Search Results (653)

Sweetpotato (Ipomoea batatas) is a staple crop of strategic importance in West Africa, particularly in Côte d’Ivoire. However, its productivity is increasingly under threat due to viral diseases. Given the lack of updated epidemiological data over the past three decades, a nationwide survey was conducted in September 2023 across 94 fields in 83 locations covering seven agroecological zones of the country. A total of 221 symptomatic and asymptomatic leaf samples were analyzed using PCR for DNA viruses and RT-PCR for RNA viruses. The overall viral incidence rate calculated was 65.61%, with significant regional variations (35–97.18%, p < 0.001) and notable differences in the severity of symptoms (p = 0.0095). Agroecological zone I was the most affected, while agroecological zones IV and V were the least impacted. Four viruses were identified: cucumber mosaic virus (CMV), sweet potato leaf curl virus (SPLCV), sweet potato feathery mottle virus (SPFMV), and sweet potato chlorotic stunt virus (SPCSV). No badnaviruses were found. CMV was the most common virus found in single infections (43.44%), followed by SPLCV (5.43%). SPFMV and SPCSV were only observed in mixed infections, particularly CMV/SPLCV (14.03%) and CMV/SPFMV (1.81%). Two triple infections were also detected: SPFMV/SPCSV/CMV and SPFMV/SPLCV/CMV. In total, 34 partial coat protein sequences were obtained (28 SPLCV, 4 SPFMV, 1 CMV, 1 SPCSV). Phylogenetic analysis revealed a high similarity between SPLCV isolates characterized in Côte d’Ivoire and those from Burkina Faso, Europe (Spain, Italy), and the Americas (USA, Puerto Rico) with nucleotide identity values ranging from 98% to 100%. The Côte d’Ivoire SPCSV sequence showed 97.92% nucleotide identity with European isolates, whereas SPFMV sequences exhibited greater diversity (77–89% identity) but clustered within the West African lineage. Sweetpotato viral diseases were detected mostly in mixed-cropping fields (66.85%). This work provides the first epidemiological update on sweetpotato viral diseases since 1987 and the first molecular evidence of the nationwide presence of SPLCV and SPCSV in Côte d’Ivoire. Full article

West Nile Virus (WNV) is an emerging arboviral threat in Europe, with rising incidence in Spain since 2004. In 2024, Spain experienced its largest outbreak, primarily in small urban areas of south-western regions. We report a subset of an emergency integrated vector management program, focusing on six municipalities accounting for one-third of all human WNV cases nationwide. Over four months, 725 potential larval sites were inspected during 4026 visits. Adult mosquitoes (n = 2553) were collected with suction traps, and immature stages (n = 4457) with dipper techniques, yielding 11 species. Culex pipiens s.l. was predominant, while Cx. perexiguus, though less abundant, was epidemiologically significant. Cytochrome Oxidase I (COI) gene phylogenetic analysis confirmed Cx. perexiguus, forming a distinct clade from Cx. univittatus. Immature mosquitoes were found in 18.6% of sites, especially irrigation canals, ditches, and backwaters near urban areas. Habitat differences in larval abundance were analyzed using generalized linear mixed models. Targeted larviciding with Bacillus thuringiensis var. israelensis (Bti) and focal adulticiding with cypermethrin totaled 259 interventions (70.4% larviciding, 29.6% adulticiding). A significant 63.9% reduction in larval abundance was observed after five consecutive Bti treatments, with some variation among treatment cycles (52.2–75.5%). Adult activity persisted into late autumn. This study provides the first comprehensive characterization of larval mosquitoes in Spain’s main WNV hotspot, highlighting the need for rapid, coordinated expert interventions and extended seasonal control to prevent future outbreaks. Full article

