4,501 results match your criteria: "" Robert-Koch-Institute[Affiliation]"

Background: Universal lipid screening in childhood for early detection and treatment of familial hypercholesterolemia is under discussion, but will also detect children with multifactorial dyslipidemia. Results from population-based studies can support the design of public health strategies. As few previous studies considered pubertal changes in serum lipid levels, we examined tracking of serum lipids from prepuberty to young adulthood in a population-based cohort.

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End-to-end simulation of nanopore sequencing signals with feed-forward transformers.

Bioinformatics

December 2024

Centre for Artificial Intelligence in Public Health Research, Robert Koch Institute, Berlin 13353, Germany.

Motivation: Nanopore sequencing represents a significant advancement in genomics, enabling direct long-read DNA sequencing at the single-molecule level. Accurate simulation of nanopore sequencing signals from nucleotide sequences is crucial for method development and for complementing experimental data. Most existing approaches rely on predefined statistical models, which may not adequately capture the properties of experimental signal data.

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The impact of information and communication technology on immunisation and immunisation programmes in low-income and middle-income countries: a systematic review and meta-analysis.

EBioMedicine

January 2025

Evidence-Based Public Health, Centre for International Health Protection, Robert Koch Institute, Berlin, Germany; Unité Epidémiologie et Recherche Clinique, Réseau de l'Arc, Saint-Imier, Switzerland.

Background: Low-income and Middle-income Countries (LMIC) are continually working to ensure everyone can access life-saving vaccines. Recognising the considerable impact of Information and Communication Technology (ICT) in healthcare, we performed a systematic review and meta-analysis to summarise ICT effectiveness in improving vaccine delivery in LMICs.

Methods: A systematic search from January 2010 to August 2023 in MEDLINE, EMBASE, Cochrane Library, BMJ Health & Care Informatics, and grey literature was performed.

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Background: People who inject drugs (PWID) are at high risk of blood-borne infections, and injection drug use contributes significantly to hepatitis C virus (HCV) transmission. The WHO has therefore set targets of reducing HCV incidence and prevalence among PWID and increasing treatment coverage to eliminate HCV by 2030. The DRUCK study (2011-2014) found high HCV prevalence and low treatment coverage among PWID in Germany.

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Germany primarily relies on a practice-based, opportunistic immunisation system. Despite the introduction of the Human papillomavirus (HPV) vaccine into the German vaccination schedule in 2007, coverage remains low. International experience suggests that school-based vaccination can increase HPV coverage.

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Genomic perspective on the bacillus causing paratyphoid B fever.

Nat Commun

December 2024

Institut Pasteur, Université Paris Cité, Unité des Bactéries pathogènes entériques, Paris, F-75015, France.

Paratyphoid B fever (PTB) is caused by an invasive lineage (phylogroup 1, PG1) of Salmonella enterica serotype Paratyphi B (SPB). However, little was known about the global population structure, geographic distribution, and evolution of this pathogen. Here, we report a whole-genome analysis of 568 historical and contemporary SPB PG1 isolates, obtained globally, between 1898 and 2021.

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Objective: This study aims to provide additional support for the equipment needed in hospitals and medical practices for reprocessing transvaginal ultrasound probes (TVUS) through an economic analysis comparing manual and automated reprocessing methods. A questionnaire survey was also conducted in hospitals and medical practices to analyze the current practice of TVUS reprocessing.

Methods: The economic analysis compared four manual reprocessing methods using disinfection wipes and one automated device-based disinfection method using hydrogen peroxide vapor.

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Electron microscopy images and morphometric data of SARS-CoV-2 variants in ultrathin plastic sections.

Sci Data

December 2024

Advanced Light and Electron Microscopy, Centre for Biological Threats and Special Pathogens 4 (ZBS 4), Robert Koch Institute, Berlin, Germany.

Conventional thin section electron microscopy of viral pathogens, such as the pandemic SARS-CoV-2, can provide structural information on the virus particle phenotype and its evolution. We recorded about 900 transmission electron microscopy images of different SARS-CoV-2 variants, including Alpha (B.1.

