige sind ausreichend untersucht, um ihren Stellenwert für die Risikoprädiktion, verglichen mit der Risikoeinschätzung auf Grundlage konventioneller Risikofaktoren, bestimmen zu können. In der vorliegenden Arbeit werden neue kardiovaskuläre Risikofaktoren beschrieben und ihr Beitrag zur Risikoprädiktion beleuchtet. Sie scheinen vor allem in Subgruppen und im intermediären Risikobereich dazu beizutragen, therapeutische Interventionen ökonomischer zu steuern. Das gleiche gilt für die Einbeziehung von Gefäßwandschäden als "integrative Biomarker". Die bisher publizierten genetisch-epidemiologischen Studien unterstreichen die Richtigkeit des Konzeptes eines genomweiten Forschungsansatzes zur Identifikation neuer Risikofaktoren der Arteriosklerose. Entscheidend bei diesem Ansatz ist der hypothesenfreie Zugang, der zur Identifizierung bisher unbeachteter Gene führt. Die Ergebnisse werden bislang noch unbekannte Krankheitsmechanismen aufdecken, zum weiteren Verständnis der Ätiopathogenese der Arteriosklerose beitragen, neue "drug targets" identifizieren und so unser zukünftiges Handeln auf der Versorgungsebene mitbestimmen.

  7. Avian Influenza (Bird Flu)

    Science.gov (United States)

    ... Address What's this? Submit What's this? Submit Button Influenza Types Seasonal Avian Swine/Variant Pandemic Other Information on Avian Influenza Language: English (US) Español Recommend on Facebook ...

  8. About Haemophilus influenzae Disease

    Science.gov (United States)

    ... Hib Vaccination Hib Vaccination Meningitis Pneumonia Sepsis About Haemophilus influenzae Disease Recommend on Facebook Tweet Share Compartir H. ... severe, such as a bloodstream infection. Types of Haemophilus influenzae Infections Infections caused by these bacteria... Causes, How ...

  9. Influenza Vaccine, Live Intranasal

    Science.gov (United States)

    ... the recombinant influenza vaccine (RIV). The nasal spray flu vaccine (live attenuated influenza vaccine or LAIV) should NOT ... to your doctor or pharmacist about the best flu vaccine option for you or your family.

  10. Solar building construction - new technologies; Solares Bauen - Neue Technologien fuer Gebaeude

    Energy Technology Data Exchange (ETDEWEB)

    Luther, J.; Voss, K.; Wittwer, V. [Fraunhofer-Inst. fuer Solare Energiesysteme, Freiburg (Germany). Abt. ``Thermische und Optische Systeme``

    1998-02-01

    There is an increasing demand for integrated building concepts in order to reduce energy consumption. Building design, construction and heating, ventilation and air-conditioning (HVAC) technology are decisive in this respect. Thus, an essentially higher energy efficiency is achieved and solar energy becomes the main energy source. An `active building envelope` assumes the task of controlling the energy flows between inside and outside. This paper reports on new components, system concepts and planning tools for solar building. (orig.) [Deutsch] Fuer zukuenftige Bauten werden in hohem Masse Forderungen nach integrierten Konzepten zur Begrenzung des Energieverbrauchs gestellt. Gestalt, Konstruktion und Klimatechnik sind dabei massgebliche Einflussfaktoren. Hierdurch wird eine wesentlich hoehere Energieeffizienz erzielt und Solarenergie kann die uebrigen Energiequellen zurueckdraengen. Eine `aktive Gebaeudehuelle` uebernimmt die Aufgabe, den Energiefluss zwischen Innen und Aussen zu steuern. Der Beitrag berichtet ueber neue Komponenten, Systemkonzepte und Planungswerkzeuge fuer das Solare Bauen. (orig.)

  11. Simulationsbasierte Optimierung in der Bautechnik — Neue Informatische Lösungskonzepte

    Science.gov (United States)

    Hartmann, Dietrich; Baitsch, Matthias; van Nguyen, Vinh

    Ingenieure sind — aufbauend auf gründlicher Planung, intelligentem Entwurf, solider Konstruktion und sorgfältiger Herstellung — seit jeher bestrebt, "optimale“ technische Systeme zu entwickeln. Auch die Prozesse, die von Ingenieuren eingeleitet und verantwortet werden, sind in der Regel so ausgelegt, dass sie planmäßig, zuverlässig, hochgradig effizient und somit ebenfalls möglichst optimal ablaufen. Bei der Umsetzung ihrer Ideen mithilfe von leistungsfähigen Computermodellen sowie gebrauchstauglicher Software sorgt die zielgerichtete Vernetzung mit der Forschung in Mathematik und Angewandter Informatik dafür, dass sowohl dringende aktuelle Problemstellungen gelöst als auch neue Zukunftsfelder in absehbarer Zeit erfolgreich bearbeitet werden können.

  12. New generation of actuators tailored to new ball valve; Neue Antriebsgeneration abgestimmt auf neuen Kugelhahn

    Energy Technology Data Exchange (ETDEWEB)

    Rudin, M. [Marktentwicklung Automatik, Georg Fischer Rohrleitungssysteme AG, Schaffhausen (Switzerland)

    2003-05-01

    Georg Fischer produces high-quality actuator systems of both pneumatic and electrical type for plastic piping systems. Customer benefits have been proven worldwide by the large numbers sold for use in the most diverse applications. These products have been re-engineered applying the latest technical potentials and taking account of future market needs. Georg Fisher will launch this new generation of actuator systems at the ACHEMA 2003. (orig.) [German] Georg Fischer produziert hochwertige Antriebe fuer Kunststoff-Rohrleitungssysteme sowohl in pneumatischer als auch in elektrischer Ausfuehrung. In grossen Stueckzahlen haben sie sich in verschiedensten Einsaetzen und Applikationen zum Nutzen der Kunden weltweit bewaehrt. Unter Anwendung neuester technischer Moeglichkeiten sowie unter Beruecksichtigung zukuenftiger Marktbeduerfnisse wurden diese Produkte einer Neuentwicklung unterzogen. Zur ACHEMA 2003 fuehrt Georg Fischer diese neue Antriebsgeneration in den Markt ein. (orig.)

  13. Neues in der Varizenchirurgie: Welche Bedeutung hat die Chirurgie in Zeiten von Laser, Schaum und Radiofrequenz

    Directory of Open Access Journals (Sweden)

    Assadian A

    2012-01-01

    Full Text Available Die Therapie der Stammvarikose der Vena saphena magna und parva hat in den vergangenen 10 Jahren einen Innovationsschub erlebt. Mehrere neue – mehrheitlich der Crossektomie und Stripping gegenüber als überlegen dargestellte – ausschließlich endoluminale Therapieoptionen haben den Markt erobert. Die Operation ist sicher nicht mehr für alle Patienten und alle Indikationen die optimale Therapie, die derzeitige Evidenz steht jedoch im krassen Gegensatz zur mehrheitlich aus merkantilen Absichten geführten Diskussion. Aus der derzeitigen Evidenzlage und Erfahrung sind sehr großlumige ( 10 mm, geschlängelte Stammvarizen mit ausgeprägten Seitenästen weiterhin chirurgisch besser versorgt. Auch ist ein BMI 27 als Risikofaktor für Rekanalisation nach endoluminalem Verfahren zu sehen.

  14. Influenza Prevention: Information for Travelers

    Science.gov (United States)

    ... and Flu Vaccines Vaccine Effectiveness Types of Flu Vaccine Flu Shot Quadrivalent Influenza Vaccine Intradermal Influenza (Flu) Vaccination ... Cell-Based Flu Vaccines Flublok Seasonal Influenza (Flu) Vaccine Flu Vaccination by Jet Injector Adjuvant Vaccine Vaccine Virus ...

  15. Pregnant Women and Influenza (Flu)

    Science.gov (United States)

    ... and Flu Vaccines Vaccine Effectiveness Types of Flu Vaccine Flu Shot Quadrivalent Influenza Vaccine Intradermal Influenza (Flu) Vaccination ... Cell-Based Flu Vaccines Flublok Seasonal Influenza (Flu) Vaccine Flu Vaccination by Jet Injector Adjuvant Vaccine Vaccine Virus ...

  16. Editorial: Neue Medien und individuelle Leistungsdarstellung: Möglichkeiten und Grenzen von ePortfolios und eAssessments

    OpenAIRE

    Claudia de Witt; Thomas Czerwionka

    2010-01-01

    Der Einsatz digitaler Medien in formellen Lernzusammenhängen (Schule, Hochschule, berufliche Bildung etc.) bietet neue Möglichkeiten, die Kenntnisse und Kompetenzen Lernender darzustellen bzw. abzubilden. So sollen z.B. Instrumente wie E-Portfolios eine selbstbestimmtere Leistungsdarstellung ermöglichen: Lernende sollen ihren Lernprozess dokumentieren und reflektieren, sich ihrer Verantwortung für ihn bewusst werden und ihn im Idealfall selbst steuern, Lehrende nehmen dabei eine beratende und...

  17. Neue Aufgaben für wissenschaftliche Bibliotheken: Das Beispiel Open Science Lab

    Directory of Open Access Journals (Sweden)

    Lambert Heller

    2015-10-01

    Full Text Available Vor dem Hintergrund des Aufkommens vieler neuer digitaler Werkzeuge und Methoden zur Unterstützung des wissenschaftlichen Arbeitens wird seit etwa fünf Jahren unter wissenschaftlichen Bibliothekaren in Deutschland immer häufiger über Innovationsmanagement diskutiert. Wie lassen sich relevante Trends und Herausforderungen rechtzeitig erkennen und mit den begrenzten Ressourcen einer Einrichtung des öffentlichen Dienstes adäquat aufgreifen, bis hin zu einer Veränderung der Bibliotheksstrategie? Der Beitrag behandelt das Modell des an der Technischen Informationsbibliothek Hannover (TIB 2013 ins Leben gerufenen Open Science Lab. Unter Leitung des Autors werden Trends beobachtet und aufgegriffen, um in enger Zusammenarbeit mit Wissenschaftlern und Wissenschaftlerinnen neue digitale Werkzeuge und Methoden zu erproben, eine neue Informationspraxis zu kultivieren und daraus Innovationen für das Dienste-Spektrum der Bibliothek abzuleiten. Dies wird beispielhaft anhand der beiden Schwerpunktthemen kollaboratives Schreiben sowie linked-data-basierte Forschungsinformationssysteme (FIS geschildert und diskutiert. Given the rise of many new digital tools and methods for supporting scientific work, the last five years have seen a lot of discussion amongst German academic librarians about innovation management. How can we discover relevant trends and challenges in time and respond to them adequately up to the point of changing whole library strategies, despite the limited resources of a public sector institution? The paper presents the model of the Open Science Lab which was set up at the German National Library of Science and Technology (TIB Hannover in 2013. Under the direction of the author and in close collaboration with scientific communities, the lab group keeps track of trends and selects some of them in order to try out new tools and methods. The ultimate aim is to cultivate new information practices and develop new, innovative

  18. H1N1 Influenza

    Science.gov (United States)

    ... Nutrient Shortfall Questionnaire Home Diseases and Conditions H1N1 Influenza H1N1 Influenza Condition Family HealthKids and Teens Share H1N1 ... Contents1. Overview2. Symptoms3. Prevention4. Treatment What is H1N1 influenza?H1N1 influenza (also known as swine flu) is an ...

  19. Towards universal influenza vaccines?

    NARCIS (Netherlands)

    A.D.M.E. Osterhaus (Albert); R.A.M. Fouchier (Ron); G.F. Rimmelzwaan (Guus)

    2011-01-01

    textabstractVaccination is the most cost-effective way to reduce the considerable disease burden of seasonal influenza. Although seasonal influenza vaccines are effective, their performance in the elderly and immunocompromised individuals would benefit from improvement. Major problems related to the

  20. Avian influenza virus

    Science.gov (United States)

    Avian influenza (AI) is caused by type A influenza virus, a member of the Orthomyxoviridae family. AI viruses are serologically categorized into 16 hemagglutinin (H1-H16) and 9 neuraminidase (N1-N9) subtypes. All subtypes have been identified in birds. Infections by AI viruses have been reported in ...

  1. Avian influenza virus

    Science.gov (United States)

    Avian influenza virus (AIV) is type A influenza that is adapted to avian host species. Although the virus can be isolated from numerous avian species, the natural host reservoir species are dabbling ducks, shorebirds and gulls. Domestic poultry species (poultry being defined as birds that are rais...

  2. Seasonal Influenza: An Overview

    Science.gov (United States)

    Li, Christina; Freedman, Marian

    2009-01-01

    Seasonal influenza is a major cause of morbidity and mortality in the United States. It also has major social and economic consequences in the form of high rates of absenteeism from school and work as well as significant treatment and hospitalization costs. In fact, annual influenza epidemics and the resulting deaths and lost days of productivity…

  3. Seasonal Influenza: An Overview

    Science.gov (United States)

    Li, Christina; Freedman, Marian

    2009-01-01

    Seasonal influenza is a major cause of morbidity and mortality in the United States. It also has major social and economic consequences in the form of high rates of absenteeism from school and work as well as significant treatment and hospitalization costs. In fact, annual influenza epidemics and the resulting deaths and lost days of productivity…

  4. [Anti-influenza virus agent].

    Science.gov (United States)

    Nakamura, Shigeki; Kohno, Shigeru

    2012-04-01

    The necessity of newly anti-influenza agents is increasing rapidly after the prevalence of pandemic influenza A (H1N1) 2009. In addition to the existing anti-influenza drugs, novel neuraminidase inhibitors such as peramivir (a first intravenous anti-influenza agent) and laninamivir (long acting inhaled anti-influenza agent) can be available. Moreover favipiravir, which shows a novel anti-influenza mechanism acting as RNA polymerase inhibitor, has been developing. These drugs are expected to improve the prognosis of severe cases caused by not only seasonal influenza but pandemic influenza A (H1N1) 2009 virus and H5N1 avian influenza, and also treat oseltamivir-resistant influenza effectively.

  5. Combination Chemotherapy for Influenza

    Directory of Open Access Journals (Sweden)

    Robert G. Webster

    2010-07-01

    Full Text Available The emergence of pandemic H1N1 influenza viruses in April 2009 and the continuous evolution of highly pathogenic H5N1 influenza viruses underscore the urgency of novel approaches to chemotherapy for human influenza infection. Anti-influenza drugs are currently limited to the neuraminidase inhibitors (oseltamivir and zanamivir and to M2 ion channel blockers (amantadine and rimantadine, although resistance to the latter class develops rapidly. Potential targets for the development of new anti-influenza agents include the viral polymerase (and endonuclease, the hemagglutinin, and the non-structural protein NS1. The limitations of monotherapy and the emergence of drug-resistant variants make combination chemotherapy the logical therapeutic option. Here we review the experimental data on combination chemotherapy with currently available agents and the development of new agents and therapy targets.

  6. New BMW M3 sports coupe; Neues Sportcoupe M3 von BMW

    Energy Technology Data Exchange (ETDEWEB)

    Biermann, A.; Friedmann, S.; Gehrig, H.; Huebner, W.; Weidhase, U. [Bayerische Motoren Werke AG (BMW), Muenchen (Germany); Koplenig, W. [BMW, Muenchen (Germany). Fachbereich Karosserie

    2000-10-01

    Since 1972 Motorsport (which has been known as BMW M since 1994) has been manufacturing automobiles of exceptionally sporting character on the basis of suitable series-production cars. With its new M3, BMW M continues this tradition. It is a sports coupe based on the latest BMW 3 Series model line. Its sports design embodies the essentials of BMW M's performance philosophy. Both visible and invisible 'highlights' such as the new high-speed driveline rating elevate its longitudinal and lateral driving dynamics to the level of a racing car. We have also succeeded in maintaining the basic car's unlimited suitability for everyday use. The new M3 is therefore a fully-fledged sports car without the typical disadvantages of this type of vehicle. (orig.) [German] Bereits seit 1972 entstehen bei BMW Motorsport (seit 1994 BMW M) auf der Basis von Serienfahrzeugen Automobile mit aussergewoehnlichen sportlichen Eigenschaften. Mit dem neuen M3, abgeleitet von der aktuellen BMW Dreier-Reihe, setzt BMW M diese Tradition fort. Das Sportcoupe erschliesst ueber die weiterentwickelte Hochdrehzahlauslegung eine Fahrdynamik in Laengs- und Querrichtung auf dem Niveau eines Rennsportwagens. Gleichzeitig ist es gelungen, die uneingeschraenkte Alltagstauglichkeit des Basis-Fahrzeugs zu erhalten. Der neue M3 ist somit ein vollwertiger Sportwagen, vermeidet aber dessen typische Nachteile. (orig.)

  7. Schönheit und andere Provokationen - Eine neue evolutionsbiologische Theorie der Kunst

    Science.gov (United States)

    Junker, Thomas

    Die Evolution hat viele spektakuläre Phänomene hervorgebracht - von der Eleganz des Vogelflugs über die gigantischen Körper der Dinosaurier und die farbenprächtige Vielfalt der Korallenriffe bis hin zu ihrem jüngsten Geniestreich - der menschlichen Kunst. Die schönen Künste - Malerei, Bildhauerei und Architektur, Theater, Tanz, Oper und Filmkunst, Musik und Literatur - Produkte der Evolution? Diese Vorstellung mutet vielen Menschen fremd an, aber wie könnte es anders sein? Denn wenn Charles Darwin recht hat, dann sind nicht nur die körperlichen Merkmale der Menschen als Antworten auf die Erfordernisse des Lebens entstanden, sondern auch ihre geistigen Fähigkeiten und Verhaltensweisen. Im Jahr 1859 hatte er auf den letzten Seiten seines berühmten Buches über die Entstehung der Arten eine kühne Prophezeiung gemacht: Durch die Evolutionstheorie werde es "zu einer bemerkenswerten Revolution in der Naturwissenschaft kommen […]. Die Psychologie wird auf die neue Grundlage gestellt, dass jede geistige Kraft und Fähigkeit notwendigerweise durch graduelle Übergänge erworben wird“ (Darwin 1859, S. 484, 488; Junker 2008).

  8. New radiopharmaceuticals for myocardial SPECT; Neue Radiopharmaka fuer die SPECT des Myokards

    Energy Technology Data Exchange (ETDEWEB)

    Meyer, G.J.; Knapp, W.H. [Medizinische Hochschule Hannover (Germany). Klinik fuer Nuklearmedizin

    1999-06-01

    The radiopharmaceuticals for cardiac studies can be categorized in three groups. (1) The perfusion markers (Tl-201, Tc-99m-MlBl, Tc-99m tetrofosmin) are not all able to reflect the real distribution of myocardial perfusion (limitations at high flow rates), they are also limited in estimating the extent of viable myocardial areas. The recent developments are focused on kinetic properties to overcome these limitations. (2) Abnormalities of myocardial energy metabolism can be investigated with different, partly newer radioiodinated fatty acid analogues. Recent derivatives of imidazol with affinity for hypoxic tissue areas promise clinical utility. (3) Cardiac innervation and sympathetic activity can be qualitatively assessed, since MIBG with high specific activity is available. (orig.) [Deutsch] Die heute zur Verfuegung stehenden Radiopharmaka zur szintigraphischen Untersuchung des Herzens lassen sich in drei Kategorien einteilen. (1) Perfusionsmarker (Tl-201, Tc-99m-MlBl, Tc-99m-Tetrofosmin) spiegeln nur z.T. die wirkliche Perfusionsverteilung im Myokard wider (Einschraenkungen bei hohem Blutfluss), sie lassen auch nur bedingt das Ausmass vitaler Myokardareale erfassen. Neuere Entwicklungen werden unter Beruecksichtigung dieser bisherigen Einschraenkungen vorgenommen. (2) Veraenderungen des myokardialen Energiestoffwechsels koennen mit verschiedenen, teilweise neueren radiojodierten Fettsaeureanaloga untersucht werden. Vielversprechend sind neue Imidazolderivate mit Affinitaet zu hypoxischen Gewebsarealen. (3) Kardiale Innervation und sympathische Aktivitaet koennen zumindest qualitativ erfasst werden, nachdem MIBG mit hoher spezifischer Aktivitaet zur Verfuegung steht. (orig.)

  9. Transrapid - a new railway era; Transrapid: Eine neue Aera im Bahnverkehr

    Energy Technology Data Exchange (ETDEWEB)

    Ernst-Cathor, J. [Thyssen Transrapid System GmbH, Muenchen (Germany); Muders, H. [VDEW, Frankfurt am Main (Germany)

    1997-06-16

    In 2005, after starting the revenue operation of the Transrapid Maglev train between Berlin and Hamburg with a train interval of 20 minutes, a new railway era will beginn in many respects. The noncontact levitation and propulsion system permits cruising speeds of more than 400 km/h and reduces the travel time between the cities to less than one hour. Due to the attractive city connection, flight connections will be unnecessary and the motorway will be relieved from many cars. Another feature of the project is the public private partnership and the engagement of the electricity supply companies. Compared to the previous co-operation between the electricity supply companies and the Deutsche Bahn AG (German railway) the engagement is much more intensive. (orig.) [Deutsch] Wenn im Jahr 2005 die Magnetschnellbahn Transrapid ihren Betrieb zwischen Berlin und Hamburg im 20-Minuten-Takt aufnimmt, beginnt in mehrfacher Hinsicht eine neue Aera im elektrischen Bahnverkehr. Die beruehrungsfreie Antriebs- und Schwebetechnik des Transrapid ermoeglicht Geschwindigkeiten ueber 400 km/h und verkuerzt so die Reisezeit zwischen den Staedten auf unter 1 h. So werden Flugverbindungen ueberfluessig, und die Autobahn wird aufgrund der attraktiven Bahnverbindung entlastet. Ein weiteres Novum des Projektes stellt die privatwirtschaftliche Beteiligung und die Einbindung der Stromversorger in das Projekt dar. Sie geht weit ueber die bisherige Zusammenarbeit mit der Deutschen Bahn hinaus. (orig.)

  10. Neue immunsuppressive und immunmodulierende orale Therapie in der Behandlung der Multiplen Sklerose

    Directory of Open Access Journals (Sweden)

    Storch MK

    2010-01-01

    Full Text Available Schon bald könnte eine neue – lange erwartete – Ära in der Behandlung der schubförmigen Multiplen Sklerose beginnen: oral verabreichbare immunmodulierende/immunsuppressive Intervall-Therapeutika. In den USA wurde Fingolimod (Gilenya® am 22. September 2010 als erste orale Substanz als Basistherapeutikum für die schubförmige Multiple Sklerose zugelassen. Für die nächsten Jahre ist mit der Zulassung weiterer neuer immunmodulierender/ immunsuppressiver oraler Medikamente zur Prophylaxe von Schüben in der Multiplen Sklerose zu rechnen, wodurch sich Therapieadhärenz und Lebensqualität der Patienten weiter verbessern könnten. Einige der neuen, oral verabreichten Substanzen könnten einen besonders „attraktiven“ therapeutischen Ansatz bieten: Die Kombination von Immunmodulation mit neuroprotektiven Wirkmechanismen. In dieser Übersicht wird ein Überblick über die als nächstes zu erwartenden, neuen oralen Immunmodulatoren/Immunsuppressiva gegeben. Das Einsatzgebiet dieser Substanzen in der Stufentherapie der schubförmigen Multiplen Sklerose wird erst nach Abschluss der Zulassungsverfahren bzw. Vorliegen der Daten von Langzeit-Sicherheitsregistern sicher einzuschätzen sein.

  11. New approaches of process visualization and process analysis; Neue Formen der Prozessvisualisierung und Prozessanalyse

    Energy Technology Data Exchange (ETDEWEB)

    Otte, R. [ABB Kraftwerksleittechnik, Mannheim (Germany); Goser, K. [Dortmund Univ. (Germany). Lehrstuhl fuer Bauelemente der Elektrotechnik

    1997-12-31

    The article describes a non-linear, generally applicable method for analysing complex, multi-dimensional process states in industrial plants by means of Self-Organizing Maps (SOMs). This method of process analysis thus extends current methods for process monitoring, since it is generally applicable, and no longer merely examines each process variable in isolation, but evaluates their interrelationships as an integrated whole, as well as providing the appropriate display options. The procedure can be used both for static (steady-state) and for dynamic (transient) plant phenomena. After a short introduction in the theory of Self-Organizing-Maps a description will be given of an actual implementation option featuring Self-Organizing Maps for a new form of process analysis, which could be used as a preliminary stage for transient state analysis in power plant operations. (orig.) [Deutsch] Der Artikel beschreibt eine nicht-lineare, allgemeingueltige Methode fuer die Analyse von komplexen, mehrdimensionalen Prozesszustaenden und Vorgaengen in industriellen Anlagen auf Basis sogenannter Selbstorganisierender Merkmalskarten (SOM). Diese Methode stellt eine grundlegende Erweiterung bestehender Prozess- und Datenanalyseverfahren dar, da sie nicht mehr nur einzelne Prozesssignale untersucht, sonderen gerade auch ihre nichtlinearen Beziehungen untereinander beruecksichtigt. Fuer diese ganzheitliche Analyse wird eine neue Form der Visualisierung eingefuehrt, die intuitiv verstaendlich und interpretierbar ist. Das Verfahren kann sowohl fuer stationaere, als auch fuer dynamische Prozessvorgaenge eingesetzt werden. Der vorliegende Artikel beschreibt nach einer kurzen Einfuehrung in die Theorie eine Implementierung auf Basis dieser Selbstorganisierenden Merkmalskarten beispielhaft fuer die Untersuchung von transienten Vorgaengen im Kraftwerksbereich. (orig.)

  12. Crowdsourcing – neue Möglichkeiten und Grenzen für Bildarchive

    Directory of Open Access Journals (Sweden)

    Nicole Graf

    2014-12-01

    Full Text Available Crowdsourcing ist das Outsourcing von Teilaufgaben von Institutionen an Freiwillige, die diese Aufgaben aufgrund von Interesse und spezifischem (Fach-Wissen in der Freizeit erledigen helfen. Dank Internet wurde diese Art von Mitarbeit auf ehrenamtlicher Basis technisch vereinfacht, man spricht auch von Crowdsourcing 2.0. Auch im kulturellen Sektor der Gedächtnisinstitutionen hält diese neue Form der Generierung und des Teilens von Wissen langsam Einzug. Das Bildarchiv der ETH-Bibliothek hat sich diese Web-2.0-Technik für die Erschliessung des Fotoarchivs der Swissair in einem vierjährigen Projekt (Laufzeit 2009–2013 zunutze gemacht. Der Beitrag legt den Schwerpunkt auf die Erfahrungen in Bezug auf den Redaktionsworkflow, der technischen Umsetzung, des Betreuungsaufwandes und der Öffentlichkeitsarbeit. Crowdsourcing as a kind of voluntary collaboration has been made considerably easier by the Internet, from a technical perspective and there is now talk of crowdsourcing 2.0. Slowly but surely, this new form of generating and sharing knowledge is also finding its way into the cultural sector, e. g. the memory institutions. The Image Archive of the ETH-Bibliothek took advantage of this Web 2.0 technology to catalogue the Swissair photo archive in a four-year project (2009-2013. The paper focuses on experiences concerning the editorial workflow, the technical realisation, the level of technical support required and public relations.

  13. A new generation of high-strength sintered steels and their potential applications; Neue Generation hochfester Sinterstaehle und ihre moeglichen Einsatzgebiete

    Energy Technology Data Exchange (ETDEWEB)

    Delarbre, P. [Saarberg Hoelter Wassertechnik GmbH, Essen (Germany)

    1999-08-01

    New high-strength materials have boosted powder metallurgy at SHW in the past few years both quantitatively and qualitatively. Radial surface compacting and new sintering technologies open up new applications, e.g. toothed gears for drives and transmission systems. [German] Durch die hochfesten Werkstoffe hat die Pulvermetallurgie der SHW in den letzten Jahren quantitativ und qualitativ eine bedeutende Entwicklung erfahren. Radiale Oberflaechenverdichtung und neue Sintertechnologien koennen in Zukunft neue Anwendungsgebiete, wie z.B. Zahnraeder fuer Antriebselemente und Getriebe-Bauteile, die sich im direkten Kraftfluss befinden, eroeffnen. (orig.)

  14. Human Influenza Virus Infections.

    Science.gov (United States)

    Peteranderl, Christin; Herold, Susanne; Schmoldt, Carole

    2016-08-01

    Seasonal and pandemic influenza are the two faces of respiratory infections caused by influenza viruses in humans. As seasonal influenza occurs on an annual basis, the circulating virus strains are closely monitored and a yearly updated vaccination is provided, especially to identified risk populations. Nonetheless, influenza virus infection may result in pneumonia and acute respiratory failure, frequently complicated by bacterial coinfection. Pandemics are, in contrary, unexpected rare events related to the emergence of a reassorted human-pathogenic influenza A virus (IAV) strains that often causes increased morbidity and spreads extremely rapidly in the immunologically naive human population, with huge clinical and economic impact. Accordingly, particular efforts are made to advance our knowledge on the disease biology and pathology and recent studies have brought new insights into IAV adaptation mechanisms to the human host, as well as into the key players in disease pathogenesis on the host side. Current antiviral strategies are only efficient at the early stages of the disease and are challenged by the genomic instability of the virus, highlighting the need for novel antiviral therapies targeting the pulmonary host response to improve viral clearance, reduce the risk of bacterial coinfection, and prevent or attenuate acute lung injury. This review article summarizes our current knowledge on the molecular basis of influenza infection and disease progression, the key players in pathogenesis driving severe disease and progression to lung failure, as well as available and envisioned prevention and treatment strategies against influenza virus infection.

  15. Eine neue Methode zur Bestimmung der Fließeigenschaften von Schüttgütern

    OpenAIRE

    Kretzler, Kai

    2002-01-01

    Die Fließeigenschaften von Schüttgütern spielen in vielen Industriezweigen eine entscheidende Rolle. Dies gilt speziell für die pharmazeutischen Industrie wo sie als Anfangs-, Zwischen- und Endprodukt vorkommen. Dort werden sie meist in Silos gelagert und müssen so durch Röhrensysteme fließen um verarbeitet zu werden. Dabei tritt das Problem der Brückenbildung häufig auf. Der Auslauftrichter stellt eine neue Methode dar, die Fließeigenschaften und speziell die Brückenbildung von Pulvern zu un...

  16. New treatments for influenza

    Directory of Open Access Journals (Sweden)

    Barik Sailen

    2012-09-01

    Full Text Available Abstract Influenza has a long history of causing morbidity and mortality in the human population through routine seasonal spread and global pandemics. The high mutation rate of the RNA genome of the influenza virus, combined with assortment of its multiple genomic segments, promote antigenic diversity and new subtypes, allowing the virus to evade vaccines and become resistant to antiviral drugs. There is thus a continuing need for new anti-influenza therapy using novel targets and creative strategies. In this review, we summarize prospective future therapeutic regimens based on recent molecular and genomic discoveries.

  17. New treatments for influenza.

    Science.gov (United States)

    Barik, Sailen

    2012-09-13

    Influenza has a long history of causing morbidity and mortality in the human population through routine seasonal spread and global pandemics. The high mutation rate of the RNA genome of the influenza virus, combined with assortment of its multiple genomic segments, promote antigenic diversity and new subtypes, allowing the virus to evade vaccines and become resistant to antiviral drugs. There is thus a continuing need for new anti-influenza therapy using novel targets and creative strategies. In this review, we summarize prospective future therapeutic regimens based on recent molecular and genomic discoveries.

  18. First Aid: Influenza (Flu)

    Science.gov (United States)

    ... of Flu Vaccine Does My Child Need? Your Child's Immunizations: Influenza Vaccine Immunization Schedule Tips for Treating the Flu Too Late for the Flu Vaccine? Vomiting Fever and Taking Your Child's Temperature Flu Center Who Needs a Flu Shot? ...

  19. Vaccination against seasonal influenza

    CERN Multimedia

    DG Unit

    2009-01-01

    As every year, the Medical Service is taking part in the campaign to promote vaccination against seasonal influenza. Vaccination against seasonal influenza is especially recommended for people suffering from chronic lung, cardio-vascular or kidney conditions or diabetes, for those recovering from a serious illness or surgical operation and for everyone over the age of 65. The influenza virus is transmitted by air and contact with contaminated surfaces, hence the importance of washing hands regularly with soap and / or disinfection using a hydro-alcoholic solution. From the onset of symptoms (fever> 38°, chills, cough, muscle aches and / or joint pain, fatigue) you are strongly recommended to stay at home to avoid spreading the virus. In the present context of the influenza A (H1N1) pandemic, it is important to dissociate these two illnesses and emphasise that the two viruses and the vaccines used to combat them are quite different and that protection against one will not pr...

  20. Treating Influenza (Flu)

    Science.gov (United States)

    Treating Influenza (Flu) Information for People at High Risk for Flu Complications Do you have Asthma, Diabetes, or Chronic Heart Disease? ... risk of serious illness if you get the flu. In past flu seasons, as many as 80 ...

  1. New techniques for the diagnosis of osteoporosis; Neue Techniken in der Osteoporosediagnostik

    Energy Technology Data Exchange (ETDEWEB)

    Issever, A.S. [Klinikum Charite der Universitaetsmedizin Berlin (Germany). Institut fuer Radiologie; Link, T.M. [University of California, Department of Radiology, San Francisco, CA 94143 (United States)

    2006-10-15

    In this review article current developments and applications in quantitative osteoporosis imaging are presented. Developments in the field of DXA include geometrical parameters of the proximal femur such as the ''hip axis length'' and new ROIs to determine BMD. Advances in QCT are new volumetric techniques to quantify BMD at the lumbar spine and the proximal femur. In addition techniques to determine BMD in standard contrast-enhanced abdominal computed tomography studies are described. Currently with the new bone quality concept in full bloom techniques to quantify trabecular bone architecture as new surrogates of bone strength are of increasing significance. Spatial high-resolution techniques such as magnetic resonance imaging and new computed tomography techniques have shown their potential in assessing trabecular bone structure. In addition ultrasound is considered a low-cost technique to explore bone quality. (orig.) [German] In der vorliegenden Arbeit werden die aktuellen Entwicklungen und Anwendungen auf dem Gebiet der radiologischen Osteoporosediagnostik vorgestellt. Weiterentwicklungen bzgl. der dualen Roentgenabsorptiometrie (dual energy x-ray absorptiometry, DXA) beinhalten geometrische Parameter des proximalen Femurs wie die ''hip axis length'' und neue Zielregionen (regions of interest, ROIs) zur Messung der Knochenmineraldichte (bone mineral density, BMD). Im Bereich der quantitativen Computertomographie (QCT) wurde gezeigt, dass nach Anwendung eines Konversionsfaktors die BMD auch aus klinischen abdominellen CTs aehnlich der QCT erfasst werden kann. Auch werden zunehmend volumetrische Methoden der BMD-Messung an der Wirbelsaeule und dem proximalen Femur eingesetzt. In den letzten Jahren war im Rahmen des neu entwickelten Knochenqualitaetskonzepts die Bestimmung der Knochenarchitektur ein zentraler Fokus. Die trabekulaere Strukturanalyse mittels hochaufloesender Verfahren wie der Magnetresonanztomographie und

  2. New international nuclear indemnification regime; Neues internationales Nuklear-Entschaedigungssystem. Bewertungen und Kommentierungen aus deutscher Sicht

    Energy Technology Data Exchange (ETDEWEB)

    Pelzer, N. [Georg-August-Univ., Goettingen (Germany). Inst. fuer Voelkerrecht

    1998-06-01

    The Chernobyl accident triggered reforms in the international laws about indemnification for the consequences of nuclear events. Over a period of ten years, between 1987 and 1997, more than fifty countries negotiated improvements in the existing liability conventions in Vienna. The results were two protocols and a new convention. The new instruments are to introduce a global nuclear liability regime. Although they constitute improvements over the previous legal situation their underlying basic concepts as well as some specific provisions they contain are causes for concern. Whether governments will adopt the new specific provisions is still open for these reasons. The article arrives at the key conclusion that the Federal Republic of Germany, in principle, has satisfactory national liability legislation which is embedded in the Paris Nuclear Liability Convention and the Brussels Supplementary Convention. Consequently, Germany should examine the new conventions without any pressure of time, wait for developments, and decide about accession at a later point in time. (orig.) [Deutsch] Der Tschernobyl-Unfall war Ausloeser fuer Reformen des internationalen Rechts der Entschaedigung fuer die Folgen nulearer Ereignisse. In zehn Jahren von 1987 bis 1997 verhandelten in Wien mehr als fuenfzig Staaten ueber eine Verbesserung der bestehenden Haftungsuebereinkommen. Das Ergebnis waren zwei Protokolle und eine neue Konvention. Die neuen Instrumente zielen auf ein globales nukleares Haftungsregime. Sie bringen zwar Verbesserungen gegenueber der bisherigen Rechtslage, geben aber auch im Hinblick auf ihre Konzeption und manche Einzelregelung Anlass zu Bedenken. Ob die Staaten die neuen Einzelregelungen annehmen werden, ist deshalb noch offen. Die Kernaussage des Beitrags ist, dass die Bundesrepublik Deutschland ein grundsaetzlich befriedigendes nationales Haftungsrecht besitzt, das eingebettet ist in das Pariser Atomhaftungsuebereinkommen und in das Bruesseler Zusatzuebereinkommen

  3. New developments and applications of lead batteries; Neue Entwicklungen und Anwendungen der Bleibatterie

    Energy Technology Data Exchange (ETDEWEB)

    Wagner, R. [EXIDE Automotive Batterie GmbH, Bad Lauterberg (Germany)

    2003-07-01

    Gel batteries and AGM batteries are slowly replacing standard liquid electrolyte batteries. In applications involving uninterrupted power supply, there is a trend to higher power densities and shorter discharge dimes, e.g. 220 W/l for 15 minutes. Prototypes have already been constructed. This necessitates very thin grids with very narrow plate spacing. In telecommunications and solar engineering, higher energy densities are in the foreground, although high availability and long life will be observed as well. In motor car applications, new concepts like the 42 V board network system have significantly influenced battery development. Sealed batteries will be used, especially high-performance AGM batteries. The lead battery will continue to be the most common power storage system also in the years to come, with an increasing market share for sealed batteries. (orig.) [German] Im Bereich der Industriebatterien wird die verschlossene Ausfuehrung, sowohl Gel als auch AGM, immer mehr die Standardtype mit fluessigem Elektrolyten ersetzen. Bei USV Anwendungen geht die Entwicklung zu noch hoeheren Leistungsdichten bei kurzen Entladezeiten. Eine Leistungsdichte von 220 W/l ueber 15 Minuten ist hierbei keineswegs unrealistisch und Prototypen sind bereits gebaut worden. Hierzu werden sehr duenne Gitter mit entsprechen kleinen Plattenabstaenden benoetigt. Bei Telekombatterien und im Solarbereich wird die weitere Erhoehung der Energiedichte im Vordergrund stehen, jedoch weiterhin verbunden mit einer hohen Zuverlaessigkeit und langen Gebrauchdauer. Im Autobatteriebereich haben neue Konzepte (42 V Bordnetzsystem) einen bedeutenden Einfluss auf die Batterieentwicklung genommen. Es werden verschlossene Batterien zum Einsatz kommen, insbesondere AGM Hochleistungsbatterien. Die Bleibatterie wird in ihren traditionellen Anwendungsbereichen auch in den naechsten Jahrzehnten das am meisten verwendete Energiespeichersystem bleiben, wobei ein immer groesserer Anteil hiervon verschlossene

  4. BIRD FLU (AVIAN INFLUENZA)

    OpenAIRE

    Ali ACAR; Bulent BESIRBELLIOÐLU

    2005-01-01

    Avian influenza (bird flu) is a contagious disease of animals caused by influenza A viruses. These flu viruses occur naturally among birds. Actually, humans are not infected by bird flu viruses.. However, during an outbreak of bird flu among poultry, there is a possible risk to people who have contact infect birds or surface that have been contaminated with excreations from infected birds. Symptoms of bird flu in humans have ranged from typical flu-like symptoms to eye infections, pneumonia, ...

  5. Underutilization of Influenza Vaccine

    Directory of Open Access Journals (Sweden)

    Marshall K. Cheney

    2013-04-01

    Full Text Available Yearly influenza vaccination continues to be underutilized by those who would most benefit from it. The Health Belief Model was used to explain differences in beliefs about influenza vaccination among at-risk individuals resistant to influenza vaccination. Survey data were collected from 74 members of at-risk groups who were not vaccinated for influenza during the previous flu season. Accepting individuals were more likely to perceive flu as a threat to health and perceive access barriers, and cues to action were the most important influence on whether they plan to get vaccinated. In comparison, resistant individuals did not feel threatened by the flu, access barriers were not a problem, and they did not respond favorably to cues to action. Perceived threat, perceived access barriers, and cues to action were significantly associated with plans to be vaccinated for influenza in the next flu season. Participants who saw influenza as a threat to their health had 5.4 times the odds of planning to be vaccinated than those who did not. Participants reporting barriers to accessing influenza vaccination had 7.5 times the odds of reporting plans to be vaccinated. Those responding positively to cues to action had 12.2 times the odds of planning to be vaccinated in the next flu season than those who did not. Accepting and resistant individuals have significant differences in their beliefs, which require different intervention strategies to increase vaccination rates. These findings provide important information to researchers and practitioners working to increase influenza vaccination rates.

  6. Vaccination strategies against influenza.

    Science.gov (United States)

    Hanon, E

    2009-01-01

    Every year, Influenza virus infection is at the origin of substantial excess in morbidity and mortality in developed as well as developing countries. Influenza viruses undergo antigenic drift which cause annual replacement of strain included in classical trivalent vaccines. Less frequently, this virus can also undergo antigenic shift, which corresponds to a major antigenic change and can lead to an extra medical burden. Several vaccines have been made available to immunize individuals against seasonal as well as pandemic influenza viruses. For seasonal Influenza vaccines, live attenuated and classical inactivated trivalent vaccines have been licensed and are widely used. Additionally, several strategies are under investigations to improve further the efficacy of existing seasonal vaccines in children and elderly. These include the use of adjuvant, increase in antigen content, or alternative route of delivery. Similarly, several approaches have been licensed to address additional challenge posed by pandemic viruses. The different vaccination strategies used to maximise protection against seasonal as well as pandemic influenza will be reviewed and discussed in the perspective the current threat posed by the H1N1v pandemic Influenza.

  7. Avian And Other Zoonotic Influenza

    Science.gov (United States)

    ... files Questions & answers Features Multimedia Contacts Avian and other zoonotic influenza Fact sheet Updated November 2016 Key ... A(H3) subtypes. Clinical features of avian and other zoonotic influenza infections in humans Avian and other ...

  8. Influenza pandemic planning in Europe.

    NARCIS (Netherlands)

    Paget, J.; Aguilera, J.F.

    2001-01-01

    The World Health Organization strongly recommends that all countries prepare in advance multidisciplinary pandemic plans to prevent and control the next influenza pandemic. We carried out a survey of influenza surveillance methods among members of the European Influenza Surveillance Schemes, EISS, w

  9. 'Just do it'. Company based in Eastern Frisia starts serial construction of wind rotors; ''Einfach mal losgelegt''. Ostfriesisches Unternehmen will neues Windrad in Serie produzieren

    Energy Technology Data Exchange (ETDEWEB)

    Hinsch, C.

    2000-03-01

    Eastern Frisia company sets out to conquer new markets with its robust 10 kWh wind rotor. (orig.) [German] Ostfriesisches Unternehmen will mit einem robusten Zehn-Kilowatt-Windrad neue Maerkte erobern. (orig.)

  10. Fritz-Peter Hager/Daniel Tröhler (Hrsg.): Neue Pestalozzi-Studien. Bd. 1: Anna Pestalozzis Tagebuch - Käte Silber: Anna Pestalozzi und der Frauenkreis um Pestalozzi. Bern/Stuttgart: Haupt 1993 [Rezension

    OpenAIRE

    Liedtke, Max

    1994-01-01

    Rezension von: Fritz-Peter Hager/Daniel Tröhler (Hrsg.): Neue Pestalozzi-Studien. Bd. 1: Anna Pestalozzis Tagebuch - Käte Silber: Anna Pestalozzi und der Frauenkreis um Pestalozzi. Bern/Stuttgart: Haupt 1993, 242 S.

  11. New combined plant with integrated solar thermal energy; Neue Kombi-Anlage mit integrierter Solarwaerme

    Energy Technology Data Exchange (ETDEWEB)

    Leithner, R.; Dobrowolski, R.; Gresch, H. [Technische Univ. Braunschweig (Germany). Inst. fuer Waerme- und Brennstofftechnik

    1998-06-01

    , um eine moeglichst hohe Wirtschaftlichkeit zu erreichen. Der Wirkungsgrad der Anlage sollte moeglichst hoch sein, insbesondere auch in Zeiten in denen keine Solarwaerme zur Verfuegung steht (z.B. nachts); trotzdem sollte die Solarwaerme auf moeglichst niedrigem Temperaturniveau eingebunden werden, um auf teure Vorrichtungen zur Konzentration weitgehend verzichten zu koennen. Diese widerspruechlichen Forderungen koennen durch ein neues Konzept erfuellt werden, bei dem eine GuD-Kombianlage statt mit hohem Luftueberschuss mit Wassereinspritzung in die komprimierte Luft betrieben wird, wobei dieses Wasser entsprechend dem Partialdruck bei Temperaturen kleiner ca. 170 C durch Solarwaerme verdampft wird. (orig./MSK)

  12. Neue Einsichten in die Toxizität und die Speziation von Mangan

    Directory of Open Access Journals (Sweden)

    Bernhard Michalke

    2014-03-01

    Full Text Available Mangan (Mn ist seit mittlerweile 175 Jahren als neurotoxische Substanz bekannt. Daher ist es im Lauf des letzten Jahrhunderts intensiv erforscht worden. Von vorläufigen Beschreibungen ausschließlich über Symptomen bei Mn-exponierten bzw. überexponierten Arbeitern sind die Forschungsarbeiten zu detaillierteren Untersuchungen der toxischen Mechanismen von Mn fortgeschritten. Zur Aufklärung dieser neurotoxischen Mechanismen wurde eine Reihe von Studien durchgeführt, die z. T. in Übersichtsartikeln zusammengefasst wurden (z. B. Yokel RA. Neuromol Med 2009;11(4:297–310; Aschner M et al. Toxicology Appl Pharmacol 2007;221(2:131–47; Michalke B et al. J Environ Monit 2007;9(7:650. Seit unserem letzten Übersichtsartikel zur Mn-Speziation aus dem Jahr 2007 (Michalke B et al. J Environ Monit 2007;9(7:650 ist die Mn-Forschung beträchtlich vorangetrieben worden, und es sind mehrere neue Forschungsartikel erschienen. In den letzten Jahren fächerte sich jedoch die Erforschung der Mn-Toxizität in verschiedene Felder auf, wobei sehr detaillierte und komplexe Studiendesigns angewendet wurden. Insbesondere die Mechanismen der Mn-induzierten Nervenschädigung auf zellulärer und molekularer Ebene wurden genauer untersucht. Diskutiert wurden dabei Wechselwirkungen zwischen Neurotransmittern und Enzymen, Wirkmechanismen auf DNA-Ebene und auch die Einbeziehung genetischer Einflüsse. Ein wichtiges Thema war auch die Beschreibung spezieller Mn-Spezies, um so zu ermitteln, welches Molekül Mn an der Zellmembran transportiert und welches für die Schädigung des neuronalen Gewebes verantwortlich ist. Auch andere spezielle Schwerpunkte wie epidemiologische Studien wurden zunehmend wichtiger: Die betreffenden Arbeiten befassten sich mit Umwelteinflüssen von Mn insbesondere auf die Prävalenz der Parkinson-Krankheit sowie die Möglichkeit, Follow-up-Studien zur lebenslangen Exposition gegenüber Mn durchzuführen. Alle diese weit ausgreifenden

  13. Editorial: Neue Fernsehserien und ihr Potenzial für eine kritische Medienpädagogik

    Directory of Open Access Journals (Sweden)

    Elena Pilipets

    2016-07-01

    Full Text Available Zeitgenössische populäre Medienkulturen stellen eine dynamische Vielfalt an kulturellen Lebensstilen, Wissenspraktiken und Unterhaltungsangeboten zur Verfügung. Unter aktuell aufkommenden Formen der transmedialen, auf Partizipation und aktiven Konsum angewiesenen Unterhaltung sind es vor allem die neueren, auf den internationalen Markt ausgerichteten Fernsehserien, die unterschiedlichsten Transformationen ausgesetzt sind. Die sich unter Bedingungen der Digitalisierung rund um die Serien medien- und länderübergreifend formierenden Experten- und Fankulturen generieren narrativ komplexe Erzählwelten, die sich über mehrere Staffeln erstrecken und dementsprechend vielfältige Gestaltungs-, Partizipations- und Aneignungsmöglichkeiten hervorbringen. In ihren durch variierende Wiederholung auf Dauer gestellten Erzählungen erfinden sich die Serien stets aufs Neue und gehören mittlerweile zur selbstverständlichen und habitualisierten Mediensozialisation. Dabei unterhalten sie nicht nur, sie erziehen auch und verlangen nach spezifischen Nutzungs- und Orientierungskompetenzen, die gerade aus einer medienpädagogischen Perspektive die Verknüpfung verschiedener interdisziplinärer Fragestellungen erfordern: Welche Formen der intermedialen und interkulturellen Narration weisen die zeitgenössischen Serienproduktionen im Vergleich zu älteren Serien auf und inwiefern wird dadurch die Vernetzung von Lebenswelten instrumentalisiert und befördert? Was können die medienübergreifenden narrativen Welten neuer Serien über popkulturelle Präferenzen und Medienkompetenzen jüngerer Generationen aussagen? Welche Ressourcen bilden populäre Fernsehserien in der Nutzung neuer Medienangebote (zum Beispiel Webserien und Streaming-Dienste wie auch in Prozessen der Bedeutungskonstruktion, kultureller Orientierung und Sinnbildung? Was sagen sie über die heutigen, durchgehend mediatisierten Lebensbedingungen aus? Und abschliessend: Mit welchen methodischen und

  14. Equine influenza in Brazil

    Directory of Open Access Journals (Sweden)

    Patricia Filippsen Favaro

    2016-06-01

    Full Text Available Equine influenza virus (EIV (H3N8 and H7N7 is the causative agent of equine influenza, or equine flu. The H7N7 subtype has been considered to be extinct worldwide since 1980. Affected animals have respiratory symptoms that can be worsened by secondary bacterial respiratory infection, thereby leading to great economic losses in the horse-breeding industry. In Brazil, equine influenza outbreaks were first reported in 1963 and studies on hemagglutination antibodies against viral subtypes in Brazilian horses have been conducted since then. The objective of the present review was to present the history of the emergence of EIV around the world and in Brazil and the studies that have thus far been developed on EIV in Brazilian equines.

  15. Multitronic - The new automatic transmission from Audi. Pt. 1; Multitronic - Das neue Automatikgetriebe von Audi. T. 1

    Energy Technology Data Exchange (ETDEWEB)

    Nowatschin, K. [Audi AG, Ingolstadt (Germany). Abt. Entwicklung Automatikgetriebe in der Technischen Entwicklung; Fleischmann, H.P. [Audi AG, Ingolstadt (Germany). Abt. CVT Konstruktion; Gleich, T.; Franzen, P. [Audi AG, Ingolstadt (Germany). Getriebeelektronik in der Technischen Entwicklung; Hommes, G. [Audi AG, Ingolstadt (Germany). CVT-Steuerung in der Technischen Entwicklung; Faust, H. [Lamellen und Kupplungsbau GmbH, Buehl (Germany). CVT; Friedmann, O. [Lamellen und Kupplungsbau GmbH, Buehl (Germany). Konstruktion CVT; Wild, H. [Temic, Nuernberg (Germany). Entwicklung Getriebeelektronik

    2000-08-01

    Customers expect improved performance and greater comfort and convenience in combination with reduced fuel consumption and exhaust and noise emissions, and therefore new concepts are needed in the transmission area as elsewhere. Audi satisfies these requirements with the newly developed multitronic automatic transmission. Based on the continuously variable ratio concept, multitronic combines the convenience of modern automatic transmissions with the dynamic character and economy of a manual-shift gearbox. Part I of this article describes the mechanical and hydraulic transmission concept, while Part 2 describes the control systems. (orig.) [German] Die Kundenerwartungen nach besseren Fahrleistungen und hoeherem Komfort bei gleichzeitiger Reduzierung von Verbrauch, Abgas- und Geraeuschemission erfordern auch neue Getriebekonzepte. Audi reagiert darauf mit dem neu entwickelten Automatikgetriebe multitronic. Auf der Basis stufenloser Uebersetzung vereint die multitronic den Komfort heutiger Automatikgetriebe mit der Dynamik und der Wirtschaftlichkeit manueller Schaltgetriebe. Der vorliegende Teil I beschreibt das mechanische und hydraulische Getriebekonzept, Teil 2 die Steuerung und Regelung. (orig.)

