Search

SARS-CoV-2 cell-mediated immunity remains understudied during pregnancy in unvaccinated Black African women living with HIV (WLWH) from low- and middle-income countries. We investigated SARS-CoV-2-specific T-cell responses 1 month following infection in 24 HIV-uninfected women and 15 WLWH at any stage during pregnancy or postpartum. The full-length spike (FLS) glycoprotein and nucleocapsid (N) protein of wild-type (WT) SARS-CoV-2, as well as mutated spike protein regions found in the Omicron variant (B.1.1.529) were targeted by flow cytometry. WT-specific CD4+ and CD8+ T cells elicited similar FLS- and N-specific responses in HIV-uninfected women and WLWH. SARS-CoV-2-specific T-lymphocytes were predominantly TNF-α monofunctional in pregnant and postpartum women living with and without HIV, with fever cells producing either IFN-γ or IL-2. Furthermore, T-cell responses were unaffected by Omicron-specific spike mutations as similar responses between Omicron and the ancestral virus were detected for CD4+ and CD8+ T cells. Our results collectively demonstrate comparable T-cell responses between WLWH on antiretroviral therapy and HIV-uninfected pregnant and postpartum women who were naïve to Covid-19 vaccination. Additionally, we show that T cells from women infected with the ancestral virus, Beta variant (B.1.351), or Delta variant (B.1.617.2) can cross-recognize Omicron, suggesting an overall preservation of T-cell immunity. [ABSTRACT FROM AUTHOR]

Pneumonia is a major cause of death among adults living with HIV in South Africa, but the etiology of many cases remains unknown. This study evaluated the utility of a nanofluidic qPCR assay to detect and serotype Streptococcus pneumoniae in urine samples from patients hospitalized with community-acquired pneumonia (CAP). The nanofluidic qPCR assay was optimized to target 13 pneumococcal serotypes and 4 reference genes. Archived urine samples collected from patients > 15 years of age hospitalized with pneumonia between April 2018 and August 2019 were retrospectively tested using the nanofluidic qPCR assay, BinaxNOW urine antigen test, and standard LytA qPCR. Blood culture was undertaken on a subset of the samples at the discretion of the attending physician. Cohens' Kappa statistics were used to determine the concordance between the methods. Of the 828 adults hospitalized for CAP, urine samples were available in 53% (n = 439). Of those, a random subset of 96 (22%) samples underwent testing. Of the participants included in the final analysis, the mean age was 45.8 years (SD 16.2), 49% (n = 47) were female, 98% (n = 94) were black, and 66% (n = 63) were living with HIV infection. The nanofluidic qPCR method was able to detect PCV13 vaccine strains spiked into urine samples; however, the method failed to detect any pneumococcus in clinical samples. In comparison, 19% of the pneumonia cases were attributed to S. pneumoniae using urine antigen testing. Nanofluidic qPCR is unable to detect and serotype Streptococcus pneumoniae in urine samples of South Africans hospitalized with CAP. [ABSTRACT FROM AUTHOR]

Non-pharmaceutical interventions affected the circulation of and illness due to endemic respiratory pathogens during the COVID-19 pandemic. We investigated the incidence of admissions to hospital for overall and specific pathogen-associated lower respiratory tract infection (LRTI) during the COVID-19 pandemic compared with incidence in the pre-pandemic period. In this observational study, we analysed surveillance data for children younger than 5 years from two public hospitals in Soweto, South Africa, for all-cause LRTI, respiratory syncytial virus (RSV), influenza, human metapneumovirus, and Bordetella pertussis from Jan 1, 2015 to Dec 31, 2022. Data were obtained from an electronic database that includes information for all admissions to the general paediatric wards at the two hospitals, automatically identified by a computer program. We excluded children admitted to hospital with incidental SARS-CoV-2 infection or COVID-19 without LRTI diagnosis. Incidence during COVID-19 pandemic years (2020, 2021, and 2022) were compared with pre-pandemic rates (2015–19). Overall, there were 42 068 all-cause hospital admissions, including 18 303 all-cause LRTI hospital admissions, from Jan 1, 2015, to Dec 31, 2022, 17 822 (42·4%) of whom were female, 23 893 (57·0%) were male, and 353 (0·8%) had missing data. All-cause LRTI incidence risk ratio (IRR) was 30% lower in 2020 (IRR 0·70, 95% CI 0·67–0·74) and 13% lower in 2021 (0·87, 0·83–0·91), but 16% higher in 2022 (1·16, 1·11–1·21) compared with the pre-pandemic period. Furthermore, compared with the pre-pandemic period, incidence of RSV-associated LRTI (0·52, 0·45–0·58), influenza-associated LRTI (0·05, 0·02–0·11), and pulmonary tuberculosis (0·52, 0·41–0·65) were lower in 2020, with similar trends observed for human-metapneumovirus-associated LRTI, pertussis, and invasive pneumococcal disease (IPD). Compared with the pre-pandemic period, by 2022, RSV-associated LRTI incidence was similar (1·04, 0·95–1·14) and influenza-associated LRTI showed a non-significant increase (1·14, 0·92–1·39), whereas incidence remained lower for tuberculosis (0·79, 0·65–0·94) and IPD (0·51, 0·24–0·99). In 2022, the incidence of COVID-19-associated LRTI hospital admission (65 per 100 000 children younger than 5 years) was lower than pre-pandemic RSV-associated LRTI (0·23, 0·19–0·27) but higher than pre-pandemic influenza-associated LRTI (1·19, 0·97–1·45), although the difference was not significant. All-cause LRTI death in 2022 (57 per 100 000 children younger than 5 years) was 28% higher than in the pre-pandemic period (1·28, 1·03–1·58). The higher incidence of all-cause LRTI admissions to hospital in 2022 compared with the pre-pandemic period is partly due to ongoing COVID-19 admission to hospital, and could worsen if other endemic respiratory pathogens revert to pre-pandemic incidence. Interventions, including the introduction of vaccines for people who are pregnant that aim to prevent RSV and possibly COVID-19 in young children, are warranted. The Bill & Melinda Gates Foundation. [ABSTRACT FROM AUTHOR]

Successful transitioning from high school to university remains a challenge for most students entering higher education. While the general first-year student population experiences challenges with transition, this can be acute for most Black students from poor home backgrounds. This qualitative study aims to determine how Black first-year students from poor home backgrounds navigate the transition to university and how their home and schooling experiences influence their trajectory to and through higher education. The paper uses a narrative approach to foreground the lived realities of six students from a university in the Free State Province of South Africa. Bronfenbrenner's Ecological Systems Theory was used to broaden the theoretical base for understanding the transition into higher education. Qualitative data were collected through in-depth semi-structured individual interviews, and individual stories were constructed and analysed using the narrative approach. The findings unveiled factors in the layers of the ecosystem that may serve as enablers to transition and academic success. The paper argues for university academic and social support to acknowledge and embrace enablers to student transition and success as these would contribute to students experiencing a sense of belonging in the new education environment. [ABSTRACT FROM AUTHOR]

