Firemen have been considered at occupational risk of hepatitis (HBV) infection, but proof is lacking. The aim of this study was to assess the degree of risk by determining the prevalence of serological markers of past infection with HBV in members of the West Yorkshire Fire Service. Sera from 173 firemen, 9·3% of the brigade, were tested for antibodies to HBV surface antigen and to core antigen. Those containing anti-HBs≥10 IU/L or anti-core antibody, were also tested for antibody to HBe antigen. The presence of more than one marker was used to define past infection. One sample satisfied this criterion, giving a prevalence rate of 0·6%. This compares with a rate of 1% in London blood donors. We conclude that the group shows no evidence of having been at increased risk of HBV infection. A comprehensive vaccination policy for firemen might be questionable

Routine surveillance systems capture only a fraction of infectious intestinal disease (IID) that is actually occurring in the community. Different methodologies utilized among various international studies in the field were reviewed in order to devise an appropriate survey to obtain current estimates of prevalence of IID in Malta. An age-stratified retrospective cross-sectional telephone study was selected for the study due to its feasibility in terms of limited resources necessary (funds, time and human). The disadvantages of this type of study include the inherent biases such as selection bias (sampling, ascertainment and participation bias) and information bias (recall and observer bias). A pilot study was carried out using a random age-stratified sample of 100 persons over a 3-month period. A total of 5·0% (95% CI ±4·27) of the population was estimated to have suffered from IID during that period. This estimate was used in order to assist in sample size calculations for a large-scale community study. It also served to test the survey instrument and methodology and to identify operational problems.

The study objective was to use Bayesian latent class analysis to evaluate the accuracy of susceptibility test results obtained from disk diffusion and broth microdilution using bacteria recovered from beef feedlot cattle. Isolates of Escherichia coli and Mannheimia haemolytica were tested for susceptibility to ampicillin, ceftiofur, streptomycin, sulfisoxazole, tetracycline, and trimethoprim-sulfamethoxazole. Results showed that neither testing method was always or even generally superior to the other. Specificity (ability to correctly classify non-resistant isolates) was extremely high for both testing methods, but sensitivity (ability to correctly classify resistant isolates) was lower, variable in the drugs evaluated, and variable between the two bacterial species. Predictive values estimated using Bayesian Markov chain Monte Carlo models showed that the ability to predict true susceptibility status was equivalent for test results obtained with the two testing methods for some drugs, but for others there were marked differences between results obtained from disk diffusion and broth microdilution tests.

Previously we reported on the HPIV2 genotype distribution in Croatia 2011–2014. Here we expand this period up to 2017 and confirm that G1a genotype has replaced G3 genotype from the period 2011–2014. Our hypothesis was that the G1a-to-G3 genotype replacement is an antibody-driven event. A cross-neutralisation with anti-HPIV2 sera specific for either G1a or G3 genotype revealed the presence of genotype-specific antigenic determinants. By the profound, in silico analyses three potential B cell epitopic regions were identified in the hemagglutinin neuraminidase (regions 314–361 and 474–490) and fusion protein (region 440–484). The region identified in the fusion protein does not show any unique site between the G1a and G3 isolates, five differentially glycosylated sites in the G1a and G3 genotype isolates were identified in epitopic regions of hemagglutinin neuraminidase. All positively selected codons were found to be located either in the region 314–316 or in the region 474–490 what indicates a strong positive selection in this region and reveals that these regions are susceptible to evolutionary pressure possibly caused by antibodies what gives a strong verification to our hypothesis that neutralising antibodies are a key determinant in the inherently complex adaptive evolution of HPIV2 in the region.

In this study the putative protective seroprevalence (PPS) of IgG antibodies to the 27-kDa and 15/17-kDa Cryptosporidium antigens in sera of healthy participants who were and were not exposed to Cryptosporidium oocysts via surface water-derived drinking water was compared. The participants completed a questionnaire regarding risk factors that have been shown to be associated with infection. The PPS was significantly greater (49−61%) in settlements where the drinking water originated from surface water, than in the control city where riverbank filtration was used (21% and 23%). Logistic regression analysis on the risk factors showed an association between bathing/swimming in outdoor pools and antibody responses to the 15/17-kDa antigen complex. Hence the elevated responses were most likely due to the use of contaminated water. Results indicate that waterborne Cryptosporidium infections occur more frequently than reported but may derive from multiple sources.

