It’s possible that I shall make an ass of myself. But in that case one can always get out of it with a little dialectic. I have, of course, so worded my proposition as to be right either way (K.Marx, Letter to F.Engels on the Indian Mutiny)
IMAGE: COGNITIVE MAPS IN THE BRAIN HELP US TO ACT ACCORDING TO A SPECIFIC SITUATION. view more
CREDIT: MPI CBS
Successful navigation requires the ability to separate memories in a context-dependent manner. For example, to find lost keys, one must first remember whether the keys were left in the kitchen or the office. How does the human brain retrieve the contextual memories that drive behavior? J.B. Julian of the Princeton Neuroscience Institute at Princeton University, USA, and Christian F. Doeller of the Max Planck Institute for Human Cognitive and Brain Sciences in Leipzig, Germany, found in a recent study that modulation of map-like representations in our brain's hippocampal formation can predict contextual memory retrieval in an ambiguous environment.
The researchers developed a novel virtual reality navigation task in which human participants learned object positions in two different virtual environments and then had their memory tested during a functional MRI scan. Memory for object locations was also tested in a third ambiguous context, which the researchers defined as a "squircle" - a cross between a square and a circle. There were no "correct" object positions there; instead, study participants had to rely solely on their memory. "The result of our study confirms the theory, long held by several neuroscientists, that a critical function of the hippocampal formation is to represent the contextual information that guides behavior. Cognitive maps in the brain help us to act according to a specific situation. ", explains Christian Doeller.
Although decades of research indicate that the human hippocampus is critical for contextual memory, no previous studies have linked context-specific signals in this formation of the brain to spatial behavior in a way that clearly separates memory from non-memory factors. This research was performed in collaboration with the Kavli Institute for Systems Neuroscience, NTNU, Trondheim, Norway and supported by the European Research Council (ERC-CoG GEOCOG).
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Original publication
Julian, J.B., Doeller, C.F. Remapping and realignment in the human hippocampal formation predict context-dependent spatial behavior. Nat Neurosci (2021) 15 April 2021
Disclaimer: AAAS and Eur
Research spotlights Minnesota's successes in eradicating Palmer amaranth
Palmer amaranth is a hard-to-control noxious weed that can significantly reduce crop yields.
WESTMINSTER, Colorado - April 30, 2021 - Palmer amaranth is a hard-to-control noxious weed that can significantly reduce crop yields. It was first introduced in Minnesota in 2016 through contaminated seed mixes used for conservation plantings.
Fortunately, Minnesota regulators were prepared. They had already declared Palmer amaranth a prohibited noxious weed in 2015, and they quickly added the weed's seed to their prohibited list by emergency order. As a result, they were able to take prompt action to identify and eradicate newly emerged infestations.
A research paper featured in the journal Weed Technology documents Minnesota's experiences, including the timeline to eradication, best practices and lessons learned.
Of the sites sown with contaminated seed mixes, Palmer amaranth was found at eight. With intensive scouting, torching, prescribed burning and herbicide application in 2016 and 2017, those infestations were eradicated. Similar results were achieved in 2018, 2019 and 2020 when populations of Palmer amaranth were discovered at new locations across the state.
The authors point to several success factors, including broad cooperation among the commissioner of agriculture, legislative committees, commodity groups and farmers. Once an aggressive protocol to address Palmer amaranth was established, critical information could be quickly disseminated across the agricultural community and to the public. One example: When officials determined that manure from livestock could contain viable Palmer amaranth seeds, they were able to quickly share the information with growers and take steps to eliminate the risk.
"Establishing the appropriate regulatory framework, providing funding, fostering collaboration among partners and actively responding to new infestations have been critical to Minnesota's success of combatting Palmer amaranth," says Eric Yu, plant health specialist with the Minnesota Department of Agriculture.
Yu cautions, though, that lasting success will depend on regional cooperation among states to manage infestations and to address the many pathways that can contribute to Palmer amaranth's spread.
