Publications by authors named "Svetoslav Slavov"

Wolbachia-based mosquito control strategies have gained significant attention as a sustainable approach to reduce the transmission of vector-borne diseases such as dengue, Zika, and chikungunya. These endosymbiotic bacteria can limit the ability of mosquitoes to transmit pathogens, offering a promising alternative to traditional chemical-based interventions. With the growing impact of climate change on mosquito population dynamics and disease transmission, Wolbachia interventions represent an adaptable and resilient strategy for mitigating the public health burden of vector-borne diseases.

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Viral infections are one of the most important causes of morbidity and mortality among patients undergoing allogeneic hematopoietic stem cell transplantation (HSCT). Immunosuppression may lead to the reactivation of latent viruses or the acquisition of new infections, resulting in severe clinical outcomes. The early detection of viral reactivations is crucial for effective patient management and post-transplant care.

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  • * An analysis of viral genome sequences combined with epidemiological data revealed that Italy experienced four significant epidemic waves between 2021 and 2023, marked by reduced fatalities and influenced by variants like Alpha, Delta, and Omicron.
  • * This study emphasizes the need for adaptable public health strategies and continuous genomic surveillance to effectively track virus evolution and prepare for potential future outbreaks.
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  • Human Pegivirus-1 (HPgV-1) is commonly found in humans but its effects on pediatric cancer patients with febrile neutropenia (FN) are not well-studied.
  • In a study analyzing 30 children, it was found that 23.3% had detectable HPgV-1 RNA, with slightly higher rates in those with FN (26.7%).
  • The predominant strain in the samples was identified as HPgV-1 genotype 2, prompting further research into its potential impact on FN and the health of immunocompromised patients.
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  • Respiratory illnesses caused by viral infections affect all age groups but are challenging to diagnose due to overlapping symptoms and incomplete local diagnostic panels.
  • A metagenomic study of 66 nasopharyngeal swab samples from patients with acute respiratory issues revealed significant undetected viruses, like rhinoviruses and enterovirus D68, as well as other notable viruses such as human herpesvirus and human parvovirus B19.
  • The findings highlight the critical role of viral metagenomics in uncovering overlooked viruses, which could inform public health strategies to improve diagnostics and patient care.
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Dengue virus (DENV) is currently causing epidemics of unprecedented scope in endemic settings and expanding to new geographical areas. It is therefore critical to track this virus using genomic surveillance. However, the complex patterns of viral genomic diversity make it challenging to use the existing genotype classification system.

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  • The study investigates how rifampicin (RIF) behaves in the bodies of tuberculosis patients, both with and without HIV, focusing on its metabolite, 25-O-desacetyl-rifampicin (desRIF).
  • Researchers analyzed data from 33 TB patients on RIF treatment and found that HIV co-infection does not affect RIF levels in the blood, and desRIF formation does not account for variability in its disposition.
  • Results indicated that RIF had lower effectiveness than expected, especially in patients weighing less than 50 kg, suggesting that the formulation of the drug leads to reduced absorption in the body.
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  • * A metagenomic analysis of plasma samples from 120 waste pickers in Brasilia identified significant viral pathogens, such as HIV, HCV, and Chikungunya, that were not present in a control group of blood donors.
  • * The study highlights the importance of using metagenomics to discover viral threats in underserved populations, informing public health strategies to better address the health needs of those with socioeconomic challenges.
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Human Pegivirus Type 1 (HPgV-1), a ubiquitous commensal virus, has been recently suggested as a marker of immunologic function. There is scarce data for the presence, genotypes, and molecular characteristics of HPgV-1 among kidney transplant recipients. Therefore, the objective of this study was to examine the prevalence and the molecular characteristics (cycle threshold, genotypes) of this viral infection among kidney transplant recipients from the Brasília, Federal District of Brazil.

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  • Since 2021, Brazil has faced a surge in COVID-19 cases and deaths due to new variants of concern (VOC) and low vaccination rates, which have led to the emergence of more mutations.
  • The study aimed to assess whether local genomic surveillance and epidemiological data can reflect nationwide trends in the COVID-19 pandemic.
  • Findings revealed three key variant replacements (Gamma, Delta, and Omicron) and highlighted that vaccination became increasingly effective in preventing new cases and deaths as the pandemic progressed.
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  • This text indicates a correction has been made to a previously published article.*
  • The article in question has the DOI 10.1016/j.lana.2024.100786, which identifies it uniquely in academic databases.*
  • Corrections like this typically address errors or omissions in the original publication to clarify the findings or methods used.*
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Background: This study focuses on urban arboviruses, specifically dengue (DENV), chikungunya (CHIKV), and Zika (ZIKV), which pose a significant public health challenge in Rio de Janeiro state, Southeast Brazil. In our research, we highlight critical findings on the transmission dynamics of these arboviruses in Rio de Janeiro, identifying distinct patterns of disease spread.