A survey of the quality of water flowing from micro-system types to the ocean, along the subtropical east coast of South Africa, showed a wide variation in the concentrations of total nitrogen, phosphorus and phytoplankton biomass in the different systems located, in many cases, only a short distance from each other along the coastline. The origins of the high phytoplankton growth indicate pollutants caused by the land-use in this highly populated coastal region. The main agricultural activities in the area are sugarcane, permanent orchards, and forestry. The levels of N and P in the water varied from ‘good’ to ‘poor’, i.e., TN 0.15–3.99 mg·L−1, TP 0.02–0.33 mg·L−1 and chlorophyll-a from 0 to almost 45 µg·L−1. Rapid coastal population densification appears to have been the cause of the pollution levels measured for total nitrogen, phosphorus, and phytoplankton biomass. Most of the micro-systems with a total modified peri-catchment above 80% were enriched by both TN and TP. While the hypothesis tested was that the main cause was residential development (e.g., septic tank effluent), it was not possible to show any statistical significance to support such a specific conclusion. Although these systems are small individually, the great number along the coastline warrants recognition as important sources of freshwater inflow and nutrients to the marine environment. [ABSTRACT FROM AUTHOR]

Background: In December 2018, the South African 24-hour movement guidelines for birth to 5 years were released. This article describes the process used to develop these guidelines. Methods: The Grading of Recommendations Assessment, Development, and Evaluation-ADOLOPMENT approach was followed, with some pragmatic adaptions, using the Australian guidelines for the early years as a starting point. A consensus panel, including stakeholders in early childhood development and academics, was formed to assist with the development process. Results: At a face-to-face meeting of the panel, global and local literatures were considered. Following this meeting, a first draft of the guidelines (including a preamble) was formulated. Further reviews of these drafts by the panel were done via e-mail, and a working draft was sent out for stakeholder consultation. The guidelines and preamble were amended based on stakeholder input, and an infographic was designed. Practical "tips" documents were also developed for caregivers of birth to 5-year-olds and early childhood development practitioners. The guidelines (and accompanying documents) were released at a launch event and disseminated through various media channels. Conclusions: These are the first movement guidelines for South African and the first such guidelines for this age group from a low- and middle-income country. [ABSTRACT FROM AUTHOR]

Background Influenza vaccination during pregnancy reduces influenza-associated illness in the women and their infants, but effectiveness estimates against influenza-associated hospitalization are limited and lacking from settings with high human immunodeficiency virus (HIV) infection prevalence. We assessed the effect of maternal vaccination in HIV-uninfected women and women with HIV in preventing influenza-associated hospitalizations in infants and the women. Methods During 2015–2018, influenza vaccination campaigns targeting pregnant women were augmented at selected antenatal clinics; these were coupled with prospective hospital-based surveillance for acute respiratory or febrile illness in infants aged <6 months and cardiorespiratory illness among pregnant or postpartum women. Vaccine effectiveness (VE) was assessed using a test-negative case-control study. Results Overall, 71 influenza-positive and 371 influenza-negative infants were included in the analysis; mothers of 26.8% of influenza-positive infants were vaccinated during pregnancy compared with 35.6% of influenza-negative infants, corresponding to an adjusted VE (aVE) of 29.0% (95% confidence interval [CI], −33.6% to 62.3%). When limited to vaccine-matched strains, aVE was 65.2% (95% CI, 11.7%–86.3%). For maternal hospitalizations, 56 influenza-positive and 345 influenza-negative women were included in the analysis, with 28.6% of influenza-positive women being vaccinated compared with 38.3% of influenza-negatives, for an aVE of 46.9% (95% CI, −2.8% to 72.5%). Analysis restricted to HIV-uninfected women resulted in 82.8% (95% CI, 40.7%–95.0%) aVE. No significant aVE (−32.5% [95% CI, −208.7% to 43.1%]) was detected among women with HIV. Conclusions Influenza vaccination during pregnancy prevented influenza-associated hospitalizations among young infants when infected with vaccine strains and among HIV-uninfected women. [ABSTRACT FROM AUTHOR]

Trophic niche analysis can be used to assess ecological opportunities available to alien species in areas of introduction that might aid their establishment, define their functional role and inform on their potential impacts. This study assessed the trophic niche utilized by an invasive population of the Australian redclaw crayfish, Cherax quadricarinatus, in the Inkomati River Basin, South Africa. It evaluated the hypothesis that the euryphagous feeding strategy of redclaw crayfish may allow it to shift its niche width and niche position by altering its feeding strategy in response to fluctuations in resource availability. Gut content and stable isotope analyses were used to determine trophic niche and trophic interactions. Redclaw crayfish were shown to be omnivores and their diet consisted mainly of algae, plant material and invertebrates. Small‐sized individuals had a constricted niche width and fed primarily on invertebrates, whereas larger individuals expanded their niche width to include larger proportions of plant material. Crayfish caught from lotic environments had a higher proportion of invertebrates in their diet than crayfish from lentic environments, and the species exploited a wider niche in summer than in winter. These differences are likely related to differences in productivity amongst habitats and fluctuations in resource availability. There was significant niche overlap (>60%) between redclaw crayfish and Sidney's river crab (Potamonautes sidneyi), but not with other native invertebrates. Both species are omnivores and have similar functional roles, possibly making redclaw crayfish functionally redundant in this ecosystem. Even though both species mainly feed on resources (plant material and invertebrates) that are not normally limiting, the redclaw crayfish invasion might be an accelerator of ecosystem processes such as shredding and decomposition rates of plant material. There is, therefore, a need for further studies to examine potentially altered ecosystem functions caused by redclaw crayfish invasion in the Inkomati River system. [ABSTRACT FROM AUTHOR]

Host genetic factors are known to modify the susceptibility, severity, and outcomes of COVID-19 and vary across populations. However, continental Africans are yet to be adequately represented in such studies despite the importance of genetic factors in understanding Africa's response to the pandemic. We describe the development of a research resource for coronavirus host genomics studies in South Africa known as COVIGen-SA--a multicollaborator strategic partnership designed to provide harmonised demographic, clinical, and genetic information specific to Black South Africans with COVID-19. Over 2,000 participants have been recruited to date. Preliminary results on 1,354 SARS-CoV-2 positive participants from four participating studies showed that 64.7% were female, 333 had severe disease, and 329 were people living with HIV. Through this resource, we aim to provide insights into host genetic factors relevant to African-ancestry populations, using both genome-wide association testing and targeted sequencing of important genomic loci. This project will promote and enhance partnerships, build skills, and develop resources needed to address the COVID-19 burden and associated risk factors in South African communities. [ABSTRACT FROM AUTHOR]

Mining is an important industry, accounting for 6.9% of global GDP. However, global development promotes accelerated demand, resulting in the accumulation of hazardous waste in land, sea, and air environments. It reached 7 billion tonnes of mine tailings generated yearly worldwide, and 19 billion solid tailings will be accumulated by 2025. Adding to this, the legacy of environmental damage from abandoned mines is worrying; there are around 10,000 abandoned mines in Canada, 50,000 in Australia, and 6000 in South Africa, as well as 9500 coal mines in China, reaching 15,000 by 2050. In this scenario, restoration techniques from mining tailings have become increasingly discussed among scholars due to their potential to offer benefits towards reducing tailing levels, thereby reducing environmental pressure for the correct management and adding value to previously discarded waste. This review paper explores the available literature on the main techniques of mining tailing recycling and reuse and discusses leading technologies, including the benefits and limitations, as well as emerging prospects. The findings of this review serve as a supporting reference for decision makers concerning the related sustainability issues associated with mining, mineral processing, and solid waste management. [ABSTRACT FROM AUTHOR]