Weed Technology is a journal of the Weed Science Society of America, a nonprofit scientific society focused on weeds and their impact on the environment. The publication presents original research and special articles about weeds, crops and new technologies used for more effective weed management. To learn more, visit http://www.wssa.net.
Not just for finding planets: Exoplanet-hunter TESS telescope spots bright gamma-ray burst
IMAGE: TESS FULL-FRAME IMAGE IN THE CADENCE JUST BEFORE THE BAT TRIGGER (LEFT) AND AT THE PEAK FLUX OF THE BURST (CENTER). THE EMERGENCE OF THE AFTERGLOW IS APPARENT IN THE... view more
CREDIT: THE ASTROPHYSICAL JOURNAL
DALLAS (SMU) - NASA has a long tradition of unexpected discoveries, and the space program's TESS mission is no different. SMU astrophysicist and her team have discovered a particularly bright gamma-ray burst using a NASA telescope designed to find exoplanets - those occurring outside our solar system - particularly those that might be able to support life.
It's the first time a gamma-ray burst has been found this way.
Gamma-ray bursts are the brightest explosions in the universe, typically associated with the collapse of a massive star and the birth of a black hole. They can produce as much radioactive energy as the sun will release during its entire 10-billion-year existence.
Krista Lynne Smith, an assistant professor of physics at Southern Methodist University, and her team confirmed the blast - called GRB 191016A - happened on Oct. 16 and also determined its location and duration. A study on the discovery has been published in The Astrophysical Journal.
"Our findings prove this TESS telescope is useful not just for finding new planets, but also for high-energy astrophysics," said Smith, who specializes in using satellites like TESS (Transiting Exoplanet Survey Satellite) to study supermassive black holes and gas that surrounds them. Such studies shed light on the behavior of matter in the deeply warped spacetime around black holes and the processes by which black holes emit powerful jets into their host galaxies.
Smith calculated that GRB 191016A had a peak magnitude of 15.1, which means it was 10,000 times fainter than the faintest stars we can see with the naked eyes.
That may sound quite dim, but the faintness has to do with how far away the burst occurred. It is estimated that light from GRB 191016A's galaxy had been travelling 11.7 billion years before becoming visible in the TESS telescope.
Most gamma ray bursts are dimmer - closer to 160,000 times fainter than the faintest stars.
The burst reached its peak brightness sometime between 1,000 and 2,600 seconds, then faded gradually until it fell below the ability of TESS to detect it some 7000 seconds after it first went off.
This gamma-ray burst was first detected by a NASA's satellite called Swift-BAT, which was built to find these bursts. But because GRB 191016A occurred too close to the moon, the Swift-BAT couldn't do the necessary follow-up it normally would have to learn more about it until hours later.
NASA's TESS happened to be looking at that same part of the sky. That was sheer luck, as TESS turns its attention to a new strip of the sky every month.
While exoplanet researchers at a ground-base for TESS could tell right away that a gamma-ray burst had happened, it would be months before they got any data from the TESS satellite on it. But since their focus was on new planets, these researchers asked if any other scientists at a TESS conference in Sydney, Australia were interested in doing more digging on the blast.
Smith was one of the few high-energy astrophysics specialists there at that time and quickly volunteered.
"The TESS satellite has a lot of potential for high-energy applications, and this was too good an example to pass up," she said. High-energy astrophysics studies the behavior of matter and energy in extreme environments, including the regions around black holes, powerful relativistic jets, and explosions like gamma-ray bursts.
TESS is an optical telescope that collects light curves on everything in its field of view, every half hour. Light curves are a graph of light intensity of a celestial object or region as a function of time. Smith analyzed three of these light curves to be able to determine how bright the burst was.
She also used data from ground-based observatories and the Swift gamma-ray satellite to determine the burst's distance and other qualities about it.