Methods: By combining genomic data with case reports from the Brazilian Ministry of Health, we have analysed the phylogenetics, prevalence and spatial distribution of these endemic viruses within the state.

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We aimed to describe the landscape, including molecular, epidemiological, and clinical aspects of CHIKV infections in the Ribeirao Preto region, an area endemic to dengue. We randomly screened 3744 plasma samples that had undergone DENV diagnosis to evaluate CHIKV-RNA using an in-house RT-PCR assay. Positive samples were followed clinically, and RNA samples were submitted to whole genome sequencing.

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  • * In this study, researchers used viral metagenomic analysis on 43 serum samples from patients in Brazil who tested negative for common hemorrhagic fever viruses, revealing the presence of Dengue virus (DENV) serotype 2 in one patient.
  • * The findings emphasize the importance of considering clinical symptoms for accurate testing and suggest that viral metagenomics could improve the identification of viral causes in hemorrhagic diseases, warranting further research for its implementation in standard diagnostics.
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  • * By the fourth week of 2022, while testing numbers declined, the positivity rate stayed high, showing that 60% of individuals tested positive, with infections in younger children increasing from 2.8% to 9.2%.
  • * The most common variant found was Omicron BA.1 (74.5%), with BA.2 showing signs of sustained transmission, indicating notable trends in the spread and evolution of this variant among the younger population.
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Nipah virus (NiV), a biosafety level 4 agent, was first identified in human clinical cases during an outbreak in 1998 in Malaysia and Singapore. While flying foxes are the primary host and viral vector, the infection is associated with a severe clinical presentation in humans, resulting in a high mortality rate. Therefore, NiV is considered a virus with an elevated epidemic potential which is further underscored by its recent emergence (September 2023) as an outbreak in India.

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  • The rising spread of arboviruses and increasing infection rates emphasize the urgent need for improved methods to rapidly and accurately detect these pathogens.
  • This study focuses on combining nanopore sequencing with reverse transcription polymerase chain reaction (RT-PCR) to create a multiplex RT-PCR protocol.
  • The new protocol allows the simultaneous detection of multiple viruses, including Chikungunya, dengue, Zika, yellow fever, and West Nile, enhancing our ability to differentiate between arbovirus strains effectively.
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We examined the asymptomatic rates of SARS-CoV-2 infection during the Delta and Omicron waves in the city of São Paulo. Nasopharyngeal swabs were collected at strategic points of the city (open-air markets, bus terminals, airports) for SARS-CoV-2 RNA testing. Applying the questionnaire, the symptomatic individuals were excluded, and only asymptomatic cases were analyzed.

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  • The study focused on investigating other respiratory viruses in pediatric patients with acute symptoms who tested negative for SARS-CoV-2 during the Omicron wave.
  • Metagenomic analysis of 96 nasopharyngeal swab samples showed that respiratory syncytial virus and enteroviruses were the most common, indicating significant health risks.
  • The findings suggest that viral metagenomics should be prioritized in clinical settings for better diagnosis and public health policies aimed at protecting children's health from various viral infections.
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The COVID-19 pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has brought about significant challenges worldwide. In this study, we present a comprehensive analysis of the genomic epidemiology and lineage dynamics of SARS-CoV-2 in Bulgaria over a three-year period. Through extensive genomic sequencing and data analysis, we investigated the evolution of the virus, the emergence of variants of concern (VOCs), and their impact on the country's pandemic trajectory.

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  • Monkeypox is a viral disease that poses a growing global threat, highlighting the need for effective monitoring and rapid response to outbreaks.
  • The review stresses the importance of global surveillance to detect, contain, and prevent monkeypox's unpredictable transmission and high morbidity rate.
  • It calls for enhanced international collaboration and advanced diagnostic tools to establish a comprehensive monitoring framework, ensuring early detection and control measures for public health.
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