This article focuses on a study of historical emigration from the 1960s onwards, showing the importance of intercultural interaction. Due to the poverty, hunger and precarious living conditions that existed in Madeira Island, many young people saw emigration to South Africa as a means of escaping a difficult life. Arduous jobs due to their limited qualifications, as well as legal constraints and an inability to understand the language, were just some of the barriers encountered by these emigrants. By interviewing 15 persons from different generations of emigrants (first and second-generation), it was possible to gather information about the reality Madeirans have faced in South Africa. The graphematic transcription of semistructured interviews plays a very important role in the effective recording of these data, guaranteeing their comparability, analysis and discussion. The compilation of the empirical corpus, with the informed consent obtained from the interviewees, respecting their privacy and guaranteeing their anonymity allows us to perform a sociocultural and linguistic study. The study took into account intercultural personal reports of informants coming from different locations of the Island, age groups, genders, and schooling. Even though the impact of the South African culture, language and society was noticeable, the presence of the Portuguese language, music, religion, tradition, and Madeiran food were very strong, due to the fact that the Portuguese community was united. [ABSTRACT FROM AUTHOR]

Using hospital surveillance data, we estimated Human metapneumovirus (hMPV) hospitalization incidence by age and HIV-exposure status. hMPV-associated hospitalization incidence was highest in <1-year children. Incidence rate ratios of HIV-exposed over unexposed children were 1.5 (95%CI 0.9–2.4) for <6-month children, 1.4 (95%CI 0.7–2.4) for 6- to 11-month children and 0.9 (95%CI 0.4–1.9) for 12- to 59-month children. [ABSTRACT FROM AUTHOR]

A new species of Cunaxidae, namely Cunaxa bagualensis Wurlitzer & Ferla sp. nov., is described and illustrated based on females and males collected in soil and leaf litter in the Atlantic rainforest biome in a rural forest fragment in Mormaço county, Rio Grande do Sul state, Brazil. Additionally, Armascirus livingstoni Laniecka & Kazmierski, 2021 is transferred to Dactyloscirus based on some observations. [ABSTRACT FROM AUTHOR]

From April to September 2020, we investigated severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections in a cohort of 396 healthcare workers (HCWs) from 5 departments at Chris Hani Baragwanath Hospital, South Africa. Overall, 34.6% of HCWs had polymerase chain reaction–confirmed SARS-CoV-2 infection (132.1 [95% confidence interval, 111.8–156.2] infections per 1000 person-months); an additional 27 infections were identified by serology. HCWs in the internal medicine department had the highest rate of infection (61.7%). Among polymerase chain reaction–confirmed cases, 10.4% remained asymptomatic, 30.4% were presymptomatic, and 59.3% were symptomatic. [ABSTRACT FROM AUTHOR]

Background: We evaluated bacterial nasopharyngeal carriage (NPC) prevalence and cumulative acquisition following 7-valent pneumococcal conjugate vaccine (PCV7) or pneumococcal non-typeable Haemophilus influenzae protein D conjugate vaccine (PHiD-CV) administration. Methods: Participants were children from two clinical trials in a South African center who received PCV7 (n = 250) or PHiD-CV (n = 100) at ~6 weeks, ~14 weeks, and ~9–10 months of age, and were enrolled between Dec2009-Apr2010 and Mar2009-May2010 in the PCV7 and PHiD-CV studies, respectively. Sample collection, most microbiological assessments, and data re-analysis methods were identical. Results: NPC prevalence of any pneumococcal serotype was 18.5% and 17.0% at pre-vaccination, and 63.1% and 67.3% in 24–27 month-old children among PCV7 and PHiD-CV recipients, respectively. In 24–27 month-old children, 96.1% and 99.0% of PCV7 and PHiD-CV recipients had acquired ≥1 pneumococcal serotype, 53.7% and 62.9% ≥1 PCV7 serotype, 1.5%, and 3.1% ≥1 of serotypes 1, 5 or 7F, 23.2% and 19.6% serotype 6A, 23.2% and 21.7% serotype 19A, 88.7%, and 91.0% H. influenzae, and 50.3% and 62.9% Staphylococcus aureus, respectively. Conclusions: This analysis of two concurrent clinical trials did not reveal differences in bacterial NPC prevalence or acquisition in PCV7- and PHiD-CV-vaccinated children. Trial registration: South African National Clinical Trial Register (NHREC DOH-27-0511-299); ClinicalTrials.gov (NCT00829010). [ABSTRACT FROM AUTHOR]

A key consideration for expanding recommendations for influenza vaccination is a robust assessment of immunogenicity and efficiency of transplacental antibody transfer after maternal vaccination. We pooled data from two trials of maternal influenza vaccination to analyze vaccine immunogenicity with more power than either trial had alone. We compared hemagglutination-inhibition (HAI) titers and titer factor change for women and their infants between trial arms using t-tests; maternal and infant putative seroprotective titers (HAI ≥ 1:40) within each trial arm and maternal seroconversion between trial arms using exact tests; and transplacental antibody transfer between trial arms using t-tests. We used marginal linear models and generalized estimating equations to examine the impact of time between maternal vaccination and delivery on transplacental antibody transfer, infant titers, and infant seroprotection. For all vaccine components (A/H1N1, A/H3N2, and Type B), >80% of vaccinated women had seroprotective titers, >60% of them seroconverted, and >50% of their infants were born with seroprotective titers. These immunogenicity outcomes occurred more often in vaccine recipients and their infants than in controls. No difference in efficiency of transplacental antibody transfer was observed between vaccine recipients and controls. Our results provide robust support for further expansion of maternal influenza vaccination recommendations. Clinical Trials Registration: NCT01430689 and NCT01306669. [ABSTRACT FROM AUTHOR]

A new species of Capbrya from Brazilian Caatinga is described and illustrated in detail. Capbrya brasiliensis sp. n. is the first record of the genus outside South Africa. We provide the first complete and labelled dorsal chaetotaxy description of the genus including the S-chaetotaxy of tergal segments, and the complete trunk dorsal chaetotaxy of the first instar, described for the first time for the whole Nothobryinae. C. brasiliensis sp. n. differs from Capbrya marshalli and Capbrya themeda by ventral head and dorsal trunk chaetotaxy, postantennal organ size, metatrochanteral organ, empodial complex and manubrial plate morphology. We redrew and interpreted the published chaetotaxies of C. marshalli and Hispanobrya barrancoi and analysed specimens of Nothobrya sertaneja , Nothobrya sp.1 and Nothobrya sp.2. After the morphological comparison, we propose the subdivision of Nothobryinae in two tribes and their inclusion in the family Orchesellidae: the tribe Nothobryini for Nothobrya and the tribe Capbryini for Capbrya and Hispanobrya. We also provide an update to the identification key of Capbrya , Hispanobrya and Nothobrya species, now including C. brasiliensis sp. n.; and an update to Nothobrya diagnosis, including now its S-chaetotaxy formula and labial chaetae. [ABSTRACT FROM AUTHOR]

