Monday, November 01, 2021

How staphylococci protect themselves against antibiotics

Study at the University of Bonn clarifies a previously unknown resistance mechanism

Peer-Reviewed Publication

UNIVERSITY OF BONN

Michael Hort and Prof. Dr. Gabriele Bierbaum 

IMAGE: LOOK AT A CULTIVATION PLATE WITH THE RESISTANT STAPHYLOCOCCUS AUREUS STRAIN. view more 

CREDIT: PHOTO: VOLKER LANNERT/UNIVERSITY OF BONN

The skin bacterium Staphylococcus aureus often develops antibiotic resistance. It can then cause infections that are difficult to treat. Researchers at the University of Bonn have uncovered an ingenious way in which a certain strain of Staphylococcus aureus protects itself against the important antibiotic vancomycin. The results have now been published in the journal Microbiology Spectrum.

In the study, the researchers investigated the development of resistance in a Staphylococcus aureus strain that is innocuous to humans. For this purpose, they grew the strain in the laboratory in nutrient media to which they added successively increasing amounts of vancomycin. Staphylococci are rapidly mutating bacteria. The strain studied also lacks a mechanism that normally repairs these genetic changes. This means it acquires new properties particularly quickly, including those associated with greater tolerance to vancomycin. In the presence of the antibiotic, only these mutants survive.

"This gave us a strain within eight weeks that was able to cope with more than a 100-fold increase in the concentration of the antibiotic," explains Prof. Dr. Gabriele Bierbaum from the Institute of Medical Microbiology, Immunology and Parasitology at the University Hospital Bonn. The researchers now wanted to find out how the strain, with the designation VC40 manages this.

Molecular protective suit

Bacteria are single-celled organisms that are enclosed in a thin membrane of lipids. This is almost as delicate as a soap bubble and the internal pressure of the staphylococcal cell would burst the membrane. The membrane is therefore surrounded by a cell wall, which encloses the bacterium like an extremely robust protective garment. This wall consists of several layers of carbohydrate chains that are cross-linked by peptides, the peptidoglycan. This creates a stable fabric.

Staphylococci and other bacteria produce the basic building blocks of this fabric within the cell and then transport them out through the membrane. The antibiotic vancomycin traps them there and prevents them from being incorporated into the wall. As a result, the cells die.

"Our strain of bacteria has a much thicker wall than normal staphylococci," Bierbaum says. "The cell wall also contains many molecular chains whose ends are barely crosslinked. These non-crosslinked sites can bind vancomycin." The cell wall thus acts like a kind of sponge that absorbs the antibiotic and prevents it from reaching the membrane. At the same time, the bound vancomycin clogs the pores of this sponge and thereby obstructs the path to the membrane.

Dangerous scissors: the autolysins

However, this strategy comes at a price: "The wall is weakened by being less crosslinked," explains Michael Hort, who is a doctoral student in Bierbaum's research group. "It is therefore more easily destroyed by certain enzymes called autolysins." Autolysins are needed by bacteria during reproduction, for example: They cut the cell wall during cell division and ensure that the cells can separate. Even as the cell grows, the molecular scissors keep opening the seams of the protective suit so that new patches of peptidoglycan can be inserted. Autolysins are therefore very important.

However, they pose a threat to bacteria with weakened cell walls. The researchers were able to show how the staphylococcal strain defends itself against this for one of the most important autolysins: S. aureus VC40 modifies a specific component of the cell walls, the wall teichoic acids. These play only a minor role in normal crosslinking and perform other tasks. The S. aureus VC40 strain binds certain sugar molecules to the teichoic acids. This enables them to inhibit the binding of the autolysin to the cell wall. "We generated a daughter strain of S. aureus VC40 that doesn’t incorporate these sugar molecules," Bierbaum says. "This made it almost 20 times more susceptible to vancomycin."

