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Environmental Surveillance for Polioviruses in the Global Polio Eradication Initiative
This article summarizes the status of environmental surveillance (ES) used by the Global Polio Eradication Initiative, provides the rationale for ES, gives examples of ES methods and findings, and summarizes how these data are used to achieve poliovirus eradication. ES complements clinical acute flaccid paralysis (AFP) surveillance for possible polio cases. ES detects poliovirus circulation in environmental sewage and is used to monitor transmission in communities. If detected, the genetic sequences of polioviruses isolated from ES are compared with those of isolates from clinical cases to evaluate the relationships among viruses. To evaluate poliovirus transmission, ES programs must be developed in a manner that is sensitive, with sufficiently frequent sampling, appropriate isolation methods, and specifically targeted sampling sites in locations at highest risk for poliovirus transmission. After poliovirus ceased to be detected in human cases, ES documented the absence of endemic WPV transmission and detected imported WPV. ES provides valuable information, particularly in high-density populations where AFP surveillance is of poor quality, persistent virus circulation is suspected, or frequent virus reintroduction is perceived. Given the benefits of ES, GPEI plans to continue and expand ES as part of its strategic plan and as a supplement to AFP surveillance.
Journal Article
Coastal ocean observing : platforms, sensors and systems
This manual describes the wide range of electromechanical, electrochemical and electro-optical transducers at the heart of current field-deployable ocean observing instruments. Their modes of operation, precision and accuracy are discussed in detail. Observing platforms ranging from the traditional to the most recently developed are described, as are the challenges of integrating instrument suits to individual platforms. Technical approaches are discussed to address environmental constraints on instrument and platform operation such as power sources, corrosion, biofouling and mechanical abrasion. Particular attention is also given to data generated by the networks of observing platforms that are typically integrated into value-added data visualization products, including numerical simulations or models. Readers will learn about acceptable data formats and representative model products. The last section of the book is devoted to the challenges of planning, deploying and maintaining coastal ocean observing systems. Readers will discover practical applications of ocean observations in diverse fields including natural resource conservation, commerce and recreation, safety and security, and climate change resiliency and adaptation. This volume will appeal to ocean engineers, oceanographers, commercial and recreational ocean data users, observing systems operators, and advanced undergraduate and graduate students in the field of ocean observing.
Book
Air Aware IoT: Low-Cost Sensor Solutions for Urban Pollution Monitoring and Public Health
Air pollution, especially in cities, has a considerable impact on human health and contributes to global morbidity and mortality rates. With urban populations increasing and public awareness of air quality being low, there is an urgent need for low-cost portable devices to monitor airborne contaminants in indoor and outdoor settings. This study presents the design and functionality of a low-cost, portable device capable of measuring major air quality parameters, such as gaseous pollutants (CO₂, O₃, TVOC, and PM₂.₅) and physical indicators (i.e., temperature and humidity). The device connects various sensors to an ATmega microcontroller via a signal conditioning circuit, thereby solving current, format, and speed incompatibilities. The data processed by the microcontroller was sent to various devices using IoT technology. The device accurately measures ozone and PM₂.₅, temperature, and humidity with precisions of ±5.02 μg.m- ³, ±7.94 μg.m- ³, ±0.67°C, and ±1.68%, respectively. The results demonstrate the dependability of the system for air quality monitoring, providing an affordable and accessible alternative for environmental surveillance. This innovation has the potential to raise public awareness and enable large-scale pollution monitoring, making it a useful tool for minimizing the negative consequences of air pollution on public health.
Journal Article
Handbook of Himalayan ecosystems and sustainability
\"Volume 1: Handbook on Spatio-Temporal Monitoring of Forests and Climate is aimed to describe the recent progress and developments of geospatial technologies (Remote Sensing and GIS) for assessing, monitoring and managing fragile Himalayan ecosystems and its sustainability under climate change. It is a collective research contribution from renowned researchers and academicians working in the Hindu Kush Himalayan (HKH) mountain range. The Himalayas ecosystems have been facing substantial transformation due to severe environmental conditions, land transformation, forest degradation and fragmentation. The authors utilized satellite datasets and algorithms to discuss the intricacy of Land use Land cover change, forest and agricultural ecosystems, canopy height estimation, above-ground biomass, wildfires, carbon sequestration, and landscape restoration. Furthermore, the potential impacts of climate change on ecosystems, biodiversity and future food and nutritional security are also addressed including the impact on the livelihood of people of the Himalayas. This comprehensive Handbook explains the advanced geospatial technologies for mapping and management of natural resources of the Himalayas\"-- Provided by publisher.
Book
Detection of Vaccine-Derived Polioviruses in Mexico Using Environmental Surveillance
Background. Early detection and control of vaccine-derived poliovirus (VDPV) emergences are essential to secure the gains of polio eradication. Methods. Serial sewage samples were collected in 4 towns of Mexico before, throughout, and after the May 2010 oral poliovirus vaccine (OPV) mass immunization campaign. Isolation and molecular analysis of polioviruses from sewage specimens monitored the duration of vaccine-related strains in the environment and emergence of vaccinederived polioviruses in a population partially immunized with inactivated poliovirus vaccine (IPV). Results. Sabin strains were identified up to 5-8 weeks after the campaign in all towns; in Aguascalientes, 1 Sabin 3 was isolated 16 weeks after the campaign, following 7 weeks with no Sabin strains detected. In Tuxtla Gutiérrez, type 2 VDPV was isolated from 4 samples collected before and during the campaign, and type 1 VDPV from 1 sample collected 19 weeks afterward. During 2009-2010, coverage in 4 OPV campaigns conducted averaged only 57% and surveillance for acute flaccid paralysis (AFP) was suboptimal (AFP rate < 1 per 100 000 population < 15 years of age) in Tuxtla Gutierrez. Conclusions. VDPVs may emerge and spread in settings with inadequate coverage with IPV/OPV vaccination. Environmental surveillance can facilitate early detection in these settings.
