Publications by authors named "Ella Mendelson"

Article Synopsis
  • The herpes simplex viruses, HSV-1 and HSV-2, are common globally and currently have no definitive cure, prompting an analysis of their distinct characteristics based on various factors such as gender, age, and health conditions.
  • A study was conducted using data from the Israeli Central Virology Laboratory between 2011 and 2018, where 9189 samples were diagnosed, alongside a detailed medical data extraction from 287 females with genital infections.
  • Findings revealed that HSV-2 infections were more prevalent in females and that pregnancy is a significant risk factor for reactivation of HSV-2, with a higher incidence found in women diagnosed with HSV-2 compared to those with HSV-1.
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Background: Similarly to wild poliovirus, vaccine-derived poliovirus (VDPV) strains can cause acute flaccid paralysis, posing a considerable challenge to public health and the eradication of poliovirus. VDPV outbreaks, particularly VDPV type 2 (VDPV2), are increasing worldwide, including in high-income countries with high vaccine coverage. We aimed to conduct a comprehensive analysis of the molecular epidemiology of a widespread VDPV2 outbreak in Israel in 2022-23 using conventional polio identification techniques and whole-genome sequencing.

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  • - The study investigated virological failure (VF) in HIV-1 patients on first-line antiretroviral therapy (ART) from 2010 to 2018, following 1130 individuals for a median of two years to identify contributing factors.
  • - Results showed that VF occurred in 5.8% of participants, with higher risks associated with being diagnosed at CD4 counts below 200 cells/mm³ (especially with AIDS-defining conditions) and using non-integrase strand transfer inhibitor (non-INSTI) regimens.
  • - The study suggests that early detection of HIV-1 and the use of INSTI-based treatments could help reduce the risk of virological failure.
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Importance: A correlation between antibody levels and risk of infection has been demonstrated for the wild-type, Alpha, and Delta SARS-COV-2 variants. High rates of breakthrough infections by the Omicron variant emphasized the need to investigate whether the humoral response elicited by mRNA vaccines is also associated with reduced risk of Omicron infection and disease.

Objective: To investigate whether the high antibody levels in individuals who have received at least 3 doses of an mRNA vaccine are associated with reduced risk of Omicron infection and disease.

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Article Synopsis
  • This report presents the first national evaluation of two commercial PCR kits for detecting monkeypox virus (MPXV) DNA across multiple laboratories in Israel.
  • The study involved testing standardized samples using the Novaplex and Bio-Speedy kits, comparing their performance against a reliable in-house assay.
  • While all assays demonstrated similar sensitivity in detecting low viral loads, significant differences were noted in their Cq values and relative fluorescence, indicating that direct comparisons may not be accurate for diagnostic purposes.
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Background: Outbreaks of enteroviral meningitis occur periodically and may lead to hospitalization and severe disease.

Objective: To analyze and describe the meningitis outbreak in patients hospitalized in Israel in 2021-2022, during the COVID-19 pandemic.

Results: In December 2021, before the emergence of the SARS-CoV-2 omicron variant, an off-season increase in enterovirus (EV) infections was observed among patients hospitalized with meningitis.

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Background: Identifying COVID-19 correlates of protection and immunity thresholds is important for policy makers and vaccine development. We aimed to identify correlates of protection of BNT162b2 (Pfizer-BioNTech) vaccination against COVID-19.

Methods: In this prospective cohort study, households within a radius of 40 km of the Sheba Medical Center in Israel in which a new SARS-CoV-2 infection (defined as the index case) was detected within the previous 24 h were approached between July 25 and Nov 15, 2021.

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Objectives: The capability of the SARS-CoV-2 Omicron variant to escape immunity conferred by mRNA vaccines has led to the development of Omicron-adapted vaccines. In this study, we aimed to compare the immune response with the ancestral strain and with the BA.1 Omicron variant after administration of the original vaccine and the Omicron-adapted vaccine.

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Israel conducts routine environmental (15 sites) and acute flaccid paralysis (AFP) surveillance for poliovirus. During September 2021, increasing numbers of wastewater samples collected from more than one site in the Jerusalem region proved positive for ambiguous type 3 vaccine-derived poliovirus (aVDPV3), while environmental samples from remaining sampling sites were negative. In late February 2022, a VDPV3, genetically related to the Jerusalem environmental surveillance samples, was isolated from a stool sample collected from a non-immunodeficient, non-immunized child from Jerusalem who developed AFP, indicating that the aVDPV3s were circulating (cVDPV3s) rather than immunodeficiency-related VDPV3s (iVDPVs).