New insights into resistance development

Staphylococci can be found in many places, including on the skin of most people. They are usually harmless there. However, if they enter wounds or the bloodstream, they can cause severe infections. The so-called MRSA strains (the abbreviation stands for "methicillin-resistant Staphylococcus aureus") are often resistant to several antibiotics and, therefore, are difficult to control.

"Our study shows how mutations can complement each other in such a sophisticated way that the strain develops pronounced resistance as a result," explains Gabriele Bierbaum. "In this way, it increases our understanding of the ways in which staphylococci adapt to their environment through spontaneous genetic changes and escape the effects of antibiotics."

Participating institutions and funding:

In addition to the University of Bonn, the University of Tübingen was also involved in the study. The study was funded by the German Research Foundation (DFG).

Publication: Michael Hort, Ute Bertsche, Senada Nozinovic, Alina Dietrich, Anne Sophie Schrötter, Laura Mildenberger, Katharina Axtmann, Anne Berscheid and Gabriele Bierbaum: The role of β-glycosylated wall teichoic acids in the reduction of vancomycin susceptibility in vancomycin-intermediate Staphylococcus aureus; Microbiology Spectrum, https://journals.asm.org/doi/10.1128/Spectrum.00528-21, DOI: 10.1128/Spectrum.00528-21

Contact:

Apl. Prof. Dr. Gabriele Bierbaum
Institut für Medizinische Mikrobiologie, Immunologie und Parasitologie
Universitätsklinikum Bonn

Increasing dairy intake reduces falls and fractures among older care home residents

Extra daily milk, yoghurt, and cheese led to a 33% lower risk of all fractures

Peer-Reviewed Publication

BMJ

Increasing intake of foods rich in calcium and protein such as milk, yoghurt, and cheese, reduces falls and fractures in older adults living in residential care, finds a randomised controlled trial published by The BMJ today.

This is one of only a few studies to examine whether getting these nutrients from foods (as opposed to supplements) are effective and safe, and the researchers say this approach has “widespread implications as a public health measure for fracture prevention.”

Older adults living in residential care often have low calcium and protein intakes, which can lead to weak bones and an increase in the risk of falls and fractures. It is estimated that older adults in aged care are the source of about 30% of all hip fractures.

It is well known that foods rich in calcium and protein, such as milk, yoghurt, and cheese help prevent bone fragility, but few studies have investigated whether increasing daily intake of these foods is an effective and safe way to reduce fracture risk in older adults.

So researchers based in Australia, the Netherlands and the US set out to examine whether achieving recommended daily intakes of calcium (1,300 mg) and protein (1 g/kg body weight) from food sources would reduce the risk of fragility fractures and falls among older adults in residential care facilities.

The two-year trial involved 60 aged care facilities in Australia housing 7,195 residents (72% women; average age 86 years) replete in vitamin D but with daily calcium and protein intakes below recommended levels.

Thirty intervention facilities were randomised to provide residents with additional milk, yoghurt, and cheese, achieving intakes of 1,142 mg calcium/day and 1.1 g protein/kg body weight/day. The remaining 30 control facilities continued with their usual menu (700 mg/day calcium and 0.9 g protein/kg body weight/day).

Data from 27 intervention facilities and 29 control facilities were analysed and a total of 324 fractures (135 hip fractures), 4,302 falls, and 1,974 deaths occurred during the study period.

The intervention was associated with risk reductions of 33% for all fractures (121 v 203), 46% for hip fractures (42 v 93), and 11% for falls (1,879 v 2,423). There was no group difference in all cause mortality.

The relative risk reduction for fractures was similar to that found in trials using potent drug therapy to increase bone strength in people with osteoporosis. 

A randomised controlled trial is considered the most reliable way to determine whether an intervention actually has the desired effect, but the researchers do point to some limitations. For example, loss of participants limited their ability to examine the possible mechanisms that may contribute to fewer fractures and falls.

Nevertheless, they say, improving calcium and protein intakes by using dairy foods “is a readily accessible intervention that reduces risk of falls and fractures commonly occurring in institutionalised older adults.”