Background: RSV is a leading cause of lower respiratory tract infection in infants. Monitoring RSV glycoprotein sequences is critical for understanding RSV epidemiology and viral antigenicity in the effort to develop anti‐RSV prophylactics and therapeutics. Objectives: The objective is to characterize the circulating RSV strains collected from infants in South Africa during 2015‐2017. Methods: A subset of 150 RSV‐positive samples obtained in South Africa from HIV‐unexposed and HIV‐exposed‐uninfected infants from 2015 to 2017, were selected for high‐throughput next‐generation sequencing of the RSV F and G glycoprotein genes. The RSV G and F sequences were analyzed by a bioinformatic pipeline and compared to the USA samples from the same three‐year period. Results: Both RSV A and RSV B co‐circulated in South Africa during 2015‐2017, with a shift from RSV A (58%‐61% in 2015‐2016) to RSV B (69%) in 2017. RSV A ON1 and RSV B BA9 genotypes emerged as the most prevalent genotypes in 2017. Variations at the F protein antigenic sites were observed for both RSV A and B strains, with dominant changes (L172Q/S173L) at antigenic site V observed in RSV B strains. RSV A and B F protein sequences from South Africa were very similar to the USA isolates except for a higher rate of RSV A NA1 and RSV B BA10 genotypes in South Africa. Conclusion: RSV G and F genes continue to evolve and exhibit both local and global circulation patterns in South Africa, supporting the need for continued national surveillance. [ABSTRACT FROM AUTHOR]

We evaluated pneumococcal colonization in children and adults between the time of 7-valent pneumococcal conjugate vaccine (PCV) introduction in the immunization program in 2009 to two years after transitioning to PCV13 in 2011. Community-based carriage surveillance was undertaken between May-November 2013 (Period-3), with similar surveys in 2009 (Period-1) and 2011 (Period-2). Households with children below two years had a similar probability of being sampled in all surveys. Nasopharyngeal swabs were processed using standard methods and serotyped by Quellung. In children>9-59 months old, overall pneumococcal colonization prevalence declined from 81.8% in Period-1 to 65.0% in Period-3 (p<0.001). Reductions of 70% (41.2% vs. 13.6%) in PCV7-serotypes colonization and 66% (15.3% vs. 4.4%) for the six additional PCV13-serotypes (PCV13-add6VT) were observed. There was, however, high residual colonization by PCV7-serotypes 19F (14.9% vs. 6.3%) and 23F (8.5% vs. 4.1%), despite reduction of 57% and 52%, respectively. Among individuals>12 years of age, there was 61% reduction in PCV7-serotype colonization (3.1% vs. 1.3%) and 75% decrease for PCV13-add6VT (2.1% vs. 0.6%) between Period-1 and Period-3. The residual prevalence of serotypes 19F and 23F, four years after introducing PCV in the South Africa, suggests ongoing community transmission and transient vaccine effects. [ABSTRACT FROM AUTHOR]

The goal of this research is to present a bibliographic review of fire studies in savannas worldwide through remote sensing. A hybrid literature review, bibliometric and systematic approach was employed. The search string "Fire in Savanna and Remote Sensing" was used. The bibliometric analysis emphasized a quantitative approach using Bibliometrix metrics in the R software. In the systematic analysis, the reading of 57 articles from the top 10 most cited authors was highlighted, considering the H-index (Accounted for 18.5% of the total articles found). The results of the bibliometric analyses yielded 309 articles from Web of Science (WoS) and 5 from Scopus (Sco), totaling 314 non-repeated articles published between 1989 and 2022. This production refers to research from 37 countries, 134 journals, 1137 cited authors from 600 institutions. The four countries with the largest number of publications were the United States of America (23.2%), Australia (15.3%), Brazil (11.8%) and South Africa (7%). It was possible to observe that until the end of the 20th century, the number of publications remained stable and low, with a maximum of 5 articles per year, surpassing 10 articles per year from 2004 onwards. The average number of citations was high from 2002 to 2007, at over 50, decreasing from 2008. Our results are valuable for the scientific community as its reveal the most commonly used remote sensing products for savanna fire studies. Additionally, it presents current perspectives with the introduction of machine learning to Moderate Resolution Imaging Spectroradiometer (MODIS, 47% of the total) data for active fire detection and mapping of burned areas. Furthermore, the use of Light Detection and Ranging (LiDAR) for analyzing spatial patterns of fire effects on the three-dimensional vegetation structure. Studies are predominantly conducted at a local and regional scale, with an emphasis on those carried out in conservation areas and indigenous lands, possibly because savannas are better preserved in these areas. Finally, we observed a colonialism of knowledge, with a focus on Northern Hemisphere countries for savanna fire studies. • Studies of savanna fire by remote sensing have increased in the last 10 years. • The most recent studies show the application of LiDAR data fire analysis in savannas. • There is a predominance of studies from MODIS fire data. • The top countries for publications were the USA, Australia, Brazil, and South Africa • Fire studies are predominantly conducted at the local and regional scale. [ABSTRACT FROM AUTHOR]

The use of diatoms as bioindicators to detect human-induced change is a globally accepted monitoring tool. DNA metabarcoding is an effective complementary tool to standard microscopic methods for species identification, providing reliable and timeous diatom assessments in a range of aquatic ecosystems. This study evaluated the suitability of the DNA metabarcoding approach for diatom monitoring in the St Lucia Estuary, South Africa. Results obtained from the standard microscopic (morphological) and molecular methods were compared and indicated a low similarity in the vegetated (11%), unvegetated (12%) and epiphytic (12%) habitats at species level for the epipelic and epiphytic diatom communities. The difference between the methods was expected given the challenges pertaining to the incomplete molecular reference database, intragenomic variability, physiological differences (number of chloroplasts) and highly variable microphytobenthos biomass. While the molecular method was unable to identify the presence of all the dominant diatom species (routinely used as ecological indicators), the available molecular operational taxonomic units (MOTUs) provided an effective complementary tool to determine the relevant community diversity estimates required for the application of the South African estuarine health index (EHI). [ABSTRACT FROM AUTHOR]

Background: Measles morbidity and mortality rates are greatest in children <12 months old, with increased susceptibility in human immunodeficiency virus (HIV)-exposed children. We evaluated the immunogenicity and safety of an early 2-dose measles vaccine regimen administered at 6 and 12 months of age in South Africa.Methods: HIV-unexposed (HU) (n = 212) and HIV-exposed, uninfected (HEU) (n = 71) children received measles vaccination (CAM-70) at 6 and 12 months of age. Measles immunoglobulin G titers were measured by means of enzyme-linked immunosorbent assay before and 1 month after each vaccine dose.Results: The majority of children (88.2% HU and 95.8% HEU; P = .04) were seronegative (<150 mIU/mL) to measles at 4.2 months of age. This was particularly evident among infants of mothers born from 1992 onwards (year of public nationwide measles vaccine availability). One month after the first measles vaccine, 42.3% of HU and 46.4% of HEU children were seropositive (≥330 mIU/mL). After the second dose, the proportion seropositive increased to 99.0% in HU and 95.3% in HEU children. Safety profiles were similar between HU and HEU children.Conclusions: Early 2-dose measles vaccination at 6 and 12 months of age was safe and induced antibody responses in HU and HEU children, which could partly offset the early loss of maternally derived antibodies in infants born to predominantly measles-vaccinated mothers.Clinical Trials Registration: NCT03330171. [ABSTRACT FROM AUTHOR]

