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Journal Emerg Infect Dis

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Estimate of Burden and Direct Healthcare Cost of Infectious Waterborne Disease in the United States.

Stephanie DeFlorio-Barker, Abhilasha Shrestha, Samuel Dorevitch,

Emerg Infect Dis (Emerging infectious diseases)
[2021, 27(8):2241-2242]

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Molecular Detection and Characterization of Rickettsia asembonensis in Human Blood, Zambia.

Lavel C Moonga, Kyoko Hayashida, Namwiinga R Mulunda, Yukiko Nakamura, James Chipeta, Hawela B Moonga, Boniface Namangala, Chihiro Sugimoto, Zephaniah Mtonga, Mable Mutengo, Junya Yamagishi,

Rickettsia asembonensis is a flea-related Rickettsia with unknown pathogenicity to humans. We detected R. asembonensis DNA in 2 of 1,153 human blood samples in Zambia. Our findings suggest the possibility of R. asembonensis infection in humans despite its unknown pathogenicity. ... Read more >>

Emerg Infect Dis (Emerging infectious diseases)
[2021, 27(8):2237-2239]

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Genomic Detection of Schmallenberg Virus, Israel.

Adi Behar, Omer Izhaki, Asael Rot, Tzvika Benor, Mario Yankilevich, Monica Leszkowicz-Mazuz, Jacob Brenner,

We discuss genomic detection of Schmallenberg virus in both Culicoides midges and affected ruminants during June 2018-December 2019, demonstrating its circulation in Israel. This region is a geographic bridge between 3 continents and may serve as an epidemiologic bridge for potential Schmallenberg virus spread into Asia. ... Read more >>

Emerg Infect Dis (Emerging infectious diseases)
[2021, 27(8):2197-2200]

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SARS-CoV-2 Prevalence among Outpatients during Community Transmission, Zambia, July 2020.

Jonas Z Hines, Sombo Fwoloshi, Davies Kampamba, Danielle T Barradas, Dabwitso Banda, James E Zulu, Adam Wolkon, Samuel Yingst, Mary Adetinuke Boyd, Mpanji Siwingwa, Lameck Chirwa, Muzala Kapina, Nyambe Sinyange, Victor Mukonka, Kennedy Malama, Lloyd B Mulenga, Simon Agolory,

During the July 2020 first wave of severe acute respiratory syndrome coronavirus 2 in Zambia, PCR-measured prevalence was 13.4% among outpatients at health facilities, an absolute difference of 5.7% compared with prevalence among community members. This finding suggests that facility testing might be an effective strategy during high community transmission. ... Read more >>

Emerg Infect Dis (Emerging infectious diseases)
[2021, 27(8):2166-2168]

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Comparison of Lyme Disease in the United States and Europe.

Adriana R Marques, Franc Strle, Gary P Wormser,

Lyme disease, or Lyme borreliosis, is the most common tickborne disease in the United States and Europe. In both locations, Ixodes species ticks transmit the Borrelia burgdorferi sensu lato bacteria species responsible for causing the infection. The diversity of Borrelia species that cause human infection is greater in Europe; the ... Read more >>

Emerg Infect Dis (Emerging infectious diseases)
[2021, 27(8):2017-2024]

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Spotted Fever Group Rickettsioses in Israel, 2010-2019.

Regev Cohen, Talya Finn, Frida Babushkin, Yael Paran, Ronen Ben Ami, Alaa Atamna, Sharon Reisfeld, Gabriel Weber, Neta Petersiel, Hiba Zayyad, Eyal Leshem, Miriam Weinberger, Yasmin Maor, Nicola Makhoul, Lior Nesher, Galia Zaide, Dar Klein, Adi Beth-Din, Yafit Atiya-Nasagi,

In a multicenter, nationwide, retrospective study of patients hospitalized with spotted fever group rickettsiosis in Israel during 2010-2019, we identified 42 cases, of which 36 were autochthonous. The most prevalent species was the Rickettsia conorii Israeli tick typhus strain (n = 33, 79%); infection with this species necessitated intensive care ... Read more >>

Emerg Infect Dis (Emerging infectious diseases)
[2021, 27(8):2117-2126]

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Four Human Cases of Eastern Equine Encephalitis in Connecticut, USA, during a Larger Regional Outbreak, 2019.

Stacy C Brown, Justine Cormier, Jessica Tuan, Audun J Lier, Declan McGuone, Philip M Armstrong, Firas Kaddouh, Sunil Parikh, Marie Louise Landry, Kevin T Gobeske,

Emerg Infect Dis (Emerging infectious diseases)
[2021, 27(8):]

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Whole-Genome Sequencing of SARS-CoV-2 from Quarantine Hotel Outbreak.

