Contribution of homeopathy to the control of an outbreak of dengue in Macaé, Rio de Janeiro

Homeopathy has contributed throughout history to the control and eradication of epidemic diseases. Facing the challenge of controlling an outbreak of dengue, the Secretary of Health of the county of Macaé, Rio de Janeiro, Brazil, in early 2007 carried out a “Homeopathy Campaign against Dengue”. 156,000 doses of homeopathic remedy were freely distributed in April and May 2007 to asymptomatic patients and 129 doses to symptomatic patients treated in outpatient clinics, according to the notion of “epidemic genus”. The remedy used was a homeopathic complex against dengue containing Phosphorus 30cH, Crotalus horridus 30cH and Eupatorium perfoliatum 30cH. The incidence of the disease in the first three months of 2008 fell 93% by comparison to the corresponding period in 2007, whereas in the rest of the State of Rio de Janeiro there was an increase of 128%. While confounding factors were not controlled for, these results suggest that homeopathy may be an effective adjunct in Dengue outbreak prevention. Keywords: Homeopathy; Collective Health; Epidemics; Dengue.  Contribuição da Homeopatia para o controle da epidemia de dengue em Macaé, Rio de Janeiro, Brasil Resumo A Homepatia tem contribuído através da História no controle e erradicação de epidemias. Em face ao desafio de controlar uma epidemia de dengue, a Secretaria de Saúde do município de Macaé, Rio de Janeiro, Brasil, iniciou em 2007 a “Campanha da Homeopatia contra a Dengue”. 156,000 doses de medicamento foram gratuitamente distribuídas entre Abril e Maio de 2007 para pacientes assintomáticos e 129 doses para pacientes que já apresentavam os sintomas. Seguindo o conceito de “Génio Epidémico” foi usado um complexo homeopático contendo Phosphorus 30cH, Crotalus horridus 30cH e Eupatorium perfoliatum 30cH. A incidéncia da doença, nos primeiros 3 meses de 2008, revelou uma queda de 93% em comparação com o período correspondente em 2007, enquanto que no resto do estado do Rio de Janeiro houve um aumento de 128% dos casos. Apesar de alguns fatores não terem sido controlados, estes resultados sugerem que o tratamento homeopático pode ser um complemento efetivo na prevenção da epidemia de Dengue. Palavras-chave: Homeopatia; Saúde Pública; Epidemia; Dengue.  Contribución de la homeopatía para el control de un brote de dengue en Macaé, Río de Janeiro, Resumen La homeopatía ha contribuido a lo largo de la historia em el control y la erradicación de las enfermedades epidémicas. Al enfrentar el reto de controlar un brote de dengue, el Secretario de Salud de la provincia de Macaé, Río de Janeiro, Brasil, a principios de 2007, llevó a cabo una "Campaña de la homeopatía contra el Dengue". 156.000 dosis de remedio homeopático se distribuyeron libremente entre abril y mayo de 2007 a pacientes asintomáticos y 129 dosis a los pacientes sintomáticos tratados en ambulatorios, de acuerdo con la noción de "epidemia de género". El recurso utilizado fue un complejo homeopático contra el dengue que contiene Phosporus 30cH, Crotalus horridus 30cH y Eupatorium perfoliatum 30cH. La incidencia de la enfermedad en los tres primeros meses de 2008 se redujo 93% en comparación con el período correspondiente en 2007, mientras que en el resto del Estado de Río de Janeiro hubo un aumento de 128%. Si bien hay factores no controlados, estos resultados sugieren que la homeopatía puede ser un complemento eficaz en la prevención del brote de dengue. Palabras-clave: Homeopatía; Salud Colectiva; epidemias; dengue.  Correspondence author: Laila Aparecida de Souza Nunes, [email protected] How to cite this article: Nunes LAS. Contribution of homeopathy to the control of an outbreak of dengue in Macaé, Rio de Janeiro. Int J High Dilution Res [online]. 2008 [cited YYYY Mmm DD]; 7(25): 186-192. Available from: http://journal.giri-society.org/index.php/ijhdr/article/view/315/374. ÂÂÂ

Performance and Agreement Between WGS Variant Calling Pipelines Used for Bovine Tuberculosis Control: Toward International Standardization