"Because the burst reached its peak brightness later and had a peak brightness that was higher than most bursts, it allowed the TESS telescope to make multiple observations before the burst faded below the telescope's detection limit," Smith said. "We've provided the only space-based optical follow-up on this exceptional burst."
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About SMU
SMU is the nationally ranked global research university in the dynamic city of Dallas. SMU's alumni, faculty and nearly 12,000 students in eight degree-granting schools demonstrate an entrepreneurial spirit as they lead change in their professions, communities and the world.
World's first fiber-optic ultrasonic imaging probe for future nanoscale disease diagnostics
IMAGE: CONCEPT ART SHOWING THE 3D MAPPING OF MICROSCOPIC OBJECTS BY THE PHONON PROBE SYSTEM. THE OPTICAL FIBRE CONTAINS A METAL LAYER ON ITS TIP AND PROJECTS RED LASER LIGHT INTO... view more
CREDIT: DR SALVATORE LA CAVERA
Scientists at the University of Nottingham have developed an ultrasonic imaging system, which can be deployed on the tip of a hair-thin optical fibre, and will be insertable into the human body to visualise cell abnormalities in 3D.
The new technology produces microscopic and nanoscopic resolution images that will one day help clinicians to examine cells inhabiting hard-to-reach parts of the body, such as the gastrointestinal tract, and offer more effective diagnoses for diseases ranging from gastric cancer to bacterial meningitis.
The high level of performance the technology delivers is currently only possible in state-of-the-art research labs with large, scientific instruments - whereas this compact system has the potential to bring it into clinical settings to improve patient care.
The Engineering and Physical Sciences Research Council (EPSRC)-funded innovation also reduces the need for conventional fluorescent labels - chemicals used to examine cell biology under a microscope - which can be harmful to human cells in large doses.
The findings are being reported in a new paper, entitled 'Phonon imaging in 3D with a fibre probe' published in the Nature journal, Light: Science & Applications.
Paper author, Salvatore La Cavera, an EPSRC Doctoral Prize Fellow from the University of Nottingham Optics and Photonics Research Group, said of the ultrasonic imaging system: "We believe its ability to measure the stiffness of a specimen, its bio-compatibility, and its endoscopic-potential, all while accessing the nanoscale, are what set it apart. These features set the technology up for future measurements inside the body; towards the ultimate goal of minimally invasive point-of-care diagnostics."
Currently at prototype stage, the non-invasive imaging tool, described by the researchers as a "phonon probe", is capable of being inserted into a standard optical endoscope, which is a thin tube with a powerful light and camera at the end that is navigated into the body to find, analyse, and operate on cancerous lesions, among many other diseases. Combining optical and phonon technologies could be advantageous; speeding up the clinical workflow process and reducing the number of invasive test procedures for patients.
3D mapping capabilities
Just as a physician might conduct a physical examination to feel for abnormal 'stiffness' in tissue under the skin that could indicate tumours, the phonon probe will take this '3D mapping' concept to a cellular level.
By scanning the ultrasonic probe in space, it can reproduce a three-dimensional map of stiffness and spatial features of microscopic structures at, and below, the surface of a specimen (e.g. tissue); it does this with the power to image small objects like a large-scale microscope, and the contrast to differentiate objects like an ultrasonic probe.
"Techniques capable of measuring if a tumour cell is stiff have been realised with laboratory microscopes, but these powerful tools are cumbersome, immobile, and unadaptable to patient-facing clinical settings. Nanoscale ultrasonic technology in an endoscopic capacity is poised to make that leap," adds Salvatore La Cavera.
CAPTION
The optical fibre imaging sensor has a diameter of 125 micrometres, approximately the size a human hair, shown for perspective against a penny. A microscope image shows the true scale of the device, and its ability to conduct light.