Lex E X Leong, Julien Soubrier, Mark Turra, Emma Denehy, Luke Walters, Karin Kassahn, Geoff Higgins, Tom Dodd, Robert Hall, Katina D'Onise, Nicola Spurrier, Ivan Bastian, Chuan K Lim,

Hotel quarantine for international travelers has been used to prevent coronavirus disease spread into Australia. A quarantine hotel-associated community outbreak was detected in South Australia. Real-time genomic sequencing enabled rapid confirmation tracking the outbreak to a recently returned traveler and linked 2 cases of infection in travelers at the same ... Read more >>

Emerg Infect Dis (Emerging infectious diseases)
[2021, 27(8):2219-2221]

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COVID-19 and the Consequences of Anchoring Bias.

Harold W Horowitz, Caren Behar, Jeffrey Greene,

Suspicion of coronavirus disease in febrile patients might lead to anchoring bias, causing misdiagnosis of other infections for which epidemiologic risks are present. This bias has potentially severe consequences, illustrated by cases of human granulocytic anaplasmosis and Lyme disease in a pregnant woman and human granulocytic anaplasmosis in another person. ... Read more >>

Emerg Infect Dis (Emerging infectious diseases)
[2021, 27(8):2235-2236]

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African Horse Sickness Virus Serotype 1 on Horse Farm, Thailand, 2020.

Napawan Bunpapong, Kamonpan Charoenkul, Chanakarn Nasamran, Ekkapat Chamsai, Kitikhun Udom, Supanat Boonyapisitsopa, Rachod Tantilertcharoen, Sawang Kesdangsakonwut, Navapon Techakriengkrai, Sanipa Suradhat, Roongroje Thanawongnuwech, Alongkorn Amonsin,

To investigate an outbreak of African horse sickness (AHS) on a horse farm in northeastern Thailand, we used whole-genome sequencing to detect and characterize the virus. The viruses belonged to serotype 1 and contained unique amino acids (95V,166S, 660I in virus capsid protein 2), suggesting a single virus introduction to ... Read more >>

Emerg Infect Dis (Emerging infectious diseases)
[2021, 27(8):2208-2211]

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Spatial, Ecologic, and Clinical Epidemiology of Community-Onset, Ceftriaxone-Resistant Enterobacteriaceae, Cook County, Illinois, USA.

Vanessa Sardá, William E Trick, Huiyuan Zhang, David N Schwartz,

We performed a spatial and mixed ecologic study of community-onset Enterobacteriaceae isolates collected from a public healthcare system in Cook County, Illinois, USA. Individual-level data were collected from the electronic medical record and census tract-level data from the US Census Bureau. Associations between individual- and population-level characteristics and presence of ... Read more >>

Emerg Infect Dis (Emerging infectious diseases)
[2021, 27(8):2127-2134]

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Tuberculosis-Associated Hospitalizations and Deaths after COVID-19 Shelter-In-Place, San Francisco, California, USA.

Janice K Louie, Rocio Agraz-Lara, Laura Romo, Felix Crespin, Lisa Chen, Susannah Graves,

A mandated shelter-in-place and other restrictions associated with the coronavirus disease pandemic precipitated a decline in tuberculosis diagnoses in San Francisco, California, USA. Several months into the pandemic, severe illness resulting in hospitalization or death increased compared with prepandemic levels, warranting heightened vigilance for tuberculosis in at-risk populations. ... Read more >>

Emerg Infect Dis (Emerging infectious diseases)
[2021, 27(8):2227-2229]

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Zoonotic Soil-Transmitted Helminths in Free-Roaming Dogs, Kiribati.

Patsy A Zendejas-Heredia, Allison Crawley, Helen Byrnes, Rebecca J Traub, Vito Colella,

Soil-transmitted helminths are highly prevalent in the Asia-Pacific region. We report a 96.5% prevalence of zoonotic soil-transmitted helminths in dogs in Kiribati. We advocate for urgent implementation of treatment and prevention programs for these zoonotic pathogens, in line with the Kiribati-World Health Organization Cooperation Strategy 2018-2022. ... Read more >>

Emerg Infect Dis (Emerging infectious diseases)
[2021, 27(8):2163-2165]

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Screening for Q Fever in Patients Undergoing Transcatheter Aortic Valve Implantation, Israel, June 2018-May 2020.

Nesrin Ghanem-Zoubi, Mical Paul, Moran Szwarcwort, Yoram Agmon, Arthur Kerner,

Q fever infective endocarditis frequently mimics degenerative valvular disease. We tested for Coxiella burnettii antibodies in 155 patients in Israel who underwent transcatheter aortic valve implantation. Q fever infective endocarditis was diagnosed and treated in 4 (2.6%) patients; follow-up at a median 12 months after valve implantation indicated preserved prosthetic ... Read more >>

Emerg Infect Dis (Emerging infectious diseases)
[2021, 27(8):2205-2207]

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Natural Human Infections with Plasmodium cynomolgi, P. inui, and 4 other Simian Malaria Parasites, Malaysia.

