Sunday, March 15, 2026

Landscape with Polyphemus, Nicolas Poussin (1649)

 


Public Domain.

Source: WikiArt, https://www.wikiart.org/

Link: https://www.wikiart.org/en/nicolas-poussin/landscape-with-polyphemus-1649

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Saturday, March 14, 2026

Optimizing #global #genomic #surveillance for early #detection of emerging #SARS-CoV-2 #variants

 


Abstract

The global spread of viruses highlights the need for timely and effective genomic surveillance to detect new variants and inform rapid public health responses. However, high costs and uneven sequencing capacity hinder equitable global implementation. Surveillance focused on international travelers at major travel hubs has been proposed as a way to complement robust local surveillance, but its potential benefits have not been fully quantified. Here, we develop and calibrate a multiple-strain metapopulation model of global SARS-CoV-2 transmission using extensive epidemiological, phylogenetic, and high-resolution air travel data. Retrospective analyses of the Omicron BA.1/BA.2 emergence and forward simulations for hypothetical novel variants show that targeted enhancement of traveler surveillance at key hubs can shorten variant detection delays, with reduced total surveillance efforts. Practical “non-disruptive” strategies, such as prioritizing a small number of highly connected hubs, consistently outperformed baseline approaches and remained effective across a range of variant transmissibility and vaccine effectiveness scenarios. These results provide a quantitative framework for strengthening global genomic surveillance through targeted, complementary strategies that preserve local capacity while improving preparedness for future pandemics.

Source: Nature Communications, https://www.nature.com/ncomms/

Link: https://www.nature.com/articles/s41467-026-70664-0

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#Nipah virus molecular #detection from whole #blood and respiratory #swabs in a rapid field-ready protocol

 


Highlights

• A Nipah virus real-time RT-PCR was developed for this study and display dynamic amplification, with sensitive (limit of detection 3.7-4.2 copies/µL) and specific detection.

• The assay was adapted for use on a portable, battery-powered real-time thermocycler.

• When paired with instrument-free RNA extraction, Nipah virus RNA was rapidly detected from contrived whole blood and nasopharyngeal swabs without electricity.

• The combined of Extract & Store and the Palm PCR S1e device offers a viable solution for field-based molecular detection of Nipah virus.


Abstract

Background

Nipah virus (NiV) is a highly pathogenic, zoonotic paramyxovirus with significant public health implications due to high associated mortality and potential for human-to-human transmission. Current diagnostic testing options for NiV are limited and require extensive laboratory infrastructure.

Objective

Develop a field-deployable testing workflow for timely NiV detection.

Study design

A NiV real-time RT-PCR (rRT-PCR) was designed for a highly conserved region of the nucleocapsid gene and tested with RNA from Bangladesh and Malaysia NiV strains. The NiV rRT-PCR was evaluated on Rotor-Gene Q and Palm PCR S1e thermocyclers following instrument free RNA extraction (Extract & Store).

Results

Initial analytical evaluation, on a Rotor-Gene Q, demonstrated dynamic amplification and a limit of detection (LoD) of 3.7-4.2 copies/µL without amplification of related paramyxoviruses. The assay was adapted for the portable, battery-powered, self-contained Palm PCR S1e thermocycler, and exhibited linear detection with a LoD of 30.7 copies/µL. RNA extraction from contrived whole blood and pharyngeal swabs using the Extract & Store workflow yielded comparable results to automated extraction on a KingFisher Apex instrument. The entire assay, including extracted and stabilized RNA controls from BSL-1 strains, was successfully transferred to Aga Khan University with ambient temperature shipping and yielded similar performance.

Conclusions

The combination of Extract & Store and the Palm PCR S1e device offers a viable solution for field-based molecular detection of NiV. While limitations were noted for reaction setup on the Palm PCR, this presents a flexible and accessible workflow for rapid, portable detection of high-consequence pathogens in resource-constrained settings.

Source: 


Link: https://www.sciencedirect.com/science/article/abs/pii/S138665322600020X?dgcid=rss_sd_all

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#Immunity to #hemagglutinin and #neuraminidase results in additive reductions in #airborne #transmission of #influenza #H1N1 virus in #ferrets

 


Abstract

Currently, there is limited knowledge on the impact of immunity to hemagglutinin (HA) and/or neuraminidase (NA) on the transmission of influenza viruses. Therefore, using intramuscular vaccination, intranasal vaccination, or infection with reassortant viruses, we induced immunity to each antigen alone or both antigens combined in ferrets. We then assessed transmission of the 2009 pandemic H1N1 virus from these ferrets to naïve respiratory contacts. For all strategies used to induce immunity, combined immunity to HA and NA resulted in the largest reductions in transmission. Moreover, immunity to HA and NA conferred additive rather than synergistic reductions in transmission. No escape variants emerged in our transmission studies, and logistical regression showed that the probability of transmission was less than 50% when viral titers in donors were reduced to 101.5 and 102 median tissue culture infectious dose per ml on days 1 and 3 postinfection, respectively. These studies define the relationship between immunity to HA and NA on transmission and identify a threshold titer indicative of decreased transmission in ferrets.

