Search

Showing total 2 results
Start Over Search Limiters Peer Reviewed Topic communicable diseases
2 results

1. Screening for infectious diseases among newly arrived asylum seekers, Bavaria, Germany, 2015.

Author

Ackermann N, Marosevic D, Hörmansdorfer S, Eberle U, Rieder G, Treis B, Berger A, Bischoff H, Bengs K, Konrad R, Hautmann W, Schönberger K, Belting A, Schlenk G, Margos G, Hoch M, Pürner F, Fingerle V, Liebl B, and Sing A

Subjects
Adolescent, Adult, Africa ethnology, Aged, Asia ethnology, Child, Child, Preschool, Europe, Eastern ethnology, Germany epidemiology, Humans, Infant, Infant, Newborn, Male, Middle Aged, Transients and Migrants, Tuberculosis, Pulmonary diagnosis, Young Adult, Communicable Diseases epidemiology, Mandatory Testing, Mass Screening, Refugees statistics & numerical data, Tuberculosis, Pulmonary epidemiology
Abstract

Background and aimAs a consequence of socioeconomic and political crises in many parts of the world, many European Union/European Economic Area (EU/EEA) countries have faced an increasing number of migrants. In the German federal state of Bavaria, a mandatory health screening approach is implemented, where individuals applying for asylum have to undergo a medical examination that includes serological testing for HIV and hepatitis B, screening for tuberculosis, and until September 2015, stool examination for Salmonella spp. and Shigella spp.. Methods : Data from mandatory screening of all first-time asylum seekers in Bavaria in 2015 was extracted from the mandatory notification and laboratory information system and evaluated. Results : The HIV positivity and hepatitis B surface antigen (HBsAg) positivity rate of tested samples from asylum seekers were 0.3% and 3.3%, respectively, while detection rate of active tuberculosis was between 0.22% and 0.38%. The rates for HIV, hepatitis B, and tuberculosis among asylum seekers were similar to the corresponding prevalence rates in most of their respective countries of birth. Only 47 Salmonella spp. (0.1%) were isolated from stool samples: 45 enteric and two typhoid serovars. Beyond mandatory screening, louse-borne relapsing fever was found in 40 individuals. Conclusions : These results show that mandatory screening during 2015 in Bavaria yielded overall low positivity rates for all tested infectious diseases in asylum seekers. A focus of mandatory screening on specific diseases in asylum seekers originating from countries with higher prevalence of those diseases could facilitate early diagnosis and provision of treatment to affected individuals while saving resources.

Published
2018
Full Text
View/download PDF

2. Paper microfluidics for nucleic acid amplification testing (NAAT) of infectious diseases

Author

Pierre Garneret, Patrick Tabeling, Beatrice Jacquelin, Fabrice Monti, Anavaj Sakuntabhai, Pierre Lafaye, Laura Magro, Aurélia Kwasiborski, Camille Escadafal, Jessica Vanhomwegen, Jean-Claude Manuguerra, Laboratoire Microfluidique, MEMS, Nanostructures (MMN), Ecole Superieure de Physique et de Chimie Industrielles de la Ville de Paris (ESPCI Paris), Université Paris sciences et lettres (PSL)-Université Paris sciences et lettres (PSL)-Centre National de la Recherche Scientifique (CNRS), Cellule d'Intervention Biologique d'Urgence - Laboratory for Urgent Response to Biological Threats (CIBU), Institut Pasteur [Paris], HIV, Inflammation et persistance, Génétique fonctionnelle des Maladies infectieuses - Functional Genetics of Infectious Diseases, Institut Pasteur [Paris]-Centre National de la Recherche Scientifique (CNRS), Ingénierie des Anticorps (plate-forme) - Antibody Engineering (Platform), Centre National de la Recherche Scientifique (CNRS)-Institut Pasteur [Paris], P. T., J. C. M. and P. L. initiated the collaboration. L. M., P. G., B. J. and C. E. prepared the manuscript with the assistance of P. T. L. M., F. M. and P. T. brought expertise on paper microfluidics and technological developments. J. C. M., A. S., C. E., A. K., J. V. and P. L. helped on more biological points of view: isothermal amplifications and sample preparations., Institut Pasteur [Paris] (IP), HIV, Inflammation et persistance - HIV, Inflammation and Persistence, and Institut Pasteur [Paris] (IP)-Centre National de la Recherche Scientifique (CNRS)

Subjects
Paper, [SDV.BIO]Life Sciences [q-bio]/Biotechnology, Microfluidics, Biomedical Engineering, Loop-mediated isothermal amplification, Bioengineering, Nanotechnology, 02 engineering and technology, Biology, 01 natural sciences, Biochemistry, Communicable Diseases, law.invention, Domain (software engineering), law, [SDV.MHEP.MI]Life Sciences [q-bio]/Human health and pathology/Infectious diseases, Lab-On-A-Chip Devices, Nucleic Acid Amplification Tests, Humans, [SDV.MHEP.ME]Life Sciences [q-bio]/Human health and pathology/Emerging diseases, 010401 analytical chemistry, General Chemistry, Nucleic acid amplification technique, Equipment Design, Lab-on-a-chip, Microfluidic Analytical Techniques, 021001 nanoscience & nanotechnology, Data science, 0104 chemical sciences, 3. Good health, Molecular Diagnostic Techniques, Low and middle income countries, Nucleic acid, 0210 nano-technology, Nucleic Acid Amplification Techniques
Abstract

International audience; The diagnosis of infectious diseases is entering a new and interesting phase. Technologies based on paper microfluidics, coupled to developments in isothermal amplification of Nucleic Acids (NAs) raise opportunities for bringing the methods of molecular biology in the field, in a low setting environment. A lot of work has been performed in the domain over the last few years and the landscape of contributions is rich and diverse. Most often, the level of sample preparation differs, along with the sample nature, the amplification and detection methods, and the design of the device, among other features. In this review, we attempt to offer a structured description of the state of the art. The domain is not mature and there exist bottlenecks that hamper the realization of Nucleic Acid Amplification Tests (NAATs) complying with the constraints of the field in low and middle income countries. In this domain however, the pace of progress is impressively fast. This review is written for a broad Lab on a Chip audience.

Published
2017