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Community surveillance found the 2019-2020 A(H1N1)pdm09 predominant influenza season in Israel to be a high-intensity season with an early and steep morbidity peak. To further characterize disease severity in the 2019-2020 season, we analyzed a cohort of hospitalized patients with laboratory-confirmed influenza from this season (n = 636). Quantitative polymerase chain reaction was performed on clinical samples to detect the presence of influenza.

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Article Synopsis
  • The study focuses on the containment of wild-type 2 poliovirus (PV2) post-eradication, highlighting the need to destroy all materials that may contain it, while noting past cases of polio in Israel involved all three serotypes.
  • The researchers aimed to demonstrate that whole genome sequences (WGS) of wild-type 3 poliovirus (PV3) could be retrieved from archived samples without re-amplifying neurovirulent viruses, connecting these sequences to historical case data and their phylogenetic relationships.
  • They successfully generated WGS for 55 PV3 isolates, identifying seven distinct lineages, with one causing an outbreak over six years, and found recombinant vaccine-like PV3 strains in some cases, enhancing understanding
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Booster doses for the ongoing COVID-19 pandemic are under consideration in many countries. We report a three-month follow-up of 700 participants in a fourth vaccine dose study, comparing BNT162b2 and mRNA1273, administered four months after a third BNT162b2 dose. The primary outcomes are the levels of IgG, neutralizing antibodies, and microneutralization and the secondary outcomes are the levels of IgA and T cell activation, and clinical outcomes of SARS-CoV-2 infection and substantial symptomatic disease.

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The correlation between anti-severe acute respiratory syndrome coronavirus 2 antibody levels and infection was reported. Here, we estimated the role of pre-fourth dose levels using data from 1098 healthcare workers. The risk of infection was reduced by 46% (95% confidence interval, 29%-59%) for each 10-fold increase in prebooster levels.

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Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) emerged in Israel in February 2020 and spread from then. In December 2020, the FDA approved an emergency use authorization of the Pfizer-BioNTech vaccine, and on 20 December, an immunization campaign began among adults in Israel. We characterized seropositivity for IgG anti-spike antibodies against SARS-CoV-2 between January 2020 and July 2021, before and after the introduction of the vaccine in Israel among adults.

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We assess the immunogenicity and efficacy of Spikevax and Comirnaty as fourth dose COVID-19 vaccines. Six months post-fourth-dose, IgG levels were higher than pre-fourth dose at 1.58-fold (95% CI: 1.

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Monitoring HIV-1 circulating recombinant forms (CRFs) and unique recombinant forms (URFs) is important for disease surveillance. Recombination may affect prevention efforts and interfere with the diagnosis and treatment of HIV-1 infection. Here, we characterized the epidemiology of HIV-1 CRFs and URFs in Israel.

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Article Synopsis
  • Poliovirus type 2 was detected in wastewater samples from three different areas in Jerusalem between April and July 2022, indicating a rise in cases.
  • Genetic analysis revealed a connection among the viruses and the presence of mutations, with some identified as vaccine-derived polioviruses (VDPV).
  • This finding highlights the need for ongoing wastewater monitoring, even in countries with high vaccine coverage, to support polio eradication efforts.
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Importance: The BNT162b2 two-dose vaccine (BioNTech/Pfizer) has high effectiveness that wanes within several months. The third dose is effective in mounting a significant immune response, but its durability is unknown.

Objective: To compare antibody waning after second and third doses and estimate the association of antibody kinetics with susceptibility to infection with the Omicron variant of SARS-CoV-2.

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Article Synopsis
  • Mumps and rubella are viral diseases preventable by the MMRV vaccine, given at 12 months and again at 6 years, but the study revealed varying levels of immunity.
  • A national survey from 2015 tested over 3,000 samples, showing that 84.8% were sero-positive for mumps and 95.2% for rubella, with lower positivity linked especially to younger and older age groups.
  • While most of the population has good immunity against rubella, mumps immunity is less robust, indicating a need for improved vaccination strategies for mumps.
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