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Article Synopsis
  • - The study investigates the knowledge, attitudes, and practices (KAP) of intensive care personnel in Rwanda regarding high-consequence infectious diseases (HCIDs) like Ebola, revealing that many staff have limited experience and training in infection prevention and control (IPC).
  • - A survey conducted with 107 participants highlighted that while 58% felt knowledgeable and 72.9% adhered to hand hygiene, a significant number failed to consistently follow IPC measures, particularly in high-risk situations like aerosol-generating procedures.
  • - The findings suggest that although staff perceive a high risk of infection, their moderate knowledge and inconsistent IPC compliance indicate a need for ongoing education and training to ensure better protection against preventable infections.
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Background: Numerous studies have been conducted to predict depressive symptoms using passive smartphone data, mostly integrating the GPS signal as a measure of mobility. Environmental factors have been identified as correlated with depressive symptoms in specialized studies both before and during the pandemic.

Objective: This study combined a data-based approach using passive smartphone data to predict self-reported depressive symptoms with a wide range of GPS-based environmental factors as predictors.

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Objectives: Following the outbreak of hepatitis E in camps for internally displaced persons (IDPs) in Borno State in 2017, we assessed hepatitis B, C, and E biomarkers (hepatitis B surface antigen [HBsAg], anti-HBC, anti-hepatitis E virus [HEV] immunoglobulin [Ig] G, and anti-HEV IgM) among IDPs in three camps in Borno State, Nigeria, to determine seroprevalence rates in these understudied populations.

Methods: A total of 454 IDPs, including pregnant women and breastfeeding mothers, were randomly selected, and their demographic, clinical, and epidemiological data were collected. Blood samples were tested for HBsAg and anti-hepatitis C virus (HCV) using rapid tests, anti-HEV IgM, and anti-HEV IgG using enzyme-linked immunosorbent assay.

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How mathematical modelling can inform outbreak response vaccination.

BMC Infect Dis

December 2024

Medical Research Council Centre for Global Infectious Disease Analysis, Imperial College London, London, UK.

Mathematical models are established tools to assist in outbreak response. They help characterise complex patterns in disease spread, simulate control options to assist public health authorities in decision-making, and longer-term operational and financial planning. In the context of vaccine-preventable diseases (VPDs), vaccines are one of the most-cost effective outbreak response interventions, with the potential to avert significant morbidity and mortality through timely delivery.

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Introduction: Rapid response mobile laboratories (RRML) play an important role in responding to emergencies such as outbreaks and humanitarian crises, working in coordination with national authorities. This scoping review aims to provide evidence to support the development of minimum operational standards for the deployment of RRMLs across the five key workstreams: operational support and logistics, biosafety and biosecurity, laboratory information management system, quality management systems and interoperability and coordination.

Methods: We searched PubMed, MEDLINE, EMBASE and the grey literature focusing on RRML deployment missions.

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Introduction: Cholangiocarcinoma (CCA) is a major contributor to hepatobiliary mortality in the Lao People's Democratic Republic (Lao PDR). Infection with the carcinogenic trematode Opisthorchis viverrini (OV), acquired through consumption of insufficiently-cooked river fish, is a known risk factor for the development of CCA. Together with OV, other risk factors contribute to the pathogenesis of CCA.

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Article Synopsis
  • Bats are considered the primary hosts for many coronaviruses, particularly Betacoronaviruses, which can cause severe respiratory diseases in humans.
  • Research showed that Egyptian fruit bats were more susceptible to respiratory infections (like SARS-CoV-2) compared to oral infections, with significant differences in virus shedding and immune response.
  • The study suggests that SARS-CoV-2 is likely inactivated in the bats' stomachs, making oral infections less effective, highlighting the unique pathology of coronavirus infections in bats.
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International Proficiency Test Targeting a Large Panel of Botulinum Neurotoxin Sero- and Subtypes in Different Matrices.

Toxins (Basel)

November 2024

Unité des Toxines Bactériennes, UMR CNRS 6047, Inserm U1306, Université Paris-Cité, Institut Pasteur, 25 rue du Dr Roux, 75724 Paris, France.