Whole genome sequencing (WGS) and allied variant calling pipelines are a valuable tool for the control and eradication of infectious diseases, since they allow the assessment of the genetic relatedness of strains of animal pathogens. In the context of the control of tuberculosis (TB) in livestock, mainly caused by Mycobacterium bovis, these tools offer a high-resolution alternative to traditional molecular methods in the study of herd breakdown events. However, despite the increased use and efforts in the standardization of WGS methods in human tuberculosis around the world, the application of these WGS-enabled approaches to control TB in livestock is still in early development. Our study pursued an initial evaluation of the performance and agreement of four publicly available pipelines for the analysis of M. bovis WGS data (vSNP, SNiPgenie, BovTB, and MTBseq) on a set of simulated Illumina reads generated from a real-world setting with high TB prevalence in cattle and wildlife in the Republic of Ireland. The overall performance of the evaluated pipelines was high, with recall and precision rates above 99% once repeat-rich and problematic regions were removed from the analyses. In addition, when the same filters were applied, distances between inferred phylogenetic trees were similar and pairwise comparison revealed that most of the differences were due to the positioning of polytomies. Hence, under the studied conditions, all pipelines offer similar performance for variant calling to underpin real-world studies of M. bovis transmission dynamics.

Development of Real-Time PCR Based on A137R Gene for the Detection of African Swine Fever Virus

African swine fever virus (ASFV) can infect domestic pigs and wild boars and causes huge economic losses in global swine industry. Therefore, early diagnosis of ASFV is important for the control and eradication of African swine fever (ASF). In this study, a SYBR Green-based real-time polymerase chain reaction (PCR) assay targeting the viral encoded A137R gene was established for the detection of ASFV infection. For the evaluation of the established real-time PCR, 34 clinical samples were assessed by both the A137R gene-based real-time PCR and OIE-recommended TaqMan PCR. The results showed that 85.29% (29/34) were detected by A137R gene-based real-time PCR, but only 79.41% (27/34) positive using OIE-recommended TaqMan PCR. Moreover, no cross-reaction with other common swine pathogens was found in the A137R gene-based real-time PCR. These results demonstrated that the established real-time PCR assay in this study showed better performance than the OIE-recommended method in detecting ASFV from clinical samples, which could be applied for control and eradication programs of ASF.

Host Serum Proteins as Potential Biomarkers of Bovine Tuberculosis Resistance Phenotype

Eradication of bovine tuberculosis (bTB) continues to be a worldwide challenge. The lack of reliable vaccines dampens the control and eradication programs of Mycobacterium bovis infection and spread. Selection and breeding of cattle resistant to M. bovis infection would greatly enhance the effectiveness of bTB eradication programs. Here, we have evaluated the potential of serum proteins as biomarkers of cattle resistance to bTB in Holstein-Friesian cows, 6–8-year-old, born and raised in similar conditions in herds with bTB prevalence >30%. Serum proteins obtained from uninfected cows (bTB-resistant; R) were compared to those from infected cows (bTB-susceptible; S), defined by a negative or positive bTB diagnosis, respectively. bTB diagnosis included: (i) single intradermal (caudal fold) tuberculin test, (ii) whole blood IFN-gamma test, (iii) gross visible lesions in lymph nodes and lungs by inspection at the abattoir, and (iv) a bacteriological culture for M. bovis. Using 2D-GE and LC-ESI-MS/MS, we found higher expression levels of primary amine oxidase (AO), complement component 5 (C5), and serotransferrin (TF) in R cattle than S cattle. In-house developed and standardized ELISAs for these novel biomarkers showed the best sensitivities of 72, 77, 77%, and specificities of 94, 94, 83%, for AO, C5, and TF, respectively. AUC-ROC (95% CI) values of 0.8935 (0.7906–0.9964), 0.9290 (0.8484–1.010), and 0.8580 (0.7291–0.9869) were obtained at cut-off points of 192.0, 176.5 ng/ml, and 2.1 mg/ml for AO, C5, and TF, respectively. These proteins are involved in inflammatory/immunomodulatory responses to infections and may provide a novel avenue of research to determine the mechanisms of protection against bTB. Overall, our results indicate that these proteins could be novel biomarkers to help identify cattle resistant to bTB, which in turn could be used to strengthen the effectiveness of existing eradication programs against bTB.

