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Silva, M.

Publications and source records attributed to Silva, M..

5 recordsLinked to original sources

How Public Transport affected the Propagation of Zika and Microcephaly within Rio de Janeiro early in 2015

From mid-2015 to the end of January 2016, 47 cases of microcephaly were observed in the city of Rio de Janeiro, that were not due to other viral infections (syphilis, toxoplasmosis, herpes & cytomegalovirus). These children were conceived from Dec 2014 to April 2015, far too early to be explained by the officially recorded cases from October 2015 onward. Zika must have been rampant in the city from late 2014 onward. In the first half of the paper we study how the geographic spread of microcephaly cases evolved from mid-2015 to January 2016 (and hence Zika 6-9 months earlier). Cases were not evenly spread in proportion to the number of births; they were preferentially located in the northern suburbs apparently following the public transport routes, with virtually no cases in favelas and none in the southern suburbs (Zona Sul). One key difference between the transport systems in the northern and southern suburbs is that the metro & rail system in the north is above ground in the north whereas in the southern part the metro is underground with air-conditioning in carriages and forced ventilation on the platforms. The train system does not extend to Zona Sul.\n\nIn the second half of the paper we postulate that the air-conditioning and ventilation prevent mosquitos from biting people who are waiting on platforms in Zona Sul. Agent-based simulations are used to test this hypothesis. After confirming this, we postulate that providing air-conditioning and/or forced ventilation on the rail-metro transport hub in the city center (Centro) would significantly delay the propagation of arboviruses in the city, possibly preventing epidemics. One advantage of this proposal is that it does not require the use of insecticides.

epidemiology

Quantifying Seasonal and Diel Variation in Anopheline and Culex Human Biting Rates in Southern Ecuador

BackgroundQuantifying mosquito biting rates for specific locations enables estimation of mosquito-borne disease risk, and can inform intervention efforts. Measuring biting itself is fraught with ethical concerns, so the landing rate of mosquitoes on humans is often used as a proxy measure. Southern coastal Ecuador was historically endemic for malaria (P. falciparum and P. vivax), although successful control efforts in the 2000s eliminated autochthonous transmission (since 2011). This study presents an analysis of data collected during the elimination period.\n\nMethodsWe examined human landing catch (HLC) data for three mosquito taxa: 2 malaria vectors, Anopheles albimanus and Anopheles punctimacula, and grouped Culex spp. These data were collected by the National Vector Control Service of the Ministry of Health over a 5-year time span (2007 - 2012) in five cities in southern coastal Ecuador, at multiple households, in all months of the year, during dusk-dawn (18:00-6:00) hours, often at both indoor and outdoor locations. Hurdle models were used to determine if biting activity was fundamentally different for the three taxa, and to identify spatial and temporal factors influencing bite rate. Due to the many different approaches to studying and quantifying bite rates in the literature, we also created a glossary of terms, to facilitate comparative studies in the future.\n\nResultsBiting trends varied significantly with species and time. All taxa exhibited exophagic feeding behavior, and outdoor locations increased both the odds and incidence of bites across taxa. An. albimanus was most frequently observed biting, with an average of 4.7 bites per hour. The highest and lowest respective months for significant biting activity were March and July for An. albimanus, July and August for An. punctimacula, and February and July for Culex spp.\n\nConclusionsFine-scale spatial and temporal differences exist in biting patterns among mosquito taxa in southern coastal Ecuador. This analysis provides detailed information for targeting vector control and household level behavioral interventions. These data were collected as part of routine vector surveillance conducted by the Ministry of Health, but such data have not been collected since. Reinstating such surveillance measures would provide important information to aid in preventing malaria re-emergence.

epidemiology

chewBBACA: A complete suite for gene-by-gene schema creation and strain identification