Source: 


Link: https://www.science.org/doi/10.1126/sciadv.aea8719

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History of Mass Transportation: The California Western Railroad #45 Steam Locomotive

 


By Baldwinlocomotiveworks - R.A. Sallinen III - Own work, CC BY-SA 3.0, https://commons.wikimedia.org/w/index.php?curid=18159992

Source: 


Link: https://en.wikipedia.org/wiki/Baldwin_Locomotive_Works

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#Coronavirus Disease Research #References (by AMEDEO, March 14 '26)

 


    Antiviral Res

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    PubMed         Abstract available


    Clin Infect Dis

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    Estimating changes in facility MRSA infection rates due to changes in MRSA precaution policy.
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    Prevalence of Post-COVID Symptoms Across Variants of Concern and Follow-up Periods: A Systematic Review and Meta-Analysis.
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  4. TANG X, Memedi M, Sun S, Hiyoshi A, et al
    Machine learning-based 4-domain framework for evaluating COVID-19 policy responses: a counterfactual analysis of 27 European OECD countries.
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  5. YONGHAO G, Yuting T, Huixin L, Minghua S, et al
    Characteristics of Respiratory Co-infections in Influenza-like Illness during the Post-COVID-19 Era.
    Int J Infect Dis. 2026 Mar 5:108507. doi: 10.1016/j.ijid.2026.108507.
    PubMed         Abstract available

  6. YANG M, Zhou M
    Re-evaluation of Treatment Strategies and Drug Development for Mycoplasma Pneumoniae.
    Int J Infect Dis. 2026 Feb 28:108510. doi: 10.1016/j.ijid.2026.108510.
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  7. KATUMBA H, Migisha R, Komakech A, Wenani D, et al
    Delayed patient isolation and associated factors during the mpox outbreak in Uganda, July-December 2024.
    Int J Infect Dis. 2026;164:108346.
    PubMed         Abstract available


    J Infect

  8. ZHANG H, Kang Z, Zhang Y, Yang Y, et al
    Evolutionary dynamics and global spread of macrolide-resistant Bordetella pertussis during the post-pandemic pertussis resurgence.
    J Infect. 2026 Mar 7:106718. doi: 10.1016/j.jinf.2026.106718.
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    J Med Virol

  9. YOVEL G, Packard JE, Wang JC, Maya S, et al
    Neonatal CNS Human Parechovirus Infections in Western Pennsylvania in the 2024 Season.
    J Med Virol. 2026;98:e70870.
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  10. CAO J, Yang G, Cui T, Qin J, et al
    Complement Hyperactivation Is Mediated by Alternative and Lectin Pathways During Early Phase of Severe Vaccination-Omicron BA.5 Infection.
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  11. MALONEY P, Reeves EL, Wielgosz K, Price AM, et al
    Interim Estimates of 2025-26 Seasonal Influenza Vaccine Effectiveness - United States, September 2025-February 2026.
    MMWR Morb Mortal Wkly Rep. 2026;75:116-123.
    PubMed         Abstract available

#Influenza and Other Respiratory Viruses Research #References (by AMEDEO, March 14 '26)


 

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    Addressing Viral Medical Rumors and False or Misleading Information.
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    PubMed         Abstract available


    Antimicrob Agents Chemother

  2. ZHENG X, You X, Liu Y, Wu B, et al
    Spatiotemporal dynamics and multiple driving factors of antimicrobial resistance in China during the COVID-19 pandemic (2019-2023): a provincial panel data analysis.
    Antimicrob Agents Chemother. 2026 Feb 9:e0160025. doi: 10.1128/aac.01600.
    PubMed         Abstract available


    Antiviral Res

  3. ZHANG T, Wang ZL, Li XY, Luo RH, et al
    Onvansertib and vilazodone inhibit SARS-CoV-2 replication via suppression of METTL3 RNA-m(6)A enzymatic activity.
    Antiviral Res. 2026 Feb 19:106376. doi: 10.1016/j.antiviral.2026.106376.
    PubMed         Abstract available

  4. YURGELONIS I, Rai DK, Li Z, Washington B, et al
    Analysis of Ibuzatrelvir's Activity Against SARS-CoV-2 Circulating Variants and In Vitro Resistance Mutations.
    Antiviral Res. 2026 Jan 30:106352. doi: 10.1016/j.antiviral.2026.106352.
    PubMed         Abstract available

  5. TOSELLI F, Jacobs S, Scheers E, Jacobs T, et al
    Optimal preclinical models for human dose projection of SARS-CoV-2 small molecule direct-acting antivirals.
    Antiviral Res. 2026 Feb 9:106363. doi: 10.1016/j.antiviral.2026.106363.
    PubMed         Abstract available


    Biochem Biophys Res Commun

  6. DEO S, Desai K, Patare A, Wadapurkar R, et al
    Evaluation of self-amplifying mRNA platform for protein expression and genetic stability: Implication for mRNA therapies.
    Biochem Biophys Res Commun. 2023;680:108-118.
    PubMed         Abstract available