Journal Article
Laboratory Challenges in Response to Silent Introduction and Sustained Transmission of Wild Poliovirus Type 1 in Israel During 2013
Wild poliovirus type 1 (WPV1) introduction into southern Israel in early 2013 was detected by routine environmental surveillance. The virus was identified genetically as related to the South Asian (SOAS) R3A lineage endemic to Pakistan in 2012. Intensified, high-throughput environmental surveillance using advanced molecular methods played a critical role in documenting and locating sustained transmission throughout 2013 and early 2014 in the absence of any acute flaccid paralysis. It guided the public health responses, including stool-based surveillance and serosurveys, to determine the point prevalence in silent excretors and measured the effect of vaccination campaigns with inactivated polio vaccine and bivalent oral polio vaccine on stopping transmission.
Journal Article
Detection of Multiple Cocirculating Wild Poliovirus Type 1 Lineages Through Environmental Surveillance: Impact and Progress During 2011-2013 in Pakistan
Background. The environmental surveillance has proven to be a useful tool to identify poliovirus circulation in different countries and was started in Pakistan during July 2009 to support the acute flaccid paralysis (AFP) surveillance system. Methods. Sewage samples were collected from 27 environmental sampling (ENV) sites and processed for poliovirus isolation through 2-phase separation method. Poliovirus isolates were identified as Sabin-like or wild type through real-time polymerase chain reaction (PCR). Wild-type strains were subjected to VP1 gene sequencing and phylogenetic analysis performed using MEGA 5.0. Results. During 2011-2013, a total of 668 samples were collected from 4 provinces that resulted in 40% of samples positive for wild poliovirus type-1 (WPV-1). None of the samples were positive for WPV-3. The areas with high frequency of WPV-1 detection were Karachi-Gadap (69%), Peshawar (82%), and Rawalpindi (65%), whereas the samples from Quetta and Sukkur remained negative for WPV during 2013. Phylogenetic analysis revealed 3 major clusters with multiple poliovirus lineages circulating across different country areas as well as in bordering areas of Afghanistan. Conclusions. Environmental surveillance in Pakistan has been proven to be a powerful tool to detect WPV circulation in the absence of poliomyelitis cases in many communities. Our findings emphasize the need to continue and expand such surveillance activities to other high-risk areas in the country.
Journal Article
Switch From Oral to Inactivated Poliovirus Vaccine in Yogyakarta Province, Indonesia: Summary of Coverage, Immunity, and Environmental Surveillance
Background. Inactivated poliovirus vaccine (IPV) is rarely used in tropical developing countries. To generate additional scientific information, especially on the possible emergence of vaccine-derived polioviruses (VDPVs) in an IPV-only environment, we initiated an IPV introduction project in Yogyakarta, an Indonesian province. In this report, we present the coverage, immunity, and VDPV surveillance results. Methods. In Yogyakarta, we established environmental surveillance starting in 2004; and conducted routine immunization coverage and seroprevalence surveys before and after a September 2007 switch from oral poliovirus vaccine (OPV) to IPV, using standard coverage and serosurvey methods. Rates and types of polioviruses found in sewage samples were analyzed, and all poliovirus isolates after the switch were sequenced. Results. Vaccination coverage (> 95%) and immunity (approximately 100%) did not change substantially before and after the IPV switch. No VDPVs were detected. Before the switch, 58% of environmental samples contained Sabin poliovirus; starting 6 weeks after the switch, Sabin polioviruses were rarely isolated, and if they were, genetic sequencing suggested recent introductions. Conclusions. This project demonstrated that under almost ideal conditions (good hygiene, maintenance of universally high IPV coverage, and corresponding high immunity against polioviruses), no emergence and circulation of VDPV could be detected in a tropical developing country setting.
Journal Article
Epidemiology of the silent polio outbreak in Rahat, Israel, based on modeling of environmental surveillance data
Israel experienced an outbreak of wild poliovirus type 1 (WPV1) in 2013–2014, detected through environmental surveillance of the sewage system. No cases of acute flaccid paralysis were reported, and the epidemic subsided after a bivalent oral polio vaccination (bOPV) campaign. As we approach global eradication, polio will increasingly be detected only through environmental surveillance. We developed a framework to convert quantitative polymerase chain reaction (qPCR) cycle threshold data into scaled WPV1 and OPV1 concentrations for inference within a deterministic, compartmental infectious disease transmission model. We used this approach to estimate the epidemic curve and transmission dynamics, as well as assess alternate vaccination scenarios. Our analysis estimates the outbreak peaked in late June, much earlier than previous estimates derived from analysis of stool samples, although the exact epidemic trajectory remains uncertain. We estimate the basic reproduction number was 1.62 (95% CI 1.04–2.02). Model estimates indicate that 59% (95% CI 9–77%) of susceptible individuals (primarily children under 10 years old) were infected with WPV1 over a little more than six months, mostly before the vaccination campaign onset, and that the vaccination campaign averted 10% (95% CI 1–24%) of WPV1 infections. As we approach global polio eradication, environmental monitoring with qPCR can be used as a highly sensitive method to enhance disease surveillance. Our analytic approach brings public health relevance to environmental data that, if systematically collected, can guide eradication efforts.
Journal Article