CREDIT
Dr Salvatore La Cavera
How it works
The new ultrasonic imaging system uses two lasers that emit short pulses of energy to stimulate and detect vibrations in a specimen. One of the laser pulses is absorbed by a layer of metal - a nano-transducer (which works by converting energy from one form to another) - fabricated on the tip of the fibre; a process which results in high-frequency phonons (sound particles) getting pumped into the specimen. Then a second laser pulse collides with the sound waves, a process known as Brillouin scattering. By detecting these "collided" laser pulses, the shape of the travelling sound wave can be recreated and displayed visually.
The detected sound wave encodes information about the stiffness of a material, and even its geometry. The Nottingham team was the first to demonstrate this dual-capability using pulsed lasers and optical fibres.
The power of an imaging device is typically measured by the smallest object that can be seen by the system, i.e. the resolution. In two dimensions the phonon probe can "resolve" objects on the order of 1 micrometre, similar to a microscope; but in the third dimension (height) it provides measurements on the scale of nanometres, which is unprecedented for a fibre-optic imaging system.
Future applications
In the paper, the researchers demonstrate that the technology is compatible with both a single optical fibre and the 10-20,000 fibres of an imaging bundle (1mm in diameter), as used in conventional endoscopes.
Consequently, superior spatial resolution and wide fields of view could routinely be achieved by collecting stiffness and spatial information from multiple different points on a sample, without needing to move the device - bringing a new class of phonon endoscopes within reach.
Beyond clinical healthcare, fields such as precision manufacturing and metrology could use this high-resolution tool for surface inspections and material characterisation; a complementary or replacement measurement for existing scientific instruments. Burgeoning technologies such as 3D bio-printing and tissue engineering could also use the phonon probe as an inline inspection tool by integrating it directly to the outer diameter of the print-needle.
Next, the team will be developing a series of biological cell and tissue imaging applications in collaboration with the Nottingham Digestive Diseases Centre and the Institute of Biophysics, Imaging and Optical Science at the University of Nottingham; with the aim to create a viable clinical tool in the coming years.
CAPTION
(top) Conventional microscope pictures of model biological cells. (bottom) The phonon probe reproduces 3D images of the objects (colour is height). Simultaneously, the probe detected stiffness related measurements which are mapped in green on the top left image. The white scales bar are 10 micrometres long.
The University of Nottingham is a research-intensive university with a proud heritage, consistently ranked among the world's top 100. Studying at the University of Nottingham is a life-changing experience and we pride ourselves on unlocking the potential of our students. We have a pioneering spirit, expressed in the vision of our founder Sir Jesse Boot, which has seen us lead the way in establishing campuses in China and Malaysia - part of a globally connected network of education, research and industrial engagement. The University's state-of-the-art facilities and inclusive and disability sport provision is reflected in its status as The Times and Sunday Times Good University Guide 2021 Sports University of the Year. We are ranked eighth for research power in the UK according to REF 2014. We have six beacons of research excellence helping to transform lives and change the world; we are also a major employer and industry partner - locally and globally. Alongside Nottingham Trent University, we lead the Universities for Nottingham initiative, a pioneering collaboration which brings together the combined strength and civic missions of Nottingham's two world-class universities and is working with local communities and partners to aid recovery and renewal following the COVID-19 pandemic.
IMAGE: LIGHT MICROSCOPE IMAGE AND ILLUSTRATION OF A THECOFILOSEA AMOEBA WITH INTRACELLULAR LEGIONELLALES BACTERIA ('CA. POKEMONAS KADABRA'). THE BACTERIA WERE STAINED RED BY SO-CALLED 'FLUORESCENCE IN SITU HYBRIDIZATION'. view more
Bacteria of the order Legionellales have long been of scientific interest because some of these bacteria are known to cause lung disease in humans and animals - such as 'Legionnaires' disease', which is caused by the species Legionella pneumophila and can sometimes be fatal. Legionellales bacteria live and multiply as intracellular parasites in the cells of organisms as hosts. In particular, the hosts of Legionellales are amoebae. The term 'amoeba' is used to describe a variety of microorganisms that are not closely related, but share a variable shape and crawling locomotion by means of pseudopods. 'We wanted to screen amoebae for Legionellales and chose a group of amoebae for our research that had no close relationship to the hosts that were previously studied. The choice fell on the amoeba group Thecofilosea, which is often overlooked by researchers,' explains Marcel Dominik Solbach.