    Cell

  7. YU S, Lin Y, Li Y, Chen S, et al
    Systemic immune profiling of Omicron-infected subjects inoculated with different doses of inactivated virus vaccine.
    Cell. 2023;186:4615-4631.
    PubMed         Abstract available


    Epidemiol Infect

  8. FUNG IC, Liang H, Pierce KJ, Kraay ANM, et al
    Excess mortality in Mainland China after the end of the Zero COVID policy: A systematic review.
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    PubMed         Abstract available

  9. AKBARIAN S, Sheikhi M, Khedri P, Baharifar N, et al
    The correlation between humoral immune responses and severity of clinical symptoms in COVID-19 patients.
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    PubMed         Abstract available


    Eur J Epidemiol

  10. SLURINK IAL, de Boer AR, Bonten MJM, Sturkenboom MCJM, et al
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    PubMed         Abstract available


    J Epidemiol Community Health

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    PubMed         Abstract available


    J Gen Virol

  12. NAZKI S, Tennakoon C, Reddy VRAP, Chen Y, et al
    Evaluating how infectious bursal disease virus (IBDV) infection influences influenza H3N8 challenge in chickens.
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    PubMed         Abstract available

  13. DISLERS A, Nilova O, Jansons J, Skrastina D, et al
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    J Gen Virol. 2026;107:002240.
    PubMed         Abstract available


    J Infect

  14. ZHOU T, Zhang B, Zhang D, Jhaveri R, et al
    Pre-COVID-19 Body Mass Index and Postacute Cardiovascular, Gastrointestinal, and Neuropsychiatric Outcomes Among Children and Young Adults With SARS-CoV-2 Infection: An EHR-based Cohort Study from the RECOVER Initiative.
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    PubMed         Abstract available

  15. WANG Z, Dunican C, Dayananda P, Ingar S, et al
    Comparative cross-species transcriptomics during RSV infection identifies targets to treat RSV disease.
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    PubMed         Abstract available


    J Virol

  16. FIELD CJ, Septer KM, Patel DR, Weaver VC, et al
    Defining the transmissible dose 50% for two pandemic influenza viruses in ferrets.
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    PubMed         Abstract available

  17. HAN P, Meng Y, Zhang D, Xu Z, et al
    Structural basis of white-tailed deer, Odocoileus virginianus, ACE2 recognizing all the SARS-CoV-2 variants of concern with high affinity.
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    PubMed         Abstract available


    JAMA

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    PubMed        

  19. JABAGI MJ, Bertrand M, Gabet A, Kolla E, et al
    Nirsevimab vs RSVpreF Vaccine for Respiratory Syncytial Virus-Related Hospitalization in Newborns.
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    PubMed         Abstract available


    Lancet

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    Adult obesity and risk of severe infections: a multicohort study with global burden estimates.
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    PubMed         Abstract available


    MMWR Morb Mortal Wkly Rep

  21. MALONEY P, Reeves EL, Wielgosz K, Price AM, et al
    Interim Estimates of 2025-26 Seasonal Influenza Vaccine Effectiveness - United States, September 2025-February 2026.
    MMWR Morb Mortal Wkly Rep. 2026;75:116-123.
    PubMed         Abstract available

  22. ZHU S, Quint J, Leon TM, Li NJ, et al
    Interim Estimates of 2025-26 Seasonal Influenza Vaccine Effectiveness - California, October 2025-January 2026.
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    PubMed         Abstract available


    N Engl J Med


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    PubMed        


    Pediatrics

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    Increasing COVID-19 Vaccination Rates for Children With Sickle Cell Disease.
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    PubMed         Abstract available


    PLoS Comput Biol

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    Quantifying the spatiotemporal dynamics of the first two epidemic waves of SARS-CoV-2 infections in the United States.
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    PubMed         Abstract available


    PLoS Med

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    Childhood cancer in Sweden during the COVID-19 pandemic: Temporal patterns in incidence and survival in a nationwide register-based cohort study.
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    PubMed         Abstract available


    PLoS One

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    Exploring potential phytocompounds from black cumin as drug molecules against SARS-CoV-2 infections through bioinformatics analysis.
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    Exploring COVID-19 pandemic perceptions and vaccine uptake among community members and primary healthcare workers in Nigeria: A mixed methods study.
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    PubMed         Abstract available

  30. MESQUITA LO, Dos Santos DF, de Carvalho KMB
    Effect of COVID-19 on mortality due to diabetes mellitus in Brazil: A time series analysis from 2010 to 2023.
    PLoS One. 2026;21:e0344419.
    PubMed         Abstract available

  31. NELSON CE, Kauffman KD, Sakai S, Newbolt T, et al
    Glucocorticoids suppress early lung inflammation and impair control of SARS-CoV-2 in non-human primates.
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    PubMed         Abstract available

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    Serological profile of naive patients affected by the first sars-cov-2 variant: A prospective study.
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    PubMed         Abstract available