Heartworm disease, caused by Dirofilaria immitis and transmitted by mosquitoes, represents a major veterinary and zoonotic concern. Beyond its recognized cardiopulmonary effects in dogs, increasing evidence suggests that parasite-derived antigens may contribute to allergic disease in humans. Gran Canaria (Canary Islands, Spain) is a hyperendemic region for heartworm disease, offering a unique setting to explore this potential relationship. Therefore, the aim was to analyze the association between canine infection with D. immitis and the occurrence of allergic conditions in their owners on Gran Canaria. This cross-sectional study included 644 dogs and their respective owners. Dogs were tested for circulating D. immitis antigens using a commercial rapid test. Owners provided information on allergy through medical anamnesis. Associations between canine infection status, animal-related variables (age, sex, breed, habitat), and owner-reported allergies (age, sex) were analyzed using chi-square and Fisher’s exact tests with Bonferroni correction. The results showed that 46.4% of dogs tested positive for D. immitis and 43.8% of owners reported allergic diseases. However, 24.64% of dog owners who tested negative for heartworm disease and 65.89% of owners with positive pets reported allergic diseases. In fact, owners of infected dogs exhibited a significantly higher prevalence of allergies compared to those of uninfected dogs. Canine age, sex, breed, and owner demographics were not associated with infection or allergies. However, dog habitat was significantly associated with both outcomes: dogs living indoors had lower infection rates, while owners of infected dogs in mixed indoor–outdoor environments reported the highest rates of allergy. This study provides the first epidemiological evidence of an association between canine heartworm infection and allergies in owners within a hyperendemic European region. The findings suggest that cohabitation with infected dogs may represent a novel risk factor for atopy, reinforcing the importance of integrated preventive measures and highlighting the relevance of a One Health approach. Full article

Background/Objectives: Obesity is currently a global pandemic and a major risk factor for the development of chronic disease and increased mortality. Common methods used to define obesity, such as body mass index (BMI), do not accurately reflect body fat content or distribution. Methods: We investigated the prognostic significance of the body roundness index (BRI) on incident death in 12,642 participants (60.2% women, mean age: 39, standard deviation (SD): 12 years) from the “Seguimiento Universidad de Navarra” prospective cohort and compared it to waist-to-height ratio (WtHR) and waist circumference (WC). Participants were monitored through biennial questionnaires. The mean of the baseline BRI was 3.6 (SD: 1.4) units. Multivariable-adjusted Cox models were used to estimate hazard ratios (HR) and confidence intervals (CI) of death. Results: Over a median follow-up period of 11.5 years, 380 participants died (absolute mortality rate 1.74 × 10⁻³). In multivariable-adjusted models, higher quartiles of BRI were significantly associated with all-cause death, specifically in those ≥ 60 years (Quartile 4 vs. Quartile 1: HR 1.64; 95% CI: 1.00, 2.70). Considering the whole group (all ages), each 2-unit increase in BRI was linked to a 21% higher all-cause mortality risk in both men and women. This association was even stronger for participants aged over 60 years (multivariate adjusted HR for 2-unit BRI increase: 1.31; CI: 1.00, 1.72), while it was not significant when considering only those under 60 years. The associations of z-WtHR and z-WC with incident mortality for all participants were also significant in the fully adjusted model (HRs: 1.14; CI: 1.01, 1.27, and HRs: 1.16; CI: 1.04, 1.30, respectively). Mortality associations assessed using the BRI, WtHR, and WC were superior to associations based on the BMI. Conclusions: BRI shows a linear link with all-cause mortality in healthy adults ≥ 60, while WtHR and WC were also mortality predictors. Thus, lower central fat may help reduce early death risk. Full article

Calicophoron daubneyi, a rumen fluke increasingly reported in European livestock, has emerged as a relevant parasitic threat in cattle. This study investigated the prevalence and seasonal dynamics of gastrointestinal endoparasites in 382 fecal samples from 40 beef cattle farms (26 extensive and 14 semi-extensive) in central Spain. Samples were analyzed using flotation, sedimentation, and modified McMaster techniques, complemented by PCR confirmation of trematodes and a 25-variable epidemiological survey. C. daubneyi was detected in 38.74% of samples and 77.5% of farms, surpassing Fasciola hepatica (13.09%), gastrointestinal nematodes (42.15%), and Eimeria spp. (16.75%). Mixed infections were frequent. Seasonal shedding patterns varied by parasite, with C. daubneyi peaking in spring and winter. Statistical analyses (Kruskal–Wallis, ANOVA, Mann–Whitney U) revealed significant seasonal differences and confirmed higher F. hepatica egg counts in extensive systems (p = 0.0012). Anthelmintic treatment was infrequent and mainly guided by coprological diagnosis; ivermectin, closantel, albendazole, and nitroxinil were the most used drugs, though none fully effective against C. daubneyi. Anthelmintic resistance was not evaluated in this study. These findings confirm the emergence of C. daubneyi in central Spain and highlight the need for targeted surveillance and seasonally adjusted control strategies. Full article