Prevalence and molecular identification of Mycobacteria isolated from animals slaughtered at Sokoto modern abattoir, Sokoto State, Nigeria

This study investigated the molecular epidemiology of Mycobacteria isolated from animals slaughtered at Sokoto modern abattoir. During meat inspection, 104 suspected tuberculosis lesions were sampled from a total of 102,681 animals slaughtered between November 2016 and January 2018. These samples were subjected to Ziehl Neelsen staining, followed by culture on Lowenstein-Jensen media. Subsequently, polymerase chain reaction (PCR) and sequencing of the 65KDa heat shock protein (hsp65) gene were performed to identify and phylogenetically characterize the cultured organisms. Because sequencing of the hsp65 gene was unable to distinguish between Mycobacterium bovis (M. bovis) and M. tuberculosis, PCR was performed to amplify a genomic region-specific to M. bovis in order to differentiate them from M. tuberculosis. Results showed that, 14 samples yielded growth after culture. Furthermore, hsp65 was detected in 9 out of the 14 isolates screened, 5 of the amplicons were successfully sequenced. Similarity search using NCBI BLAST tool showed the five sequences to share highest identities with Mycobacterium novocastrense (95.99%), M. canettii (94.54%), and M. tuberculosis/M. bovis (100%). Two out of the 5 isolates were confirmed to be M. bovis after PCR amplification using M. bovis specific primers. Phylogenetic tree further confirmed the identity of these isolates by placing them close to species of their kind. Further studies should be conducted to establish the transmission dynamics of the zoonotic Mycobacteria between animals and their owners, to facilitate control and eradication of tuberculosis.

Assessment and Appliction of Whole-Herd-Sampling, qPCR-Based-Testing, and Precision-Removal Method in Eliminating ASFv in Four Large Swine Herds in China

Since the first report of ASFV in China in 2018, conventional whole herd depopulation method to control ASF has proved unwieldly because of high production intensity and complex trade network. To provide an alternative to conventional methods, we evaluated the feasibility of implementating an extensive sampling method and qPCR tests to determine the status of ASFV in herds, with a rapid response to identified outbreaks. By assessing and applying these methods without whole herd depopulation, we successfully controlled ASF and eliminated the virus from 4 large swine herds. The time to negative herd was 19, 28, 14, and 1 days in farms 1-4 respectively. Retention rates of pigs of farm 1 to farm 4 was 69.7%, 65%, 99.4% and 99.72% respectively. We anticipated that this innovative method would replace the conventional stamping out one and greatly facilitate the control and eradication of ASFV in China and worldwide.

Epidemiosurveillance of Brucella infection in humans, non-ruminants and wildlife from Pakistan perspective (2000-2020)

This review aimed at providing an overview of the prevalence and epidemiosurveillance of brucellosis in non-ruminants and humans in Pakistan during 2000-2020. Sero-prevalence of brucellosis has been reported in non-ruminants such as camels, equines, dogs and humans with the range of 0.5-21%, 16.23-62.6%, 9.2-63.8% and 2.0-70% respectively. Non-target species like Avian, reptiles and amphibians were also reported with the prevalence of 2.5%, 24.9% and 25% respectively. Ignorance and indifference make it endemic in ruminants and much-neglected disease in non-ruminants with less or no studies reported in canines. Vaccines are available and being used for ruminants while none is available for non-ruminants, which may serve as an important source of spreading disease in animals and humans. In Pakistan, it is considered as ignored disease in non-ruminants lacking effective policies for control and eradication. This review guides policymakers to draw guidelines regarding brucellosis control and eradication using one health approach.

Retrieving Historical Cases of Aujeszky’s Disease in Sicily (Italy): Report of a Natural Outbreak Affecting Sheep, Goats, Dogs, Cats and Foxes and Considerations on Critical Issues and Perspectives in Light of the Recent EU Regulation 429/2016

Aujeszky’s disease is caused by Suid alphaherpesvirus 1, and its main reservoir host is the pig. However, other species are also susceptible. Infection with this virus causes a severe neurological clinical picture named Aujeszky’s disease, usually accompanied by itching and death a few days after the onset of symptoms. This study reports a multi-species outbreak of Aujeszky’s disease that occurred in Sicily, which led to the death of 2 goats, 15 sheep, 2 dogs, 2 cats and 2 foxes. The diagnosis was made by culture, indirect immunofluorescence on brain samples and confirmed by biological test on rabbits. This study reports the first cases of Aujeszky’s disease in Italy in cats, goat and sheep. The finding of Aujeszky’s disease in several species in Sicily suggests a potential epizootic risk. In such areas where a multi-host system is recognised, an analysis of the risk factors should be carried out in order to develop targeted strategies for the control and eradication of the disease. The critical issues that hinder the control of Aujeszky’s disease in the studied territory and perspectives for eradication in the light of EU regulation 429/2016 are also discussed.