They add: This nutritional intervention “has widespread implications as a public health measure for fracture prevention in the aged care setting and potentially in the wider community.”

[Ends]

How retirement impacts social support and wellbeing


Peer-Reviewed Publication

UNIVERSITY OF TECHNOLOGY SYDNEY

pensioners 

IMAGE: HIGH LEVELS OF SOCIAL CONNECTEDNESS ARE LINKED WITH BETTER HEALTH AND WELLBEING. view more 

CREDIT: IMAGE BY WOLFGANG ECKERT FROM PIXABAY

Australian couples moving into retirement tend to maintain their social networks, and many see an improvement in their mental health and wellbeing, new research shows.

High levels of social connectedness are linked with better health and wellbeing, so this is good news for those with strong social ties. However, for those with low levels of support it suggests that policies and programs to increase support in retirement could improve wellbeing.

The World Health Organisation says social isolation and loneliness have a serious impact on older people’s physical and mental health, quality of life and longevity, comparable to other well-established risk factors such as smoking, obesity and physical inactivity.

“For some people social support might decrease when they retire, as they lose work connections or move home, while for others retirement brings more opportunities to strengthen ties or make new friends,” says co-author UTS economist Dr Nathan Kettlewell. 

“We were interested to understand not only whether retirement brought changes to your own level of social support, mental health and wellbeing, but also whether your spouse’s retirement had an impact,” he says.

Using data from the Household, Income and Labour Dynamics in Australia (HILDA) Survey from 2001-2018, the researchers looked at 1600 partnered individuals who transitioned to retirement.

“We measured social support using survey questions that asked people about whether they have someone they feel they can talk to, or confide in, how many friends or visitors they have, and whether they often feel lonely,” says co-author Dr Jack Lam from the University of Queensland.

“Understanding how retirement impacts social support and wellbeing is important not only for those on the cusp of retirement, but also for government, not-for-profit and community organisations providing mental health and social support services,” he says.

To better understand the cause and effect relationship between retirement and wellbeing, the researchers focused on those who retired because they became eligible for the age pension, rather than due to sickness or job loss.

The study found that most people maintained their pre-retirement level of social support after either they, or their partner, retired.

Women, and those with high social support, were more likely to see an improvement in mental wellbeing when they or their partner retired.

Both men and women saw an increase in ‘life satisfaction’ – a measure of how people evaluate their life as a whole rather than their current feelings – when they or their partner retired.

“Our research shows that while we don’t see significant changes to social connections, the shifts in mental health and wellbeing can be quite positive,” says Dr Kettlewell.

So, for an insight into what retirement might look like – take a look at your current social connections, and if needed, build your social networks for a happier, healthier future.

###

The study: Retirement, social support and mental well being: a couple level analysis is published in the European Journal of Health Economics.

Study: are casinos making the right bet when it comes to slots?

UNLV researchers discover that a common strategy to increase play time on slot machines simply doesn’t add up

Peer-Reviewed Publication

UNIVERSITY OF NEVADA, LAS VEGAS

With slot machines producing the bulk of profits in most of the world’s casinos, gaming managers make it their business to keep slot players happy.  So how do they prevent customers who are losing from walking away? 

A common strategy is to lower what’s called the “house edge,” which is the casino’s advantage when looking at the long-term difference between how much was wagered versus how much was paid out. The idea is that if you play a slot machine with a 5% house advantage, for example, you can expect to play for twice as long as a game with a 10% house advantage, right?

Not so, according to a new study from UNLV professors Anthony Lucas and A.K Singh, who found that even when the house advantage was more than doubled, no statistical difference in the number of spins was observed for the individual gambler. 

