Background: Healthcare workers (HCWs) use personal protective equipment (PPE) in Ebola virus disease (EVD) situations. However, preventing the contamination of HCWs and the environment during PPE removal crucially requires improved strategies. This study aimed to compare the efficacy of three PPE ensembles, namely, Hospital Authority (HA) Standard Ebola PPE set (PPE1), Dupont Tyvek Model, style 1422A (PPE2), and HA isolation gown for routine patient care and performing aerosol-generating procedures (PPE3) to prevent EVD transmission by measuring the degree of contamination of HCWs and the environment.Methods: A total of 59 participants randomly performed PPE donning and doffing. The trial consisted of PPE donning, applying fluorescent solution on the PPE surface, PPE doffing of participants, and estimation of the degree of contamination as indicated by the number of fluorescent stains on the working clothes and environment. Protocol deviations during PPE donning and doffing were monitored.Results: PPE2 and PPE3 presented higher contamination risks than PPE1. Environmental contaminations such as those originating from rubbish bin covers, chairs, faucets, and sinks were detected. Procedure deviations were observed during PPE donning and doffing, with PPE1 presenting the lowest overall deviation rate (%) among the three PPE ensembles (p < 0.05).Conclusion: Contamination of the subjects’ working clothes and surrounding environment occurred frequently during PPE doffing. Procedure deviations were observed during PPE donning and doffing. Although PPE1 presented a lower contamination risk than PPE2 and PPE3 during doffing and protocol deviations, the design of PPE1 can still be further improved. Future directions should focus on designing a high-coverage-area PPE with simple ergonomic features and on evaluating the doffing procedure to minimise the risk of recontamination. Regular training for users should be emphasised to minimise protocol deviations, and in turn, guarantee the best protection to HCWs. REFERENCE: Suen, Lorna K P et al. “Self-contamination during doffing of personal protective equipment by healthcare workers to prevent Ebola transmission” Antimicrobial resistance and infection control vol. 7 157. 22 Dec. 2018, doi:10.1186/s13756-018-0433-y ----------------------------------------------------------- Sigue este Blog en Facebook y Twitter Ayúdanos a traducir las fichas de seguridad de microorganismos. www.seguridadbiologica.blogspot.com ----------------------------------------------------------- […]

BACKGROUND: Eastern equine encephalitis virus is an alphavirus that naturally cycles between mosquitoes and birds or rodents in Eastern States of the US. Equine infection occurs by being bitten by cross-feeding mosquitoes, with a case fatality rate of up to 75% in humans during epizootic outbreaks. There are no licensed medical countermeasures, and with an anticipated increase in mortality when exposed by the aerosol route based on anecdotal human data and experimental animal data, it is important to understand the pathogenesis of this disease in pursuit of treatment options. This report details the clinical and pathological findings of mice infected with EEEV by the aerosol route, and use as a model for EEEV infection in humans. METHODS: Mice were exposed by the aerosol route to a dose range of EEEV to establish the median lethal dose. A pathogenesis study followed whereby mice were exposed to a defined dose of virus and sacrificed at time-points thereafter for histopathological analysis and virology. RESULTS: Clinical signs of disease appeared within 2 days post challenge, culminating in severe clinical signs within 24 h, neuro-invasion and dose dependent lethality. EEEV was first detected in the lung 1 day post challenge, and by day 3 peak viral titres were observed in the brain, spleen and blood, corresponding with severe meningoencephalitis, indicative of encephalitic disease. Lethality follows severe neurological signs, and may be linked to a threshold level of virus replication in the brain. Effective medical countermeasures for EEEV may necessitate early inoculation to inhibit infection of the brain in zoonotic incidents, and be able to traverse the blood-brain barrier to sufficiently interrupt replication in the brain in cases of aerosol infection. CONCLUSIONS: There is little human data on the hazard posed by aerosol infection with encephalitic alphaviruses, and use of EEEV as a bioweapon may be by the aerosol route. A well characterized model of aerosol exposure that recapitulates some of the most severe human clinical features is necessary to evaluate the efficacy of putative medical countermeasures, and to increase our understanding about how this route of infection induces such rapid neuro-invasion and resulting disease. REFERENCE: Phelps AL, et al. Aerosol infection of Balb/c mice with eastern equine encephalitis virus; susceptibility and lethality. Virol J. 2019 Jan 5;16(1):2. doi: 10.1186/s12985-018-1103-7. ----------------------------------------------------------- Sigue este Blog en Facebook y Twitter Ayúdanos a traducir las fichas de seguridad de microorganismos. www.seguridadbiologica.blogspot.com ----------------------------------------------------------- […]