Ultra-processed foods (UPFs) are increasingly consumed worldwide, particularly during childhood, raising growing concerns for health. Although UPFs have been associated with obesity and cardiometabolic disorders, emerging evidence suggests a potential role also in respiratory and allergic diseases. This review critically examines the epidemiological evidence and biological mechanisms linking UPF consumption to respiratory and allergic outcomes in children. To this end, a structured literature search was conducted in the PubMed database, including articles published between 2006 and 2025, selected based on their relevance to the association between UPF consumption and asthma, wheezing, or food allergies in the pediatric population. Four cohort studies on asthma and wheezing, conducted mainly in Brazil and Spain, and two cross-sectional studies—including one global multicenter study—were identified. In addition, four pediatric studies on food allergies from Europe and South America were found, consisting of two cohort studies and two cross-sectional studies. The proposed mechanisms include disruption of the gut barrier, microbiota dysbiosis, chronic inflammation through the AGE–RAGE axis, skewing of immune responses toward a Th2 profile, and indirect effects through obesity and micronutrient deficiencies. Similar pathways may promote allergic sensitization and the development of food allergies. Although current evidence supports the potential role of UPFs in pediatric respiratory and allergic diseases, further longitudinal and interventional studies are needed. Meanwhile, promoting fresh and minimally processed dietary patterns may help protect children’s respiratory and immune health. Full article

Background/Objectives: The epidemiology of dermatomyositis (DM) and other idiopathic inflammatory myopathies (IIMs) remains not well established, especially in the Mediterranean region. We aimed to estimate the prevalence and incidence of IIM in a well-defined population of South Europe using standardized classification criteria. Methods: This population-based study included all IIM patients diagnosed from January 2000 to December 2022 in Cantabria, Northern Spain. IIM diagnosis was confirmed by fulfillment of the 2017 EULAR/ACR classification criteria or, alternatively, by European Neuro Muscular Center criteria for immune-mediated necrotizing myopathy (IMNM) and Connors’ criteria for antisynthetase syndrome (ASyS). Prevalence and incidence were expressed in cases per 100,000. A literature review was also performed. Results: A total of 60 patients (41 women, 19 men; mean age 52.6 ± 18.8 years) were included. The prevalence of IIM was 20 cases per 100,000 population [95% CI 14.5–25.1], and the annual incidence rate was 0.9 cases per 100,000 person-years [95% CI 0.6–1.14]. A significant upward trend in IIM incidence was observed with an estimated annual percentage change of 5.74% (95% CI: 2.16%–9.44%, p = 0.0015). The most common subtype was DM (n = 31, 51.7%), followed by ASyS (n = 17, 24%), IMNM (n = 9, 14.6%), and polymyositis (PM) (n = 3, 4.7%). No inclusion body myositis (IBM) cases were identified. Conclusions: Incidence and prevalence of IIM align with prior reports. We observed an increase in IIM incidence and a shift in subtype distribution, with ASyS and IMNM becoming more frequent. These findings have clinical relevance, as each IIM subtype carries distinct prognostic and therapeutic implications. Full article