Nan Jiun Yap, Hanisah Hossain, Thamayanthi Nada-Raja, Romano Ngui, Azdayanti Muslim, Boon-Peng Hoh, Loke Tim Khaw, Khamisah Abdul Kadir, Paul Cliff Simon Divis, Indra Vythilingam, Balbir Singh, Yvonne Ai-Lian Lim,

We detected the simian malaria parasites Plasmodium knowlesi, P. cynomolgi, P. inui, P. coatneyi, P. inui-like, and P. simiovale among forest fringe-living indigenous communities from various locations in Malaysia. Our findings underscore the importance of using molecular tools to identify newly emergent malaria parasites in humans. ... Read more >>

Emerg Infect Dis (Emerging infectious diseases)
[2021, 27(8):2187-2191]

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Estimates of Toxoplasmosis Incidence Based on Healthcare Claims Data, Germany, 2011-2016.

Amrei Krings, Josephine Jacob, Frank Seeber, Uwe Pleyer, Jochen Walker, Klaus Stark, Hendrik Wilking,

Toxoplasmosis is a zoonotic infection contracted through Toxoplasma gondii-contaminated food, soil, or water. Seroprevalence in Germany is high, but estimates of disease incidence are scarce. We investigated incidences for various toxoplasmosis manifestations using anonymized healthcare claims data from Germany for 2011-2016. Patients with a toxoplasmosis diagnosis during the annual observational ... Read more >>

Emerg Infect Dis (Emerging infectious diseases)
[2021, 27(8):2097-2106]

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Modeling Immune Evasion and Vaccine Limitations by Targeted Nasopharyngeal Bordetella pertussis Inoculation in Mice.

Illiassou Hamidou Soumana, Bodo Linz, Kalyan K Dewan, Demba Sarr, Monica C Gestal, Laura K Howard, Amanda D Caulfield, Balázs Rada, Eric T Harvill,

Conventional pertussis animal models deliver hundreds of thousands of Bordetella pertussis bacteria deep into the lungs, rapidly inducing severe pneumonic pathology and a robust immune response. However, human infections usually begin with colonization and growth in the upper respiratory tract. We inoculated only the nasopharynx of mice to explore the ... Read more >>

Emerg Infect Dis (Emerging infectious diseases)
[2021, 27(8):2107-2116]

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Highly Pathogenic Avian Influenza A(H5N8) Virus Clade 2.3.4.4b, Western Siberia, Russia, 2020.

Ivan Sobolev, Kirill Sharshov, Nikita Dubovitskiy, Olga Kurskaya, Alexander Alekseev, Sergey Leonov, Yuriy Yushkov, Victor Irza, Andrey Komissarov, Artem Fadeev, Daria Danilenko, Junki Mine, Ryota Tsunekuni, Yuko Uchida, Takehiko Saito, Alexander Shestopalov,

Two variants of highly pathogenic avian influenza A(H5N8) virus were detected in dead poultry in Western Siberia, Russia, during August and September 2020. One variant was represented by viruses of clade 2.3.4.4b and the other by a novel reassortant between clade 2.3.4.4b and Eurasian low pathogenicity avian influenza viruses circulating ... Read more >>

Emerg Infect Dis (Emerging infectious diseases)
[2021, 27(8):2224-2227]

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Costs and Outcomes of Integrated Human African Trypanosomiasis Surveillance System Using Rapid Diagnostic Tests, Democratic Republic of the Congo.

Rian Snijders, Alain Fukinsia, Yves Claeys, Epco Hasker, Alain Mpanya, Erick Miaka, Filip Meheus, Marleen Boelaert,

We integrated sleeping sickness case detection into the primary healthcare system in 2 health districts in the Democratic Republic of the Congo. We replaced a less field-friendly serologic test with a rapid diagnostic test, which was followed up by human African trypanosomiasis microscopic testing, and used a mixed costing methodology ... Read more >>

Emerg Infect Dis (Emerging infectious diseases)
[2021, 27(8):2144-2153]

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Epidemiology and Spatial Emergence of Anaplasmosis, New York, USA, 2010‒2018.

