The Sheba Medical Center healthcare workers' children's school: can we open schools safely?

ObjectiveThe role of school closure in mitigating coronavirus disease 2019 (COVID-19) transmission has been questioned. In our medical centre, during a 9-week national lockdown, an alternative school was opened for health-care workers' (HCW) children with a small number of children per class and strict symptom surveillance. After lockdown was lifted we screened children and their parents for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) serology.MethodsWe conducted a cross-sectional study of HCW parents and their children after one teacher contracted COVID-19 following exposure at home and 53 children were exposed, isolated and tested by RT-PCR. We compared families with children attending the alternative school with families whose children who remained at home during the 9-week lockdown. Epidemiological and medical data were collected using a short questionnaire; nasopharyngeal and oropharyngeal swabs were obtained and tested for SARS-CoV-2 by RT-PCR, and blood was collected for SARS-CoV-2 IgA and IgG titres.ResultsA total of 435 children attended the Sheba alternative school. Among the 53 children exposed to the infected teacher, none tested positive by RT-PCR. Of these, 18 children–parent pairs were tested for serology and all were negative. A total of 106/435 (24%) children and their 78 parents were recruited for the cross-sectional study; 70 attended the Sheba school and 36 did not. Approximately 16% of children in either group reported symptoms (11/70 in the school group and 6/36 in the ‘stay home’ group), but SARS-CoV-2 was not detected by PCR in any, and previous exposure, as determined by serological tests, was low and not significantly different between the groups.ConclusionIn an alternative school for children of HCWs, active during COVID-19 national outbreak, we found no evidence of increased infection compared with children that stayed home.     

African swine fever risk and plant-based feed ingredients: Canada's approach to risk management of imported feed products

As a result of unprecedented spread of African swine fever (ASF) since 2018, Canada has taken additional steps to prevent introduction of the virus. While the role of plant-based feed in the transmission of ASF is not completely understood, it was identified that no mitigation measures were in place to address this uncertain risk. A risk analysis process was conducted with collaboration between government and industry, including an assessment of the costs and benefits of various risk mitigation options. Using existing legislative tools, requirements must now be met before the importation of plant-based feed ingredients of concern is permitted. Even with an uncertain risk, countries such as Canada that would suffer severe consequences should ASF be introduced, need to consider appropriate, risk-based mitigation measures.     

Migration and changes in loneliness over a 4-year period: the case of older former Soviet Union immigrants in Israel

Both older adult and immigrant populations are at a high risk of loneliness. The current research compares older veteran Israelis to older immigrants who arrived in Israel from the former Soviet Union (FSU) after 1989. Early studies have found high levels of loneliness among older FSU immigrants; however, little is known regarding changes in loneliness among this group over time. The present study examines change in loneliness among older FSU immigrants and older veteran Jewish Israelis and its potential predictors. A prospective association between immigrant’s status and loneliness over time was examined using the second (2009/2010) and third (2013) waves of SHARE-Israel. The sample consisted of 208 FSU immigrants and 1080 veteran Jewish Israelis. Bivariate analyses indicated that in 2009/2010, older FSU immigrants were significantly lonelier than older veteran Jews, and more disadvantaged on all social and health variables measured. Yet, no significant differences emerged between the two groups with regard to loneliness in 2013. In the adjusted model, older immigrants presented positive change in loneliness (less loneliness over time) compared with veteran Jewish Israelis. Depressive symptoms explained a large part of the variance in change in loneliness. Potential explanations suggest that the long-term psychological adjustment process and the characteristics of the FSU immigrants in Israel as a large and relatively strong immigrant group have served as protective factors with regard to changes in loneliness over time.     

Chemotherapy reaction induced by ixabepilone,a microtubule stabilizing agent,mimicking extramammary Paget's disease in a patient with breast carcinoma

The histopathologic characteristics of reactions caused by the many novel anticancer agents are under‐recognized. We report a case of a 67‐year‐old female with locally advanced metastatic breast cancer, who initially presented with an extensive reticulated erythematous patch on the trunk caused by intravascular metastases confirmed by a skin biopsy. Owing to disease progression, she was started on ixabepilone, a mitotic inhibitor. While receiving ixabepilone, another skin biopsy was obtained and initially interpreted as extramammary Paget's disease. However, the biopsy showed metaphase arrest of numerous keratinocytes in the basilar and suprabasilar epidermis. Atypical epithelial cells were only present in the intravascular spaces similar to the initial biopsy. Given the temporal association between the initiation of ixabepilone therapy and the epidermal mitotic arrest, a diagnosis of chemotherapy reaction to ixabepilone was rendered. Ixabepilone is an analog of epothilone, a microtubule stabilizer causing mitotic arrest of the cell cycle approved for the treatment of metastatic and locally advanced treatment‐resistant breast cancer. The demonstration of epidermal mitotic arrest caused by ixabepilone is without precedent. The case emphasizes the importance of considering a chemotherapy reaction in the histologic differential diagnosis of epidermal mitotic arrest in a cancer patient receiving chemotherapy.     