Background: Polytrauma remains a leading cause of mortality and disability worldwide. Although trauma-related deaths have declined in recent decades, the drivers of this trend remain incompletely understood. Traumatic brain injury (TBI) is the principal cause of death and long-term disability in polytrauma, making it a critical determinant of outcomes. This study aimed to examine long-term trends in clinical characteristics, management strategies, and outcomes of polytraumatized patients with TBI (PTBI), with a particular focus on factors influencing overall and cause-specific mortality. Methods: We conducted a retrospective observational study of a prospectively maintained trauma registry over a 25-year period (1993–2018) at the Gregorio Marañón University General Hospital (Madrid, Spain). Adult patients with PTBI were included. Epidemiological, clinical, and outcome data were analyzed globally and across four time periods. Results: Among 768 patients with PTBI, mean age was 43 years (±20), and 29% were female. Most sustained closed TBIs (96%) with concomitant severe injuries to the head, chest, and extremities (median Injury Severity Score [ISS] 27; median New Injury Severity Score [NISS] 34). Emergency surgery was required in 51%, and 84% were admitted to intensive care. Over time, the incidence of polytrauma decreased, mainly reflecting fewer traffic-related injuries following advances in prevention and legislation. Despite an increasingly older and comorbid population, ISS/NISS and early mortality declined, largely due to improvements in prehospital care and hemorrhage control. Although crude TBI-related mortality appeared unchanged (28%), this pattern likely reflects offsetting influences, including an older and more comorbid patient population, a higher relative burden of severe cases, and the limitations of mortality alone to capture gains in functional outcomes. Conclusions: Advances in trauma systems and preventive policies have substantially reduced the burden of polytrauma and improved survival. However, severe TBI remains the principal unresolved challenge, highlighting the urgent need for innovative neuroprotective strategies and greater emphasis on functional recovery. Full article

Background/Objectives: This study analyzes the epidemiology of invasive pneumococcal disease (IPD) and the dynamics of Streptococcus pneumoniae (SP) serotypes in the Comunidad Valenciana (CV) region, Spain, over a 10-year period (2014–2024), with particular focus on vaccine coverage of PCV13 compared to the newer PCV20 and PCV21 formulations. Methods: A total of 2.014 isolates of SP obtained from sterile fluids were included, with available serotype, demographic data, and vaccination status, which were collected from the Epidemiological Surveillance System (AVE) and the Microbiological Surveillance Network of the CV region (RedMIVA). Results: Overall vaccination coverage was low (22.4%), with the highest rates observed in children under 10 years (78%) compared to only 16% in those aged 10–64 years and 22% in those over 64. Serotype distribution revealed 120 distinct serotypes, with serotype 8 (17.6%) and serotype 3 (14.7%) being the most frequent. Serotype 8 predominated among unvaccinated individuals, while serotype 3 remained highly prevalent despite inclusion in PCV13. Other relevant serotypes included 22F, 9N, 19A, 6C, and 23A. Temporal analysis showed that serotype 3 has continued to increase in recent years, whereas serotype 8 rose during the pandemic period but has remained stable in the most recent interval, while 19A, 15A, and 11A significantly declined. Among serotypes with <2% incidence, some, such as 4, 24F, and 38, showed upward trends. Conclusions: The findings suggest that PCV20 currently provides broad coverage of dominant serotypes, but PCV21 may offer advantages should serotypes like 23A, 9N, or 15A increase further due to serotype replacement. Continuous epidemiological surveillance is essential to guide evidence-based vaccine policy and anticipate future vaccine reformulations. Full article

During the COVID-19 pandemic, a significant increase in the spread of healthcare-associated infections (HAIs) and antimicrobial resistance (AMR) was observed. Acinetobacter baumannii, particularly carbapenem-resistant strains, poses a serious threat in intensive care units (ICUs). This study aimed to genetically characterize A. baumannii isolates from the ICU of an infectious diseases hospital repurposed for COVID-19 patient treatment. Whole-genome sequencing (WGS) was performed on 56 A. baumannii isolates from patients and environmental surfaces using the Illumina MiSeq platform. Bioinformatic analysis included multi-locus sequence typing (MLST), core-genome MLST (cgMLST), phylogenetic analysis, and in silico detection of antimicrobial resistance genes. Three sequence types (STs) were identified: ST2 (35.7%), ST78 (30.4%), and ST19 (3.5%); while 30.4% of the isolates were non-typeable. Phylogenetic analysis revealed clustering of ST2 with isolates from East Africa, ST78 with European isolates, and ST19 with isolates from Germany and Spain. Resistance genes to eight classes of antimicrobials were detected. All isolates were resistant to aminoglycosides and β-lactams. The blaOXA-23 carbapenemase gene was present in all ST2 isolates. cgMLST analysis (cgST-1746) showed significant heterogeneity among ST2 isolates (24–583 allele differences), indicating microevolution within the hospital. A novel synonymous SNP (T2220G) in the rpoB gene was identified. Environmental sampling highlighted the role of contaminated personal protective equipment (PPE) in transmission, with 47.0% of ST2 and 64.3% of ST78 isolates found on PPE. The study underscores the high resolution of WGS and cgMLST for epidemiological surveillance and confirms the critical role of infection control measures in preventing the spread of multidrug-resistant A. baumannii. Full article