Using an approach that simulated 100 years of weekly play, the researchers analyzed the outcomes produced by reel slot machines with hidden yet different house edges, under identical wagering rules. The results showed a remarkably similar number of spins on the games, despite big differences in the house edge. Although it is the first study to use this specific approach, it is the seventh study in a series of studies by UNLV researchers confirming this general conclusion.
The bad news for casinos is that conventional thinking on how the house edge affects the slot player’s experience is likely costing them money. 

“If individual players don’t see results from their play that allow them to detect differences in the house edge,” said Lucas, “there is an opportunity for gaming operators to keep a greater portion of the wagers. Even subtle changes in the frequency of big jackpots can make important contributions to the overall slot revenue.” 

Changing Entrenched Casino Practices
So why are casinos leaving money on the table? Though the prospect of increasing casino revenue should spark interest from operators, game makers, regulators, and legislators alike, switching long-standing operating and marketing tactics is a hard sell in the casino business.

“Change is understandably difficult for all of us in this business when you’re up against decades of firmly entrenched explanations of how slot machines work,” said Lucas. “As a result, it’s going to take some time for any new thinking on the subject to gain traction.” 

Lucas says market forces will ultimately jumpstart the process. With the global proliferation of casinos and a new generation of games hitting the market, savvy gamblers are becoming more interested in the nuances of their gaming experience, looking for a better return on their bets. Though change doesn’t come easily, this trend may force some casino operators and game makers to revisit their understanding of how game mechanics affect the individual gambler’s experience.

###

Lucas and Singh’s article “The house edge and play time: Do industry heuristics fairly describe this relationship?” is published in the UNLV Gaming Research & Review Journal (2021).
 

Vanderbilt astrophysicist leads international workshop to turn plans for a crewed lunar observatory into reality


Meeting Announcement

VANDERBILT UNIVERSITY

Karan Jani, research assistant professor of physics and astronomy, co-chaired the first international workshop focused on gravitational wave detection on the moon. The workshop builds on Jani’s recent studies that make the case for building a crewed, lunar-based observatory. 

“We are at the dawn of a new space age, with the moon at the center of our campaign for the next several years,” Jani said. “This workshop drew a broad consensus that fundamental physics and astronomy have immense potential on the moon.” 

The workshop convened more than 350 leading experts from the fields of GW science, planetary science and lunar exploration to discuss the geophysical properties of the moon and opportunities for this type of observation with key technologies that are already at an advanced stage of development. Participants were in agreement that lunar GW detection could become a realistic space science mission with international cooperation.  

Opportunities for breakthrough science exist through partnerships with other future detectors, like the joint European Space Agency and NASA space mission Laser Interferometer Space Antenna, and with proposed terrestrial GW detectors the Einstein Telescope and the Cosmic Explorer. Discussions highlighted the exciting possibility that a GW detector on the moon could provide a more complete understanding of where gravitational waves come from, and the orbit of the moon around Earth would significantly increase the ability to triangulate the position of those sources.  

“The lunar GW detectors can probe the most important questions about our universe, from the nature of dark energy to the birth of the first stars,” Jani said. “Many of the required technologies are already being developed by space agencies and major private companies. It’s only a matter of time before we have our graduate students taking shifts on the moon!”  

The workshop was well attended, reflecting worldwide interest in GW science and lunar exploration, said Jan Harms, professor at the Gran Sasso Science Institute. “We now need to work hard to seize the opportunities given to us to realize a first lunar GW detector. Turning our moon into a resonant antenna for messages from the universe would be a historical achievement.” 

And officials at high-level funding agencies were attentive, added Stavros Katsanevas, European Gravitational Observatory director, which is “a very good omen for the development of this emerging field. 

“We were all impressed by the quality of the presentations, key elements of which were the interdisciplinarity between GW science and geoscience, the complementarity of the proposed instrumentation guaranteeing the detailed understanding of lunar vibrations.”  

The workshop took place on Oct. 14 and 15 and was hosted by the European Gravitational Observatory near Pisa, Italy. Jani was joined by researchers from EGO and Gran Sasso Science Institute. The workshop was supported by the AHEAD 2020 project, funded from the European Union’s Horizon 2020 research and innovation program under grant agreement 871158. 