And indeed, the spherical Thecofilosea serve as host organisms for Legionellales. In Thecofilosea amoebae from environmental samples, the scientists were able to detect various Legionellales species, including two previously undescribed genera and one undescribed species from the genus Legionella. 'The results show that the range of known host organisms of these bacteria is considerably wider than previously thought. In addition, these findings suggest that many more amoebae may serve as hosts for Legionellales - and thus potentially as vectors of disease. To investigate this further, we are now sequencing the complete genome of these bacteria,' said Dr Kenneth Dumack, who led the project.
In the future, these new findings should help to better understand how Legionellales bacteria are related amongst each other, and clarify their interactions with their hosts as well as the routes of infection in order to prevent outbreaks of the diseases in humans.
Light microscope image and illustration of a Thecofilosea amoeba with intracellular Legionellales bacteria ('Ca. Pokemonas kadabra'). The bacteria were stained red by so-called 'fluorescence in situ hybridization'.
CUTE; KADABRA AS IN ABRAKADABRA
POKEMON AS KADABRA
CREDIT
Marcel Dominik Solbach
The Lancet: Study confirms greater risk of poor COVID outcomes in minority ethnic groups in England
Study confirms greater risk of poor COVID outcomes in minority ethnic groups in England, with inequalities widening in the second wave for South Asian groups
Largest study so far of more than 17 million adults in England confirms that minority ethnic groups had a higher risk of testing positive, hospitalisation, admission to intensive care units (ICU), and death from COVID-19 compared with white groups, even after accounting for other factors known to increase risk like deprivation, occupation, household size and underlying health conditions.
Disparities for hospitalisation and death lessened for most minority ethnic groups between pandemic waves 1 (February to September 2020) and wave 2 (September to December 2020), but increased for South Asian groups.
To tackle ethnic disparities in COVID-19 risks, the authors call for reducing structural disadvantage and inequality, improving quality of and access to healthcare, and improving uptake of testing and vaccination. They also stress the need for more intensive strategies tailored to improve outcomes in South Asian communities.
Minority ethnic groups had higher risk of testing positive for SARS-CoV-2 and of COVID-19-related hospitalisations, intensive care (ICU) admissions and death compared with white groups in England, according to an observational study published in The Lancet.
The COVID-19 pandemic is understood to have had a disproportionate impact on minority ethnic communities in the UK and beyond. This study accounted for a large number of explanatory variables such as household size, social factors and health conditions across all ethnic groups and at different stages of COVID-19, from testing to mortality. Understanding drivers of SARS-CoV-2 infection and COVID-19 in minority ethnic communities will be crucial to public policy efforts to overcome inequalities.
"Minority ethnic groups in the UK are disproportionately affected by factors that also increase the risk for poor COVID-19 outcomes, such as living in deprived areas, working in front-line jobs, and having poorer access to healthcare. Our study indicates that even after accounting for many of these factors, the risk for testing positive, hospitalisation, ICU admission and death was still higher in minority ethnic groups compared with white people in England. To improve COVID-19 outcomes, we urgently need to tackle the wider disadvantage and structural racism faced by these communities, as well as improving access to care and reducing transmission," says lead author, Dr Rohini Mathur of the London School of Hygiene and Tropical Medicine, UK. [1]
On behalf of NHS England, the research team used the new secure OpenSAFELY data analytics platform to analyse partially anonymised electronic health data collected by GPs covering 40% of England. These GP records were linked to other national coronavirus-related data sets for the first and second waves of the pandemic - including testing, hospital data and mortality records. Ethnicity was self-reported by participants in GP records and grouped into five census categories (white, South Asian, Black, other, mixed) and then a further 16 sub-groups.