  16. Selecting Viruses for the Seasonal Influenza Vaccine

    Science.gov (United States)

    ... and Flu Vaccines Vaccine Effectiveness Types of Flu Vaccine Flu Shot Quadrivalent Influenza Vaccine Intradermal Influenza (Flu) Vaccination ... Cell-Based Flu Vaccines Flublok Seasonal Influenza (Flu) Vaccine Flu Vaccination by Jet Injector Adjuvant Vaccine Vaccine Virus ...

  17. Seasonal influenza: Waiting for the next pandemic

    Directory of Open Access Journals (Sweden)

    Angela Clem

    2009-01-01

    Full Text Available With the ongoing cases of H1N1 influenza (aka Swine Flu occurring around the globe, seasonal influenza has a tendency to be overlooked by the media and general population as a source of illness and death. Yet, these pandemic influenza viruses arise from these seasonal influenza viruses. This article will provide an overview of seasonal influenza, its prevention and treatment, and the global surveillance system in place, used to detect the next influenza pandemic.

  18. Equine influenza: An overview

    Directory of Open Access Journals (Sweden)

    S. P. Waghmare

    2010-08-01

    Full Text Available Equine influenza virus is a leading cause of respiratory disease in the horses. The disease is the OIE listed disease of equines, ponies, mules and donkeys and spreads very fast. The sporadic outbreaks of the disease have occurred all over the country. Many cases have been reported in Delhi, Meerut, Saharanpur, Jaipur, Hisar, Calcutta, Ahmedabad. Nearly all the horses at Matheran (Hill station were infected with influenza. The disease has spread like wildfire at the stables of Royal Western India Turf Club (RWITC at Pune and suspended the Mumbai racing season for prolonged period of time resulting in marked economic losses. After affecting racing in Mumbai, Calcutta and New Delhi, the dreaded equine influenza has spread to Karnataka and Mysore. An outbreak of disease has marred the racing season across the country. The disease was first detected in Jammu & Kashmir before entering the central region Horses at the army polo clubs and Delhi equestrian center were also affected. As per the recent survey conducted by the army across India, it has been found that 5400 horses are infected so far, especially thoroughbred most severely. Nearly, 95 % of horses on a major farm in India are suspected of suffering from equine influenza. The government also banned inter-state movement of horses for three months to contain the disease. [Vet World 2010; 3(4.000: 194-197

  19. Vaccination against seasonal influenza

    CERN Document Server

    SC Unit

    2009-01-01

    As every year, the Medical Service is taking part in the campaign to promote vaccination against seasonal influenza. Vaccination against seasonal influenza is especially recommended for people suffering from chronic lung, cardio-vascular or kidney conditions or diabetes, for those recovering from a serious illness or surgical operation and for everyone over the age of 65. The influenza virus is transmitted by air and contact with contaminated surfaces, hence the importance of washing hands regularly with soap and / or disinfection using a hydro-alcoholic solution. From the onset of symptoms (fever> 38°, chills, cough, muscle aches and / or joint pain, fatigue) you are strongly recommended to stay at home to avoid spreading the virus. In the present context of the influenza A (H1N1) pandemic, it is important to dissociate these two illnesses and emphasise that the two viruses and the vaccines used to combat them are quite different and that protection against one will not provide protection against the...

  20. Hablemos de la Influenza

    Centers for Disease Control (CDC) Podcasts

    2010-12-08

    En la charla, un médico responde a las preguntas frecuentes sobre la vacuna contra la influenza (gripe).  Created: 12/8/2010 by Centro Nacional para la Inmunización y Enfermedades Respiratorias (NCIRD).   Date Released: 12/8/2010.

  1. Vaccination against seasonal influenza

    CERN Multimedia

    SC Unit

    2009-01-01

    As every year, the Medical Service is taking part in the campaign to promote vaccination against seasonal influenza. Vaccination against seasonal influenza is especially recommended for people suffering from chronic lung, cardio-vascular or kidney conditions or diabetes, for those recovering from a serious illness or surgical operation and for everyone over the age of 65. The influenza virus is transmitted by air and contact with contaminated surfaces, hence the importance of washing hands regularly with soap and / or disinfection using a hydro-alcoholic solution. From the onset of symptoms (fever> 38°, chills, cough, muscle aches and / or joint pain, fatigue) you are strongly recommended to stay at home to avoid spreading the virus. In the present context of the influenza A (H1N1) pandemic, it is important to dissociate these two illnesses and emphasise that the two viruses and the vaccines used to combat them are quite different and that protection against one will not provide protection against the...

  2. Virus de la influenza

    Directory of Open Access Journals (Sweden)

    Jorge Rivera

    2016-06-01

    Full Text Available El virus de la influenza es un importante agente patógeno humano que causa infecciones respira-torias y una considerable morbimortalidad anual a nivel mundial. El virus puede circular esporádicamente durante brotes locales como parte de una epidemia estacional o puede generar una pandemia mundial.

  3. Avian influenza control strategies

    Science.gov (United States)

    Control strategies for avian influenza in poultry vary depending on whether the goal is prevention, management, or eradication. Components used in control programs include: 1) education which includes communication, public awareness, and behavioral change, 2) changes to production and marketing sys...

  4. Avian influenza (fowl plague)

    Science.gov (United States)

    Avian influenza (AI) viruses infect domestic poultry and wild birds. In domestic poultry, AI viruses are typically of low pathogenicity (LP) causing subclinical infections, respiratory disease or drops in egg production. However, a few AI viruses cause severe systemic disease with high mortality; ...

  5. Characterization and evaluation of monoclonal antibodies developed for typing influenza A and influenza B viruses.

    OpenAIRE

    Walls, H H; Harmon, M W; Slagle, J J; Stocksdale, C; Kendal, A P

    1986-01-01

    Monoclonal antibodies that are broadly reactive with influenza A or influenza B viruses were produced as stable reagents for typing influenza viruses. Monoclonal antibodies to influenza A were specific for either matrix protein or nucleoprotein. The antibodies to influenza B were specific for nucleoprotein or hemagglutinin protein. In an enzyme immunoassay procedure, influenza A antibodies detected H1N1, H2N2, and H3N2 influenza A virus strains collected between 1934 and 1984. Each of the inf...

  6. The new role of non-proliferation surveillance; Safeguards - die neue Rolle der Nichtverbreitungsueberwachung

    Energy Technology Data Exchange (ETDEWEB)

    Weh, R. [GNS Gesellschaft fuer Nuklear-Service mbH, Essen (Germany)

    2001-10-01

    explicitly connected with nuclear activites. The German federal parliament in 2000 passed implementing legislation of the model protocol. After having been signed by all EU non-nuclear-weapon states, the protocol will probably enter into force in late 2001. (orig.) [German] Die Themen Nichtverbreitung und Safeguards sind eng mit der friedlichen Entwicklung und Nutzung der Kernenergie verbunden. Die vertragliche Verpflichtung zum Verzicht auf jede missbraeuchliche Anwendung mit dem Ziel des Baus einer Atombombe war und ist eine wichtige Grundlage fuer alle Aktivitaeten auf nuklearem Sektor. Basis fuer die Bundesrepublik Deutschland und die weiteren beteiligten Staaten - mit Detailunterscheidung von Kernwaffen- und Nicht-Kernwaffenstaaten - sind wesentlich der Bruesseler Vertrag von 1954, der einen grundlegenden Verzicht auf die Herstellung von Kernwaffen enthaelt, die Gruendung der Europaeischen Atomgemeinschaft EURATOM im Rahmen der Roemischen Vertraege von 1957 sowie der Vertrag ueber die Nichtverbreitung von Kernwaffen (Non Proliferation Treaty) im Rahmen der IAEO. Diesen Vertraegen und darauf basierenden erweiterten Abkommen lag das 'alte' Ueberwachungssystem der Spaltstoffueberwachung (Safeguards) zu Grunde. Sowohl der seit den 80er Jahren stetig angestiegene Ueberwachungsaufwand der IAEO, bei gleichbleibenden zur Verfuegung stehenden Haushaltmitteln, als auch der Vertragsbruch des Irak durch ein von UN-Inspektionsteams festgestelltes Programm fuer die Herstellung von Massenvernichtungswaffen forcierten Anfang der 90er Jahre die Anstrengungen zur Ueberarbeitung des vorhandenen Vertrags- und Kontrollsystems. Die IAEO beschloss u.a. mit Sofortmassnahmen und Optimierungsprogrammen die Safeguards zu verbessern und die Kontrollmoeglichkeiten durch ein neues Modellabkommen zu verbessern. Ziel dieses im September 1997 vom Gouverneursrat der IAEO beschlossenen Musterprotokolls INFCIRC/540 ist es u.a., das bisherige Ueberwachungssystem der Verifikation der Richtigkeit

  7. H5N6 influenza virus infection, the newest influenza

    Directory of Open Access Journals (Sweden)

    Beuy Joob

    2015-06-01

    Full Text Available The most recent new emerging infection is the H5N6 influenza virus infection. This infection has just been reported from China in early May 2014. The disease is believed to be a cross species infection. All indexed cases are from China. Of interest, the H5N6 influenza virus is the primary virus for avian. The avian H5N6 influenza virus in avian population is a low virulent strain. However, the clinical manifestation in human seems severe. In this mini-review, the authors summarize and discuss on this new emerging influenza.

  8. Influenza infection in wild raccoons.

    Science.gov (United States)

    Hall, Jeffrey S; Bentler, Kevin T; Landolt, Gabrielle; Elmore, Stacey A; Minnis, Richard B; Campbell, Tyler A; Barras, Scott C; Root, J Jeffrey; Pilon, John; Pabilonia, Kristy; Driscoll, Cindy; Slate, Dennis; Sullivan, Heather; McLean, Robert G

    2008-12-01

    Raccoons (Procyon lotor) are common, widely distributed animals that frequently come into contact with wild waterfowl, agricultural operations, and humans. Serosurveys showed that raccoons are exposed to avian influenza virus. We found antibodies to a variety of influenza virus subtypes (H10N7, H4N6, H4N2, H3, and H1) with wide geographic variation in seroprevalence. Experimental infection studies showed that raccoons become infected with avian and human influenza A viruses, shed and transmit virus to virus-free animals, and seroconvert. Analyses of cellular receptors showed that raccoons have avian and human type receptors with a similar distribution as found in human respiratory tracts. The potential exists for co-infection of multiple subtypes of influenza virus with genetic reassortment and creation of novel strains of influenza virus. Experimental and field data indicate that raccoons may play an important role in influenza disease ecology and pose risks to agriculture and human health.

  9. Dermoglyphus giganteus sp, nov. : eine neue Art der Federmilben aus der Familie Dermoglyphidae (Astigmata, Analgoidea) vom Sperlingstäubchen Columbigal/ina passerina (Aves, Columbiformes)

    OpenAIRE

    Dabert, Jacek; Ehrnsberger, Rainer

    2012-01-01

    Es wird die neue Art Dermoglyphus giganteus sp.n. aus der Federmilbenfamilie Dermoglyphidae (Astigmata, Analgoidea) vom Sperlingstäubchen Collumbigallina passerina (Columbiformes) beschrieben. Es werden Angaben zum Mikrohabitat und zur Lebensweise dieser Art gemacht. The new species Dermoglyphus giganteus sp.n. of the feather mite family Dermoglyphidae (Astigmata, Analgoidea) from the Common Ground-Dove Columbigallina passerina (Columbiformes) is described. The life conditions and microha...

  10. Epidemiological and virological characteristics of influenza B: results of the Global Influenza B Study

    NARCIS (Netherlands)

    Caini, S.; Huang, Q.S.; Ciblak, M.A.; Kusznierz, G.; Owen, R.; Wangchuk, S.; Henriques, C.M.; Njouom, R.; Fasce, R.A.; Yu, H.; Feng, L.; Zambon, M.; Clara, A.W.; Kosasih, H.; Puzelli, S.; Kadjo, H.A.; Emukule, G.; Heraud, J.M.; Ang, L.W.; Venter, M.; Mironenko, A.; Brammer, L.; Mai, T.Q. le; Schellevis, F.; Plotkin, S.; Paget, J.

    2015-01-01

    INTRODUCTION: Literature on influenza focuses on influenza A, despite influenza B having a large public health impact. The Global Influenza B Study aims to collect information on global epidemiology and burden of disease of influenza B since 2000. METHODS: Twenty-six countries in the Southern (n =

  11. Epidemiological and virological characteristics of influenza B: results of the global influenza B study.

    NARCIS (Netherlands)

    Caini, S.; Sue Huang, Q.; Ciblak, M.A.; Kusznierz, G.; Owen, R.; Wangchuk, S.; Henriques, C.M.P.; Njouom, R.; Fasce, R.A.; Yu, H.; Feng, L.; Zambon, M.; Clara, A.W.; Kosasih, H.; Puzelli, S.; Kasjo, H.A.; Emukule, G.; Hereaud, J.M.; Ang, L.W.; Venter, M.; Mironenko, A.; Brammer, L.; Mai, L.T.Q.; Schellevis, F.; Plotkin, S.; Paget, J.

    2015-01-01

    Introduction: Literature on influenza focuses on influenza A, despite influenza B having a large public health impact. The Global Influenza B Study aims to collect information on global epidemiology and burden of disease of influenza B since 2000. Methods Twenty-six countries in the Southern (n = 5)

  12. Epidemiological and virological characteristics of influenza B: results of the Global Influenza B Study

    NARCIS (Netherlands)

    Caini, S.; Huang, Q.S.; Ciblak, M.A.; Kusznierz, G.; Owen, R.; Wangchuk, S.; Henriques, C.M.; Njouom, R.; Fasce, R.A.; Yu, H.; Feng, L.; Zambon, M.; Clara, A.W.; Kosasih, H.; Puzelli, S.; Kadjo, H.A.; Emukule, G.; Heraud, J.M.; Ang, L.W.; Venter, M.; Mironenko, A.; Brammer, L.; Mai, T.Q. le; Schellevis, F.; Plotkin, S.; Paget, J.

    2015-01-01

    INTRODUCTION: Literature on influenza focuses on influenza A, despite influenza B having a large public health impact. The Global Influenza B Study aims to collect information on global epidemiology and burden of disease of influenza B since 2000. METHODS: Twenty-six countries in the Southern (n = 5

  13. BIRD FLU (AVIAN INFLUENZA

    Directory of Open Access Journals (Sweden)

    Ali ACAR

    2005-12-01

    Full Text Available Avian influenza (bird flu is a contagious disease of animals caused by influenza A viruses. These flu viruses occur naturally among birds. Actually, humans are not infected by bird flu viruses.. However, during an outbreak of bird flu among poultry, there is a possible risk to people who have contact infect birds or surface that have been contaminated with excreations from infected birds. Symptoms of bird flu in humans have ranged from typical flu-like symptoms to eye infections, pneumonia, severe respiratory diseases and other severe and life-threatening complications. In such situation, people should avoid contact with infected birds or contaminated surface, and should be careful when handling and cooking poultry. [TAF Prev Med Bull 2005; 4(6.000: 345-353

  14. Post-influenza aspergillosis, do not underestimate influenza B

    Science.gov (United States)

    Nulens, Eric FL; Bourgeois, Marc JC; Reynders, Marijke BML

    2017-01-01

    Our objective is to highlight and focus on post-influenza aspergillosis, triggered by influenza B virus. This relatively new clinical entity is often associated with a fulminant course of respiratory decline and high mortality. A 51-year immunocompetent woman, without any medical history or risk factors for developing a complicated influenza infection, was admitted to the intensive care unit. During admission, she presented with an afebrile flu-like syndrome, myocarditis, rhabdomyolysis, multiple organ failure, and evolved to severe respiratory distress. The broncho-alveolar lavage contained influenza B RNA, and the culture revealed Aspergillus fumigatus. Despite maximal organ support, immunoglobulin, antiviral and antifungal therapy, the patient died. This case demonstrates that influenza B virus may be life threatening even to immunocompetent adults and may trigger an invasive Aspergillus superinfection.

  15. Influenza vaccinations : who needs them and when?

    NARCIS (Netherlands)

    Hak, Eelko; Hoes, Arno W; Verheij, Theo J M

    2002-01-01

    Influenza vaccination programmes should aim at reducing the burden from influenza among those who need it most. The primary aim of this literature review is to identify who should receive priority in influenza vaccination programmes. Risk factors for severe post-influenza complications include immun

  16. [Influenza vaccine and adjuvant].

    Science.gov (United States)

    Nakayama, Tetsuo

    2011-01-01

    Adjuvant is originated from the Latin word "adjuvare" which means "help" in English to enhance the immunological responses when given together with antigens. The beginning of adjuvant was mineral oil which enhanced the immune response when it was given with inactivated Salmonella typhimurium. Aluminium salt was used to precipitate diphtheria toxoid and increased level of antibody response was demonstrated when administered with alum-precipitated antigens. Since 1930, aluminium salt has been used as DTaP (diphtheria-tetanus-acellular pertussis vaccine) adjuvant. Many candidates were tested for adjuvant activity but only aluminum salt is allowed to use for human vaccines. New adjuvant MF59, oil-in-water emulsion type, was developed for influenza vaccine for elderly (Fluad) and series of AS adjuvant are used for hepatitis B, pandemic flue, and human papiloma virus vaccines. Oil-adjuvanted influenza pandemic vaccines induced higher antibody response than alum-adjuvanted vaccine with higher incidence of adverse events, especially for local reactions. Alum-adjuvanted whole virion inactivated H5N1 vaccine was developed in Japan, and it induced relatively well immune responses in adults. When it applied for children, febrile reaction was noted in approximately 60% of the subjects, with higher antibodies. Recent investigation on innate immunity demonstrates that adjuvant activity is initiated from the stimulation on innate immunity and/or inflammasome, resulting in cytokine induction and antigen uptake by monocytes and macrophages. The probable reason for high incidence of febrile reaction should be investigated to develop a safe and effective influenza vaccine.

  17. Sowjetische Frauenzeitschriften schaffen die „Neue Frau" Exploring Sovjet Women’s Magazines as Creators of the New Woman

    Directory of Open Access Journals (Sweden)

    Elena Gapova

    2001-03-01

    Full Text Available Die sowjetische Geschichte während der ersten drei Jahrzehnte der kommunistischen Herrschaft (bis zu Stalins Tod ist kein unbeschriebenes Blatt. Frauen erhielten während dieser Zeit mehr Aufmerksamkeit, als man meinen könnte; tatsächlich vollzogen sich damals weitreichende Veränderungen in den Geschlechterverhältnissen. Die vorliegenden Werke sehen diese Periode der 20er Jahre in ihrer überwiegenden Zahl als eine Zeit, in der sich revolutionäre Initiativen für Frauen vollzogen haben, auf die ein „großer Rückzug“ in den 30er Jahren bis zu der Zeit, in der Stalin an die Macht kam, folgte, in dem progressive Pläne von sozialkonservativen Kräften wieder unterdrückt wurden. Dieser Sicht wurde vor kurzem widersprochen und die These entgegengehalten, dass eine radikale Veränderung der Strategien nicht stattfand. Beide Auffassungen beschäftigen sich dabei mit der Frage „was die Bolschewiken nicht für die Frauen getan haben“. In jedem Fall aber bietet diese Zeit noch viel Raum für weitergehende Forschungen. Lynne Attwood, die vor kurzem Bücher mit den Titeln „Der neue sowjetische Mann und die neue sowjetische Frau: Geschlechtsrollenspezifische Sozialisation in der UdSSR“ und „Rote Frauen auf der Leinwand: Sowjetische Frauen und Kino während der kommunistischen Ära“ veröffentlicht hat, beschreibt als das Ziel ihrer neuen Studie „die Rolle zu erforschen, die die Frauenzeitschriften Rabotnytsa (Arbeiterin und Krestyanka (Bäuerin bei dem Versuch gespielt haben, die neue sowjetische Frau durch die Präsentation geeigneter Rollenvorbilder weiblicher Identität für ihre Leserinnen zu schaffen.Soviet history of the first three decades of communist rule (until Stalin’s death is not an unknown area in which the women received considerably less attention than one could have thought—in fact, grandiose transformations of gender relations were taking place during the time. The existing works largely interpret the period as

  18. Needle-free influenza vaccination

    NARCIS (Netherlands)

    Amorij, Jean-Pierre; Hinrichs, Wouter L.J.; Frijlink, Henderik W.; Wilschut, Jan C.; Huckriede, Anke

    2010-01-01

    Vaccination is the cornerstone of influenza control in epidemic and pandemic situations. Influenza vaccines are typically given by intramuscular injection. However, needle-free vaccinations could offer several distinct advantages over intramuscular injections: they are pain-free, easier to distribut

  19. Rekonvalescens og sygemelding efter influenza

    DEFF Research Database (Denmark)

    Pedersen, Court

    2009-01-01

    Seasonal influenza has a significant impact on individuals and society alike. In otherwise healthy adults, a typical case of seasonal influenza is associated with six to eight days of clinical symptoms, and about four to five days of sick leave. Transmission mainly takes place during the initial...

  20. Avian influenza surveillance and diagnosis

    Science.gov (United States)

    Rapid detection and accurate identification of low (LPAI) and high pathogenicity avian influenza (HPAI) is critical to controlling infections and disease in poultry. Test selection and algorithms for the detection and diagnosis of avian influenza virus (AIV) in poultry may vary somewhat among differ...

  1. Rekonvalescens og sygemelding efter influenza

    DEFF Research Database (Denmark)

    Pedersen, Court

    2009-01-01

    Seasonal influenza has a significant impact on individuals and society alike. In otherwise healthy adults, a typical case of seasonal influenza is associated with six to eight days of clinical symptoms, and about four to five days of sick leave. Transmission mainly takes place during the initial...

  2. Influenza SIRS with Minimal Pneumonitis.

    Science.gov (United States)

    Erramilli, Shruti; Mannam, Praveen; Manthous, Constantine A

    2016-01-01

    Although systemic inflammatory response syndrome (SIRS) is a known complication of severe influenza pneumonia, it has been reported very rarely in patients with minimal parenchymal lung disease. We here report a case of severe SIRS, anasarca, and marked vascular phenomena with minimal or no pneumonitis. This case highlights that viruses, including influenza, may cause vascular dysregulation causing SIRS, even without substantial visceral organ involvement.

  3. Tripper car 952 - a new machine for Hambach opencast mine; Bandschleifenwagen 952 - ein neues Geraet fuer den Tagebau Hambach

    Energy Technology Data Exchange (ETDEWEB)

    Friebe, J.

    1995-01-01

    In December 1991 Rheinbraun AG placed an order with the firm of TAKRAF Anlagen GmbH in Leipzig for the mechanical equipment of the new tripper car 952. An order for the electrical equipment was placed with AEG. As fas as outer dimensions and operating conditions are concerned, the new tripper car for Hambach opencast mine resembles its predecessors. Significant changes have however been introduced as regards certain details, and to some extent entirely new measures have been adopted, in particular with respect to the travel gear dynamics, the design and dimensions of the steel structure as regards fatigue strength, the belt alignment devices and the noise and dust emission control devices. On other respects, too, this tripper car is an innovation inasmuch as it is the first large opencast machine to be ordered by Rheinbraun directly from a manufacturer in the new Federal states. During construction, which took nearly 3 years, various differences of opinion between the contracting parties became evident as regards order handling, design and construction; the cause of these differences of opinion often only lies in the different developments that took place during the 40 years in which Germany was divided. Thanks to mutual efforts to overcome these differences as quickly as possible, the completion of the new tripper car 952 represents a project that has contributed to cooperation within the entire German brown coal industry and among its contractors. (orig.) [Deutsch] Im Dezember 1991 bestellte die Rheinbraun AG bei der Fa. TAKRAF Anlagen GmbH, Leipzig, den maschinentechnischen Teil des neuen Bandschleifenwagens 952. Fuer die elektrotechnische Ausruestung wurde der Auftrag an AEG vergeben. Der neue Bandschleifenwagen fuer den Tagebau Hambach entspricht in den aeusseren Abmessungen und in den Einsatzbedingungen den Vorgaengergeraeten. Im Detail sind jedoch wesentliche Aenderungen vorgenommen und zum Teil auch neue Wege beschritten worden, insbesondere im Bereich der

  4. The new Class 611 diesel railcar with active tilting technology; Der neue Dieseltriebzug Baureihe 611 mit aktiver Neigetechnik

    Energy Technology Data Exchange (ETDEWEB)

    Sauer, B.; Schoenberg, S; Waetzold, S. [ABB Daimler-Benz Transportation GmbH, Henningsdorf (Germany)

    1996-06-01

    Starting with the successful Class 610, AEG Schienenfahrzeuge GmbH has been developing and building a new vehicle class with the AEG neicontrol-E active tilt technology - the Class 611. Deutsche Bahn AG has ordered 50 railcars, of which the first go into service in spring 1996. They will operate on lines that are mostly non-electrified and have frequent curves and they will run at up to 160 km/h. The new design incorporates much expertise derived from the building and operation of the VT 610, the result being a vehicle that meets the requirements of passenger- and environment-friendliness and is also easy to maintain and is economical. The electrical tilting technology has been jointly developed by AEG Schienenfahrzeuge and the Daimler-Benz subsidiary ESW. A space-saving arrangement underfloor was chosen, and it is also low in weight and largely maintenance-free. The components used have proved themselves over many years in military applications under extreme climatic conditions. (orig.) [Deutsch] Aufbauend auf der bewaehrten Baureihe 610 entwickelt und baut die ABB Daimler-Benz Transportation (Deutschland) GmbH eine neue Generation von Fahrzeugen mit der aktiven elektrischen Neigetechnik AEG neicontrol-E - die Baureihe 611. Adtranz baut unter Beteiligung der DWA 50 Triebzuege fuer die Deutsche Bahn AG, von denen die ersten im Fruehjahr 1996 in Betrieb gesetzt werden. Die Einsatzgebiete werden bogenreiche, ueberwiegend nicht elektrifizierte Strecken sein, die das neue Fahrzeug mit 160 km/h befaehrt. Viele Erfahrungen aus Bau und Betrieb des VT 610 flossen in die Konzeption ein, so dass ein den Anforderungen von Fahrgast- und Umweltfreundlichkeit, Wartung und Wirtschaftlichkeit entsprechendes Fahrzeug bereitsteht. Die elektrische Neigetechnik ist eine gemeinsame Entwicklung der ABB Daimler-Benz Transportation (Deutschland) GmbH und der Daimler Benz Tochter EXTEL SYSTEMS WEDEL (ESW). Sie ist platzsparend unterflur angebracht und zeichnet sich durch geringes Gewicht

  5. Increasing Childhood Influenza Vaccination

    Science.gov (United States)

    Nowalk, Mary Patricia; Lin, Chyongchiou J.; Hannibal, Kristin; Reis, Evelyn C.; Gallik, Gregory; Moehling, Krissy K.; Huang, Hsin-Hui; Allred, Norma J.; Wolfson, David H.; Zimmerman, Richard K.

    2014-01-01

    Background Since the 2008 inception of universal childhood influenza vaccination, national rates have risen more dramatically among younger children than older children and reported rates across racial/ethnic groups are inconsistent. Interventions may be needed to address age and racial disparities to achieve the recommended childhood influenza vaccination target of 70%. Purpose To evaluate an intervention to increase childhood influenza vaccination across age and racial groups. Methods In 2011–2012, 20 primary care practices treating children were randomly assigned to Intervention and Control arms of a cluster randomized controlled trial to increase childhood influenza vaccination uptake using a toolkit and other strategies including early delivery of donated vaccine, in-service staff meetings, and publicity. Results The average vaccination differences from pre-intervention to the intervention year were significantly larger in the Intervention arm (n=10 practices) than the Control arm (n=10 practices), for children aged 2–8 years (10.2 percentage points (pct pts) Intervention vs 3.6 pct pts Control) and 9–18 years (11.1 pct pts Intervention vs 4.3 pct pts Control, p<0.05), for non-white children (16.7 pct pts Intervention vs 4.6 pct pts Control, p<0.001), and overall (9.9 pct pts Intervention vs 4.2 pct pts Control, p<0.01). In multi-level modeling that accounted for person- and practice-level variables and the interactions among age, race and intervention, the likelihood of vaccination increased with younger age group (6–23 months), white race, commercial insurance, the practice’s pre-intervention vaccination rate, and being in the Intervention arm. Estimates of the interaction terms indicated that the intervention increased the likelihood of vaccination for non-white children in all age groups and white children aged 9–18 years. Conclusions A multi-strategy intervention that includes a practice improvement toolkit can significantly improve influenza

  6. Invasive Disease Caused by Nontypeable Haemophilus influenzae

    Science.gov (United States)

    de Jonge, Marien I.

    2015-01-01

    The incidence of severe Haemophilus influenza infections, such as sepsis and meningitis, has declined substantially since the introduction of the H. influenzae serotype b vaccine. However, the H. influenzae type b vaccine fails to protect against nontypeable H. influenzae strains, which have become increasingly frequent causes of invasive disease, especially among children and the elderly. We summarize recent literature supporting the emergence of invasive nontypeable H. influenzae and describe mechanisms that may explain its increasing prevalence over the past 2 decades. PMID:26407156

  7. Mid-Season Influenza Vaccine Effectiveness Estimates for the 2013-2014 Influenza Season

    Science.gov (United States)

    2014-05-21

    Naval Health Research Center Mid-Season Influenza Vaccine Effectiveness Estimates for the 2013–2014 Influenza Season Angelia A. Cost...2000–2013 P A G E 1 5 Brief report: mid-season influenza vaccine effectiveness estimates for the 2013–2014 influenza season Angelia A. Cost, PhD...Mid-Season Influenza Vaccine Effectiveness Estimates for the 2013–2014 Influenza Season Angelia A

  8. Post-influenza aspergillosis, do not underestimate influenza B

    Directory of Open Access Journals (Sweden)

    Nulens EF

    2017-02-01

    Full Text Available Eric FL Nulens,1 Marc JC Bourgeois,2 Marijke BML Reynders1 1Laboratory Medicine, Medical Microbiology, 2Department of Intensive Care, Algemeen Ziekenhuis Sint-Jan Brugge-Oostende AV, Brugge, Belgium Abstract: Our objective is to highlight and focus on post-influenza aspergillosis, triggered by influenza B virus. This relatively new clinical entity is often associated with a fulminant course of respiratory decline and high mortality. A 51-year immunocompetent woman, without any medical history or risk factors for developing a complicated influenza infection, was admitted to the intensive care unit. During admission, she presented with an afebrile flu-like syndrome, myocarditis, rhabdomyolysis, multiple organ failure, and evolved to severe respiratory distress. The broncho-alveolar lavage contained influenza B RNA, and the culture revealed Aspergillus fumigatus. Despite maximal organ support, immunoglobulin, antiviral and antifungal therapy, the patient died. This case demonstrates that influenza B virus may be life threatening even to immunocompetent adults and may trigger an invasive Aspergillus superinfection. Keywords: post-influenza aspergillosis, influenza B, invasive pulmonary aspergillosis, rhabdomyolysis, ARDS, antiviral therapy 

  9. Avian influenza and pandemic influenza preparedness in Hong Kong.

    Science.gov (United States)

    Lam, Ping Yan

    2008-06-01

    Avian influenza A H5N1 continues to be a major threat to global public health as it is a likely candidate for the next influenza pandemic. To protect public health and avert potential disruption to the economy, the Hong Kong Special Administrative Region Government has committed substantial effort in preparedness for avian and pandemic influenza. Public health infrastructures for emerging infectious diseases have been developed to enhance command, control and coordination of emergency response. Strategies against avian and pandemic influenza are formulated to reduce opportunities for human infection, detect pandemic influenza timely, and enhance emergency preparedness and response capacity. Key components of the pandemic response include strengthening disease surveillance systems, updating legislation on infectious disease prevention and control, enhancing traveller health measures, building surge capacity, maintaining adequate pharmaceutical stockpiles, and ensuring business continuity during crisis. Challenges from avian and pandemic influenza are not to be underestimated. Implementing quarantine and social distancing measures to contain or mitigate the spread of pandemic influenza is problematic in a highly urbanised city like Hong Kong as they involved complex operational and ethical issues. Sustaining effective risk communication campaigns during interpandemic times is another challenge. Being a member of the global village, Hong Kong is committed to contributing its share of efforts and collaborating with health authorities internationally in combating our common public health enemy.

  10. "Neu lernen ist leichter als umlernen". Über die Schwierigkeiten einer bildungsgewohnten Gruppe, neue (mediale Partizipationsformen aufzubauen

    Directory of Open Access Journals (Sweden)

    Anna-Maria Kamin

    2011-10-01

    Full Text Available Das Internet bietet Lernenden vielfältige Möglichkeiten zur Wissensorganisation und -kommunikation in formalen und informellen Bildungskontexten. Bislang nutzen selbst bildungsaffine erwachsene Lerner diese unterstützenden Potenziale des Internets vielfach nur zurückhaltend. Dieser zögerliche Gebrauch zeigt sich auch dann, wenn die Implementierung virtuell vernetzter Applikationen in der Planung von den Lernenden von den Akteuren prinzipiell gefordert und begrüsst wird. Im Zentrum unseres Beitrags stehen mögliche Gründe und Bedingungen für diese vermeintlichen Widerstände und Problematiken bei der Integration des Partizipationsraums Internet für berufliche Lernprozesse. Grundlage für die Diskussion sind die Praxiserfahrungen und empirischen Ergebnisse einer explorativen Fall­studie mit einem ethisch beratenden Gremium. Die bisherige Bilanz des Projektvor­habens unterstreicht die Notwendigkeit, in diesem Kontext theoretische Konzepte zu Lernwiderständen, generationsspezifischen Aspekten, zur Mediendidaktik und zu Lerngewohnheiten und Transfer zu diskutieren. Die Ergebnisse belegen, dass digitale Lern- und Arbeitsformen unmittelbar an eingeschliffene Lernroutinen gebunden sind. Lernende benötigen Zeit, Raum, Anlässe und Struktur, um Handlungs- und Lernroutinen aufzubrechen und neue zu entwickeln. Nur so können digitale Partizipationsmöglichkeiten erfolgreich in den Arbeitsalltag integriert werden.

  11. Vernetzte Räume: Vom Bücherregal zur Bibliothek 2.0. Neue Standorte und Perspektiven

    Directory of Open Access Journals (Sweden)

    Eva-Christina Edinger

    2013-03-01

    Full Text Available Bibliotheken erfahren im Zeitalter des Internets neue Dimensionen: Sie existieren materiell, digital und virtuell. Allerorts generieren BibliotheksnutzerInnen mittels mobiler Endgeräte ihre ganz eigenen individuellen Räume und beteiligen sich gleichzeitig am Diskurs und sind somit Teil einer Community. Der vorliegende Beitrag zeigt Standorte und Perspektiven für die Vernetzung bestehender Bibliotheksräume zu einer zukunftsweisenden Bibliothek 2.0 auf und verweist auf die Bedeutung einer interdisziplinär angelegten Information Literacy.In the internet age, libraries experience new dimensions: they exist in physical, digital and virtual forms. With the help of mobile devices, library users generate their individual working environment. At the same time they are participating in discourses and thus become members of a community. This article outlines the current position and future perspectives for linking existing library spaces to a forward-looking library 2.0. Also, it points out the significance of an interdisciplinary information literacy.

  12. Neue Möglichkeiten in der archäologischen arbeit durch den Einsatz digitales Bildauswertung und photogrammetrischer Messtechniken

    Directory of Open Access Journals (Sweden)

    Jan Wesbuer

    2005-01-01

    Full Text Available Die digitale Bildbearbeitung und die digitale Photogrammetrie haben in den letzten Jahren, neben vielen anderen Gebieten, die Dokumentation von Ausgrabungsstätten beeinflusst. Die Photogrammetrie hat ihren Ursprung in der Vermessungskunde. Sie wird heutzutage in vielen Bereichen der Ingenieurwissenschaften eingesetzt und hat somit viele Schnittbereiche zu angrenzenden wissenschaftlichen Gebieten. In der Archäologie hat sie daher die Möglichkeit, in vielen Bereichen die herkömmliche Geodäsie zu erweitern bzw. neue Möglichkeiten der Visualisierung zu schaffen oder bei der Bildauswertung zu helfen.Durch die Bildbearbeitung ist es heutzutage möglich, schnell und vor Ort die Dokumentation vorzunehmen. Mit ihrer Hilfe können z.B. nicht orthogonale Aufnahmen perspektivisch entzerrt werden, so dass in ihnen wieder gemessen werden kann.Der Artikel unterteilt sich in 3 Bereiche:• als erstes werden die Möglichkeiten der digitalen Bildbearbeitung bzw. Auswertung von Photos dargestellt.• danach wird auf die photogrammetrische Auswertung und Vermessung von Ausgrabungsstätten eingegangen. • und zuletzt werden einige Visualisierungsmöglichkeiten gezeigt, die mit Hilfe der photogrammetrischen Auswertung und 3DModellerstellung realisiert werden können.

  13. New possibilities for increasing marketability of combined traffic with semitrailers; Neue Wege zur Steigerung der Marktfaehigkeit des Kombinierten Verkehrs

    Energy Technology Data Exchange (ETDEWEB)

    Stumpe, F. [Technische Hochschule Aachen (DE). Hochschuldidaktisches Zentrum (HDZ)

    2001-05-01

    Combined cargo transport (KV) is one of numerous possibilities to move good transports from the street to rails. It offers environmentally friendly and sustainable transport through advantageous main rail segments between terminals combined with the flexibility of highway transport in pre- and post segments to the terminals. However, the technological advantage of highways in the area of the vehicles must be leveled. A solution to bridge the technological gap between rail and highway vehicles used in combined cargo transport is sought within the scopes of the project SAIL (semitrailers in advanced intermodal logistics), sponsored by the European Commission, in which all parties participating in the transport chain cooperate and introduce their specifications. This article reports on the process and the previous results of this project. (orig.) [German] Das stetig zusammenwachsende Europa stellt nach der Einfuehrung des gemeinsamen Wirtschaftsraumes und der einheitlichen Waehrung mit seinen mehr als 35 Staedten ueber 1. Mio. Einwohner und insgesamt mehr als 500 Mio. Menschen hohe Anforderungen an die Versorgung der Bevoelkerung. Logistische Konzepte muessen angepasst und erneuert werden, um die Versorgung mit den gewuenschten Guetern sicher zu stellen. Seitens der Technik muessen neue Transportkapazitaeten bereitgestellt werden, die den physikalischen Warentransport durchfuehren. Hierbei ist heute der Strassengueterverkehr der Innovationstraeger; er bringt mit seinen Standards andere Verkehrstraeger in Zugzwang. (orig.)

  14. Der neue „Feminalismus“ – Quo vadis femina? The New “Female-ism"—Quo vadis femina?

    Directory of Open Access Journals (Sweden)

    Sigrid Schmitz

    2001-07-01

    Full Text Available Anhand der Bücher von Hilde Neunhöffer und Natalie Angier wird die neue Forschungsrichtung des „Feminalismus“ kritisch beleuchtet. Die Aufwertung naturalisierter Weiblichkeitsprinzipien in der Evolutionsforschung und in neuen Körperkonzepten liegt dabei voll im Trend der Zeit, wie die positive Resonanz quer durch wissenschaftliche wie feministische Rezensionen zeigt. Genauere Analyse deckt jedoch die gleiche Zirkelschlusspraxis zur Naturalisierung von Geschlechterunterschieden in diesen Konzepten auf, die feministische Naturwissenschaftsforschung an der biologisch-medizinischen Forschung kritisiert. Die gleichzeitige Ignoranz, ja Verdammung feministischer Kritik durch die Autorinnen als subjektiv und damit unwissenschaftlich birgt die Gefahr, dass biologistischer Feminalismus in Zukunft als wissenschaftlich „akzeptierte“ Richtung die kritische feministische Forschung verdrängen soll.A new research concept, known as “female-ism” is exemplified in the books of Hilde Neunhöffer and Natalie Angier and will be examined here. The revaluation of naturalistic female principles in evolution research and body concepts seem to meet current trends as positive reviews in scientific as well as in the feminist press. However, detailed analysis discloses the same practice of circular reasoning in these concepts as has been shown for biological-medical science by feminist research. At the same time, the ignorance, moreover the condemnation of feminist critical research as subjective and non-scientific holds the danger that biological feminalism will become scientifically accepted and displace feministic research.

  15. [Allergic alveolitis after influenza vaccination].

    Science.gov (United States)

    Heinrichs, D; Sennekamp, J; Kirsten, A; Kirsten, D

    2009-09-01

    Allergic alveolitis as a side effect of vaccination is very rare. We report a life-threatening complication in a female patient after influenza vaccination. The causative antigen was the influenza virus itself. Our Patient has suffered from exogen-allergic alveolitis for 12 years. Because of the guidelines of regular administration of influenza vaccination in patients with chronic pulmonary disease further research in patients with known exogen-allergic alveolitis is vitally important for the pharmaceutical drug safety. (c) Georg Thieme Verlag KG Stuttgart-New York.

  16. Influenza: From zoonosis to pandemic

    OpenAIRE

    Reperant, Leslie A.; Fleur M. Moesker; Albert D M E Osterhaus

    2016-01-01

    Probable epidemic influenza outbreaks have been described as early as the 5th century BC, as part of the Cough of Perinthus associated with the winter solstice, in Hippocrates' Corpus Hippocraticum “Of the Epidemics” [1]. The word “influenza” was first introduced in the 16th century, defining the illness of the cold season that in the early 1930s was shown to be caused by “filterable agents”, since then called influenza viruses. Three types or genera of influenza viruses have been recognised ...

  17. [Influenza, influenza-like illness: from theory to practice].

    Science.gov (United States)

    Carrat, Fabrice; Avouac, Bernard; Cedraschi, Christine; Duru, Gérard; Greppo, Gwenaël; Libourel, Vincent; Vancells, Jacques; Vétel, Jean-Marie

    2014-03-01

    In France, there are large discrepancies regarding flu between the severe disease described by Health Authorities and the disease that people face, considered as usual and benign. Flu prevention is useful, mainly through vaccination. For a well-established influenza-like illness, both individual measures dedicated to the limitation of the disease propagation and symptomatic treatment are to be initiated. Few clinical data are available regarding the most often used treatments for influenza-like illness (paracetamol, homeopathic and symptomatic treatments). The analysis did not show any decrease in the chances of success for patients with more often used drugs, either being under medical prescription, pharmacist advice or self-medication. In front of an influenza-like illness, the recommendations for daily practice can be based on 2 well-defined clinical situations: a specific management for patients at risk, and the influenza-like illness symptoms relief for the others, using a treatment specific for each patient.

  18. Medizintechnik: Neue Möglichkeiten zur Beurteilung menschlicher Eizellen durch das Polarisationsmikroskopische System OCTAX ICSI GUARDTM

    Directory of Open Access Journals (Sweden)

    2006-01-01

    dreischichtige extrazelluläre Matrix, die die Eizelle bzw. den Präimplantationsembryo vor äußeren Einflüssen schützt. Außerdem spielt sie für die Regulierung der Befruchtung eine wesentliche Rolle. Die innerste Schicht der Zona pellucida wird während der Oogenese von der Eizelle synthetisiert. Bereits seit vielen Jahren werden polarisationsmikroskopische Studien an humanen Eizellen durchgeführt, ohne daß negative Auswirkungen festgestellt werden konnten. Auch die Lichtstärken bei Anwendung von ICSI Guard™ entsprechen den bei Routineuntersuchungen verwendeten. Für die Untersuchung müssen jedoch Glasbodenschalen benutzt werden, da Kunststoffe selbst doppelbrechend sind. Die einfache und zeitsparende Anwendung von ICSI Guard™ ermöglicht eine schnelle Integration des Systems in den Alltag eines IVF-Labors. Echtzeit-Daten über die Doppelbrechung von Spindel und Zona pellucida können „auf einen Blick“ direkt in der klinischen Anwendung gewonnen und in Entscheidungen über das weitere Vorgehen einbezogen werden. Da das System keine Kalibrierung durch den Benutzer erfordert, ist ICSI Guard™ auch für Langzeitstudien in Form von Zeitrafferaufnahmen geeignet.br bGenaue Bestimmung des Reifestadiums einer Eizelle mittels ICSI Guard™: zeitliche Feinabstimmung einer ICSI durch Zweipunkt-Untersuchung von unreifen Eizellen:/bbr Der Zeitpunkt einer Spermien-Mikroinjektion hat Einfluß auf die Fertilisierungsraten. ICSI sollte optimalerweise an reifen Eizellen durchgeführt werden. Während der letzten Reifungsphase durchläuft die Eizelle die Reduktionsteilungen der Meiose. Nach Auftrennung der homologen Chromosomen durch die Metaphase-I-Spindel erfolgt eine ungleiche Zellteilung, bei der der erste Polkörper entsteht. Während der frühen Telophase I besteht noch eine Mikrotubuli-Brücke zwischen den Spindelpolen, wobei der Polkörper bereits ausgestoßen ist. In der späten Telophase I depolymerisiert die Spindel. Eine neue Spindel bildet sich erst im Metaphase

  19. Influenza em animais heterotérmicos Influenza in heterothermics

    Directory of Open Access Journals (Sweden)

    Dalva Assunção Portari Mancini

    2004-06-01

    Full Text Available O objetivo foi pesquisar Ortomyxovirus em animais heterotérmicos. Coletou-se sangue de serpentes dos gêneros Bothrops e Crotalus e de sapo e rãs dos gêneros Bufo e Rana, para a detecção dos receptores de hemácias e anticorpos específicos, ao vírus influenza, pelos testes de hemaglutinação e inibição da hemaglutinação, respectivamente. Pelo teste de hemaglutinação, verificou-se que serpentes e sapos em cativeiro apresentaram receptores em suas hemácias para o vírus influenza, humano e eqüino do tipo A e tipo B. O mesmo ocorreu com serpentes recém chegadas. Quanto ao teste de inibição da hemaglutinação dos soros dos répteis observou-se títulos protetores de anticorpos aos vírus influenza tipo A (origens humana e eqüina e tipo B. Com soro de sapo não se observou reação de inibição da hemaglutinação porém, 83,3% das rãs obtiveram médias de 40UIH para algumas cepas. Conclui-se que animais heterotérmicos podem oferecer condições de hospedeiros aos vírus influenza, assim como susceptibilidade à infecção.The objective was to study Orthomyxovirus in heterothermic animals. Blood samples from snakes (genus Bothrops and Crotalus and from toads and frogs (genus Bufo and Rana were collected to evaluate the red cell receptors and antibodies specific to influenza virus by the hemagglutination and hemagglutination inhibition tests, respectively. Both snakes and toads kept in captivity presented receptors in their red cells and antibodies specific to either influenza virus type A (human and equine origin or influenza type B. The same was observed with recently captured snakes. Concerning the influenza hemagglutination inhibition antibodies protective levels were observed in the reptiles' serum, against influenza type A and type B. Unlike the toads, 83.3% of the frogs presented mean levels of Ab 40HIU for some influenza strains. It was concluded that heterothermic animals could offer host conditions to the influenza

  20. DNA vaccines against influenza.

    Science.gov (United States)

    Stachyra, Anna; Góra-Sochacka, Anna; Sirko, Agnieszka

    2014-01-01

    Genetic vaccine technology has been considerably developed within the last two decades. This cost effective and promising strategy can be applied for therapy of cancers and for curing allergy, chronic and infectious diseases, such as a seasonal and pandemic influenza. Despite numerous advantages, several limitations of this technology reduce its performance and can retard its commercial exploitation in humans and its veterinary applications. Inefficient delivery of the DNA vaccine into cells of immunized individuals results in low intracellular supply of suitable expression cassettes encoding an antigen, in its low expression level and, in turn, in reduced immune responses against the antigen. Improvement of DNA delivery into the host cells might significantly increase effectiveness of the DNA vaccine. A vast array of innovative methods and various experimental strategies have been applied in order to enhance the effectiveness of DNA vaccines. They include various strategies improving DNA delivery as well as expression and immunogenic potential of the proteins encoded by the DNA vaccines. Researchers focusing on DNA vaccines against influenza have applied many of these strategies. Recent examples of the most successful modern approaches are discussed in this review.

  1. Pandemic Influenza and Canada's Children

    Directory of Open Access Journals (Sweden)

    Joanne M Langley

    2006-01-01

    Full Text Available Paediatricians and others who care for children are familiar with the regular epidemic of respiratory illnesses that accompanies the annual visit of influenza virus each winter. In recent years, media interest in new strains of influenza has generated much public interest in, and often anxiety about, the threat of an influenza pandemic. Around the world, local, regional and national jurisdictions are engaged in contingency planning for the inevitable surge of illness, shortage of human and material resources, and societal disruption that is expected to accompany this event. In the present Paediatric Infectious Disease Note, we review briefly the potential implications of pandemic influenza for Canadian children, and the actions that paediatricians and others who care for children can take to prepare for this inevitable event.

  2. Influenza Vaccine, Inactivated or Recombinant

    Science.gov (United States)

    ... die from flu, and many more are hospitalized.Flu vaccine can:keep you from getting flu, make flu ... inactivated or recombinant influenza vaccine?A dose of flu vaccine is recommended every flu season. Children 6 months ...

  3. National surveillance for influenza and influenza-like illness in Vietnam, 2006-2010.

    Science.gov (United States)

    Nguyen, Yen T; Graitcer, Samuel B; Nguyen, Tuan H; Tran, Duong N; Pham, Tho D; Le, Mai T Q; Tran, Huu N; Bui, Chien T; Dang, Dat T; Nguyen, Long T; Uyeki, Timothy M; Dennis, David; Kile, James C; Kapella, Bryan K; Iuliano, A D; Widdowson, Marc-Alain; Nguyen, Hien T

    2013-09-13

    Influenza virus infections result in considerable morbidity and mortality both in the temperate and tropical world. Influenza surveillance over multiple years is important to determine the impact and epidemiology of influenza and to develop a national vaccine policy, especially in countries developing influenza vaccine manufacturing capacity, such as Vietnam. We conducted surveillance of influenza and influenza-like illness in Vietnam through the National Influenza Surveillance System during 2006-2010. At 15 sentinel sites, the first two patients presenting each weekday with influenza-like illness (ILI), defined as fever and cough and/or sore throat with illness onset within 3 days, were enrolled and throat specimens were collected and tested for influenza virus type and influenza A subtype by RT-PCR. De-identified demographic and provider reported subsequent hospitalization information was collected on each patient. Each site also collected information on the total number of patients with influenza-like illness evaluated per week. Of 29,804 enrolled patients presenting with influenza-like illness, 6516 (22%) were influenza positive. Of enrolled patients, 2737 (9.3%) were reported as subsequently hospitalized; of the 2737, 527 (19%) were influenza positive. Across all age groups with ILI, school-aged children had the highest percent of influenza infection (29%) and the highest percent of subsequent hospitalizations associated with influenza infection (28%). Influenza viruses co-circulated throughout most years in Vietnam during 2006-2010 and often reached peak levels multiple times during a year, when >20% of tests were influenza positive. Influenza is an important cause of all influenza-like illness and provider reported subsequent hospitalization among outpatients in Vietnam, especially among school-aged children. These findings may have important implications for influenza vaccine policy in Vietnam.

  4. Characteristics of seasonal influenza A and B in Latin America: influenza surveillance data from ten countries.

    NARCIS (Netherlands)

    Caini, S.; Alonso, W.J.; Balmaseda, A.; Bruno, A.; Busto, P.; Castillo, L.; Lozano, C. de; Mora, D. de; Fasce, R. A.; Ferreira de Almeida, W.A.; Kusznierz, G.F.; Lara, J.; Matute, M.L.; Moreno, B.; Pessanha Henriques, C.M.; Rudi, J.M.; El-Guerche Séblain, C.; Schellevis, F.; Paget, J.

    2017-01-01

    Introduction: The increased availability of influenza surveillance data in recent years justifies an actual and more complete overview of influenza epidemiology in Latin America. We compared the influenza surveillance systems and assessed the epidemiology of influenza A and B, including the

  5. Influenza vaccines: an Asia-Pacific perspective.

    Science.gov (United States)

    Jennings, Lance C

    2013-11-01

    This article provides an overview of some aspects of seasonal, pre-pandemic and pandemic influenza vaccines and initiatives aimed to increase influenza vaccine use within the Asia-Pacific region. Expanding the use of influenza vaccines in the Asia-Pacific region faces many challenges. Despite the recent regional history for the emergence of novel viruses, SARS, the H5N1 and H7N9, and the generation of and global seeding of seasonal influenza viruses and initiatives by WHO and other organisations to expand influenza awareness, the use of seasonal influenza vaccines remains low. The improvement in current vaccine technologies with the licensing of quadrivalent, live-attenuated, cell culture-based, adjuvanted and the first recombinant influenza vaccine is an important step. The development of novel influenza vaccines able to provide improved protection and with improved manufacturing capacity is also advancing rapidly. However, of ongoing concern are seasonal influenza impact and the low use of seasonal influenza vaccines in the Asia-Pacific region. Improved influenza control strategies and their implementation in the region are needed. Initiatives by the World Health Organization (WHO), and specifically the Western Pacific Regional Office of WHO, are focusing on consistent vaccine policies and guidelines in countries in the region. The Asian-Pacific Alliance for the Control of Influenza (APACI) is contributing through the coordination of influenza advocacy initiates.