• A two-year randomized controlled trial of seasonal IIV3. • Over 2000 mothers in South Africa, from March 2011 until post 2012 influenza season. • Birth outcomes investigated were fetal death, SGA, birth weight and prematurity. • Vaccine demonstrated no appreciable impact of maternal IIV3 immunization. The purpose of this study was to evaluate the association of influenza vaccine during pregnancy and adverse fetal outcomes. Preventing fetal death, low birth weight, small for gestational age birth and preterm birth are important potential effects of antenatal maternal influenza immunization for which there are conflicting data. A double-blind, randomized, placebo-controlled clinical trial of trivalent inactivated influenza vaccine was conducted in South Africa from March 2011 until after the 2012 influenza season when the infants born had reached the age of 24 weeks. Mothers were administered the vaccine or placebo during pregnancy at a gestation of 20 to 36 weeks. A comparison of rates of fetal death, low birth weight, small for gestational age birth, and preterm birth, between vaccinated and placebo groups was made. Fetal outcome differences between the groups were measured using Student's t-tests, vaccine efficacy with 95% confidence intervals, and Poisson regression for incidence rates. All analyses except fetal death excluded mothers who were administered vaccine or placebo after 34 weeks gestational age. There were 2116 HIV-uninfected pregnant women age 18 to 38 years in the trial; 2005 infants were born to mothers where vaccine or placebo had been administered ≥ 14 days prior to delivery, and there were 6 miscarriages and 23 stillbirths. There was no significant vaccine efficacy (with [95% confidence interval]) on fetal death (−21.2% [−150.8, 41.4]), low birth weight (−11.1% [−42.3, 12.5]), small for gestational age birth (−9.9% [−35.6, 11.0]), or preterm birth (−21.3% [−60.5, 8.3]). Neither was vaccine efficacy demonstrated when the analysis was restricted to infants of mothers who were exposed to an influenza season (1832 outcomes available). We did not find a beneficial effect of trivalent inactivated influenza vaccine during pregnancy on adverse fetal outcomes. [ABSTRACT FROM AUTHOR]

Copyright of Brazilian Journal of Motor Behavior is the property of Brazilian Journal of Motor Behavior and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Although Agapanthus africanus (L.) Hoffm. is one of the most popular ornamental species in both hemispheres, it has an extremely restricted wild occurrence (Cape province, South Africa). This contradiction between generalized ornamental application and natural distribution was the basis for the analytical approach adopted in the present work. We hypothesized that characteristic features of the cuticular waxes were adopted by this species to help it cope with severe dehydration associated with marine salinity on account of the short distance of the wild populations to the sea. A comprehensive morpho-anatomical, histological and physical-chemical analysis was performed on the epicuticular and intracuticular layers of the adaxial and abaxial surfaces of leaves of specimens of A. africanus. The adaxial epicuticular surface is hydrophilic and the abaxial epicuticular surface exhibits globally hydrophobic behavior. The main chemical compounds detected in the wax layers of both surfaces of the leaf are the short-chain monocaprylin monoglyceride (C8), and very long-chain 1-hexacosanol (C26) and 1-octacosanol (C28) alcohols. While monocaprylin is particularly abundant in the intracuticular layers, the epicuticular adaxial surface revealed the highest concentration of both alcohols. We demonstrate that the smart combination of these two classes of molecules with opposite water affinity endows the A. africanus leaf cuticle with a unique water management system combining the efficient entrapment of water in the disordered α-gel phase formed by monocaprylin and the high resistance to water transport provided by ordered domains composed of tightly packed, all- trans alkyl chains of the above pair of alcohols. The remarkable structural similarity existing between the monocaprylin α-gel and the mucilage of algae is an evidence of the terrestrialization process. • A. africanus leaf has a unique ability to preserve water in harsh marine environments. • Histological and chemical properties of leaf cuticle allow it surviving dryness and high-irradiance. • Monocaprylin, 1-hexacosanol and 1-octacosanol contribute to efficient water preservation. • Monocaprylin ∝-gel's similarity to algae mucilage suggests terrestrialization. [ABSTRACT FROM AUTHOR]

Background. Limited data exist on the burden of respiratory syncytial virus (RSV) illness among pregnant women, to determine their potential benefit from RSV vaccination. We evaluated the incidence of RSV illness from midpregnancy until 24 weeks postpartum in human immunodeficiency virus (HIV)-uninfected and HIV-infected women and their infants. Methods. Mother-infant dyads were enrolled in maternal influenza vaccine efficacy trials. These included 1060 and 1056 HIVuninfected pregnant women in 2011 and 2012, respectively, 194 HIV-infected pregnant women in 2011, and their infants. Upper respiratory tract samples obtained at illness visits were tested for RSV. Results. The incidence (per 1000 person-months) of RSV illness (n = 43 overall) among HIV-uninfected women was lower in 2011 (1.2; 95% confidence interval [CI], .6-2.2) than in 2012 (4.0; 95% CI, 2.8-5.6). The incidence of RSV illness (n = 5) in HIVinfected women was 3.4 (95% CI, 1.4-8.1). Maternal RSV infection was associated with respiratory symptoms including cough (72.1%), rhinorrhea (39.5%), sore throat (37.2%), and headache (42%), but fever was absent. RSV infection during pregnancy was not associated with adverse pregnancy outcomes. Postpartum, RSV infection in mothers (n = 27) was associated with concurrent infection among 51.9% of their infants and, conversely, 29.8% of mothers investigated within 7 days of their infants having an RSV illness also tested positive for RSV. Conclusions. RSV infection is associated with respiratory illness during pregnancy and postpartum. Vaccination of pregnant women against RSV could benefit the mother, albeit primarily against nonfebrile illness, and her infant. [ABSTRACT FROM AUTHOR]

The summer of 2012/2013 signified the end of the dry phase in the St Lucia estuarine system that lasted for over a decade. The increased rainfall coupled with the partial re-connection of the Mfolozi River to the estuarine system shifted St Lucia to a new limnetic state. With the increased availability of habitat due to the higher water level, it was expected that microalgal biomass and abundance would rapidly increase through recruitment from refuge areas i.e. South Lake and new introductions. Microalgal and physico-chemical data were collected at three sites within the Mfolozi/Msunduzi River and at 23 sites within the St Lucia estuarine system between June 2014 and February 2015. Results from this study indicated low biomass for both phytoplankton (<5 μg l −1 ) and microphytobenthos (<60 mg m −2 ) because of local and external drivers. These included limited nutrient and light availability, variable water residence times, biomass dilution and heterogeneity of the sediment. The high spatio-temporal variability limits the effectiveness of using the microalgal communities to detect change in the estuarine lake. In addition, significant intrasystem differences were observed between the three main lake basins and Narrows, due to the influence of the freshwater input from the Mfolozi River. This study provides insight into the spatio-temporal variability of physico-chemical conditions and microalgal communities during the 2014–2015 limnetic state. [ABSTRACT FROM AUTHOR]