Urgent changes needed to global guidelines designed to stop surgical infection


Peer-Reviewed Publication

UNIVERSITY OF BIRMINGHAM

Wound infections are the most common problem after surgery, particularly in developing countries, but promised innovations to tackle the issue do not work and global guidance needs changing, a new study reveals.

Both World Health Organisation (WHO) and the UK’s National Institute of Health Research guidelines recommend that surgeons use alcoholic chlorhexidine skin preparation and triclosan coated sutures to prevent Surgical Site Infection (SSI).

However, the world’s largest wound infection trial could not demonstrate superiority of these interventions over lower cost alternatives.

Carried out in Benin, Ghana, India, Mexico, Nigeria, Rwanda and South Africa, the FALCON trial was funded by the UK’s National Institute for Health Research (NIHR).

Publishing their findings today in The Lancet, researchers participating in this study are calling for guidelines recommending these measures, either specifically to Low- and Middle-income Countries (LMIC) or at a general global level, to be revised.

Co-author Mr. Aneel Bhangu, from the University of Birmingham, commented: “Surgical site infection is the world’s most common postoperative complication - a major burden for both patients and health systems. We have delivered the biggest trial of its kind, where we could not demonstrate the superiority of these interventions over cheaper alternatives.

“Our findings are hugely important for a wide range of care providers in LMICs, as following existing WHO and NICE guidelines, which have significant cost implications for organisations which have limited resources.”

Patients who develop SSI experience pain, disability, poor healing with risk of wound breakdown, prolonged recovery times and psychological challenges.

Those patients in LMICs are disproportionately affected by higher rates of SSI compared to those in high-income countries - increasing the risk of catastrophic expenditure, impoverishment, and wider negative community impact.

The NIHR Global Research Health Unit on Global Surgery trial covered 5,788 patients from 54 hospitals in seven countries - a broad and representative range including adults and children undergoing contaminated/dirty surgery, emergency surgery and caesarian section.

Co-author Professor Adesoji Ademuyiwa, from the University of Lagos, commented: The overall SSI rate was very high at 22% - a preventable complication that is causing unnecessary suffering and burden to patients and systems.

“It is clear that small randomised trials should now be avoided and should be replaced with larger trials that can provide more robust evidence on the incidence of SSI, ultimately leading to more effective measures to help tack this global healthcare challenge.”

For further information, interviews or to request an embargoed copy of the research paper please contact Tony Moran, International Communications Manager, University of Birmingham on +44 (0)782 783 2312 or t.moran@bham.ac.uk. Out-of-hours, please call +44 (0) 7789 921 165.

Notes for editors

  • The University of Birmingham is ranked amongst the world’s top 100 institutions. Its work brings people from across the world to Birmingham, including researchers, teachers and more than 6,500 international students from over 150 countries.
  • ‘Reducing surgical site infections in low and middle income countries: a pragmatic, multicentre, stratified, randomised controlled trial (FALCON)’ - Adesoji O Ademuyiwa and Aneel Bhangu is published in The Lancet.
  • Please feel free to include this post-embargo link in online articles: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(21)01548-8/fulltext

The mission of the National Institute for Health Research (NIHR) is to improve the health and wealth of the nation through research. We do this by:

  • Funding high quality, timely research that benefits the NHS, public health and social care;
  • Investing in world-class expertise, facilities and a skilled delivery workforce to translate discoveries into improved treatments and services;
  • Partnering with patients, service users, carers and communities, improving the relevance, quality and impact of our research;
  • Attracting, training and supporting the best researchers to tackle complex health and social care challenges;
  • Collaborating with other public funders, charities and industry to help shape a cohesive and globally competitive research system;
  • Funding applied global health research and training to meet the needs of the poorest people in low and middle income countries.