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    Prevalence and associated factors of health facility delivery during COVID-19 in the Tamale Metropolis of Ghana: Analytical cross-sectional study.
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    PubMed         Abstract available

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    Influence of COVID-19 on postoperative prognosis and pain management.
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    PubMed         Abstract available

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    Modelling approaches for estimating vaccine effectiveness of consecutive SARS-CoV-2 variant sublineages in the absence of study-specific genetic sequencing data, VEBIS hospital network, Europe, 2023/24.
    PLoS One. 2026;21:e0343988.
    PubMed         Abstract available

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    Factors correlated with financial hardship among cancer patients during the COVID-19 pandemic.
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    PubMed         Abstract available

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    Integrated disease model considering mutation-induced infection waves with COVID-19 cases.
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    PubMed         Abstract available

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    Moderating role of CEO expertise on the relationship between capital structure and financial reporting timeliness of Saudi-listed companies.
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    PubMed         Abstract available

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    Predictive divergence in machine learning models for clinical mortality risk: A multicohort study of covid-19 patients.
    PLoS One. 2026;21:e0344354.
    PubMed         Abstract available

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    "It becomes more difficult when people don't empathize with us": COVID-19-related stigmatization experienced by survivors in Nepal.
    PLoS One. 2026;21:e0344123.
    PubMed         Abstract available

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    Detection of spike protein in term placentas of COVID-19 vaccinated and/or SARS-CoV-2 infected women.
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    Latino/a experiences of homelessness in California: Qualitative findings from the California Statewide Study of People Experiencing Homelessness (CASPEH).
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    The Nottingham recovery from COVID-19 research platform (NoRCoRP): Functional, clinical and patient-reported outcomes in adults referred to a post-COVID respiratory service.
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  45. WU C, Paradis NJ
    Near Neutral Selectionist Theories (NNST) for SARS-CoV-2 suggested by the substitution-mutation ratio (c/micro) analysis.
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    PubMed         Abstract available

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    Comprehensive analysis of mortality risk factors in low-grade B-cell lymphoma.
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    PubMed         Abstract available

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    COVID-19 knowledge, attitudes, and practices among people vulnerable to HIV in Uganda: A cross-sectional cohort analysis.
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    PubMed         Abstract available

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    Adoption and implementation of teleaudiology as a telehealth model in Jordan and Arab countries: A cross-sectional survey.
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    PubMed         Abstract available

  51. FROLKE SC, Amirkhan KG, van der Bom-Baylon N, van Gils M, et al
    Class switching toward IgG4 six months after primary mRNA-based COVID-19 vaccination in kidney patients.
    PLoS One. 2026;21:e0336320.
    PubMed         Abstract available

  52. CASSIM N, Coetzee LM, da Silva MP, Stevens WS, et al
    Using laboratory data to assess the impact of coronavirus (COVID-19) on reflex cryptococcal antigenaemia (CrAg) testing in South Africa.
    PLoS One. 2023;18:e0292062.
    PubMed         Abstract available

  53. STONEHAM CA, Singh R, De Leon A, Tafelmeyer P, et al
    A cluster of acidic residues in the cytoplasmic domain of SARS-CoV-2 Spike is required for virion-incorporation and infectivity.
    PLoS One. 2026;21:e0340644.
    PubMed         Abstract available

  54. MAZHAR L, Krebs N, Allen SI, Hobkirk AL, et al
    Enhancing recruitment and retention strategies in human tobacco research.
    PLoS One. 2026;21:e0340668.
    PubMed         Abstract available

  55. LAU HC, Sekawi Z, Ching SM, Abu Bakar N, et al
    Effectiveness of the influenza and Tdap vaccination educational module (InTroDuce-Programme) on knowledge and intention for antenatal vaccination: A cluster randomised controlled trial protocol among pregnant women in Malaysian primary care clinics.
    PLoS One. 2026;21:e0344651.
    PubMed         Abstract available

  56. PAN Y, Fan L, Goetz S
    Economic shocks, food insufficiency and mental health: Evidence from the COVID-19 pandemic.
    PLoS One. 2026;21:e0344745.
    PubMed         Abstract available

  57. JONES M, Reilly M, Simanek A, Stewart A, et al
    A randomized assessment of the impact of 'Those Nerdy Girls' newsletters on adult vaccination outcomes.
    PLoS One. 2026;21:e0344258.
    PubMed         Abstract available


    Proc Natl Acad Sci U S A

  58. ESPINOZA B, Venkatramanan S, Scott Warren A, Lewis BL, et al
    Integrated framework to study genomic surveillance of selective sweeps in multivariants dynamics.
    Proc Natl Acad Sci U S A. 2026;123:e2521031123.
    PubMed         Abstract available

  59. FARAONE JN, Li P, Hong J, Zang J, et al
    Spike destabilization attenuates Mink Cluster 5 SARS-CoV-2.
    Proc Natl Acad Sci U S A. 2026;123:e2528367123.
    PubMed         Abstract available