Possible explanatory factors, including clinical characteristics, such as BMI, blood pressure, smoking status and conditions such as asthma and diabetes were included in the analyses alongside demographic information such as age, sex, deprivation and household size.
Of 17,288,532 adults included in the study, 63% (10,877,978) were white, 5.9% (1,025,319) South Asian, 2% (340,912) Black, 1.8% (320,788) other, and 1% (170,484) mixed. Ethnicity was unknown for 26.3% (4,553,051) people.
During wave 1, nearly all minority ethnic groups had higher relative risk for testing positive, hospitalisation, ICU admission, and death compared to white groups. The largest disparities were seen in ICU admissions, which were more than doubled for all minority ethnic groups compared with white groups, with Black people more than three times more likely to be admitted to ICU after accounting for other factors.
The proportion of people testing positive for SARS-CoV-2 in wave 1 was higher in South Asian groups (0.9% test positivity), Black (0.7%) and mixed groups (0.5%) and compared with white people (0.4%).
"Higher risks for testing positive and subsequent poor outcomes amongst minority ethnic groups suggest that people may delay seeking testing or accessing care for SARS-CoV-2. This may be due to lack of access to testing sites or conflicting health messaging. It may also suggest that some may be fearful of losing income or employment if required to quarantine after testing positive as minority ethnic groups are more likely to work in insecure jobs with poorer workplace protections. People who need to be tested as well as those who test positive must be supported better if we are to reduce disparities in COVID-19 outcomes," says Dr Mathur. [1]
Compared with wave 1, the relative risk for testing positive, hospitalisation, ICU admission, and death were smaller in pandemic wave 2 for all minority ethnic communities compared to white people, with the exception of South Asian groups. South Asian groups remained at higher risk for testing positive, with relative risks for hospitalisation, ICU admission, and death greater in magnitude in wave 2 compared to wave 1.
"Despite the improvements seen in most minority ethnic groups in the second wave compared to the first, it's concerning to see that the disparity widened among South Asian groups. This highlights an urgent need to find effective prevention measures that fit with the needs of the UK's ethnically diverse population," says Dr Mathur. [1]
After accounting for age and sex, social deprivation was the biggest potential explanatory factor for disparities in all minority ethnic groups except South Asian. In South Asian groups, health factors (e.g., BMI, blood pressure, underlying health conditions) played the biggest role in explaining excess risks for all outcomes. Household size was an important explanatory factor for the disparity for COVID-19 mortality in South Asian groups only.
"While multigenerational living may increase risk of exposure and transmission (from children or working age adults to older or vulnerable family members), such households and extended communities also offer valuable informal care networks and facilitate engagement with health and community services. In light of emerging evidence that minority ethnic groups are less likely to take up the COVID-19 vaccine, co-designing culturally competent and non-stigmatising engagement strategies with these communities is increasingly important," says Dr Mathur. [1]
The authors caution that there are some limitations to the study including an inability to capture all potential explanatory variables, including occupation, health-related behaviours, and experiences of racism or structural discrimination. They call for improving the completeness of ethnicity recording in health data to further support the conduct of high quality research into addressing health inequalities for COVID-19 and beyond.
Writing in a linked Comment, Dr Daniel Morales, University of Dundee, UK, and Dr Sarah Ali, Royal Free London NHS Foundation Trust, UK, (who were not involved in the study), said: "The pressing challenge is now ensuring that COVID-19 vaccination programmes are rolled out effectively amongst all minority ethnic groups. Key to this, will be ensuring that vaccine hesitancy is urgently addressed. There are reports of increased hesitancy in minority ethnic groups, including those working in front-line health and social care roles, who knowingly face an increased risk of contracting COVID-19. Unless vaccine hesitancy is tackled head on, differential vaccine uptake may further exacerbate health inequalities faced by minority ethnic groups."
