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Based on the air quality monitoring data and meteorological data, the pollution characteristics of PM2.5 in southern Beijing and relationships between PM2.5 levels and meteorological features were analyzed. The results showed that during the investigation period, daily air quality was characterized as "excellent" and "favorable" (<75 µg m−3) on 77% of days in southern Beijing, and there were only two days with serious air pollution (>250 µg m−3). The PM2.5 concentration displayed obvious monthly variations with the highest concentration in November and the lowest concentration in August. When PM2.5 pollution episodes occurred (>75 µg m−3) in this area, the wind direction was often south and southeast with low wind speed (<3 m∙s−1), followed by southwest wind; in addition, the air temperature was low (<10 °C) and the relative humidity was high (>75%). The air quality of the study area was affected by the pollution transmission form the surrounding areas, especially the southeastern and the southern transmission paths. The PM2.5 concentration was positively correlated with SO2, NO2 and CO, and negatively correlated with O3. Therefore, to further improve the air quality in the study area, it is necessary to coordinate the control of PM2.5 and O3. [ABSTRACT FROM AUTHOR]

Background Two-dose varicella vaccination has been available in Beijing since 2012 in the private sector. We investigated a varicella outbreak in a highly vaccinated elementary school population. Methods A cohort study was carried out and a varicella case was defined as an acute onset of generalized maculopapulovesicular rash without other apparent cause in a student attending the school from March 29 through May 17, 2015. Breakthrough varicella was defined as varicella >42 days after the last vaccine dose among both 1- or 2-dose varicella vaccine recipients. Vaccination information was collected from immunization records; information on prior varicella and clinical presentations was collected by surveying students’ parents. Results Of the 1056 students in the school, 1027 (97.3%) reported no history of varicella. Prior to the outbreak, 98.6% of students had received ≥1 dose of varicella vaccine, and most (63.2%) students received two doses. Twenty varicella cases were identified for an overall attack rate of 2.0%. Half of the cases occurred in the classroom of the index case-patient, a two-dose recipient who was not isolated after symptom onset. Breakthrough varicella accounted for 95% of cases (19/20) with attack rates of 14.3% (1/7), 1.6% (6/362) and 2.0% (13/649) among unvaccinated, one-dose, and two-dose students, respectively. Most case-patients (18/20, 90%) had <50 lesions. No difference in clinical presentations was found between one-dose and two-dose recipients with breakthrough varicella. Conclusion Moderate two-dose varicella vaccine coverage was insufficient to prevent a varicella outbreak. Two-dose recipients with breakthrough varicella are contagious. High two-dose varicella vaccine coverage and timely isolation of cases may be needed for varicella outbreak prevention in the two-dose era. [ABSTRACT FROM AUTHOR]