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The endosymbiosis between cnidarians and photosynthetic dinoflagellates of the Symbiodiniaceae family forms the foundation of coral reef ecosystems. Prolonged environmental shifts can disrupt the cnidarian–Symbiodiniaceae partnership, triggering dysbiosis and coral bleaching and ultimately resulting in coral starvation, mortality, and the collapse of reef ecosystems. Despite its significance, critical gaps remain in our understanding of the cellular mechanisms governing symbiosis and dysbiosis. Innate immune genes and pathways are highly conserved across the Metazoa, including in cnidarians. Among these is NADPH oxidase (NOX), a key enzyme responsible for generating reactive oxygen species (ROS), primarily for microbial degradation within phagolysosomes. In this study, we hypothesize that NOX plays a role in the regulation of cnidarian–Symbiodiniaceae symbiosis and the host phagosomal maturation process. We investigated NOX function in relation to symbiotic state and heat stress in the sea anemone Exaiptasia diaphana (commonly called aiptasia), a model for cnidarian–Symbiodiniaceae symbiosis and dysbiosis. Our findings show that NOX gene and protein expression is suppressed in the symbiotic state, supporting the hypothesis that symbionts modulate host innate immunity. However, upon heat treatment, we observed increased NOX expression and activity along with NOX localization around algal symbionts, suggesting that host phagosomal maturation processes are engaged during bleaching. We propose a model where the phagocytic NOX complex becomes activated during symbiosis breakdown and bleaching. Our findings support the hypothesis that in situ degradation, facilitated by ROS generated by NOX, plays a key role in the process of dysbiosis. This work contributes to our understanding of cnidarian innate immunity, highlighting critical steps in dysbiosis and phagosomal maturation processes within cnidarian–Symbiodiniaceae symbiosis.

Mother-to-child transmission (MTCT) of HIV, syphilis, and hepatitis B virus (HBV) commonly observed in the WHO African region is associated with excess morbidity and mortality. Despite some progress, the coverage of interventions to prevent MTCT of these infections remains insufficient, particularly for syphilis and HBV. To fulfil these gaps and achieve the triple elimination of MTCT of these infections by 2030, the World Health Organization (WHO) advocates for integration of prevention of MTCT (PMTCT) activities for HBV with HIV and syphilis antenatal services. In partnership with the local governments, the TRI-MOM project, conducted in 2 phases, aims to evaluate a simplified (based on inexpensive rapid diagnostic tests), integrated (in maternal and child health services) and coordinated (between the various programs and health care workers) strategy for the triple elimination of HIV, syphilis and HBV MTCT in Burkina Faso and The Gambia. The strategy will be implemented in 5 rural and urban health facilities in each country and will include four activities: i) training sessions for healthcare workers working in maternal and child health services, ii) screening of pregnant women of the three infections using rapid diagnostic tests at the first antenatal visit, iii) clinical assessment and treatment of women tested positive for any of the 3 infections, and iv) raising awareness on HIV, Syphilis and HBV PMTCT among pregnant women and empowering those screened positive. 17,000 pregnant women are expected to be screened. The strategy will be evaluated through an interdisciplinary, mixed-methods approach comprising three studies: i) a quantitative and qualitative cross-sectional study conducted both before and after the implementation of the strategy to assess its impact on triple screening coverage in pregnant women; ii) a an intervention study with longitudinal follow-up of pregnant women positive for any of the three infections to assess the coverage of PMTCT measures; and iii) a cost and cost-effectiveness analysis of the project compared to the reference situation in each country, which will rely on a micro costing study to estimate the incremental cost of the strategy per mother/child couple compared with the reference situation in each country, and compare it to the number of avoided infections. The study protocol has been approved by the competent authorities of the countries participating to the research (the LSHTM/MRCUG Scientific Coordinating Committee, the Gambia Government/MRC Joint Ethics Committee, the LSHTM ethics committee, the Burkinabe National Ethical Committee for Research in Health and the French Commission on Information Technology and Liberties). Results on the feasibility and acceptability of the triple elimination strategy will be disseminated using different media including policy briefs, posters and articles. ClinicalTrials.gov NCT05951751.

The Public Health and Planning 101 project aimed to increase cross-disciplinary knowledge among public health and planning professionals involved in the land use planning process. The multi-disciplinary project team administered an online survey in 2012 to Ontario public health and planning professionals in order to identify learning needs related to the built environment that would inform the development of the education module. The survey asked about built environment work, experience with collaborations, barriers faced working with the other profession, and learning needs. Most survey respondents agreed that both professions should be working together on the built environment, although only half indicated they actually were. The survey findings revealed the need for an education module to help public health and planning professionals collaborate in the land use planning process in Ontario, and to help inform policy related to healthy built environments.