  6. Influenza vaccinations and chemosensory function.

    Science.gov (United States)

    Doty, Richard L; Berman, Austin H; Izhar, Mohammad; Hamilton, Hugh B; Villano, Danylko; Vazquez, Britney E; Warrum, Maja N; Mahbob, Mariam

    2014-01-01

    Although influenza vaccines have saved millions of lives, some have been associated with extremely rare adverse effects such as Guillain-Barré syndrome, Bell's palsy, and optic neuritis. Despite the fact that olfactory loss after an influenza vaccination is noted in one case report, no quantitative olfactory testing was performed. Hence, it is unclear whether, in fact, olfactory dysfunction can be associated with such vaccinations. This study was designed to (1) identify patients from the University of Pennsylvania Smell and Taste Center who attributed their empirically determined chemosensory disturbances to influenza vaccinations and (2) determine whether influenza vaccinations add to the degree of olfactory or gustatory dysfunction due to other causes. A retrospective analysis of self-reported etiologies of 4554 consecutive patients presenting to the University of Pennsylvania Smell and Taste Center with complaints of chemosensory dysfunction was performed. Those who reported dysfunction secondary to influenza vaccinations were identified. Additionally, in a subset of 925 patients for whom detailed inoculation histories were available, it was determined whether the number of lifetime inoculations added to the deficits due to other causes. Nine of the 4554 patients (0.19%) attributed olfactory disturbances to an influenza vaccination. None complained of taste dysfunction. All nine had abnormally low scores on the University of Pennsylvania Smell Identification Test (p vaccinations and the chemosensory test scores. In accord with previous studies, age and sex were significantly related to the test scores. A very small percentage of the 4554 patients evaluated (0.19%) attributed their chemosensory dysfunction to a prior influenza vaccination. No influences of the number of lifetime influenza vaccinations on the test scores were evident in the subset of 925 patients whose dysfunction was due to other causes.

  7. Developing vaccines against pandemic influenza.

    OpenAIRE

    Wood, J M

    2001-01-01

    Pandemic influenza presents special problems for vaccine development. There must be a balance between rapid availability of vaccine and the safeguards to ensure safety, quality and efficacy of vaccine. Vaccine was developed for the pandemics of 1957, 1968, 1977 and for the pandemic alert of 1976. This experience is compared with that gained in developing vaccines for a possible H5N1 pandemic in 1997-1998. Our ability to mass produce influenza vaccines against a pandemic threat was well illust...

  8. Influenza surveillance in Peru - 2001

    OpenAIRE

    Torres de Yon V., Yvon; Acosta Ch., Rosa

    2001-01-01

    Las infecciones respiratorias tienen como agentes etiológicos más frecuentes a los virus. Dentro de este grupo, los principales son los virus de la Influenza A y S, para influenza, virus sincicial respiratorio y adenovirus. Estos agentes pueden producir enfermedades como crup, faringitis, traqueitis, bronquiolitis y neumonía, síntomas similares a las infecciones respiratorias bacterianas e, incluso, presentar síntomas compatibles con los síndromes febriles.

  9. Influenza SIRS with minimal pneumonitis

    Directory of Open Access Journals (Sweden)

    Shruti Erramilli

    2016-08-01

    Full Text Available While systemic inflammatory response syndrome (SIRS, is a known complication of severe influenza pneumonia, it has been reported very rarely in patients with minimal parenchymal lung disease. We here report a case of severe SIRS, anasarca and marked vascular phenomena with minimal or no pneumonitis. This case highlights that viruses, including influenza, may cause vascular dysregulation causing SIRS, even without substantial visceral organ involvement.

  10. Forecasting seasonal outbreaks of influenza.

    Science.gov (United States)

    Shaman, Jeffrey; Karspeck, Alicia

    2012-12-11

    Influenza recurs seasonally in temperate regions of the world; however, our ability to predict the timing, duration, and magnitude of local seasonal outbreaks of influenza remains limited. Here we develop a framework for initializing real-time forecasts of seasonal influenza outbreaks, using a data assimilation technique commonly applied in numerical weather prediction. The availability of real-time, web-based estimates of local influenza infection rates makes this type of quantitative forecasting possible. Retrospective ensemble forecasts are generated on a weekly basis following assimilation of these web-based estimates for the 2003-2008 influenza seasons in New York City. The findings indicate that real-time skillful predictions of peak timing can be made more than 7 wk in advance of the actual peak. In addition, confidence in those predictions can be inferred from the spread of the forecast ensemble. This work represents an initial step in the development of a statistically rigorous system for real-time forecast of seasonal influenza.

  11. Avian influenza : a review article

    Directory of Open Access Journals (Sweden)

    A. Yalda

    2006-07-01

    Full Text Available The purpose of this paper is to provides general information about avian influenza (bird flu and specific information about one type of bird flu, called avian influenza A (H5N1, that has caused infections in birds in Asia and Europe and in human in Asia. The main materials in this report are based on the World Health Organization (WHO , world organization for animal health (OIE , food and agriculture organization of the united nations (FAO information and recommendations and review of the published literature about avian influenza. Since December 2003, highly pathogenic H5N1 avian influenza viruses have swept through poultry populations across Asia and parts of Europe. The outbreaks are historically unprecedented in scale and geographical spread. Their economic impact on the agricultural sector of the affected countries has been large. Human cases, with an overall fatality rate around 50%, have also been reported and almost all human infections can be linked to contact with infected poultry. Influenza viruses are genetically unstable and their behaviour cannot be predicted so the risk of further human cases persists. The human health implications have now gained importance, both for illness and fatalities that have occurred following natural infection with avian viruses, and for the potential of generating a re-assortant virus that could give rise to the next human influenza pandemic.

  12. Influenza vaccination for children with asthma

    OpenAIRE

    Friedman, Bat-Chen; Goldman, Ran D.

    2010-01-01

    QUESTION Parents of children with asthma are encouraged by many health organizations to vaccinate their children against seasonal influenza viruses. Is the influenza vaccine efficient in preventing asthma exacerbation? Are current vaccinations safe to administer to children with asthma?

  13. Influenza virosomes: a flu jab for malaria?

    NARCIS (Netherlands)

    Cavanagh, D R; Remarque, E.J.; Sauerwein, R.W.; Hermsen, C.C.; Luty, A.J.F.

    2008-01-01

    The major attractions of vaccines based on viral carriers (vectors) include their immunogenicity without adjuvant and the relative simplicity of their associated production processes in comparison with recombinant protein-based approaches. Two influenza virosomal vaccines - for influenza and hepatit

  14. Haemophilus influenzae Disease (Including Hib) Symptoms

    Science.gov (United States)

    ... Search The CDC Cancel Submit Search The CDC Haemophilus influenzae Disease (Including Hib) Note: Javascript is disabled or ... and Symptoms Recommend on Facebook Tweet Share Compartir Haemophilus influenzae , including Hib, disease causes different symptoms depending on ...

  15. Targeting influenza virosomes to ovarian carcinoma cells

    NARCIS (Netherlands)

    Mastrobattista, E; Schoen, P; Wilschut, J; Crommelin, DJA; Storm, G

    2001-01-01

    Reconstituted influenza virus envelopes (virosomes) containing the viral hemagglutinin (HA) have attracted attention as delivery vesicles for cytosolic drug delivery as they possess membrane fusion activity. Here, we show that influenza virosomes can be targeted towards ovarian carcinoma cells (OVCA

  16. Crosstalk between animal and human influenza viruses

    Science.gov (United States)

    Ozawa, Makoto; Kawaoka, Yoshihiro

    2017-01-01

    Although outbreaks of highly pathogenic avian influenza in wild and domestic birds have been posing the threat of a new influenza pandemic for the last decade, the first pandemic of the 21st century came from swine viruses. This fact emphasizes the complexity of influenza viral ecology and the difficulty of predicting influenza viral dynamics. Complete control of influenza viruses seems impossible. However, we must minimize the impact of animal and human influenza outbreaks by learning lessons from past experiences and recognizing the current status. Here, we review the most recent influenza virology data in the veterinary field, including aspects of zoonotic agents and recent studies that assessed the pandemic potential of H5N1 highly pathogenic avian influenza viruses. PMID:25387011

  17. Variant (Swine Origin) Influenza Viruses in Humans

    Science.gov (United States)

    ... infected pig coughs or sneezes and droplets with influenza virus in them spread through the air. If these ... possibly get infected is to inhale particles containing influenza virus. Scientists aren’t really sure which of these ...

  18. Influenza B virus-specific CD8

    NARCIS (Netherlands)

    C.E. van de Sandt (Carolien); Y. Dou (YingYing); S.E. Vogelzang-van Trierum (Stella ); K.B. Westgeest (Kim); M. Pronk (Mark); A.D.M.E. Osterhaus (Albert); R.A.M. Fouchier (Ron); G.F. Rimmelzwaan (Guus); M.L.B. Hillaire (Marine)

    2015-01-01

    textabstractInfluenza B viruses fall in two antigenically distinct lineages (B/Victoria/2/1987 and B/Yamagata/16/1988 lineage) that co-circulate with influenza A viruses of the H3N2 and H1N1 subtypes during seasonal epidemics. Infections with influenza B viruses contribute considerably to morbidity

  19. Anti-influenza M2e antibody

    Science.gov (United States)

    Bradbury, Andrew M.

    2011-12-20

    Humanized recombinant and monoclonal antibodies specific for the ectodomain of the influenza virus M2 ion channel protein are disclosed. The antibodies of the invention have anti-viral activity and may be useful as anti-viral therapeutics and/or prophylactic/vaccine agents for inhibiting influenza virus replication and for treating individuals infected with influenza.

  20. Anti-influenza M2e antibody

    Energy Technology Data Exchange (ETDEWEB)

    Bradbury, Andrew M.

    2013-04-16

    Humanized recombinant and monoclonal antibodies specific for the ectodomain of the influenza virus M2 ion channel protein are disclosed. The antibodies of the invention have anti-viral activity and may be useful as anti-viral therapeutics and/or prophylactic/vaccine agents for inhibiting influenza virus replication and for treating individuals infected with influenza.

  1. European surveillance network for influenza in pigs

    NARCIS (Netherlands)

    Simon, Gaëlle; Larsen, Lars E.; Dürrwald, Ralf; Foni, Emanuela; Harder, Timm; Reeth, Van Kristien; Markowska-Daniel, Iwona; Reid, Scott M.; Dan, Adam; Maldonado, Jaime; Huovilainen, Anita; Billinis, Charalambos; Davidson, Irit; Agüero, Montserrat; Vila, Thaïs; Hervé, Séverine; Breum, Solvej Østergaard; Chiapponi, Chiara; Urbaniak, Kinga; Kyriakis, Constantinos S.; Brown, Ian H.; Loeffen, Willie; Meulen, Van der Karen; Schlegel, Michael; Bublot, Michel; Kellam, Paul; Watson, Simon; Lewis, Nicola S.; Pybus, Oliver G.; Webby, Richard; Chen, Hualan; Vincent, Amy L.

    2014-01-01

    Swine influenza causes concern for global veterinary and public health officials. In continuing two previous networks that initiated the surveillance of swine influenza viruses (SIVs) circulating in European pigs between 2001 and 2008, a third European Surveillance Network for Influenza in Pigs (

  2. 76 FR 24793 - Highly Pathogenic Avian Influenza

    Science.gov (United States)

    2011-05-03

    ... Inspection Service 9 CFR Parts 93, 94, and 95 RIN 0579-AC36 Highly Pathogenic Avian Influenza AGENCY: Animal... products from regions where any subtype of highly pathogenic avian influenza is considered to exist. The... vaccinated for certain types of avian influenza, or that have moved through regions where any subtype of...

  3. 77 FR 34783 - Highly Pathogenic Avian Influenza

    Science.gov (United States)

    2012-06-12

    ... Avian Influenza AGENCY: Animal and Plant Health Inspection Service, USDA. ACTION: Interim rule... importation of bird and poultry products from regions where any subtype of highly pathogenic avian influenza... avian influenza (HPAI). On January 24, 2011, we published in the Federal Register (76 FR 4046-4056...

  4. Anti-influenza M2e antibody

    Science.gov (United States)

    Bradbury, Andrew M.

    2013-04-16

    Humanized recombinant and monoclonal antibodies specific for the ectodomain of the influenza virus M2 ion channel protein are disclosed. The antibodies of the invention have anti-viral activity and may be useful as anti-viral therapeutics and/or prophylactic/vaccine agents for inhibiting influenza virus replication and for treating individuals infected with influenza.

  5. Swine Influenza Viruses: a North American Perspective

    Science.gov (United States)

    Influenza is a zoonotic viral disease that represents a health and economic threat to both humans and animals worldwide. Swine influenza was first recognized clinically in pigs in the Midwestern U.S. in 1918, coinciding with the human influenza pandemic known as the Spanish flu. Since that time swin...

  6. Influenza Vaccination in Community Dwelling Elderly Persons

    NARCIS (Netherlands)

    A.C.G. Voordouw (Bettie)

    2005-01-01

    textabstractAn influenza epidemic was first described in 1173, although there are reports of influenza as early as 412 BC. Recurrent epidemics and incidental pandemics caused by influenza virus are documented since the last 400 years. These were based upon clinical observation and epidemiology. Alth

  7. Universal influenza vaccines, science fiction or soon reality?

    Science.gov (United States)

    de Vries, Rory D; Altenburg, Arwen F; Rimmelzwaan, Guus F

    2015-01-01

    Currently used influenza vaccines are only effective when the vaccine strains match the epidemic strains antigenically. To this end, seasonal influenza vaccines must be updated almost annually. Furthermore, seasonal influenza vaccines fail to afford protection against antigenically distinct pandemic influenza viruses. Because of an ever-present threat of the next influenza pandemic and the continuous emergence of drift variants of seasonal influenza A viruses, there is a need for an universal influenza vaccine that induces protective immunity against all influenza A viruses. Here, we summarize some of the efforts that are ongoing to develop universal influenza vaccines.

  8. Effective influenza vaccines for children

    Science.gov (United States)

    Banzhoff, Angelika; Stoddard, Jeffrey J.

    2012-01-01

    Seasonal influenza causes clinical illness and hospitalization in all age groups; however, conventional inactivated vaccines have only limited efficacy in young children. MF59®, an oil-in-water emulsion adjuvant, has been used since the 1990s to enhance the immunogenicity of influenza vaccines in the elderly, a population with waning immune function due to immunosenescence.   Clinical trials now provide information to support a favorable immunogenicity and safety profile of MF59-adjuvanted influenza vaccine in young children. Published data indicate that Fluad®, a trivalent seasonal influenza vaccine with MF59, was immunogenic and well tolerated in young children, with a benefit/risk ratio that supports routine clinical use. A recent clinical trial also shows that Fluad provides high efficacy against PCR-confirmed influenza. Based on the results of clinical studies in children, the use of MF59-adjuvanted vaccine offers the potential to enhance efficacy and make vaccination a viable prevention and control strategy in this population. PMID:22327501

  9. Influenza: A current medical problem

    Directory of Open Access Journals (Sweden)

    Bojić Ivanko

    2007-01-01

    Full Text Available Introduction. Acute respiratory infections are the most common infections in the human population. Among them, virus infections, especially those caused by influenza viruses, have an important place. Type A influenza. Type A influenza virus caused three epidemics during the last century. A high percetage of deceased in pandemics of 1918, and 1919 were young, healthy persons, with many of the deaths due to an unusually severe, hemorrhagic pneumonia. At the end of 2003, and the beginning of 2004, an epidemic emerged in South East Asia of poultry influenza caused by animal (avian virus. Later it spread to the human population, with a high death rate of 73% and with a possibility of interhuman transmission. This review article provides an overview of the clinical manifestations, laboratory findings and chest radiographs. Apart from the symptomatic and supportive therapy, there are antiviral drugs and corticosteriods. Conclusion. The use of vaccine containing subtypes of virus hemagglutinins and neuraminidase from an influenza virus currently infecting the population has a great importance. .

  10. Influenza Pandemic Infrastructure Response in Thailand

    Centers for Disease Control (CDC) Podcasts

    2009-03-05

    Influenza viruses change antigenic properties, or drift, every year and they create seasonal outbreaks. Occasionally, influenza viruses change in a major way, called a “shift." If an influenza virus shifts, the entire human population is susceptible to the new influenza virus, creating the potential for a pandemic. On this podcast, CDC's Dr. Scott Dowell discusses responding to an influenza pandemic.  Created: 3/5/2009 by Emerging Infectious Diseases.   Date Released: 3/5/2009.

  11. Molecular characterization of Indonesia avian influenza virus

    Directory of Open Access Journals (Sweden)

    N.L.P.I. Dharmayanti

    2005-06-01

    Full Text Available Avian influenza outbreaks in poultry have been reported in Java island since August 2003. A total of 14 isolates of avian influenza virus has been isolated from October 2003 to October 2004. The viruses have been identified as HPAI H5N1 subtype. All of them were characterized further at genetic level and also for their pathogenicity. Phylogenetic analysis showed all of the avian influenza virus isolates were closely related to avian influenza virus from China (A/Duck/China/E319-2/03(H5N1. Molecular basis of pathogenicity in HA cleavage site indicated that the isolates of avian influenza virus have multiple basic amino acid (B-X-B-R indicating that all of the isolates representing virulent avian influenza virus (highly pathogenic avian influenza virus.

  12. Trends of influenza infection in Suriname.

    Science.gov (United States)

    Adhin, Malti R; Grunberg, Meritha; Labadie-Bracho, Mergiory

    2013-09-01

    The trends of influenza infection in Suriname were assessed from February 2010 through February 2011. Testing of 393 patients with symptoms of acute respiratory infection (ARI) revealed 15.3% Influenza B and 18.6% could be identified as influenza A positive, consisting of 56% influenza A(H1N1)pdm09 and 44% seasonal A(H3N2). Influenza infection occurred throughout the year, and all three influenza types affected young children as the primary population. The annual incidence of A(H1N1)pdm09 was 6.88 per 100,000 inhabitants [CI] 4.87-9.45. The spread of influenza could neither be linked to tourist flow from the Netherlands nor to contact rates related to school schedules.

  13. Towards multiscale modeling of influenza infection.

    Science.gov (United States)

    Murillo, Lisa N; Murillo, Michael S; Perelson, Alan S

    2013-09-07

    Aided by recent advances in computational power, algorithms, and higher fidelity data, increasingly detailed theoretical models of infection with influenza A virus are being developed. We review single scale models as they describe influenza infection from intracellular to global scales, and, in particular, we consider those models that capture details specific to influenza and can be used to link different scales. We discuss the few multiscale models of influenza infection that have been developed in this emerging field. In addition to discussing modeling approaches, we also survey biological data on influenza infection and transmission that is relevant for constructing influenza infection models. We envision that, in the future, multiscale models that capitalize on technical advances in experimental biology and high performance computing could be used to describe the large spatial scale epidemiology of influenza infection, evolution of the virus, and transmission between hosts more accurately.

  14. Influenza vaccination in the elderly.

    Science.gov (United States)

    Smetana, Jan; Chlibek, Roman; Shaw, Jana; Splino, Miroslav; Prymula, Roman

    2017-07-14

    Seasonal influenza is a prevalent and serious annual illness resulting in widespread morbidity and economic disruption throughout the population; the elderly and immunocompromised are particularly vulnerable to serious sequelae and mortality. The changing demographics worldwide to an aging society have important implications for public health policy and pharmaceutical innovations. For instance, primary prevention via immunization is effective in reducing the burden of influenza illness among the elderly. However, the elderly may be insufficiently protected by vaccination due to the immunosenescence which accompanies aging. In addition, vaccine hesitancy among the younger populations increases the likelihood of circulating infectious diseases, and thus concomitant exposure. While it is clear that the development of more immunogenic vaccines is an imperative and worthy endeavor, clinical trials continue to demonstrate that the current influenza vaccine formulation remains highly effective in reducing morbidity and mortality when well matched to circulating strains.

  15. Influenza, immune system, and pregnancy.

    Science.gov (United States)

    Raj, Renju S; Bonney, Elizabeth A; Phillippe, Mark

    2014-12-01

    Influenza is a major health problem worldwide. Both seasonal influenza and pandemics take a major toll on the health and economy of our country. The present review focuses on the virology and complex immunology of this RNA virus in general and in relation to pregnancy. The goal is to attempt to explain the increased morbidity and mortality seen in infection during pregnancy. We discuss elements of innate and adaptive immunity as well as placental cellular responses to infection. In addition, we delineate findings in animal models as well as human disease. Increased knowledge of maternal and fetal immunologic responses to influenza is needed. However, enhanced understanding of nonimmune, pregnancy-specific factors influencing direct interaction of the virus with host cells is also important for the development of more effective prevention and treatment options in the future.

  16. SEKILAS TENTANG AVIAN INFLUENZA (AI

    Directory of Open Access Journals (Sweden)

    Fauziah Elytha

    2011-09-01

    Full Text Available Fluburung atau Avian Influenza (AI adalah penyakit zoonosis fatal dan menular serta dapat menginfeksi semua jenis burung, manusia, babi, kuda dan anjing, Virus Avian Influenza tipe A (hewan dari keluarga Drthomyxoviridae telah menyerang manusia dan menyebabkan banyak korban meninggal dunia. Saat ini avian Influenza telah menjadi masalah kesehatan global yang sangat serius, termasuk di Indonesia. Sejak Juli 2005 Sampai 12 April 2006 telah ditemukan 479 kasus kumulatif dan dicurigai flu burung di Tangerang Banten adalah Penularan dari manusia ke manusia. Untuk mencegah penularan AI ke manusia memerlukan kesadaran menyeluruh terhadap flu burung H5N1 , seperti tindakan karantina untuk penderita, penyemprotan antiseptic di kebun binatang dan pemantauan kasus-kasus avians di masyarakat, meningkatkan kebersihan pribadi dan sanitasi lingkungan dengan menggunakan peralatan pelindung diri terhadap unggas karena dekatnya hubungan antara burung dan manusia.

  17. The human side of influenza

    Science.gov (United States)

    Oshansky, Christine M.; Thomas, Paul G.

    2012-01-01

    A clear understanding of immunity in individuals infected with influenza virus is critical for the design of effective vaccination and treatment strategies. Whereas myriad studies have teased apart innate and adaptive immune responses to influenza infection in murine models, much less is known about human immunity as a result of the ethical and technical constraints of human research. Still, these murine studies have provided important insights into the critical correlates of protection and pathogenicity in human infection and helped direct the human studies that have been conducted. Here, we examine and review the current literature on immunity in humans infected with influenza virus, noting evidence offered by select murine studies and suggesting directions in which future research is most warranted. PMID:22362872

  18. Influenza infection and Kawasaki disease

    Directory of Open Access Journals (Sweden)

    Xijing Huang

    2015-06-01

    Full Text Available INTRODUCTION: The objective of this study was to investigate the possible link between influenza (Flu infection and Kawasaki disease (KD. METHODS: We examined the medical records of 1,053 KD cases and 4,669 influenza infection cases hospitalized at our institute from January 1, 2011 to December 31, 2013. Cases of KD with concomitant influenza infection formed the KD + Flu group. Each KD + Flu case was matched with 2 KD cases and 2 influenza infection cases, and these cases were assigned to the KD group and Flu group, respectively. The differences in the principal clinical manifestations, course of disease, incomplete KD rate, intravenous immunoglobulin (IVIG resistance rate, and echocardiographic detection results between the KD + Flu group and KD group were compared. The fever durations and laboratory test results of these three groups were compared. RESULTS: 1 The seasonal variations of the KD + Flu group, KD group and Flu group were similar. 2 The morbidity rate of incomplete KD was higher in the KD + Flu group compared with the KD group. 3 Patients in the KD + Flu group exhibited a longer time to KD diagnosis compared with patients in the KD group. 4 The KD + Flu group exhibited the longest fever duration among the three groups. 5 The CRP and ESR values in the KD + Flu group were higher those in the Flu or KD groups. CONCLUSIONS: Concomitant influenza infection affects the clinical manifestations of KD and can impact the laboratory test results and the diagnosis and treatment of the disease. However, it remains unclear whether influenza contributes to KD etiology.

  19. On the epidemiology of influenza

    Directory of Open Access Journals (Sweden)

    Scragg Robert

    2008-02-01

    Full Text Available Abstract The epidemiology of influenza swarms with incongruities, incongruities exhaustively detailed by the late British epidemiologist, Edgar Hope-Simpson. He was the first to propose a parsimonious theory explaining why influenza is, as Gregg said, "seemingly unmindful of traditional infectious disease behavioral patterns." Recent discoveries indicate vitamin D upregulates the endogenous antibiotics of innate immunity and suggest that the incongruities explored by Hope-Simpson may be secondary to the epidemiology of vitamin D deficiency. We identify – and attempt to explain – nine influenza conundrums: (1 Why is influenza both seasonal and ubiquitous and where is the virus between epidemics? (2 Why are the epidemics so explosive? (3 Why do they end so abruptly? (4 What explains the frequent coincidental timing of epidemics in countries of similar latitude? (5 Why is the serial interval obscure? (6 Why is the secondary attack rate so low? (7 Why did epidemics in previous ages spread so rapidly, despite the lack of modern transport? (8 Why does experimental inoculation of seronegative humans fail to cause illness in all the volunteers? (9 Why has influenza mortality of the aged not declined as their vaccination rates increased? We review recent discoveries about vitamin D's effects on innate immunity, human studies attempting sick-to-well transmission, naturalistic reports of human transmission, studies of serial interval, secondary attack rates, and relevant animal studies. We hypothesize that two factors explain the nine conundrums: vitamin D's seasonal and population effects on innate immunity, and the presence of a subpopulation of "good infectors." If true, our revision of Edgar Hope-Simpson's theory has profound implications for the prevention of influenza.

  20. Vaccination against seasonal influenza

    CERN Document Server

    GS Department

    2010-01-01

    This year, as usual, the Medical Service is helping to promote vaccination against seasonal influenza. Vaccination against seasonal flu is especially recommended for anyone who suffers from chronic pulmonary, cardio-vascular or kidney disease or diabetes, is recovering from a serious illness or major surgery, or is over 65 years of age. The flu virus is transmitted through the air and through contact with contaminated surfaces, so frequent hand-washing with soap and/or an antiseptic hand wash is of great importance. As soon as the first symptoms appear (fever above 38°, shivering, coughing, muscle and/or joint pains, generalised weakness), you are strongly recommended to stay at home to avoid spreading the virus. Anyone working on the CERN site who wishes to be vaccinated against seasonal flu should go to the Infirmary (Building 57, ground floor), with their dose of vaccine. The Medical Service will issue a prescription on the day of the vaccination for the purposes of reimbursement through UNIQA...

  1. Influenza, anthropology, and global uncertainties.

    Science.gov (United States)

    Atlani-Duault, Laëtitia; Kendall, Carl

    2009-07-01

    The response to the novel H1N1 influenza (swine flu) pandemic has been overwhelmingly biological and epidemiological in scope. While plans are moving forward on a vaccine, few of the social effects of a truly massive global catastrophe-or the issues of communication, responding to predictable inappropriate reactions, preparation of populations for these effects, or using local population resources in the epidemic-have been well considered. Anthropology can play an important and underutilized role in planning and responding to influenza and other global emergencies. This editorial discusses these issues and makes some preliminary recommendations.

  2. Influenza virus infection among pediatric patients reporting diarrhea and influenza-like illness

    Directory of Open Access Journals (Sweden)

    Uyeki Timothy M

    2010-01-01

    Full Text Available Abstract Background Influenza is a major cause of morbidity and hospitalization among children. While less often reported in adults, gastrointestinal symptoms have been associated with influenza in children, including abdominal pain, nausea, vomiting, and diarrhea. Methods From September 2005 and April 2008, pediatric patients in Indonesia presenting with concurrent diarrhea and influenza-like illness were enrolled in a study to determine the frequency of influenza virus infection in young patients presenting with symptoms less commonly associated with an upper respiratory tract infection (URTI. Stool specimens and upper respiratory swabs were assayed for the presence of influenza virus. Results Seasonal influenza A or influenza B viral RNA was detected in 85 (11.6% upper respiratory specimens and 21 (2.9% of stool specimens. Viable influenza B virus was isolated from the stool specimen of one case. During the time of this study, human infections with highly pathogenic avian influenza A (H5N1 virus were common in the survey area. However, among 733 enrolled subjects, none had evidence of H5N1 virus infection. Conclusions The detection of influenza viral RNA and viable influenza virus from stool suggests that influenza virus may be localized in the gastrointestinal tract of children, may be associated with pediatric diarrhea and may serve as a potential mode of transmission during seasonal and epidemic influenza outbreaks.

  3. Universal influenza vaccines, science fiction or soon reality?

    NARCIS (Netherlands)

    R.D. de Vries (Rory); A.F. Altenburg; G.F. Rimmelzwaan (Guus)

    2015-01-01

    textabstractCurrently used influenza vaccines are only effective when the vaccine strains match the epidemic strains antigenically. To this end, seasonal influenza vaccines must be updated almost annually. Furthermore, seasonal influenza vaccines fail to afford protection against antigenically

  4. Influenza (Flu) vaccine (Live, Intranasal): What you need to know

    Science.gov (United States)

    ... is taken in its entirety from the CDC Influenza Live, Intranasal Flu Vaccine Information Statement (VIS): www.cdc.gov/vaccines/ ... flulive.html . CDC review information for Live, Intranasal Influenza VIS: Vaccine Information Statement Influenza Page last reviewed: ...

  5. Universal influenza vaccines, science fiction or soon reality?

    NARCIS (Netherlands)

    R.D. de Vries (Rory); A.F. Altenburg; G.F. Rimmelzwaan (Guus)

    2015-01-01

    textabstractCurrently used influenza vaccines are only effective when the vaccine strains match the epidemic strains antigenically. To this end, seasonal influenza vaccines must be updated almost annually. Furthermore, seasonal influenza vaccines fail to afford protection against antigenically disti

  6. Formulation of influenza T cell peptides : in search of a universal influenza vaccine

    NARCIS (Netherlands)

    Soema, Peter Christiaan

    2015-01-01

    Current seasonal influenza vaccines rely on the induction of antibodies to neutralize the virus. However, influenza viruses frequently undergo genetic mutations due to antigenic drift and shift, altering the surface proteins hemagglutinin and neuraminidase to which antibodies usually bind. This

  7. Control strategies against avian influenza

    Science.gov (United States)

    Since 1959, 40 epizootics of high pathogenicity avian influenza (HPAI) have occurred (Figure 1). Thirty-five of these epizootic HPAI viruses were geographically-limited (mostly to single countries), involved farm-to-farm spread and were eradicated from poultry by stamping-out programs; i.e. the HPAI...

  8. Pandemic influenza and hospital resources

    NARCIS (Netherlands)

    Nap, Raoul E.; Andriessen, Maarten P. H. M.; Meessen, Nico E. L.; Van der Werf, Tjip S.

    2007-01-01

    Using estimates from the Centers for Disease Control and Prevention, the World Health Organization, and published models of the expected evolution of pandemic influenza, we modeled the surge capacity of healthcare facility and intensive care unit (ICU) requirements over time in northern Netherlands

  9. Live attenuated intranasal influenza vaccine.

    Science.gov (United States)

    Esposito, Susanna; Montinaro, Valentina; Groppali, Elena; Tenconi, Rossana; Semino, Margherita; Principi, Nicola

    2012-01-01

    Annual vaccination is the most effective means of preventing and controlling influenza epidemics, and the traditional trivalent inactivated vaccine (TIV) is by far the most widely used. Unfortunately, it has a number of limitations, the most important of which is its poor immunogenicity in younger children and the elderly, the populations at greatest risk of severe influenza. Live attenuated influenza vaccine (LAIV) has characteristics that can overcome some of these limitations. It does not have to be injected because it is administered intranasally. It is very effective in children and adolescents, among whom it prevents significantly more cases of influenza than the traditional TIV. However, its efficacy in adults has not been adequately documented, which is why it has not been licensed for use by adults by the European health authorities. LAIV is safe and well tolerated by children aged > 2 y and adults, but some concerns arisen regarding its safety in younger children and subjects with previous asthma or with recurrent wheezing. Further studies are needed to solve these problems and to evaluate the possible role of LAIV in the annual vaccination of the general population.

  10. Valproat-assoziierte Enzephalopathie - 19 neue Fälle in Deutschland zwischen 1994 und 2003 - eine Nebenwirkung nicht nur bei jüngeren Kindern

    Directory of Open Access Journals (Sweden)

    Gerstner T

    2007-01-01

    Full Text Available Valproat (VPA ist ein Breitspektrum-Antiepileptikum und wird in der Regel sehr gut toleriert. Seltene schwere Nebenwirkungen können allerdings auftreten, einschließlich einer hämorrhagischen Pankreatitis, Gerinnungsstörungen, Leberversagen und Enzephalopathien. Die typischen Zeichen einer Enzephalopathie sind Konzentrationsstörungen, EEG-Verlangsamungen und eine erhöhte Anfallsfrequenz mit oder ohne Hyperammonämie. Noch immer gibt es keinen Beweis für die Kausalität zwischen VPA und Enzephalopathie, aber eine deutliche Assoziation. Wir berichten über 19 neue, unveröffentlichte Fälle dieser Nebenwirkung im Zeitraum von 1994–2003 aus Deutschland.

  11. Neue Perspektiven auf die Lehrtätigkeit von Frauen im 19. Jahrhundert New Perspectives on Women’s Teaching in the 19th Century

    Directory of Open Access Journals (Sweden)

    Hans-Martin Moderow

    2002-11-01

    Full Text Available Durch eine differenzierte Auswertung von 32 Autobiographien von lehrenden Frauen aus dem Deutschland des 19. Jahrhunderts eröffnet die Verfasserin neue Perspektiven. In ihrer vergleichenden und differenzierenden Darstellung wird deutlich, dass Frauen in weit stärkerem Maße als bisher angenommen lehrend tätig waren. Dabei nimmt die Verfasserin auch die nichtschulische Arbeit in den Blick.Wedel’s differentiated evaluation of 32 autobiographies of teaching women in 19th century Germany opens new perspectives. Wedel’s comparative and differentiating description renders clear that women teachers were much more common than previously assumed. Wedel’s analysis also includes women’s teaching outside of scholarly institutes.

  12. Mid-Season Influenza Vaccine Effectiveness for the 2012-2013 Influenza Season

    Science.gov (United States)

    2013-03-01

    Naval Health Research Center Mid-Season Influenza Vaccine Effectiveness for the 2012-2013 Influenza Season Angelia A. Eick -Cost Zheng Hu...care encounters for Mid-Season Influenza Vaccine Effectiveness for the 2012-2013 Influenza Season Angelia A. Eick -Cost, PhD, ScM; Zheng Hu, MS; Michael...Forces Health Surveillance Center (Drs. Eick -Cost and Sanchez, Ms. Hu, CDR Cooper); Naval Health Research Center (Ms. Radin, Mr. Hawksworth, CDR

  13. Ten influenza seasons in France: distribution and timing of influenza A and B circulation, 2003?2013

    OpenAIRE

    Mosnier, Anne; Caini, Saverio; Daviaud, Isabelle; Bensoussan, Jean-Louis; Stoll-Keller, Fran?oise; Bui, Tan Tai; Lina, Bruno; van der Werf, Sylvie; Cohen, Jean Marie; ,

    2015-01-01

    Background Describing the circulation of influenza viruses and the characteristics of seasonal epidemics remains an essential tool to optimize the strategies of influenza prevention and control. Special attention has been recently paid to influenza B in the context of the availability of a quadrivalent vaccine, containing two influenza B strains. Methods We used data from a practitioners-based influenza surveillance network to describe the circulation of influenza viruses in France from 2003?...

  14. Influenza Vaccine Effectiveness against Hospitalisation with Confirmed Influenza in the 2010–11 Seasons: A Test-negative Observational Study

    OpenAIRE

    Cheng, Allen C.; Mark Holmes; Irving, Louis B.; Simon G A Brown; Waterer, Grant W.; Korman, Tony M.; N Deborah Friedman; Sanjaya Senanayake; Dwyer, Dominic E; Stephen Brady; Grahame Simpson; Richard Wood-Baker; John Upham; David Paterson; Christine Jenkins

    2013-01-01

    Immunisation programs are designed to reduce serious morbidity and mortality from influenza, but most evidence supporting the effectiveness of this intervention has focused on disease in the community or in primary care settings. We aimed to examine the effectiveness of influenza vaccination against hospitalisation with confirmed influenza. We compared influenza vaccination status in patients hospitalised with PCR-confirmed influenza with patients hospitalised with influenza-negative respirat...

  15. Molecular detection and typing of influenza viruses : Are we ready for an influenza pandemic?

    NARCIS (Netherlands)

    MacKay, W. G.; van Loon, A. M.; Niedrig, M.; Meijer, A.; Lina, B.; Niesters, H. G. M.

    2008-01-01

    Background: We cannot predict when an influenza pandemic will occur or which variant of the virus will cause it. Little information is currently available on the ability of laboratories to detect and subtype influenza viruses including the avian influenza viruses. Objectives: To assess the ability o

  16. Molecular detection and typing of influenza viruses. Are we ready for an influenza pandemic?

    NARCIS (Netherlands)

    MacKay, W.G.; Loon, A.M. van; Niedrig, M.; Meijer, A.; Lina, B.; Niesters, H.G.M.

    2008-01-01

    BACKGROUND: We cannot predict when an influenza pandemic will occur or which variant of the virus will cause it. Little information is currently available on the ability of laboratories to detect and subtype influenza viruses including the avian influenza viruses. OBJECTIVES: To assess the ability o

  17. Molecular detection and typing of influenza viruses : Are we ready for an influenza pandemic?

    NARCIS (Netherlands)

    MacKay, W. G.; van Loon, A. M.; Niedrig, M.; Meijer, A.; Lina, B.; Niesters, H. G. M.

    Background: We cannot predict when an influenza pandemic will occur or which variant of the virus will cause it. Little information is currently available on the ability of laboratories to detect and subtype influenza viruses including the avian influenza viruses. Objectives: To assess the ability

  18. Molecular detection and typing of influenza viruses. Are we ready for an influenza pandemic?

    NARCIS (Netherlands)

    MacKay, W.G.; Loon, A.M. van; Niedrig, M.; Meijer, A.; Lina, B.; Niesters, H.G.M.

    2008-01-01

    BACKGROUND: We cannot predict when an influenza pandemic will occur or which variant of the virus will cause it. Little information is currently available on the ability of laboratories to detect and subtype influenza viruses including the avian influenza viruses. OBJECTIVES: To assess the ability

  19. Effects of influenza vaccination and influenza illness on exacerbations in multiple sclerosis

    NARCIS (Netherlands)

    De Keyser, J; Zwanikken, C

    1998-01-01

    Despite reports that influenza vaccination appears to be safe in multiple sclerosis there is uncertainty which patients may benefit from it. By using a questionnaire we compared the effects of influenza illness (1995-1996 season) and influenza vaccination (autumn of 1996) on neurologic symptoms in

  20. Influenza DNA vaccine:an update

    Institute of Scientific and Technical Information of China (English)

    陈则

    2004-01-01

    @@ A series of global studies on the influenza DNA vaccine have revealed that it is capable of eliciting persistent humoral and cell mediated immune responses to influenza following delivery by various routes. DNA vaccines may not only serve as potentially safer alternatives to immunization with certain live virus vaccines, but may also provide a promising approach to the development of effective vaccines. The suggestions, based on our experiment, that both hemagglutinin (HA)- and neuraminidase (NA)- DNAs (or both HA and NA molecules) are highly protective against the influenza virus and are useful in the development of a more efficient vaccine against the influenza virus. In this article, we reviewed DNA vaccine against the influenza A and B viruses and the characteristics of the immune response induced by the DNA vaccine. Moreover, we discussed the importance of neutralizing antibodies to protect the host against a lethal influenza infection.

  1. Evaluation of the Sofia Influenza A + B fluorescent immunoassay for the rapid diagnosis of influenza A and B.

    Science.gov (United States)

    Hazelton, Briony; Nedeljkovic, Gordana; Ratnamohan, V Mala; Dwyer, Dominic E; Kok, Jen

    2015-01-01

    Rapid influenza diagnostic tests (RIDTs) can facilitate the appropriate prescription of antivirals for influenza, obviate the need for unnecessary testing and antibacterial agents and allow the implementation of infection control measures. However, the reported sensitivities and specificities of different RIDTs vary widely in clinical settings, as does assay ability to distinguish between influenza types and subtypes. To evaluate the performance of the Sofia Influenza A + B fluorescent immunoassay (FIA) for the detection of influenza A and B during the 2013 Southern Hemisphere influenza season, a total of 209 consecutive respiratory tract swabs from adult patients with an influenza-like illness were tested by both Sofia Influenza A + B and an in-house real-time, reverse transcription-polymerase chain reaction (RT-PCR) assay. Compared to RT-PCR, the sensitivity and specificity of the Sofia Influenza A + B FIA for detection of influenza A was 72.4% and 98.3%, respectively. Too few influenza B positive samples were available during the study to accurately assess the Sofia's performance for influenza B detection. The sensitivity of Sofia Influenza A + B FIA for both influenza A and B detection correlated with the amount of influenza RNA present in the sample as indicated indirectly by the RT-PCR cycle threshold (Ct ). In conclusion, the Sofia Influenza A + B FIA continues to perform well as a RIDT with the circulating influenza strains of the 2013 Southern Hemisphere influenza season.

  2. New aspects from legislation, guidelines and safety standards for MRI; Neues aus Gesetzen, Richtlinien und Sicherheitsstandards fuer die MRT

    Energy Technology Data Exchange (ETDEWEB)

    Muehlenweg, M. [Krankenhaus Martha-Maria Halle-Doelau, Institut fuer Radiologie, Halle (Saale) (Germany); Schaefers, G. [MR:comp GmbH, Gelsenkirchen (Germany); Trattnig, S. [Exzellenzzentrum Hochfeld-Magnetresonanz, Medizinische Universitaet Wien, Universitaetsklinik fuer Radiodiagnostik, Wien (Austria)

    2015-08-15

    Betriebsanleitung der MR-Scanner. Die verpflichtenden Inhalte der Betriebsanleitung werden in einer zentralen Norm der International Electrotechnical Commission (IEC) 60601-2-33 geregelt. In dieser Norm wurde juengst die Anwendung statischer Magnetfelder in der MRT bis zu 8 Tesla (T) in der klinischen Routine (kontrollierte Betriebsart 1. Stufe) zugelassen. Die ebenfalls notwendige CE-Zertifizierung der Ultrahochfeldscanner (7-8 T) in Europa ist fuer zukuenftige Geraete zu erwarten. Bestehende Installationen werden nicht automatisch zertifiziert, sondern behalten ihren experimentellen Status. Die aktuelle Erweiterung der IEC 60601-2-33 fuehrt eine neue Zusatzoption, die sog. ''fixed parameter option'' (FPO) ein. Diese Option kann zusaetzlich zu den etablierten Betriebsarten geschaltet werden und definiert eine fixe Geraetekonstellation und bestimmte Parameter des Energieoutputs von MR-Scannern, die zukuenftig die Untersuchungen von Implantatpatienten vereinfachen soll. Die Beschaeftigung schwangerer Mitarbeiterinnen in einer MRT-Einrichtung ist nach wie vor nicht allgemein in Europa geregelt. In Deutschland und Oesterreich wurden 2014 in Teilregionen Beschaeftigungsverbote fuer Schwangere und Stillende im der MR-Kontrollzone (0,5 mT) erteilt. Zugrunde liegt die meist ungeklaerte Frage der Anwendbarkeit von Grenzwerten fuer Beschaeftigte (Extremitaetenexposition fuer statische Magnetfelder bis 8 T erlaubt) oder der Grenzwerte fuer die Allgemeinbevoelkerung (maximal bis 400 mT). Das Verwerfen von Muttermilch nach i.v.-Gabe von gadoliniumhaltigen Kontrastmitteln bei einer stillenden Frau wird laut Gesellschaft fuer urogenitale Radiologie (ESUR) nur noch bei Gabe von Kontrastmitteln der Nephrogenic-systemic-fibrosis(NSF)-Hochrisikoklasse empfohlen. (orig.)

  3. Forecasting peaks of seasonal influenza epidemics.

    Science.gov (United States)

    Nsoesie, Elaine; Mararthe, Madhav; Brownstein, John

    2013-06-21

    We present a framework for near real-time forecast of influenza epidemics using a simulation optimization approach. The method combines an individual-based model and a simple root finding optimization method for parameter estimation and forecasting. In this study, retrospective forecasts were generated for seasonal influenza epidemics using web-based estimates of influenza activity from Google Flu Trends for 2004-2005, 2007-2008 and 2012-2013 flu seasons. In some cases, the peak could be forecasted 5-6 weeks ahead. This study adds to existing resources for influenza forecasting and the proposed method can be used in conjunction with other approaches in an ensemble framework.

  4. Josef Frank and the history of architecture: Gothic and the Renaissance, Leon Battista Alberti and Albrecht Dürer in the architectural discourse on Neues Bauen at the beginning of the 1930s

    Directory of Open Access Journals (Sweden)

    Caterina Cardemone

    2016-06-01

    Full Text Available The paper focuses on Josef Frank’s convinced use of historiographical arguments in his sharp critique of German modernist architecture. Frank’s attention to architectural history dates back to his education at the Technische Hochschule in Vienna, with Carl König, and the writing of a doctoral thesis on Leon Battista Alberti’s religious buildings in 1910. If a profound knowledge of Alberti’s writings informs Frank’s entire theoretical work, the point discussed here is the parallel between Neues Bauen and Gothic traced by Frank to exclude Neues Bauen from a true modernity, based, on the opposite, on a classical tradition of thought. An attempt is made to reconstruct Frank’s historiographical references and to insert his work in the broader historiographical context, thus highlighting a close link between architectural theory and critique on the one hand and contemporary historiographical constructions on the other.

  5. Influenza em animais heterotérmicos Influenza in heterothermics

    OpenAIRE

    Dalva Assunção Portari Mancini; Rita Maria Zucatelli Mendonça; Aurora Marques Cianciarullo; Leonardo Setsuo Kobashi; Hermínio Gomes Trindade; Wilson Fernandes; José Ricardo Pinto

    2004-01-01

    O objetivo foi pesquisar Ortomyxovirus em animais heterotérmicos. Coletou-se sangue de serpentes dos gêneros Bothrops e Crotalus e de sapo e rãs dos gêneros Bufo e Rana, para a detecção dos receptores de hemácias e anticorpos específicos, ao vírus influenza, pelos testes de hemaglutinação e inibição da hemaglutinação, respectivamente. Pelo teste de hemaglutinação, verificou-se que serpentes e sapos em cativeiro apresentaram receptores em suas hemácias para o vírus influenza, humano e eqüino d...

  6. The Role of Punctuated Evolution in the Pathogenicity of Influenza Viruses

    National Research Council Canada - National Science Library

    McCullers, Jonathan A

    2016-01-01

    Influenza is an acute respiratory disease caused by influenza viruses. Evolutionarily, all influenza viruses are zoonoses, arising in the animal reservoir and spilling over into the human population...

  7. Neues Kunstmuseum (KUMU)

    Index Scriptorium Estoniae

    2006-01-01

    Eesti Kunstimuuseumi uue hoone avamisest. Fotol Eesti Kunstimuuseumi peadirektor Marika Valk, president Arnold Rüütel, proua Ingrid Rüütel ja Soome president Tarja Halonen Kumu avamisel. Allk.: OA

  8. Frankreichs neue Industriepolitik

    OpenAIRE

    Kauffmann, Pascal

    2007-01-01

    "Die französische Industriepolitik zeichnet sich seit jeher durch einen relativ hohen Grad an staatlichem Interventionismus aus. Vor diesem Hintergrund eines traditionell aktiven Staates kam es in den letzten Jahren im Bereich der Industriepolitik wiederholt zu Missverständnissen mit den deutschen Nachbarn (EADS, Siemens/ Alstom, Sanofi-Aventis). Das erkennbare Bemühen der Regierung de Villepin um die Förderung 'nationaler Champions' hat aber auch in anderen EU-Staaten ein allgemeine...

  9. Neue Klassik-CDs

    Index Scriptorium Estoniae

    2001-01-01

    Firma Antes plaatide seas "Eesti portreed. Werke für Flöte und Gitarre", "Kangro. Klavierkonzert Nr.2"; Deutsche Grammophon'i plaat "Steinberg dir, N. Järvi"; Globe plaat "Tanejev. The Twelve Choruses op. 27", dir. T. Kaljuste

  10. Neue Sachlichkeit und Arbeitswelt

    OpenAIRE

    Muller, Françoise

    2014-01-01

    À une époque où au refus de la technique propre à l’expressionnisme a succédé le culte de la technologie et du progrès, la « littérature du monde industriel » oscille encore entre le « romantisme de la machine », l’« esthétique des cheminées d’usine » et une esthétique de la précision prônée par les auteurs de la Nouvelle Objectivité qui se proposent d’analyser et de « radiographier » les mécanismes internes du monde du travail. Tandis que les représentants de la «Arbeiterdichtung» glorifient...

  11. New standards; Neue Normen

    Energy Technology Data Exchange (ETDEWEB)

    Fischer, Stephan [Stuttgart Univ. (Germany). Testzentrum fuer Solaranlagen des Inst. fuer Thermodynamik und Waermetechnik (ITW)

    2013-06-06

    At the end of this year (2013) the international collector standard EN ISO 9806 replaces the existing EN 12975-2 standard. Also EN 12975-1, which is formulating the general requirements for solar collectors will be adjusted during the year. And last but not least: the first time boilers and controller can get the label ''Solar Keymark''. [German] Ende dieses Jahres (2013) soll die internationale Kollektornorm EN ISO 9806 die bisherige EN 12975-2 ersetzen. Auch die EN 12975-1, die allgemeine Anforderungen an Solarkollektoren formuliert, wird im Laufe des Jahres angepasst. Und nicht zuletzt: Erstmals koennen Speicher und Regler das Label ''Solar Keymark'' bekommen.

  12. Neues Kunstmuseum (KUMU)

    Index Scriptorium Estoniae

    2006-01-01

    Eesti Kunstimuuseumi uue hoone avamisest. Fotol Eesti Kunstimuuseumi peadirektor Marika Valk, president Arnold Rüütel, proua Ingrid Rüütel ja Soome president Tarja Halonen Kumu avamisel. Allk.: OA

  13. Neue Klassik-CDs

    Index Scriptorium Estoniae

    2001-01-01

    Firma Antes plaatide seas "Eesti portreed. Werke für Flöte und Gitarre", "Kangro. Klavierkonzert Nr.2"; Deutsche Grammophon'i plaat "Steinberg dir, N. Järvi"; Globe plaat "Tanejev. The Twelve Choruses op. 27", dir. T. Kaljuste

  14. Transmission of Influenza A Viruses

    Science.gov (United States)

    Neumann, Gabriele; Kawaoka, Yoshihiro

    2015-01-01

    Influenza A viruses cause respiratory infections that range from asymptomatic to deadly in humans. Widespread outbreaks (pandemics) are attributable to ‘novel’ viruses that possess a viral hemagglutinin (HA) gene to which humans lack immunity. After a pandemic, these novel viruses form stable virus lineages in humans and circulate until they are replaced by other novel viruses. The factors and mechanisms that facilitate virus transmission among hosts and the establishment of novel lineages are not completely understood, but the HA and basic polymerase 2 (PB2) proteins are thought to play essential roles in these processes by enabling avian influenza viruses to infect mammals and replicate efficiently in their new host. Here, we summarize our current knowledge of the contributions of HA, PB2, and other viral components to virus transmission and the formation of new virus lineages. PMID:25812763

  15. Aminoglycoside resistance in Haemophilus influenzae.

    Science.gov (United States)

    Gomez-Lus, R; Vergara, Y

    1995-04-01

    From September 1, 1990 to December 31, 1993 a total of 425 Haemophilus influenzae strains from clinical specimens were isolated in the Microbiology Laboratory of the Zaragoza University Hospital. Of these strains, 16 (33.33%) were resistant to kanamycin, neomycin, paromomycin, lividomycin and streptomycin. Demonstration of APH (3')-I activity by the phosphocellulose paper binding assay, based on the incorporation of radiolabel into lividomycin was sixfold greater than into butirosin. Two DNA probes were prepared to screen for the genes encoding APH(3') activity in kanamycin-resistant H. influenzae. Homology was observed between the aphA1 DNA probe and total cellular DNA from all 16 APH(3')-I producers. On the other hand, streptomycin-resistance was not through metabolic modification of the antibiotic.