Background. Influenza immunization of pregnant women protects their young infants against laboratory-confirmed influenza infection. Influenza infection might predispose to subsequent bacterial infections that cause severe pneumonia. In a secondary analysis of a randomized clinical trial (RCT), we evaluated the effect of maternal vaccination on infant hospitalizations for all-cause acute lower respiratory tract infection (ALRI). Methods. Infants born to women who participated in a double-blind placebo-controlled RCT in 2011 and 2012 on the efficacy of trivalent inactivated influenza vaccine (IIV) during pregnancy were followed during the first 6 months of life. Results. The study included 1026 infants born to IIV recipients and 1023 born to placebo recipients. There were 52 ALRI hospitalizations (median age, 72 days). The incidence (per 1000 infant-months) of ALRI hospitalizations was lower in infants born to IIV recipients (3.4 [95% confidence interval {CI}, 2.2-5.4]; 19 cases) compared with placebo recipients (6.0 [95% CI, 4.3-8.5]; 33 cases) with a vaccine efficacy of 43.1% (P = .050). Thirty of the ALRI hospitalizations occurred during the first 90 days of life, 9 in the IIV group (3.0 [95% CI, 1.6-5.9]) and 21 in the placebo group (7.2 [95% CI, 4.7-11.0]) (incidence rate ratio, 0.43 [95% CI, .19-.93]) for a vaccine efficacy of 57.5% (P = .032). The incidence of ALRI hospitalizations was similar in the IIV and placebo group for infants >3 months of age. Forty-four of the hospitalized infants were tested for influenza virus infection and 1 tested positive. Conclusions. Using an RCT as a vaccine probe, influenza vaccination during pregnancy decreased all-cause ALRI hospitalization during the first 3 months of life, suggesting possible protection against subsequent bacterial infections that influenza infection might predispose to. [ABSTRACT FROM AUTHOR]

Ezemvelo KwaZulu-Natal Wildlife embarked on a programme to identify all the estuaries within the KwaZulu-Natal (KZN) province. Following an aerial survey along the coastline in 2012, images of all the visible inlets and estuaries were captured. Among these are a number of areas where flows of freshwater to the sea appeared to be present but which were not among the estuaries that had previously been named. There are already well defined and recognised estuary types being managed in South Africa in terms of existing environmental legislation. Following the initial survey and the observation that there are coastal inlets/freshwater outlets that are potentially small estuaries that had not been included among them prompted a further investigation into whether some of these inlets were in fact features that should be classified in some way or other. Based on a rapid qualitative assessment, 181 sites were classified as either a “micro-estuary”, “freshwater seep”, “hard-structure freshwater outflow point” or as sites that had been considerably modified by engineered structures. A total of 61 of these 181 sites are included in a new classification as micro-estuaries. Most of these systems are in a degraded condition and require intensive rehabilitation to restore them to their historical ecological function. This study emphasises the urgency of accepting “micro-estuary” as a new estuarine type to provide formal protection against further deterioration. This is the first study to provide a description and spatially define these smaller systems present along the KZN coast. [ABSTRACT FROM PUBLISHER]

Background. There is a paucity of data regarding the burden of Bordetella pertussis in African women and young infants, and particularly the impact of maternal human immunodeficiency virus (HIV) infection thereon. We performed a retrospective analysis of respiratory illness samples from longitudinal cohorts of HIV-uninfected and HIV-infected women and their infants to evaluate the burden of pertussis illness in a black-African community. Methods. The women were followed up for respiratory illness from midpregnancy and together with their infants until 24 weeks postpartum. Respiratory samples obtained at the time of illness visits were tested for B. pertussis by polymerase chain reaction (PCR). Results. The study included 194 HIV-infected and 1060 HIV-uninfected women, and 188 and 1028 infant offspring, respectively. There were 7 PCR-confirmed pertussis cases in the HIV-exposed infants and 30 in HIV-unexposed infants (7.4 vs 5.5 episodes per 1000 infant-months; P = .47), at a mean age of 70.9 days. All infant pertussis cases had a history of cough (mean duration, 6.3 days). Six of 17 (35.3%) pertussis-confirmed cases in infants <2 months of age were admitted to hospital within 21 days of B. pertussis detection, whereas none of the 20 cases ≥2 months of age required hospitalization. Ten PCR-positive pertussis-associated illnesses were detected in HIV-infected women compared with 32 in the HIV-uninfected women (6.8 vs 3.9 episodes per 1000 person-months; P = .12). Conclusions. Bordetella pertussis identification was common among young infants with respiratory illness, most of whom were too young to be fully protected through direct vaccination. Vaccination of pregnant women might be a valuable strategy in a setting such us ours to prevent B. pertussis–associated illness in women and their young infants. [ABSTRACT FROM AUTHOR]

Background. There are limited data on pertussis in African children, including among human immunodeficiency virus (HIV)– exposed infants. We conducted population-based hospital surveillance to determine the incidence and clinical presentation of Bordetella pertussis–associated hospitalization in perinatal HIV-exposed and -unexposed infants. Methods. Children <12 months of age hospitalized with any sign or symptom of respiratory illness (including suspected sepsis or apnea in neonates) were enrolled from 1 January 2015 to 31 December 2015. Detailed clinical and demographic information was recorded and respiratory samples were tested by polymerase chain reaction (PCR). Results. The overall B. pertussis PCR positivity was 2.3% (42/1839), of which 86% (n = 36) occurred in infants <3 months of age. Bordetella pertussis was detected in 2.1% (n = 26/1257) of HIV-unexposed and 2.7% (n = 16/599) of HIV-exposed infants. The incidence (per 1000) of B. pertussis–associated hospitalization was 2.9 (95% confidence interval [CI], 1.8–4.5) and 1.9 (95% CI, 1.3– 2.6) in HIV-exposed and HIV-unexposed infants, respectively (P = .09). The overall in-hospital case fatality ratio among the cases was 4.8% (2/42), both deaths of which occurred in HIV-exposed infants <3 months of age. Among cases, presence of cough ≥14 days (20.5%) and paroxysmal coughing spells (33.3%) at diagnosis were uncommon. Only 16 (38%) B. pertussis–associated hospitalizations fulfilled the Centers for Diseases Control and Prevention case definition of “definite” pertussis. Conclusions. Bordetella pertussis contributed to a modest proportion of all-cause respiratory illness hospitalization among black-African children, with a trend for higher incidence among HIV-exposed than HIV-unexposed infants. Maternal vaccination of pregnant women should be considered to reduce the burden of pertussis hospitalization in this population. [ABSTRACT FROM AUTHOR]

