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Background: Food and mouth disease (FMD) is an endemic disease of cattle and other cloven hoofed animals. The objective of this study was to investigate the genetic characteristics and evolutionary relationships for the 2020 to 2021 field circulating Food and mouth disease virus (FMDV) obtained from reported outbreaks in different parts of Tanzania. Methods: The epithelial tissues were collected from lesions (oral, nasal, interdigital) of FMD suspect cases, stored and shipped to the laboratory for analysis. In the laboratory, the samples were prepared for nucleic acid extraction, FMDV detection, typing, sequencing, and phylogeny analysis. The construction of the phylogenetic trees was done by aligning current field strains nucleotide sequences with those from past studies stored in GenBank database. Results: The study identified three FMDV serotypes (A, O and, SAT1) to be circulating in the field as Africa Topotype G-I lineage, EA-2 Topotype, and Topotype I (NWZ) respectively. The identified field strains showed diverse scores of shared identity among current and past study strains. The generated nucleotide sequences from this study types O and SAT1 field strains were analysed categorically, and showed shared percent identities of 92.0-100.0% and 96.9-98.8% respectively. Conclusion: The sequencing and analysis of the VP1 coding region enhance FMDV knowledge on the genetic and evolutionary relationships existing among field strains, and commend for improved future strategies for effective national, regional and global FMD control measures. [ABSTRACT FROM AUTHOR]

Laws mandating vaccination against Covid-19 as a condition of employment in health and care sectors were commonplace during the pandemic. Using weekly data at the local authority level, we examine the impact of the vaccine mandate for elderly care homes in England on vaccine take-up, staffing levels, and mortality. Our identification strategy involves (1) comparing take-up and staffing in English elderly care homes relative to other social care settings unaffected by the mandate; (2) comparing take-up and staffing in English elderly care homes relative to those in Wales where the mandate also did not apply; and (3) comparing Covid-19 mortality among English elderly care home residents relative to mortality in domestic homes in England and to care homes in Wales. Our results suggest that the mandate substantially decreased the proportion of care home workers who remained unvaccinated (equivalent to between 28,000 and 41,000 fewer unvaccinated staff), but this came at the cost of a reduction in staffing levels of between 3% and 4% (equivalent to 14,000 to 18,000 staff). We observe this effect most strongly in areas of low unemployment. Our results do not provide evidence that the vaccine mandate was successful in its primary aim of reducing care home deaths. Relatively wide confidence intervals mean inferences regarding mortality are more uncertain than for vaccination uptake and staffing. This paper was accepted by Carri W. Chan, healthcare management. Supplemental Material: The data and e-companion are available at https://doi.org/10.1287/mnsc.2023.4832. [ABSTRACT FROM AUTHOR]

Foot-and-mouth disease (FMD) is a highly devastating viral disease affecting all cloven-hoofed animals. The disease threatens food security and livelihoods across different parts of the world. FMD is endemic in Africa; where the continuous circulation of the disease impacts the livelihoods of pastoral communities by reducing the quality and quantity of livestock products such as milk and meat, as well as undermining the access of the livestock sector to regional and lucrative global markets. Strategies used to control FMD in Africa, especially tropical Africa, are typically fragmented national-level focused activities with relatively poor outcomes, rather than regionally coordinated initiatives that have been used on other continents (South America, Europe) to successfully reduce and even eliminate virus circulation. Biotechnological advances have improved our ability to detect and characterize FMD virus strains, but more effective approaches to disease control are needed to encourage disease reporting and outbreak investigation. This review of the challenges to FMD control amongst Africa's diverse pastoral communities is intended to provide information and provoke discussion to improve the strategies and approaches for regional FMD control in Africa. [ABSTRACT FROM AUTHOR]

Many people worldwide, particularly those with disabilities and the elderly, suffered greatly not only as a result of the Covid-19 pandemic but also as a result of the lockdowns. In this article we set out widely-accepted ethical criteria for assessing when coercive public health measures are justified. We then review the empirical evidence, not least concerning the benefits and costs of the lockdowns, and conclude that lockdowns as instituted in the UK (and, presumptively, in many other jurisdictions) appeared to breach those criteria. We conclude that any future proposal to lockdown should be subjected to the strictest ethical scrutiny, and that a lockdown should not be contemplated unless it could be convincingly demonstrated that the benefits would substantially outweigh the harms; that it would be proportionate, and that legal coercion would be strictly necessary. [ABSTRACT FROM AUTHOR]