    Vaccine

  60. MESLE MMI, Jorgensen P, Barakat A, Herring BL, et al
    Influenza vaccine recommendations and coverage (2018-2023): a foundation for pandemic preparedness and response.
    Vaccine. 2026;78:128391.
    PubMed         Abstract available

  61. MALLAH N, Pardo-Seco J, Rodriguez-Tenreiro-Sanchez C, Gine-Vazquez I, et al
    Methods and operational framework of GALFLU: Individually randomized pragmatic controlled trial of high- versus standard-dose influenza vaccination in older adults.
    Vaccine. 2026;79:128435.
    PubMed         Abstract available

  62. NUSSBAUM J, Cao X, Railkar RA, Sachs JR, et al
    Evaluation of a stabilized RSV pre-fusion F mRNA vaccine: Preclinical studies and Phase 1 clinical testing in healthy adults.
    Vaccine. 2023;41:6488-6501.
    PubMed         Abstract available

  63. MATHUR I, Church R, Ruisch A, Noyes K, et al
    Insights to COVID-19 vaccine delivery: Results from a survey of 27 countries.
    Vaccine. 2023;41:6406-6410.
    PubMed         Abstract available

  64. YESKENDIR A, Gusmanov A, Zhussupov B
    Parental attitudes, beliefs and behaviors toward childhood and COVID-19 vaccines: A countrywide survey conducted in Kazakhstan examining vaccine refusal and hesitancy.
    Vaccine. 2023;41:6548-6557.
    PubMed         Abstract available

  65. DA PENHA GOMES GOUVEA M, Lira Machado KLL, de Oliveira YGP, Moulaz IR, et al
    Timeline kinetics of protective immunity to SARS-CoV-2 upon primary vaccination and humoral response to variants after booster dose.
    Vaccine. 2023;41:6514-6528.
    PubMed         Abstract available

  66. JACOBS ET, Cordova-Marks FM, Farland LV, Ernst KC, et al
    Understanding low COVID-19 booster uptake among US adults.
    Vaccine. 2023;41:6221-6226.
    PubMed         Abstract available

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    Virology

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Friday, March 13, 2026

Increased contact #transmission of contemporary #Human #H5N1 compared to #Bovine and Mountain #Lion H5N1 in a hamster #model

 


Abstract

The ongoing outbreak of highly pathogenic avian influenza virus (HPAIV) subtype H5N1 in the U.S. poses a significant public health threat. To date, 70 human cases have been confirmed in the United States, including two severe cases and one fatality. While suitable animal models are crucial for predicting the potential pandemic risk of newly emerging pathogens in humans, studies investigating contemporary HPAIV H5N1 transmission dynamics remain limited. Here, we investigate the pathogenicity and transmission efficiency of recent clade 2.3.4.4b H5N1 viruses isolated from a bovine, mountain lion, and a human case using Syrian hamsters. Intranasal inoculation results in productive virus replication in the respiratory tract and shedding for all three isolates. Transmission studies demonstrate limited efficiency via direct contact and airborne routes for all isolates. Although overall transmission is inefficient, the human H5N1 isolate demonstrates relatively greater contact transmissibility than the bovine and mountain lion isolates. Taken together, our findings demonstrate that the Syrian hamster model complements existing animal models for influenza A virus research and expands the resources available for investigating the pathogenicity, transmissibility, and efficacy of countermeasures against HPAIV H5N1.

Source: 


Link: https://www.nature.com/articles/s41467-026-68900-8

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#International #food safety event: #Infant #formula and products containing arachidonic acid oil contaminated with #cereulide #toxin - Multi-country (#WHO, March 13 '26)

 


Situation at a glance

Multi-country recalls of infant formula and other products have been initiated after cereulide toxin, was detected in batches of multiple internationally distributed brands

Investigations have identified arachidonic acid (ARA) oil, used as an ingredient in the implicated products, as the source of contamination

However, the full root cause analysis and complete traceability of all affected batches remains under investigation. 

Contaminated formulae, nutritional products, and oil mixes have been distributed to 99 countries and territories across six WHO Regions, with the first product recalls initiated on 10 December 2025. 

Between 1 January and 25 February 2026, 144 suspected and confirmed cases were reported across ten countries in three WHO Regions, with investigations ongoing. 

Based on the available information, WHO assesses the overall public health risk as moderate due to the vulnerability of the affected population (infants), the ongoing uncertainty regarding the full extent of distribution and exposure, and remaining gaps in case detection and root cause information.


Description of the situation

Since 10 December 2025, and as of 25 February 2026, 99 countries and territories have been identified as having received batches of infant formula products subject to recall due to contamination with cereulide toxin

During this period, 144 suspected and confirmed cases were reported across 10 countries. The epidemiological investigations and product‑traceback activities remain ongoing in many countries.

The case definitions in use by the International Food Safety Authorities Network (INFOSAN) are currently:

-- Suspect case

- A person presenting symptoms of cereulide intoxication with a history of consumption of the recalled product, without laboratory confirmation in a clinical sample.

