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Spike in deadly strep infections linked to wave of flu, RSV in US kids

A microscope image of <em>Streptococcus pyogenes</em>, a common type of group A strep.

Enlarge / A microscope image of Streptococcus pyogenes, a common type of group A strep. (credit: Getty | BSIP)

In the wake of the COVID-19 pandemic and amid a tall wave of respiratory viruses, health officials in Colorado and Minnesota documented an unusual spike in deadly, invasive infections from Streptococcus bacteria late last year, according to a study published this week by the Centers for Disease Control and Prevention.

The spike is yet another oddity of post-pandemic disease transmission, but one that points to a simple prevention strategy: flu shots.

The infections are invasive group A strep, or iGAS for short, which is caused by the same group of bacteria that cause relatively minor diseases, such as strep throat and scarlet fever. But iGAS occurs when the bacteria spread in the body and cause severe infection, such as necrotizing fasciitis (flesh-eating disease), toxic shock syndrome, or sepsis. These conditions can occur quickly and be deadly.

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Airborne poop probes: CDC considers testing airline sewage for pathogens

A bathroom on an Airbus A321neo.

Enlarge / A bathroom on an Airbus A321neo. (credit: Getty | Nicolas Economou/NurPhoto)

The US Centers for Disease Control and Prevention is considering blending sewage sampling from airplanes into its wastewater surveillance system, which has proven useful for monitoring the spread and prevalence of a variety of pathogens, particularly SARS-CoV-2.

Amid the pandemic, the CDC launched wastewater testing programs across the nation, trying to get ahead of SARS-CoV-2 surges. Viral particles are often shed in fecal matter and can be an early indication of an infection. The fecal focus has proven useful for sniffing out community-wide transmission trends and disease spread for not only COVID-19 but also other recent outbreaks as well, namely polio and mpox (formerly monkeypox). Adding surveillance from airplanes and airports could flush out yet more information about infectious disease spread, such as global travel patterns and the debut of novel viral variants.

A study published last week in PLOS Global Public Health found such sewage surveillance in UK airport terminals and airplanes was effective at tracking SARS-CoV-2 among international travelers. Overall, the surveillance data suggested that it is a "useful tool for monitoring the global transfer rate of human pathogens and other disease-causing agents across international borders and should form part of wider international efforts to monitor and contain the spread of future disease outbreaks," the authors, led by Kata Farkas of Bangor University, concluded.

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As egg prices soar, the deadliest bird flu outbreak in US history drags on

Chicken eggs are disposed of at a quarantined farm in Israel's northern Moshav (village) of Margaliot on January 3, 2022.

Enlarge / Chicken eggs are disposed of at a quarantined farm in Israel's northern Moshav (village) of Margaliot on January 3, 2022. (credit: Getty | JALAA MAREY / AFP))

The ongoing bird flu outbreak in the US is now the longest and deadliest on record. More than 57 million birds have been killed by the virus or culled since a year ago, and the deadly disruption has helped propel skyrocketing egg prices and a spike in egg smuggling.

Since highly pathogenic avian influenza (HPAI) A(H5N1) was first detected in US birds in January 2022, the price of a carton of a dozen eggs has shot up from an average of about $1.79 in December 2021 to $4.25 in December 2022, a 137 percent increase, according to data from the US Bureau of Labor Statistics. Although inflation and supply chain issues partly explain the rise, eggs saw the largest percentage increase of any specific food, according to the consumer price index.

And the steep pricing is leading some at the US-Mexico border to try to smuggle in illegal cartons, which is prohibited. A US Customs and Border Protection spokesperson told NPR this week that people in El Paso, Texas, are buying eggs in Juรกrez, Mexico, because they are "significantly less expensive." Meanwhile, a customs official in San Diego tweeted a reminder amid a rise in egg interceptions that failure to declare such agriculture items at a port of entry can result in penalties up to $10,000.

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Printable sensors glow when they detect viruses or other dangers

A small drone with four propellers in the hand of a researcher wearing purple gloves.

A new biopolymer sensor that detects bacteria, toxins, and dangerous chemicals in the environment can be printed like ink on just about anything, including gloves, masks, or everyday clothing.

Using an enzyme similar to that found in fireflies, the sensor glows when it detects these otherwise invisible threats. The new technology is described in the journal Advanced Materials.

The biopolymer sensor, which is based on computationally designed proteins and silk fibroin extracted from the cocoons of the silk moth Bombyx Mori, can also be embedded in films, sponges, and filters, or molded like plastic to sample and detect airborne and waterborne dangers, used to signal infections, or even cancer in our bodies.