  16. Transmission of influenza A viruses.

    Science.gov (United States)

    Neumann, Gabriele; Kawaoka, Yoshihiro

    2015-05-01

    Influenza A viruses cause respiratory infections that range from asymptomatic to deadly in humans. Widespread outbreaks (pandemics) are attributable to 'novel' viruses that possess a viral hemagglutinin (HA) gene to which humans lack immunity. After a pandemic, these novel viruses form stable virus lineages in humans and circulate until they are replaced by other novel viruses. The factors and mechanisms that facilitate virus transmission among hosts and the establishment of novel lineages are not completely understood, but the HA and basic polymerase 2 (PB2) proteins are thought to play essential roles in these processes by enabling avian influenza viruses to infect mammals and replicate efficiently in their new host. Here, we summarize our current knowledge of the contributions of HA, PB2, and other viral components to virus transmission and the formation of new virus lineages.

  17. Swine origin influenza (swine flu).

    Science.gov (United States)

    Sebastian, Meghna R; Lodha, Rakesh; Kabra, S K

    2009-08-01

    Swine origin influenza was first recognized in the border area of Mexico and United States in April 2009 and during a short span of two months became the first pandemic. The currently circulating strain of swine origin influenza virus of the H1N1 strain has undergone triple reassortment and contains genes from the avian, swine and human viruses. It is transmitted by droplets or fomites. Incubation period is 2 to 7 days. Common clinical symptoms are indistinguishable by any viral respiratory illness, and include fever, cough, sore throat and myalgia. A feature seen more frequently with swine origin influenza is GI upset. Less than 10% of patients require hospitalization. Patients at risk of developing severe disease are - younger than five years, elderly, pregnant women, with chronic systemic illnesses, adolescents on aspirin. Of the severe manifestations of swine origin influenza, pneumonia and respiratory failure are the most common. Unusual symptoms reported are conjunctivitis, parotitis, hemophagocytic syndrome. Infants may present with fever and lethargy with no respiratory symptoms. Diagnosis is based on RT PCR, Viral culture or increasing neutralizing antibodies. Principle of treatment consist of isolation, universal precautions, good infection control practices, supportive care and use of antiviral drugs. Antiviral drugs effective against H1N1 virus include: oseltamivir and zamanavir. With good supportive care case fatality is less than 1%. Preventive measures include: social distancing, practicing respiratory etiquette, hand hygiene and use of chemoprohylaxis with antiviral drugs. Vaccine against H1N1 is not available at present, but will be available in near future.

  18. 77 FR 13329 - Pandemic Influenza Vaccines-Amendment

    Science.gov (United States)

    2012-03-06

    ... HUMAN SERVICES Office of the Secretary Pandemic Influenza Vaccines--Amendment ACTION: Notice of... influenza vaccines, which has been amended a number of times. The original pandemic influenza vaccine... (2010). The major actions taken by this pandemic influenza vaccine declaration are the following: (1...

  19. Reverse Genetics Approaches for the Development of Influenza Vaccines

    OpenAIRE

    Aitor Nogales; Luis Martínez-Sobrido

    2016-01-01

    Influenza viruses cause annual seasonal epidemics and occasional pandemics of human respiratory disease. Influenza virus infections represent a serious public health and economic problem, which are most effectively prevented through vaccination. However, influenza viruses undergo continual antigenic variation, which requires either the annual reformulation of seasonal influenza vaccines or the rapid generation of vaccines against potential pandemic virus strains. The segmented nature of influ...

  20. Development of stable influenza vaccine powder formulations : Challenges and possibilities

    NARCIS (Netherlands)

    Amorij, J-P; Huckriede, A; Wilschut, J; Frijlink, H W; Hinrichs, W L J

    2008-01-01

    Influenza vaccination represents the cornerstone of influenza prevention. However, today all influenza vaccines are formulated as liquids that are unstable at ambient temperatures and have to be stored and distributed under refrigeration. In order to stabilize influenza vaccines, they can be brought

  1. How Experience Shapes Health Beliefs: The Case of Influenza Vaccination

    Science.gov (United States)

    Shahrabani, Shosh; Benzion, Uri

    2012-01-01

    This study examines the impact of past experience with influenza and the influenza vaccine on four categories of the Health Belief Model: beliefs about susceptibility to contracting influenza, severity of illness, perceived benefits of the vaccine in preventing influenza, and perceived barriers to getting vaccinated. The study population comprised…

  2. Development of stable influenza vaccine powder formulations : Challenges and possibilities

    NARCIS (Netherlands)

    Amorij, J-P; Huckriede, A; Wilschut, J; Frijlink, H W; Hinrichs, W L J

    2008-01-01

    Influenza vaccination represents the cornerstone of influenza prevention. However, today all influenza vaccines are formulated as liquids that are unstable at ambient temperatures and have to be stored and distributed under refrigeration. In order to stabilize influenza vaccines, they can be brought

  3. Pandemic influenza guidance for corporations.

    Science.gov (United States)

    2011-06-01

    The purpose of this guidance document is to assist members of the American College of Occupational and Environmental Medicine (ACOEM), and the organizations for which they work, in managing the impact of a pandemic of influenza or other contagious respiratory disease on patients, employees, and business. This guidance document outlines actions to take before and during an influenza pandemic on the basis of two main strategies: (1) reducing the spread of the virus within facilities; and (2) providing medical care and medical surveillance to client/patient populations. Facilities in which ACOEM members serve include government agencies and the military, universities, and corporations, which generally have multiple locations/sites and their own medical staff, with members responsible for medical care and disease control. This guidance is for organizations with outpatient occupational medicine services, to be used as appropriate. Medical centers should also use guidance that addresses additional employee and external patient care needs.1–3 The ACOEM fully supports implementation of occupational influenza programs that conform with guidance from the Centers for Disease Control and Prevention (CDC), with other guidance from the US Department of Health and Human Services (DHHS), and Occupational Safety and Health Administration (OSHA) regulations and guidance.

  4. Influenza and diabetes ; immunological and epidemiological aspects

    NARCIS (Netherlands)

    R.J.A. Diepersloot (Rob)

    1989-01-01

    textabstractInfluenza may jeopardize the health of patients with diabetes mellitus in several ways. In the first place influenza infection may inbalance a carefully established metabolic control, and in some cases trigger a process of metabolic deterioration which eventually may lead to ketoacidosis

  5. Dried influenza vaccines : Over the counter vaccines

    NARCIS (Netherlands)

    Saluja, Vinay; Hinrichs, Wouter L. J.; Frijlink, Henderik W.

    2010-01-01

    Since last year influenza pandemic has struck again after 40 years, this is the right moment to discuss the different available formulation options for influenza vaccine. Looking back to the last 4 decades, most vaccines are still formulated as liquid solution. These vaccines have shown a poor

  6. Dried influenza vaccines : Over the counter vaccines

    NARCIS (Netherlands)

    Saluja, Vinay; Hinrichs, Wouter L. J.; Frijlink, Henderik W.

    2010-01-01

    Since last year influenza pandemic has struck again after 40 years, this is the right moment to discuss the different available formulation options for influenza vaccine. Looking back to the last 4 decades, most vaccines are still formulated as liquid solution. These vaccines have shown a poor stabi

  7. Influenza and diabetes ; immunological and epidemiological aspects

    NARCIS (Netherlands)

    R.J.A. Diepersloot (Rob)

    1989-01-01

    textabstractInfluenza may jeopardize the health of patients with diabetes mellitus in several ways. In the first place influenza infection may inbalance a carefully established metabolic control, and in some cases trigger a process of metabolic deterioration which eventually may lead to

  8. Nicotinamide ribosyl uptake mutants in Haemophilus influenzae.

    Science.gov (United States)

    Herbert, Mark; Sauer, Elizabeta; Smethurst, Graeme; Kraiss, Anita; Hilpert, Anna-Karina; Reidl, Joachim

    2003-09-01

    The gene for the nicotinamide riboside (NR) transporter (pnuC) was identified in Haemophilus influenzae. A pnuC mutant had only residual NR uptake and could survive in vitro with high concentrations of NR, but could not survive in vivo. PnuC may represent a target for the development of inhibitors for preventing H. influenzae disease.

  9. Cross-protection by conventional influenza vaccines

    NARCIS (Netherlands)

    Roos, A.L.E.

    2016-01-01

    In this thesis, we explore whether the protective efficacy of a trivalent virosomal seasonal influenza vaccine (TVV) can be broadened and thereby increase pandemic preparedness until more broadly protective influenza vaccines may become available. Chapter 2 examines the ability of a vaccination

  10. Viral factors in influenza pandemic risk assessment

    NARCIS (Netherlands)

    Lipsitch, M. (Marc); W.S. Barclay (Wendy); Raman, R. (Rahul); Russell, C.J. (Charles J.); Belser, J.A. (Jessica A.); Cobey, S. (Sarah); Kasson, P.M. (Peter M.); J. Lloyd-Smith (James); S. Maurer-Stroh (Sebastian); S. Riley (Steven); Beauchemin, C.A. (Catherine A.); T. Bedford (Trevor); Friedrich, T.C. (Thomas C.); Handel, A. (Andreas); S. Herfst (Sander); Murcia, P.R. (Pablo R.); Roche, B. (Benjamin); Wilke, C.O. (Claus O.); C.A. Russell (Colin)

    2016-01-01

    textabstractThe threat of an influenza A virus pandemic stems from continual virus spillovers from reservoir species, a tiny fraction of which spark sustained transmission in humans. To date, no pandemic emergence of a new influenza strain has been preceded by detection of a closely related

  11. Europe's preparedness for an influenza pandemic: commentary.

    NARCIS (Netherlands)

    Paget, W.J.

    2006-01-01

    The paper in this month's edition of the European Journal of Public Health on Europe's preparedness for an influenza pandemic is highly relevant in the light of the emergence of the influenza A (H5N1) virus in humans in Southeast Asia and more recently, in Turkey and Iraq. The paper provides a nic

  12. Pandemic Influenza Pediatric Office Plan Template

    Energy Technology Data Exchange (ETDEWEB)

    HCTT CHE

    2010-01-01

    This is a planning tool developed by pediatric stakeholders that is intended to assist pediatric medical offices that have no pandemic influenza plan in place, but may experience an increase in patient calls/visits or workload due to pandemic influenza.

  13. DNA-based influenza vaccines as immunoprophylactic agents toward universality.

    Science.gov (United States)

    Zhang, Han; El Zowalaty, Mohamed E

    2016-01-01

    Influenza is an illness of global public health concern. Influenza viruses have been responsible for several pandemics affecting humans. Current influenza vaccines have proved satisfactory safety; however, they have limitations and do not provide protection against unexpected emerging influenza virus strains. Therefore, there is an urgent need for alternative approaches to conventional influenza vaccines. The development of universal influenza vaccines will help alleviate the severity of influenza pandemics. Influenza DNA vaccines have been the subject of many studies over the past decades due to their ability to induce broad-based protective immune responses in various animal models. The present review highlights the recent advances in influenza DNA vaccine research and its potential as an affordable universal influenza vaccine.

  14. Influenza-associated encephalopathy: no evidence for neuroinvasion by influenza virus nor for reactivation of human herpesvirus 6 or 7.

    NARCIS (Netherlands)

    van Zeijl, J.H.; Bakkers, J.; Wilbrink, B.; Melchers, W.J.; Mullaart, R.A.; Galama, J.M.

    2005-01-01

    During 2 consecutive influenza seasons we investigated the presence of influenza virus, human herpesvirus (HHV) type 6, and HHV-7 in cerebrospinal fluid samples from 9 white children suffering from influenza-associated encephalopathy. We conclude that it is unlikely that neuroinvasion by influenza

  15. Subacute thyroiditis after seasonal influenza vaccination

    Directory of Open Access Journals (Sweden)

    Fumiatsu Yakushiji

    2011-08-01

    Full Text Available We report the first patient with subacute thyroiditis after influenza vaccination in Japan. A 49-year-old woman received a seasonal influenza vaccination in October 2009. She also received a seasonal influenza vaccination in 2008. After the vaccination, she experienced spontaneous pain and tenderness in the right lower neck. Together with the results of laboratory examinations and thyroid echography, we established the diagnosis of subacute thyroiditis. The patient had human leukocyte antigens (HLAs of A2/A11 and B62/B35. HLA-A2-positive is reported at a risk of interferon-alpha-induced autoimmune thyroid disorder, and HLA-B35-positive is reported at a risk of subacute thyroiditis. Since fever and cervical pain are reported as adverse effects of influenza vaccination, subacute thyroiditis after influenza vaccination might have been missed.

  16. Molecular patterns of avian influenza A viruses

    Institute of Scientific and Technical Information of China (English)

    KOU Zheng; LEI FuMin; WANG ShengYue; ZHOU YanHong; LI TianXian

    2008-01-01

    Avian influenza A viruses could get across the species barrier and be fatal to humans. Highly patho-genic avian influenza H5N1 virus was an example. The mechanism of interspecies transmission is not clear as yet. In this research, the protein sequences of 237 influenza A viruses with different subtypes were transformed into pseudo-signals. The energy features were extracted by the method of wavelet packet decomposition and used for virus classification by the method of hierarchical clustering. The clustering results showed that five patterns existed in avian influenza A viruses, which associated with the phenotype of interspecies transmission, and that avian viruses with patterns C and E could across species barrier and those with patterns A, B and D might not have the abilities. The results could be used to construct an early warning system to predict the transmissibility of avian influenza A viruses to humans.

  17. Concepts and applications for influenza antigenic cartography

    Science.gov (United States)

    Cai, Zhipeng; Zhang, Tong; Wan, Xiu-Feng

    2011-01-01

    Influenza antigenic cartography projects influenza antigens into a two or three dimensional map based on immunological datasets, such as hemagglutination inhibition and microneutralization assays. A robust antigenic cartography can facilitate influenza vaccine strain selection since the antigenic map can simplify data interpretation through intuitive antigenic map. However, antigenic cartography construction is not trivial due to the challenging features embedded in the immunological data, such as data incompleteness, high noises, and low reactors. To overcome these challenges, we developed a computational method, temporal Matrix Completion-Multidimensional Scaling (MC-MDS), by adapting the low rank MC concept from the movie recommendation system in Netflix and the MDS method from geographic cartography construction. The application on H3N2 and 2009 pandemic H1N1 influenza A viruses demonstrates that temporal MC-MDS is effective and efficient in constructing influenza antigenic cartography. The web sever is available at http://sysbio.cvm.msstate.edu/AntigenMap. PMID:21761589

  18. Modeling human influenza infection in the laboratory

    Directory of Open Access Journals (Sweden)

    Radigan KA

    2015-08-01

    Full Text Available Kathryn A Radigan,1 Alexander V Misharin,2 Monica Chi,1 GR Scott Budinger11Division of Pulmonary and Critical Care Medicine, 2Division of Rheumatology, Northwestern University Feinberg School of Medicine, Chicago, IL, USAAbstract: Influenza is the leading cause of death from an infectious cause. Because of its clinical importance, many investigators use animal models to understand the biologic mechanisms of influenza A virus replication, the immune response to the virus, and the efficacy of novel therapies. This review will focus on the biosafety, biosecurity, and ethical concerns that must be considered in pursuing influenza research, in addition to focusing on the two animal models – mice and ferrets – most frequently used by researchers as models of human influenza infection.Keywords: mice, ferret, influenza, animal model, biosafety

  19. Managing influenza: amantadine, rimantadine and beyond.

    Science.gov (United States)

    Fleming, D M

    2001-04-01

    Amantadine and rimantadine are effective in the treatment and prophylaxis of influenza A. Neither drug, however, has achieved widespread acceptance because of the rapid development of viral resistance, their lack of activity against influenza B and, in the case of amantadine, adverse events. Complete cross-resistance occurs with these compounds and is associated with a single nucleotide change in the M2 protein. Resistant variants are transmissible and fully pathogenic. Zanamivir is the first widely approved neuraminidase inhibitor for the treatment of influenza. It is delivered directly to the primary site of viral replication, the respiratory tract, and is well tolerated and effective in the treatment of both influenza A and B. Data in prophylaxis are also encouraging. During the extensive clinical programme no evidence for the emergence of drug-resistant strains with acute therapy was found. Zanamivir represents a significant advance over older agents in the management of influenza A and B.

  20. Epidemic Status of Swine Influenza Virus in China

    OpenAIRE

    Kong, Weili; Ye, Jiahui; Guan, Shangsong; Liu, Jinhua; Pu, Juan

    2013-01-01

    As one of the most significant swine diseases, in recent years, swine influenza (SI) has had an immense impact on public health and has raised extensive public concerns in China. Swine are predisposed to both avian and human influenza virus infections, between that and/or swine influenza viruses, genetic reassortment could occur. This analysis aims at introducing the history of swine influenza virus, the serological epidemiology of swine influenza virus infection, the clinical details of swin...

  1. Childhood/Adolescent Pregnancies and Influenza Infections

    Directory of Open Access Journals (Sweden)

    Ahmet Gülen

    2013-04-01

    Full Text Available In this article, we aimed to review child/adolescent pregnancies in general, and the clinical and epidemiological features including prevention and management of influenza in these patients in our country. World Health Organization (WHO defines the children between 10-19 years as adolescents. In Turkey, the rate of marriage in adolescent children aged between 15-19 years is 9.3%. Of the births, 9% are in ages between 15-19 years and the rate of birth in ages between 15-19 years is 40/1000. The pre-birth health care of child/adolescent pregnancies is inadequate and the birth complications are higher than the normal pregnancies. The influenza infections in child/adolescent pregnancies are not different from the influenza infections in normal pregnancies, however it causes more severe diseases, higher rates of hospitalizations and higher mortality in pregnant women. During the pregnancy, influenza can affect mother, embryo or fetus as well as the newborn baby after the delivery. In pregnancy, the effects of influenza on embryo and fetus have not so far been extensively investigated. Transplasental viral transmission of the influenza is rare however it may cause birth defects. The clinical findings and diagnostic approaches in pregnancy are similar to normal population. Chemoprophylaxis or chemotherapy (oseltamivir or zanamivir can be given to pregnant women when they are indicated for both influenza A or B. Vaccination is the preferred way of preventing influenza in pregnancy. Inactive influenza vaccine is safe and effective in every stage of pregnancy. Vaccination in pregnancy can prevent the mother, the fetus and the newborn baby up to 6 months from the complication of influenza. In Turkey the estimated vaccination rate in pregnancy is very low, which is less than 10%. (The Jo­ur­nal of Cur­rent Pe­di­at­rics 2014;1:31-6

  2. Containing pandemic influenza with antiviral agents.

    Science.gov (United States)

    Longini, Ira M; Halloran, M Elizabeth; Nizam, Azhar; Yang, Yang

    2004-04-01

    For the first wave of pandemic influenza or a bioterrorist influenza attack, antiviral agents would be one of the few options to contain the epidemic in the United States until adequate supplies of vaccine were available. The authors use stochastic epidemic simulations to investigate the effectiveness of targeted antiviral prophylaxis to contain influenza. In this strategy, close contacts of suspected index influenza cases take antiviral agents prophylactically. The authors compare targeted antiviral prophylaxis with vaccination strategies. They model an influenza pandemic or bioterrorist attack for an agent similar to influenza A virus (H2N2) that caused the Asian influenza pandemic of 1957-1958. In the absence of intervention, the model predicts an influenza illness attack rate of 33% of the population (95% confidence interval (CI): 30, 37) and an influenza death rate of 0.58 deaths/1,000 persons (95% Cl: 0.4, 0.8). With the use of targeted antiviral prophylaxis, if 80% of the exposed persons maintained prophylaxis for up to 8 weeks, the epidemic would be contained, and the model predicts a reduction to an illness attack rate of 2% (95% Cl: 0.2, 16) and a death rate of 0.04 deaths/1,000 persons (95% CI: 0.0003, 0.25). Such antiviral prophylaxis is nearly as effective as vaccinating 80% of the population. Vaccinating 80% of the children aged less than 19 years is almost as effective as vaccinating 80% of the population. Targeted antiviral prophylaxis has potential as an effective measure for containing influenza until adequate quantities of vaccine are available.

  3. Influenza virus infection in seal (Phocidae) : seroepidemiological survey of influenza virus in Caspian seals(Phoca caspica)

    OpenAIRE

    OHISHI, Kazue; NINOMIYA, Ai; Kida, Hiroshi; Maruyama, Tadashi; Arai, Takaomi; Miyazaki, Nobuyuki

    2003-01-01

    In the last a few decades, several viral diseases in marine mammals such as seals and cetaceans were characterized. Influenza virus causes a worldwide zoonosis, influenza, and was shown to be involved in mass mortality in seals. Several influenza virus strains have been isolated from the sick seals. Because interspecies transmission of influenza virus plays a crucial role in the introduction of pandemic influenza disease in humans, it is important to monitor the virus distribution in wild ani...

  4. Avian Influenza infection in Human

    Directory of Open Access Journals (Sweden)

    Mohan. M

    2008-08-01

    Full Text Available Outbreaks caused by the H5N1 strain are presently of the greatest concern for human health. In assessing risks to human health, it is important to know exactly which avian virus strains are causing the outbreaks in birds.All available evidence points to an increased risk of transmission to humans when outbreaks of highly pathogenic avian H5N1 influenza are widespread in poultry. There is mounting evidence that this strain has a unique capacity to jump the species barrier and cause severe disease, with high mortality, in humans. There is no evidence, to date that efficient human to human transmission of H5N1 strain has occurred and very often. Efficient transmission among humans is a key property of pandemic strains and a property that the avian H5N1 and H9N2 viruses apparently lacked. The biological and molecular basis for effective aerosol transmission among humans is not known. The virus can improve its transmissibility among humans via two principal mechanisms. The first is a “reassortment” event, in which genetic material is exchanged between human and avian viruses during co-infection of a human or pig.Reassortment could result in a fully transmissible pandemic virus, announced by a sudden surge of cases with explosive spread. The second mechanism is a more gradual process of adaptive mutation, whereby the capability of the virus to bind to human cells increases during subsequent infections of humans. Adaptive mutation, expressed initially as small clusters of human cases with some evidence of human-to-human transmission, would probably give the world some time to take defensive action, if detected sufficiently early. As the number of human infections grows, the risk increases that a new virus subtype could emerge, triggering an influenza pandemic. Humans as well as swine must now be considered a potential mixing vessel for the generation of such a virus. This link between widespread infection in poultry and increased risk of human

  5. Increasing herd immunity with influenza revaccination.

    Science.gov (United States)

    Mooring, E Q; Bansal, S

    2016-04-01

    Seasonal influenza is a significant public health concern globally. While influenza vaccines are the single most effective intervention to reduce influenza morbidity and mortality, there is considerable debate surrounding the merits and consequences of repeated seasonal vaccination. Here, we describe a two-season influenza epidemic contact network model and use it to demonstrate that increasing the level of continuity in vaccination across seasons reduces the burden on public health. We show that revaccination reduces the influenza attack rate not only because it reduces the overall number of susceptible individuals, but also because it better protects highly connected individuals, who would otherwise make a disproportionately large contribution to influenza transmission. We also demonstrate that our results hold on an empirical contact network, in the presence of assortativity in vaccination status, and are robust for a range of vaccine coverage and efficacy levels. Our work contributes a population-level perspective to debates about the merits of repeated influenza vaccination and advocates for public health policy to incorporate individual vaccine histories.

  6. Economic and policy implications of pandemic influenza.

    Energy Technology Data Exchange (ETDEWEB)

    Smith, Braeton J.; Starks, Shirley J.; Loose, Verne W.; Brown, Theresa Jean; Warren, Drake E.; Vargas, Vanessa N.

    2010-03-01

    Pandemic influenza has become a serious global health concern; in response, governments around the world have allocated increasing funds to containment of public health threats from this disease. Pandemic influenza is also recognized to have serious economic implications, causing illness and absence that reduces worker productivity and economic output and, through mortality, robs nations of their most valuable assets - human resources. This paper reports two studies that investigate both the short- and long-term economic implications of a pandemic flu outbreak. Policy makers can use the growing number of economic impact estimates to decide how much to spend to combat the pandemic influenza outbreaks. Experts recognize that pandemic influenza has serious global economic implications. The illness causes absenteeism, reduced worker productivity, and therefore reduced economic output. This, combined with the associated mortality rate, robs nations of valuable human resources. Policy makers can use economic impact estimates to decide how much to spend to combat the pandemic influenza outbreaks. In this paper economists examine two studies which investigate both the short- and long-term economic implications of a pandemic influenza outbreak. Resulting policy implications are also discussed. The research uses the Regional Economic Modeling, Inc. (REMI) Policy Insight + Model. This model provides a dynamic, regional, North America Industrial Classification System (NAICS) industry-structured framework for forecasting. It is supported by a population dynamics model that is well-adapted to investigating macro-economic implications of pandemic influenza, including possible demand side effects. The studies reported in this paper exercise all of these capabilities.

  7. The global transmission and control of influenza.

    Directory of Open Access Journals (Sweden)

    Eben Kenah

    Full Text Available New strains of influenza spread around the globe via the movement of infected individuals. The global dynamics of influenza are complicated by different patterns of influenza seasonality in different regions of the world. We have released an open-source stochastic mathematical model of the spread of influenza across 321 major, strategically located cities of the world. Influenza is transmitted between cities via infected airline passengers. Seasonality is simulated by increasing the transmissibility in each city at the times of the year when influenza has been observed to be most prevalent. The spatiotemporal spread of pandemic influenza can be understood through clusters of global transmission and links between them, which we identify using the epidemic percolation network (EPN of the model. We use the model to explain the observed global pattern of spread for pandemic influenza A(H1N1 2009-2010 (pandemic H1N1 2009 and to examine possible global patterns of spread for future pandemics depending on the origin of pandemic spread, time of year of emergence, and basic reproductive number (. We also use the model to investigate the effectiveness of a plausible global distribution of vaccine for various pandemic scenarios. For pandemic H1N1 2009, we show that the biggest impact of vaccination was in the temperate northern hemisphere. For pandemics starting in the temperate northern hemisphere in May or April, vaccination would have little effect in the temperate southern hemisphere and a small effect in the tropics. With the increasing interconnectedness of the world's population, we must take a global view of infectious disease transmission. Our open-source, computationally simple model can help public health officials plan for the next pandemic as well as deal with interpandemic influenza.

  8. Influenza in Thailand: a case study for middle income countries.

    Science.gov (United States)

    Simmerman, James Mark; Thawatsupha, Pranee; Kingnate, Darika; Fukuda, Keiji; Chaising, Arunee; Dowell, Scott F

    2004-11-25

    Recent studies in Hong Kong and Singapore suggest that the annual impact of influenza in these wealthy tropical cities may be substantial, but little is known about the burden in middle-income tropical countries. We reviewed the status of influenza surveillance, vaccination, research, and policy in Thailand as of January 2004. From 1993 to 2002, 64-91 cases of clinically diagnosed influenza were reported per 100,000 persons per year. Influenza viruses were isolated in 34% of 4305 specimens submitted to the national influenza laboratory. Vaccine distribution figures suggest that less than 1% of the population is immunized against influenza each year. In January 2004, Thailand reported its first documented outbreak of influenza A H5N1 infection in poultry and the country's first human cases of avian influenza. Thailand's growing economy, well-developed public health infrastructure, and effective national immunization program could enable the country to take more active steps towards influenza control.

  9. Modeling Influenza Virus Infection: A Roadmap for Influenza Research

    Directory of Open Access Journals (Sweden)

    Alessandro Boianelli

    2015-10-01

    Full Text Available Influenza A virus (IAV infection represents a global threat causing seasonal outbreaks and pandemics. Additionally, secondary bacterial infections, caused mainly by Streptococcus pneumoniae, are one of the main complications and responsible for the enhanced morbidity and mortality associated with IAV infections. In spite of the significant advances in our knowledge of IAV infections, holistic comprehension of the interplay between IAV and the host immune response (IR remains largely fragmented. During the last decade, mathematical modeling has been instrumental to explain and quantify IAV dynamics. In this paper, we review not only the state of the art of mathematical models of IAV infection but also the methodologies exploited for parameter estimation. We focus on the adaptive IR control of IAV infection and the possible mechanisms that could promote a secondary bacterial coinfection. To exemplify IAV dynamics and identifiability issues, a mathematical model to explain the interactions between adaptive IR and IAV infection is considered. Furthermore, in this paper we propose a roadmap for future influenza research. The development of a mathematical modeling framework with a secondary bacterial coinfection, immunosenescence, host genetic factors and responsiveness to vaccination will be pivotal to advance IAV infection understanding and treatment optimization.

  10. Naturligt forekommende oseltamivirresistens hos influenza A

    DEFF Research Database (Denmark)

    Madsen, Laura; Nielsen, Alex; Lundgren, Jens

    2010-01-01

    in the development of resistance. The best prevention strategy remains vaccination of the general population to avoid immunity. Future antiviral treatment calls for knowledge about resistance to existing types of influenza and the availability of all three types of antiviral medication.......During the last two influenza seasons, one of the predominant influenza A types (H1N1) has developed complete resistance to oseltamivir, the primary treatment option. The virus does, however, remain sensitive to zanamavir and amantadine. There is no unequivocal explanation for this slide...

  11. Differentiation of Haemophilus aegyptius and Haemophilus influenzae.

    Science.gov (United States)

    Mazloum, H A; Kilian, M; Mohamed, Z M; Said, M D

    1982-04-01

    This study aimed at clarifying the relationship of Haemophilus aegyptius and Haemophilus influenzae isolated from acute conjunctivitis in Egypt. Twenty-nine freshly isolated strains selected from a large clinical material were examined for morphological and growth characteristics, biochemical properties and susceptibility to selected antibiotics. H. aegyptius strains were clearly differentiated from strains of H. influenzae by their inability to grow on tryptic soy agar containing X + V factors, by their susceptibility to trooleandomycin, by a distinct bacillary morphology, and, in part, by not fermenting xylose. The results confirm that H. aegyptius is distinct from H. influenzae and provides reproducible means of differentiating the two species.

  12. Unusual Influenza A Viruses in Bats

    Directory of Open Access Journals (Sweden)

    Andrew Mehle

    2014-09-01

    Full Text Available Influenza A viruses infect a remarkably diverse number of hosts. Two completely new influenza A virus subtypes were recently discovered in bats, dramatically expanding the host range of the virus. These bat viruses are extremely divergent from all other known strains and likely have unique replication cycles. Phylogenetic analysis indicates long-term, isolated evolution in bats. This is supported by a high seroprevalence in sampled bat populations. As bats represent ~20% of all classified mammals, these findings suggests the presence of a massive cryptic reservoir of poorly characterized influenza A viruses. Here, we review the exciting progress made on understanding these newly discovered viruses, and discuss their zoonotic potential.

  13. [Naturally occurring oseltamivir resistance in influenza A.

    DEFF Research Database (Denmark)

    Madsen, Laura; Nielsen, Alex; Lundgren, Jens

    2010-01-01

    During the last two influenza seasons, one of the predominant influenza A types (H1N1) has developed complete resistance to oseltamivir, the primary treatment option. The virus does, however, remain sensitive to zanamavir and amantadine. There is no unequivocal explanation for this slide...... in the development of resistance. The best prevention strategy remains vaccination of the general population to avoid immunity. Future antiviral treatment calls for knowledge about resistance to existing types of influenza and the availability of all three types of antiviral medication. Udgivelsesdato: 2010-Aug...

  14. Naturligt forekommende oseltamivirresistens hos influenza A

    DEFF Research Database (Denmark)

    Madsen, Laura; Nielsen, Alex; Lundgren, Jens

    2010-01-01

    During the last two influenza seasons, one of the predominant influenza A types (H1N1) has developed complete resistance to oseltamivir, the primary treatment option. The virus does, however, remain sensitive to zanamavir and amantadine. There is no unequivocal explanation for this slide...... in the development of resistance. The best prevention strategy remains vaccination of the general population to avoid immunity. Future antiviral treatment calls for knowledge about resistance to existing types of influenza and the availability of all three types of antiviral medication....

  15. Naturligt forekommende oseltamivirresistens hos influenza A

    DEFF Research Database (Denmark)

    Madsen, Laura; Nielsen, Alex; Lundgren, Jens

    2010-01-01

    During the last two influenza seasons, one of the predominant influenza A types (H1N1) has developed complete resistance to oseltamivir, the primary treatment option. The virus does, however, remain sensitive to zanamavir and amantadine. There is no unequivocal explanation for this slide...... in the development of resistance. The best prevention strategy remains vaccination of the general population to avoid immunity. Future antiviral treatment calls for knowledge about resistance to existing types of influenza and the availability of all three types of antiviral medication....

  16. [Naturally occurring oseltamivir resistance in influenza A.

    DEFF Research Database (Denmark)

    Madsen, Laura; Nielsen, Alex; Lundgren, Jens

    2010-01-01

    During the last two influenza seasons, one of the predominant influenza A types (H1N1) has developed complete resistance to oseltamivir, the primary treatment option. The virus does, however, remain sensitive to zanamavir and amantadine. There is no unequivocal explanation for this slide...... in the development of resistance. The best prevention strategy remains vaccination of the general population to avoid immunity. Future antiviral treatment calls for knowledge about resistance to existing types of influenza and the availability of all three types of antiviral medication. Udgivelsesdato: 2010-Aug...

  17. Meningitis due to Haemophilus influenzae type f.

    Science.gov (United States)

    Cardoso, Marta Pessoa; Pasternak, Jacyr; Giglio, Alfredo Elias; Casagrande, Rejane Rimazza Dalberto; Troster, Eduardo Juan

    2013-12-01

    With the decline in the rate of infections caused by Haemophilus influenzae serotype b since the widespread vaccination, non-b serotypes should be considered as potential pathogenic agents in children with invasive disease younger than 5 years old. We report the case of an immunocompetent 1-year-old boy with Haemophilus influenzae type f meningitis. The agent was identified in cerebrospinal fluid and blood cultures. Serotyping was performed by tests using polyclonal sera and confirmed by polymerase chain reaction. All Haemophilus influenzae isolates associated with invasive disease should be serotyped and notified as a way to evaluate the changes and trends in serotype distribution of this disease.

  18. Pandemic Influenza: A Never-Ending Story

    Science.gov (United States)

    Kageyama, Seiji

    2011-01-01

    A novel pandemic influenza emerged in 2009, something that hasn't been seen since 1977. The following issues will be introduced and discussed in this review: the history of influenza pandemics, the emergence of the novel pandemic influenza of 2009, epidemics in the southern and northern hemispheres after the recognition of index cases in the United States, mortality, viral characteristics, prevention in the household setting, clinical aspects, diagnosis, treatment and immunization. Some questions have been answered. However, a number of other questions remain. Scientific research must follow up on these unanswered questions. PMID:24031128

  19. Transformation of Haemophilus influenzae by recombinant molecules

    Energy Technology Data Exchange (ETDEWEB)

    Setlow, J.K.; McCarthy, D.R.; Clayton, N.L.

    1981-01-01

    A gene library of Haemophilus influenzae DNA has been constructed by ligating chromosomal DNA from cells resistant to a number of antibiotics, together with DNA of the H. influenzae plasmid RSF0885. Before ligation both DNAs were cut with the enzyme PvuII. The ligated DNA was allowed to enter competent H. influenzae sensitive to the antibiotics and selection was made for resistance to ampicillin, conferred by the plasmid RSF0885 DNA. Plasmids conferring resistance to various other antibiotics, as well as to ampicillin, have been obtained by this procedure and subsequent selection for chromosomal markers.

  20. Vermeidung unnötiger Ventrikelstimulation bei Sick-Sinus-Syndrom (SSS - neue Ansätze in der Stimulationstherapie des Herzens

    Directory of Open Access Journals (Sweden)

    Anelli-Monti M

    2005-01-01

    Full Text Available Kurzfassung: In der Stimulationstherapie bei Sick- Sinus-Syndrom (SSS konnte in großen randomisierten Studien (DANISH, MOST, CTOPP, DANISH II ein Vorteil der Vorhofstimulation im AAI-Modus hinsichtlich Überleben sowie Auftreten von Herzinsuffizienz und Vorhofflimmern gegenüber der Ventrikelstimulation im VVIModus gezeigt werden. Dieser Vorteil im Überleben und der Schlaganfallrate sowie bei der Hospitalisierung wegen Herzinsuffizienz konnte aber für die Zweikammerstimulation im DDD-Modus nicht dargestellt werden. Als Hauptgrund wird die häufige Stimulation im Ventrikel auch im DDD-Modus angenommen, die durch die asynchrone Kontraktion der Ventrikel den Vorteil der vorhofgesteuerten Stimulation wieder aufhebt. Schrittmacherpatienten mit erhaltener oder nur vorübergehend gestörter AV-Überleitung sollte daher die Zwangsstimulation im Ventrikel erspart bleiben. Als neue Strategien zur Vermeidung der Ventrikelstimulation haben sich die AV-Hysterese, dynamische AV-Verlängerungen und die AAI-Stimulation mit ventrikulärer Sicherheitsstimulation (MVP™, AAISafeR™ entwickelt. Mit diesen Algorithmen wird entweder die AV-Zeit für das ventrikuläre Sensing verlängert (Hysterese- Systeme, dynamische Hysterese-Systeme oder ein Moduswechsel je nach Bedarf zwischen AAI- und DDD-Betrieb möglich und damit die kumulative ventrikuläre Stimulationsrate auf Dauer gesenkt.

  1. Wie "zukunftsreich" ist das neue Lehramtsstudium? Bestandsaufnahme zu Medienbildung und digitalen Kompetenzen in den Curriculaentwürfen der Sekundarstufe der PädagogInnenbildung_NEU

    Directory of Open Access Journals (Sweden)

    Klaus Himpsl-Gutermann

    2015-12-01

    Full Text Available Durch die PädagogInnenbildung_NEU eröffnet sich derzeit die Chance, österreichweit in vier Verbundregionen in Kooperation zwischen Universitäten und Pädagogischen Hochschulen die Lehramtsausbildung für alle Schulstufen und Schultypen zukunftsweisend zu reformieren. Zu den Ansprüchen an das neue Studium gehört auch, dass es künftige LehrerInnen an die Schulen entsendet, die neben ihrer fachlichen Expertise mit aktuellen gesellschaftlichen Herausforderungen und Entwicklungen adäquat umgehen können. Die rasant voranschreitende Technologisierung und Digitalisierung unserer Gesellschaft gehört zweifelsohne zu diesen Herausforderungen. Die E-Learning-Strategiegruppe der österreichischen Pädagogischen Hochschulen (PHELS hat deshalb die aktuell vorliegenden Curricula und Curriculaentwürfe der Sekundarstufe Allgemeinbildung in den vier Verbundregionen einer kritischen Analyse hinsichtlich Medienbildung und digitaler Kompetenzen unterzogen − mit einem ernüchternden bis verheerenden Ergebnis: Es scheint nicht nur die historische Chance vertan, Medienbildung systematisch in der LehrerInnenausbildung und damit in den Schulen zu verankern, sondern durch die fehlende informatische Grundbildung laufen künftige Generationen auch Gefahr, auf zunehmend digitalisierten Arbeitsmärkten den internationalen Anschluss zu verlieren.

  2. A new foothold for the gasoline service station. The marketing concept of BP for enhancing convenience shopping; Neue Standbeine fuer die Tankstelle. Das Convenience-Konzept der BP

    Energy Technology Data Exchange (ETDEWEB)

    Anon.

    1998-10-01

    Purposefully broadening the range of products by adding new segments for convenience shopping is the strategy BP has adopted in order to improve profits, and in response to prognoses that the traditional fuel and lubricants sales will continue to decline. ``Bigger stations with bigger shops and more services`` is the line of development pursued, said Dr. Uwe Franke, member of the management board of the German BP Holding AG, in a recent interview with the press in Hamburg. The interview is reproduced in this contribution. (orig./CB) [Deutsch] In der zielstrebigen Erweiterung des Shopsortiments durch neue Segmente im Conveniencebereich sieht die BP die besten Chancen fuer das Tankstellengeschaeft. Das Kraft- und Schmierstoffgeschaeft wird zwar weiterhin hohes Gewicht haben, sein Beitrag zum Tankstellenergebnis aber weiter zurueckgehen. `Noch groessere Stationen mit noch groesseren Shops und noch mehr Service`, so kennzeichnete kuerzlich Dr. Uwe Franke, Vorstandsmitglied der Deutschen BP Holding AG, die weitere Entwicklung des Tankstellengeschaefts bei einem Pressegespraech in Hamburg, dessen Inhalte im Beitrag kurz dargestellt wird. (orig.)

  3. Microstructured thin film radiators as infrared sources for new gas measuring applications; Mikrostrukturierte Duennschichtstrahler als Infrarot-Strahlungsquellen fuer neue Anwendungen in der Gasmesstechnik

    Energy Technology Data Exchange (ETDEWEB)

    Vaihinger, S. [Endress und Hauser Conducta GmbH und Co., Gerlingen (Germany); Bytyn, W. [Endress und Hauser Conducta GmbH und Co., Gerlingen (Germany)

    1997-04-01

    Photometric infrared gas analysers for the low cost market are using directly modulated radiation. The mostly used glass encapsulated radiation sources are limiting the fields of application due to the absorption of the glass at wavelengths beyond 4.3 {mu}m. Microstructured thin film radiators enable new applications in the mid infrared range such as ammonia or Freon at 11 {mu}m. In addition these sources show better performance even in standard applications such as CO{sub 2} (4.24 {mu}m) at lower power consumption as compared with glass encapsulated sources. (orig.) [Deutsch] Photometrische Infrarot-Gasanalysatoren im Low-cost-Bereich arbeiten mit direkt modulierter Strahlung. Die meist verwendeten gasgekapselten Strahlungsquellen begrenzen den Anwendungsbereich durch die Transmissionseigenschaften des Glases, das fuer Infrarot nur bis 4,3 {mu}m durchlaessig ist. Mikrostrukturierte Duennschichtstrahler erschliessen nicht nur neue Anwendungen im laengerwelligen Bereich, wie z.B. Ammoniak oder Freon bei 11 {mu}m, sondern sie sind auch bei Standardanwendungen wie CO{sub 2} (4,24 {mu}m) bei deutlich geringerem Leistungsbedarf den einfachen Strahlern ueberlegen. (orig.)

  4. A new series of small turbochargers for high flow rates and high pressure ratios; Eine neue Serie von kleinen Turboladern fuer hohe Volumenstroeme und hohe Druckverhaeltnisse

    Energy Technology Data Exchange (ETDEWEB)

    Hunziker, R.; Meier, A.; Jacoby, P. [ABB Turbo Systems, Baden (Switzerland)

    2002-06-01

    A new turbocharger series TPS.-F33 has been developed by ABB to fulfil the current and future requirements of small medium-speed and large high speed diesel engines as well as gas engines, all ranging from 500 kW to 3500 kW output power. The development was focused on increasing pressure ratio and increasing flow capacity while ensuring high efficiency, reliability, long lifetime, and ease of maintenance. This new series - with the same outline dimensions as the current TPS.D/E turbochargers - is comprised of four different turbocharger sizes and allows for a substantial performance increase. (orig.) [German] ABB hat die neue TPS..-F33-Turboladerbaureihe entwickelt, um die heutigen und zukuenftigen Anforderungen von kleinen mittelschnell laufenden Dieselmotoren und grossen schnell laufenden Diesel- und Gasmotoren im Leistungsbereich von 500 bis 3500 kW zu erfuellen. Die Entwicklung zielte auf hoehere Druckverhaeltnisse und Volumendurchsaetze bei hohen Wirkungsgraden, Zuverlaessigkeit, hoher Lebensdauer und Wartungsfreundlichkeit. Die TPS..-F33-Baureihe - mit denselben aeusseren Dimensionen wie die TPS..D/E-Turbolader - umfasst vier Turboladergroessen mit einer hoeheren Leistungsdichte und erlaubt eine betraechtliche Leistungssteigerung. Ein praemierter Bericht des CIMAC-Kongresses 2001. (orig.)

  5. Review: Bernt Schnettler & Hubert Knoblauch (Eds. (2007. Powerpoint-Präsentationen. Neue Formen der gesellschaftlichen Kommunikation von Wissen [Powerpoint Presentations: New Forms of Social Communication of Knowledge

    Directory of Open Access Journals (Sweden)

    Thomas Hestermann

    2009-03-01

    Full Text Available The book "Powerpoint-Präsentationen. Neue Formen der gesellschaftlichen Kommunikation von Wissen" (Powerpoint Presentations: New Forms of Social Communication of Knowledge, edited by SCHNETTLER und KNOBLAUCH, is devoted to a previously underresearched subject: the features and effects of presentations supported by software, and in particular by Microsoft's "PowerPoint," The authors explain that, from sociological and linguistic viewpoints, presentations have a greater impact on content than the bare texts and pictures on the slides. The slides shown during a presentation gain in meaning when supported by a presenter who not only speaks but uses body language and various presentation techniques. Difficulties in communication can arise when organizations replace traditional reports with powerpoint slides. The book is considered in the context of current research and opinions on powerpoint. A critical look is taken at the claim that powerpoint per se is responsible for disasters such as the crash of the Columbia space shuttle. The decisive factor seems to be more a question of how competent users are in using presentation software and the associated communication techniques. URN: urn:nbn:de:0114-fqs0902135

  6. Compounds with anti-influenza activity: present and future of strategies for the optimal treatment and management of influenza Part II: Future compounds against influenza virus

    OpenAIRE

    Gasparini, R; Amicizia, D.; Lai, P.L.; BRAGAZZI, N.L.; Panatto, D.

    2014-01-01

    Summary In the first part of this overview, we described the life cycle of the influenza virus and the pharmacological action of the currently available drugs. This second part provides an overview of the molecular mechanisms and targets of still-experimental drugs for the treatment and management of influenza. Briefly, we can distinguish between compounds with anti-influenza activity that target influenza virus proteins or genes, and molecules that target host components that are essential f...

  7. Age- and influenza activity-stratified case definitions of influenza-like illness: experience from hospital-based influenza surveillance in South Korea.

    Directory of Open Access Journals (Sweden)

    Tae Un Yang

    Full Text Available OBJECTIVES: This study aims to identify clinical case definitions of influenza with higher accuracy in patients stratified by age group and influenza activity using hospital-based surveillance system. METHODS: In seven tertiary hospitals across South Korea during 2011-2012 influenza season, respiratory specimens were obtained from patients presenting an influenza-like illness (ILI, defined as having fever plus at least one of following symptoms: cough, sore throat or rhinorrhea. Influenza was confirmed by reverse transcriptase-polymerase chain reaction. We performed multivariate logistic regression analyses to identify clinical variables with better relation with laboratory-confirmed influenza, and compared the accuracy of combinations. RESULTS: Over the study period, we enrolled 1417 patients, of which 647 had laboratory-confirmed influenza. Patients with cough, rhinorrhea, sore throat or headache were more likely to have influenza (p<0.05. The most accurate criterion across the study population was the combination of cough, rhinorrhea, sore throat and headache (sensitivity 71.3%, specificity 60.1% and AUROC 0.66. The combination of rhinorrhea, sore throat and sputum during the peak influenza activity period in the young age group showed higher accuracy than that using the whole population (sensitivity 89.3%, specificity 72.1%, and AUROC 0.81. CONCLUSIONS: The accuracy of clinical case definitions of influenza differed across age groups and influenza activity periods. Categorizing the entire population into subgroups would improve the detection of influenza patients in the hospital-based surveillance system.

  8. Age- and Influenza Activity-Stratified Case Definitions of Influenza-Like Illness: Experience from Hospital-Based Influenza Surveillance in South Korea

    Science.gov (United States)

    Yang, Tae Un; Cheong, Hee Jin; Song, Joon Young; Lee, Jin Soo; Wie, Seong-Heon; Kim, Young Keun; Choi, Won Suk; Lee, Jacob; Jeong, Hye Won; Kim, Woo Joo

    2014-01-01

    Objectives This study aims to identify clinical case definitions of influenza with higher accuracy in patients stratified by age group and influenza activity using hospital-based surveillance system. Methods In seven tertiary hospitals across South Korea during 2011–2012 influenza season, respiratory specimens were obtained from patients presenting an influenza-like illness (ILI), defined as having fever plus at least one of following symptoms: cough, sore throat or rhinorrhea. Influenza was confirmed by reverse transcriptase-polymerase chain reaction. We performed multivariate logistic regression analyses to identify clinical variables with better relation with laboratory-confirmed influenza, and compared the accuracy of combinations. Results Over the study period, we enrolled 1417 patients, of which 647 had laboratory-confirmed influenza. Patients with cough, rhinorrhea, sore throat or headache were more likely to have influenza (p<0.05). The most accurate criterion across the study population was the combination of cough, rhinorrhea, sore throat and headache (sensitivity 71.3%, specificity 60.1% and AUROC 0.66). The combination of rhinorrhea, sore throat and sputum during the peak influenza activity period in the young age group showed higher accuracy than that using the whole population (sensitivity 89.3%, specificity 72.1%, and AUROC 0.81). Conclusions The accuracy of clinical case definitions of influenza differed across age groups and influenza activity periods. Categorizing the entire population into subgroups would improve the detection of influenza patients in the hospital-based surveillance system. PMID:24475034

  9. Temporal Patterns of Influenza A and B in Tropical and Temperate Countries: What Are the Lessons for Influenza Vaccination?

    Directory of Open Access Journals (Sweden)

    Saverio Caini

    Full Text Available Determining the optimal time to vaccinate is important for influenza vaccination programmes. Here, we assessed the temporal characteristics of influenza epidemics in the Northern and Southern hemispheres and in the tropics, and discuss their implications for vaccination programmes.This was a retrospective analysis of surveillance data between 2000 and 2014 from the Global Influenza B Study database. The seasonal peak of influenza was defined as the week with the most reported cases (overall, A, and B in the season. The duration of seasonal activity was assessed using the maximum proportion of influenza cases during three consecutive months and the minimum number of months with ≥80% of cases in the season. We also assessed whether co-circulation of A and B virus types affected the duration of influenza epidemics.212 influenza seasons and 571,907 cases were included from 30 countries. In tropical countries, the seasonal influenza activity lasted longer and the peaks of influenza A and B coincided less frequently than in temperate countries. Temporal characteristics of influenza epidemics were heterogeneous in the tropics, with distinct seasonal epidemics observed only in some countries. Seasons with co-circulation of influenza A and B were longer than influenza A seasons, especially in the tropics.Our findings show that influenza seasonality is less well defined in the tropics than in temperate regions. This has important implications for vaccination programmes in these countries. High-quality influenza surveillance systems are needed in the tropics to enable decisions about when to vaccinate.

  10. H7N9 Influenza Virus Is More Virulent in Ferrets than 2009 Pandemic H1N1 Influenza Virus.

    Science.gov (United States)

    Yum, Jung; Ku, Keun Bon; Kim, Hyun Soo; Seo, Sang Heui

    2015-12-01

    The novel H7N9 influenza virus has been infecting humans in China since February 2013 and with a mortality rate of about 40%. This study compared the pathogenicity of the H7N9 and 2009 pandemic H1N1 influenza viruses in a ferret model, which shows similar symptoms to those of humans infected with influenza viruses. The H7N9 influenza virus caused a more severe disease than did the 2009 pandemic H1N1 influenza virus. All of the ferrets infected with the H7N9 influenza virus had died by 6 days after infection, while none of those infected with the 2009 pandemic H1N1 influenza virus died. Ferrets infected with the H7N9 influenza virus had higher viral titers in their lungs than did those infected with the 2009 pandemic H1N1 influenza virus. Histological findings indicated that hemorrhagic pneumonia was caused by infection with the H7N9 influenza virus, but not with the 2009 pandemic H1N1 influenza virus. In addition, the lung tissues of ferrets infected with the H7N9 influenza virus contained higher levels of chemokines than did those of ferrets infected with the 2009 pandemic H1N1 influenza virus. This study suggests that close monitoring is needed to prevent human infection by the lethal H7N9 influenza virus.

  11. [Importance of vaccination against influenza in individuals with cardiovascular disease].