-- Confirmed case

- A person presenting symptoms of cereulide intoxication with a history of consumption of recalled product, with laboratory confirmation in a clinical sample.


Health authorities are actively searching for cases and conducting laboratory testing of human specimens and infant formula products. 

However, case definitions used may differ from those established by INFOSAN, such as those established by the European Centre for Disease Prevention and Control, creating challenges with comparability of reported case numbers.

Since this is not a routinely tested contaminant or condition, diagnostic challenges and limited surveillance capacity are hindering Member States’ ability to identify confirmed cases. One country has laboratory confirmed cases linked to the contaminated products (Belgium).

The limited case numbers appearing in multiple, geographically separated areas is consistent with sporadic exposures to contaminated products that were widely distributed.

​Precautionary recalls have been issued across all countries and territories where products were distributed. 

These measures aim to prevent further exposures, although the speed and completeness of product recall and withdrawal vary by location according to various factors including inspection and enforcement capacities. 


Epidemiology

Cereulide is a heat-stable toxin produced by certain strains of Bacillus cereus, a Gram-positive, spore-forming bacterium ubiquitous in soil, dust, and food production environments. 

The primary hazard in this event is suspected to have occurred during the production of ARA oils used in infant formula, although a root cause analysis has not yet been provided to WHO. 

Cereulide is not contagious; illness occurs only when a person ingests the toxin, such as through consumption of contaminated products. 

The toxin withstands cooking temperatures (stable up to 121°C) and common pasteurization, persisting in finished products. 

Symptoms manifest rapidly, typically within 0.5–6 hours post-ingestion, and usually present as acute gastrointestinal symptoms (nausea, vomiting, abdominal pain) with risk of rapid dehydration and electrolyte imbalance which can be particularly severe in infants due to their physiological vulnerability and limited reserves. 

The toxin has a very low symptomatic dose threshold and remains fully active despite gastric conditions, contributing to its clinical potency. 

For babies who rely entirely on formula, repeated feedings can increase the amount of toxin consumed, and using contaminated formula for rehydration can worsen illness.

The absence of specific antidotes or targeted therapies places greater emphasis on supportive clinical care, effective risk communication to caregivers and health workers, and robust coordination between food safety and public health authorities. 

Where there is limited access to health care and where there may be delays in care seeking, rapid dehydration and electrolyte imbalance in infants may be fatal.

As of 25 February 2026, the following countries have notified suspected cases: 

1) Austria (9), 

2) Brazil (5),  

3) China, Hong Kong SAR, (1), 

4) Czechia (4), 

5) France (11), 

6) Italy (1), 

7) Singapore (3), 

8) Spain (41), and 

9) the United Kingdom of Great Britain and Northern Ireland (61).  

In other countries, including Denmark (32) and the Netherlands (221) the number of suspected cases is based on self-reporting and is therefore not comparable with the INFOSAN case definition.  

To date, Belgium is the only country with laboratory‑confirmed cases, reporting eight confirmed intoxications linked to the implicated products.


Public health response

WHO Response

Since 7 January 2026, when distribution of the products was confirmed to extend beyond the European Union, WHO, through the INFOSAN Secretariat, has been contacting INFOSAN Emergency Contact Points in the countries and territories identified as affected to notify them of recalled products exported to their markets and to support information exchange and coordinated response. 

Communication within the European Union has been managed through the European Rapid Alert System for Food and Feed (RASFF), with close coordination between INFOSAN and RASFF.


Response measures in affected countries and territories:

Recalls and communication campaigns have been carried out in many countries and territories where contaminated products were distributed, preventing further exposures despite variable implementation of recall and withdrawal measures. 

Active case-finding and laboratory confirmation efforts are ongoing in affected countries and territories, with most countries and territories reporting no linked illnesses to date.


WHO risk assessment

WHO assesses the overall public health risk associated with this event to be Moderate

This assessment is based on the information currently available and reflects the wide international distribution of contaminated products, ongoing uncertainties regarding the full extent of contaminated product distribution, case detection, and root cause of contamination, and the vulnerability of infants and young children to dehydration and electrolyte imbalance from with vomiting illness associated with cereulide toxin ingestion.

Several considerations contribute to this assessment:

-- Cereulide is a thermostable emetic toxin that can cause acute vomiting and rapid dehydration particularly in very young infants which can have severe consequences if untreated; mild or self-limiting cases are likely to go unreported, especially in settings with limited healthcare access or diagnostic capacities.

-- The extent of the contaminated ARA oil distribution remains uncertain, as complete traceability from the original implicated manufacturer has not been provided to WHO. 

-- Secondary distribution through commercial supply chains has further complicated efforts to identify all affected products. Additional investigation is required to determine the source and extent of the cereulide contamination. 

-- The international spread of contaminated products has already disrupted trade and supply chains across at least 99 countries and territories, with the possibility of further recalls if additional affected batches or product categories are identified. These recalls, while essential for public health protection, have created a risk of localized shortage of infant formula, particularly in settings where reliance on specific products is high, despite manufacturers’ efforts to increase production of unaffected products. A residual risk of exposure persists while investigations and traceability efforts continue, as competent authorities manage evolving distribution information and update risk communication measures. 