The researchers demonstrated how the sensor emits light within minutes as it detects the SARS-CoV-2 virus that causes COVID, anti-hepatitis B virus antibodies, the food-borne toxin botulinum neurotoxin B, or human epidermal growth factor receptor 2 (HER2), an indicator of the presence of breast cancer.

Currently, the sensors require a quick spray with a non-toxic chemical after being potentially exposed to bacteria, toxins, and dangerous chemicals. If the target is present, then the sensor generates light. The intensity of emitted light provides a quantitative measure of the concentration of the target.

โ€œThe combination of lab-designed proteins and silk is a sensor platform that can be adapted to detect a wide range of chemical and biological agents with a high degree of specificity and sensitivity,โ€ says Fiorenzo Omenetto, professor of engineering and director of the Tufts University Silklab, where the bio-responsive materials were developed.

โ€œFor example, SARS-CoV-2 and anti-hepatitis B antibodies can be measured at levels that approach clinical assays.โ€

Diagnostic clothing

The sensing element is modular, so developers can swap in newly designed proteins to capture specific pathogens or molecules to measure, while the light emitting mechanism remains the same. โ€œUsing the sensor, we can pick up trace levels of airborne SARS-CoV-2, or we can imagine modifying it to adapt to whatever the next public health threat might be,โ€ Omenetto says.

He notes that, although the sensor is in a conceptual stage, the application to detect breast cancer is particularly interesting. His team created a proof-of-concept silicone bra pad that when worn can absorb secreted fluid, report the levels of HER2 hormone, and provide an indication whether breast cancer may be present.

โ€œWhile further development will be required to improve and clinically validate the assay, the opportunity for such diagnostics in everyday garments is certainly compelling,โ€ Omenetto says.

The sensors can assume a seemingly endless variety of forms. To demonstrate this, the researchers created viral sensing drones in which their fuselage was embedded with the sensor material. During flight, the propellers direct airflow through the porous body of the drone, which can be examined after landing. The drones, which in the example reacted to airborne pathogens such as SARS-CoV-2, could enable monitoring environments from a remote, safe distance.

Viruses and toxins that glow

The active component of the biopolymer sensor, which was developed by David Baker, professor in biochemistry at the Institute for Protein Design at the University of Washington, is a molecular switch made of proteins that act like lock and key, but with a cover.

When a virus, toxin, or other target molecule comes near, it binds to the switch and opens the cover. Another part of the switchโ€”a molecular keyโ€”can then fit into the lock, and the combination forms a complete luciferase enzyme, similar to the enzyme that lights up fireflies and glowworms. The more virus, toxin, or other chemical that binds to the sensor, the brighter the glow.

The molecular glow-switch is embedded in a mixture of protein that is derived from silk cocoons, called silk fibroin. The silk fibroin is the inactive component of the biopolymer sensor, but has unique features, including the ability to be processed and manufactured using safe, water-based methods, and a remarkable versatility to be fabricated into different materials, such as films, sponges, textiles, or dispersed onto surfaces through an inkjet printer. Additionally, the silk fibroin stabilizes the molecular glow-switch and greatly extends its shelf life.

These biopolymer sensors are a big leap from other approaches to measuring pathogens or chemicals in the environment, which often rely on biological components that degrade quickly and require careful storage. The sensors also do not depend on electronic components that can be difficult to integrate into flexible wearable materials.

Storing sensors

The researchers tested the shelf life of materials embedded with SARS-CoV-2 sensors after storing them at 60 degrees Celsius (140 degrees Fahrenheit) for four months and found very little change in performance. The breast cancer sensor shaped into a sponge was kept on the shelf at room temperature for one year, and still performed near its original sensitivity.

โ€œThis means we can manufacture, distribute, and store these sensing interfaces for long periods of time without losing their sensitivity or accuracy and without the need for refrigerated storage, which is remarkable due to the fact that they are made of protein,โ€ says Luciana dโ€™Amone, a graduate student in Omenettoโ€™s lab who co-led the project with Giusy Matzeu, a research professor at Tuftsโ€™ Silklab.

This approach could make sensors widely available in different formats. โ€œFor example, you could make surgical masks capable of detecting pathogens, package them in boxes, and use them over time just like conventional masks,โ€ says dโ€™Amone. โ€œWe also showed that you can print the sensor inside food packaging to track spoilage and toxins. You can modify so many products that we use every day to include sensing, and store and use them as you normally would.โ€

The research team envisions applications for the biopolymer sensors ranging from personal and patient monitoring and infection control in health-care settings to environmental sensing in home, workplace, military, and disaster settings.

Source: Tufts University

The post Printable sensors glow when they detect viruses or other dangers appeared first on Futurity.

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