NIHR is funded by the Department of Health and Social Care. Its work in low and middle income countries is principally funded through UK Aid from the UK government.

What big teeth you have: Tooth root surface area can determine primate size


Peer-Reviewed Publication

NORTH CAROLINA STATE UNIVERSITY

Gorilla and Lemur Skuls 

IMAGE: THE SKULLS OF A GORILLA AND LEMUR WITH THE TEETH "DIGITALLY DISSECTED" IN ORDER TO STUDY THEIR TOOTH ROOT SURFACE AREAS. view more 

CREDIT: CREDIT: DEUTSCH AND HARTSTONE-ROSE.

An often overlooked feature could give scientists new insight into the lives of ancient primate species. Researchers from North Carolina State University have developed formulas that can calculate the body size of a primate based on the root size of its teeth. The formulas could allow researchers to make use of partial and incomplete fossils in order to learn how ancient primates – including human ancestors – interacted with their environment.

Ashley Deutsch, NC State graduate student and first author of a paper describing the research, wanted to know if it was possible to determine what a primate’s diet was without having the actual tooth crowns at hand – by looking instead at the roots.

What we commonly think of when we think of teeth isn’t the whole story – the part that does the chewing is merely the crown. The part that keeps the tooth anchored in the jaw is the root.

“The tooth root transmits the force of the jaws into the food,” says Adam Hartstone-Rose, professor of biological sciences at NC State and paper coauthor. “You can think of the root as the handle of a hammer – the handle size is related to the amount of force you can put into the hammer. So if a hammer has a small handle, it will have a small head to hammer small things. In the same way, a big tooth root can transmit more force to the tooth’s crown to crush more obdurate foods.”

Deutsch and the research team initially set out to determine whether tooth roots could indicate the shape of the tooth’s crown, thus telling them what particular primates preferred to eat. Using computer tomography, Deutsch analyzed and calculated the tooth root surface area – or area of contact where the root fits into the jaw – of 70 primates from 75 species, ranging in size from tiny mouse lemurs to great apes.

“It was a bit like trying to figure out if you have an axe or hammer based on the shape of the handle,” Deutsch says.

Ultimately, she found that the tooth roots only related to diet in a few lineages (for example, lemurs); however, she was able to determine how big the primates were across all lineages.

Deutsch developed a series of formulas based on the relationship between the tooth root surface of a molar or premolar – the teeth located between canines and molars – and primate body mass. The formulas can be used to estimate body mass of primates with more or less specificity, depending upon whether their class is known. The formulas can also explain up to 96% of variation in body mass within the examined primate sample.

But perhaps the most useful application of the equation will be with fossils that are currently of little use to anthropologists and paleontologists.

“As long as the fossil has a bit of root you can use the formulas even if the tooth crowns are missing,” Deutsch says. “Fossils are often maddeningly incomplete, but now those incomplete pieces can be useful, and they could answer questions about our own lineage, like how big our ancient ancestors were.”

Deutsch hopes to continue refining the existing equations and expand the work beyond primates to other mammals, including carnivores.

“Ashley has looked at something that is often preserved but also generally ignored by science and found it might hold answers to one of the most important ecological questions,” Hartstone-Rose says. “Just knowing how big an animal is tells you a lot about how it interacted with the environment. And that could give us a lot of insight into our own ancient history.”

The research appears as the cover article in the American Journal of Biological Anthropology and is supported by the National Science Foundation (grant IOS-15-57125). Former NC State postdoctoral fellow Edwin Dickinson, as well as NC State undergraduates Victoria Whichard and Giulia Lagomarsino, also contributed to the work.

-peake-

Note to editors: An abstract follows.