    Science.gov (United States)

    Kynčl, J

    2014-09-01

    Influenza is one of the most common causes of human morbidity and mortality. Analysis of severe cases of influenza during the influenza season 2012/2013 found that 84 % of patients had at least one risk factor and the cohort of patients had lower influenza vaccine coverage in comparison with the general population. Influenza vaccine reduces the risk for cardiovascular disease and, therefore, should be recommended particularly to patients with chronic conditions who suffer more often from severe influenza. The education of physicians specialists is also desirable.

  12. Novel human H7N9 influenza virus in China.

    Science.gov (United States)

    Wang, Chengmin; Luo, Jing; Wang, Jing; Su, Wen; Gao, Shanshan; Zhang, Min; Xie, Li; Ding, Hua; Liu, Shelan; Liu, Xiaodong; Chen, Yu; Jia, Yaxiong; He, Hongxuan

    2014-06-01

    Outbreaks of H7N9 avian influenza in humans in 5 provinces and 2 municipalities of China have reawakened concern that avian influenza viruses may again cross species barriers to infect the human population and thereby initiate a new influenza pandemic. Evolutionary analysis shows that human H7N9 influenza viruses originated from the H9N2, H7N3 and H11N9 avian viruses, and that it is as a novel reassortment influenza virus. This article reviews current knowledge on 11 subtypes of influenza A virus from human which can cause human infections.

  13. Public health and economic impact of seasonal influenza vaccination with quadrivalent influenza vaccines compared to trivalent influenza vaccines in Europe

    Science.gov (United States)

    Uhart, Mathieu; Bricout, Hélène; Clay, Emilie; Largeron, Nathalie

    2016-01-01

    ABSTRACT Influenza B strains represent on average 23% of all circulating strains in Europe and when there is a vaccine mismatch on B strains, additional influenza-related hospitalizations and deaths as well as substantial additional costs are observed. The objective was to estimate the public health and economic impact of seasonal influenza vaccination with quadrivalent influenza vaccines (QIV) compared to trivalent influenza vaccines (TIV) in Europe (EU). Based on data from 5 EU countries (France, Germany, Italy, Spain and UK) during 10 influenza seasons from 2002 to 2013, epidemiological and associated economic outcomes were estimated for each season for the actual scenario where the TIV was used, and for a hypothetical scenario where QIV could have been used instead. By using QIV, this study estimated that for the 5 EU countries, an additional 1.03 million (327.9/100,000 inhabitants) influenza cases, 453,000 (143.9/100,000) general practitioners consultations, 672,000 (213.1/100,000) workdays lost, 24,000 (7.7/100,000) hospitalizations and 10,000 (3.1/100,000) deaths could have been avoided compared to the use of TIV over the 10-seasons-period. This study estimates that QIV can be of economic value since from a societal perspective 15 million Euros would have been saved on general practitioners consultations (14 million Euros from third-party payer perspective), 77 million on hospitalizations (74 million Euros from third-party payer perspective) and 150 million Euros on workdays lost, across the 5 EU countries. In conclusion, the present study estimates that, compared to TIV, QIV may result in a substantial decrease in epidemiological burden and in influenza-related costs. PMID:27166916

  14. Influenza in Bristol Bay, 1919

    Directory of Open Access Journals (Sweden)

    Maria Gilson deValpine

    2015-03-01

    Full Text Available The 1918 influenza pandemic has been blamed for as many as 50 million deaths worldwide. Like all major disasters, the full story of the pandemic includes smaller, less noted episodes that have not attracted historical attention. The story of the 1919 wave of the influenza pandemic in Bristol Bay Alaska is one such lost episode. It is an important story because the most accessible accounts—the Congressional Record and the Coast Guard Report—are inconsistent with reports made by employees, health care workers, and volunteers at the site of the disaster. Salmon fishing industry supervisors and medical officers recorded their efforts to save the region’s Native Alaskans in private company reports. The federal Bureau of Education physician retained wireless transmission, reports, and letters of events. The Coast Guard summarized its work in its Annual Report of 1920. The independent Bureau of Fisheries report to the Department of Commerce reveals the Coast Guard report at striking odds with others and reconciles only one account. This article explores the historical oversight, and attempts to tell the story of the 1919 wave of the pandemic which devastated the Native Alaskan population in this very remote place.

  15. An overview on avian influenza

    Directory of Open Access Journals (Sweden)

    Nelson Rodrigo da Silva Martins

    2012-06-01

    Full Text Available Avian influenza (AI is considered an exotic disease in the Brazilian poultry industry, according to the National Avian Health Program (PNSA, with permanent monitoring of domestic, exotic and native avian species. Brazil presents privileged environmental conditions of reduced risk. In addition, all commercial poultry and conservation holdings are registered in state or national inventories and geographically located (GPS for health control. Poultry health standards are adopted for the conformity to the international market, mostly for the intensified poultry destined for exportation, but also for companion exotic and native conservation facilities. Guidelines for monitoring and the diagnosis of AI are published by the PNSA and follow the standards proposed by the international health code (World Organization for Animal Health, Organization International des Epizooties - OIE and insure the free of status for avian influenza virus (AIV of LPAIV-low pathogenicity AIV and HPAIV-high pathogenicity AIV. In addition, the infections by mesogenic and velogenic Newcastle disease virus, Mycoplasma gallisepticum, M. synoviae and M. meleagridis, Salmonella enteric subspecies enterica serovar Gallinarum biovars Gallinarum and Pullorum are eradicated from reproduction. Controlled infections by S.enterica subspecies enterica serovars Enteritidis and Typhimurium are monitored for breeders. The vaccination of chickens in ovo or at hatch against Marek's disease is mandatory. Broiler production is an indoor activity, confinement which insures biosecurity, with safe distances from the potential AIV reservoir avian species. Worldwide HPAIV H5N1 notifications to the OIE, in March 2011, included 51 countries.

  16. Risk factors of influenza transmission in households

    OpenAIRE

    Viboud, Cécile; Boëlle, Pierre-Yves; Cauchemez, Simon; Lavenu, Audrey; Valleron, Alain-Jacques; Flahault, Antoine; Carrat, Fabrice

    2004-01-01

    Background: Influenza transmission in households is a subject of renewed interest, as the vaccination of children is currently under debate and antiviral treatments have been approved for prophylactic use.

  17. NNDSS - Table II. Giardiasis to Haemophilus influenza

    Data.gov (United States)

    U.S. Department of Health & Human Services — NNDSS - Table II. Giardiasis to Haemophilus influenza - 2017. In this Table, provisional cases of selected notifiable diseases (≥1,000 cases reported during the...

  18. Montana 2006 Avian Influenza Surveillance Project Report

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — During the summer of 2006, the U.S. Department of Agriculture (USDA) and the U.S. Fish and Wildlife Service (USFWS) initiated a nationwide avian influenza...

  19. Uptake of the Influenza Vaccination in Pregnancy

    LENUS (Irish Health Repository)

    Crosby, DA

    2016-09-01

    Influenza is caused by a highly infectious RNA virus, which usually occurs in a seasonal pattern with epidemics in the winter months. The objective of this study was to determine the uptake of the influenza vaccine in a pregnant population and ascertain the reasons why some women did not receive it. A prospective cohort study was conducted over a two-week period in January 2016 in the National Maternity Hospital Dublin, a tertiary referral maternity hospital delivering over 9000 infants per year. There were 504 women studied over the 2-week period. Overall, 197(39.1%) women received the vaccine at a mean gestational age 20.9 weeks (SD 7.0). Given the increased rates of influenza in the community and the associated implications for mother and infant, it is important that pregnant women are educated regarding the risks of influenza in pregnancy and encourage this cohort to be vaccinated.

  20. Influenza vaccination in children with cystic fibrosis.

    Science.gov (United States)

    Patria, Maria Francesca; Longhi, Benedetta; Esposito, Susanna

    2013-04-01

    Cystic fibrosis (CF) is an inherited autosomal recessive disease characterized by progressive pulmonary damage and respiratory failure. It is known that bacterial infections play a critical role in the development of significant lung damage, whereas the role of respiratory viruses in CF pulmonary exacerbations and the relationship between viral infections and the progression of lung damage are uncertain. Health authorities throughout the world recommend influenza vaccination for CF patients. The aim of this review is to analyze the impact of seasonal and pandemic influenza on CF patients and data concerning influenza vaccination in order to assess the current situation and identify areas for future study. As data are limited, further well-constructed clinical studies of the effectiveness of influenza vaccination on the main clinical outcome measures of pulmonary function and nutritional status in patients with CF are required.

  1. NNDSS - Table II. Giardiasis to Haemophilus influenza

    Data.gov (United States)

    U.S. Department of Health & Human Services — NNDSS - Table II. Giardiasis to Haemophilus influenza - 2014. In this Table, all conditions with a 5-year average annual national total of more than or equals 1,000...

  2. NNDSS - Table II. Giardiasis to Haemophilus influenza

    Data.gov (United States)

    U.S. Department of Health & Human Services — NNDSS - Table II. Giardiasis to Haemophilus influenza - 2015.In this Table, provisional cases of selected notifiable diseases (≥1,000 cases reported during the...

  3. Avian Influenza A Virus Infections in Humans

    Science.gov (United States)

    ... their saliva, mucous and feces. Human infections with bird flu viruses can happen when enough virus gets into ... Virus (CVV) for a Highly Pathogenic Avian Influenza (Bird Flu) Virus ” for more information on this process. ...

  4. Diagnosis and Treatment of Influenza in Children

    Directory of Open Access Journals (Sweden)

    M. S. Savenkova

    2016-01-01

    Full Text Available The article presents data on influenza epidemiology, pathogenesis, classification, clinical variants, diagnosis. Given the variety of antiviral drugs, highlighted the most relevant and used in pediatric patients, depending on age and mixed-flow options viral infections.

  5. NNDSS - Table II. Giardiasis to Haemophilus influenza

    Data.gov (United States)

    U.S. Department of Health & Human Services — NNDSS - Table II. Giardiasis to Haemophilus influenza - 2016. In this Table, provisional* cases of selected†notifiable diseases (≥1,000 cases reported during the...

  6. Emerging influenza virus: A global threat

    Indian Academy of Sciences (India)

    M Khanna; P Kumar; K Choudhary; B Kumar; V K Vijayan

    2008-11-01

    Since 1918, influenza virus has been one of the major causes of morbidity and mortality, especially among young children. Though the commonly circulating strain of the virus is not virulent enough to cause mortality, the ability of the virus genome to mutate at a very high rate may lead to the emergence of a highly virulent strain that may become the cause of the next pandemic. Apart from the influenza virus strain circulating in humans (H1N1 and H3N2), the avian influenza H5N1 H7 and H9 virus strains have also been reported to have caused human infections, H5N1 H7 and H9 have shown their ability to cross the species barrier from birds to humans and further replicate in humans. This review addresses the biological and epidemiological aspects of influenza virus and efforts to have a control on the virus globally.

  7. Editorial: Neue Medien und individuelle Leistungsdarstellung: Möglichkeiten und Grenzen von ePortfolios und eAssessments

    Directory of Open Access Journals (Sweden)

    Claudia de Witt

    2010-03-01

    Full Text Available Der Einsatz digitaler Medien in formellen Lernzusammenhängen (Schule, Hochschule, berufliche Bildung etc. bietet neue Möglichkeiten, die Kenntnisse und Kompetenzen Lernender darzustellen bzw. abzubilden. So sollen z.B. Instrumente wie E-Portfolios eine selbstbestimmtere Leistungsdarstellung ermöglichen: Lernende sollen ihren Lernprozess dokumentieren und reflektieren, sich ihrer Verantwortung für ihn bewusst werden und ihn im Idealfall selbst steuern, Lehrende nehmen dabei eine beratende und unterstützende Rolle ein. Allerdings sind die Erwartungen und Ansprüche an E-Portfolios sehr unterschiedlich; sie reichen von standardisierten, formalisierten Qualifikationsdarstellungen für den beruflichen Wettbewerbsmarkt bis hin zu individuellen Kompetenzprofilen. Zwar sind in Lehr-Lern-Arrangements weiterhin quantitative Bewertungen von Leistungen weit verbreitet, doch finden sich zunehmend auch qualitative Anteile z.B. durch den Einsatz von E-Portfolios. Dabei werden diese in bestehende Lehr- und Lernkulturen integriert, die sie gleichzeitig verändern. Die Frage ist auch, was mit E-Portfolios erreicht werden soll: Geht es um eine stärkere Förderung der Selbstlernkompetenz und um die Fähigkeit, sich eigenverantwortlich den Forderungen nach lebensbegleitendem Lernen stellen zu können? Sollen individuelle Stärken und Schwächen transparenter werden, um die eigene Reflexion von Bildungsreife wie auch deren Einschätzung und Bewertung durch Ausbildungspersonal zu erleichtern? Oder geht es um beides? Unter dem Oberbegriff E-Assessment dagegen lassen sich computer- bzw. internetgestützte Prüfungsformen (z.B. E-Klausuren zusammenfassen, die anders als E-Portfolios eine möglicherweise objektivere und vergleichbarere Bewertungsgrundlage für die Identifizierung, Darstellung und Reflexion individueller Leistungen bieten. Zu hinterfragen ist in jedem Fall, welchen Stellenwert Selbstreflexion und Selbststeuerung in immer stärker durchorganisierten

  8. Reverse Genetics Approaches for the Development of Influenza Vaccines

    Directory of Open Access Journals (Sweden)

    Aitor Nogales

    2016-12-01

    Full Text Available Influenza viruses cause annual seasonal epidemics and occasional pandemics of human respiratory disease. Influenza virus infections represent a serious public health and economic problem, which are most effectively prevented through vaccination. However, influenza viruses undergo continual antigenic variation, which requires either the annual reformulation of seasonal influenza vaccines or the rapid generation of vaccines against potential pandemic virus strains. The segmented nature of influenza virus allows for the reassortment between two or more viruses within a co-infected cell, and this characteristic has also been harnessed in the laboratory to generate reassortant viruses for their use as either inactivated or live-attenuated influenza vaccines. With the implementation of plasmid-based reverse genetics techniques, it is now possible to engineer recombinant influenza viruses entirely from full-length complementary DNA copies of the viral genome by transfection of susceptible cells. These reverse genetics systems have provided investigators with novel and powerful approaches to answer important questions about the biology of influenza viruses, including the function of viral proteins, their interaction with cellular host factors and the mechanisms of influenza virus transmission and pathogenesis. In addition, reverse genetics techniques have allowed the generation of recombinant influenza viruses, providing a powerful technology to develop both inactivated and live-attenuated influenza vaccines. In this review, we will summarize the current knowledge of state-of-the-art, plasmid-based, influenza reverse genetics approaches and their implementation to provide rapid, convenient, safe and more effective influenza inactivated or live-attenuated vaccines.

  9. Epidemiology of the 2012 influenza season in Victoria, Australia

    Directory of Open Access Journals (Sweden)

    James Fielding

    2013-08-01

    Full Text Available Objective: To assess the magnitude and severity of the 2012 influenza season in Victoria, Australia using surveillance data from five sources. Methods: Data from influenza notifications, sentinel general practices, a sentinel hospital network, a sentinel locum service and strain typing databases for 2012 were descriptively analysed. Results: Influenza and influenza-like illness activity was moderate compared to previous years, although a considerable increase in notified laboratory-confirmed influenza was observed. Type A influenza comprised between 83% and 87% of cases from the general practitioners, hospitals and notifiable surveillance data. Influenza A/H3 was dominant in July and August, and most tested isolates were antigenically similar to the A/Perth/16/2009 virus used in the vaccine. There was a smaller peak of influenza type B in September. No tested viruses were resistant to any neuraminidase inhibitor antivirals. Higher proportions of type A/H3, hospitalized cases and those with a comorbid condition indicated for influenza vaccination were aged 65 years or older. Influenza vaccination coverage among influenza-like illness patients was 24% in sentinel general practices and 50% in hospitals. Discussion: The 2012 influenza season in Victoria was average compared to previous years, with an increased dominance of A/H3 accompanied by increases in older and hospitalized cases. Differences in magnitude and the epidemiological profile of cases detected by the different data sources demonstrate the importance of using a range of surveillance data to assess the relative severity of influenza seasons.

  10. Reverse Genetics Approaches for the Development of Influenza Vaccines

    Science.gov (United States)

    Nogales, Aitor; Martínez-Sobrido, Luis

    2016-01-01

    Influenza viruses cause annual seasonal epidemics and occasional pandemics of human respiratory disease. Influenza virus infections represent a serious public health and economic problem, which are most effectively prevented through vaccination. However, influenza viruses undergo continual antigenic variation, which requires either the annual reformulation of seasonal influenza vaccines or the rapid generation of vaccines against potential pandemic virus strains. The segmented nature of influenza virus allows for the reassortment between two or more viruses within a co-infected cell, and this characteristic has also been harnessed in the laboratory to generate reassortant viruses for their use as either inactivated or live-attenuated influenza vaccines. With the implementation of plasmid-based reverse genetics techniques, it is now possible to engineer recombinant influenza viruses entirely from full-length complementary DNA copies of the viral genome by transfection of susceptible cells. These reverse genetics systems have provided investigators with novel and powerful approaches to answer important questions about the biology of influenza viruses, including the function of viral proteins, their interaction with cellular host factors and the mechanisms of influenza virus transmission and pathogenesis. In addition, reverse genetics techniques have allowed the generation of recombinant influenza viruses, providing a powerful technology to develop both inactivated and live-attenuated influenza vaccines. In this review, we will summarize the current knowledge of state-of-the-art, plasmid-based, influenza reverse genetics approaches and their implementation to provide rapid, convenient, safe and more effective influenza inactivated or live-attenuated vaccines. PMID:28025504

  11. A computational framework for influenza antigenic cartography.

    Directory of Open Access Journals (Sweden)

    Zhipeng Cai

    Full Text Available Influenza viruses have been responsible for large losses of lives around the world and continue to present a great public health challenge. Antigenic characterization based on hemagglutination inhibition (HI assay is one of the routine procedures for influenza vaccine strain selection. However, HI assay is only a crude experiment reflecting the antigenic correlations among testing antigens (viruses and reference antisera (antibodies. Moreover, antigenic characterization is usually based on more than one HI dataset. The combination of multiple datasets results in an incomplete HI matrix with many unobserved entries. This paper proposes a new computational framework for constructing an influenza antigenic cartography from this incomplete matrix, which we refer to as Matrix Completion-Multidimensional Scaling (MC-MDS. In this approach, we first reconstruct the HI matrices with viruses and antibodies using low-rank matrix completion, and then generate the two-dimensional antigenic cartography using multidimensional scaling. Moreover, for influenza HI tables with herd immunity effect (such as those from Human influenza viruses, we propose a temporal model to reduce the inherent temporal bias of HI tables caused by herd immunity. By applying our method in HI datasets containing H3N2 influenza A viruses isolated from 1968 to 2003, we identified eleven clusters of antigenic variants, representing all major antigenic drift events in these 36 years. Our results showed that both the completed HI matrix and the antigenic cartography obtained via MC-MDS are useful in identifying influenza antigenic variants and thus can be used to facilitate influenza vaccine strain selection. The webserver is available at http://sysbio.cvm.msstate.edu/AntigenMap.

  12. Antiviral Strategies for Pandemic and Seasonal Influenza

    Directory of Open Access Journals (Sweden)

    Fang Fang

    2010-08-01

    Full Text Available While vaccines are the primary public health response to seasonal and pandemic flu, short of a universal vaccine there are inherent limitations to this approach. Antiviral drugs provide valuable alternative options for treatment and prophylaxis of influenza. Here, we will review drugs and drug candidates against influenza with an emphasis on the recent progress of a host-targeting entry-blocker drug candidate, DAS181, a sialidase fusion protein.

  13. Unusual Influenza A Viruses in Bats

    OpenAIRE

    Andrew Mehle

    2014-01-01

    Influenza A viruses infect a remarkably diverse number of hosts. Two completely new influenza A virus subtypes were recently discovered in bats, dramatically expanding the host range of the virus. These bat viruses are extremely divergent from all other known strains and likely have unique replication cycles. Phylogenetic analysis indicates long-term, isolated evolution in bats. This is supported by a high seroprevalence in sampled bat populations. As bats represent ~20% of all classified mam...

  14. Clinical Implications of Antiviral Resistance in Influenza

    OpenAIRE

    Li, Timothy C. M.; Chan, Martin C. W.; Nelson Lee

    2015-01-01

    Influenza is a major cause of severe respiratory infections leading to excessive hospitalizations and deaths globally; annual epidemics, pandemics, and sporadic/endemic avian virus infections occur as a result of rapid, continuous evolution of influenza viruses. Emergence of antiviral resistance is of great clinical and public health concern. Currently available antiviral treatments include four neuraminidase inhibitors (oseltamivir, zanamivir, peramivir, laninamivir), M2-inibitors (amantadin...

  15. Influenza Seasonal Summary, 2014-2015 Season

    Science.gov (United States)

    2015-08-14

    categorized into influenza types, two of which (Type A and Type B) routinely spread among humans and result in seasonal influenza each year. An...diseases Diseases of the nervous system and sense organs Menta l disorders Inj ury and poisoning Compli cations of pregnancy, childbirth , and the...forming organs Injury and poisoning Diseases of the digestive system Menta l disorders Compli cations of pregnancy, childbirth , and the puerperium

  16. Influenza vaccination coverage among Spanish children, 2006.

    Science.gov (United States)

    Lopez-de-Andres, Ana; Hernández-Barrera, Valentín; Carrasco-Garrido, Pilar; Gil-de-Miguel, Angel; Jiménez-García, Rodrigo

    2009-07-01

    Traditionally, influenza is not considered to be a serious disease in healthy children. However, for vulnerable populations, such as young children and those with chronic medical conditions, influenza can lead to serious complications and even death. This study aimed to assess vaccination coverage among Spanish children under 16 years of age in 2006, and to describe the factors associated with vaccination. Cross-sectional survey. In total, 8851 records of children included in the Spanish National Health Survey for 2006 were analysed. The reply ('yes' or 'no') to the question: 'Did you have a flu shot in the latest campaign?' was used as a dependent variable. Influenza vaccine coverage was calculated as the percentage of individuals aged 6 months to 16 years whose parents reported that they had been vaccinated against influenza in the most recent campaign. The influence of sociodemographic variables on vaccination and the presence of associated chronic diseases (asthma and/or diabetes) were also analysed. Vaccination coverage among Spanish children in 2006 was 6.82%: 19.43% in children with associated conditions (asthma and/or diabetes), and 5.81% in healthy children. The only factor significantly associated with influenza vaccination in children with associated conditions was household income; children with a lower household monthly income were more likely to have been vaccinated against influenza than children with a higher household monthly income (odds ratio 1.96). In children for whom vaccination is not indicated, the probability of being vaccinated against influenza was greater in those whose parents were not university graduates. Influenza vaccination coverage in Spanish children is low. Socio-economic inequalities continue to be a factor at the time of vaccination.

  17. Influenza forecasting with Google Flu Trends.

    Directory of Open Access Journals (Sweden)

    Andrea Freyer Dugas

    Full Text Available BACKGROUND: We developed a practical influenza forecast model based on real-time, geographically focused, and easy to access data, designed to provide individual medical centers with advanced warning of the expected number of influenza cases, thus allowing for sufficient time to implement interventions. Secondly, we evaluated the effects of incorporating a real-time influenza surveillance system, Google Flu Trends, and meteorological and temporal information on forecast accuracy. METHODS: Forecast models designed to predict one week in advance were developed from weekly counts of confirmed influenza cases over seven seasons (2004-2011 divided into seven training and out-of-sample verification sets. Forecasting procedures using classical Box-Jenkins, generalized linear models (GLM, and generalized linear autoregressive moving average (GARMA methods were employed to develop the final model and assess the relative contribution of external variables such as, Google Flu Trends, meteorological data, and temporal information. RESULTS: A GARMA(3,0 forecast model with Negative Binomial distribution integrating Google Flu Trends information provided the most accurate influenza case predictions. The model, on the average, predicts weekly influenza cases during 7 out-of-sample outbreaks within 7 cases for 83% of estimates. Google Flu Trend data was the only source of external information to provide statistically significant forecast improvements over the base model in four of the seven out-of-sample verification sets. Overall, the p-value of adding this external information to the model is 0.0005. The other exogenous variables did not yield a statistically significant improvement in any of the verification sets. CONCLUSIONS: Integer-valued autoregression of influenza cases provides a strong base forecast model, which is enhanced by the addition of Google Flu Trends confirming the predictive capabilities of search query based syndromic surveillance. This

  18. Reassortment patterns in Swine influenza viruses.

    Directory of Open Access Journals (Sweden)

    Hossein Khiabanian

    Full Text Available Three human influenza pandemics occurred in the twentieth century, in 1918, 1957, and 1968. Influenza pandemic strains are the results of emerging viruses from non-human reservoirs to which humans have little or no immunity. At least two of these pandemic strains, in 1957 and in 1968, were the results of reassortments between human and avian viruses. Also, many cases of swine influenza viruses have reportedly infected humans, in particular, the recent H1N1 influenza virus of swine origin, isolated in Mexico and the United States. Pigs are documented to allow productive replication of human, avian, and swine influenza viruses. Thus it has been conjectured that pigs are the "mixing vessel" that create the avian-human reassortant strains, causing the human pandemics. Hence, studying the process and patterns of viral reassortment, especially in pigs, is a key to better understanding of human influenza pandemics. In the last few years, databases containing sequences of influenza A viruses, including swine viruses, collected since 1918 from diverse geographical locations, have been developed and made publicly available. In this paper, we study an ensemble of swine influenza viruses to analyze the reassortment phenomena through several statistical techniques. The reassortment patterns in swine viruses prove to be similar to the previous results found in human viruses, both in vitro and in vivo, that the surface glycoprotein coding segments reassort most often. Moreover, we find that one of the polymerase segments (PB1, reassorted in the strains responsible for the last two human pandemics, also reassorts frequently.

  19. A computational framework for influenza antigenic cartography.

    Science.gov (United States)

    Cai, Zhipeng; Zhang, Tong; Wan, Xiu-Feng

    2010-10-07

    Influenza viruses have been responsible for large losses of lives around the world and continue to present a great public health challenge. Antigenic characterization based on hemagglutination inhibition (HI) assay is one of the routine procedures for influenza vaccine strain selection. However, HI assay is only a crude experiment reflecting the antigenic correlations among testing antigens (viruses) and reference antisera (antibodies). Moreover, antigenic characterization is usually based on more than one HI dataset. The combination of multiple datasets results in an incomplete HI matrix with many unobserved entries. This paper proposes a new computational framework for constructing an influenza antigenic cartography from this incomplete matrix, which we refer to as Matrix Completion-Multidimensional Scaling (MC-MDS). In this approach, we first reconstruct the HI matrices with viruses and antibodies using low-rank matrix completion, and then generate the two-dimensional antigenic cartography using multidimensional scaling. Moreover, for influenza HI tables with herd immunity effect (such as those from Human influenza viruses), we propose a temporal model to reduce the inherent temporal bias of HI tables caused by herd immunity. By applying our method in HI datasets containing H3N2 influenza A viruses isolated from 1968 to 2003, we identified eleven clusters of antigenic variants, representing all major antigenic drift events in these 36 years. Our results showed that both the completed HI matrix and the antigenic cartography obtained via MC-MDS are useful in identifying influenza antigenic variants and thus can be used to facilitate influenza vaccine strain selection. The webserver is available at http://sysbio.cvm.msstate.edu/AntigenMap.

  20. siRNA for Influenza Therapy

    Science.gov (United States)

    Barik, Sailen

    2010-01-01

    Influenza virus is one of the most prevalent and ancient infections in humans. About a fifth of world’s population is infected by influenza virus annually, leading to high morbidity and mortality, particularly in infants, the elderly and the immunocompromised. In the US alone, influenza outbreaks lead to roughly 30,000 deaths each year. Current vaccines and anti-influenza drugs are of limited use due to high mutation rate of the virus and side effects. In recent years, RNA interference, triggered by synthetic short interfering RNA (siRNA), has rapidly evolved as a potent antiviral regimen. Properly designed siRNAs have been shown to function as potent inhibitors of influenza virus replication. The siRNAs outperform traditional small molecule antivirals in a number of areas, such as ease of design, modest cost, and fast turnaround. Although specificity and tissue delivery remain major bottlenecks in the clinical applications of RNAi in general, intranasal application of siRNA against respiratory viruses including, but not limited to influenza virus, has experienced significant success and optimism, which is reviewed here. PMID:21994689

  1. siRNA for Influenza Therapy

    Directory of Open Access Journals (Sweden)

    Sailen Barik

    2010-07-01

    Full Text Available Influenza virus is one of the most prevalent and ancient infections in humans. About a fifth of world's population is infected by influenza virus annually, leading to high morbidity and mortality, particularly in infants, the elderly and the immunocompromised. In the US alone, influenza outbreaks lead to roughly 30,000 deaths each year. Current vaccines and anti-influenza drugs are of limited use due to high mutation rate of the virus and side effects. In recent years, RNA interference, triggered by synthetic short interfering RNA (siRNA, has rapidly evolved as a potent antiviral regimen. Properly designed siRNAs have been shown to function as potent inhibitors of influenza virus replication. The siRNAs outperform traditional small molecule antivirals in a number of areas, such as ease of design, modest cost, and fast turnaround. Although specificity and tissue delivery remain major bottlenecks in the clinical applications of RNAi in general, intranasal application of siRNA against respiratory viruses including, but not limited to influenza virus, has experienced significant success and optimism, which is reviewed here.

  2. Global influenza surveillance with Laplacian multidimensional scaling

    Institute of Scientific and Technical Information of China (English)

    Xi-chuan ZHOU; Fang TANG; Qin LI; Sheng-dong HU; Guo-jun LI; Yun-jian JIA; Xin-ke LI; Yu-jie FENG

    2016-01-01

    The Global Influenza Surveillance Network is crucial for monitoring epidemic risk in participating countries. However, at present, the network has notable gaps in the developing world, principally in Africa and Asia where laboratory capabilities are limited. Moreover, for the last few years, various influenza viruses have been continuously emerging in the resource-limited countries, making these surveillance gaps a more imminent challenge. We present a spatial-transmission model to estimate epidemic risks in the countries where only partial or even no surveillance data are available. Motivated by the observation that countries in the same influenza transmission zone divided by the World Health Organization had similar transmission patterns, we propose to estimate the influenza epidemic risk of an unmonitored country by incorporating the surveillance data reported by countries of the same transmission zone. Experiments show that the risk estimates are highly correlated with the actual influenza morbidity trends for African and Asian countries. The proposed method may provide the much-needed capability to detect, assess, and notify potential influenza epidemics to the developing world.

  3. Innate immune sensing and response to influenza.

    Science.gov (United States)

    Pulendran, Bali; Maddur, Mohan S

    2015-01-01

    Influenza viruses pose a substantial threat to human and animal health worldwide. Recent studies in mouse models have revealed an indispensable role for the innate immune system in defense against influenza virus. Recognition of the virus by innate immune receptors in a multitude of cell types activates intricate signaling networks, functioning to restrict viral replication. Downstream effector mechanisms include activation of innate immune cells and, induction and regulation of adaptive immunity. However, uncontrolled innate responses are associated with exaggerated disease, especially in pandemic influenza virus infection. Despite advances in the understanding of innate response to influenza in the mouse model, there is a large knowledge gap in humans, particularly in immunocompromised groups such as infants and the elderly. We propose here, the need for further studies in humans to decipher the role of innate immunity to influenza virus, particularly at the site of infection. These studies will complement the existing work in mice and facilitate the quest to design improved vaccines and therapeutic strategies against influenza.

  4. Pandemic vaccination strategies and influenza severe outcomes during the influenza A(H1N1)pdm09 pandemic and the post-pandemic influenza season

    DEFF Research Database (Denmark)

    Gil Cuesta, Julita; Aavitsland, Preben; Englund, Hélène

    2016-01-01

    During the 2009/10 influenza A(H1N1)pdm09 pandemic, the five Nordic countries adopted different approaches to pandemic vaccination. We compared pandemic vaccination strategies and severe influenza outcomes, in seasons 2009/10 and 2010/11 in these countries with similar influenza surveillance...... and experienced less A(H1N1)pdm09-related severe outcomes in 2010/11. Pandemic vaccination may have had an impact on severe influenza outcomes in the post-pandemic season. Surveillance of severe outcomes may be used to compare the impact of influenza between seasons and support different vaccination strategies....

  5. Annually repeated influenza vaccination improves humoral responses to several influenza virus strains in healthy elderly

    NARCIS (Netherlands)

    I.A. de Bruijn (Iris); E.J. Remarque (Edmond); W.E.Ph. Beyer (Walter); S. le Cessie (Saskia); N. Masurel (Nic); G.L. Ligthart (Gerard)

    1997-01-01

    textabstractThe benefit of annually repeated influenza vaccination on antibody formation is still under debate. In this study the effect of annually repeated influenza vaccination on haemagglutination inhibiting (HI) antibody formation in the elderly is investigated. Between 1990 and 1993 healthy yo

  6. Seasonal trivalent inactivated influenza vaccine protects against 1918 Spanish influenza virus in ferrets

    Science.gov (United States)

    The influenza H1N1 pandemic of 1918 was one of the worst medical disasters in human history. Recent studies have demonstrated that the hemagglutinin (HA) protein of the 1918 virus and 2009 H1N1 pandemic virus, the latter now a component of the seasonal trivalent inactivated influenza vaccine (TIV),...

  7. Avian influenza virus RNA in groundwater wells supplying poultry farms affected by the 2015 influenza outbreak

    Science.gov (United States)

    Three poultry farms affected by the 2015 influenza outbreak had groundwater supplies test positive for the influenza matrix gene. One well was H5-positive, matching the outbreak virus HA gene. Virus transport to underlying aquifers was corroborated by finding poultry-specific parvovirus DNA in seven...

  8. A nosocomial outbreak of influenza during a period without influenza epidemic activity.

    Science.gov (United States)

    Horcajada, J P; Pumarola, T; Martínez, J A; Tapias, G; Bayas, J M; de la Prada, M; García, F; Codina, C; Gatell, J M; Jiménez de Anta, M T

    2003-02-01

    The objective of this study was to describe a nosocomial outbreak of influenza during a period without influenza epidemic activity in the community. Outbreak investigation was carried out in an infectious diseases ward of a tertiary hospital. Presence of two or more of the following symptoms were used to define influenza: cough, sore throat, myalgia and fever. Epidemiological survey, direct immunofluorescence, viral culture, polymerase chain reaction, haemagglutination-inhibition test in throat swabs and serology for respiratory viruses were performed. Twenty-nine of 57 healthcare workers (HCW) (51%) and eight of 23 hospitalised patients (34%) fulfilled the case definition. Sixteen HCW (55%) and three inpatients (37%) had a definitive diagnosis of influenza A virus infection (subtype H1N1). Among the symptomatic HCW, 93% had not been vaccinated against influenza that season. Affected inpatients were isolated and admissions in the ward were cancelled for 2 weeks. Symptomatic HCW were sent home for 1 week. On the seventeenth day of the outbreak the last case was declared. The incidence of cases in this outbreak of influenza, which occurred during a period without influenza epidemic activity in the community, was notably high. Epidemiological data suggest transmission from healthcare workers to inpatients. Most healthcare workers were not vaccinated against influenza. Vaccination programmes should be reinforced among healthcare workers.

  9. Emerging influenza viruses and the prospect of a universal influenza virus vaccine.

    Science.gov (United States)

    Krammer, Florian

    2015-05-01

    Influenza viruses cause annual seasonal epidemics and pandemics at irregular intervals. Several cases of human infections with avian and swine influenza viruses have been detected recently, warranting enhanced surveillance and the development of more effective countermeasures to address the pandemic potential of these viruses. The most effective countermeasure against influenza virus infection is the use of prophylactic vaccines. However, vaccines that are currently in use for seasonal influenza viruses have to be re-formulated and re-administered in a cumbersome process every year due to the antigenic drift of the virus. Furthermore, current seasonal vaccines are ineffective against novel pandemic strains. This paper reviews zoonotic influenza viruses with pandemic potential and technological advances towards better vaccines that induce broad and long lasting protection from influenza virus infection. Recent efforts have focused on the development of broadly protective/universal influenza virus vaccines that can provide immunity against drifted seasonal influenza virus strains but also against potential pandemic viruses. Copyright © 2015 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  10. Influenza research database: an integrated bioinformatics resource for influenza virus research

    Science.gov (United States)

    The Influenza Research Database (IRD) is a U.S. National Institute of Allergy and Infectious Diseases (NIAID)-sponsored Bioinformatics Resource Center dedicated to providing bioinformatics support for influenza virus research. IRD facilitates the research and development of vaccines, diagnostics, an...

  11. Association between hospitalization with community acquired laboratory-confirmed influenza pneumonia and prior receipt of influenza vaccination

    Science.gov (United States)

    Grijalva, Carlos G.; Zhu, Yuwei; Williams, Derek J.; Self, Wesley H.; Ampofo, Krow; Pavia, Andrew T.; Stockmann, Chris R.; McCullers, Jonathan; Arnold, Sandra R.; Wunderink, Richard G.; Anderson, Evan J.; Lindstrom, Stephen; Fry, Alicia M.; Foppa, Ivo M.; Finelli, Lyn; Bramley, Anna M.; Jain, Seema; Griffin, Marie R.; Edwards, Kathryn M.

    2015-01-01

    Importance Few studies have evaluated the relationship between influenza vaccination and pneumonia, a serious complication of influenza infection. Objective Assess the association between influenza vaccination status and hospitalization for community-acquired laboratory-confirmed influenza pneumonia. Design, Setting and Participants The Etiology of Pneumonia in the Community (EPIC) study was a prospective observational multicenter study of hospitalizations for community-acquired pneumonia conducted from January 2010 through June 2012 in four US sites. We used EPIC study data from patients ≥6 months of age with laboratory-confirmed influenza infection and verified vaccination status during the influenza seasons, and excluded patients with recent hospitalization, from chronic care residential facilities, and with severe immunosuppression. Logistic regression was used to calculate odds ratios, comparing the odds of vaccination between influenza-positive (cases) and influenza-negative (controls) pneumonia patients, controlling for demographics, co-morbidities, season, study site and timing of disease onset. Vaccine effectiveness was estimated as (1-odds ratio) × 100%. Exposure Influenza vaccination, verified through record review. Outcome Influenza pneumonia, confirmed by real-time reverse transcription-polymerase chain reaction performed on nasal/oropharyngeal swabs. Results Overall, 2767 patients hospitalized for pneumonia were eligible for the study; 162 (5.9%) were influenza positive. Twenty-eight (17%) of 162 cases with influenza-associated pneumonia and 766 (29%) of 2605 controls with influenza-negative pneumonia had been vaccinated. The adjusted odds ratio of prior influenza vaccination between cases and controls was 0.43 (95% CI 0.28–0.68 [estimated vaccine effectiveness 56.7% (95% CI 31.9–72.5)]). Conclusions and relevance Among children and adults hospitalized with community-acquired pneumonia, those with laboratory confirmed influenza

  12. Association Between Hospitalization With Community-Acquired Laboratory-Confirmed Influenza Pneumonia and Prior Receipt of Influenza Vaccination.

    Science.gov (United States)

    Grijalva, Carlos G; Zhu, Yuwei; Williams, Derek J; Self, Wesley H; Ampofo, Krow; Pavia, Andrew T; Stockmann, Chris R; McCullers, Jonathan; Arnold, Sandra R; Wunderink, Richard G; Anderson, Evan J; Lindstrom, Stephen; Fry, Alicia M; Foppa, Ivo M; Finelli, Lyn; Bramley, Anna M; Jain, Seema; Griffin, Marie R; Edwards, Kathryn M

    2015-10-13

    Few studies have evaluated the relationship between influenza vaccination and pneumonia, a serious complication of influenza infection. To assess the association between influenza vaccination status and hospitalization for community-acquired laboratory-confirmed influenza pneumonia. The Etiology of Pneumonia in the Community (EPIC) study was a prospective observational multicenter study of hospitalizations for community-acquired pneumonia conducted from January 2010 through June 2012 at 4 US sites. In this case-control study, we used EPIC data from patients 6 months or older with laboratory-confirmed influenza infection and verified vaccination status during the influenza seasons and excluded patients with recent hospitalization, from chronic care residential facilities, and with severe immunosuppression. Logistic regression was used to calculate odds ratios, comparing the odds of vaccination between influenza-positive (case) and influenza-negative (control) patients with pneumonia, controlling for demographics, comorbidities, season, study site, and timing of disease onset. Vaccine effectiveness was estimated as (1 - adjusted odds ratio) × 100%. Influenza vaccination, verified through record review. Influenza pneumonia, confirmed by real-time reverse-transcription polymerase chain reaction performed on nasal/oropharyngeal swabs. Overall, 2767 patients hospitalized for pneumonia were eligible for the study; 162 (5.9%) had laboratory-confirmed influenza. Twenty-eight of 162 cases (17%) with influenza-associated pneumonia and 766 of 2605 controls (29%) with influenza-negative pneumonia had been vaccinated. The adjusted odds ratio of prior influenza vaccination between cases and controls was 0.43 (95% CI, 0.28-0.68; estimated vaccine effectiveness, 56.7%; 95% CI, 31.9%-72.5%). Among children and adults hospitalized with community-acquired pneumonia, those with laboratory-confirmed influenza-associated pneumonia, compared with those with pneumonia not

  13. Sialic acid content in human saliva and anti-influenza activity against human and avian influenza viruses.

    Science.gov (United States)

    Limsuwat, Nattavatchara; Suptawiwat, Ornpreya; Boonarkart, Chompunuch; Puthavathana, Pilaipan; Wiriyarat, Witthawat; Auewarakul, Prasert

    2016-03-01

    It was shown previously that human saliva has higher antiviral activity against human influenza viruses than against H5N1 highly pathogenic avian influenza viruses, and that the major anti-influenza activity was associated with sialic-acid-containing molecules. To further characterize the differential susceptibility to saliva among influenza viruses, seasonal influenza A and B virus, pandemic H1N1 virus, and 15 subtypes of avian influenza virus were tested for their susceptibility to human and chicken saliva. Human saliva showed higher hemagglutination inhibition (HI) and neutralization (NT) titers against seasonal influenza A virus and the pandemic H1N1 viruses than against influenza B virus and most avian influenza viruses, except for H9N2 and H12N9 avian influenza viruses, which showed high HI and NT titers. To understand the nature of sialic-acid-containing anti-influenza factors in human saliva, α2,3- and α2,6-linked sialic acid was measured in human saliva samples using a lectin binding and dot blot assay. α2,6-linked sialic acid was found to be more abundant than α2,3-linked sialic acid, and a seasonal H1N1 influenza virus bound more efficiently to human saliva than an H5N1 virus in a dot blot analysis. These data indicated that human saliva contains the sialic acid type corresponding to the binding preference of seasonal influenza viruses.

  14. The Influenza NS1 Protein: What Do We Know in Equine Influenza Virus Pathogenesis?

    Directory of Open Access Journals (Sweden)

    Marta Barba

    2016-08-01

    Full Text Available Equine influenza virus remains a serious health and potential economic problem throughout most parts of the world, despite intensive vaccination programs in some horse populations. The influenza non-structural protein 1 (NS1 has multiple functions involved in the regulation of several cellular and viral processes during influenza infection. We review the strategies that NS1 uses to facilitate virus replication and inhibit antiviral responses in the host, including sequestering of double-stranded RNA, direct modulation of protein kinase R activity and inhibition of transcription and translation of host antiviral response genes such as type I interferon. Details are provided regarding what it is known about NS1 in equine influenza, especially concerning C-terminal truncation. Further research is needed to determine the role of NS1 in equine influenza infection, which will help to understand the pathophysiology of complicated cases related to cytokine imbalance and secondary bacterial infection, and to investigate new therapeutic and vaccination strategies.

  15. DIESEL EXHAUST ENHANCES INFLUENZA VIRUS INFECTIONS IN RESPIRATORY EPITHELIAL CELLS

    Science.gov (United States)

    Several factors, such as age and nutritional status can affect the susceptibility to influenza infections. Moreover, exposure to air pollutants, such as diesel exhaust (DE), has been shown to affect respiratory virus infections in rodent models. Influenza virus primarily infects ...

  16. Cross talk between animal and human influenza viruses.

    Science.gov (United States)

    Ozawa, Makoto; Kawaoka, Yoshihiro

    2013-01-01

    Although outbreaks of highly pathogenic avian influenza in wild and domestic birds have been posing the threat of a new influenza pandemic for the past decade, the first pandemic of the twenty-first century came from swine viruses. This fact emphasizes the complexity of influenza viral ecology and the difficulty of predicting influenza viral dynamics. Complete control of influenza viruses seems impossible. However, we must minimize the impact of animal and human influenza outbreaks by learning lessons from past experiences and recognizing the current status. Here, we review the most recent influenza virology data in the veterinary field, including aspects of zoonotic agents and recent studies that assess the pandemic potential of H5N1 highly pathogenic avian influenza viruses.

  17. Haemophilus influenzae Disease (Including Hib) Diagnosis and Treatment

    Science.gov (United States)

    ... Search The CDC Cancel Submit Search The CDC Haemophilus influenzae Disease (Including Hib) Note: Javascript is disabled or ... Compartir On this Page Diagnosis Treatment Complications Diagnosis Haemophilus influenzae , including Hib, disease is usually diagnosed with one ...

  18. The burden of influenza B: a structured literature review.

    Science.gov (United States)

    Paul Glezen, W; Schmier, Jordana K; Kuehn, Carrie M; Ryan, Kellie J; Oxford, John

    2013-03-01

    We reviewed the epidemiology, clinical characteristics, disease severity, and economic burden of influenza B as reported in the peer-reviewed published literature. We used MEDLINE to perform a systematic literature review of peer-reviewed, English-language literature published between 1995 and 2010. Widely variable frequency data were reported. Clinical presentation of influenza B was similar to that of influenza A, although we observed conflicting reports. Influenza B-specific data on hospitalization rates, length of stay, and economic outcomes were limited but demonstrated that the burden of influenza B can be significant. The medical literature demonstrates that influenza B can pose a significant burden to the global population. The comprehensiveness and quality of reporting on influenza B, however, could be substantially improved. Few articles described complications. Additional data regarding the incidence, clinical burden, and economic impact of influenza B would augment our understanding of the disease and assist in vaccine development.

  19. Influenza A (H3N2) Variant Virus

    Science.gov (United States)

    ... Error processing SSI file Influenza A (H3N2) Variant Virus Language: English Español Recommend on Facebook Tweet Share Compartir Influenza viruses that normally circulate in pigs are called “ ...

  20. On the epidemiology of influenza: reply to Radonovich et al

    Directory of Open Access Journals (Sweden)

    Scragg Robert

    2009-08-01

    Full Text Available Abstract On the epidemiology of influenza: reply to Radonovich LJ, Martinello RA, Hodgson M, Milton DK, Nardell EA. Influenza and ultraviolet germicidal irradiation. Virol J. 2008, 5:149

  1. Influenza Virus and Glycemic Variability in Diabetes: A Killer Combination?

    Directory of Open Access Journals (Sweden)

    Katina D. Hulme

    2017-05-01

    Full Text Available Following the 2009 H1N1 influenza virus pandemic, numerous studies identified the striking link between diabetes mellitus and influenza disease severity. Typically, influenza virus is a self-limiting infection but in individuals who have a pre-existing chronic illness, such as diabetes mellitus, severe influenza can develop. Here, we discuss the latest clinical and experimental evidence for the role of diabetes in predisposing the host to severe influenza. We explore the possible mechanisms that underlie this synergy and highlight the, as yet, unexplored role that blood glucose oscillations may play in disease development. Diabetes is one of the world’s fastest growing chronic diseases and influenza virus represents a constant and pervasive threat to human health. It is therefore imperative that we understand how diabetes increases influenza severity in order to mitigate the burden of future influenza epidemics and pandemics.

  2. DIESEL EXHAUST ENHANCES INFLUENZA VIRUS INFECTIONS IN RESPIRATORY EPITHELIAL CELLS

    Science.gov (United States)

    Several factors, such as age and nutritional status can affect the susceptibility to influenza infections. Moreover, exposure to air pollutants, such as diesel exhaust (DE), has been shown to affect respiratory virus infections in rodent models. Influenza virus primarily infects ...

  3. Autocatalytic activation of influenza hemagglutinin.

    Science.gov (United States)

    Lee, Jeong H; Goulian, Mark; Boder, Eric T

    2006-12-01

    Enveloped viruses contain surface proteins that mediate fusion between the viral and target cell membranes following an activating stimulus. Acidic pH induces the influenza virus fusion protein hemagglutinin (HA) via irreversible refolding of a trimeric conformational state leading to exposure of hydrophobic fusion peptides on each trimer subunit. Herein, we show that cells expressing fowl plague virus HA demonstrate discrete switching behavior with respect to the HA conformational change. Partially activated states do not exist at the scale of the cell, activation of HA leads to aggregation of cell surface trimers, and newly synthesized HA refold spontaneously in the presence of previously activated HA. These observations imply a feedback mechanism involving self-catalyzed refolding of HA and thus suggest a mechanism similar to the autocatalytic refolding and aggregation of prions.

  4. Development of fricriveting as a new joining technique for polymer and lightweight alloys; Entwicklung des Reibnietens als neues Fuegeverfahren fuer Kunststoff und Leichtbaulegierungen

    Energy Technology Data Exchange (ETDEWEB)

    Amancio-Filho, S.T.; Santos, J.F. dos [GKSS Forschungszentrum GmbH, Institut fuer Werkstoffforschung, Werkstoffmechanik, Geesthacht (Germany)

    2008-11-15

    technical and scientific results. From this work it can be suggested that FricRiveting has the potential to be established as a reliable, simple, cost effective and environmental friendly joining technique for polymer-metal components. (Abstract Copyright [2008], Wiley Periodicals, Inc.) [German] Die steigenden Forderungen nach Umweltvertraeglichkeit, Kosteneinsparung, und hochleistungsfaehigen Endprodukten hat Wissenschaftler und Ingenieure veranlasst neue Materialien und Technologien zu entwickeln. Daraus resultierten beispielsweise die Polymer-Metall Hybridstrukturen. Diese werden insbesondere in Transport- und moderner Bauindustrie angewandt. Geeignete herkoemmliche Fuegeverfahren dafuer (Kleben und mechanische Fuegeverfahren) sind ueblicherweise entweder teuer, weisen limitierte Festigkeit und Anwendbarkeit auf oder sind nicht umweltfreundlich. Die im Rahmen dieser Arbeit behandelte neue Reibnieten (''FricRiveting'') Methode fuer Polymer-Metall Mischverbindungen wurde hierfuer als alternative, zuverlaessige, umweltfreundliche, und potenziell kostenguenstige Punktverbindungstechnik entwickelt, beschrieben und nachgewiesen. In der einfachsten Variante des Reibnietens dringt eine in Rotation versetzte zylinderfoermige metallische Niete in die Oberflaeche eines oder mehrerer Kunststoff-Grundwerkstoffe ein. Aufgrund der hohen Rotation bzw. des hohen Axialdruckes wird Reibungswaerme erzeugt. Mit Erreichen einer vorprogrammierten Zeit erhoeht sich die Prozesstemperatur signifikant. Dadurch wird die Spitze der Niete plastifiziert; in diesem Moment wird die Rotation verzoegert und der Axialdruck in die Fuegepartner erhoeht. Als Folge verformt sich die Nietenpitze entsprechend des Druckverhaeltnisses. Nach der Abkuehlungsphase wird die verformte Nietspitze formschluessig im Kunststoff verankert. Die in dieser Arbeit vorgeschlagenen Theorien, und Mechanismen wurden bei Verbindungen von Polyetherimid (PEI) und Aluminium 2024-T351 (Al-Cu-Mg Legierung

  5. 75 FR 2049 - National Influenza Vaccination Week, 2010

    Science.gov (United States)

    2010-01-13

    ... Proclamation 8472--National Influenza Vaccination Week, 2010 #0; #0; #0; Presidential Documents #0; #0; #0;#0...;Title 3-- #0;The President ] Proclamation 8472 of January 8, 2010 National Influenza Vaccination Week... that influenza vaccination is the best way to protect ourselves against the flu, and my...

  6. 75 FR 77517 - National Influenza Vaccination Week, 2010

    Science.gov (United States)

    2010-12-10

    ... Proclamation 8615--National Influenza Vaccination Week, 2010 #0; #0; #0; Presidential Documents #0; #0; #0;#0...;Title 3-- #0;The President ] Proclamation 8615 of December 7, 2010 National Influenza Vaccination Week... complications take American lives each year. During National Influenza Vaccination Week, we remind all...