In Serbia, modern pork production systems with implemented control measures, including the detection of Trichinella larvae in meat (ISO18743), have eliminated farmed pork from pigs slaughtered at abattoirs as a source of trichinellosis. Epidemiological data from 2011 to 2020 indicate that the number of human cases and the number of infected domestic pigs has decreased significantly. Over the years, pork was the most frequent source of human infection. Cases generally occurred in small family outbreaks, and the infection was linked to consumption of raw or undercooked pork from backyard pigs. In most of the outbreaks, T. spiralis was the aetiological agent of infection, but in 2016, a large outbreak was caused by consumption of uninspected wild boar meat containing T. britovi larvae. To achieve safe pork, it is important that consumers of pork from animals raised in backyard smallholdings and of wild game meat are properly educated about the risks associated with consumption of untested meat. Laboratories conducting Trichinella testing should have a functional quality assurance system to ensure competency of analysts and that accurate and repeatable results are achieved. Regular participation in proficiency testing is needed.

Single and multi-jet liquid impingers and membrane-filters were found to be efficient sampling devices for aerosols generated from suspensions of the virus of foot-and-mouth disease (FMD). Concentration of the aerosol samples with an adsorbent, Attaclay, facilitated the detection of small amounts of virus. Sodium dodecyl sulphate could be used for elution as the virus of FMD is resistant to this anionic detergent.

The penetration of these aerosols through various air filtration media was determined using impinger samplers. A glass fibre paper was found to be the most efficient with a virus penetration of less than 0·001%.

We wish to thank Dr D. W. Henderson and Dr H. M. Darlow, of M.R.E. and Mr R. G. Dorman of C.D.E. Porton for valuable prefatory discussions and advice. We are also indebted to Miss S. Cartwright for inoculating mice, to Miss M. Shoobridge and Mr S. Taylor for technical assistance, and to Vokes Ltd. for supplying materials.

Mice of strain TO, in groups of ten, were inoculated intravaginally with Mycoplasma pulmonis organisms. Seven mice became infected after inoculation of organisms with strong haemadsorptive capacity, four after inoculation of organisms with diminished adsorptive capacity following ten passes in medium, and none after inoculation of apparently non-adsorbing organisms which had been passed 50 times. There appeared to be a correlation, therefore, between the ability to infect and the cytadsorptive capacity of the organisms. There was only a minimal vaginal polymorphonuclear leucocyte (PMNL) response in the infected mice and most of them had ceased to be infected by 35–42 days. In contrast, mice treated with progesterone had enhanced infections; all those given strongly haemadsorbing organisms, and organisms passed ten times, became infected and remained so for at least 42 days. Furthermore, at least ten fold more organisms were recovered from progesterone-treated than from untreated mice, and the PMNL response was much greater. Most of the progesterone-treated mice given organisms passed 50 times did not become infected, but some did, and the organisms recovered from them were fully cytadsorptive. It is postulated that a few cytadsorbing organisms in this inoculum were induced to infect under the enhancing effect of progesterone.

In these studies it is shown that the common ‘British’ and ‘American’ adult cockroaches can survive exposure to formaldehyde fumigation carried out at double the strength and for four times as long as is recommended for disinfection of rooms.

It is further reported that vaccinia virus ingested prior to the fumigation survives in the cockroach gut and may be excreted up to 5 days later.

Since cockroaches are ubiquitous and are to be found in most hospitals, laboratories and animal houses, these findings should be considered whenever fumigation is called for.

Serratia marcescens was isolated in pure culture from cases of septic abortion in 4 cows on one farm and 10 buffaloes on two other farms. A reddish vaginal discharge was observed after abortion in all animals and in the internal organs of the aborted fetuses. All but two of the isolates produced prodigiosin, and two of the isolates from buffaloes were atypical in that they fermented raffinose. O-serological, bacteriophage and bacteriocin typing revealed four different strains. All cows were infected by the same strain, and this strain was also isolated from the semen of a breeding bull on the same farm. In another farm a strain of serotype O 14 was isolated from 6 of 10 buffaloes, and two other distinct strains were isolated from the remainder. The strain from the cattle was sensitive to gentamicin and so were two of the buffalo isolates. The infected cows were treated with intra-uterine gentamicin and the organism disappeared from cervical mucus after 3 days. Each animal after abortion showed a raised titre of agglutinating antibody to their respective isolate. A survey of 1172 healthy buffaloes and cattle gave an incidence of 1·8% with raised titres towards S. marcescens.