-- Mild clinical presentations can resemble common childhood illnesses, laboratory capacity for cereulide testing in contaminated products or human samples varies widely, and variations in case definitions across countries complicate consistent reporting and may delay detection. 

-- Although limited numbers of suspected and confirmed cases have been reported to date, without continued investment in surveillance for toxin‑related events, strengthened laboratory networks, training of health‑care providers, and clear communication on recalls and safe alternatives, delays in detection and response could lead to preventable morbidity in infants.


WHO advice

Based on the information available, WHO recommends Member States to maintain epidemiological surveillance, enhance readiness of laboratory capacity for cereulide testing of suspected contaminated products and in clinical samples of suspected cases, and facilitate effective implementation of recalls and withdrawals, as needed.

WHO advises Member States to:  

-- Identify, trace, and withdraw all affected products from the market.

-- Verify the effectiveness of recalls at retail and distribution levels and ensure that affected products are not available for sale, including online sales.

-- Conduct sampling and laboratory testing of suspect products and human specimens.

-- Strengthen requirements for traceability across the supply chain and food recalls.

-- Enhance inspection and oversight of facilities producing or handling ingredients used in infant nutrition.

-- Share relevant information through established international information-sharing mechanisms, including INFOSAN.

-- Issue targeted alerts to consumers, caregivers, health workers, and retailers, while providing clear guidance on identifying and disposing of affected products.

-- Promote breastfeeding and address barriers to accessing safe alternative nutrition.

-- Encourage early presentation to health facilities for infants with sudden vomiting.

-- Reinforce guidance on dehydration management and red-flag symptoms, while supporting availability of tools for safe clinical management of affected infants.

WHO recommends that no restrictions be applied for travel to, or trade with, the countries named in this report, based on the information available on the event reported here.  


Further information

-- European Centre for Disease Prevention and Control (ECDC) and European Food Safety Authority (EFSA). Multi-country foodborne event caused by cereulide in infant formula products. 19 February 2026. Available from: https://www.ecdc.europa.eu/en/publications-data/multi-country-foodborne-event-caused-cereulide-infant-formula-products  

-- European Food Safety Authority (EFSA). EFSA provides rapid risk assessment on cereulide in infant formula. EFSA; 1 February 2026. https://www.efsa.europa.eu/en/news/efsa-provides-rapid-risk-assessment-cereulide-infant-formula

-- European Centre for Disease Prevention and Control (ECDC). Communicable disease threats report, 31 January–6 February 2026 (Week 6). ECDC; 12 February 2026. https://www.ecdc.europa.eu/sites/default/files/documents/Communicable-disease-threats-report-week-6-2026.pdf  

-- European Food Safety Authority (EFSA). Precautionary global recall of infant nutrition products following detection of Bacillus cereus. EFSA; 27 January 2026. https://www.efsa.europa.eu/en/news/precautionary-global-recall-infant-nutrition-products-following-detection-bacillus-cereus  

-- European Centre for Disease Prevention and Control (ECDC). Precautionary global recall of infant nutrition products following detection of Bacillus cereus. ECDC; 27 January 2026.  https://www.ecdc.europa.eu/en/news-events/precautionary-global-recall-infant-nutrition-products-following-detection-bacillus  

-- European Centre for Disease Prevention and Control. European outbreak case definition: cereulide contamination of infant formula products (EpiPulse event 2025-FWD-00107). Stockholm: ECDC; 2026. https://www.ecdc.europa.eu/sites/default/files/documents/Case%20definition%20cereulide%20event.pdf

-- World Health Organization. Strengthening surveillance of and response to foodborne diseases. WHO; 11 December 2025. https://www.who.int/publications/i/item/9789240118188  

-- Austrian Agency for Health and Food Safety (AGES). Update: Information on cereulide in infant formula. AGES; 1 February 2026. https://www.ages.at/en/news/detail/update-information-zu-cereulid-in-saeuglingsnahrung  

---

Citable reference: World Health Organization (13 March 2026). Disease Outbreak News;  Recall of internationally distributed infant formula and products containing ARA oil due to contamination with cereulide toxin. Available at: https://www.who.int/emergencies/disease-outbreak-news/item/2026-DON596 

Source: 


Link: https://www.who.int/emergencies/disease-outbreak-news/item/2026-DON596

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#USA, #Wastewater Data for Avian #Influenza #H5 (#CDC, March 13 '26)




{Excerpt}

Time Period: March 01, 2026 - March 07, 2026

-- H5 Detection8 site(s) (1.6%)

-- No Detection491 site(s) (98.4%)

-- No samples in last week77 site(s)






(...)