“Primate Body Mass and Dietary Correlates of Tooth Root Surface Area”

DOI: 10.1002/ajpa.24430

Authors: Ashley R. Deutsch, Edwin Dickinson, Victoria A. Whichard, Giulia R. Lagomarsino, Adam Hartstone-Rose, North Carolina State University; Jonathan M. G. Perry, Western Universty of Health Sciences, Oregon; Kornelius Kupczik, Max Planck Institute for Evolutionary Anthropology, Leipzig, Germany
Published: October 26, 2021 in the American Journal of Biological Anthropology

Abstract:
Objectives: This study aims to examine primate postcanine tooth root surface area (TRSA) in the context of two ecological variables (diet and bite force). We also assess scaling relationships within distinct taxonomic groups and across the order as a whole.
Materials and Methods: Mandibular postcanine TRSA was measured using a three-dimensional computed tomography (CT) method for catarrhine (N = 27), platyrrhine (N = 21) and strepsirrhine (N = 24) taxa; this represents the first sample of strepsirrhines. Two different body size proxies were used: cranial geometric mean (GM) using nine linear measurements, and literature-derived body mass (BM).
Results: TRSA correlated strongly with body size, scaling with positive allometry or isometry across the order as a whole; however, scaling differed significantly between taxa for some teeth. Among Strepsirrhini, molar TRSA relative to GM differed significantly between folivores and pliant-object feeders. Additionally, P4 TRSA relative to BM differentiated folivores from both hard- and pliant-object feeders. Among Cercopithecoidea, P4 TRSA adjusted by GM differed between hard- and pliant-object feeders.
Discussion: Dietary signals in TRSA appear primarily driven by high frequency loading experienced by folivores. Stronger and more frequent dietary signals were observed within Strepsirrhini relative to Haplorhini. This may reflect the constraints of orthognathism within the latter, constraining the adaptability of their postcanine teeth. Finally, because of the strong correlation between TRSA and BM for each tooth locus (mean r2 = 0.82), TRSA can be used to predict BM in fossil primates using provided equations.

New public health education programs to address workforce needs


Federal initiative awards $3 million to UMass Lowell

Grant and Award Announcement

UNIVERSITY OF MASSACHUSETTS LOWELL

LOWELL, Mass. – UMass Lowell has been awarded a $3 million cooperative agreement from the U.S. Department of Health and Human Services’ Office of the National Coordinator for Health Information Technology to develop new undergraduate and graduate programs in public health informatics and technology, to educate diverse students for vital jobs.

The grant, one of 10 awarded to minority-serving institutions and other institutions of higher education around the country, is part of the Public Health Informatics & Technology Workforce Development Program, a federal effort to address the gaps in public health capacity that hurt the U.S. response to COVID-19. The funding comes from the American Rescue Plan, the $1.9 trillion federal aid package designed to address the public health and economic impacts of the pandemic.

“Tremendous weaknesses in our public health data infrastructure were exposed by the COVID-19 pandemic,” said UMass Lowell Public Health Prof. Dan Berlowitz, chair of the department, who is leading the initiative at the university. “Information systems were not there, and data-handling expertise and management were not there for tracking positive tests, contacting people who had been exposed, identifying high-risk populations, and reporting illness and death. And even when they were there, everyone was doing it differently.”

The project will include several other UMass Lowell public health professors, faculty from the Solomont School of Nursing, the Department of Computer Science and the Manning School of Business, allowing the university to develop a new undergraduate public health pathway in health informatics and technology over the next year, as well as a new graduate program and graduate certificates for people already in the workforce.

As part of the federal effort, UMass Lowell will also aim to increase the number of people from underrepresented communities in the public health IT workforce and to educate all students in health equity. 

UMass Lowell is partnering with Middlesex and Northern Essex community colleges as it develops the new undergraduate major to make sure students who graduate from the two-year schools can transfer smoothly to UMass Lowell. All three schools are designated as “minority-serving institutions” by the U.S. Department of Education, Berlowitz said. 

UMass Lowell also will work with community partners throughout the Merrimack Valley to place students in internships and make sure the new programs meet local job needs.

“We could not have received this grant without our educational partners and our strong relationships with community partners,” Berlowitz said.