Nipah virus (NiV), a zoonotic paramyxovirus belonging to the genus Henipavirus, is classified as a Biosafety Level-4 pathogen based on its high pathogenicity in humans and the lack of available vaccines or therapeutics. Since its initial emergence in 1998 in Malaysia, this virus has become a great threat to domestic animals and humans. Sporadic outbreaks and person-to-person transmission over the past two decades have resulted in hundreds of human fatalities. Epidemiological surveys have shown that NiV is distributed in Asia, Africa, and the South Pacific Ocean, and is transmitted by its natural reservoir, Pteropid bats. Numerous efforts have been made to analyze viral protein function and structure to develop feasible strategies for drug design. Increasing surveillance and preventative measures for the viral infectious disease are urgently needed. REFERENCE: Sun, Bangyao et al. “Phylogeography, Transmission, and Viral Proteins of Nipah Virus” Virologica Sinica vol. 33,5 (2018): 385-393. ----------------------------------------------------------- Sigue este Blog en Facebook y Twitter Ayúdanos a traducir las fichas de seguridad de microorganismos. www.seguridadbiologica.blogspot.com ----------------------------------------------------------- […]

It is common for people to use N95 filtering facepiece respirators (FFRs) in daily life, especially in locations where particulate matter (PM2.5) concentration is rising. Wearing N95 FFRs is helpful to reduce inhalation of PM2.5. Although N95 FFRs block at least 95% of particles from the atmosphere, the deadspace of N95 FFRs could be a warm, wet environment that may be a perfect breeding ground for bacterial growth. This work studies the micro-climate features including the temperature distribution and water vapor condensation in the deadspace of an N95 FFR using the computational fluid dynamics (CFD) method. Then, the temperature and relative humidity inside the same type of N95 FFR are experimentally measured. There is a good agreement between the simulation and experimental results. Moreover, an experiment is conducted to study the distribution of bacteria sampled from the inner surface of an N95 FFR after donning. REFERENCE: Yang, Quan et al. “Study of the micro-climate and bacterial distribution in the deadspace of N95 filtering face respirators” Scientific reports vol. 8,1 17382. 26 Nov. 2018, doi:10.1038/s41598-018-35693-w ----------------------------------------------------------- Sigue este Blog en Facebook y Twitter Ayúdanos a traducir las fichas de seguridad de microorganismos. www.seguridadbiologica.blogspot.com ----------------------------------------------------------- […]

High-level biosafety laboratories (BSL), such as BSL-3 and BSL-4, which deal with high infectivity and virulence pathogens, have become indispensable. Mice are frequently used in animal BSL (ABSL) to establish animal models for infection and to evaluate in vivo immune responses. A project of monitoring and evaluation on the physiology and immune status of mice housed in different ABSL labs was performed in the ABSL-2/3/4 labs of Kunming National High-level Biosafety Research Center, China. Female Kunming mice were housed in the ABSL-2/3/4 labs for 1 month, and mouse behavior, body physiology/immune status, pulmonary immune status and respiratory bacteria composition were evaluated and compared among mice from the different labs. Mice settled in their new housing environment of the different labs after transfer and gained weight steadily. Blood hematology testing, serum cytokine/chemokine profiles and blood/spleen lymphocyte constitutions were comparable between the ABSL-2/3/4 labs. The numbers of different pulmonary leukocytes in the bronchoalveolar lavage fluid were at baseline levels in mice from the ABSL-2/3/4 labs. Diversity and dominance of mice respiratory bacteria were semblable among the ABSL-2/3/4 labs. Our results confirm the stability of physiology and immune status of Kunming mice maintained in different ABSL-2/3/4 labs for at least 1 month. REFERENCE: Guo, Lei et al. “Monitoring and evaluation of the immune status of female Kunming mice maintained in different biosafety level laboratories” Biology open vol. 7,12 bio035006. 7 Nov. 2018, doi:10.1242/bio.035006 ----------------------------------------------------------- Sigue este Blog en Facebook y Twitter Ayúdanos a traducir las fichas de seguridad de microorganismos. www.seguridadbiologica.blogspot.com ----------------------------------------------------------- […]