Source: US Centers for Disease Control and Prevention, 


____

#Peru - #Influenza A #H5 viruses of high pathogenicity (Inf. with) (non-poultry including wild birds) (2017-) - Immediate notification

 


In the framework of passive surveillance activities, a report was received regarding backyard poultry (not considered as poultry) with clinical symptoms consistent with avian influenza. An outbreak of high pathogenicity avian influenza has been confirmed in the Cajabamba district of the Cajamarca department. The birds showed clinical signs such as weakening, hoarseness, eye discharge, and diarrhoea. The Official Authority activated quarantine, control, and surveillance measures in the outbreak and around the outbreak with the aim of identifying possible cases and preventing the spread of the outbreak.

A notification was received regarding sick birds in a backyard (turkeys, ducks, roosters, hens, geese, and chickens) showing signs of depression, diarrhoea, and hoarseness.

Source: WOAH, https://wahis.woah.org/#/home

Link: https://wahis.woah.org/#/in-review/7358

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#UK - High pathogenicity avian #influenza #H5N1 viruses (Inf. with) (#poultry) - Immediate notification

 


{Northern Ireland}

Pheasant breeder flock, with a small mixed backyard flock with chicken, geese. Positive test for HPAI H5N1, clinical signs presented prior to testing.

Source: 


Link: https://wahis.woah.org/#/in-review/7368

____

Systematic Identification of the Functional lncRNAs During #H7N9 Avian #Influenza Virus #Infection in Mice

 


Abstract

Accumulating studies have identified the pivotal role of long non-coding RNAs (lncRNAs) in participating in host–virus interactions during virus infections. However, the regulatory roles of lncRNAs in influenza A virus (IAV) infection are still not fully elucidated. In this study, using high-throughput sequencing, we comprehensively compared the expression profiles of lncRNAs and mRNAs in mouse lungs infected either with the nonpathogenic parental (SDL124) H7N9 virus or its moderately pathogenic mouse-adapted (S8) variant. A total of 7636 significantly differentially expressed (SDE) lncRNAs were obtained in the S8-infected group compared to the mock group. As for the SDL124 group, 1042 SDE lncRNAs were identified. Subsequently, the mRNAs co-expressed with SDE lncRNAs were subjected to functional annotation and pathway enrichment analysis. The results indicated that the target mRNAs regulated by the S8 virus were mainly enriched in various immunological processes and exhibited a strong correlation with inflammatory-related signaling pathways. Moreover, 12 lncRNAs and 10 mRNAs co-expressed with SDE lncRNAs were selected and successfully verified by RT-qPCR. Among these lncRNAs, NONMMUG032982.2 and NONMMUG032328.2 exhibited strong antiviral activity against IAV. Additionally, these two lncRNAs were chosen for further in-depth bioinformatics analysis, including transcription factor prediction, coding capacity assessment, genomic location, construction of secondary structure, and prediction of potential interacting proteins. Taken together, these findings provide a cluster of lncRNAs probably associated with the virulence of IAV in mice and shed light on the anti-IAV effects of two functional lncRNAs, establishing a molecular foundation for further exploring the regulatory mechanisms of lncRNAs in IAV infection.

Source: Viruses, https://www.mdpi.com/journal/viruses

Link: https://www.mdpi.com/1999-4915/18/3/353

____

#Glycoprotein-specific transcriptional response contributes to differential #vaccine #protection against lethal #Ebola virus #infection

 


Abstract

Since the West African Ebola virus (EBOV) epidemic in 2014-2016, recurrent outbreaks of the EBOV-Makona variant have been driven by recrudescence and human-to-human transmission emphasizing the need for effective vaccination strategies. A live-attenuated recombinant vesicular stomatitis virus (VSV)-based vaccine expressing the EBOV-Kikwit variant glycoprotein (VSV-Kik) received FDA approval in December 2019 and provides complete, rapid protection against EBOV-Makona as early as 7 days post-vaccination (DPV). During the 2018-2020 Ebola outbreak, the VSV-Kik vaccine, known as ERVEBO, was administered to lower-risk individuals at a 5-fold dose reduction of the standard 2 × 107 PFU to provide broader population protection. Identification of a protective lower dose providing rapid protection would ease supply burdens during future outbreaks and enhance vaccine coverage. We previously generated a VSV-based vaccine expressing the glycoprotein of the Makona variant (VSV-Mak) which provided complete protection against homologous challenge 28 DPV at as low as 1 × 101 PFU. However, the transcriptional responses engendered by VSV-Mak and VSV-Kik vaccines in the context of early EBOV-Makona challenge have not yet been evaluated. In the current study, we compared transcriptional responses following a low dose (1 × 104 PFU) of lab-grade VSV-Mak or GMP-grade VSV-Kik and subsequent EBOV-Makona challenge 10 DPV. VSV-Kik provided complete protection against heterologous challenge and elicited rapid antiviral transcriptional changes followed by the activation of adaptive immunity. On the other hand, VSV-Mak only provided partial protection and induced minimal transcriptional response. These results highlight a glycoprotein-specific transcriptional response after vaccination despite the high EBOV variant homology.

Source: Vaccine, https://www.sciencedirect.com/journal/vaccine/vol/79/suppl/C

Link: https://www.sciencedirect.com/science/article/abs/pii/S0264410X26002185?via%3Dihub

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