The Standardization and Control of Serology and Nucleic Acid Testing for Infectious Diseases

Author(s):  
Wayne Dimech

Historically, the detection of antibodies against infectious disease agents was achieved using test systems that utilized biological functions such as neutralization, complement fixation, hemagglutination, or visualization of binding of antibodies to specific antigens, using testing doubling dilutions of the patient sample to determine an endpoint. These test systems have since been replaced by automated platforms, many of which have been integrated into general medical pathology.

2021 ◽  
pp. 154-196
Author(s):  
Jacek Jagielski ◽  
Piotr Gołaszewski

The article discusses the legal and administrative regulations regarding the prevention and control of infectious diseases. The author puts forward and justifies the thesis that the SARS-CoV-2 coronavirus epidemic (COVID-19 disease) has exposed significant imperfections (and partly deficiencies) of the above-mentioned regulations, and at the same time revealed the effects of – sometimes insufficient – theoretical reflection on administrative law and the methods of reception of its assumptions and theoretical structures into the provisions of this law. Against this background, particular attention was paid to the construction of the special state as a (separate and independent) institution of material administrative law, as well as to issues concerning, inter alia, administrative regulations, general administrative acts, administrative enforcement of non-pecuniary obligations, administrative proceedings, criminal-administrative law, and social (digital) exclusion in administrative law. The considerations are summed up by the statement that administrative law – both in practical and theoretical terms – has turned out to be insufficiently prepared for an epidemic of an infectious disease in general, and even more so for an epidemic of a scale such as that caused by the SARS-CoV-2 coronavirus.


1949 ◽  
Vol 89 (6) ◽  
pp. 669-680 ◽  
Author(s):  
Edward E. Fischel ◽  
Ruth H. Pauli

1. An attempt was made to repeat and extend various tests which have been presumed to demonstrate specific antigens and antibodies in rheumatic fever. 2. The "phase reaction" appears to be an inconstant phenomenon probably related to a colloidal abnormality of the serum, rather than to a specific antigen-antibody system. 3. No specific autoantibodies to human tissue extracts were demonstrable by complement fixation or by the collodion particle technique. Variable results were noted with the same test sera on different occasions, and positive reactions with control tissues and control sera were observed. 4. The possibility should be considered that autoantibodies are not necessarily specific for rheumatic fever but may be manifestations of the occurrence of a type of reaction similar to a biologically false positive Wassermann reaction.


2020 ◽  
Author(s):  
xie qing ◽  
wang jing ◽  
you jianling ◽  
zhu shida ◽  
zhou rui ◽  
...  

A large-scale (>20,000 tests per day) standardized and fully-automated laboratory (Huo-Yan) was built as an ad-hoc measure to meet the requirement of virus detection after the novel coronavirus (COVID-19) outbreak in Wuhan, China. We integrated the brief data from Health Commission of Hubei Province and the real-world operation data of Huo-Yan laboratory, into a novel differential model with non-linear transfer coefficients and competitive compartments, to evaluate the trend of suspected cases under different nucleic acid testing capacities, including suspected cases with/without coronavirus infection, to evaluate the achievement of “daily settlement” condition of suspected cases and the control of the epidemic under different nucleic acid testing capacities.


2022 ◽  
Vol 15 (1) ◽  
pp. 55-74
Author(s):  
Tian Wang ◽  
Shanshan Zhang ◽  
Yue Wu ◽  
Hongzhe Zhang

Objective: Entrusted by the Harbin Municipal Government, evaluation medical building system for prevention and control of sudden infectious diseases in the city has been established. Background: China, as a country that found the COVID-19 earlier, has taken strict control measures. However, as the medical building system is not perfect enough to prevent and control sudden infectious diseases. Method: First, expert group methodology was used and evaluation index of ability of prevention and control of sudden infectious diseases in medical building system was selected; then fuzzy comprehensive evaluation was adopted to establish index set and to set weight and medical building system evaluation model for prevention and control of sudden infectious diseases was constructed; finally, it’s to modify the indicators and weights in the evaluation set and to make an evaluation of the ability of Harbin medical building system to prevent and control sudden infectious diseases in accordance with the current management mode of system. Results: The medical building system in Harbin is significantly unbalanced in its ability to prevent sudden infections where there are low indicators for response monitoring and forecasting terminals, there are high indicators for the construction of emergency center. Conclusions: The evaluation model of the ability of medical building system to prevent and control sudden infectious diseases was constructed. The model is adopted to make practical evaluation of infectious disease prevention and control ability in Harbin and to form the evaluation method of the direct connection between the theoretical research of medical architecture and medical building design.


2018 ◽  
Vol 2018 ◽  
pp. 1-12 ◽  
Author(s):  
Manli Wang ◽  
Xuemei Han ◽  
Haiqing Fang ◽  
Chang Xu ◽  
Xiaojun Lin ◽  
...  