The new concentration for undergraduate public health majors will combine classes in computer science and public health, as well as business classes, according to UMass Lowell’s Amy Smalarz, assistant teaching professor and undergraduate program coordinator for public health.

“Teaching students how to build those databases, how to organize them and how to use them is a big piece,” she said.

The new graduate degree and certificates offered through UMass Lowell’s Division of Graduate, Online and Professional Studies will draw on courses for the existing master’s degree in health information management with a focus on health informatics.

The community and industry partners on the grant include the city of Lowell Health Department, the city of Lawrence Board of Health, the Greater Lowell Health Alliance, the Greater Lawrence Family Health Center, Lowell General Hospital, the Department of Veterans Affairs Center for Healthcare Organization and Implementation Research, the UMass Chan Medical School Division of Health Informatics and Implementation Science, LLX Solutions, and Academic Public Health Corp.

UMass Lowell is a national research university located on a high-energy campus in the heart of a global community. The university offers its students bachelor’s, master’s and doctoral degrees in business, education, engineering, fine arts, health, humanities, sciences and social sciences. UMass Lowell delivers high-quality educational programs, vigorous hands-on learning and personal attention from leading faculty and staff, all of which prepare graduates to be leaders in their communities and around the globe. www.uml.edu

Oral hookworm vaccine could save millions around the world


Peer-Reviewed Publication

UNIVERSITY OF QUEENSLAND

Hookworm in intestine 

IMAGE: AN ARTIST'S IMPRESSION OF HOOKWORMS INSIDE A HUMAN INTESTINE. view more 

CREDIT: THE UNIVERSITY OF QUEENSLAND

There’s been a significant breakthrough in the development of a vaccine to prevent hookworm infection – a parasite which causes serious disease in tens of millions of people globally.

Trials of the vaccine candidate in mice, led by researchers at The University of Queensland, indicate that it is more than twice as effective than existing alternatives and marks a leap forward in the battle against the highly contagious parasite.

Professor Istvan Toth from UQ’s School of Chemistry and Molecular Biology said the ease with which the vaccine could be administered –  via tablet, liquid or powder – would be a gamechanger for developing countries.

“Our vaccine candidate can be orally self-administered, bypassing the need for trained medical staff, and means there’s no requirement for special storage, enabling it to reach large, isolated populations,” Professor Toth said.

“Vaccination can be carried out at a significantly reduced cost, which not only improves the health of those affected and at high risk, but also helps improve economic growth in disease-endemic areas.”

Hookworm currently infects around half a billion people globally and lives within the human intestine, using the host’s blood as its source of nourishment, digested through a special set of enzymes.

It’s often found in regions with poor water quality, sanitation, and hygiene – greatly impacting on the physical and cognitive development of children and increasing the risk of mortality and miscarriage.

UQ’s trials in mice showed significant improvements on an alternative vaccine candidate which only achieved a 30 to 50 per cent reduction in the number of worms.

“The UQ-developed vaccine resulted in an impressive 94 per cent worm reduction in mice,” Professor Toth said.

“So not only is our new vaccine candidate easier to deliver, it triggers a staggeringly good immune response.”

Co-author of the paper Dr Mariusz Skwarczynski said the research team targeted the hookworm’s digestion enzyme (APR 1).

“When the function of these enzymes is blocked, the parasite starves,” Dr Skwarczynski said.

“Our vaccine produces antibodies against the hookworm enzymes responsible for the digestion of blood – they simply stop being able to eat properly.”

The researchers plan to continue working on and refining the vaccine candidate in preclinical development settings, to ensure its safety and efficacy, before beginning human clinical trials.

“We’re very optimistic that, along with our colleagues, led by Professor Alex Loukas from James Cook University, we will be able to deliver a successful vaccine that stops this parasite in its tracks,” Dr Skwarczynski said.

The research has been published in Scopus (DOI: 10.3390/vaccines9091034).