Background: We investigated the impact of infant pneumococcal conjugate vaccine (PCV) immunization on pneumococcal colonization among human immunodeficiency virus (HIV)-infected and HIV-uninfected mother-child pairs. Methods: Pneumococcal colonization was assessed in May 2010-February 2011 (period 1; 7-valent PCV era) and May 2012-April 2013 (period 2; 13-valent PCV era). Standard microbiological methods were used for pneumococcus isolation and serotyping. Results: In children 0-12 years, PCV13-serotype colonization decreased from period 1 to period 2 among HIV-uninfected (adjusted odds ratio [OR], 0.32; 95% confidence interval [CI], .25-.40) and HIV-infected children (adjusted OR, 0.37; 95% CI, .28-.49), while there was an increase in nonvaccine serotype colonization. Decreases in PCV13-serotype colonization were observed in HIV-uninfected women (adjusted OR, 0.44; 95% CI, .23-.81), with a similar trend in HIV-infected women. HIV-infected compared to -uninfected women had higher prevalence of overall (20.5% vs 9.7% in period 1; 13.8% vs 9.7% in period 2) and PCV13-serotype colonization (8.7% vs 5.4% in period 1; 4.8% vs 2.0% in period 2), P < .04 for all observations. Conclusions: Targeted PCV vaccination of African infants in a setting with high HIV prevalence was associated with PCV13-serotype colonization reduction, including among unvaccinated HIV-infected women. [ABSTRACT FROM AUTHOR]

Introduction: The seasonal variability in hospitalization for tuberculosis may in part relate to super-imposed bacterial or predisposing respiratory viral infections. We aimed to study the temporal association between hospitalization for culture-confirmed pulmonary tuberculosis (PTB), invasive pneumococcal disease (IPD) and influenza virus epidemics in South African children. Methods: We undertook a retrospective analysis which examined seasonal trends, from 2005 to 2008, for hospitalization for culture-confirmed PTB and IPD among children in relation to the influenza epidemics in Soweto, South Africa. Original time-series of the influenza virus epidemics and hospitalization rates for PTB and IPD were decomposed into three components: a trend cycle component, a seasonal component and an irregular component using the X-11 seasonal adjustment method. To compare the seasonality amongst the three series, the trend and irregular components were removed and only seasonal components examined. Results: Across the study period, the influenza virus epidemics peaked during May to July (winter) months, which was closely followed by an increase in the incidence of hospitalization for IPD (August to October) and PTB (August to November). Discussion: Within- and between-year temporal changes associated with childhood TB hospitalization may in part be driven by factors which influence temporal changes in pneumococcal disease, including potential variability in the severity of influenza virus epidemics in temperate climates. The dynamics of the interplay between the host and these infectious agents appears to be complex and multifactorial. [ABSTRACT FROM AUTHOR]

Pneumococcal vaccine-naïve mother-child dyads in South Africa had nasopharyngeal swabs taken 9 times within the first 2 years of the children's lives between January 2007 and May 2009. To quantify the strength of the association of serotype-specific carriage in mother-child dyads, a stochastic transmission model was fitted to the data. Children were more susceptible to individual serotypes included in the 7-valent pneumococcal conjugate vaccine (PCV7) transmitted by their mothers than vice versa; however, children infected their mothers with these serotypes more frequently than mothers infected children. The child-to-mother steady-state forces of pneumococcal acquisition were between 0.36 and 3.29 (per 1,000 days) compared with 0.06–0.51 for mother-to-child transmission. Although children of mothers infected with human immunodeficiency virus were more often exposed to PCV7 serotypes by their mothers, their risk of acquisition remained low compared with the risk of child-to-mother transmission. Mothers acquired pneumococci at lower rates (per 1,000 days) from unmeasured exposure within families and in the wider community (range, 0.12–1.69 per 1,000 days) than did children (range, 1.10–5.21 per 1,000 days). Pneumococcal immunization of young children is expected to have an indirect effect of reducing PCV7 serotype maternal colonization and possibly disease even in settings such as ours, in which there is a high prevalence of human immunodeficiency virus–infected mothers. [ABSTRACT FROM PUBLISHER]

The purposes of this study were to determine which of the isokinetic knee and shoulder strength parameters discriminate between successful and less successful provincial academy cricket batsmen and to assess the contribution of isokinetic knee and shoulder strength parameters to the performance of these athletes. Twenty-two contracted batsmen (20.63 ± 1.62 years) from the Gauteng and North-West Cricket Academies in South Africa were tested during the 2004 and 2005 seasons. The discriminant analyses showed that no strength, work or power parameters discriminated significantly between the successful (top 5 ranked batsmen of both seasons) and less successful academy batsmen. A forward stepwise multiple regression analyses showed that the contribution of individual knee-related isokinetic parameters ranged 4–16% whereas for the shoulder the range was 4–28%. However knee parameters accounted for a total of 57% of the difference between the more and less successful batsmen while the corresponding share in terms of shoulder parameters was even higher: 61%. The conclusion that can, therefore, be drawn is that isokinetic knee and shoulder strength parameters contribute to the performance of provincial academy cricket batsmen and that these components should be included in the talent identification protocols for young promising batsmen. [ABSTRACT FROM AUTHOR]

This article seeks to analyze the reasons that stimulate the multilateral trade negotiations. The purpose is going to contribute for the comprehension about the basis (domestic and international) in the constitution of international coalitions, in the new context of the multilateral agenda. The international coalitions constitution trial has occupied central paper in the dynamic one of the multilateral and regional negotiations, in particular in what plays to the perspectives of the balance of forces center-periphery of the international system. The new thematic challenges about international trade and development introduce new studies about the international coalitions and alliances on the South level. This article analyzes the convergence and divergence of commercial interests between Brazil, India and Africa of the South, inside the chart of broader political-strategic interests, showing that the merely commercial aspects do not give to count of explain the kinds of alignments that are produced in the interior of the arena multilateral of commerce. [ABSTRACT FROM AUTHOR]

Background: Encouraged by the widespread adoption of enhanced recovery protocols (ERPs) for elective total hip and knee arthroplasty (THA/TKA) in high-income countries, our nationwide multidisciplinary research group first performed a Delphi study to establish the framework for a unified ERP for THA/TKA in South Africa. The objectives of this second phase of changing practice were to document quality of patient recovery, record patient characteristics and audit standard perioperative practice.Methods: From May to December 2018, nine South African public hospitals conducted a 10-week prospective observational study of patients undergoing THA/TKA. The primary outcome was 'days alive and at home up to 30 days after surgery' (DAH30) as a patient-centred measure of quality of recovery incorporating early death, hospital length of stay (LOS), discharge destination and readmission during the first 30 days after surgery. Preoperative patient characteristics and perioperative care were documented to audit practice.Results: Twenty-one (10.1%) out of 207 enrolled patients had their surgery cancelled or postponed resulting in 186 study patients. No fatalities were recorded, median LOS was 4 (inter-quartile-range (IQR), 3-5) days and 30-day readmission rate was 3.8%, leading to a median DAH30 of 26 (25-27) days. Forty patients (21.5%) had pre-existing anaemia and 24 (12.9%) were morbidly obese. In the preoperative period, standard care involved assessment in an optimisation clinic, multidisciplinary education and full-body antiseptic wash for 67 (36.2%), 74 (40.0%) and 55 (30.1%) patients, respectively. On the first postoperative day, out-of-bed mobilisation was achieved by 69 (38.1%) patients while multimodal analgesic regimens (paracetamol and Non-Steroid-Anti-Inflammatory-Drugs) were administered to 29 patients (16.0%).Conclusion: Quality of recovery measured by a median DAH30 of 26 days justifies performance of THA/TKA in South African public hospitals. That said, perioperative practice, including optimisation of modifiable risk factors, lacked standardisation suggesting that quality of patient care and postoperative recovery may improve with implementation of ERP principles. Notwithstanding the limited resources available, we anticipate that a change of practice for THA/TKA is feasible if 'buy-in' from the involved multidisciplinary units is obtained in the next phase of our nationwide ERP initiative.Trial Registration: The study was registered with ClinicalTrials.gov ( NCT03540667 ). [ABSTRACT FROM AUTHOR]

