{"title":"Environmental Vibrio cholerae Strains Harboring Cholera Toxin and Vibrio Pathogenicity Island 1, Nigeria, 2008–2015","authors":"Sergio Morgado, Akinsinde Adewale, Iwalokun Abiodun, Salako Lawal, Fernanda Freitas, Érica Fonseca, Ana Carolina Vicente","doi":"10.3201/eid3011.240495","DOIUrl":"https://doi.org/10.3201/eid3011.240495","url":null,"abstract":"<p>Analysis of clinical and environmental <em>Vibrio cholerae</em> O1 strains obtained during 2008–2015 in Nigeria showed that lineages Afr9 and Afr12 carrying cholera toxin and <em>Vibrio</em> pathogenicity island 1 can be isolated from water. Our findings raise concerns about the role of the environment in maintenance and emergence of cholera outbreaks in Nigeria.</p>","PeriodicalId":11595,"journal":{"name":"Emerging Infectious Diseases","volume":null,"pages":null},"PeriodicalIF":11.8,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142451353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Detection in Orchards of Predominant Azole-Resistant Candida tropicalis Genotype Causing Human Candidemia, Taiwan","authors":"Kuo-Yun Tseng, Yin-Zhi Chen, Zi-Li Zhou, Jyh-Nong Tsai, Min-Nan Tseng, Hsing-Lung Liu, Chi-Jung Wu, Yu-Chieh Liao, Chih-Chao Lin, De-Jiun Tsai, Feng-Jui Chen, Li-Yun Hsieh, Kuan-Chung Huang, Chun-Hua Huang, Kai-Ting Chen, Wen-Li Chu, Chiao-Mei Lin, Shu-Man Shih, Chao Agnes Hsiung, Yee-Chun Chen, Huey-Kang Sytwu, Yun-Liang Yang, Hsiu-Jung Lo","doi":"10.3201/eid3011.240545","DOIUrl":"https://doi.org/10.3201/eid3011.240545","url":null,"abstract":"<p>Fluconazole-resistant clade 4 <em>Candida tropicalis</em> causing candidemia in humans has been detected in tropical/subtropical areas, including those in China, Singapore, and Australia. We analyzed 704 individual yeasts isolated from fruits, soil, water, and farmers at 80 orchards in Taiwan. The most common pathogenic yeast species among 251 isolates recovered from farmers were <em>Candida albicans</em> (14.7%) and <em>C. parapsilosis</em> (11.6%). In contrast, <em>C. tropicalis</em> (13.0%), <em>C. palmioleophila</em> (6.6%), and <em>Pichia kudriavzevii</em> (6.0%) were prevalent among 453 environmental isolates. Approximately 18.6% (11/59) of <em>C. tropicalis</em> from the environment were resistant to fluconazole, and 81.8% (9/11) of those belonged to the clade 4 genotype. <em>C. tropicalis</em> susceptibility to fluconazole correlated with susceptibilities to the agricultural azole fungicides, difenoconazole, tebuconazole, and triadimenol. Tandem gene duplications of mutated <em>ERG11</em> contributed to azole resistance. Agriculture environments are a reservoir for azole-resistant <em>C. tropicalis</em>; discontinuing agricultural use of azoles might reduce emergence of azole-resistant <em>Candida</em> spp. strains in humans.</p>","PeriodicalId":11595,"journal":{"name":"Emerging Infectious Diseases","volume":null,"pages":null},"PeriodicalIF":11.8,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142451358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Craig W. Hedberg, Melanie J. Firestone, Thuy N. Kim, Alexandra R. Edmundson, Jeff B. Bender
{"title":"Estimating Underdetection of Foodborne Disease Outbreaks","authors":"Craig W. Hedberg, Melanie J. Firestone, Thuy N. Kim, Alexandra R. Edmundson, Jeff B. Bender","doi":"10.3201/eid3011.240198","DOIUrl":"https://doi.org/10.3201/eid3011.240198","url":null,"abstract":"Estimating Underdetection of Foodborne Disease Outbreaks","PeriodicalId":11595,"journal":{"name":"Emerging Infectious Diseases","volume":null,"pages":null},"PeriodicalIF":11.8,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142449502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Revenge of the Microbes: How Bacterial Resistance is Undermining the Antibiotic Miracle, 2nd Edition","authors":"Isabella