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Peer-reviewed / Observational study / People
NOTES TO EDITORS
This study was funded by the Medical Research Council, part of UK Research and Innovation. It was conducted by researchers from London School of Hygiene and Tropical Medicine, the University of Oxford, TPP, NIHR Health Protection Research Unit in Immunisation, the Intensive Care National Audit and Research Centre, the University of Leicester, and University College London, full list at the end of the Article.
IMAGE: WORLD HEALTH ORGANIZATION (WHO) MEMBER STATES AFFIRMATIVELY REPORTING NATIONAL ADULT IMMUNISATION PROGRAMMES, BY WHO REGION AND WORLDWIDE, 2018 view more
CREDIT: EUROSURVEILLANCE, WHO
Effectively and safely protecting against disease--this is what makes vaccines a vital and successful public health tool that saves lives and safeguards health and well-being. Today, vaccines shield us from more than 20 life-threatening diseases.
Each year, between 2 to 3 million lives are saved by immunisation against diseases like diphtheria, tetanus, pertussis, influenza or measles [1]. However, several vaccines such as the one against measles can only reach their full potential--protecting not just those who are immunised, but also those who might not be eligible for vaccination--if the vaccination coverage in a population is high enough [2].
Looking at immunisation programmes' successes and remaining challenges, this week's issue of Eurosurveillance is published on the occasion of European Immunization Week (EIW), from 26 April to 2 May 2021. The campaign, observed annually in the last week of April, was established by the World Health Organization (WHO) Regional Office for Europe in 2005 and aims to highlight the benefits of routine immunisation and to support national immunisation systems.
This year's EIW slogan, 'Vaccines bring us closer', embraces coronavirus disease (COVID-19) vaccines as an integral part of the response to end the ongoing pandemic and ease the physical distancing measures that have been implemented to help control it [3].
Thanks to routine vaccination--which has helped to eradicate for example smallpox and to protect against other diseases with potentially serious health consequences [4]--we know that vaccines work. Yet, WHO estimates that around 20 million children worldwide do not receive the vaccines they need or miss out on vaccination later in life [5].
Vaccines are most often administered to infants and children as part of routine national vaccination schedules. But immunisation protection reaches further than childhood and is important for people in all stages of life, from teenagers to adults and elderly people. Providing such lifelong protection poses further challenges for vaccination programmes, including ensuring equitable access to vaccines [6].
The editorial in this Eurosurveillance issue outlines the lessons learnt since the outset of the coronavirus disease (COVID-19) pandemic, with regards to rapid vaccine development, authorisation, procurement, distribution and administration in large vaccination campaigns. It looks at the key considerations for national vaccine decision-making--during a pandemic or otherwise--and the role that National Immunisation Technical Advisory Groups (NITAGs) or equivalent bodies play when they advise their governments on how to best use new vaccines or design national immunisation programmes.
Also in this issue, Williams et al. documented and quantified immunisation programmes for adults across 194 WHO Member States in order to assess existing infrastructures' suitability for COVID-19 vaccine deployment. Looking at five vaccines licensed for adult immunisation (hepatitis B, herpes zoster, influenza, pneumococcal conjugate and pneumococcal polysaccharide vaccines), the authors found that of the 194 WHO Member States, 120 (62%) reported having at least one adult vaccination programme in 2018, and that 59% of countries had adult vaccination programmes for influenza.
High- or upper-middle-income countries were found to be significantly more likely to report adult immunisation programmes, with country income serving as the most strongly associated factor overall in a multivariable analysis. Other significantly associated factors in a bivariable analysis included meeting National Immunisation Technical Advisory Group (NITAG) basic functional indicators, having introduced new or underused vaccines and having achieved paediatric vaccine coverage goals.
Based on their assessment, Williams et al. conclude that almost 40% of the assessed countries have no infrastructure for adult immunisation and that even the presence of a national adult vaccination programme does not guarantee extensive use of vaccines in the adult population [7].
One target group for adult vaccination is healthcare workers, given that they are exposed to vaccine-preventable diseases like measles, mumps, pertussis and varicella at work and can also transmit these to patients.