We aimed to explore the global and sex-specific genetic variants associated with long COVID, as defined by patient-driven symptom recall. A 1-year cohort study of 2411 COVID-19 patients collected long COVID symptoms with an open-ended, non-directed questionnaire, and long COVID incidence was determined according to the World Health Organization definition. Global and sex-stratified genome-wide association analyses were conducted by logistic regression models adjusted for age, sex (in the global analysis), and the first 10 principal components. We assessed sex-variant interactions and performed gene-based analyses, gene mapping, and gene-set enrichment analyses. When comparing the 1392 long COVID cases with the non-cases, we identified 23 lead variants from suggestive signals: 13 from the global analysis, 5 from females, and 5 from males. Five variants showed a significant interaction with sex (two in females, three in males). We mapped 15 protein-coding genes related to diseases of the immune and nervous systems and tumoral processes. Notably, CD5 and VPS37C, linked to immune function, were significantly associated with long COVID in men. Our results suggest that persistent immune dysregulation may be involved in the development of precisely defined long COVID. Full article

Leishmaniasis is a zoonotic disease caused by protozoan parasites of the genus Leishmania, transmitted by phlebotomine sandflies. While domestic dogs are the main hosts in the Mediterranean basin, wild carnivores have also been proposed as potential reservoirs. This study assessed the presence of Leishmania spp. in 250 animals from the Valencian Community, eastern Spain—an endemic region—using TaqMan qPCR on spleen samples from 216 wild carnivores and sera from 34 feral cats, and ELISA serology on 174 wild carnivores. DNA of Leishmania spp. was detected in 14 out of 250 individuals (5.6%), with red foxes representing most positive cases (10/102; 9.8%). Seropositivity was observed only in red foxes, with 5 out of 174 individuals testing positive (2.9%). Most qPCR-positive animals had high Ct values, consistent with low parasite loads. One fox, positive by both methods, showed advanced skin lesions and was later diagnosed with sarcoptic mange, suggesting possible interaction with Leishmania infection. The overall low prevalence and parasite burden suggest limited circulation in the surveyed wildlife. These findings contribute to understanding the epidemiological role of wild mesocarnivores and highlight the relevance of wildlife monitoring within a One Health approach. Full article

Climate change is a significant driver of antimicrobial resistance (AMR) and infectious disease dynamics, presenting urgent and interconnected global health challenges. Rising temperatures, ecosystem alterations, and extreme weather events amplify the global spread of resistant pathogens, zoonotic infections, and vector-borne diseases. These impacts disproportionately affect low- and middle-income countries (LMICs), escalating healthcare costs and straining limited infrastructure. A critical characteristic of bacterial resistance is that it often does not incur a fitness cost, underscoring the necessity of preventive strategies to mitigate climate-driven AMR emergence, rather than relying on reactive treatments after resistance is established. Climate change accelerates AMR primarily by increasing the prevalence of infectious diseases, which in turn drive higher antibiotic use and select resistance. The socioeconomic consequences are particularly severe in LMICs, where high climate vulnerability converges with weaker health systems. Pandemic-related disruptions provided key insights into environmental dynamics, with notable temporary reductions in nitrogen dioxide (NO₂) emissions, i.e., 20–30% in China, Italy, France, and Spain, and approximately 30% in the USA, which highlights the responsiveness of ecosystems to human activity. Unlike prior reviews that treated AMR and climate change as separate issues, this article integrates mechanistic evidence, epidemiological insights, and global strategies to provide a comprehensive One Health framework addressing these synergistic threats. We conclude that AMR and climate change are interlinked crises requiring urgent, integrated interventions. The quadripartite (FAO, UNEP, WHO, WOAH) provides a crucial framework for the coordinated cross-sectoral strategies, strengthened surveillance, and robust antibiotic stewardship required to mitigate this dual threat and safeguard global health security. Full article