  7. Bestrijding van aviaire influenza onder pluimvee: vaccinatie als aanvullende mogelijkheid

    NARCIS (Netherlands)

    Aarle, P van; Breytenbach, J; Schueller, S

    2006-01-01

    Since mid-December 2003, highly pathogenic avian influenza (HPAI) has caused an epidemic in the Asian poultry sector and avian influenza cases have been reported in Europe, the Middle East and Africa. Human fatalities catapulted avian influenza into the public arena with fears of a possible global i

  8. Considerable progress in European preparations for a potential influenza pandemic.

    NARCIS (Netherlands)

    Paget, J.

    2005-01-01

    The threat of an influenza pandemic has been heightened in the past two years by outbreaks of avian influenza concentrated in South East Asia which have resulted in human deaths. So far, the avian influenza virus seems difficult to transmit from human to human, but changes in the virus genome may we

  9. Development of stable influenza vaccine powder formulations: challenges and possibilities.

    Science.gov (United States)

    Amorij, J-P; Huckriede, A; Wilschut, J; Frijlink, H W; Hinrichs, W L J

    2008-06-01

    Influenza vaccination represents the cornerstone of influenza prevention. However, today all influenza vaccines are formulated as liquids that are unstable at ambient temperatures and have to be stored and distributed under refrigeration. In order to stabilize influenza vaccines, they can be brought into the dry state using suitable excipients, stabilizers and drying processes. The resulting stable influenza vaccine powder is independent of cold-chain facilities. This can be attractive for the integration of the vaccine logistics with general drug distribution in Western as well as developing countries. In addition, a stockpile of stable vaccine formulations of potential vaccines against pandemic viruses can provide an immediate availability and simple distribution of vaccine in a pandemic outbreak. Finally, in the development of new needle-free dosage forms, dry and stable influenza vaccine powder formulations can facilitate new or improved targeting strategies for the vaccine compound. This review represents the current status of dry stable inactivated influenza vaccine development. Attention is given to the different influenza vaccine types (i.e. whole inactivated virus, split, subunit or virosomal vaccine), the rationale and need for stabilized influenza vaccines, drying methods by which influenza vaccines can be stabilized (i.e. lyophilization, spray drying, spray-freeze drying, vacuum drying or supercritical fluid drying), the current status of dry influenza vaccine development and the challenges for ultimate market introduction of a stable and effective dry-powder influenza vaccine.

  10. KINETIC PROFILE OF INFLUENZA VIRUS INFECTION IN THREE RAT STRAINS

    Science.gov (United States)

    AbstractInfluenza infection is a respiratory disease of viral origin that can cause major epidemics in man. The influenza virus infects and damages epithelial cells of the respiratory tract and causes pneumonia. Lung lesions of mice infected with influenza virus resembl...

  11. Influenza virus resistance to oseltamivir: what are the implications?

    NARCIS (Netherlands)

    Fleming, D.M.; Elliot, A.J.; Meijer, A.; Paget, W.J.

    2009-01-01

    Influenza caused by an oseltamivir-resistant influenza A(H1N1) virus was widespread across Europe during the 2007–08 winter. About 25% of A(H1N1) viruses tested in the European Influenza Surveillance Scheme (EISS) were resistant with an H274Y mutation in the neuraminidase glycoprotein. Early indicat

  12. Abbreviated Pandemic Influenza Planning Template for Primary Care Offices

    Energy Technology Data Exchange (ETDEWEB)

    HCTT CHE

    2010-01-01

    The Abbreviated Pandemic Influenza Plan Template for Primary Care Provider Offices is intended to assist primary care providers and office managers with preparing their offices for quickly putting a plan in place to handle an increase in patient calls and visits, whether during the 2009-2010 influenza season or future influenza seasons.

  13. H7N9 influenza and its impact on pregnancy

    Directory of Open Access Journals (Sweden)

    Viroj Wiwanitkit

    2014-03-01

    Full Text Available This short article specifically focuses on the new emerging H7N9 influenza which has just been observed since early 2013. As a new disease, it is lack for the knowledge on the new H7N9 influenza. Here, the author will discuss on the impact of emerging H7N9 influenza on pregnancy.

  14. H7N9 influenza and its impact on pregnancy

    Institute of Scientific and Technical Information of China (English)

    Viroj Wiwanitkit[

    2014-01-01

    This short article specifically focuses on the new emergingH7N9 influenza which has just been observed since early2013.As a new disease, it is lack for the knowledge on the newH7N9 influenza.Here, the author will discuss on the impact of emergingH7N9 influenza on pregnancy.

  15. H7N9 influenza and its impact on pregnancy

    OpenAIRE

    Viroj Wiwanitkit

    2014-01-01

    This short article specifically focuses on the new emerging H7N9 influenza which has just been observed since early 2013. As a new disease, it is lack for the knowledge on the new H7N9 influenza. Here, the author will discuss on the impact of emerging H7N9 influenza on pregnancy.

  16. Clinical effectiveness of conventional influenza vaccination in asthmatic children

    NARCIS (Netherlands)

    Smits, A J; Hak, E; Stalman, W A B; van Essen, G A; Hoes, A W; Verheij, Th J M

    2002-01-01

    Influenza immunization rates among young asthmatics remain unsatisfactory due to persistent concern about the impact of influenza and the benefits of the vaccine. We assessed the effectiveness of the conventional inactivated trivalent sub-unit influenza vaccine in reducing acute respiratory disease

  17. Reducing inappropriate antibiotic use among children with influenza infection

    OpenAIRE

    Friedman, Bat-Chen; Schwabe-Warf, Derek; Goldman, Ran

    2011-01-01

    Question With the influenza season reaching a peak, I see numerous children in my clinic with fever and influenza-like illnesses. Parents are concerned and at times ask for antibiotic treatment in hopes that the treatment will shorten the duration of illness. What strategies can I use in order to minimize inappropriate prescription of antibiotics during the influenza season?

  18. Influenza vaccination in children being treated with chemotherapy for cancer

    NARCIS (Netherlands)

    G.M. Goossen; L.C.M. Kremer; M.D. van de Wetering

    2009-01-01

    Background Influenza infection is a potential cause of severe morbidity in children with cancer, therefore vaccination against influenza is recommended. However, there are conflicting data concerning the immune response to influenza vaccination in children with cancer and the value of vaccination re

  19. Influenza- and respiratory syncytial virus-associated mortality and hospitalisations

    NARCIS (Netherlands)

    Jansen, A G S C; Sanders, E A M; Hoes, A W; van Loon, A M; Hak, E

    2007-01-01

    The aim of the current study was to estimate influenza- and respiratory syncytial virus (RSV)-associated mortality and hospitalisations, especially the influenza-associated burden among low-risk individuals < or =65 yrs old, not yet recommended for influenza vaccination in many European countries. R

  20. 21 CFR 866.3330 - Influenza virus serological reagents.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Influenza virus serological reagents. 866.3330... (CONTINUED) MEDICAL DEVICES IMMUNOLOGY AND MICROBIOLOGY DEVICES Serological Reagents § 866.3330 Influenza virus serological reagents. (a) Identification. Influenza virus serological reagents are devices that...

  1. KINETIC PROFILE OF INFLUENZA VIRUS INFECTION IN THREE RAT STRAINS

    Science.gov (United States)

    AbstractInfluenza infection is a respiratory disease of viral origin that can cause major epidemics in man. The influenza virus infects and damages epithelial cells of the respiratory tract and causes pneumonia. Lung lesions of mice infected with influenza virus resembl...

  2. Influenza virus resistance to oseltamivir: what are the implications?

    NARCIS (Netherlands)

    Fleming, D.M.; Elliot, A.J.; Meijer, A.; Paget, W.J.

    2009-01-01

    Influenza caused by an oseltamivir-resistant influenza A(H1N1) virus was widespread across Europe during the 2007–08 winter. About 25% of A(H1N1) viruses tested in the European Influenza Surveillance Scheme (EISS) were resistant with an H274Y mutation in the neuraminidase glycoprotein. Early

  3. First Complete Genome Sequence of Haemophilus influenzae Serotype a

    Science.gov (United States)

    Hayden, Kristy

    2017-01-01

    ABSTRACT Haemophilus influenzae is an important human pathogen that primarily infects small children. In recent years, H. influenzae serotype a has emerged as a significant cause of invasive disease among indigenous populations. Here, we present the first complete whole-genome sequence of H. influenzae serotype a. PMID:28104664

  4. Influenza- and respiratory syncytial virus-associated mortality and hospitalisations

    NARCIS (Netherlands)

    Jansen, A G S C; Sanders, E A M; Hoes, A W; van Loon, A M; Hak, E

    2007-01-01

    The aim of the current study was to estimate influenza- and respiratory syncytial virus (RSV)-associated mortality and hospitalisations, especially the influenza-associated burden among low-risk individuals < or =65 yrs old, not yet recommended for influenza vaccination in many European countries. R

  5. An approach to monitor influenza vaccination uptake across Europe.

    NARCIS (Netherlands)

    Kroneman, M.; Paget, J.; Meuwissen, L.; Joseph, C.; Kennedy, H.

    2008-01-01

    Currently, the monitoring of influenza vaccination uptake is mainly a national issue. As influenza infection easily crosses international borders, it is in the interest of all countries to have a high vaccine uptake in people who may be vulnerable when influenza spreads. A Europe-wide monitoring

  6. Mechanical/thermal dehydration - a new process for treatment of peat and coal; Mechanisch/Thermische Entwaesserung - ein neues Verfahren zur Veredelung von Torf und Kohlen

    Energy Technology Data Exchange (ETDEWEB)

    Bergins, C.; Berger, S.; Strauss, K. [Dortmund Univ. (Germany); Elsen, R.O. [RWE Energie, Essen (Germany); Erken, M. [Rheinbraun AG, Koeln (Germany); Bielfeldt, F.B. [Dieffenbacher, Eppingen (Germany)

    1998-09-01

    In order to keep German brown coal competitive, new technologies for enhanced efficiency of power generation from brown coal were developed in the past few years. At a water content of 50-60 percent by weight, much energy is lost for evaporation. Reduction of the water content will incur a 5 percent effiency enhancement. A new process was developed at Dortmund university, i.e. mechanical/thermal dehydration in which the water contained in brown coal is removed by heat and mechanical pressure. The process is described, and its applicability for other moist fuels, e.g. peat or waste from the paper and wood processing industry ist discussed. (orig./SR) [Deutsch] Damit Braunkohle in Deutschland als heimischer und subventionsfreier Energietraeger diesen Stellenwert behaupten und in Zukunft weiter ausbauen kann, wurde in den letzten Jahren verstaerkt die Entwicklung neuer Technologien zur Effizienzsteigerung der Braunkohleverstromung vorangetrieben. Bei der Verbrennung von Braunkohlen mit Wassergehalten von 50-60 Gew.-% ist in herkoemmlichen Kraftwerken ein erheblicher Teil des Energieinhaltes zur Verdampfung des Wassers mit Hilfe von heissen Rauchgasen in sogenannten Mahltrockungsanlagen erforderlich. Durch eine energetisch guenstige Reduzierung des Wassergehaltes vor der Verbrennung sind hier Wirkungsgradsteigerungen um bis zu 5 Prozentpunkte moeglich. Ein neues, fuer diese Aufgabenstellung einsetzbares Verfahren ist das am Lehrstuhl Energieprozesstechnik und Stroemungsmechanik der Universitaet Dortmund entwickelte Mechanisch/Thermische Entwaesserungsverfahren (MTE-Verfahren). Durch die kombinierte Anwendung von Waerme und mechanischem Druck laesst sich das in der Kohle enthaltene Wasser in fluessiger Form entfernen. Neben der Darstellung des MTE-Verfahrens am Beispiel von Braunkohle soll im folgenden auch auf die Moeglichkeiten der Anwendung des Verfahrens fuer andere feuchte Brennstoffe wie Torf und Abfaelle aus der Papier- und Holzverarbeitung eingegangen werden

  7. School-based influenza vaccination: parents' perspectives.

    Directory of Open Access Journals (Sweden)

    Candace Lind

    Full Text Available BACKGROUND: School-age children are important drivers of annual influenza epidemics yet influenza vaccination coverage of this population is low despite universal publicly funded influenza vaccination in Alberta, Canada. Immunizing children at school may potentially increase vaccine uptake. As parents are a key stakeholder group for such a program, it is important to consider their concerns. PURPOSE: We explored parents' perspectives on the acceptability of adding an annual influenza immunization to the immunization program that is currently delivered in Alberta schools, and obtained suggestions for structuring such a program. PARTICIPANTS: Forty-eight parents of children aged 5-18 years participated in 9 focus groups. Participants lived in urban areas of the Alberta Health Services Calgary Zone. FINDINGS: Three major themes emerged: Advantages of school-based influenza vaccination (SBIV, Disadvantages of SBIV, and Implications for program design & delivery. Advantages were perceived to occur for different populations: children (e.g. emotional support, families (e.g. convenience, the community (e.g. benefits for school and multicultural communities, the health sector (e.g. reductions in costs due to burden of illness and to society at large (e.g. indirect conduit of information about health services, building structure for pandemic preparedness, building healthy lifestyles. Disadvantages, however, might also occur for children (e.g. older children less likely to be immunized, families (e.g. communication challenges, perceived loss of parental control over information, choices and decisions and the education sector (loss of instructional time. Nine second-level themes emerged within the major theme of Implications for program design & delivery: program goals/objectives, consent process, stakeholder consultation, age-appropriate program, education, communication, logistics, immunizing agent, and clinic process. CONCLUSIONS: Parents perceived

  8. Adolescent Attitudes toward Influenza Vaccination and Vaccine Uptake in a School-Based Influenza Vaccination Intervention: A Mediation Analysis

    Science.gov (United States)

    Painter, Julia E.; Sales, Jessica M.; Pazol, Karen; Wingood, Gina M.; Windle, Michael; Orenstein, Walter A.; DiClemente, Ralph J.

    2011-01-01

    Background: School-based vaccination programs may provide an effective strategy to immunize adolescents against influenza. This study examined whether adolescent attitudes toward influenza vaccination mediated the relationship between receipt of a school-based influenza vaccination intervention and vaccine uptake. Methods: Participants were…

  9. Influenza vaccination is not associated with detection of noninfluenza respiratory viruses in seasonal studies of influenza vaccine effectiveness.

    Science.gov (United States)

    Sundaram, Maria E; McClure, David L; VanWormer, Jeffrey J; Friedrich, Thomas C; Meece, Jennifer K; Belongia, Edward A

    2013-09-01

     The test-negative control study design is the basis for observational studies of influenza vaccine effectiveness (VE). Recent studies have suggested that influenza vaccination increases the risk of noninfluenza respiratory virus infection. Such an effect could create bias in VE studies using influenza-negative controls. We investigated the association between influenza infection, vaccination, and detection of other respiratory viruses among children virus targets using a multiplex reverse-transcription polymerase chain reaction (RT-PCR) platform. Vaccination status was determined using a validated registry. Adjusted odds ratios for influenza and vaccination status were calculated using three different control groups: influenza-negative, other respiratory virus positive, and pan-negative.  Influenza was detected in 12% of 2010 children and 20% of 1738 adults. Noninfluenza respiratory viruses were detected in 70% of children and 38% of adults without influenza. The proportion vaccinated did not vary between virus-positive controls and pan-negative controls in children (P = .62) or adults (P = .33). Influenza infection was associated with reduced odds of vaccination, but adjusted odds ratios differed by no more than 0.02 when the analysis used influenza-negative or virus-positive controls.  Influenza vaccination was not associated with detection of noninfluenza respiratory viruses. Use of influenza-negative controls did not generate a biased estimate of vaccine effectiveness due to an effect of vaccination on other respiratory virus infections.

  10. Effectiveness of A(H1N1)pdm09 influenza vaccine in adults recommended for annual influenza vaccination

    NARCIS (Netherlands)

    Gefenaite, Giedre; Tacken, Margot; Bos, Jens; Stirbu-Wagner, Irina; Korevaar, Joke C.; Stolk, Ronald P.; Wolters, Bert; Bijl, Marc; Postma, Maarten J.; Wilschut, Jan; Nichol, Kristin L.; Hak, Eelko

    2013-01-01

    INTRODUCTION: Because of variability in published A(H1N1)pdm09 influenza vaccine effectiveness estimates, we conducted a study in the adults belonging to the risk groups to assess the A(H1N1)pdm09 MF59-adjuvanted influenza vaccine effectiveness. METHODS: VE against influenza and/or pneumonia was ass

  11. Effectiveness of A(H1N1)pdm09 influenza vaccine in adults recommended for annual influenza vaccination.

    NARCIS (Netherlands)

    Gefenaite, G.; Tacken, M.; Bos, J.; Stirbu-Wagner, I.; Korevaar, J.C.; Stolk, R.P.; Wolters, B.; Bijl, M.; Postma, M.J.; Wilschut, J.; Nichol, K.L.; Hak, E.

    2013-01-01

    Introduction: Because of variability in published A(H1N1)pdm09 influenza vaccine effectiveness estimates, we conducted a study in the adults belonging to the risk groups to assess the A(H1N1)pdm09 MF59-adjuvanted influenza vaccine effectiveness. Methods: VE against influenza and/or pneumonia was ass

  12. Programme of the Community Network of Reference Laboratories for Human Influenza to improve Influenza Surveillance in Europe.

    NARCIS (Netherlands)

    Meijer, Adam; Brown, Caroline; Hungnes, Olav; Schweiger, Brunhilde; Valette, Martine; Werf, Sylvie van der; Zambon, Maria

    2006-01-01

    All laboratories participating in the Community Network of Reference Laboratories for Human Influenza in Europe (CNRL) co-ordinated by the European Influenza Surveillance Scheme (EISS) should be able to perform a range of influenza diagnostics. This includes direct detection, culture, typing, subtyp

  13. Programme of the community network of reference laboratories for human influenza to improve influenza surveillance in Europe.

    NARCIS (Netherlands)

    Meijer, A.; Brown, C.; Hungnes, O.; Schweiger, B.; Valette, M.; Werf, S. van der; Zambon, M.

    2006-01-01

    All laboratories participating in the Community Network of Reference Laboratories for Human Influenza in Europe (CNRL) co-ordinated by the European Influenza Surveillance Scheme (EISS) should be able to perform a range of influenza diagnostics. This includes direct detection, culture, typing, subtyp

  14. Effectiveness of A(H1N1)pdm09 influenza vaccine in adults recommended for annual influenza vaccination.

    NARCIS (Netherlands)

    Gefenaite, G.; Tacken, M.; Bos, J.; Stirbu-Wagner, I.; Korevaar, J.C.; Stolk, R.P.; Wolters, B.; Bijl, M.; Postma, M.J.; Wilschut, J.; Nichol, K.L.; Hak, E.

    2013-01-01

    Introduction: Because of variability in published A(H1N1)pdm09 influenza vaccine effectiveness estimates, we conducted a study in the adults belonging to the risk groups to assess the A(H1N1)pdm09 MF59-adjuvanted influenza vaccine effectiveness. Methods: VE against influenza and/or pneumonia was

  15. Seasonal influenza vaccine effectiveness against influenza in 2012-2013 : A hospital-based case-control study in Lithuania

    NARCIS (Netherlands)

    Gefenaite, Giedre; Rahamat-Langendoen, Janette; Ambrozaitis, Arvydas; Mickiene, Aukse; Jancoriene, Ligita; Kuliese, Monika; Velyvyte, Daiva; Niesters, Hubert; Stolk, Ronald P.; Zagminas, Kestutis; Hak, Eelko

    2014-01-01

    BACKGROUND: Due to scarce information on seasonal influenza vaccine effectiveness (SIVE) against severe clinical influenza outcomes in risk populations, we conducted a case-control study to assess its effects against laboratory-confirmed influenza in hospitalized patients during the 2012-2013

  16. Long-term correlation between influenza vaccination coverage and incidence of influenza-like illness in 14 European Countries.

    NARCIS (Netherlands)

    Spruijt, I.T.; Lang, M.M.A. de; Dijkstra, F.; Donker, G.A.; Hoek, W. van der

    2016-01-01

    We aimed to examine the long-term correlation between influenza vaccination coverage and the incidence of influenza-like illness (ILI) in the total and elderly populations of European countries for which data was available on at least six consecutive influenza seasons. We graphically visualised

  17. Seasonal influenza vaccine effectiveness against influenza in 2012-2013 : A hospital-based case-control study in Lithuania

    NARCIS (Netherlands)

    Gefenaite, Giedre; Rahamat-Langendoen, Janette; Ambrozaitis, Arvydas; Mickiene, Aukse; Jancoriene, Ligita; Kuliese, Monika; Velyvyte, Daiva; Niesters, Hubert; Stolk, Ronald P.; Zagminas, Kestutis; Hak, Eelko

    2014-01-01

    BACKGROUND: Due to scarce information on seasonal influenza vaccine effectiveness (SIVE) against severe clinical influenza outcomes in risk populations, we conducted a case-control study to assess its effects against laboratory-confirmed influenza in hospitalized patients during the 2012-2013 influe

  18. Influenza in the immediate post-pandemic era : A comparison with seasonal and pandemic influenza in hospitalized patients

    NARCIS (Netherlands)

    Rahamat-Langendoen, J. C.; Tutuhatunewa, E. D.; Scholvinck, E. H.; Hak, E.; Koopmans, M.; Niesters, H. G. M.; Riezebos-Brilman, A.

    2012-01-01

    Background: Comparative data on severity and treatment of seasonal, pandemic and post-pandemic influenza virus infections are scarce. Objectives: To systematically analyze characteristics of hospitalized patients with influenza in the post-pandemic period compared to seasonal and pandemic influenza.

  19. Avian influenza in shorebirds: experimental infection of ruddy turnstones (Arenaria interpres) with avian influenza virus

    Science.gov (United States)

    Hall, Jeffrey S.; Krauss, Scott; Franson, J. Christian; TeSlaa, Joshua L.; Nashold, Sean W.; Stallknecht, David E.; Webby, Richard J.; Webster, Robert G.

    2013-01-01

    Background: Low pathogenic avian influenza viruses (LPAIV) have been reported in shorebirds, especially at Delaware Bay, USA, during spring migration. However, data on patterns of virus excretion, minimal infectious doses, and clinical outcome are lacking. The ruddy turnstone (Arenaria interpres) is the shorebird species with the highest prevalence of influenza virus at Delaware Bay. Objectives: The primary objective of this study was to experimentally assess the patterns of influenza virus excretion, minimal infectious doses, and clinical outcome in ruddy turnstones. Methods: We experimentally challenged ruddy turnstones using a common LPAIV shorebird isolate, an LPAIV waterfowl isolate, or a highly pathogenic H5N1 avian influenza virus. Cloacal and oral swabs and sera were analyzed from each bird. Results: Most ruddy turnstones had pre-existing antibodies to avian influenza virus, and many were infected at the time of capture. The infectious doses for each challenge virus were similar (103·6–104·16 EID50), regardless of exposure history. All infected birds excreted similar amounts of virus and showed no clinical signs of disease or mortality. Influenza A-specific antibodies remained detectable for at least 2 months after inoculation. Conclusions: These results provide a reference for interpretation of surveillance data, modeling, and predicting the risks of avian influenza transmission and movement in these important hosts.

  20. The Activity of Influenza and Influenza-like Viruses in Individuals Aged over 14 in the 2015/2016 Influenza Season in Poland.

    Science.gov (United States)

    Kowalczyk, D; Cieślak, K; Szymański, K; Brydak, L B

    2017-02-15

    Infections in every epidemic season induced by respiratory viruses, especially by the influenza virus, are the cause of many illnesses and complications which often end in death. The aim of this study was to determine the activity of influenza and influenza-like viruses in individuals aged over of 14 in Poland during the 2015/2016 epidemic season. A total of 5070 specimens taken from patients were analyzed. The presence of the influenza virus was confirmed in 40.2% of cases, among which the subtype A/H1N1/pdm09 (62.6% positive samples) predominated. The analysis of confirmed influenza and influenza-like viruses in individuals divided into four age-groups demonstrate that the highest morbidity was reported for the age ranges: 45-64 (13.1%) and 26-44 (12.6%) years. An increase in the number of influenza type B cases (23.7% positive samples), which was the main cause of morbidity in the age group 15-25 years, was noticeable. Given the epidemiological and virological data, the 2015/2016 season in Poland was characterized by increased activity of the influenza virus compared to the previous season. In the 2015/2016 season, there were more than 3.8 million cases and suspected cases of influenza and influenza-like illness, more than 15,000 hospitalizations, and up to 140 deaths.

  1. Physician's knowledge, attitudes, and practices regarding seasonal influenza, pandemic influenza, and highly pathogenic avian influenza A (H5N1) virus infections of humans in Indonesia.

    Science.gov (United States)

    Mangiri, Amalya; Iuliano, A Danielle; Wahyuningrum, Yunita; Praptiningsih, Catharina Y; Lafond, Kathryn E; Storms, Aaron D; Samaan, Gina; Ariawan, Iwan; Soeharno, Nugroho; Kreslake, Jennifer M; Storey, J Douglas; Uyeki, Timothy M

    2017-01-01

    Indonesia has reported highest number of fatal human cases of highly pathogenic avian influenza (HPAI) A (H5N1) virus infection worldwide since 2005. There are limited data available on seasonal and pandemic influenza in Indonesia. During 2012, we conducted a survey of clinicians in two districts in western Java, Indonesia, to assess knowledge, attitudes, and practices (KAP) of clinical diagnosis, testing, and treatment of patients with seasonal influenza, pandemic influenza, or HPAI H5N1 virus infections. Overall, a very low percentage of physician participants reported ever diagnosing hospitalized patients with seasonal, pandemic, or HPAI H5N1 influenza. Use of influenza testing was low in outpatients and hospitalized patients, and use of antiviral treatment was very low for clinically diagnosed influenza patients. Further research is needed to explore health system barriers for influenza diagnostic testing and availability of antivirals for treatment of influenza in Indonesia. © 2016 The Authors. Influenza and Other Respiratory Viruses Published by John Wiley & Sons Ltd.

  2. European seminar: Mobility and society. Approaches to consciousness development and new kinds of services. Proceedings; Europaeisches Seminar: Mobilitaet und Gesellschaft. Wege zur Bewusstseinsbildung und neue Dienstleistungen. Eine Aktion des THERMIE Programms. Proceedings

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-12-31

    The THERMIE programme deals, inter alia, with rational energy use in the transport sector. This volume contains the lectures given at the seminar ``Mobility and society``. Apart from the plenary sessions, task force meetings on the following subjects were held: conscious mobility; corporate management of transport to and from work; status and perspectives of central mobility agencies; new forms of mobility: the part played by public transport services; complementary service forms in public transport; car-sharing: experiences and perspectives; mobility as a political task and new services towards mobility. Separate records are available for 15 contributions. (BWI) [Deutsch] Im Rahmen des THERMIE-Programmes wird auch die rationelle Energieverwendung im Verkehrswesen behandelt. Der vorliegende Band druckt die Vortraege des Seminars zum Mobilitaet und Gesellschaft ab. Neben den Plenarsitzungen wurden Arbeitsgruppen zu folgenden Themen durchgefuehrt: Bewusste Mobilitaet; Betriebsmanagement fuer den Berufsverkehr; Status und Perspektiven von Mobilitaetszentralen; neue Formen der Mobilitaet: Die Rolle der Verkehrsbetriebe; ergaenzende Bedienungsformen im OePNV; Car-Sharing: Erfahrungen und Perspektiven; Politik und neue Dienstleistungen in Sachen Mobilitaet. Fuer 15 Beitraege wurde eine gesonderte inhaltliche Erschliessung durchgefuehrt. (BWI)

  3. Restructuring of the electricity market. New general framework and management strategies for municipalities. Documentation of contributions to the IKU seminar; Strommarkt im Umbruch. Neue Rahmenbedingungen und Strategien fuer Kommunen. Veranstaltungsunterlagen

    Energy Technology Data Exchange (ETDEWEB)

    Schaefer, C. (comp.)

    2000-07-01

    The titles of the seven papers presented at the IKU seminar are as follows: 1. The emerging competitive electricity markets - Perspectives for municipalities. - 2. New supply offers and terms and conditions for power procurement of municipalities. - 3. Power procurement and awarding of contracts - legal framework and recommendations for municipalities in designing the tendering procedure in the competitive market environment. - 4. Experience of a municipality in the process of establishing a local pool of buyers. - 5. Experience obtained in defining new tender conditions and specifications for power supply to a municipal undertaking. - 6. Experience of a municipality obtained in negotiations with electricity supply undertakings. - 7. Invitations to tender for energy supply to municipalities - experience of the hessenENERGIE GmbH. (orig./CB) [German] Die Titel der in diesem Dokument abgedruckten sieben Beitraege zum IKU Seminar lauten: 1. Wettbewerb auf den Strommaerkten - Perspektiven fuer Kommunen. - 2. Neue Angebote und neue Konditionen fuer den Strombezug von Kommunen. - 3. Strombezug und Vergaberecht - Rechtlicher Rahmen und Empfehlungen zur Gestaltung der Vergabe bei oeffentlichen Auftraggebern. - 4. Erfahrungen mit der Bildung eines kommunalen Nachfragepools. - 5. Erfahrungen mit der Ausschreibung von Stromlieferungen fuer einen oeffentlichen Auftraggeber. - 6. Erfahrungen einer Kommune aus Verhandlungen ueber den Strombezug mit Versorgungsunternehmen. - 7. Ausschreibung von Energielieferungen fuer Kommunen - Erfahrungen und Angebote der hessenENERGIE GmbH. (orig./CB)

  4. [Influenza vaccine: globalization of public health stakes].

    Science.gov (United States)

    Collin, N; Briand, S

    2009-08-01

    On June 11, 2009, Dr. Margaret Chan, Director-General of the World Health Organization (WHO), declared the first influenza pandemic of the 21st century. It was the first time in history that an influenza outbreak had been tracked in real-time from the emergence of a new strain of influenza A (H1N1) up to its spread to all continents over a period of 9 weeks. In recent years the international community has been working closely to prepare for such situations. A notable example of this cooperation occurred in response to the threat posed by the highly pathogenic avian influenza A virus (H5N1). Vaccine availability is a major challenge that will require increasing worldwide production and ensuring a widespread access. In this regard it is important to underline the fact that 70% of influenza vaccine is produced in Europe and the United States. In 2006 WHO implemented a global pandemic influenza action plan (GAP) aiming at increasing the world's production capacity for pandemic vaccine. The GAP contains three elements: (1) increased use of seasonal influenza vaccination in industrialized and developing countries (resolution WHA 56.19). (2) technology transfer. (3) development of new production technologies. Nevertheless numerous barriers still prevent people living in developing countries from rapid and fair access to pandemic influenza vaccine. Capacity for production of pandemic vaccine is limited and advanced purchase agreements between industrialized countries and vaccine manufacturers reduce potential access of developing countries to pandemic vaccine. Economic and logistic factors also limit global access to pandemic vaccine. Therefore, WHO is working with industrialized countries, pharmaceutical companies and the international community as a whole to promote global solidarity and cooperation and thus ensure distribution of pandemic vaccine in poor countries with no local production. The current pandemic situation highlights the increasing globalization of public

  5. Protection against divergent influenza H1N1 virus by a centralized influenza hemagglutinin.

    Directory of Open Access Journals (Sweden)

    Eric A Weaver

    Full Text Available Influenza poses a persistent worldwide threat to the human population. As evidenced by the 2009 H1N1 pandemic, current vaccine technologies are unable to respond rapidly to this constantly diverging pathogen. We tested the utility of adenovirus (Ad vaccines expressing centralized consensus influenza antigens. Ad vaccines were produced within 2 months and protected against influenza in mice within 3 days of vaccination. Ad vaccines were able to protect at doses as low as 10(7 virus particles/kg indicating that approximately 1,000 human doses could be rapidly generated from standard Ad preparations. To generate broadly cross-reactive immune responses, centralized consensus antigens were constructed against H1 influenza and against H1 through H5 influenza. Twenty full-length H1 HA sequences representing the main branches of the H1 HA phylogenetic tree were used to create a synthetic centralized gene, HA1-con. HA1-con minimizes the degree of sequence dissimilarity between the vaccine and existing circulating viruses. The centralized H1 gene, HA1-con, induced stronger immune responses and better protection against mismatched virus challenges as compared to two wildtype H1 genes. HA1-con protected against three genetically diverse lethal influenza challenges. When mice were challenged with 1934 influenza A/PR/8/34, HA1-con protected 100% of mice while vaccine generated from 2009 A/TX/05/09 only protected 40%. Vaccination with 1934 A/PR/8/34 and 2009 A/TX/05/09 protected 60% and 20% against 1947 influenza A/FM/1/47, respectively, whereas 80% of mice vaccinated with HA1-con were protected. Notably, 80% of mice challenged with 2009 swine flu isolate A/California/4/09 were protected by HA1-con vaccination. These data show that HA1-con in Ad has potential as a rapid and universal vaccine for H1N1 influenza viruses.

  6. Influenza newspaper reports and the influenza epidemic: an observational study in Fukuoka City, Japan.

    Science.gov (United States)

    Hagihara, Akihito; Onozuka, Daisuke; Miyazaki, Shougo; Abe, Takeru

    2015-12-30

    We examined whether the weekly number of newspaper articles reporting on influenza was related to the incidence of influenza in a large city. Prospective, non-randomised, observational study. Registry data of influenza cases in Fukuoka City, Japan. A total of 83,613 cases of influenza cases that occurred between October 1999 and March 2007 in Fukuoka City, Japan. A linear model with autoregressive time series errors was fitted to time series data on the incidence of influenza and the accumulated number of influenza-related newspaper articles with different time lags in Fukuoka City, Japan. In order to obtain further evidence that the number of newspaper articles a week with specific time lags is related to the incidence of influenza, Granger causality was also tested. Of the 16 models including 'number of newspaper articles' with different time lags between 2 and 17 weeks (xt-2 to t-17), the β coefficients of 'number of newspaper articles' at time lags between t-5 and t-13 were significant. However, the β coefficients of 'number of newspaper articles' that are significant with respect to the Granger causality tests (pnewspaper articles at time lags between t-6 and t-10 (time shift of 10 weeks, β=-0.301, pnewspaper articles reporting on influenza in a week was related to the incidence of influenza 6-10 weeks after media coverage in a large city in Japan. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  7. Human influenza is more effective than avian influenza at antiviral suppression in airway cells.

    Science.gov (United States)

    Hsu, Alan Chen-Yu; Barr, Ian; Hansbro, Philip M; Wark, Peter A

    2011-06-01

    Airway epithelial cells are the initial site of infection with influenza viruses. The innate immune responses of airway epithelial cells to infection are important in limiting virus replication and spread. However, relatively little is known about the importance of this innate antiviral response to infection. Avian influenza viruses are a potential source of future pandemics; therefore, it is critical to examine the effectiveness of the host antiviral system to different influenza viruses. We used a human influenza (H3N2) and a low-pathogenic avian influenza (H11N9) to assess and compare the antiviral responses of Calu-3 cells. After infection, H3N2 replicated more effectively than the H11N9 in Calu-3 cells. This was not due to differential expression of sialic acid residues on Calu-3 cells, but was attributed to the interference of host antiviral responses by H3N2. H3N2 induced a delayed antiviral signaling and impaired type I and type III IFN induction compared with the H11N9. The gene encoding for nonstructural (NS) 1 protein was transfected into the bronchial epithelial cells (BECs), and the H3N2 NS1 induced a greater inhibition of antiviral responses compared with the H11N9 NS1. Although the low-pathogenic avian influenza virus was capable of infecting BECs, the human influenza virus replicated more effectively than avian influenza virus in BECs, and this was due to a differential ability of the two NS1 proteins to inhibit antiviral responses. This suggests that the subversion of human antiviral responses may be an important requirement for influenza viruses to adapt to the human host and cause disease.

  8. Influenza Plasmid DNA Vaccines: Progress and Prospects.

    Science.gov (United States)

    Bicho, Diana; Queiroz, João António; Tomaz, Cândida Teixeira

    2015-01-01

    Current influenza vaccines have long been used to fight flu infectious; however, recent advances highlight the importance of produce new alternatives. Even though traditional influenza vaccines are safe and usually effective, they need to be uploaded every year to anticipate circulating flu viruses. This limitation together with the use of embryonated chicken eggs as the substrate for vaccine production, is time-consuming and could involve potential biohazards in growth of new virus strains. Plasmid DNA produced by prokaryote microorganisms and encoding foreign proteins had emerged as a promising therapeutic tool. This technology allows the expression of a gene of interest by eukaryotic cells in order to induce protective immune responses against the pathogen of interest. In this review, we discuss the strategies to choose the best DNA vaccine to be applied in the treatment and prevention of influenza. Specifically, we give an update of influenza DNA vaccines developments, all involved techniques, their main characteristics, applicability and technical features to obtain the best option against influenza infections.

  9. Live attenuated influenza vaccine--a review.

    Science.gov (United States)

    Gasparini, R; Amicizia, D; Lai, P L; Panatto, D

    2011-09-01

    Owing to the variability of influenza viruses, vaccine composition needs to be up-dated annually. As many variables can influence their efficacy, vaccines are still considered "sub-optimal". Many studies have been carried out in recent years to improve vaccines. In particular, researchers and vaccine-producing corporations have focused on developing a live vaccine. Among the candidate vaccines, the strain developed by Maassab has recently been licensed in the USA and Europe, after extensive investigation. This vaccine is safe and well tolerated, and has shown very good genetic stability. Although vaccine recipients are able to spread the virus, transmission to close contacts is practically non-existent. Studies on cold-adapted attenuated influenza vaccines have demonstrated that such vaccines are effective, and sometimes more effective than inactivated influenza vaccines. Cold-adapted attenuated influenza vaccines therefore appear to be an important weapon against influenza. However, a more widespread use of these vaccines is to be recommended, especially in children, as the more acceptable way of administration can favour parental compliance.

  10. Waves of El Nino-southern Oscillation and Influenza Pandemics

    OpenAIRE

    Olusegun Steven Ayodele Oluwole

    2016-01-01

    Influenza pandemics have occurred at irregular intervals for over 500 years, unlike seasonal influenza epidemics which occur annually. Although the risk factors are known, the basis for the timing of influenza pandemic waves are unknown. Coherence of peaks of El Niño and influenza pandemic in 2009–2010, however, suggests that both waves are coupled. This study was done to determine the relation of influenza pandemics to the peaks and waveforms of El Niño southern oscillation (ENSO). ENSO cy...

  11. Targeting B cell responses in universal influenza vaccine design

    Science.gov (United States)

    Kaur, Kaval; Sullivan, Meghan; Wilson, Patrick C

    2011-01-01

    Since its first administration in the 1940s, the influenza vaccine has provided tremendous relief against influenza infections. However, time has revealed the vaccine’s ultimate limit and the call for its reinvention has now come, just as we are beginning to appreciate the antibody immune responses vital in preventing infections. New strategies to design the influenza vaccine rely on selectively inducing broadly neutralizing antibodies that are specific for highly conserved viral epitopes. Such approaches take us away from the limited range of protection provided by current seasonal influenza vaccines and towards a future with a pan-influenza vaccine capable of providing universal strain coverage. PMID:21940217

  12. Haemophilus influenzae: a forgotten cause of neonatal sepsis?

    Science.gov (United States)

    Dobbelaere, A; Jeannin, P; Bovyn, T; Ide, L

    2015-06-01

    Due to the introduction of the conjugate vaccine against serotype b, neonatal sepsis caused by Haemophilus influenzae became very rare. There is little data in Belgium concerning the prevalence of H. influenzae early onset neonatal sepsis and articles about neonatal sepsis and H. influenzae published in the last decade are scarce. We report two invasive infections with a non-typeable H. influenzae. These cases show that neonatal sepsis caused by non-typeable H. influenzae may be underestimated and we believe that there is need for a better registration of this kind of infection.

  13. Serum amyloid P component inhibits influenza A virus infections: in vitro and in vivo studies

    DEFF Research Database (Denmark)

    Horvath, A; Andersen, I; Junker, K;

    2001-01-01

    . These studies were extended to comprise five mouse-adapted influenza A strains, two swine influenza A strains, a mink influenza A virus, a ferret influenza A reassortant virus, a influenza B virus and a parainfluenza 3 virus. The HA activity of all these viruses was inhibited by SAP. Western blotting showed...

  14. School-located influenza vaccination reduces community risk for influenza and influenza-like illness emergency care visits.

    Directory of Open Access Journals (Sweden)

    Cuc H Tran

    Full Text Available BACKGROUND: School-located influenza vaccination (SLIV programs can substantially enhance the sub-optimal coverage achieved under existing delivery strategies. Randomized SLIV trials have shown these programs reduce laboratory-confirmed influenza among both vaccinated and unvaccinated children. This work explores the effectiveness of a SLIV program in reducing the community risk of influenza and influenza-like illness (ILI associated emergency care visits. METHODS: For the 2011/12 and 2012/13 influenza seasons, we estimated age-group specific attack rates (AR for ILI from routine surveillance and census data. Age-group specific SLIV program effectiveness was estimated as one minus the AR ratio for Alachua County versus two comparison regions: the 12 county region surrounding Alachua County, and all non-Alachua counties in Florida. RESULTS: Vaccination of ∼50% of 5-17 year-olds in Alachua reduced their risk of ILI-associated visits, compared to the rest of Florida, by 79% (95% confidence interval: 70, 85 in 2011/12 and 71% (63, 77 in 2012/13. The greatest indirect effectiveness was observed among 0-4 year-olds, reducing AR by 89% (84, 93 in 2011/12 and 84% (79, 88 in 2012/13. Among all non-school age residents, the estimated indirect effectiveness was 60% (54, 65 and 36% (31, 41 for 2011/12 and 2012/13. The overall effectiveness among all age-groups was 65% (61, 70 and 46% (42, 50 for 2011/12 and 2012/13. CONCLUSION: Wider implementation of SLIV programs can significantly reduce the influenza-associated public health burden in communities.

  15. Polyarteritis nodosa related with influenza vaccine = Poliarteritis nodosa relacionada con vacuna contra la influenza

    Directory of Open Access Journals (Sweden)

    Restrepo Escobar, Mauricio

    2013-01-01

    Full Text Available Vasculitis can be secondary to various processes, among them infections, malignancies, connective tissue diseases or medications, or primary, generally idiopathic. The reported adverse events after vaccination can be mild and transient or more serious such as autoimmune diseases. Possibly the most frequently described autoimmune phenomena after influenza vaccination are different forms of vasculitis. We report the case of a patient who presented a clinical picture of vasculitis classified as polyarteritis nodosa that began two weeks after receiving the influenza vaccine. After critically reviewing the literature, this would be the first clearly documented case of polyarteritis nodosa associated with vaccination against influenza.

  16. Detection of influenza A and B with the Alere™ i Influenza A & B: a novel isothermal nucleic acid amplification assay

    Science.gov (United States)

    Hazelton, Briony; Gray, Timothy; Ho, Jennifer; Ratnamohan, V Mala; Dwyer, Dominic E; Kok, Jen

    2015-01-01

    Background Rapid influenza diagnostic tests (RIDTs) have an important role in clinical decision-making; however, the performances of currently available assays vary widely. Objectives We evaluated the performance of the Alere™ i Influenza A&B (Alere™ iNAT), a rapid isothermal nucleic acid amplification assay that has recently received FDA clearance, for the detection of influenza A and B viruses during the Australian influenza season of 2013. Results were compared to two other RIDTs tested in parallel; Quidel Sofia® Influenza A+B fluorescent immunoassay (FIA) and Alere™ BinaxNOW® Influenza A & B immunochromatographic (ICT) assay. Methods A total of 202 paired nasopharyngeal swabs collected from patients ≥16 years old with an influenza-like illness (ILI) were eluted in 2 ml of universal transport medium (UTM) that was used to perform all three RIDTs in parallel. Reverse-transcription polymerase chain reaction (RT-PCR) was used as the reference standard. Results Compared to RT-PCR, Alere™ iNAT detected 77·8% influenza A positive samples versus 71·4% and 44·4% for the Quidel Sofia® Influenza A+B FIA and BinaxNOW® Influenza A & B ICT assay, respectively. For influenza B, Alere™ iNAT detected 75% of those positive by RT-PCR, versus 33·3% and 25·0% for Sofia® and BinaxNOW®, respectively. The specificity of Alere™ iNAT was 100% for influenza A and 99% for influenza B. Conclusions Alere™ i Influenza A&B is a promising new rapid influenza diagnostic assay with potential point-of-care applications. PMID:25728758

  17. Absolute Humidity and the Seasonality of Influenza (Invited)

    Science.gov (United States)

    Shaman, J. L.; Pitzer, V.; Viboud, C.; Grenfell, B.; Goldstein, E.; Lipsitch, M.

    2010-12-01

    Much of the observed wintertime increase of mortality in temperate regions is attributed to seasonal influenza. A recent re-analysis of laboratory experiments indicates that absolute humidity strongly modulates the airborne survival and transmission of the influenza virus. Here we show that the onset of increased wintertime influenza-related mortality in the United States is associated with anomalously low absolute humidity levels during the prior weeks. We then use an epidemiological model, in which observed absolute humidity conditions temper influenza transmission rates, to successfully simulate the seasonal cycle of observed influenza-related mortality. The model results indicate that direct modulation of influenza transmissibility by absolute humidity alone is sufficient to produce this observed seasonality. These findings provide epidemiological support for the hypothesis that absolute humidity drives seasonal variations of influenza transmission in temperate regions. In addition, we show that variations of the basic and effective reproductive numbers for influenza, caused by seasonal changes in absolute humidity, are consistent with the general timing of pandemic influenza outbreaks observed for 2009 A/H1N1 in temperate regions. Indeed, absolute humidity conditions correctly identify the region of the United States vulnerable to a third, wintertime wave of pandemic influenza. These findings suggest that the timing of pandemic influenza outbreaks is controlled by a combination of absolute humidity conditions, levels of susceptibility and changes in population mixing and contact rates.

  18. Influenza-attributable burden in United Kingdom primary care.

    Science.gov (United States)

    Fleming, D M; Taylor, R J; Haguinet, F; Schuck-Paim, C; Logie, J; Webb, D J; Lustig, R L; Matias, G

    2016-02-01

    Influenza is rarely laboratory-confirmed and the outpatient influenza burden is rarely studied due to a lack of suitable data. We used the Clinical Practice Research Datalink (CPRD) and surveillance data from Public Health England in a linear regression model to assess the number of persons consulting UK general practitioners (GP episodes) for respiratory illness, otitis media and antibiotic prescriptions attributable to influenza during 14 seasons, 1995-2009. In CPRD we ascertained influenza vaccination status in each season and risk status (conditions associated with severe influenza outcomes). Seasonal mean estimates of influenza-attributable GP episodes in the UK were 857 996 for respiratory disease including 68 777 for otitis media, with wide inter-seasonal variability. In an average season, 2·4%/0·5% of children aged influenza A/B. Two-thirds of influenza-attributable GP episodes were estimated to result in prescription of antibiotics. These estimates are substantially greater than those derived from clinically reported influenza-like illness in surveillance programmes. Because health service costs of influenza are largely borne in general practice, these are important findings for cost-benefit assessment of influenza vaccination programmes.

  19. Influenza vaccination in patients with end-stage renal disease.

    Science.gov (United States)

    Principi, Nicola; Esposito, Susanna

    2015-08-01

    Patients with end-stage renal disease (ESRD) are considered at higher risk of influenza-related complications and are listed worldwide among the subjects for whom yearly influenza vaccination is strongly recommended. However, influenza vaccination coverage of patients with ESRD is significantly lower than desired. This paper explores why compliance with official recommendations for influenza vaccination is poor in patients with ESRD and analyzes the true risk of infection as well as the immunogenicity, the effectiveness and the safety of influenza vaccination in these patients. Epidemiological and clinical data support the importance of influenza in conditioning clinical deterioration of patients with ESRD, particularly in relation to their level of immunosuppression. However, the variable levels of immunodeficiency detected in patients with ESRD may reduce the immune response to influenza vaccination, which appears to be lower than that usually found in healthy subjects. However, few studies are available, and they are difficult to compare for several reasons. Additionally, limited data have been collected on influenza vaccine effectiveness, although the available studies support positive results of vaccination on outcomes of severe disease. Despite such limitations, it is important to highlight that all the available studies have confirmed the good safety and tolerability of inactivated influenza vaccines. These findings, together with the risks associated with influenza in these patients, support annual influenza vaccination in patients with ESRD as well as vaccination of their close contacts and should be presented in educational programs organized for nephrologists and patient associations.

  20. Antigen-activated dendritic cells ameliorate influenza A infections

    Science.gov (United States)

    Boonnak, Kobporn; Vogel, Leatrice; Orandle, Marlene; Zimmerman, Daniel; Talor, Eyal; Subbarao, Kanta

    2013-01-01

    Influenza A viruses cause significant morbidity and mortality worldwide. There is a need for alternative or adjunct therapies, as resistance to currently used antiviral drugs is emerging rapidly. We tested ligand epitope antigen presentation system (LEAPS) technology as a new immune-based treatment for influenza virus infection in a mouse model. Influenza-J-LEAPS peptides were synthesized by conjugating the binding ligand derived from the β2-microglobulin chain of the human MHC class I molecule (J-LEAPS) with 15 to 30 amino acid–long peptides derived from influenza virus NP, M, or HA proteins. DCs were stimulated with influenza-J-LEAPS peptides (influenza-J-LEAPS) and injected intravenously into infected mice. Antigen-specific LEAPS-stimulated DCs were effective in reducing influenza virus replication in the lungs and enhancing survival of infected animals. Additionally, they augmented influenza-specific T cell responses in the lungs and reduced the severity of disease by limiting excessive cytokine responses, which are known to contribute to morbidity and mortality following influenza virus infection. Our data demonstrate that influenza-J-LEAPS–pulsed DCs reduce virus replication in the lungs, enhance survival, and modulate the protective immune responses that eliminate the virus while preventing excessive cytokines that could injure the host. This approach shows promise as an adjunct to antiviral treatment of influenza virus infections. PMID:23934125

  1. Economic effects of avian influenza on egg producers in Turkey

    Directory of Open Access Journals (Sweden)

    V Demircan

    2009-09-01

    Full Text Available This study determined the economic effects of avian influenza on the egg-production sector of Afyon Province, Turkey. Economic indicators were compared before and during the avian influenza outbreak. A questionnaire was conducted with 75 poultry farmers. Farms were divided into three groups according to their size. The profitability of the three farm size groups was compared during two study periods: before and during the avian influenza outbreak. The results indicate that, as compared to previous levels, farms experienced significantly reduced incomes during the avian influenza episode. While net income and profit margin were found to be negative in all three farm groups during the avian influenza period, only group I showed economic loss prior to avian influenza. Average net income per group was -19,576.14, -39,810.11, and -112,035.33 YTL respectively during the avian influenza outbreak, compared with prior incomes of -5,665.51, 8,422.92, and 16,3873.71 YTL (1 USD=1.43 YTL. The profit margin per egg during avian influenza was -0.029, -0.016, -0.010 YTL in group I, II, III, respectively, as compared to -0.007, 0.003, and 0.014 YTL/egg before avian influenza. It was found that, whereas larger farms were more profitable than small farms prior to the avian influenza period, larger farms suffered greater economic losses than small farms during avian influenza outbreak in the participating farms.

  2. Epidemiology of Hospital Admissions with Influenza during the 2013/2014 Northern Hemisphere Influenza Season: Results from the Global Influenza Hospital Surveillance Network

    Science.gov (United States)

    Puig-Barberà, Joan; Natividad-Sancho, Angels; Trushakova, Svetlana; Sominina, Anna; Pisareva, Maria; Ciblak, Meral A.; Badur, Selim; Yu, Hongjie; Cowling, Benjamin J.; El Guerche-Séblain, Clotilde; Mira-Iglesias, Ainara; Kisteneva, Lidiya; Stolyarov, Kirill; Yurtcu, Kubra; Feng, Luzhao; López-Labrador, Xavier; Burtseva, Elena

    2016-01-01

    Background The Global Influenza Hospital Surveillance Network was established in 2012 to obtain valid epidemiologic data on hospital admissions with influenza-like illness. Here we describe the epidemiology of admissions with influenza within the Northern Hemisphere sites during the 2013/2014 influenza season, identify risk factors for severe outcomes and complications, and assess the impact of different influenza viruses on clinically relevant outcomes in at-risk populations. Methods Eligible consecutive admissions were screened for inclusion at 19 hospitals in Russia, Turkey, China, and Spain using a prospective, active surveillance approach. Patients that fulfilled a common case definition were enrolled and epidemiological data were collected. Risk factors for hospitalization with laboratory-confirmed influenza were identified by multivariable logistic regression. Findings 5303 of 9507 consecutive admissions were included in the analysis. Of these, 1086 were influenza positive (534 A(H3N2), 362 A(H1N1), 130 B/Yamagata lineage, 3 B/Victoria lineage, 40 untyped A, and 18 untyped B). The risk of hospitalization with influenza (adjusted odds ratio [95% confidence interval]) was elevated for patients with cardiovascular disease (1.63 [1.33–2.02]), asthma (2.25 [1.67–3.03]), immunosuppression (2.25 [1.23–4.11]), renal disease (2.11 [1.48–3.01]), liver disease (1.94 [1.18–3.19], autoimmune disease (2.97 [1.58–5.59]), and pregnancy (3.84 [2.48–5.94]). Patients without comorbidities accounted for 60% of admissions with influenza. The need for intensive care or in-hospital death was not significantly different between patients with or without influenza. Influenza vaccination was associated with a lower risk of confirmed influenza (adjusted odds ratio = 0.61 [0.48–0.77]). Conclusions Influenza infection was detected among hospital admissions with and without known risk factors. Pregnancy and underlying comorbidity increased the risk of detecting influenza

  3. Epidemiology of Hospital Admissions with Influenza during the 2013/2014 Northern Hemisphere Influenza Season: Results from the Global Influenza Hospital Surveillance Network.