Caruso","doi":"10.3201/eid3011.240228","DOIUrl":"https://doi.org/10.3201/eid3011.240228","url":null,"abstract":"Books and Media","PeriodicalId":11595,"journal":{"name":"Emerging Infectious Diseases","volume":null,"pages":null},"PeriodicalIF":11.8,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142449507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Denis-Luc Ardiet, Justus Nsio, Gaston Komanda, Rebecca M. Coulborn, Emmanuel Grellety, Francesco Grandesso, Richard Kitenge, Dolla L. Ngwanga, Bibiche Matady, Guyguy Manangama, Mathias Mossoko, John K. Ngwama, Placide Mbala, Francisco Luquero, Klaudia Porten, Steve Ahuka-Mundeke
{"title":"Rapid Decision Algorithm for Patient Triage during Ebola Outbreaks","authors":"Denis-Luc Ardiet, Justus Nsio, Gaston Komanda, Rebecca M. Coulborn, Emmanuel Grellety, Francesco Grandesso, Richard Kitenge, Dolla L. Ngwanga, Bibiche Matady, Guyguy Manangama, Mathias Mossoko, John K. Ngwama, Placide Mbala, Francisco Luquero, Klaudia Porten, Steve Ahuka-Mundeke","doi":"10.3201/eid3011.231650","DOIUrl":"https://doi.org/10.3201/eid3011.231650","url":null,"abstract":"<p>The low specificity of Ebola virus disease clinical signs increases the risk for nosocomial transmission to patients and healthcare workers during outbreaks. Reducing this risk requires identifying patients with a high likelihood of Ebola virus infection. Analyses of retrospective data from patients suspected of having Ebola virus infection identified 13 strong predictors and time from disease onset as constituents of a prediction score for Ebola virus disease. We also noted 4 highly predictive variables that could distinguish patients at high risk for infection, independent of their scores. External validation of this algorithm on retrospective data revealed the probability of infection continuously increased with the score. </p>","PeriodicalId":11595,"journal":{"name":"Emerging Infectious Diseases","volume":null,"pages":null},"PeriodicalIF":11.8,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142449506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tristan Delory, Josselin Le Bel, Raphaëlle Métras, Caroline Guerrisi, Ilona E. Suhanda, Elisabeth Bouvet, Sylvie Lariven, Pauline Jeanmougin
{"title":"Computerized Decision Support Systems Informing Community-Acquired Pneumonia Surveillance, France, 2017–2023","authors":"Tristan Delory, Josselin Le Bel, Raphaëlle Métras, Caroline Guerrisi, Ilona E. Suhanda, Elisabeth Bouvet, Sylvie Lariven, Pauline Jeanmougin","doi":"10.3201/eid3011.240072","DOIUrl":"https://doi.org/10.3201/eid3011.240072","url":null,"abstract":"<p>We show the value of real-time data generated by a computerized decision support system in primary care in strengthening pneumonia surveillance. The system showed a 66% (95% CI 64%–67%) increase in community-acquired pneumonia from 2018 to 2023 for the population of France, 1 month before a national alert was issued.</p>","PeriodicalId":11595,"journal":{"name":"Emerging Infectious Diseases","volume":null,"pages":null},"PeriodicalIF":11.8,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142449469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Laura Ford, Julie L. Self, Karen K. Wong, Robert M. Hoekstra, Robert V. Tauxe, Erica Billig Rose, Beau B. Bruce
{"title":"Estimating Underdetection of Foodborne Disease Outbreaks","authors":"Laura Ford, Julie L. Self, Karen K. Wong, Robert M. Hoekstra, Robert V. Tauxe, Erica Billig Rose, Beau B. Bruce","doi":"10.3201/eid3011.241351","DOIUrl":"https://doi.org/10.3201/eid3011.241351","url":null,"abstract":"Estimating Underdetection of Foodborne Disease Outbreaks","PeriodicalId":11595,"journal":{"name":"Emerging Infectious Diseases","volume":null,"pages":null},"PeriodicalIF":11.8,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142449501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alex-Mikael Barkoff, Tamara Kastrin, Katja Seme, Marta Grgič Vitek, Jussi Mertsola, Qiushui He
