Publications by authors named "Itay Bar Or"

Article Synopsis
  • Continuous monitoring of Hepatitis A Virus (HAV) in Israel revealed that between 2019 and 2022, there were 158 reported cases and 12.9% of sewage samples tested positive for HAV RNA, with a notable peak in 2019.
  • The COVID-19 pandemic led to a decrease in HAV cases and positive sewage samples during 2020, likely due to lockdown measures affecting virus transmission.
  • The predominant sub-genotype identified was IB, with small clusters of transmission among various community groups, emphasizing the need for combined clinical and environmental tracking for effective HAV management and vaccination efforts targeting at-risk adults.
View Article and Find Full Text PDF

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.

View Article and Find Full Text PDF
Article Synopsis
  • * A workshop held in April 2023, funded by the National Science Foundation, focused on identifying the current challenges and research gaps in bacterial wastewater surveillance, leading to discussions about methods, data standardization, and the importance of correlating wastewater data with human disease.
  • * To enhance bacterial monitoring in wastewater, experts suggested the need for better data reporting standards, method optimization, and a deeper understanding of bacterial shedding patterns to link wastewater findings to infection rates in communities.
View Article and Find Full Text PDF

The COVID-19 pandemic caused by the SARS-CoV-2 virus has inflicted significant mortality and morbidity worldwide. Continuous virus mutations have led to the emergence of new variants. The Omicron BA.

View Article and Find Full Text PDF

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).

View Article and Find Full Text PDF
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.
View Article and Find Full Text PDF

In this report, we describe a national-scale monitoring of the SARS-CoV-2 (SC-2) variant dynamics in Israel, using multiple-time sampling of 13 wastewater treatment plants. We used a combination of inclusive and selective quantitative PCR assays that specifically identify variants A19/A20 or B.1.

View Article and Find Full Text PDF
Article Synopsis
  • Enterovirus D68 (EVD68) is linked to respiratory illnesses and acute flaccid myelitis in children, prompting a study of 472 pediatric patients for the virus between April and October 2021.
  • Out of the patients tested, 33 (7%) were positive for EVD68, while all tested wastewater samples showed the presence of the virus, highlighting an increase in viral loads from late May to July and a significant drop in early August.
  • This research is significant as it utilizes wastewater-based epidemiology to track EVD68 prevalence and demonstrates a strong correlation with clinically diagnosed cases, indicating the potential for ongoing surveillance of this and other enteroviruses.
View Article and Find Full Text PDF

In this report, we describe the development of a reverse transcription-quantitative PCR (RT-qPCR) assay, termed Alpha-Delta assay, which can detect all severe acute respiratory syndrome coronavirus 2 (SC-2) variants and distinguish between the Alpha (B.1.1.

View Article and Find Full Text PDF

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is an RNA virus, a member of the coronavirus family of respiratory viruses that includes severe acute respiratory syndrome coronavirus 1 (SARS-CoV-1) and the Middle East respiratory syndrome (MERS). It has had an acute and dramatic impact on health care systems, economies, and societies of affected countries during the past 8 months. Widespread testing and tracing efforts are being employed in many countries in attempts to contain and mitigate this pandemic.

View Article and Find Full Text PDF
Article Synopsis
  • * Researchers found that SARS-CoV-2 RNA is present in urban wastewater, suggesting that monitoring wastewater can track virus activity and serve as an early warning system.
  • * In a study conducted in Ashkelon, Israel, changes in wastewater SARS-CoV-2 levels predicted increases in local COVID-19 cases about two weeks before they became clinically visible, using a new metric called Normalized Viral Load (NVL).
View Article and Find Full Text PDF
Article Synopsis
  • Scientists investigated how SARS-CoV-2 spreads and identified viral variants using wastewater samples in Israel, showing it can effectively track virus prevalence across larger populations compared to traditional clinical methods.
  • The study, conducted from August 2020 to February 2021, sequenced 58 samples, revealing the emergence and spread of the B.1.1.7 variant in December 2020, even in areas with limited clinical testing.
  • The research highlights wastewater analysis as a valuable tool for monitoring the diversity of SARS-CoV-2 strains and detecting important mutations, which can inform public health strategies.
View Article and Find Full Text PDF

The routine detection, surveillance, and reporting of novel SARS-CoV-2 variants is crucial, as these threaten to hinder global vaccination efforts. Herein we report a novel local variant with a non-synonymous mutation in the spike (S) protein P681H. This local Israeli variant was not associated with a higher infection rate or higher prevalence.

View Article and Find Full Text PDF
Article Synopsis
  • Universal vaccination has significantly reduced hepatitis A (HAV) cases in Israel, but sporadic outbreaks still happen, highlighting the need for improved surveillance.
  • A comprehensive HAV surveillance program was implemented in 2017-2018, analyzing 146 human cases and 240 sewage samples, revealing that most cases involved unvaccinated individuals, particularly among men, including a notable number of men who have sex with men (MSM) in 2017.
  • Genetic analysis showed that different HAV genotypes were predominant each year, with findings suggesting a connection between genetic sequences of cases and sewage samples, indicating ongoing viral circulation and the potential for better tracking through combined clinical and environmental data.
View Article and Find Full Text PDF
Article Synopsis
  • - This report highlights the first case of a persistent oropharyngeal infection with a type 2 poliovirus variant (iVDPV2) in a patient with primary immune deficiency, following the eradication of wild type 2 poliovirus.
  • - The iVDPV2 was found to persist not only in the throat but also in the gut, indicating its ability to survive in multiple locations within the body.
  • - The evolution of iVDPV2 in both the throat and gut occurred independently, raising concerns about the risk of oral and fecal transmission as the world aims for complete eradication of poliovirus type 2.
View Article and Find Full Text PDF

IntroductionThe zoonotic hepatitis E virus (HEV) genotype 3 (HEV-G3) has become a common cause of acute and chronic hepatitis among humans worldwide. In Israel, while HEV-3 sequences have previously been detected in sewage, only the non-zoonotic HEV-G1 genotype has been found in samples from human patients.AimIn this pilot study, we aimed to assess the status of HEV in a sample of the swine population and among swine farm workers in Israel.

View Article and Find Full Text PDF

Anaerobic oxidation of methane (AOM) was shown to reduce methane emissions by over 50% in freshwater systems, its main natural contributor to the atmosphere. In these environments iron oxides can become main agents for AOM, but the underlying mechanism for this process has remained enigmatic. By conducting anoxic slurry incubations with lake sediments amended with C-labeled methane and naturally abundant iron oxides the process was evidenced by significant C-enrichment of the dissolved inorganic carbon pool and most pronounced when poorly reactive iron minerals such as magnetite and hematite were applied.

View Article and Find Full Text PDF

Between December 2016 and June 2017, 19 Hepatitis A virus (HAV)-positive cases, 17 of which were among men who have sex with men (MSM) were identified in the Tel Aviv area. Seven of the 15 sewage samples collected between January and June 2017 were also HAV-positive. All sequences clustered with two of the three strains identified in the current European HAV outbreak.

View Article and Find Full Text PDF