Dengue outbreak 2018 in district Shangla KPK; clinical features and laboratory markers of dengue virus infection
FUTURE VIROLOGY
Authors: Anwar, Faheem; Tayyab, Muhammad; Salman, Muhammad; Abdullah; Din, Misbahud; Khan, Jawad; Haq, Ihteshamul
Abstract
Aim: To analyze and quantify the 2018 dengue outbreak which occurred in district Shangla, Pakistan. Materials & methods: 964 suspected dengue samples were collected and examined for clinical manifestation and laboratory markers. Results: In all, 375 suspected cases were confirmed with dengue virus infection using nonstructural protein 1 (NS1) antigen, immunoglobulin M (IgM) & Immunoglobulin G (IgG) antibodies and real-time PCR whereas PCR was 92.2% sensitive. The most prevalent serotype was dengue virus 3 (60.26%). The male/female ratio was 1.84 and the most highly affected tehsil was Alpuri. The most affected age group was 16-40 years (70.4%). A significant number of cases were reported in September (48.54%). Conclusion: Recurrence of the dengue outbreaks in the study area could alarmingly increase the mortality rate, therefore, proper measures are essential to control dengue epidemics in the future.
Syntheses ofSalmonellaParatyphi A Associated Oligosaccharide Antigens and Development towards Anti-Paratyphoid Fever Vaccines
CHEMISTRY-A EUROPEAN JOURNAL
Authors: Dhara, Debashis; Baliban, Scott M.; Huo, Chang-Xin; Rashidijahanabad, Zahra; Sears, Khandra T.; Nick, Setare Tahmasebi; Misra, Anup Kumar; Tennant, Sharon M.; Huang, Xuefei
Abstract
With the emergence of multidrug resistantSalmonellastrains, the development of anti-Salmonellavaccines is an important task. Currently there are no approved vaccines againstSalmonellaParatyphi A, the leading cause of paratyphoid fever. To fill this gap, oligosaccharides corresponding to theO-polysaccharide repeating units from the surface ofSalmonellaParatyphi A have been synthesized through convergent stereoselective glycosylations. The synthetic glycan antigen was conjugated with a powerful immunogenic carrier system, the bacteriophage Q beta. The resulting construct was able to elicit strong and long-lasting anti-glycan IgG antibody responses, which were highly selective towardSalmonellaParatyphi A associated glycans. The availability of well-defined glycan antigen enabled the determination that one repeating unit of the polysaccharide is sufficient to induce protective antibodies, and the paratose residue and/or theO-acetyl modifications on the backbone are important for recognition by antibodies elicited by a Q beta-tetrasaccharide conjugate. Immune sera provided excellent protection to mice from lethal challenge withSalmonellaParatyphi A, highlighting the potential of the synthetic glycan-based vaccine.