The Importance of RSV Epidemiological Surveillance: A Multicenter Observational Study of RSV Infection during the COVID-19 Pandemic

The restrictive measures adopted worldwide against SARS-CoV-2 produced a drastic reduction in respiratory pathogens, including RSV, but a dramatic rebound was thereafter reported. In this multicenter retrospective observational study in 15 Pediatric Emergency Departments, all children <3 years old with RSV infection admitted between 1 September and 31 December 2021 were included and compared to those admitted in the same period of 2020 and 2019. The primary aim was to evaluate RSV epidemiology during and after the COVID-19 pandemic peak. The secondary aims were to evaluate the clinical features of children with RSV infection. Overall, 1015 children were enrolled: 100 in 2019, 3 in 2020 and 912 in 2021. In 2019, the peak was recorded in December, and in 2021, it was recorded in November. Comparing 2019 to 2021, in 2021 the median age was significantly higher and the age group 2-3 years was more affected. Admissions were significantly higher in 2021 than in 2020 and 2019, and the per-year hospitalization rate was lower in 2021 (84% vs. 93% in 2019), while the duration of admissions was similar. No difference was found in severity between 2019-2020-2021. In conclusion, after the COVID-19 pandemic, an increase in RSV cases in 2021 exceeding the median seasonal peak was detected, with the involvement of older children, while no difference was found in severity.

A snap-shot of a diarrheal epidemic in Dhaka due to enterotoxigenic Escherichia coli and Vibrio cholerae O1 in 2022

Background

Enterotoxigenic Escherichia coli (ETEC) and Vibrio cholerae O1 are most common bacterial causes of diarrheal diseases in Bangladesh. This analysis projected distribution of ETEC and V. cholerae O1 among diarrheal patients of icddr,b, Dhaka hospital in two diarrheal peaks of 2022.

Methodology

Under the 2% systematic surveillance system, stool samples collected from diarrheal patients of icddr,b hospital were cultured and diagnostic testing was done for ETEC and V. cholerae O1. Comparison of positive cases was done between first peak (March-April) and second peak (October-November) in 2022.

Results

A total of 2,937 stool specimens were tested of which 12% were ETEC and 20% were V. cholerae O1. About 40% of the severe dehydration cases were infected with V. cholerae O1. Predominant ETEC enterotoxin type was 'LT/ST' (41%). The LT enterotoxin significantly increased from 13% to 28% in the second peak (p = 0.015). The predominant colonization factors (CFs) on ETEC were CS5 + CS6 (23%), followed by CS6 (15%). CF-positive isolates was significantly higher in the second peak (36%) than in the first peak (22%) (p = 0.043). Total 14% cases were co-infected with ETEC and V. cholerae O1. Significant differences in the distribution of enterotoxin types were observed (p = 0.029) among the co-infection cases.

Conclusion

Changing patterns of enterotoxin and CFs observed in ETEC pathogens should be taken into consideration for ETEC vaccine development. Considering cholera and ETEC biannual trends in causing diarrheal epidemics and outbreaks, emphasizes the need for thoughts on combination vaccine strategies for preventing acute watery diarrhea due to the two major bacterial pathogens.

Species Composition, Abundance, and Seasonal Dynamics of Perilla Seed Bugs (Heteroptera: Lygaeidae) in Weeds and Perilla Fields in Korea

Perilla seed bugs (Nysius sp.) are considered to be the emerging pests causing nutritional and yield losses in perilla and cereal crops. A survey of perilla seed bugs on weeds and perilla crops was conducted over the course of 2 yr in Korea to determine the species composition, abundance, and seasonal dynamics of perilla seed bugs. Three species of Heteroptera (Nysius plebeius, Nysius hidakai, and Nysius inconspicuus), nymphs of Nysius species, and several parasitoid species were collected from weeds and perilla crops. Nysius hidakai was the most abundant perilla seed bugs. In 2019, adult perilla seed bugs, nymphs of perilla seed bugs, and parasitoid species were more abundant in weed species than in perilla crops. An early peak with a greater number of adult perilla seed bug (N. hidakai) was observed in weeds in 2020. However, an identical peak with a similar number of perilla seed bug (N. hidakai) was found in perilla crops in both years. Peak perilla seed bugs densities were observed in the 4th week of June, 2020 in weeds. Parasitoid species from Aphidiidae (1), Braconidae (11), Eulophidae (7), Figitidae (5), Ichneumonidae (7), Platygastridae (1), and Pteromalidae (5) subfamilies were collected. Perilla seed bugs seem to be a serious and increasingly important pest in several field crop species including perilla crops grown on the southern Korean peninsula. Monitoring and early detection of insect species are vital to predicting seasonal colonization and population build-up of perilla seed bugs on perilla crops from a climate change perspective, and essential for developing appropriate management techniques. Thus, continuous monitoring of perilla seed bugs in alternative weed hosts is needed to protect perilla crops from perilla seed bug infestation.