Detection of botulinum neurotoxins (BoNTs) involves a combination of technical challenges that call for the execution of inter-laboratory proficiency tests (PTs) to define the performance and ease of implementation of existing diagnostic methods regarding representative BoNT toxin-types spiked in clinical, food, or environmental matrices. In the framework of the EU project EuroBioTox, we organized an international proficiency test for the detection and quantification of the clinically relevant BoNT/A, B, E, and F sero- and subtypes including concentrations as low as 0.5 ng/mL.

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Article Synopsis
  • Cervical cancer, mainly caused by human papillomavirus (HPV), is a significant health issue in Kazakhstan, where a previous HPV vaccination pilot program was halted due to parental refusals, but plans to restart it are underway.
  • A study conducted from December 2022 to May 2023 surveyed 1,189 healthcare professionals using a self-administered questionnaire to assess their knowledge, attitudes, and barriers regarding HPV and the HPV vaccine.
  • Results showed an average knowledge score of 11 out of 18, with physicians scoring higher than nurses; 72.6% were willing to recommend the vaccine, and higher knowledge and awareness were linked to increased likelihood of recommendation, while barriers included public mistrust and fear of
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-derived formulations are currently used for multiple purposes because of their medical properties, especially immune system modulation. This study analyzes the inhibitory effects of aqueous extract on infections and the immune response in larvae of the greater wax moth (Lepidoptera: Pyralidae). Larvae exhibited melanization within 1 h of being infected with inoculum at a concentration of 10 cells/larvae, and died within 24 h from a lethal dose.

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Rapid Enzymatic Detection of Shiga-Toxin-Producing Using Fluorescence-Labeled Oligonucleotide Substrates.

ACS Infect Dis

December 2024

Department for Infectious Diseases, Division of Enteropathogenic Bacteria and Legionella (FG11), National Reference Centre for Salmonella and other Enteric Bacterial Pathogens, Robert Koch Institute, 38855 Wernigerode, Germany.

Article Synopsis
  • Shiga-toxin-producing E. coli (STEC) are harmful bacteria that can cause severe illnesses like diarrhea and kidney failure, making quick detection crucial but difficult.
  • A new rapid test has been developed using synthetic DNA substrates that produce a fluorescent signal when cleaved by Shiga toxins, allowing for easier identification of STEC.
  • In testing 94 clinical strains, including various STEC serotypes, this assay proved effective for immediate detection of Shiga toxins, potentially enhancing outbreak response and treatment strategies.
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Article Synopsis
  • * A total of 18 carbapenemase variants were identified, predominantly in ST131 clades A and C, with the most common variants being detected in 14 and 12 countries, respectively.
  • * The rise in isolates carrying these genes since 2021 highlights a significant public health threat posed by the high-risk ST131 lineage.
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National immunization technical advisory groups (NITAGs) develop evidence-based vaccination recommendations. Systematic reviews (SRs) are important tools in that process, but conducting them is very resource-intensive. Given the considerable number of immunization-related SRs published and to minimize duplication of effort, a more practical approach for NITAGs is to use existing SRs.

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The Way Forward to Embrace Artificial Intelligence in Public Health.

Am J Public Health

February 2025

Georges Hattab, Christopher Irrgang, Nils Körber, Denise Kühnert, and Katharina Ladewig are with the Center for Artificial Intelligence in Public Health Research, Robert Koch Institute, Berlin, Germany. Georges Hattab is also with the Department of Mathematics and Computer Science, Freie Universität Berlin, Berlin, Germany.

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Background: With the advent of direct acting antivirals (DAAs) the World Health Organisation (WHO) adopted global strategy to eliminate hepatitis C virus (HCV) infection by 2030. In Europe, people who inject drugs (PWID) account for the majority of new cases, however testing and treatment remain suboptimal. The aim was to monitor progress in HCV policy and cascade-of-care for PWID, led by the civil society organisations (CSO) that provide harm reduction services for PWID across Europe.

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