{"title":"Prevalence of Pertactin-Deficient Bordetella pertussis Isolates, Slovenia","authors":"Alex-Mikael Barkoff, Tamara Kastrin, Katja Seme, Marta Grgič Vitek, Jussi Mertsola, Qiushui He","doi":"10.3201/eid3011.231393","DOIUrl":"https://doi.org/10.3201/eid3011.231393","url":null,"abstract":"<p>In Slovenia, primary acellular pertussis vaccines (ACVs) containing pertactin (PRN) were mostly used during 1999–2016; ACVs without PRN were introduced in 2017. Among 123 <em>Bordetella pertussis</em> strains collected during 2002–2020, a total of 48 were PRN-deficient; 44 were collected after 2017. Changes to ACVs could increase PRN-deficient <em>B. pertussis</em> and infections.</p>","PeriodicalId":11595,"journal":{"name":"Emerging Infectious Diseases","volume":null,"pages":null},"PeriodicalIF":11.8,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142448675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kai Ding, Ozair H. Naqvi, R. Jackson Seeberger, Dale W. Bratzler, Aaron M. Wendelboe
{"title":"Spatiotemporal Ecologic Analysis of COVID-19 Vaccination Coverage and Outcomes, Oklahoma, USA, February 2020–December 2021","authors":"Kai Ding, Ozair H. Naqvi, R. Jackson Seeberger, Dale W. Bratzler, Aaron M. Wendelboe","doi":"10.3201/eid3011.231582","DOIUrl":"https://doi.org/10.3201/eid3011.231582","url":null,"abstract":"<p>Data on COVID-19 cases, deaths, hospitalizations, and vaccinations in Oklahoma, USA, have not been systematically described. The relationship between vaccination and COVID-19–related outcomes over time has not been investigated. We graphically described data collected during February 2020–December 2021 and conducted spatiotemporal modeling of monthly increases in COVID-19 cumulative death and hospitalization rates, adjusting for cumulative case rate, to explore the relationship. A 1 percentage point increase (absolute change) in the cumulative vaccination rate was associated with a 6.3% (95% CI 1.4%–10.9%) relative decrease in death outcome during April–June 2021, and a 1.9% (95% CI 1.1%–2.6%) relative decrease in death outcome and 1.1% (95% CI 0.5%–1.7%) relative decrease in hospitalization outcome during July–December 2021; the effect on hospitalizations was driven largely by data from urban counties. Our findings from Oklahoma suggest that increasing cumulative vaccination rates might reduce the increase in cumulative death and hospitalization rates from COVID-19. </p>","PeriodicalId":11595,"journal":{"name":"Emerging Infectious Diseases","volume":null,"pages":null},"PeriodicalIF":11.8,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142448677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Katherine Baer, Itika Arora, Jayden Kimbro, Ali Haider, Michelle Mott, Kyleigh Marshall, Henry M. Wu, Jessica Fairley, Anne Piantadosi, David R. Myers, Jesse J. Waggoner
{"title":"Iquitos Virus in Traveler Returning to the United States from Ecuador","authors":"Katherine Baer, Itika Arora, Jayden Kimbro, Ali Haider, Michelle Mott, Kyleigh Marshall, Henry M. Wu, Jessica Fairley, Anne Piantadosi, David R. Myers, Jesse J. Waggoner","doi":"10.3201/eid3011.240708","DOIUrl":"https://doi.org/10.3201/eid3011.240708","url":null,"abstract":"<p>We describe the case of a returned traveler to the United States from Ecuador who had an acute febrile illness, initially diagnosed as Oropouche fever. This illness was later confirmed to be a rare infection with Iquitos virus, a related bunyavirus that shares 2 of 3 genome segments with Oropouche virus.</p>","PeriodicalId":11595,"journal":{"name":"Emerging Infectious Diseases","volume":null,"pages":null},"PeriodicalIF":11.8,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142448676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}