A stock of 500 guinea-pigs at the Lister Institute was attacked by an epizootic and only 21 survived. These survivors showed definite immunity to a bacillus of the food-poisoning group (indistinguishable from B. aertryck and the B. suipestifer) recovered frequently from animals dying during the epizootic. Five of them have been proved to be carriers excreting the bacillus intermittently five month's later and the serum of all of them agglutinates the bacillus. Spread of infection apparently did not occur amongst contacts placed with these carriers in the few experiments carried out.

We have assessed the effect of house-cleaning procedures on changes in airborne dust and bacteria counts and correlated these with respiratory function tests in 14 children with bronchial asthma who were known to have developed attacks at home, and who had positive skin tests to house dust and the house-dust mite.

We have demonstrated that after cleaning procedures a positive and statistically significant correlation exists between the increase in the numbers of small particles, 2 μm. and less in diameter, in the environment, and reduction in mean peak flow. This indicates that particles of this size penetrate the bronchial tree and are the causative factor in the genesis of bronchospasm.

At present the coli titre of water is almost universally determined by fermentation tests in sugar-containing media; the fermentation method of Eijkman (glucose-peptone solution at 46°2) and that of Bulir (neutral-red mannite bouillon at 46°) are current in many European countries, while in America fermentation in lactose bouillon at 37° is the standard test. Fermentation tests at 37° in lactose-containing media with the addition of bile and bactericidal dyes are also widely used (Great Britain, America).

This paper examined whether previously identified community-level factors (high proportion of crowded households and/or persons below the poverty level) remained associated with childhood pneumococcal carriage in the heptavalent pneumococcal conjugate vaccine (PCV7) era. Using logistic regression, individual factors were used to develop base models to which community-level factors were added to evaluate impact on pneumococcal carriage within two paediatric study cohorts from Massachusetts (urban Boston, outside Boston). Six years after introduction of universal childhood PCV7 vaccination, we found no consistent evidence that census tract characteristics (e.g. population size and density, age and race distribution, percent participating in group childcare, parental education, percent lacking in-unit plumbing, poverty, and community stability) affected odds of pneumococcal carriage when added to individual predictors (e.g. younger age, current respiratory tract infections, and attendance in group childcare). How community-level factors influence pneumococcal carriage continues to change in the era of increasing immunization coverage.

1. The types of tubercle bacilli have been determined in the sputum of 515 cases of pulmonary tuberculosis occurring in the middle and south of Scotland.

2. Of the 515 cases 484 were human (476 eugonic and eight dysgonic) and thirty-one were bovine infections.

3. With the exception of the strains from one case (case 28) all the bovine strains, seventy in number, were typical culturally and fully virulent for rabbits.

4. The attenuated strains, two in number, from case 28 were slightly less virulent than typical bovine strains for rabbits and (one strain) for guinea-pigs.

5. The percentage of bovine infections found in this series, including the Cumberland case, during the years 1931–9 was 6·0, but excluding that case it was 5·8.

6. The percentage of bovine infections found by Munro during about the same period and covering the same regions was 5·0%.

7. In Munro's series strains of bovine tubercle bacilli were obtained from fifty-eight out of 1165 persons (5·0%). Five of his cases yielded attenuated bovine strains and in one of these the pulmonary tuberculosis was preceded by tuberculosis of the thoracic spine.

8. In my series the attenuated tubercle bacilli came from a case (case 28) of pulmonary tuberculosis which was preceded nearly 20 years previously by tuberculosis of the lower dorsal spine.

Dr Munro and others have made post-mortem examinations on cases of phthisis pulmonalis due to bovine bacilli, but I wish to defer reference to these until we can review them altogether.

In this series there are seven instances of cervical gland enlargement and one instance (case 28) of spinal tuberculosis occurring previous to the development of phthisis pulmonalis. These, I think, are examples of alimentary infection with the bovine tubercle bacillus. Thus, with the three autopsies previously mentioned, there are eleven cases, or about one-third, which are almost certainly alimentary in origin. As for the rest of the cases, 20 in number, no glandular enlargements in neck or abdomen were detected but the majority, if not all, were probably alimentary in origin, since all the persons drank a lot of raw milk and only five came into direct contact with cattle in their employment.