In their article, von Linstow et al. detected immunity gaps mainly among young healthcare workers. In addition, considerable proportions of healthcare workers in the study reported that they were unsure about their vaccination status (22-32%, depending on the disease) and possible previous infections (11% for varicella and 41% for pertussis). According to the authors, this demonstrates the need for more targeted measures like screening and a vaccine strategy to address these gaps in healthcare workers [8].
Specifically for measles and its related elimination goal, coverage and uptake of routine childhood immunisation programmes have to improve in many European countries in the same way that immunity gaps in adolescents and adults need to be addressed [9].
In their paper, Rohleder et al. examine a possible relationship between socioeconomic deprivation and measles incidence in Germany, taking into account demographic, spatial and temporal factors [10]. They conclude that the risks for measles infections are higher and more concentrated in areas with the highest socioeconomic status.
In a study of 6,423 healthcare workers in Italy who received the Comirnaty vaccine (BNT162b2, BioNTech/Pfizer, Mainz, Germany/New York, United States), Fabiani et al. found that the effectiveness of preventing SARS-CoV-2 infection was 84% (95% confidence interval (CI): 40-96) 14-21 days after receiving the first dose and 95% (95% CI: 62-99) at least 7 days after the second dose. According to the authors, these results could support the ongoing COVID-19 vaccination campaigns with evidence for targeted communication [11].
Vaccination may be receiving more attention than usual right now, as many adults worldwide are currently being vaccinated or awaiting their opportunity to receive protection against COVID-19. Topics around vaccine safety and efficacy, ethical and equity considerations, as well as logistics are being discussed more widely and more intensely. In this context, EIW serves to highlight the ongoing need to increase efforts to achieve better vaccination coverage for all vaccine-preventable diseases, in order to prevent disease and protect individuals beyond the COVID-19 pandemic.
2. European Vaccination Information Portal (EVIP). Benefits of vaccination for the community. Stockholm: European Commission, European Centre for Disease Prevention and Control, European Medicines Agency; 2021. Available from: https://vaccination-info.eu/en/vaccination/benefits-vaccination-community
4. European Vaccination Information Portal (EVIP). Benefits of vaccination for individuals. Stockholm: European Commission, European Centre for Disease Prevention and Control, European Medicines Agency; 2021. Available from: https://vaccination-info.eu/en/vaccination/benefits-vaccination-individuals
7. Williams S, Driscoll A, LeBuhn H, Chen W, Neuzil K, Ortiz J. National Routine Adult Immunization Programs among World Health Organization Member States: an assessment of health systems to deploy future SARS-CoV-2 vaccines. Euro Surveill. 2021; 26(17). https://doi.org/10.2807/1560-7917.ES.2021.26.17.2001195
8. von Linstow M-L, Yde Nielsen A, Kirkby N, Eltvedt A, Nordmann Winther T, Bybeck Nielsen A, Bang D, Poulsen A. Immunity to vaccine-preventable diseases among paediatric healthcare workers in Denmark, 2019. Euro Surveill. 2021; 26(17). https://doi.org/10.2807/1560-7917.ES.2021.26.17.2001167
10. Rohleder S, Stock C, Bozorgmehr K. Socioeconomic deprivation is inversely associated with measles incidence: a longitudinal small-area analysis in Germany, 2001-2017. Euro Surveill. 2021; 26(17). https://doi.org/10.2807/1560-7917.ES.2021.26.17.1900755
11. Fabiani M, Ramigni M, Gobbetto V, Mateo-Urdiales A, Pezzotti P, Piovesan C. Effectiveness of the Comirnaty (BNT162b2, BioNTech/Pfizer) vaccine in preventing SARS-CoV-2 infection among healthcare workers, Treviso province, Veneto region, Italy, 27 December 2020 to 24 March 2021. Euro Surveill. 2021; 26(17). https://doi.org/10.2807/1560-7917.ES.2021.26.17.2100420
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