Background: Leishmaniasis, a vector-borne disease caused by the parasite Leishmania, is a public health concern in Europe. Although Spain is an endemic country, it lacks a national surveillance network. To address this, the creation of a research and surveillance network is proposed, which would integrate data from various fields and enhance control and public health strategies. Objectives: The first objective is to gather epidemiological data on vectors, reservoirs, and transmission rates in Spain, with a particular focus on the role of dogs and wildlife as primary reservoirs. The plan includes establishing forums, databases, and specialised training programmes. The second objective is to improve case surveillance and reporting by establishing a comprehensive national registry. Implementing molecular diagnostics and bioinformatics tools will aid analysis of retrospective data and tracking of disease evolution. The third objective is to develop a standardised method for the molecular characterisation of Leishmania, using techniques such as PCR and genomic sequencing to detect virulence and resistance patterns. Key actions include collecting isolates, sharing analytical tools and providing genomic training. The fourth objective is to identify new therapeutic targets in response to toxicity and resistance to current treatments by studying specific enzymes (FeSOD, HDAC), metabolic pathways, and natural products. Ultimately, establishing the Leishmaniasis Surveillance Network will support a “One Health” approach and promote interdisciplinary collaboration towards a national control plan. Methods: We created the Working Group on Leishmaniasis funded by the Spanish Society of Tropical Medicine and International Health as a leishmaniasis forum for meetings and discussions on weaknesses and gaps we find in the knowledge and management of the infection based on the background of each academic and healthcare research group. Expected Impact: This study will promote the articulation of a Leishmaniasis Surveillance Network aiming to bring together the main stakeholders in the research and management of leishmaniasis in Spain. Full article

The objective of this study was to investigate the epidemiology of Fasciola hepatica in Cervus elaphus kept in natural conditions in the Riaño Regional Hunting Reserve, north-west of Spain, where several species of domestic and wild animals coexist. One hundred red deer were examined and classified according to age, sex, and sampling season. After the necropsy of the animals, the liver was removed and inspected to obtain the adult parasites of F. hepatica. Faecal samples were collected and processed using the coprological sedimentation technique. The prevalence of this trematode by necropsy was 12%, with a low number of specimens per animal ($\overline{\mathrm{x}}$ = 2.7 ± 1.5; range 1–6). The young animals and the males had a higher prevalence than the adults and the females, finding statistically significant differences only according to the host age. Significant variations were also observed when considering the seasons of the year, with the highest number of infected animals in spring. The histopathological study revealed the presence of lesions compatible with a chronic fasciolosis similar to that found in domestic animals. The shedding of F. hepatica eggs was quite low in terms of prevalence (6%) and mean intensity of infection ($\overline{\mathrm{x}}$ = 27.3 ± 20.6, range 4–60 epg), being in young animals, in males, and in spring, where the greatest excretion of eggs was observed. These results suggest that the deer are suitable definitive hosts for F. hepatica in the northwest of the Iberian Peninsula, but they are unusual hosts. The serum samples were analysed using a native excretory/secretory antigen (FhES) and a 2.9 kDa recombinant protein (FhrAPS) used for diagnosis of early and current fasciolosis in livestock. A commercial kit for serodiagnosis of F. hepatica in sheep and cattle, based on a monoclonal antibody (BIO K 211), was also evaluated in red deer. The seroprevalence of seropositivity of F. hepatica by FhES-ELISA was 32%, by FhrAPS-ELISA 13%, and by BIO K 211, 9%. In the three serological tests, the seroprevalence obtained was higher in adult animals, in males, and in spring. In the three serological tests used to understand the epidemiology of F. hepatica in red deer, we have observed that the sensitivity was low, perhaps due to the use of an anti-bovine IgG1 as a conjugate, so in future immunodiagnostic tests, it would be more desirable to obtain an anti-deer IgG, probably achieving better results. Due to these results, it is essential to investigate other serological or molecular tests that allow us to know the real importance of F. hepatica in deer and other wild animals. The role of deer as a reservoir of this trematode does not appear to be very important. Full article