Vaccines are the cornerstone of influenza control policy, but can suffer from several drawbacks. Seasonal influenza vaccines are prone to production problems and low efficacies, while pandemic vaccines are unlikely to be available in time to slow a rapidly spreading global outbreak. Antiviral therapy was found to be beneficial during the influenza A(H1N1)pdm09 pandemic even with limited use; however, antiviral use has decreased further since then. We sought to determine the role antiviral therapy can play in pandemic and seasonal influenza control using conservative estimates of antiviral efficacy, and to assess if conservative but targeted strategies could be employed to optimize the use of antivirals. Using an age-structured contact network model for an urban population, we compared the transmission-blocking ability of a conservative antiviral therapy strategy to the susceptibility-reducing effects of a robust influenza vaccine. Our results show that while antiviral therapy cannot replace a robust influenza vaccine, it can play a role in reducing attack rates and eliminating outbreaks, and could significantly reduce public health burden when vaccine is either unavailable or ineffective. We also found that antiviral therapy, by treating those who are infected, is naturally a highly optimized strategy, and need not be improved upon with expensive targeted campaigns.

1. A study has been made of the probit-log survival-time relationship in a number of experiments in which whole standard cultures of Bact. coli were subjected to heat at temperatures ranging from 47 to 55° C.

2. It is concluded that the whole mortality up to 99·99 % could not be covered by a single straightline relationship since the graphs are curves concave upwards and to the left.

3. Between 95 and 99·99 % mortality the relationship approximated closely to linearity.

4. Several individual experiments showed ‘humps’ in their curves. These, although always occurring at the same stage in time in the disinfections, varied in their probit levels.

5. By combining the data for all experiments, an idealized probit-log survival-time curve was obtained in which the changes of slope were less marked than in the curve representing the disinfection of similar cultures by phenol.

The authors wish to express their gratitude to Messrs I.C.I. (Pharmaceuticals) Ltd. for their valuable financial assistance, which has enabled one of us (H. E. F. D.) to devote his full time to this work.

The material on which these notes are founded was obtained from moles captured in the neighbourhood of the Lister Institute at Elstree in Hertfordshire from the middle of May to the beginning of July, 1906. In all 14 moles were examined.

1. A larger dose of toxin is necessary to kill a guinea-pig of the same weight in summer than in winter.

2. The rate of growth of guinea-pigs is more rapid in the summer months.

3. The weights of guinea-pigs are least affected by lethal doses in summer.

4. For guinea-pigs of the same weight the fatal dose increases with the age.

Normal virulent B. anthracis all possess the genetical potentiality of producing capsules, but the capsule is only produced in vivo or under special cultural conditions suitable for capsule formation, especially in the presence of CO2.

During multiplication the potentially capsulated cells regularly produce a small number of a stable non-capsulated avirulent variant. All laboratory stock cultures of B. anthracis examined were found to contain from 0·14 to 32·4% of this avirulent variant. The variant has also been demonstrated in hair and wool from anthrax endemic areas, which suggests that the dissociation may also occur in nature.

Both the normal potentially capsulated cell and the variant incapable of producing capsules grow on plain agar in air as rough colonies with apparently non-capsulated cells. But when they are grown on serum agar in the presence of CO2, the normal potentially capsulated cell gives rise to a smooth mucoid colony with fully capsulated cells, while the variant still produces a rough colony with non-capsulated cells. If we regard the smooth mucoid colony produced by normal virulent B. anthracis on serum agar in CO2 as the normal colony form of B. anthracis, then the dissociation of the avirulent non-capsulated variant with the rough colony form falls in line with the usual S-R dissociation of other bacteria.

The more widely known variation of B. anthracis, which had long been held as an exception to the usual S-R variation of other bacteria, refers to colonies grown on plain agar in air. This variation is different from the one just described and is not so clear-cut and significant. Its underlying cause is not quite clear except that the chain length of the growth appears to play some part.

A summarized picture showing the whole range of variation in colony appearance and cell structure of B. anthracis is presented.