    Directory of Open Access Journals (Sweden)

    Joan Puig-Barberà

    Full Text Available The Global Influenza Hospital Surveillance Network was established in 2012 to obtain valid epidemiologic data on hospital admissions with influenza-like illness. Here we describe the epidemiology of admissions with influenza within the Northern Hemisphere sites during the 2013/2014 influenza season, identify risk factors for severe outcomes and complications, and assess the impact of different influenza viruses on clinically relevant outcomes in at-risk populations.Eligible consecutive admissions were screened for inclusion at 19 hospitals in Russia, Turkey, China, and Spain using a prospective, active surveillance approach. Patients that fulfilled a common case definition were enrolled and epidemiological data were collected. Risk factors for hospitalization with laboratory-confirmed influenza were identified by multivariable logistic regression.5303 of 9507 consecutive admissions were included in the analysis. Of these, 1086 were influenza positive (534 A(H3N2, 362 A(H1N1, 130 B/Yamagata lineage, 3 B/Victoria lineage, 40 untyped A, and 18 untyped B. The risk of hospitalization with influenza (adjusted odds ratio [95% confidence interval] was elevated for patients with cardiovascular disease (1.63 [1.33-2.02], asthma (2.25 [1.67-3.03], immunosuppression (2.25 [1.23-4.11], renal disease (2.11 [1.48-3.01], liver disease (1.94 [1.18-3.19], autoimmune disease (2.97 [1.58-5.59], and pregnancy (3.84 [2.48-5.94]. Patients without comorbidities accounted for 60% of admissions with influenza. The need for intensive care or in-hospital death was not significantly different between patients with or without influenza. Influenza vaccination was associated with a lower risk of confirmed influenza (adjusted odds ratio = 0.61 [0.48-0.77].Influenza infection was detected among hospital admissions with and without known risk factors. Pregnancy and underlying comorbidity increased the risk of detecting influenza virus in patients hospitalized with influenza

  4. Efficacy and safety of influenza vaccination in children with asthma.

    Science.gov (United States)

    Patria, Maria Francesca; Tenconi, Rossana; Esposito, Susanna

    2012-04-01

    The mean global prevalence of asthma among children is approximately 12%, making it the most common chronic disease in children. Influenza infection has been associated with complications such as exacerbations of wheezing and asthma, increased airway hyper-reactivity and hospitalization. Although influenza vaccination is recommended for asthmatic patients by all health authorities, vaccination coverage remains significantly lower than expected and is lowest of all in children. Compliance is affected by the uncertainty of parents and physicians concerning the clinical risk of influenza in asthmatic subjects, the benefits of influenza vaccination in preventing asthma exacerbations and the safety of immunization. The aim of this review is to analyze the rationale for using influenza vaccine, discuss the relationship between influenza and the severity of asthmatic episodes and document the efficacy and safety of influenza vaccination in the pediatric asthmatic population.

  5. Influenza activity in Thailand and occurrence in different climates.

    Science.gov (United States)

    Prachayangprecha, Slinporn; Vichaiwattana, Preeyaporn; Korkong, Sumeth; Felber, Joshua A; Poovorawan, Yong

    2015-01-01

    This study observed influenza activity between June 2009 and July 2014 in Thailand, a country in the Northern hemisphere with a tropical climate, and compared the results to activity in the United States (US) and Australia, which represent temperate climates in the Northern and Southern hemispheres, respectively. From Thailand, a total of 17,416 specimens were collected from patients exhibiting influenza-like illnesses and subjected to real-time PCR for the detection of influenza viruses. For comparison, laboratory confirmations of influenza originating from the US and Australia were obtained from the US CDC's FluView surveillance reports and the Australian Government's Department of Health and Ageing websites. We found that, generally, the influenza season in Thailand starts with the rainy season. This observation of influenza's annual incidence pattern provides a better understanding of its occurrence, suggesting that vaccination campaigns should be started before the influenza season begins in order to reduce transmission.

  6. Influenza vaccines: the good, the bad, and the eggs.

    Science.gov (United States)

    Schultz-Cherry, Stacey; Jones, Jeremy C

    2010-01-01

    Outbreaks of influenza A viruses continue to cause morbidity and mortality worldwide. The global disease burden of influenza is substantial. While antiviral therapies are available, influenza vaccines are the mainstay of efforts to reduce the substantial health burden from seasonal influenza. Inactivated influenza vaccines have been available since the 1940s, with live attenuated, cold-adapted vaccines becoming available in the United States in 2003. In spite of the successes, more research is needed to develop more effective seasonal influenza vaccines that provide long-lasting immunity and broad protection against strains that differ antigenically from vaccine viruses. This review introduces the virus and its disease, the current state of seasonal and pandemic influenza vaccines, and the challenges we face in the future.

  7. Deteksi Antibodi Serum Terhadap Virus Avian influenza pada Ayam Buras

    Directory of Open Access Journals (Sweden)

    Darmawi Darmawi

    2012-04-01

    Full Text Available Detection on Serum Antibodies of Native Chickens to Avian influenza Virus ABSTRACT.  An important approach of controlling against Avian Influenza should be determined to detect the antibody titres of bird flu caused by Influenza virus H5N1 in Indonesia. The aim of the present study was to detect the antibodies to Avian Influenza in serum of native chickens. This study utilized 123 serum samples collected from the axilaris vein (left or right of native chickens. Antibody titres were examined using Hemaglutination Inhibition (HI. The result showed that indication of natural infection by Avian Influenza (H5N1 in native chickens, as shown that out of 123 serum samples, 16 (13,01% were tested positive by HI, while only 10 (8,13% were tested protective to Avian influenza infection. Based on the results we obtained, a conclusion that natural infection by Avian influenza virus stimulated variety level of formation antibody titres in native chickens.

  8. Universal Influenza Vaccines, a Dream to Be Realized Soon

    Directory of Open Access Journals (Sweden)

    Han Zhang

    2014-04-01

    Full Text Available Due to frequent viral antigenic change, current influenza vaccines need to be re-formulated annually to match the circulating strains for battling seasonal influenza epidemics. These vaccines are also ineffective in preventing occasional outbreaks of new influenza pandemic viruses. All these challenges call for the development of universal influenza vaccines capable of conferring broad cross-protection against multiple subtypes of influenza A viruses. Facilitated by the advancement in modern molecular biology, delicate antigen design becomes one of the most effective factors for fulfilling such goals. Conserved epitopes residing in virus surface proteins including influenza matrix protein 2 and the stalk domain of the hemagglutinin draw general interest for improved antigen design. The present review summarizes the recent progress in such endeavors and also covers the encouraging progress in integrated antigen/adjuvant delivery and controlled release technology that facilitate the development of an affordable universal influenza vaccine.

  9. [Influenza – Not innocuous, but preventable].

    Science.gov (United States)

    Vernazza, Pietro

    2016-01-01

    Influenza is an infectious disease that can be prevented by a vaccine but the readiness to vaccinate against this recurrent infection is weak in the general population. However, influenza is not always a harmless illness as illustrated in our authentic case report. Individuals with an impaired immune response, particularly pregnant women and the elderly are particularly at risk for a complicated course of influenza. But it is precisely this population, which also has an attenuated immune response to the vaccine. The limited efficacy in this target group is a potential “loss of image” for any flu vaccination campaign. This raises the question whether we should not try to motivate healthy individuals to get vaccinated, particularly if they are living or working next to vulnerable individuals. Epidemiologic data but also recent mathematical models indicate that consistent vaccination of (school-)children results in reduced mortality in elderly people.

  10. [Influenza A, pregnancy and neuraminidase inhibitors].

    Science.gov (United States)

    Montané, Eva; Lecumberri, Josep; Pedro-Botet, María Luisa

    2011-05-28

    Following the explosion of the influenza A pandemic (H1N1) during the first semester of 2009, oseltamivir and zanamivir were used as the treatment of choice in the absence of rigorous clinical studies demonstrating their efficacy in the treatment and prophylaxis of this disease. Knowledge of seasonal influenza, flu pandemics and particularly the H1N1, which produces more severe infection and a higher mortality rate during pregnancy, led to the use of antiviral treatment despite the scarcity of clinical studies on their efficacy and effectiveness, mainly due to the influence of the media. This study reviewed the experimental and clinical studies performed on the safety of oseltamivir and zanamivir in pregnancy. Likewise, the recommendations made by the different health care and governmental authorities as well as other institutions and scientific and health care organizations on the therapeutic management and prophylaxis of influenza A 2009 in pregnant women were reviewed.

  11. Influenza leaves a TRAIL to pulmonary edema.

    Science.gov (United States)

    Brauer, Rena; Chen, Peter

    2016-04-01

    Influenza infection can cause acute respiratory distress syndrome (ARDS), leading to poor disease outcome with high mortality. One of the driving features in the pathogenesis of ARDS is the accumulation of fluid in the alveoli, which causes severe pulmonary edema and impaired oxygen uptake. In this issue of the JCI, Peteranderl and colleagues define a paracrine communication between macrophages and type II alveolar epithelial cells during influenza infection where IFNα induces macrophage secretion of TRAIL that causes endocytosis of Na,K-ATPase by the alveolar epithelium. This reduction of Na,K-ATPase expression decreases alveolar fluid clearance, which in turn leads to pulmonary edema. Inhibition of the TRAIL signaling pathway has been shown to improve lung injury after influenza infection, and future studies will be needed to determine if blocking this pathway is a viable option in the treatment of ARDS.

  12. Drug screening for influenza neuraminidase inhibitors

    Institute of Scientific and Technical Information of China (English)

    LIU; Ailin; CAO; Hongpeng; DU; Guanhua

    2005-01-01

    Neuraminidase (NA) is one of the most important targets to screen the drugs of anti-influenza virus A and B. After virtual screening approaches were applied to a compound database which possesses more than 10000 compound structures, 160 compounds were selected for bioactivity assay, then a High Throughput Screening (HTS) model established for influenza virus NA inhibitors was applied to detect these compounds. Finally, three compounds among them displayed higher inhibitory activities, the range of their IC50 was from 0.1 μmol/L to 3μmol/L. Their structural scaffolds are novel and different from those of NA inhibitors approved for influenza treatment, and will be useful for the design and research of new NA inhibitors. The resuit indicated that the combination of virtual screening with HTS was very significant to drug screening and drug discovery.

  13. Burden of paediatric influenza in Western Europe: a systematic review

    Directory of Open Access Journals (Sweden)

    Antonova Evgeniya N

    2012-11-01

    Full Text Available Abstract Background Influenza illness in children causes significant clinical and economic burden. Although some European countries have adopted influenza immunisation policies for healthy children, the debate about paediatric influenza vaccination in most countries of the European Union is ongoing. Our aim was to summarise influenza burden (in terms of health outcomes and economic burden in children in Western Europe via a systematic literature review. Methods We conducted a systematic literature search of PubMed, EMBASE, and the Cochrane Library (1970-April 2011 and extracted data on influenza burden in children (defined as aged ≤ 18 years from 50 publications (13 reporting laboratory-confirmed influenza; 37 reporting influenza-like illness. Results Children with laboratory-confirmed influenza experienced hospitalisations (0.3%-20%, medical visits (1.7-2.8 visits per case, antibiotic prescriptions (7%-55%, and antipyretic or other medications for symptomatic relief (76%-99%; young children and those with severe illness had the highest rates of health care use. Influenza in children also led to absenteeism from day care, school, or work for the children, their siblings, and their parents. Average (mean or median length of absence from school or day care associated with confirmed influenza ranged from 2.8 to 12.0 days for the children, from 1.3 to 6.0 days for their siblings, and from 1.3 to 6.3 days for their parents. Influenza negatively affected health-related quality of life in children with asthma, including symptoms and activities; this negative effect was smaller in vaccinated children than in non-vaccinated children. Conclusions Influenza burden in children is substantial and has a significant direct impact on the ill children and an indirect impact on their siblings and parents. The identified evidence regarding the burden of influenza may help inform both influenza antiviral use in children and paediatric immunisation policies in

  14. [Immune response to influenza vaccination].

    Science.gov (United States)

    Alvarez, I; Corral, J; Arranz, A; Foruria, A; Landa, V; Lejarza, J R; Marijuán, L; Martínez, J M

    1989-01-01

    The present study investigated the level of immunity of the population against three strains of the influenza virus (A Chile/1/83 -A Philippines/2/82 and B URSS/100/83) before and three months after vaccination, and the immune response to whole virus vaccine as compared with fragmented virus vaccine. A high percentage of the population had titers greater than or equal to 1/10 before vaccination for the Chile (54%) and Philippines (65.7%) strains, while titers against the URSS strain were lower (25.4%). There was a definitive increase in antibody titer in the vaccinated population, although it was lower than expected. The overall response to both vaccines, with protecting titers greater than or equal to 1/40 after vaccination was 65.2% for the Chile strain, 74.6% for the Philippines strain, and 15% for the URSS strain. No differences in the overall immune response were found between the groups vaccinated with whole and fragmented virus.

  15. Flucelvax (Optaflu) for seasonal influenza.

    Science.gov (United States)

    Manini, Ilaria; Domnich, Alexander; Amicizia, Daniela; Rossi, Stefania; Pozzi, Teresa; Gasparini, Roberto; Panatto, Donatella; Montomoli, Emanuele

    2015-06-01

    Conventional egg-based manufacturing technology for seasonal influenza vaccines has several drawbacks, including its inflexibility, reliance on egg supplies, risk of contamination, absence of growth of some isolates and egg-adaptive viral mutations that threaten vaccine matching. To overcome these limitations, cell culture-derived vaccines have been designed, including the trivalent inactivated vaccine Flucelvax®/Optaflu® (brand names in the US/EU, respectively). Flucelvax®/Optaflu® has gained wide regulatory approval and is currently implemented in several countries. Non-clinical studies have assuaged hypothetical concerns regarding oncogenicity and use in persons allergic to dogs. Ample clinical data suggest the non-inferiority of Flucelvax®/Optaflu® to egg-based vaccines in terms of immunogenicity, safety and tolerability, and it has fulfilled American and European mandatory requirements. Although Flucelvax®/Optaflu® is currently indicated only for adults and the elderly, pediatric data indicate its good immunogenicity and safety. This paper provides an update on the clinical development of Flucelvax®/Optaflu®, its seasonal trials and available post-marketing surveillance data.

  16. Intranasal immunization with influenza antigens conjugated with cholera toxin subunit B stimulates broad spectrum immunity against influenza viruses.

    Science.gov (United States)

    Li, Junwei; Arévalo, Maria T; Chen, Yanping; Posadas, Olivia; Smith, Jacob A; Zeng, Mingtao

    2014-01-01

    Frequent mutation of influenza viruses keep vaccinated and non-vaccinated populations vulnerable to new infections, causing serious burdens to public health and the economy. Vaccination with universal influenza vaccines would be the best way to effectively protect people from infection caused by mismatched or unforeseen influenza viruses. Presently, there is no FDA approved universal influenza vaccine. In this study, we expressed and purified a fusion protein comprising of influenza matrix 2 protein ectodomain peptides, a centralized influenza hemagglutinin stem region, and cholera toxin subunit B. Vaccination of BALB/c mice with this novel artificial antigen resulted in potent humoral immune responses, including induction of specific IgA and IgG, and broad protection against infection by multiple influenza viruses. Furthermore, our results demonstrated that when used as a mucosal antigen, cholera toxin subunit B improved antigen-stimulated T cell and memory B cell responses.

  17. Synthesis of histamine by Haemophilus influenzae.

    Science.gov (United States)

    Sheinman, B D; Devalia, J L; Davies, R J; Crook, S J; Tabaqchali, S

    1986-03-29

    Recent findings suggest that bacteria might contribute to histamine concentrations in the sputum of patients with infective lung disease. Ten isolates of Haemophilus influenzae from patients with acute exacerbation of chronic bronchitis and emphysema, together with two reference strains, were incubated at 37 degrees C for 72 hours. Serial estimations of histamine concentrations by high pressure liquid chromatography showed significant increases at 24 and 48 hours; no increases were evident in the control samples. These findings suggest that H influenzae might contribute to inflammation and limited airflow in infective lung disease by producing histamine.

  18. Hospital Viability during a Pandemic Influenza Outbreak

    Science.gov (United States)

    2009-06-01

    poultry, is usually deadly. This current, more deadly virus is also known as H5N1 avian influenza, or bird flu . In the past several years, the bird ...Avian Flu: Avian or bird flu is caused by influenza viruses that occur naturally among wild birds. The H5N1 variant is deadly to domestic fowl and is...Health. Davenport, R. John. 2008. ―The next pandemic: Bird flu and the 1918 scourge yield harbingers of threats to come.‖ www.infection-research.de

  19. Rheumatoid arthritis and the incidence of influenza and influenza-related complications: a retrospective cohort study

    Directory of Open Access Journals (Sweden)

    Blumentals William A

    2012-08-01

    Full Text Available Abstract Background Patients with rheumatoid arthritis (RA are known to be at increased risk of infection, particularly if they are taking drugs with immunomodulatory effects. There is a need for more information on the risk of influenza in patients with RA. Methods A retrospective cohort study was carried out using data gathered from a large US commercial health insurance database (Thomson Reuters Medstat MarketScan from 1 January 2000 to 31 December 2007. Patients were ≥18 years of age, with at least two RA claims diagnoses. The database was scanned for incidence of seasonal influenza and its complications on or up to 30 days after an influenza diagnosis in RA patients and matched controls. Other factors accounted for included medical conditions, use of disease-modifying anti-rheumatic drugs (DMARDs, use of biological agents, influenza vaccination and high- or low-dose corticosteroids. Incidence rate ratios (IRRs were calculated for influenza and its complications in patients with RA. Results 46,030 patients with RA and a matching number of controls had a median age of 57 years. The incidence of influenza was higher in RA patients than in controls (409.33 vs 306.12 cases per 100,000 patient-years, and there was a 2.75-fold increase in incidence of complications in RA. Presence or absence of DMARDs or biologics had no significant effect. The adjusted IRR of influenza was statistically significant in patients aged 60–69 years, and especially among men. A significantly increased rate of influenza complications was observed in women and in both genders combined (but not in men only when all age groups were combined. In general, the risk of influenza complications was similar in RA patients not receiving DMARDs or biologics to that in all RA patients. Pneumonia rates were significantly higher in women with RA. Rates of stroke/myocardial infarction (MI were higher in men, although statistical significance was borderline. Conclusions RA is

  20. Effect of influenza and pneumococcal vaccines in elderly persons in years of low influenza activity

    Directory of Open Access Journals (Sweden)

    Sylvan Staffan PE

    2008-04-01

    Full Text Available Abstract Background The present prospective study was conducted from 2003–2005, among all individuals 65 years and older in Uppsala County, a region with 300 000 inhabitants situated close to the Stockholm urban area. The objective of this study was to assess the preventive effect of influenza and pneumococcal vaccination in reducing hospitalisation and length of hospital stay (LOHS even during periods of low influenza activity. The specificity of the apparent vaccine associations were evaluated in relation to the influenza seasons. Results In 2003, the total study population was 41,059, of which 12,907 (31% received influenza vaccine of these, 4,447 (11% were administered the pneumococcal vaccine. In 2004, 14,799 (34% individuals received the influenza vaccine and 8,843 (21% the pneumococcal vaccine and in 2005 16,926 (39% individuals were given the influenza vaccine and 12,340 (28% the pneumococcal vaccine. Our findings indicated that 35% of the vaccinated cohort belonged to a medical risk category (mainly those persons that received the pneumococcal vaccine. Data on hospitalisation and mortality during the 3-year period were obtained from the administrative database of the Uppsala county council. During the influenza seasons, reduction of hospital admissions and significantly shorter in-hospital stay for influenza was observed in the vaccinated cohort (below 80 years of age. For individuals who also had received the pneumococcal vaccine, a significant reduction of hospital admissions and of in-hospital stay was observed for invasive pneumococcal disease and for pneumococcal pneumonia. Effectiveness was observed for cardiac failure even in persons that also had received the pneumococcal vaccine, despite that the pneumococcal vaccinated mainly belonged to a medical risk category. Reduction of death from all causes was observed during the influenza season of 2004, in the 75–84-year old age group and in all age-groups during the influenza

  1. Codon usage bias and the evolution of influenza A viruses. Codon Usage Biases of Influenza Virus

    Directory of Open Access Journals (Sweden)

    Wong Emily HM

    2010-08-01

    Full Text Available Abstract Background The influenza A virus is an important infectious cause of morbidity and mortality in humans and was responsible for 3 pandemics in the 20th century. As the replication of the influenza virus is based on its host's machinery, codon usage of its viral genes might be subject to host selection pressures, especially after interspecies transmission. A better understanding of viral evolution and host adaptive responses might help control this disease. Results Relative Synonymous Codon Usage (RSCU values of the genes from segment 1 to segment 6 of avian and human influenza viruses, including pandemic H1N1, were studied via Correspondence Analysis (CA. The codon usage patterns of seasonal human influenza viruses were distinct among their subtypes and different from those of avian viruses. Newly isolated viruses could be added to the CA results, creating a tool to investigate the host origin and evolution of viral genes. It was found that the 1918 pandemic H1N1 virus contained genes with mammalian-like viral codon usage patterns, indicating that the introduction of this virus to humans was not through in toto transfer of an avian influenza virus. Many human viral genes had directional changes in codon usage over time of viral isolation, indicating the effect of host selection pressures. These changes reduced the overall GC content and the usage of G at the third codon position in the viral genome. Limited evidence of translational selection pressure was found in a few viral genes. Conclusions Codon usage patterns from CA allowed identification of host origin and evolutionary trends in influenza viruses, providing an alternative method and a tool to understand the evolution of influenza viruses. Human influenza viruses are subject to selection pressure on codon usage which might assist in understanding the characteristics of newly emerging viruses.

  2. School-located influenza vaccination decreases laboratory-confirmed influenza and improves school attendance.

    Science.gov (United States)

    Pannaraj, Pia S; Wang, Hai-Lin; Rivas, Hector; Wiryawan, Hilda; Smit, Michael; Green, Nicole; Aldrovandi, Grace M; El Amin, Alvin Nelson; Mascola, Laurene

    2014-08-01

    School-located influenza vaccination (SLV) programs can efficiently immunize large numbers of school-aged children. We evaluated the impact of SLV on laboratory-confirmed influenza and absenteeism. Active surveillance for influenza-like illness (ILI) was conducted on 4455 children in 4 SLV intervention and 4 control elementary schools (grades K-6) matched for sociodemographic characteristics during the 2010-2011 influenza season in Los Angeles County, California. Combined nose/throat swabs were collected from febrile children with ILI at presentation to the school nurse or during absenteeism. In SLV schools, 26.9%-46.6% of enrolled students received at least 1 dose of either inactivated or live attenuated influenza vaccine compared with 0.8%-4.3% in control schools. Polymerase chain reaction for respiratory viruses (PCR) was performed on 1021 specimens obtained from 898 children. Specimens were positive for influenza in 217 (21.3%), including 2009 H1N1 (30.9%), H3 (9.2%), and B (59.9%). Children attending SLV schools, regardless of vaccination status, were 30.8% (95% confidence interval, 10.1%-46.8%) less likely to acquire influenza compared with children at control schools. Unvaccinated children were indirectly protected in the school with nearly 50% vaccination coverage compared with control schools (influenza rate, 27.1 vs 60.0 per 1000 children; P = .023). Unvaccinated children missed more school days than vaccinated children (4.3 vs 2.8 days per 100 school days; P rates and improved school attendance. Herd immunity for unvaccinated children may occur in schools with vaccination coverage approaching 50%. © The Author 2014. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

  3. Elicitation of broadly neutralizing influenza antibodies in animals with previous influenza exposure.

    Science.gov (United States)

    Wei, Chih-Jen; Yassine, Hadi M; McTamney, Patrick M; Gall, Jason G D; Whittle, James R R; Boyington, Jeffrey C; Nabel, Gary J

    2012-08-15

    The immune system responds to influenza infection by producing neutralizing antibodies to the viral surface protein, hemagglutinin (HA), which regularly changes its antigenic structure. Antibodies that target the highly conserved stem region of HA neutralize diverse influenza viruses and can be elicited through vaccination in animals and humans. Efforts to develop universal influenza vaccines have focused on strategies to elicit such antibodies; however, the concern has been raised that previous influenza immunity may abrogate the induction of such broadly protective antibodies. We show here that prime-boost immunization can induce broadly neutralizing antibody responses in influenza-immune mice and ferrets that were previously infected or vaccinated. HA stem-directed antibodies were elicited in mice primed with a DNA vaccine and boosted with inactivated vaccine from H1N1 A/New Caledonia/20/1999 (1999 NC) HA regardless of preexposure. Similarly, gene-based vaccination with replication-defective adenovirus 28 (rAd28) and 5 (rAd5) vectors encoding 1999 NC HA elicited stem-directed neutralizing antibodies and conferred protection against unmatched 1934 and 2007 H1N1 virus challenge in influenza-immune ferrets. Indeed, previous exposure to certain strains could enhance immunogenicity: The strongest HA stem-directed immune response was observed in ferrets previously infected with a divergent 1934 H1N1 virus. These findings suggest that broadly neutralizing antibodies against the conserved stem region of HA can be elicited through vaccination despite previous influenza exposure, which supports the feasibility of developing stem-directed universal influenza vaccines for humans.

  4. Wie das Neue in eine Brandenburgische Hochschulbibliothek kommt und nicht versiegen mag – Ein persönlicher Rückblick

    Directory of Open Access Journals (Sweden)

    Frank Seeliger

    2015-11-01

    Full Text Available Das Mantra der Kundenorientierung, Serviceentwicklung und die Verpflichtung zur Effektivität wie Effizienz bei der Bewältigung aller Geschäftsgänge sind mittlerweile Allgemeinplätze. Es verpflichtet Informationseinrichtungen, den aktuellen Entwicklungen und der Zeit auf den Fersen zu bleiben. Was bedeutet dies auf der alltäglich pragmatischen Ebene für eine überschaubare Fachhochschulbibliothek? Eine, die mit wenigen Ressourcen ausgestattet als Showcase, repräsentativer Raum, Boutique sich gut „verkaufen“ muss, um en vogue oder einfach nur relevant und interessant für Stakeholder, Nutzer sowie Mitarbeiter zu bleiben? Auf dem Campus der berlinnahen Informationseinrichtung wird seit dem Neubezug einer denkmalgeschützten Verladehalle 2007 versucht, dem gewinnenden Charme und anmutigen Ambiente des Porticus auch eine herausragende Rolle als Innovations-Hub für die Hochschule und Bibliotheken im Allgmeinen über gelebte neue Ideen abzugewinnen. Sie betreffen sowohl technische Lösungen in Bezug auf RFID, Visualisierung, Automatisierung und Software, aber auch Formate für Veranstaltungen und Weiterbildung. Was ist aber hierfür nötig, um das Neue, gekauft oder selbst gezimmert, immer wieder einfliessen zu lassen und sich mit dem Profil der tatkräftigen und kreativen Avantgarde zu identifizieren? Der Beitrag wird versuchen, das Umfeld dafür zu beleuchten, um Innovationen als selbstverständliche Erwartungshaltung reifen zu lassen. Der deskriptive Ansatz soll nach keineswegs vollständiger Reflexion eigener Bemühungen prima facie Anregung geben dazu, wie im öffentlichen Dienst und ohne direkte Tuchfühlung zu „schwarzen Zahlen“ eine Firmenkultur Einzug halten kann, die bei entsprechender Erwartungshaltung das Unvorhersehbare für sich höher einschätzt als das Vertraute. Es ist ein Plädoyer für das offene System, ein Hoch auf Veränderung und Neues, ohne damit in eine willkürliche Vielfalt zu geraten. Warum kann das

  5. 76 FR 78658 - Webinar Overview of the National Vaccine Advisory Committee Healthcare Personnel Influenza...

    Science.gov (United States)

    2011-12-19

    ... Influenza Vaccination Subgroup's Draft Report and Draft Recommendations for Achieving the Healthy People 2020 Annual Coverage Goals for Influenza Vaccination in Healthcare Personnel AGENCY: National Vaccine... of the National Vaccine Advisory Committee (NVAC), Healthcare Personnel Influenza...

  6. Comparing pandemic to seasonal influenza mortality: moderate impact overall but high mortality in young children.

    NARCIS (Netherlands)

    Wijngaard, C.C. van den; Asten, L. van; Koopmans, M.P.G.; Pelt, W. van; Nagelkerke, N.J.D.; Wielders, C.C.H.; Lier, A. van; Hoek, W. van der; Meijer, A.; Donker, G.A.; Dijkstra, F.; Harmsen, C.; Sande, M.A.B. van der; Kretzschmar, M.

    2012-01-01

    Background: We assessed the severity of the 2009 influenza pandemic by comparing pandemic mortality to seasonal influenza mortality. However, reported pandemic deaths were laboratory-confirmed - and thus an underestimation - whereas seasonal influenza mortality is often more inclusively estimated. F

  7. Influenza vaccines for preventing cardiovascular disease

    Directory of Open Access Journals (Sweden)

    Christine Clar

    Full Text Available ABSTRACTBACKGROUND: This is an update of the original review published in 2008. The risk of adverse cardiovascular outcomes is increased with influenza-like infection, and vaccination against influenza may improve cardiovascular outcomes.OBJECTIVES: To assess the potential benefits of influenza vaccination for primary and secondary prevention of cardiovascular disease.METHODS:Search methods:We searched the following electronic databases on 18 October 2013: The Cochrane Library (including Cochrane Central Register of Controlled Trials (CENTRAL, Database of Abstracts of Reviews of Effects (DARE, Economic Evaluation Database (EED and Health Technology Assessment database (HTA, MEDLINE, EMBASE, Science Citation Index Expanded, Conference Proceedings Citation Index - Science and ongoing trials registers (www.controlled-trials.com/ and www.clinicaltrials.gov. We examined reference lists of relevant primary studies and systematic reviews. We performed a limited PubMed search on 20 February 2015, just before publication.Selection criteria:Randomised controlled trials (RCTs of influenza vaccination compared with placebo or no treatment in participants with or without cardiovascular disease, assessing cardiovascular death or non-fatal cardiovascular events.Data collection and analysis:We used standard methodological procedures as expected by The Cochrane Collaboration. We carried out meta-analyses only for cardiovascular death, as other outcomes were reported too infrequently. We expressed effect sizes as risk ratios (RRs, and we used random-effects models.MAIN RESULTS: We included eight trials of influenza vaccination compared with placebo or no vaccination, with 12,029 participants receiving at least one vaccination or control treatment. We included six new studies (n = 11,251, in addition to the two included in the previous version of the review. Four of these trials (n = 10,347 focused on prevention of influenza in the general or elderly population

  8. Lightweight-construction - a new challenge for passenger car high speed diesel engines; Leichtbau - eine neue Herausforderung fuer PKW-Hochleistungsdieselmotoren

    Energy Technology Data Exchange (ETDEWEB)

    Marquard, R.; Schoeffmann, W.; Beste, F. [AVL List GmbH, Graz (Austria)

    1999-10-01

    hierbei das Kurbelgehaeuse das groesste Potential zur Gewichtsreduktion. Moderne Hochleistungsdieselmotoren stellen hohe Ansprueche an die Festigkeit der Kurbelgehaeusestruktur. Dieser Vortrag diskutiert Leichtbaustrategien unter Verwendung von Leichtbauwerkstoffen und modernen Konstruktionskonzepten. Der Einsatz von Leichtbauwerkstoffen erfordert neuen, den Werkstoffeigenschaften angepasste Konstruktionskonzepte, um das Potential des jeweiligen Werkstoffs voll zu nutzen. Beispiele fuer Reihenmotoren und V-Motoren wurden detailliert betrachtet. Neue Leichtbau Motorkonzepte ermoeglichen eine deutliche Reduktion des Motorgesamtgewichtes gegenueber konventionellen Konstruktionen und senken damit das Fahrzeuggesamtgewicht. (orig.)

  9. Influenza viruses and the evolution of avian influenza virus H5N1.

    Science.gov (United States)

    Skeik, Nedaa; Jabr, Fadi I

    2008-05-01

    Although small in size and simple in structure, influenza viruses are sophisticated organisms with highly mutagenic genomes and wide antigenic diversity. They are species-specific organisms. Mutation and reassortment have resulted in newer viruses such as H5N1, with new resistance against anti-viral medications, and this might lead to the emergence of a fully transmissible strain, as occurred in the 1957 and 1968 pandemics. Influenza viruses are no longer just a cause of self-limited upper respiratory tract infections; the H5N1 avian influenza virus can cause severe human infection with a mortality rate exceeding 50%. The case death rate of H5N1 avian influenza infection is 20 times higher than that of the 1918 infection (50% versus 2.5%), which killed 675000 people in the USA and almost 40 million people worldwide. While the clock is still ticking towards what seems to be inevitable pandemic influenza, on April 17, 2007 the U.S. Food and Drug Administration (FDA) approved the first vaccine against the avian influenza virus H5N1 for humans at high risk. However, more research is needed to develop a more effective and affordable vaccine that can be given at lower doses.

  10. The clinical usefulness of lymphocyte:monocyte ratios in differentiating influenza from viral non-influenza-like illnesses in hospitalized adults during the 2015 influenza A (H3N2) epidemic: the uniqueness of HPIV-3 mimicking influenza A.

    Science.gov (United States)

    Cunha, B A; Connolly, J J; Irshad, N

    2016-01-01

    During influenza epidemics, influenza-like illnesses (ILIs) viruses cocirculate with influenza strains. If positive, rapid influenza diagnostic tests (RIDTs) identify influenza A/B, but false-negative RIDTs require retesting by viral polymerase chain reaction (PCR). Patient volume limits testing during influenza epidemics, and non-specific laboratory findings have been used for presumptive diagnosis pending definitive viral testing. In adults, the most useful laboratory abnormalities in influenza include relative lymphopenia, monocytosis, and thrombocytopenia. Lymphocyte:monocyte (L:M) ratios may be even more useful. L:M ratios ILIs. During the 2015 influenza A (H3N2) epidemic at our hospital, we reviewed our experience with L:M ratios in 37 hospitalized adults with non-influenza viral ILIs. In hospitalized adults with non-influenza A ILIs, the L:M ratios were >2 with human metapneumovirus (hMPV), rhinoviruses/enteroviruses (R/E), and respiratory syncytial virus (RSV), but not human parainfluenza virus type 3 (HPIV-3), which had L:M ratios 3 days, whereas with HPIV-3, L:M ratios 3 days of hospitalization.

  11. Influenza excess mortality from 1950-2000 in tropical Singapore.

    Directory of Open Access Journals (Sweden)

    Vernon J Lee

    Full Text Available INTRODUCTION: Tropical regions have been shown to exhibit different influenza seasonal patterns compared to their temperate counterparts. However, there is little information about the burden of annual tropical influenza epidemics across time, and the relationship between tropical influenza epidemics compared with other regions. METHODS: Data on monthly national mortality and population was obtained from 1947 to 2003 in Singapore. To determine excess mortality for each month, we used a moving average analysis for each month from 1950 to 2000. From 1972, influenza viral surveillance data was available. Before 1972, information was obtained from serial annual government reports, peer-reviewed journal articles and press articles. RESULTS: The influenza pandemics of 1957 and 1968 resulted in substantial mortality. In addition, there were 20 other time points with significant excess mortality. Of the 12 periods with significant excess mortality post-1972, only one point (1988 did not correspond to a recorded influenza activity. For the 8 periods with significant excess mortality periods before 1972 excluding the pandemic years, 2 years (1951 and 1953 had newspaper reports of increased pneumonia deaths. Excess mortality could be observed in almost all periods with recorded influenza outbreaks but did not always exceed the 95% confidence limits of the baseline mortality rate. CONCLUSION: Influenza epidemics were the likely cause of most excess mortality periods in post-war tropical Singapore, although not every epidemic resulted in high mortality. It is therefore important to have good influenza surveillance systems in place to detect influenza activity.

  12. Development of high-yield influenza B virus vaccine viruses.

    Science.gov (United States)

    Ping, Jihui; Lopes, Tiago J S; Neumann, Gabriele; Kawaoka, Yoshihiro

    2016-12-20

    The burden of human infections with influenza A and B viruses is substantial, and the impact of influenza B virus infections can exceed that of influenza A virus infections in some seasons. Over the past few decades, viruses of two influenza B virus lineages (Victoria and Yamagata) have circulated in humans, and both lineages are now represented in influenza vaccines, as recommended by the World Health Organization. Influenza B virus vaccines for humans have been available for more than half a century, yet no systematic efforts have been undertaken to develop high-yield candidates. Therefore, we screened virus libraries possessing random mutations in the six "internal" influenza B viral RNA segments [i.e., those not encoding the major viral antigens, hemagglutinin (HA) and neuraminidase NA)] for mutants that confer efficient replication. Candidate viruses that supported high yield in cell culture were tested with the HA and NA genes of eight different viruses of the Victoria and Yamagata lineages. We identified combinations of mutations that increased the titers of candidate vaccine viruses in mammalian cells used for human influenza vaccine virus propagation and in embryonated chicken eggs, the most common propagation system for influenza viruses. These influenza B virus vaccine backbones can be used for improved vaccine virus production.

  13. Protection against Influenza Virus Infection of Mice Fed Bifidobacterium breve YIT4064

    OpenAIRE

    1999-01-01

    Mice fed Bifidobacterium breve YIT4064 and immunized orally with influenza virus were more strongly protected against influenza virus infection of the lower respiratory tract than ones immunized with influenza virus only. The number of mice with enhanced anti-influenza virus immunoglobulin G (IgG) in serum upon oral administration of B. breve YIT4064 and oral immunization with influenza virus was significantly greater than that upon oral immunization with influenza...

  14. Influenza Seasonal Summary: Departments of the Navy and Defense 2015-2016

    Science.gov (United States)

    2016-08-01

    Organization (WHO) estimates 250,000 to 500,000 influenza -associated deaths worldwide each season.2 The influenza virus is categorized into influenza types...in pandemics, such as the 2009 H1N1 influenza pandemic, or sporadic outbreaks, such as the 2013 avian influenza A (H7N9) virus outbreak in China...Laboratory Chemistry and microbiology data were used to identify positive influenza laboratory results. The laboratory data were limited to relevant

  15. Influenza vaccination in children at high risk of respiratory disease.

    Science.gov (United States)

    Patria, Maria Francesca; Tagliabue, Claudia; Longhi, Benedetta; Esposito, Susanna

    2013-05-01

    Chronic respiratory diseases (CRDs) are a heterogeneous group of diseases that can affect the pediatric population and health authorities throughout the world recommend influenza vaccination because of the significant risk of influenza-related complications. However, despite this recommendation, vaccine coverage is generally unsatisfactory. The aim of this review is to analyze the impact of influenza on children at high risk of respiratory disease, and the immunogenicity, safety and efficacy of influenza vaccination in such children. The results show that there is a significant risk of influenza-related complications in preterm neonates and infants, in whom influenza vaccines are immunogenic and safe (although their efficacy has not been specifically studied). There are conflicting data concerning the effect of influenza infection on asthma morbidity in children, and whether or not influenza vaccination helps to prevent asthma exacerbations. Recent data provide no evidence that influenza is more frequent in patients with cystic fibrosis than in healthy subjects, or that it is responsible for increased lower respiratory tract morbidity. The lack of any clear correlate of protection suggests that future studies should also consider the efficacy of the different influenza vaccines and not only evaluate them in terms of immunogenicity. Furthermore, there is a need for clinical studies to assess the effectiveness of the available vaccines in patients with other rare CRDs and other chronic underlying diseases with possibly severe respiratory involvement. It is also important to determine whether children with recurrent respiratory tract infections should be included in the list of those for whom influenza vaccination is recommended. In the meantime, given the increasing evidence of the burden of influenza on the population as a whole and the benefits associated with vaccination, annual influenza vaccinations should be recommended for all children at high risk of

  16. Universal immunity to influenza must outwit immune evasion

    Directory of Open Access Journals (Sweden)

    Sergio Manuel Quinones-Parra

    2014-06-01

    Full Text Available Although an influenza vaccine has been available for 70 years, influenza virus still causes seasonal epidemics and worldwide pandemics. Currently available vaccines elicit strain-specific antibody responses to the surface haemagglutinin (HA and neuraminidase (NA proteins, but these can be ineffective against serologically-distinct viral variants and novel subtypes. Thus, there is a need for cross-protective or universal influenza vaccines to overcome the necessity for annual immunisation against seasonal influenza and to provide immunity to reduce the severity of infection with pandemic or outbreak viruses. It is well established that natural influenza infection can provide cross-reactive immunity that can reduce the impact of infection with distinct influenza type A strains and subtypes, including H1N1, H3N2, H2N2, H5N1 and H7N9. The key to generating universal influenza immunity via vaccination is to target functionally-conserved regions of the virus, which include epitopes on the internal proteins for cross-reactive T cell immunity or on the HA stem for broadly reactive antibody responses. In the wake of the 2009 H1N1 pandemic, broadly neutralizing antibodies have been characterized and isolated from convalescent and vaccinated individuals, inspiring development of new vaccination techniques to elicit such responses. Induction of influenza-specific T cell responses through vaccination has also been examined in clinical trials. Strong evidence is available from human and animal models of influenza to show that established influenza-specific T cell memory can reduce viral shedding and symptom severity. However, the published evidence also shows that CD8+ T cells can efficiently select immune escape mutants early after influenza virus infection. Here, we discuss universal immunity to influenza viruses mediated by both cross-reactive T cells and antibodies, the mechanisms of immune evasion in influenza, and how to counteract commonly occurring

  17. Influenza virus neutralizing antibodies and IgG isotype profiles after immunization of mice with influenza A subunit vaccine using various adjuvants

    NARCIS (Netherlands)

    Benne, CA; Harmsen, M; vanderGraaff, W; Verheul, AFM; Snippe, H; Kraaijeveld, CA

    1997-01-01

    The influence of various adjuvants on the development of influenza virus neutralizing antibodies and distribution of anti-influenza virus IgG isotypes after immunization of mice with influenza A (H3N2) subunit vaccine was investigated. Serum titres of influenza virus neutralizing antibodies and titr

  18. Influenza virus neutralizing antibodies and IgG isotype profiles after immunization of mice with influenza A subunit vaccine using various adjuvants

    NARCIS (Netherlands)

    Benne, CA; Harmsen, M; vanderGraaff, W; Verheul, AFM; Snippe, H; Kraaijeveld, CA

    The influence of various adjuvants on the development of influenza virus neutralizing antibodies and distribution of anti-influenza virus IgG isotypes after immunization of mice with influenza A (H3N2) subunit vaccine was investigated. Serum titres of influenza virus neutralizing antibodies and

  19. Plasmid recombination in Haemophilus influenzae

    Energy Technology Data Exchange (ETDEWEB)

    McCarthy, D.

    1982-01-01

    DNA recombination in exponential phase and competent Haemophilus influenzae was measured by an electron microscopic assay that relies on the conversion of plasmid RSF0885 monomers into multimeric forms. Dimer circles were present at a frequency of 2% in plasmid preparations from competent Rd (wild-type) cells; multimers were present at a frequency of 0.2% in preparations from exponential phase cells. Thus, plasmid recombination was stimulated in competent cells. Multimer formation occurred efficiently in cells of the transformation defective mutant rec2, implying that the rec2 gene product is not required for plasmid recombination. However, the absence of multimer plasmids in preparations from competent cells of the transformation defective mutant rec1 suggests that the rec1 gene product is required. Digestion of purified plasmids with restriction endonuclease PvuII, which makes a single cut in the monomer, revealed the presence of recombination intermediates composed of two linear plasmids joined to form two pairs of arms resembling the Greek letter chi. Length measurements of these arms taken from a population of recombination intermediates gave evidence that the plasmids were joined at sites of homology. The distributions of individual DNA strands, at the intersections of the four arms, could be resolved in some recombination intermediates and were of two types. The first type of junction appeared as a single-stranded arm appended to each corner. The second type of junction consisted of a single strand of DNA linking the two linear plasmids at a site of homology. The single-stranded linker was frequently situated at the edge of a short gap on one of the plasmids in the pair. The fine structures of the recombinational joints have been interpreted in terms of previously proposed models of recombination.

  20. Health is more than influenza. {Discussion

    NARCIS (Netherlands)

    Bonneux, L.G.A.; Van Damme, W.

    2011-01-01

    The repeated pandemic health scares caused byan avian H5N1 and a new A(H1N1) human influenza virus are part of the culture of fear. Worst-case -thinking replaced balanced risk assessment. Worst-case thinking is motivated by the belief that the danger we face is so overwhelmingly catastrophic that we

  1. Mechanisms of Hemagglutinin Targeted Influenza Virus Neutralization

    NARCIS (Netherlands)

    Brandenburg, Boerries; Koudstaal, Wouter; Goudsmit, Jaap; Klaren, Vincent; Tang, Chan; Bujny, Miriam V.; Korse, Hans J.W.M.; Kwaks, Ted; Otterstrom, Jason J.; Juraszek, Jarek; Oijen, Antoine M. van; Vogels, Ronald; Friesen, Robert H.E.

    2013-01-01

    Human monoclonal antibodies have been identified which neutralize broad spectra of influenza A or B viruses. Here, we dissect the mechanisms by which such antibodies interfere with infectivity. We distinguish four mechanisms that link the conserved hemagglutinin (HA) epitopes of broadly neutralizing

  2. Influenza neuraminidase as a vaccine antigen

    Science.gov (United States)

    The neuraminidase protein of influenza viruses is a surface glycoprotein that has enzymatic activity to remove sialic acid, the viral receptor, from both viral and host proteins. The removal of sialic acid from viral proteins plays a key role in the release of the virus from the cell by preventing ...

  3. The shifting demographic landscape of pandemic influenza.

    Directory of Open Access Journals (Sweden)

    Shweta Bansal

    Full Text Available As Pandemic (H1N1 2009 influenza spreads around the globe, it strikes school-age children more often than adults. Although there is some evidence of pre-existing immunity among older adults, this alone may not explain the significant gap in age-specific infection rates.Based on a retrospective analysis of pandemic strains of influenza from the last century, we show that school-age children typically experience the highest attack rates in primarily naive populations, with the burden shifting to adults during the subsequent season. Using a parsimonious network-based mathematical model which incorporates the changing distribution of contacts in the susceptible population, we demonstrate that new pandemic strains of influenza are expected to shift the epidemiological landscape in exactly this way.Our analysis provides a simple demographic explanation for the age bias observed for H1N1/09 attack rates, and suggests that this bias may shift in coming months. These results have significant implications for the allocation of public health resources for H1N1/09 and future influenza pandemics.

  4. Serological diagnosis of avian influenza in poultry

    DEFF Research Database (Denmark)

    Comin, Arianna; Toft, Nils; Stegeman, Arjan

    2013-01-01

    Background The serological diagnosis of avian influenza (AI) can be performed using different methods, yet the haemagglutination inhibition (HI) test is considered the gold standard' for AI antibody subtyping. Although alternative diagnostic assays have been developed, in most cases, their accuracy...

  5. Planar Hall Sensor for Influenza Immunoassay

    DEFF Research Database (Denmark)

    Ejsing, Louise Wellendorph

    2006-01-01

    følsomt kan detektere magnetiske nanokugler. Indledende biodetektionsforsøg rettet mod detektion af influenza-virus blev udført i samarbejde med Statens Serum-Institut. Det blev demonstreret, at sensorerne har et stort potentiale til biodetektion men også at den uspecifikke binding af magnetiske kugler...

  6. Invasive Disease Caused by Nontypeable Haemophilus Influenzae

    Centers for Disease Control (CDC) Podcasts

    2015-11-12

    Dr. Elizabeth Briere discusses Nontypeable Haemophilus influenzae which causes a variety of infections in children and adults.  Created: 11/12/2015 by National Center for Emerging and Zoonotic Infectious Diseases (NCEZID).   Date Released: 11/17/2015.

  7. Avian influenza virus and Newcastle disease virus

    Science.gov (United States)

    Avian influenza virus (AIV) and Newcastle disease virus (NDV) severely impact poultry egg production. Decreased egg yield and hatchability, as well as misshapen eggs, are often observed during infection with AIV and NDV, even with low-virulence strains or in vaccinated flocks. Data suggest that in...

  8. Pandemic influenza and pediatric intensive care

    NARCIS (Netherlands)

    Nap, Raoul E.; Andriessen, Maarten P. H. M.; Meessen, Nico E. L.; Albers, Marcel J. I. J.; van der Werf, Tjip S.

    2010-01-01

    Objective: To assess the adequacy of preparedness planning for an influenza pandemic by modeling the pediatric surge capacity of healthcare facility and pediatric intensive care unit (PICU) requirements over time. Governments and Public Health authorities have planned preparedness activities and tra

  9. Swine influenza viruses: an Asian perspective.

    Science.gov (United States)

    Choi, Young-Ki; Pascua, Phillippe Noriel Q; Song, Min-Suk

    2013-01-01

    Swine influenza viruses (SIVs) are respiratory viral pathogens of pigs that are capable of causing serious global public health concerns in human. Because of their dual susceptibility to mammalian and avian influenza A viruses, pigs are the leading intermediate hosts for genetic reassortment and interspecies transmission and serve as reservoirs of antigenically divergent human viruses from which zoonotic stains with pandemic potential may arise. Pandemic influenza viruses emerging after the 1918 Spanish flu have originated in asia. Although distinct lineages of North American and European SIVs of the H1N1, H3N2, and HiN2 subtypes have been widely studied, less is known about the porcine viruses that are circulating among pig populations throughout Asia. The current review understanding of Contemporary viruses, human infection with SIVs, and the potential threat of novel pandemic strains are described, Furthermore, to best use the limited resources that are available for comprehensive genetic assessment of influenza, consensus efforts among Asian nations to increase epidemiosurveillance of swine herds is also strongly promoted.

  10. Economic evidence of influenza vaccination in children.

    Science.gov (United States)

    Savidan, Emmanuelle; Chevat, Catherine; Marsh, Grenville

    2008-05-01

    We review published economic evaluations of influenza vaccination for children, including direct individual benefits and indirect societal benefits, to determine whether more studies are needed to fully understand the expected benefits of such strategies. We searched MEDLINE and EMBASE databases to May 2006 and in-press articles to October 2006 for studies including economic analyses of influenza vaccination in children. Abstracts of all potentially relevant articles were screened. Fifteen relevant articles from 1983 were retained. Most were based on modelling, using previously published data and considered the societal perspective. Three were a part of prospective clinical trials. Various paediatric vaccination scenarios and parameters were considered. Vaccinating children against influenza was cost saving or cost effective in 10/15 studies, cost saving or effective only under certain conditions in three studies, and not cost saving or effective in two studies whatever the outcome or perspective considered. Most published evidence points to an economic interest for society of vaccinating children against influenza. However, differences in study design hinder the comparison of the various vaccination strategies considered. Comparable and complete data on the burden and cost of disease, and the cost of vaccination are needed, especially outside of North America.

  11. [Avian influenza and oseltamivir; a retrospective view

    NARCIS (Netherlands)

    Galama, J.M.D.