Objectives. Infectious disease knowledge and behaviors are key elements that ensure student health and safety. This study explores the impact of health education on student knowledge and behaviors toward infectious diseases and determines the factors affecting infectious diseases knowledge and behaviors among students in Gansu, China. Methods. A cross-sectional study and three sampling methods were used in two counties, 12 schools, and 32 classes in Gansu, China, from 2012 to 2013. Collected data included the following: (1) sociodemographic characteristics of 2002 students (1001 participants in the intervention group and 1001 in the control group); (2) accuracy of student knowledge and behaviors toward infectious diseases based on comparison of intervention and control groups through X2 test; and (3) mean scores on knowledge and behavior of students with different characteristics toward infectious diseases, as analyzed through analysis of variance (ANOVA). Multiple linear regression was conducted to analyze factors affecting student knowledge and behaviors toward infectious diseases. Results. Statistically significant differences were observed among eight items of infectious disease transmission and treatment knowledge between intervention and control groups (P<0.001). Average accuracies of knowledge and behaviors toward infectious diseases reached 72.23% and 60.03%. Significant differences were observed in six items on student behavior in rural and urban areas (P<0.001). Health education, household register, and county affected scores of student knowledge and behaviors toward infectious diseases (P<0.05). Gender and education level also affected scores of student behaviors toward infectious diseases (P<0.001). Conclusions. Health education contributes to student knowledge and behaviors toward infectious diseases. Students in the control group need intensified health education on infectious diseases. Health education needs to pay particular attention to rural students, all male students, and students at senior high school level living on campus.


Lab on a Chip ◽  
2018 ◽  
Vol 18 (13) ◽  
pp. 1928-1935 ◽  
Author(s):  
Wenhan Liu ◽  
Jagotamoy Das ◽  
Adam H. Mepham ◽  
Carine R. Nemr ◽  
Edward H. Sargent ◽  
...  

Integrated devices for automated nucleic acid testing (NAT) are critical for infectious disease diagnosis to be performed outside of centralized laboratories.


2021 ◽  
pp. 597-622
Author(s):  
Robert J. Kim-Farley

Infectious diseases remain a leading cause of morbidity, disability, and mortality worldwide. Lower respiratory infections are the third leading causes of death worldwide and their control is a constant challenge that faces health workers and public health officials in both industrialized and developing countries. This chapter provides a global and comprehensive view of the principles of infectious disease control through examination of the magnitude of disease burden, the chain of infection (agent, transmission, and host) of infectious diseases, the varied approaches to their prevention and control (measures applied to the host, vectors, infected humans, animals, environment, and agents), and the factors conducive to their eradication as well as emergence and re-emergence.


Lab on a Chip ◽  
2017 ◽  
Vol 17 (14) ◽  
pp. 2347-2371 ◽  
Author(s):  
Laura Magro ◽  
Camille Escadafal ◽  
Pierre Garneret ◽  
Béatrice Jacquelin ◽  
Aurélia Kwasiborski ◽  
...  

On-field infectious disease diagnostics can be performed with paper microfluidics through sample preparation and nucleic acid amplification.


2015 ◽  
Vol 21 (46) ◽  
pp. 16359-16363 ◽  
Author(s):  
Ki Soo Park ◽  
Richelle C. Charles ◽  
Edward T. Ryan ◽  
Ralph Weissleder ◽  
Hakho Lee

Author(s):  
Dharanidharan Ramamurthy ◽  
Trishana Nundalall ◽  
Sanele Cingo ◽  
Neelakshi Mungra ◽  
Maryam Karaan ◽  
...  

Abstract Immunotherapies are disease management strategies that target or manipulate components of the immune system. Infectious diseases pose a significant threat to human health as evidenced by countries continuing to grapple with several emerging and re-emerging diseases, the most recent global health threat being the SARS-CoV2 pandemic. As such, various immunotherapeutic approaches are increasingly being investigated as alternative therapies for infectious diseases, resulting in significant advances towards the uncovering of pathogen-host immunity interactions. Novel and innovative therapeutic strategies are necessary to overcome the challenges typically faced by existing infectious disease prevention and control methods such as lack of adequate efficacy, drug toxicity and the emergence of drug resistance. As evidenced by recent developments and success of pharmaceuticals such as monoclonal antibodies, immunotherapies already show abundant promise to overcome such limitations while also advancing the frontiers of medicine. In this review we summarize some of the most notable inroads made to combat infectious disease, over mainly the last 5 years, through the use of immunotherapies such as vaccines, monoclonal antibody-based therapies, T-cell-based therapies, manipulation of cytokine levels and checkpoint inhibition. Whilst its most general applications are founded in cancer treatment, advances made towards the curative treatment of HIV, tuberculosis, malaria, zika virus and, most recently COVID-19, reinforce the role of immunotherapeutic strategies in the broader field of disease control. Ultimately, the comprehensive specificity, safety and cost of immunotherapeutics will impact its widespread implementation.


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