The effects of graded levels of calorie restriction: II. Impact of short term calorie and protein restriction on circulating hormone levels,glucose homeostasis and oxidative stress in male C57BL/6 mice

Limiting food intake attenuates many of the deleterious effects of aging, impacting upon healthspan and leading to an increased lifespan. Whether it is the overall restriction of calories (calorie restriction: CR) or the incidental reduction in macronutrients such as protein (protein restriction: PR) that mediate these effects is unclear. The impact of 3 month CR or PR, (10 to 40%), on C57BL/6 mice was compared to controls fed ad libitum. Reductions in circulating leptin, tumor necrosis factor-α and insulin-like growth factor-1 (IGF-1) were relative to the level of CR and individually associated with morphological changes but remained unchanged following PR. Glucose tolerance and insulin sensitivity were improved following CR but not affected by PR. There was no indication that CR had an effect on oxidative damage, however CR lowered antioxidant activity. No biomarkers of oxidative stress were altered by PR. CR significantly reduced levels of major urinary proteins suggesting lowered investment in reproduction. Results here support the idea that reduced adipokine levels, improved insulin/IGF-1 signaling and reduced reproductive investment play important roles in the beneficial effects of CR while, in the short-term, attenuation of oxidative damage is not applicable. None of the positive effects were replicated with PR.     

Chemical dispersants can suppress the activity of natural oil-degrading microorganisms

During the Deepwater Horizon oil well blowout in the Gulf of Mexico, the application of 7 million liters of chemical dispersants aimed to stimulate microbial crude oil degradation by increasing the bioavailability of oil compounds. However, the effects of dispersants on oil biodegradation rates are debated. In laboratory experiments, we simulated environmental conditions comparable to the hydrocarbon-rich, 1,100 m deep plume that formed during the Deepwater Horizon discharge. The presence of dispersant significantly altered the microbial community composition through selection for potential dispersant-degrading Colwellia, which also bloomed in situ in Gulf deep waters during the discharge. In contrast, oil addition to deepwater samples in the absence of dispersant stimulated growth of natural hydrocarbon-degrading Marinobacter. In these deepwater microcosm experiments, dispersants did not enhance heterotrophic microbial activity or hydrocarbon oxidation rates. An experiment with surface seawater from an anthropogenically derived oil slick corroborated the deepwater microcosm results as inhibition of hydrocarbon turnover was observed in the presence of dispersants, suggesting that the microcosm findings are broadly applicable across marine habitats. Extrapolating this comprehensive dataset to real world scenarios questions whether dispersants stimulate microbial oil degradation in deep ocean waters and instead highlights that dispersants can exert a negative effect on microbial hydrocarbon degradation rates.Crude oil enters marine environments through geophysical processes at natural hydrocarbon seeps (1) at a global rate of ∼700 million liters per year (2). In areas of natural hydrocarbon seepage, such as the Gulf of Mexico (hereafter, the Gulf), exposure of indigenous microbial communities to oil and gas fluxes can select for microbial populations that use petroleum-derived hydrocarbons as carbon and energy sources (3, 4). The uncontrolled deep-water oil well blowout that followed the explosion and sinking of the Deepwater Horizon (DWH) drilling rig in 2010 released about 750 million liters of oil into the Gulf. Seven million liters of chemical dispersants were applied (5) with the goal of dispersing hydrocarbons and stimulating oil biodegradation. A deep-water (1,000–1,300 m) plume, enriched in hydrocarbons (6–11) and dioctyl sodium sulfosuccinate (DOSS) (12, 13), a major component of chemical dispersants (14), formed early in the discharge (7). The chemistry of the hydrocarbon plume significantly altered the microbial community (11, 15–17), driving rapid enrichment of low-abundance bacterial taxa such as Oceanospirillum, Cycloclasticus, and Colwellia (18). The natural hydrocarbon degraders in Gulf waters were either in low abundance or absent in DWH deep-water plume samples (18).Chemical dispersants emulsify surface oil slicks, reduce oil delivery to shorelines (19), and increase dissolved oil concentrations, which should make oil more bioavailable (20) and stimulate biodegradation (21). The efficacy of dispersants in stimulating oil biodegradation is debated (22) and negative environmental effects have been documented (23). Dispersant application often requires ecological tradeoffs (24). Surprisingly little is known about the impacts of dispersants on the activity and abundance of hydrocarbon-degrading microorganisms (25). This work addressed three key questions: (i) Do dispersants influence microbial community composition? (ii) Is the indigenous microbial community as effective at oil biodegradation as microbial populations following dispersant/dispersed oil exposure? (iii) Does chemically dispersed oil stimulate hydrocarbon biodegradation rates?Laboratory experiments were used to unravel the effects of oil-only (supplied as a water-accommodated fraction, “WAF”), Corexit 9500 (“dispersant-only”), oil–Corexit 9500 mixture (chemically enhanced water-accommodated fraction, CEWAF) or a CEWAF with nutrients (CEWAF + nutrients) (SI Appendix) on Gulf deep-water microbial populations (SI Appendix, SI Text and Figs. S1 and S2). Experimental conditions (SI Appendix, Table S1) mimicked those prevailing in the DWH deep-water hydrocarbon plume (6–13, 18), the chemistry of which varied substantially over space and time (18). Amending samples with WAFs and CEWAFs assured that observed differences in microbial community composition and activity would be driven by compositional differences (e.g., the presence or absence of dispersants) in the dissolved organic carbon (DOC) pool rather than by differences in the bulk DOC concentration (26, 27). We developed an improved radiotracer method to directly quantify hydrocarbon oxidation rates. The microbial community composition was monitored over time using 16S rRNA amplicon sequencing. Dispersant application selected for specific microbial taxa and oligotypes with 16S rRNA gene sequences similar to those recovered in situ during the DWH discharge. Surprisingly, CEWAF (± nutrients) addition did not enhance microbial activity or microbial oil-degradation rates.