    2003-01-01

    The outbreak of avian influenza A due to an H7N7 virus in Dutch poultry farms turned out to have public-health effects for those who were involved in the management of the epidemic and who were thus extensively exposed to contaminated excreta and dust. An outbreak-management team (OMT) of experts in

  12. Quantitative detection of Staphylococcus aureus, Streptococcus pneumoniae and Haemophilus influenzae in patients with new influenza A (H1N1/2009 and influenza A/2010 virus infection

    Directory of Open Access Journals (Sweden)

    Safaeyan, Firouzeh

    2015-04-01

    Full Text Available Introduction: Viral influenza is a seasonal infection associated with significant morbidity and mortality. In the United States more than 35,000 deaths and 200,000 hospitalizations are recorded annually due to influenza. Secondary bacterial infections or co-infections associated with cases of influenza are a leading cause of severe morbidity and mortality, especially among high-risk groups such as the elderly and young children. Aim: The aim of the present study was the quantitative detection of and in a group of patients with seasonal influenza A, influenza A ( pandemic 2009, and patients with symptoms of respiratory infection, but the negative for serving as control group.Method: In total, 625 patients suspected respiratory infection from April 2009 to April 2010 were studied. There were 58 patients with influenza A and 567 patients negative for influenza A . From November 2010 to February 2011, 158 patients with respiratory symptoms were analyzed for seasonal influenza A. There were 25 patients with seasonal influenza A. To check the colonization status among the healthy individuals 62 healthy persons were further investigated. Individual were screened in parallel. The choices of special genes were amplified from clinical specimens using real-time PCR with a cutoff of 10 CFU/mL to differentiate colonization from infection in respiratory tract.Results: and were detected in 12%, 26% and 33% of patients with , while the corresponding figures were 9%, 19%, and 31% for negative patients. Among patients with seasonal influenza A 12% 24% , and 32% co-infections were detected, while influenza negative control group yielded 5% , 11% , and 10% , respectively. Conclusion: The results of this study indicated that the serotype of pandemic 2009 did not increase incidence of secondary infection with and . Quantitative detection of secondary bacterial infection by QR-PCR can help us for distinguishing colonization from infection and controlling misuse of

  13. Rapid detection of pandemic influenza in the presence of seasonal influenza

    Directory of Open Access Journals (Sweden)

    Robertson Chris

    2010-11-01

    Full Text Available Abstract Background Key to the control of pandemic influenza are surveillance systems that raise alarms rapidly and sensitively. In addition, they must minimise false alarms during a normal influenza season. We develop a method that uses historical syndromic influenza data from the existing surveillance system 'SERVIS' (Scottish Enhanced Respiratory Virus Infection Surveillance for influenza-like illness (ILI in Scotland. Methods We develop an algorithm based on the weekly case ratio (WCR of reported ILI cases to generate an alarm for pandemic influenza. From the seasonal influenza data from 13 Scottish health boards, we estimate the joint probability distribution of the country-level WCR and the number of health boards showing synchronous increases in reported influenza cases over the previous week. Pandemic cases are sampled with various case reporting rates from simulated pandemic influenza infections and overlaid with seasonal SERVIS data from 2001 to 2007. Using this combined time series we test our method for speed of detection, sensitivity and specificity. Also, the 2008-09 SERVIS ILI cases are used for testing detection performances of the three methods with a real pandemic data. Results We compare our method, based on our simulation study, to the moving-average Cumulative Sums (Mov-Avg Cusum and ILI rate threshold methods and find it to be more sensitive and rapid. For 1% case reporting and detection specificity of 95%, our method is 100% sensitive and has median detection time (MDT of 4 weeks while the Mov-Avg Cusum and ILI rate threshold methods are, respectively, 97% and 100% sensitive with MDT of 5 weeks. At 99% specificity, our method remains 100% sensitive with MDT of 5 weeks. Although the threshold method maintains its sensitivity of 100% with MDT of 5 weeks, sensitivity of Mov-Avg Cusum declines to 92% with increased MDT of 6 weeks. For a two-fold decrease in the case reporting rate (0.5% and 99% specificity, the WCR and

  14. A Defective Interfering Influenza RNA Inhibits Infectious Influenza Virus Replication in Human Respiratory Tract Cells: A Potential New Human Antiviral

    Directory of Open Access Journals (Sweden)

    Claire M. Smith

    2016-08-01

    Full Text Available Defective interfering (DI viruses arise during the replication of influenza A virus and contain a non-infective version of the genome that is able to interfere with the production of infectious virus. In this study we hypothesise that a cloned DI influenza A virus RNA may prevent infection of human respiratory epithelial cells with infection by influenza A. The DI RNA (244/PR8 was derived by a natural deletion process from segment 1 of influenza A/PR/8/34 (H1N1; it comprises 395 nucleotides and is packaged in the DI virion in place of a full-length genome segment 1. Given intranasally, 244/PR8 DI virus protects mice and ferrets from clinical influenza caused by a number of different influenza A subtypes and interferes with production of infectious influenza A virus in cells in culture. However, evidence that DI influenza viruses are active in cells of the human respiratory tract is lacking. Here we show that 244/PR8 DI RNA is replicated by an influenza A challenge virus in human lung diploid fibroblasts, bronchial epithelial cells, and primary nasal basal cells, and that the yield of challenge virus is significantly reduced in a dose-dependent manner indicating that DI influenza virus has potential as a human antiviral.

  15. Influenza vaccine effectiveness in preventing inpatient and outpatient cases in a season dominated by vaccine-matched influenza B virus.

    Science.gov (United States)

    Martínez-Baz, Iván; Navascués, Ana; Pozo, Francisco; Chamorro, Judith; Albeniz, Esther; Casado, Itziar; Reina, Gabriel; Cenoz, Manuel García; Ezpeleta, Carmen; Castilla, Jesús

    2015-01-01

    Studies that have evaluated the influenza vaccine effectiveness (VE) to prevent laboratory-confirmed influenza B cases are uncommon, and few have analyzed the effect in preventing hospitalized cases. We have evaluated the influenza VE in preventing outpatient and hospitalized cases with laboratory-confirmed influenza in the 2012-2013 season, which was dominated by a vaccine-matched influenza B virus. In the population covered by the Navarra Health Service, all hospitalized patients with influenza-like illness (ILI) and all ILI patients attended by a sentinel network of general practitioners were swabbed for influenza testing, and all were included in a test-negative case-control analysis. VE was calculated as (1-odds ratio) × 100. Among 744 patients tested, 382 (51%) were positive for influenza virus: 70% for influenza B, 24% for A(H1N1)pdm09, and 5% for A(H3N2). The overall estimate of VE in preventing laboratory-confirmed influenza was 63% (95% confidence interval (CI): 34 to 79), 55% (1 to 80) in outpatients and 74% (33 to 90) in hospitalized patients. The VE was 70% (41 to 85) against influenza B and 43% (-45 to 78) against influenza A. The VE against virus B was 87% (52 to 96) in hospitalized patients and 56% in outpatients (-5 to 81). Adjusted comparison of vaccination status between inpatient and outpatient cases with influenza B did not show statistically significant differences (odds ratio: 1.13; p = 0.878). These results suggest a high protective effect of the vaccine in the 2012-2013 season, with no differences found for the effect between outpatient and hospitalized cases.

  16. Influenza and the use of oseltamivir in children.

    Science.gov (United States)

    Çiftçi, Ergin; Karbuz, Adem; Kendirli, Tanıl

    2016-06-01

    Influenza is an infectious disease which causes significant morbidity and mortality. In the USA, approximately 200 000 hospital admissions and 36 000 deaths occur annualy due to severe influenza infections. Although influenza often causes a simple respiratory infection, it sometimes causes disorders affecting several organs including the lung, heart, brain, liver and muscles or serious life-threatening primary viral or secondary bacterial pneumonia. Currently, oseltamivir is the most important and effective drug for severe influenza infections. Severe influenza infections can be controlled and related deaths may be prevented with initiation of this drug especially within first 2 days. Oseltamivir is usually well tolerated and its most commonly reported side effect is related with the gastrointestinal system. In conclusion, the course of influenza changes in a positive direction and the rates of complications and mortality significantly reduce in patients in whom oseltamivir treatment is initiated as soon as possible.

  17. Current Approaches for Diagnosis of Influenza Virus Infections in Humans

    Directory of Open Access Journals (Sweden)

    Sai Vikram Vemula

    2016-04-01

    Full Text Available Despite significant advancement in vaccine and virus research, influenza continues to be a major public health concern. Each year in the United States of America, influenza viruses are responsible for seasonal epidemics resulting in over 200,000 hospitalizations and 30,000–50,000 deaths. Accurate and early diagnosis of influenza viral infections are critical for rapid initiation of antiviral therapy to reduce influenza related morbidity and mortality both during seasonal epidemics and pandemics. Several different approaches are currently available for diagnosis of influenza infections in humans. These include viral isolation in cell culture, immunofluorescence assays, nucleic acid amplification tests, immunochromatography-based rapid diagnostic tests, etc. Newer diagnostic approaches are being developed to overcome the limitations associated with some of the conventional detection methods. This review discusses diagnostic approaches currently available for detection of influenza viruses in humans.

  18. Developments of Subunit and VLP Vaccines Against Influenza A Virus

    Institute of Scientific and Technical Information of China (English)

    Ma-ping Deng; Zhi-hong Hu; Hua-lin Wang; Fei Deng

    2012-01-01

    Influenza virus is a continuous and severe global threat to mankind.The continuously re-emerging disease gives rise to thousands of deaths and enormous economic losses each year,which emphasizes the urgency and necessity to develop high-quality influenza vaccines in a safer,more efficient and economic way.The influenza subunit and VLP vaccines,taking the advantage of recombinant DNA technologies and expression system platforms,can be produced in such an ideal way.This review summarized the recent advancements in the research and development of influenza subunit and VLP vaccines based on the recombinant expression of hemagglutinin antigen (HA),neuraminidase antigen (NA),Matrix 2 protein (M2) and nucleocapsid protein (NP).It would help to get insight into the current stage of influenza vaccines,and suggest the future design and development of novel influenza vaccines.

  19. Association of State Laws and Healthcare Workers' Influenza Vaccination Rates.

    Science.gov (United States)

    Lin, Chyongchiou Jeng; Nowalk, Mary Patricia; Raymund, Mahlon; Sweeney, Patricia M; Zimmerman, Richard K

    2016-02-01

    State laws are being used to increase healthcare worker (HCW) influenza vaccine uptake. Approximately 40% of states have enacted such laws but their effectiveness has been infrequently studied. Data sources for this study were the 2000-2011 U.S. National Health Interview Survey Adult Sample File and a summary of U.S. state HCW influenza vaccination laws. Hierarchical linear modeling was used for two time periods: 1) 2000-2005 (before enactment of many state laws) and 2) 2006-2011 (a time of increased enactment of state HCW influenza vaccination legislation). During 2000-2005, two states had HCW influenza vaccination laws and HCW influenza vaccination rates averaged 22.5%. In 2006-2011, 19 states had such laws and vaccination rates averaged 50.9% (p law score. Although laws varied widely in scope and applicability, states with HCW influenza vaccination laws reported higher HCW vaccination rates.

  20. [Features of interepidemic influenza A and B viruses].

    Science.gov (United States)

    Litvinova, O M; Grinbaum, E B; Bannikov, A I; Konovalenko, I B; Konovalova, N I; Luzianina, T Ia; Kiselev, O I

    1995-01-01

    The comparison of interepidemic influenza viruses with the pathogens of resultant influenza epidemics has revealed that they belong to the same type (subtype) of influenza virus. A definite correlation has been found between the antigenic specificity of haemagglutinin of epidemic and interepidemic strains. The antigenic structure of the interepidemic viruses and the pathogens of further epidemics of influenza B viruses have been found to be completely identical. The interepidemic A(H1N1) isolates have been shown to be antigenic analogues of the causative agents of influenza A(H1N1) during the previous epidemics. Despite the time and place of their isolation, as well as the etiology of the previous and subsequent epidemics, the interepidemic influenza A(H3N2) viruses have been ascertained to be similar to the reference A/Bangkok/1/79.

  1. Influenza Vaccination Coverage Among Health Care Personnel - United States, 2015-16 Influenza Season.

    Science.gov (United States)

    Black, Carla L; Yue, Xin; Ball, Sarah W; Donahue, Sara M A; Izrael, David; de Perio, Marie A; Laney, A Scott; Williams, Walter W; Lindley, Megan C; Graitcer, Samuel B; Lu, Peng-Jun; DiSogra, Charles; Devlin, Rebecca; Walker, Deborah K; Greby, Stacie M

    2016-09-30

    The Advisory Committee on Immunization Practices recommends annual influenza vaccination for all health care personnel to reduce influenza-related morbidity and mortality among both health care personnel and their patients (1-4). To estimate influenza vaccination coverage among U.S. health care personnel for the 2015-16 influenza season, CDC conducted an opt-in Internet panel survey of 2,258 health care personnel during March 28-April 14, 2016. Overall, 79.0% of survey participants reported receiving an influenza vaccination during the 2015-16 season, similar to the 77.3% coverage reported for the 2014-15 season (5). Coverage in long-term care settings increased by 5.3 percentage points compared with the previous season. Vaccination coverage continued to be higher among health care personnel working in hospitals (91.2%) and lower among health care personnel working in ambulatory (79.8%) and long-term care settings (69.2%). Coverage continued to be highest among physicians (95.6%) and lowest among assistants and aides (64.1%), and highest overall among health care personnel who were required by their employer to be vaccinated (96.5%). Among health care personnel working in settings where vaccination was neither required, promoted, nor offered onsite, vaccination coverage continued to be low (44.9%). An increased percentage of health care personnel reporting a vaccination requirement or onsite vaccination availability compared with earlier influenza seasons might have contributed to the overall increase in vaccination coverage during the past 6 influenza seasons.

  2. Liebe/Inzest: Zur kulturellen Kodierung von Sexualität Dargestellt am Beispiel von J. M. R. Lenz’ Komödie «Der neue Menoza»

    Directory of Open Access Journals (Sweden)

    Patrice Djoufack

    2012-11-01

    Full Text Available In his comedy «Der neue Menoza», J. M. R. Lenz uses a love story between an exotic prince and a young German woman to simulate and debate a form of sexuality which the Bible disqualifies as incestuous. Inscribing a theological exegesis of incest as intertext in his framework, Lenz demonstrates the possibility of shifting this biblical taboo. Taking this perspective as the starting point of my investigation, I regard incest as a cultural construction. In the light of two contemporary discourses, the article points at the abrogation of the incest taboo by means of a re-writing of the biblical prohibition to be a sensitive issue in the cultural debate on sexuality.

  3. Electrical engineering II - Optimization of lighting conditions through optimized use of daylight and artificial light sources. Proceedings; Elektrotechnik II - Optimierung von Tageslichtnutzung und kuenstlicher Beleuchtung. Die neue Richtlinie VDI 6011/1. Tagungsband

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-07-01

    Lighting is an important factor in human well-being in general and in productivity at work in particular. New requirements were made by changed working conditions and especially the introduction of the PC. An integrative approach, which takes account also of energetic aspects, shows interdependences between daylighting and artificial lighting, sunshading and light shading, room climate, thermal comfort, building automation, design and architecture. [German] Die Ansprueche an gutes Licht sind gewachsen. Ausreichende Beleuchtung ist ein wesentlicher Faktor fuer das menschliche Wohlbefinden im Allgemeinen und die Produktivitaet im Arbeitsbereich im Besonderen. Mit veraenderten Arbeitsbedingungen und speziell der Bildschirmarbeit kamen neue Anforderungen. Bei gesamtheitlicher Betrachtung auch der energetischen Gesichtspunkte zeigen sich uebergreifende Zusammenhaenge zwischen Tageslichtnutzung, kuenstlicher Beleuchtung, Sonnenschutzfunktion und Blendschutzfunktion, Raumklima, thermischer Behaglichkeit, Gebaeudeautomation, Fassadengestaltung und Architektur. (orig.)

  4. Mathematical Assessment of Canada’s Pandemic Influenza Preparedness Plan

    Directory of Open Access Journals (Sweden)

    Abba B Gumel

    2008-01-01

    Full Text Available OBJECTIVE: The presence of the highly pathogenic avian H5N1 virus in wild bird populations in several regions of the world, together with recurrent cases of H5N1 influenza arising primarily from direct contact with poultry, have highlighted the urgent need for prepared-ness and coordinated global strategies to effectively combat a potential influenza pandemic. The purpose of the present study was to evaluate the Canadian pandemic influenza preparedness plan.

  5. Influenza activity in Cambodia during 2006-2008

    Directory of Open Access Journals (Sweden)

    Zhou Weigong

    2009-10-01

    Full Text Available Abstract Background There is little information about influenza disease among the Cambodian population. To better understand the dynamics of influenza in Cambodia, the Cambodian National Influenza Center (NIC was established in August 2006. To continuously monitor influenza activity, a hospital based sentinel surveillance system for ILI (influenza like illness with a weekly reporting and sampling scheme was established in five sites in 2006. In addition, hospital based surveillance of acute lower respiratory infection (ALRI cases was established in 2 sites. Methods The sentinel sites collect weekly epidemiological data on ILI patients fulfilling the case definition, and take naso-pharyngeal specimens from a defined number of cases per week. The samples are tested in the Virology Unit at the Institut Pasteur in Phnom Penh. From each sample viral RNA was extracted and amplified by a multiplex RT-PCR detecting simultaneously influenza A and influenza B virus. Influenza A viruses were then subtyped and analyzed by hemagglutination inhibition assay. Samples collected by the ALRI system were tested with the same approach. Results From 2006 to 2008, influenza circulation was observed mainly from June to December, with a clear seasonal peak in October shown in the data from 2008. Conclusion Influenza activity in Cambodia occurred during the rainy season, from June to December, and ended before the cool season (extending usually from December to February. Although Cambodia is a tropical country geographically located in the northern hemisphere, influenza activity has a southern hemisphere transmission pattern. Together with the antigenic analysis of the circulating strains, it is now possible to give better influenza vaccination recommendation for Cambodia.

  6. H7N9 Influenza: The Emerging Infectious Disease

    OpenAIRE

    Viroj Wiwanitkit

    2013-01-01

    Influenza virus infection is a common respiratory pathogen. Emerging of new atypical influenza is usually a big public health threat. H7N9 bird flu is the newest atypical influenza virus infection that has just been reported since early 2013. The emerging of this new disease occurred in China and becomes the present focus for possible worldwide pandemic. In this specific article, the author will discus and describe on epidemiology, symptomatology, pathology, diagnosis, treatment, and preventi...

  7. Roles of humidity and temperature in shaping influenza seasonality.

    Science.gov (United States)

    Lowen, Anice C; Steel, John

    2014-07-01

    Experimental studies in guinea pigs demonstrated that influenza virus transmission is strongly modulated by temperature and humidity. A number of epidemiological studies have followed up on these findings and revealed robust associations between influenza incidence in temperate regions and local conditions of humidity and temperature, offering a long-awaited explanation for the wintertime seasonality of influenza in these locales. Despite recent progress, important questions remain as to the mechanism(s) by which humidity and/or temperature affects transmission.

  8. Influenza-like illness and presenteeism among school employees.

    Science.gov (United States)

    de Perio, Marie A; Wiegand, Douglas M; Brueck, Scott E

    2014-04-01

    We determined the prevalence of influenza-like illness (ILI) among employees of a suburban Ohio school district. In a survey of 412 of 841 employees (49%), 120 (29%) reported ILI symptoms during the school year, and 92 (77%) reported working while ill. Age ≥50 years and asthma were significantly associated with reporting of ILI symptoms. Encouraging school employees to receive the seasonal influenza vaccine and to stay home when ill should be part of a comprehensive influenza prevention strategy.

  9. Antigen-activated dendritic cells ameliorate influenza A infections

    OpenAIRE

    2013-01-01

    Influenza A viruses cause significant morbidity and mortality worldwide. There is a need for alternative or adjunct therapies, as resistance to currently used antiviral drugs is emerging rapidly. We tested ligand epitope antigen presentation system (LEAPS) technology as a new immune-based treatment for influenza virus infection in a mouse model. Influenza-J-LEAPS peptides were synthesized by conjugating the binding ligand derived from the β2-microglobulin chain of the human MHC class I molecu...

  10. A comprehensive review of the epidemiology and disease burden of Influenza B in 9 European countries.

    Science.gov (United States)

    Tafalla, Monica; Buijssen, Marleen; Geets, Régine; Vonk Noordegraaf-Schouten, Marije

    2016-04-02

    This review was undertaken to consolidate information on the epidemiology and burden of influenza B, as well as the circulation patterns of influenza B lineage in 9 European countries. Following a comprehensive search of peer-reviewed and gray literature sources, we found that published data on influenza B epidemiology and burden are scarce. Surveillance data show frequent co-circulation of both influenza B lineages during influenza seasons, but little is known about its impact, especially in adults and the clinical burden of influenza B remains unknown. Mismatch between the circulating influenza B lineage and vaccine recommendations has been seen in at least one influenza season in every country. Such observations could impact the effectiveness of seasonal influenza vaccination programs using trivalent vaccines, which contain only one influenza B lineage (B/Yamagata or B/Victoria) and highlight the need for local studies to better understand the epidemiology and burden of influenza B in these countries.

  11. The new radiation protection ordinance from the viewpoint of the nuclear medicine technologist; Die neue Strahlenschutzverordnung aus der Sicht der medizinisch-technischen Radiologieassistentin/des medizinisch-technischen Radiologieassistenten

    Energy Technology Data Exchange (ETDEWEB)

    Fischer, S. [Klinik und Poliklinik fuer Nuklearmedizin, Ludwig-Maximilians-Univ. Muenchen (Germany)

    2002-05-01

    The new radiation protection ordinance for the first time acknowledges the role of the nuclear medicine technologists for the technical assistance in the use of radiopharmaceuticals and radiation with human beings in medicine. Therefore changes are required for the technologists in terms of their qualification and continuing education during their professional life and in the daily routine in a nuclear medicine department. The new ordinance clearly defines which group of people is allowed to work as nuclear medicine technologists and also which special knowledge in radiation protection is mandatory to make sure that nobody without this certified education is performing the work of a nuclear medicine technologist. The new effective dose limit for people working with radiation will not change the daily work, but new regulations for pregnant women or breastfeeding mothers working in nuclear medicine will bring dramatic changes. (orig.) [German] Die neue Strahlenschutzverordnung beruecksichtigt zum ersten Mal ausdruecklich die Rolle des medizinisch-technischen Personals bei der 'technischen Mitwirkung bei der Anwendung radioaktiver Stoffe oder ionisierender Strahlung am Menschen in der Heilkunde oder der Zahnheilkunde'. Dadurch ergeben sich fuer die MTRA neue Anforderungen in Bezug auf Ausbildungsvoraussetzungen, berufliche Fortbildung und auch auf die Ablaeufe in der taeglichen Routine. Der Personenkreis, der zur technischen Mitwirkung berechtigt ist, wurde genau definiert, ebenso wie dessen Fachkunde, mit der nun sichergestellt werden soll, dass keine Personen ohne Kenntnisse im Strahlenschutz die Taetigkeiten der MTRA ausfuehren. Die neu festgelegte Obergrenze der effektiven Dosis fuer beruflich strahlenexponiertes Personal wird fuer das technische Personal keine merkbaren Auswirkungen mit sich bringen, dafuer aber die Neuerungen bezueglich der Beschaeftigung von Schwangeren und stillenden Frauen. (orig.)

  12. Avian influenza virus and free-ranging wild birds

    Science.gov (United States)

    Dierauf, Leslie A.; Karesh, W.B.; Ip, Hon S.; Gilardi, K.V.; Fischer, John R.

    2006-01-01

    Recent media and news reports and other information implicate wild birds in the spread of highly pathogenic avian influenza in Asia and Eastern Europe. Although there is little information concerning highly pathogenic avian influenza viruses in wild birds, scientists have amassed a large amount of data on low-pathogenicity avian influenza viruses during decades of research with wild birds. This knowledge can provide sound guidance to veterinarians, public health professionals, the general public, government agencies, and other entities with concerns about avian influenza.

  13. Immunogenicity and Clinical Efficacy of Influenza Vaccination In Pregnancy

    Directory of Open Access Journals (Sweden)

    Alexander W Kay

    2015-06-01

    Full Text Available Pregnant women are at high risk from influenza due to disproportionate morbidity, mortality, and adverse pregnancy outcomes following infection. As such, they are classified as a high priority group for vaccination. However, changes in the maternal immune system required to accommodate the allogeneic fetus may alter the immunogenicity of influenza vaccines. A large number of studies have evaluated the safety of the influenza vaccine. Here, we will review available studies on the immunogenicity and efficacy of the influenza vaccine during pregnancy, focusing on both humoral and cellular immunity.

  14. Influenza and pneumococcal vaccination of the elderly in Taiwan.

    Science.gov (United States)

    Chen, Yeong-Hwang; Liou, Saou-Hsing; Chou, Chih-Chieh; Su, Wen-Lin; Loh, Ching-Hui; Lin, Shih-Ha

    2004-07-29

    In 1998, Taiwan became the first country in Asia to provide free influenza vaccination to high-risk groups, mainly the elderly. The purpose of this study is to determine: (1) the annual mortality rate from influenza and pneumococcal-related illnesses such as pneumonia, chronic bronchitis, pulmonary emphysema and asthma and (2) the effectiveness of and adverse events associated with the influenza vaccination. In the elderly, influenza vaccination caused the annual death rate due chronic bronchitis, pulmonary emphysema, and asthma to decline steadily but had no effect on the annual pneumonia death rate. The only adverse effect of concern was vertigo (in approximately 2-3%).

  15. Effectiveness of 2010/2011 seasonal influenza vaccine in Ireland.

    LENUS (Irish Health Repository)

    Barret, A S

    2012-02-01

    We conducted a case-control study to estimate the 2010\\/2011 trivalent influenza vaccine effectiveness (TIVE) using the Irish general practitioners\\' influenza sentinel surveillance scheme. Cases were influenza-like illness (ILI) patients with laboratory-confirmed influenza. Controls were ILI patients who tested negative for influenza. Participating sentinel general practitioners (GP) collected swabs from patients presenting with ILI along with their vaccination history and other individual characteristics. The TIVE was computed as (1 - odds ratiofor vaccination) x100%. Of 60 sentinel GP practices, 22 expressed interest in participating in the study and 17 (28%) recruited at least one ILI patient. In the analysis, we included 106 cases and 85 controls. Seven controls (8.2%) and one influenza case (0.9%) had been vaccinated in 2010\\/2011. The estimated TIVE against any influenza subtype was 89.4% [95% CI: 13.8; 99.8%], suggesting a protective effect against GP-attended laboratory confirmed influenza. This study design could be used to monitor influenza vaccine effectiveness annually but sample size and vaccination coverage should be increased to obtain precise and adjusted estimates.

  16. Influenza Induced Cardiomyopathy: An Unusual Cause of Hypoxemia

    Directory of Open Access Journals (Sweden)

    Abdullah Quddus

    2015-01-01

    Full Text Available Influenza has considerable burden on public health funds. The complications of influenza can be devastating. We present a case of a 42-year-old woman with history of asthma who presented to the emergency room in winter with shortness of breath and general malaise and was found to be in hypoxemic respiratory failure. She was diagnosed with influenza and workup revealed severely depressed systolic cardiac function (ejection fraction of 25%. She was treated with oseltamivir and diuresis and regained cardiac function within a week. We review the pathophysiology and management of influenza induced cardiomyopathy.

  17. Attitudes towards influenza vaccination in high socioeconomic status Turkish parents.

    Science.gov (United States)

    Gündüz, Suzan; Yüksel, Nüket Ciğdem; Aktoprak, Hale Bozkurt; Canbal, Metin; Kaya, Mehmet

    2014-01-01

    To better understand the knowledge, attitudes, and demographic factors that influence the rate of influenza vaccination among high socioeconomic status parents. Questionnaire exploring the attitudes of parents to the influenza vaccine, and their knowledge about influenza and its vaccination, was given to parents of children from 1 through 16 years of age attending the Turgut Özal University Hospital after the 2011/12 influenza season. In the present study, 285 mothers and their children participated and 8.8% (n = 25) of children had the influenza vaccination. Between the vaccinated and nonvaccinated groups, there were statistically significantly differences for having received the recommendation of the physician, consulting with the physician, having the influenza vaccine previously, and having a chronic disease. The most common misconceptions of the parents about the vaccine were; there being no need for it, it not being useful, it having no effect, and it being harmful. Parents' knowledge about influenza and the influenza vaccine were not satisfactory. Reliable information from both health care providers during visits and the media about influenza, its severity, and the effectiveness and side effects of its vaccine should be provided.

  18. The Regulation of Autophagy by Influenza A Virus

    Directory of Open Access Journals (Sweden)

    Rong Zhang

    2014-01-01

    Full Text Available Influenza A virus is a dreadful pathogen of animals and humans, causing widespread infection and severe morbidity and mortality. It is essential to characterize the influenza A virus-host interaction and develop efficient counter measures against the viral infection. Autophagy is known as a catabolic process for the recycling of the cytoplasmic macromolecules. Recently, it has been shown that autophagy is a critical mechanism underlying the interaction between influenza A virus and its host. Autophagy can be induced by the infection with influenza A virus, which is considered as a necessary process for the viral proliferation, including the accumulation of viral elements during the replication of influenza A virus. On the other hand, influenza A virus can inhibit the autophagic formation via interaction with the autophagy-related genes (Atg and signaling pathways. In addition, autophagy is involved in the influenza virus-regulated cell deaths, leading to significant changes in host apoptosis. Interestingly, the high pathogenic strains of influenza A virus, such as H5N1, stimulate autophagic cell death and appear to interplay with the autophagy in distinct ways as compared with low pathogenic strains. This review discusses the regulation of autophagy, an influenza A virus driven process.

  19. Recurrence of Panic Attacks after Influenza Vaccination: Two Case Reports

    Science.gov (United States)

    Kim, Han-Joon; Jeon, Sang-Won; Yoon, Ho-Kyoung

    2016-01-01

    Human influenza is a contagious respiratory illness caused by the influenza virus. The influenza vaccination is recommended annually, but several adverse effects related to allergic reactions have been reported. Panic attacks are also known to occur, but no case of a panic attack adverse effect has been reported in South Korea. We present two cases of panic disorder patients whose symptoms were aggravated by the influenza vaccination. We assumed that dysregulation of T-lymphocytes in panic disorder patients could have a role in activating various kinds of cytokines and chemokines, which then can lead to panic attack aggravation. PMID:27776395

  20. Third European Influenza Summit: organized by the European Scientific Working group on Influenza (ESWI).

    Science.gov (United States)

    McElhaney, Janet; Osterhaus, Ab

    2013-12-16

    On 2 May 2013, the European Scientific Working group on Influenza (ESWI) held its third influenza summit at the Institute of European Studies at the Free University of Brussels. ESWI brought together more than 90 representatives of organizations of healthcare providers, senior citizens, at-risk patients and public health authorities for a day of tailored lectures, Q&A sessions and networking. Since recent studies, surveys and reviews have shed new light on some of the most intriguing influenza issues, the Summit faculty translated the newest scientific data into practice. The first part of the Summit programme focused on the current flu status in Europe, paying special attention to the protection of pregnant women and the elderly as well as to the issues of vaccine safety and effectiveness. The programme continued to highlight future challenges and evolutions like novel antiviral drugs against influenza, improved flu vaccines and the prospect of a universal flu vaccine. The annual ESWI flu summits are the pinnacles of ESWI's efforts to bridge the gap between science and society. ESWI's members are convinced that the fight against influenza can only be won when all parties are well informed and ready to work together.

  1. Elementary school-based influenza vaccination: evaluating impact on respiratory illness absenteeism and laboratory-confirmed influenza.

    Science.gov (United States)

    Kjos, Sonia A; Irving, Stephanie A; Meece, Jennifer K; Belongia, Edward A

    2013-01-01

    Studies of influenza vaccine effectiveness in schools have assessed all-cause absenteeism rather than laboratory-confirmed influenza. We conducted an observational pilot study to identify absences due to respiratory illness and laboratory-confirmed influenza in schools with and without school-based vaccination. A local public health agency initiated school-based influenza vaccination in two Wisconsin elementary schools during October 2010 (exposed schools); two nearby schools served as a comparison group (non-exposed schools). Absences due to fever or cough illness were monitored for 12 weeks. During the 4 weeks of peak influenza activity, parents of absent children with fever/cough illness were contacted and offered influenza testing. Parental consent for sharing absenteeism data was obtained for 937 (57%) of 1,640 students. Fifty-two percent and 28%, respectively, of all students in exposed and non-exposed schools were vaccinated. Absences due to fever or cough illness were significantly lower in the exposed schools during seven of 12 surveillance weeks. Twenty-seven percent of students at exposed schools and 39% at unexposed schools had one or more days of absence due to fever/cough illness (pstudents absent for other reasons (p = 0.23). During the 4 week period of influenza testing, respiratory samples were obtained for 68 (42%) of 163 episodes of absence due to fever or cough illness. Influenza was detected in 6 students; 3 attended exposed schools. Detection of laboratory-confirmed influenza in schools was challenging due to multiple consent requirements, difficulty obtaining samples from absent children, and a mild influenza season. School-based influenza vaccination was associated with reduced absenteeism due to fever or cough illness, but not absenteeism for other reasons. Although nonspecific, absence due to fever or cough illness may be a useful surrogate endpoint in school-based studies if identification of laboratory confirmed influenza is not

  2. Inhibition of MLC phosphorylation restricts replication of influenza virus--a mechanism of action for anti-influenza agents.

    Directory of Open Access Journals (Sweden)

    Mehran Haidari

    Full Text Available Influenza A viruses are a severe threat worldwide, causing large epidemics that kill thousands every year. Prevention of influenza infection is complicated by continuous viral antigenic changes. Newer anti-influenza agents include MEK/ERK and protein kinase C inhibitors; however, the downstream effectors of these pathways have not been determined. In this study, we identified a common mechanism for the inhibitory effects of a significant group of anti-influenza agents. Our studies showed that influenza infection activates a series of signaling pathways that converge to induce myosin light chain (MLC phosphorylation and remodeling of the actin cytoskeleton. Inhibiting MLC phosphorylation by blocking RhoA/Rho kinase, phospholipase C/protein kinase C, and HRas/Raf/MEK/ERK pathways with the use of genetic or chemical manipulation leads to the inhibition of influenza proliferation. In contrast, the induction of MLC phosphorylation enhances influenza proliferation, as does activation of the HRas/Raf/MEK/ERK signaling pathway. This effect is attenuated by inhibiting MLC phosphorylation. Additionally, in intracellular trafficking studies, we found that the nuclear export of influenza ribonucleoprotein depends on MLC phosphorylation. Our studies provide evidence that modulation of MLC phosphorylation is an underlying mechanism for the inhibitory effects of many anti-influenza compounds.

  3. Seasonal and pandemic human influenza viruses attach better to human upper respiratory tract epithelium than avian influenza viruses.

    Science.gov (United States)

    van Riel, Debby; den Bakker, Michael A; Leijten, Lonneke M E; Chutinimitkul, Salin; Munster, Vincent J; de Wit, Emmie; Rimmelzwaan, Guus F; Fouchier, Ron A M; Osterhaus, Albert D M E; Kuiken, Thijs

    2010-04-01

    Influenza viruses vary markedly in their efficiency of human-to-human transmission. This variation has been speculated to be determined in part by the tropism of influenza virus for the human upper respiratory tract. To study this tropism, we determined the pattern of virus attachment by virus histochemistry of three human and three avian influenza viruses in human nasal septum, conchae, nasopharynx, paranasal sinuses, and larynx. We found that the human influenza viruses-two seasonal influenza viruses and pandemic H1N1 virus-attached abundantly to ciliated epithelial cells and goblet cells throughout the upper respiratory tract. In contrast, the avian influenza viruses, including the highly pathogenic H5N1 virus, attached only rarely to epithelial cells or goblet cells. Both human and avian viruses attached occasionally to cells of the submucosal glands. The pattern of virus attachment was similar among the different sites of the human upper respiratory tract for each virus tested. We conclude that influenza viruses that are transmitted efficiently among humans attach abundantly to human upper respiratory tract, whereas inefficiently transmitted influenza viruses attach rarely. These results suggest that the ability of an influenza virus to attach to human upper respiratory tract is a critical factor for efficient transmission in the human population.

  4. Influenza vaccine effectiveness against hospitalisation with confirmed influenza in the 2010-11 seasons: a test-negative observational study.

    Directory of Open Access Journals (Sweden)

    Allen C Cheng

    Full Text Available Immunisation programs are designed to reduce serious morbidity and mortality from influenza, but most evidence supporting the effectiveness of this intervention has focused on disease in the community or in primary care settings. We aimed to examine the effectiveness of influenza vaccination against hospitalisation with confirmed influenza. We compared influenza vaccination status in patients hospitalised with PCR-confirmed influenza with patients hospitalised with influenza-negative respiratory infections in an Australian sentinel surveillance system. Vaccine effectiveness was estimated from the odds ratio of vaccination in cases and controls. We performed both simple multivariate regression and a stratified analysis based on propensity score of vaccination. Vaccination status was ascertained in 333 of 598 patients with confirmed influenza and 785 of 1384 test-negative patients. Overall estimated crude vaccine effectiveness was 57% (41%, 68%. After adjusting for age, chronic comorbidities and pregnancy status, the estimated vaccine effectiveness was 37% (95% CI: 12%, 55%. In an analysis accounting for a propensity score for vaccination, the estimated vaccine effectiveness was 48.3% (95% CI: 30.0, 61.8%. Influenza vaccination was moderately protective against hospitalisation with influenza in the 2010 and 2011 seasons.

  5. The Relationship between Tuberculosis and Influenza Death during the Influenza (H1N1 Pandemic from 1918-19

    Directory of Open Access Journals (Sweden)

    Welling Oei

    2012-01-01

    Full Text Available The epidemiological mechanisms behind the W-shaped age-specific influenza mortality during the Spanish influenza (H1N1 pandemic 1918-19 have yet to be fully clarified. The present study aimed to develop a formal hypothesis: tuberculosis (TB was associated with the W-shaped influenza mortality from 1918-19. Three pieces of epidemiological information were assessed: (i the epidemic records containing the age-specific numbers of cases and deaths of influenza from 1918-19, (ii an outbreak record of influenza in a Swiss TB sanatorium during the pandemic, and (iii the age-dependent TB mortality over time in the early 20th century. Analyzing the data (i, we found that the W-shaped pattern was not only seen in mortality but also in the age-specific case fatality ratio, suggesting the presence of underlying age-specific risk factor(s of influenza death among young adults. From the data (ii, TB was shown to be associated with influenza death (P=0.09, and there was no influenza death among non-TB controls. The data (iii were analyzed by employing the age-period-cohort model, revealing harvesting effect in the period function of TB mortality shortly after the 1918-19 pandemic. These findings suggest that it is worthwhile to further explore the role of TB in characterizing the age-specific risk of influenza death.

  6. Molecular basis of live-attenuated influenza virus.

    Directory of Open Access Journals (Sweden)

    Wen He

    Full Text Available Human influenza is a seasonal disease associated with significant morbidity and mortality. The most effective means for controlling infection and thereby reducing morbidity and mortality is vaccination with a three inactivated influenza virus strains mixture, or by intranasal administration of a group of three different live attenuated influenza vaccine strains. Comparing to the inactivated vaccine, the attenuated live viruses allow better elicitation of a long-lasting and broader immune (humoral and cellular response that represents a naturally occurring transient infection. The cold-adapted (ca influenza A/AA/6/60 (H2N2 (AA ca virus is the backbone for the live attenuated trivalent seasonal influenza vaccine licensed in the United States. Similarly, the influenza A components of live-attenuated vaccines used in Russia have been prepared as reassortants of the cold-adapted (ca H2N2 viruses, A/Leningrad/134/17/57-ca (Len/17 and A/Leningrad/134/47/57-ca (Len/47 along with virulent epidemic strains. However, the mechanism of temperature-sensitive attenuation is largely elusive. To understand how modification at genetic level of influenza virus would result in attenuation of human influenza virus A/PR/8/34 (H1N1,A/PR8, we investigated the involvement of key mutations in the PB1 and/or PB2 genes in attenuation of influenza virus in vitro and in vivo. We have demonstrated that a few of residues in PB1 and PB2 are critical for the phenotypes of live attenuated, temperature sensitive influenza viruses by minigenome assay and real-time PCR. The information of these mutation loci could be used for elucidation of mechanism of temperature-sensitive attenuation and as a new strategy for influenza vaccine development.

  7. Pharmacologic ascorbate treatment of influenza in vivo

    Institute of Scientific and Technical Information of China (English)

    程璘令

    2014-01-01

    Objective To investigate the effects of pharmacologic ascorbate(vitamin C)against Influenza A/CA/7/09(H1N12009).Methods BALB/c mice inoculated intranasally with influenza virus were treated with ascorbate(3 mg/g)twice daily by intraperitoneal(i.p.)injection for up to 14 d.Control groups received an equivalent volume of normal saline.Body weight was measured daily.To quantify the level of viral replication in the respiratory tract,the mice were euthanized and lungs removed and prepared as whole lung homegenates.Viral titers were determined by TCID50assay in MDCK cells.Cytokine titers were determined by ELISA following the

  8. Cuba vs H1N1 Influenza

    Directory of Open Access Journals (Sweden)

    Gail Reed

    2011-04-01

    Full Text Available El Comité Editorial de MediSur agradece a Gail Reed, editora de Medicc Review la autorización expresa, para reproducir el artículo titulado “Cuba vs H1N1 Influenza”. Este trabajo resume el esfuerzo realizado por todos los organismos en Cuba y en especial el Ministerio de Salud Pública en la lucha para disminuir los efectos de la influenza H1N1 en la población. El artículo original se puede encontrar en: Reed G. Faceoff: Cuba vs H1N1 Influenza. MEDICC Review. 2010; 12(1:6-12. Disponible en: http://www.medicc.org/mediccreview/index.php?issue=11

  9. Clinical Implications of Antiviral Resistance in Influenza

    Directory of Open Access Journals (Sweden)

    Timothy C. M. Li

    2015-09-01

    Full Text Available Influenza is a major cause of severe respiratory infections leading to excessive hospitalizations and deaths globally; annual epidemics, pandemics, and sporadic/endemic avian virus infections occur as a result of rapid, continuous evolution of influenza viruses. Emergence of antiviral resistance is of great clinical and public health concern. Currently available antiviral treatments include four neuraminidase inhibitors (oseltamivir, zanamivir, peramivir, laninamivir, M2-inibitors (amantadine, rimantadine, and a polymerase inhibitor (favipiravir. In this review, we focus on resistance issues related to the use of neuraminidase inhibitors (NAIs. Data on primary resistance, as well as secondary resistance related to NAI exposure will be presented. Their clinical implications, detection, and novel therapeutic options undergoing clinical trials are discussed.

  10. Clinical Implications of Antiviral Resistance in Influenza.

    Science.gov (United States)

    Li, Timothy C M; Chan, Martin C W; Lee, Nelson

    2015-09-14

    Influenza is a major cause of severe respiratory infections leading to excessive hospitalizations and deaths globally; annual epidemics, pandemics, and sporadic/endemic avian virus infections occur as a result of rapid, continuous evolution of influenza viruses. Emergence of antiviral resistance is of great clinical and public health concern. Currently available antiviral treatments include four neuraminidase inhibitors (oseltamivir, zanamivir, peramivir, laninamivir), M2-inibitors (amantadine, rimantadine), and a polymerase inhibitor (favipiravir). In this review, we focus on resistance issues related to the use of neuraminidase inhibitors (NAIs). Data on primary resistance, as well as secondary resistance related to NAI exposure will be presented. Their clinical implications, detection, and novel therapeutic options undergoing clinical trials are discussed.

  11. Influenza em animais heterotérmicos

    OpenAIRE

    Mancini, Dalva Assunção Portari; Mendonça, Rita Maria Zucatelli; Cianciarullo, Aurora Marques; Kobashi,Leonardo Setsuo; Trindade,Hermínio Gomes; Fernandes, Wilson; Pinto,José Ricardo

    2004-01-01

    O objetivo foi pesquisar Ortomyxovirus em animais heterotérmicos. Coletou-se sangue de serpentes dos gêneros Bothrops e Crotalus e de sapo e rãs dos gêneros Bufo e Rana, para a detecção dos receptores de hemácias e anticorpos específicos, ao vírus influenza, pelos testes de hemaglutinação e inibição da hemaglutinação, respectivamente. Pelo teste de hemaglutinação, verificou-se que serpentes e sapos em cativeiro apresentaram receptores em suas hemácias para o vírus influenza, humano e eqüino d...

  12. Influenza em animais heterotérmicos

    OpenAIRE

    Dalva Assunção Portari Mancini; Rita Maria Zucatelli Mendonça; Aurora Marques Cianciarullo; Leonardo Setsuo Kobashi; Hermínio Gomes Trindade; Wilson Fernandes; José Ricardo Pinto

    2004-01-01

    O objetivo foi pesquisar Ortomyxovirus em animais heterotérmicos. Coletou-se sangue de serpentes dos gêneros Bothrops e Crotalus e de sapo e rãs dos gêneros Bufo e Rana, para a detecção dos receptores de hemácias e anticorpos específicos, ao vírus influenza, pelos testes de hemaglutinação e inibição da hemaglutinação, respectivamente. Pelo teste de hemaglutinação, verificou-se que serpentes e sapos em cativeiro apresentaram receptores em suas hemácias para o vírus influenza, humano e eqüino d...

  13. Ethical considerations in pandemic influenza planning.

    Science.gov (United States)

    Garrett, J Eline; Vawter, Dorothy E; Prehn, Angela W; DeBruin, Debra A; Gervais, Karen G

    2008-04-01

    Although the timing and severity of the next influenza pandemic is impossible to predict, there is broad agreement that one will occur. Preparation is vital to mitigating its effects. A severe influenza pandemic like that which began in 1918 would be unlike other disasters in nature, scale, and duration. It could cripple normal business operations and disrupt global distribution of essential goods and services. It could force ethical decisions that many in a country accustomed to relative abundance are poorly prepared to make. Although sound evidence and clinical and public health expertise are needed to make informed decisions, so is an understanding of our common and diverse values. This article outlines some of the challenges the state would face during a pandemic, especially concerning the rationing of resources and care. It also describes a process currently underway to develop guidelines for how the state should approach the ethical questions that would arise.

  14. Quality control of seasonal influenza vaccines.

    Science.gov (United States)

    Mandušić Nazor, Tamara; Pipić Kosanović, Marta; Tomić, Siniša

    2010-12-01

    The purpose of seasonal influenza vaccination is to prevent its spread. The vaccines contain strains of the influenza virus recommended and approved for a particular season. Just like any other medicinal product, all vaccines require marketing approval. Batches of approved vaccines are extensively tested by the manufacturers and additionally controlled by the approving authorities, which issue the quality control certificates. This article not only to describes the legal background of quality control, but also how control test results obtained by a Croatian official control laboratory are compared to manufacturer's results. We have found that testing results can slightly differ depending on methods/analytical procedures used in different laboratories. This investigation has also shown how important it is to test finished medicinal products, independently of testing at intermediate stages, and how retesting by control authorities ensures that marketed vaccines meet quality standards.

  15. Mechanisms of influenza viral membrane fusion.

    Science.gov (United States)

    Blijleven, Jelle S; Boonstra, Sander; Onck, Patrick R; van der Giessen, Erik; van Oijen, Antoine M

    2016-12-01

    Influenza viral particles are enveloped by a lipid bilayer. A major step in infection is fusion of the viral and host cellular membranes, a process with large kinetic barriers. Influenza membrane fusion is catalyzed by hemagglutinin (HA), a class I viral fusion protein activated by low pH. The exact nature of the HA conformational changes that deliver the energy required for fusion remains poorly understood. This review summarizes our current knowledge of HA structure and dynamics, describes recent single-particle experiments and modeling studies, and discusses their role in understanding how multiple HAs mediate fusion. These approaches provide a mechanistic picture in which HAs independently and stochastically insert into the target membrane, forming a cluster of HAs that is collectively able to overcome the barrier to membrane fusion. The new experimental and modeling approaches described in this review hold promise for a more complete understanding of other viral fusion systems and the protein systems responsible for cellular fusion.

  16. Nucleocytoplasmic Shuttling of Influenza A Virus Proteins

    Directory of Open Access Journals (Sweden)

    Jing Li

    2015-05-01

    Full Text Available Influenza viruses transcribe and replicate their genomes in the nuclei of infected host cells. The viral ribonucleoprotein (vRNP complex of influenza virus is the essential genetic unit of the virus. The viral proteins play important roles in multiple processes, including virus structural maintenance, mediating nucleocytoplasmic shuttling of the vRNP complex, virus particle assembly, and budding. Nucleocytoplasmic shuttling of viral proteins occurs throughout the entire virus life cycle. This review mainly focuses on matrix protein (M1, nucleoprotein (NP, nonstructural protein (NS1, and nuclear export protein (NEP, summarizing the mechanisms of their nucleocytoplasmic shuttling and the regulation of virus replication through their phosphorylation to further understand the regulation of nucleocytoplasmic shuttling in host adaptation of the viruses.

  17. An estimate of the incidence of influenza-like illness during the influenza pandemic of 2009.

    Science.gov (United States)

    Bellido-Blasco, Juan B; Pardo-Serrano, Francisco; Ballester-Rodríguez, Isabel; Arnedo-Pena, Alberto; Tirado-Balaguer, M Dolores; Romeu-García, M Ángeles; Silvestre-Silvestre, Ester; Meseguer-Ferrer, Noemí; Herrero-Carot, Concha; Caylà-Buqueres, Joan A

    2015-08-01

    The influenza pandemic of 2009 had a great social impact. Many health resources were devoted to the care, prevention and surveillance of this disease. Epidemiological surveillance is based on the reporting of cases of influenza-like illness (ILI) and confirmed influenza cases. The objective was to estimate the true incidence of ILI during the influenza pandemic of 2009. The capture-recapture method was applied during the month of highest influenza incidence in Castellón. Two notification systems were used: (i)electronic reporting of Notifiable Diseases (ND), and (ii)laboratory-based (LAB) data collection. Estimates were made by stratifying by age group and week. Independence coefficients were calculated for those strata. No dependence was found between stratification variables and the reporting system. A total of 7,181 ND cases and 524 LAB cases were identified, of which 211 were recorded in both systems. The estimated total of cases was 17,785 in a single month. In the study period, almost 4% of people in the area suffered flu symptoms (cumulative incidence), with 1% being affected each day (daily prevalence). The sensitivity of the ND system was 40%, i.e., the percentage of patients seeking primary care. To obtain an estimate of the actual incidence of influenza-like illness in the population during a pandemic period, the number of medical consultations should be multiplied by a factor of 2.5. This factor is lower than that estimated for periods without pandemic alert. Copyright © 2014 SEPAR. Published by Elsevier Espana. All rights reserved.

  18. A comparative analysis of influenza vaccination programs.

    Directory of Open Access Journals (Sweden)

    Shweta Bansal

    2006-10-01

    Full Text Available BACKGROUND: The threat of avian influenza and the 2004-2005 influenza vaccine supply shortage in the United States have sparked a debate about optimal vaccination strategies to reduce the burden of morbidity and mortality caused by the influenza virus. METHODS AND FINDINGS: We present a comparative analysis of two classes of suggested vaccination strategies: mortality-based strategies that target high-risk populations and morbidity-based strategies that target high-prevalence populations. Applying the methods of contact network epidemiology to a model of disease transmission in a large urban population, we assume that vaccine supplies are limited and then evaluate the efficacy of these strategies across a wide range of viral transmission rates and for two different age-specific mortality distributions. We find that the optimal strategy depends critically on the viral transmission level (reproductive rate of the virus: morbidity-based strategies outperform mortality-based strategies for moderately transmissible strains, while the reverse is true for highly transmissible strains. These results hold for a range of mortality rates reported for prior influenza epidemics and pandemics. Furthermore, we show that vaccination delays and multiple introductions of disease into the community have a more detrimental impact on morbidity-based strategies than mortality-based strategies. CONCLUSIONS: If public health officials have reasonable estimates of the viral transmission rate and the frequency of new introductions into the community prior to an outbreak, then these methods can guide the design of optimal vaccination priorities. When such information is unreliable or not available, as is often the case, this study recommends mortality-based vaccination priorities.

  19. Potential Influenza Effects on Military Populations

    Science.gov (United States)

    2003-12-01

    Meuse-Argonne Campaign, 2nd Edition, White Mane Books (Shippenburg, PA), 1998, p. 105. 29 R. Parkinson , Tormented Warrior, Holder and Staughton Ltd...was the rule.47 Influenza and influenzal pneumonia cases in the autumn of 1918 seem like gross exaggerations of today’s familiar maladies . Be that...Canada, 1918–1919,” in Medicine in Canadian Society, S. E. D. Shortt (Editor), McGill–Queen’s University Press, 1981, pp. 470–471. Parkinson , R

  20. National Strategy for Pandemic Influenza Implementation Plan

    Science.gov (United States)

    2006-05-01

    Birds” to provide disease and biosecurity information to poultry producers, especially those with “ backyard ” production. The program provides...the proximity of the outbreak to major poultry areas, but with limited backyard flocks and strong biosecurity in large facilities, any outbreak would...pandemic, these viruses have the potential to impact the U.S. poultry industry. Some avian influenza viruses cause high mortality in chickens and are