Alexis Russell, Melissa Prusinski, Jamie Sommer, Collin O'Connor, Jennifer White, Richard Falco, John Kokas, Vanessa Vinci, Wayne Gall, Keith Tober, Jamie Haight, JoAnne Oliver, Lisa Meehan, Lee Ann Sporn, Dustin Brisson, P Bryon Backenson,

Human granulocytic anaplasmosis, a tickborne disease caused by the bacterium Anaplasma phagocytophilum, was first identified during 1994 and is now an emerging public health threat in the United States. New York state (NYS) has experienced a recent increase in the incidence of anaplasmosis. We analyzed human case surveillance and tick ... Read more >>

Emerg Infect Dis (Emerging infectious diseases)
[2021, 27(8):2154-2162]

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Epidemiology of COVID-19 in Prisons, England, 2020.

Wendy M Rice, Dimple Y Chudasama, James Lewis, Francis Senyah, Isaac Florence, Simon Thelwall, Lisa Glaser, Maciej Czachorowski, Emma Plugge, Hilary Kirkbride, Gavin Dabrera, Theresa Lamagni,

Using laboratory data and a novel address matching methodology, we identified 734 cases of coronavirus disease in 88 prisons in England during March 16-October 12, 2020. An additional 412 cases were identified in prison staff and household members. We identified 84 prison outbreaks involving 86% of all prison-associated cases. ... Read more >>

Emerg Infect Dis (Emerging infectious diseases)
[2021, 27(8):2183-2186]

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Mycobacterium microti Infections in Free-Ranging Red Deer (Cervus elaphus).

Giovanni Ghielmetti, Anne M Kupca, Matthias Hanczaruk, Ute Friedel, Hubert Weinberger, Sandra Revilla-Fernández, Erwin Hofer, Julia M Riehm, Roger Stephan, Walter Glawischnig,

Infections with Mycobacterium microti, a member of the M. tuberculosis complex, have been increasingly reported in humans and in domestic and free-ranging wild animals. At postmortem examination, infected animals may display histopathologic lesions indistinguishable from those caused by M. bovis or M. caprae, potentially leading to misidentification of bovine tuberculosis. ... Read more >>

Emerg Infect Dis (Emerging infectious diseases)
[2021, 27(8):2025-2032]

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Intense and Mild First Epidemic Wave of Coronavirus Disease, The Gambia.

Baderinwa Abatan, Orighomisan Agboghoroma, Fatai Akemoke, Martin Antonio, Babatunde Awokola, Mustapha Bittaye, Abdoulie Bojang, Kalifa Bojang, Helen Brotherton, Carla Cerami, Ed Clarke, Umberto D'Alessandro, Thushan de Silva, Mariama Drammeh, Karen Forrest, Natalie Hofmann, Sherifo Jagne, Hawanatu Jah, Sheikh Jarju, Assan Jaye, Modou Jobe, Beate Kampmann, Buba Manjang, Melisa Martinez-Alvarez, Nuredin Mohammed, Behzad Nadjm, Mamadou Ousmane Ndiath, Esin Nkereuwem, Davis Nwakanma, Francis Oko, Emmanuel Okoh, Uduak Okomo, Yekini Olatunji, Eniyou Oriero, Andrew M Prentice, Charles Roberts, Anna Roca, Babanding Sabally, Sana Sambou, Ahmadou Samateh, Ousman Secka, Abdul Karim Sesay, Yankuba Singhateh, Bubacarr Susso, Effua Usuf, Aminata Vilane, Oghenebrume Wariri,

The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic is evolving differently in Africa than in other regions. Africa has lower SARS-CoV-2 transmission rates and milder clinical manifestations. Detailed SARS-CoV-2 epidemiologic data are needed in Africa. We used publicly available data to calculate SARS-CoV-2 infections per 1,000 persons in The ... Read more >>

Emerg Infect Dis (Emerging infectious diseases)
[2021, 27(8):2064-2072]

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Emergence of SARS-COV-2 Spike Protein Escape Mutation Q493R after Treatment for COVID-19.

Daniele Focosi, Federica Novazzi, Angelo Genoni, Francesco Dentali, Daniela Dalla Gasperina, Andreina Baj, Fabrizio Maggi,

We report in vivo selection of a severe acute respiratory syndrome coronavirus 2 spike mutation (Q493R) conferring simultaneous resistance to bamlanivimab and etesivimab. This mutation was isolated from a patient who had coronavirus disease and was treated with these drugs. ... Read more >>

Emerg Infect Dis (Emerging infectious diseases)
[2021, 27(10):]

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Fungemia and Other Fungal Infections Associated with Use of Saccharomyces boulardii Probiotic Supplements.

Juha Rannikko, Ville Holmberg, Matti Karppelin, Pertti Arvola, Reetta Huttunen, Eero Mattila, Niina Kerttula, Teija Puhto, Ülle Tamm, Irma Koivula, Risto Vuento, Jaana Syrjänen, Ulla Hohenthal,

Emerg Infect Dis (Emerging infectious diseases)
[2021, 27(8):]

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