• Pneumococcal conjugate vaccines have modestly reduced circulating vaccine serotypes in Soweto, South Africa. • There is a residual of vaccine serotypes. • Colonization by vaccine-serotype 19F remains high. • Co-colonization is higher in our setting than observed elsewhere. Pneumococcal conjugate vaccines (PCVs) reduce pneumococcal-associated disease by reducing vaccine-serotype (VT) acquisition in vaccinated children, thereby interrupting VT transmission. The 7-valent-PCV was introduced in the South African immunization program in 2009 (13-valent-PCV since 2011) using a 2+1 schedule (at 6, 14, and 40 weeks of age). We aimed to evaluate temporal changes in VT and non-vaccine-serotype (NVT) colonization after 9 years of childhood PCV immunization in South Africa. Nasopharyngeal swabs were collected from healthy children <60-month-old (n = 571) in 2018 (period-2) and compared with samples (n = 1135) collected during early PCV7-introduction (period-1, 2010-11) in an urban low-income setting (Soweto). Pneumococci were tested for using a multiplex quantitative-polymerase chain reaction serotyping reaction-set. Overall pneumococcal colonization in period-2 (49.4%; 282/571) was 27.5% lower than period-1 (68.1%; 773/1135; adjusted odds ratio [aOR]: 0.66; 95% confidence interval [CI]: 0.54-0.88). Colonization by VT was reduced by 54.5% in period-2 (18.6%; 106/571) compared with period-1 (40.9%; 465/1135; aOR: 0.41; 95% CI: 0.3-0.56). Nevertheless, serotype 19F carriage prevalence was higher (8.1%; 46/571) in period-2 compared with period-1 (6.6%; 75/1135; aOR: 2.0; 95% CI: 1.09-3.56). NVT colonization prevalence was similar in period-2 and period-1 (37.8%; 216/571 and 42.4%; 481/1135). There remains a high residual prevalence of VT, particularly 19F, colonization nine years post-introduction of PCV in the South African childhood immunization program. [ABSTRACT FROM AUTHOR]

• Rubella IgG immunity was assessed in pregnant women living with and without HIV. • Younger women had lower rates of rubella seropositive IgG compared to older women. • HIV infection did not influence rubella seropositivity. • Overall IgG antibody titres were higher in women living with HIV. Rubella infection during pregnancy may cause foetal death or congenital rubella syndrome. In South Africa, the national public immunization programme does not include rubella vaccination. The aim of this study was to evaluate rubella sero-epidemiology in pregnant South African women living with and without HIV. Serum samples obtained from women living with HIV (n = 552) and without HIV (n = 552) were tested for rubella immunoglobulin G antibodies using an ELISA. The proportions of women with seronegative titres (<8 IU/ml) and seropositive titres (≥11 IU/ml), and geometric mean titres (GMT) were compared by age group and HIV status. The overall proportion of rubella seropositivity was 97.8%. The proportion of seropositive women increased with age group (18–25 years: 97.0%; 26–32 years: 97.7%; 33–40 years: 99.3%; p = 0.047 after adjusting for HIV status). Similar proportions of women living with and without HIV were seropositive. Rubella immunity was high among South African pregnant women living with and without HIV in the absence of rubella vaccination in the public immunization programme. However, a lower percentage of younger women had seropositive titres, indicating the need for routine rubella vaccination after an increase in vaccine coverage rates. [ABSTRACT FROM AUTHOR]

Salivary gland tumors (SGT) are a diverse group of uncommon neoplasms that are rare in pediatric patients. This study aimed to characterize the clinicopathological profile of pediatric patients affected by SGT from a large case series derived from an international group of academic centers. A retrospective analysis of pediatric patients with SGT (0–19 years old) diagnosed between 2000 and 2021 from Brazil, South Africa, and the United Kingdom was performed. SPSS Statistics for Windows was used for a quantitative analysis of the data, with a descriptive analysis of the clinicopathological characteristics and the association between clinical variables and diagnoses. A total of 203 cases of epithelial SGT were included. Females were slightly more commonly (56.5%), with a mean age of 14.1 years. The palate was the most common site (43.5%), followed by the parotid gland (29%), lip (10%), and submandibular gland (7.5%). The predominant clinical presentation was a flesh-colored, smooth, and painless nodule. Pleomorphic adenoma (PA) was the most frequently diagnosed SGT (58.6%), followed by mucoepidermoid carcinoma (MEC) (26.6%). Surgery (90.8%) was the favored treatment option. Benign SGT in pediatric patients are more commonly benign than malignant tumors. Clinicians should keep PA and MEC in mind when assessing nodular lesions of possible salivary gland origin in pediatric patients. [ABSTRACT FROM AUTHOR]

Measles infection causes particularly severe disease in young children who, prior to vaccination, are dependent on maternal antibodies for protection against infection. Measles vaccination was introduced into the South African public immunization programme in 1983 and became widely available in 1992. The aim of this study was to determine measles-specific immunoglobulin G (IgG) levels in pregnant women living with and without HIV born before and after measles vaccine introduction in South Africa. Measles IgG antibody level from blood obtained at the time of delivery was compared between women who were born before 1983 (n = 349) and since 1992 (n = 349). Serum samples were tested for measles IgG antibody using an enzyme-linked immunosorbent assay. Geometric mean titres (GMTs) and the proportion with seronegative (<200 mIU/mL) or seropositive titres (≥275 mIU/mL) were compared. Women born since 1992 had lower GMTs [379.7 mIU/mL (95% CI 352.7–448.6)] and fewer were seropositive (55.9%, 195/349) than women born before 1983 [905.8 mIU/mL (95% CI 784.7–1045.5); 76.8%, 268/349], for both comparisons p < 0.001. We found an association between measles vaccine implementation into the public immunization program in South Africa and peri-partum maternal measles immunity, where women born before vaccine introduction had higher measles IgG antibody titres and were more likely to be seropositive. These findings suggest a need to reconsider the infant measles immunization schedule in settings where women have derived immunity mainly from measles vaccine rather than wild-type virus exposure. [ABSTRACT FROM AUTHOR]