Gene-by-gene approaches are becoming increasingly popular in bacterial genomic epidemiology and outbreak detection. However, there is a lack of open-source scalable software for schema definition and allele calling for these methodologies. The chewBBACA suite was designed to assist users in the creation and evaluation of novel whole-genome or core-genome gene-by-gene typing schemas and subsequent allele calling in bacterial strains of interest. The software can run in a laptop or in high performance clusters making it useful for both small laboratories and large reference centers. ChewBBACA is available at https://github.com/B-UMMI/chewBBACA or as a docker image at https://hub.docker.com/r/ummidock/chewbbaca/.\n\nDATA SUMMARYO_LIAssembled genomes used for the tutorial were downloaded from NCBI in August 2016 by selecting those submitted as Streptococcus agalactiae taxon or sub-taxa. All the assemblies have been deposited as a zip file in FigShare (https://figshare.com/s/9cbe1d422805db54cd52), where a file with the original ftp link for each NCBI directory is also available.\nC_LIO_LICode for the chewBBACA suite is available at https://github.com/B-UMMI/chewBBACA while the tutorial example is found at https://github.com/B-UMMI/chewBBACA_tutorial.\nC_LI\n\nI/We confirm all supporting data, code and protocols have been provided within the article or through supplementary data files. {boxtimes}\n\nIMPACT STATEMENTThe chewBBACA software offers a computational solution for the creation, evaluation and use of whole genome (wg) and core genome (cg) multilocus sequence typing (MLST) schemas. It allows researchers to develop wg/cgMLST schemes for any bacterial species from a set of genomes of interest. The alleles identified by chewBBACA correspond to potential coding sequences, possibly offering insights into the correspondence between the genetic variability identified and phenotypic variability. The software performs allele calling in a matter of seconds to minutes per strain in a laptop but is easily scalable for the analysis of large datasets of hundreds of thousands of strains using multiprocessing options. The chewBBACA software thus provides an efficient and freely available open source solution for gene-by-gene methods. Moreover, the ability to perform these tasks locally is desirable when the submission of raw data to a central repository or web services is hindered by data protection policies or ethical or legal concerns.

bioinformatics

Case-control study highlights a different gut microbiome in cirrhotic patients with and without hepatocellular carcinoma

BackgroundNo specific microbiome in patients with hepatocellular carcinoma (HCC) has been reported to date.\n\nAimTo compare the gut microbiome found in cirrhotic patients with and without HCC.\n\nMethodsFrom 407 patients with Child Pugh A/B cirrhosis prospectively followed, 25 with HCC (cases) were matched with 25 without HCC (wo-HCC) in a 1:1 ratio according to age, gender, etiology, Child Pugh and severity of portal hypertension. In addition results were also compared with 25 healthy subjects. Faecal stool samples were collected noninvasively, aliquoted for DNA extraction and sequenced for the V3-V4 region of the microbial 16S rRNA (Illumina MiSeq Platform).\n\nResultsThere were no significant clinical differences among cases and controls. We found a differential abundance in family members of Firmicutes with a 3-fold increased of Erysipelotrichaceae and a 5-fold decrease in family Leuconostocaceae in HCC when compared to wo-HCC controls. Genus Fusobacterium was found 5-fold decreased in HCC versus wo-HCC. The ratio bacteriodes/prevotella was increased in HCC due to the significant decrease in the genus prevotella. Genus Odoribacter and Butyricimonas were more differentialy abundant in HCC. This pattern has been previously associated with an inflammatory milieu with a putative increased activation of NOD-like receptor signalling pathways. A Random Forest model trained with differential abundant taxa correctly classifyed HCC individuals with an error of 22%.\n\nConclusionsA pattern of microbiome linked to inflammation was observed in cirrhotic patients with HCC. These findings open the discussion whether or not microbiota has a physiopathologic role in HCC development in cirrhosis.

cancer biology

The high burden of dengue and chikungunya in southern coastal Ecuador: Epidemiology, clinical presentation, and phylogenetics from a prospective study in Machala in 2014 and 2015

Here we report the findings from the first two years of an arbovirus surveillance study conducted in Machala, Ecuador, a dengue endemic region (2014-2015). Patients with suspected dengue virus (DENV) infections (index cases, n=324) were referred from five Ministry of Health clinical sites. A subset of DENV positive index cases (n = 44) were selected, and individuals from the index household and four neighboring homes within 200-meters were recruited (n = 400). Individuals who entered the study, other than index cases, are referred to as associates. In 2014, 70.9% of index cases and 35.6% of associates had acute or recent DENV infections. In 2015, 28.3% of index cases and 12.8% of associates had acute or recent DENV infections. For every DENV infection captured by passive surveillance, we detected an additional three acute or recent DENV infections in associates. Of associates with acute DENV infections, 68% reported dengue-like symptoms, with the highest prevalence of symptomatic acute infections in children under 10 years of age. The first chikungunya virus (CHIKV) infections were detected on epidemiological week 12 in 2015. 43.1% of index cases and 3.5% of associates had acute CHIKV infections. No Zika virus infections were detected. Phylogenetic analyses of isolates of DENV from 2014 revealed genetic relatedness and shared ancestry of DENV1, DENV2 and DENV4 genomes from Ecuador with those from Venezuela and Colombia, indicating presence of viral flow between Ecuador and surrounding countries. Enhanced surveillance studies, such as this, provide high-resolution data on symptomatic and inapparent infections across the population.

epidemiology