During July-August 1977, an outbreak of acute diarrhea occurred in an unusually isolated population, the Tiriyó Indians, who live in the north of Pará, Brazil, near the border with Surinam. Diarrhea was reported by 157 (70%) of the 224 Indians living in the village during the epidemic. There was one fatal case in a one year old child. Rotavirus was detected by electron microscopy in one fecal specimen collected from an acute case of diarrhea. Seroconversions were noted in 127 out of 168 (75.6%) paired serum samples tested for rotavirus antibody by counter-immunoelectrophoresis. With immunofluorescence based neutralization tests, rotavirus serotype 1 (Birmingham) was shown to be associated with the outbreak. The infection also boosted type 3 antibodies but this was most apparent in persons with pre-existing type 3 titers and the boost was not as great as with type 1. All age groups were affected. The proportion symptomatic was greatest in young children.
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http://dx.doi.org/10.1093/oxfordjournals.aje.a113151 | DOI Listing |
Front Pediatr
January 2025
Yunnan Provincial Key Laboratory of Public Health and Biosafety & Institute for AIDS/STD Control and Prevention, Yunnan Center for Disease Control and Prevention, Kunming, Yunnan, China.
Front Public Health
January 2025
Bavarian Health and Food Safety Authority (LGL), Munich, Germany.
[This corrects the article DOI: 10.3389/fpubh.2024.
View Article and Find Full Text PDFBMC Med Inform Decis Mak
January 2025
Kenya Medical Research Institute- Center for Global Health Research (KEMRI-CGHR), P.O Box 1578-40100, Kisumu, Kenya.
Background: Despite the adverse health outcomes associated with longer duration diarrhea (LDD), there are currently no clinical decision tools for timely identification and better management of children with increased risk. This study utilizes machine learning (ML) to derive and validate a predictive model for LDD among children presenting with diarrhea to health facilities.
Methods: LDD was defined as a diarrhea episode lasting ≥ 7 days.
Vaccine
January 2025
Department of Epidemiology, School of Public Health, Fudan University, Shanghai, China; Key Laboratory of Public Health Safety of Ministry of Education, Fudan University, Shanghai, China. Electronic address:
Objectives: The number of post-marketing studies assessing the vaccine effectiveness (VE) of the Lanzhou lamb rotavirus vaccine (LLR, licensed in 2000 exclusively in China) and the oral human attenuated pentavalent rotavirus vaccine (RotaTeq, licensed in China in 2018) in China is limited.
Methods: A test-negative case-control study based on prospective surveillance was conducted among diarrhea patients aged 5 years and younger at five hospitals in Shanghai, China. Cases and controls were defined based on the results of real-time fluorescent quantitative reverse transcription polymerase chain reaction (rRT-PCR) of fecal samples for rotavirus.
Pediatrics
January 2025
Center for Population Health Research, University of Montana, Missoula, Montana.
Background And Objectives: Vaccine doses provided outside the Advisory Committee on Immunization Practices for minimum and maximum ages of vaccination and minimum intervals between doses are considered invalid. Our objective was to quantify the prevalence of and factors associated with invalid doses among US children aged 0 to 35 months.
Methods: We analyzed provider-verified vaccination records from the nationally representative 2011-2020 National Immunization Survey-Child.
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