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We analyzed 98 Mycobacterium tuberculosis complex isolates collected in 2 regions of Algeria in 2015–2018 from 93 cases of pulmonary tuberculosis. We identified 93/98 isolates as M. tuberculosis lineage 4 and 1 isolate as M. M. bovis by whole-genome sequencing. In Algeria, interpreting tuberculosis (TB) incidence, estimated at 53–88 cases/100,000 population in 2017 ( 1), is limited by the fact that the diagnosis relies on microscopic examination of clinical samples. Isolates are presump...

Abstract In 2011, South Africa implemented a policy to decentralize treatment for rifampin-resistant tuberculosis (TB) to reduce durations of hospitalization and enable local treatment. We assessed policy implementation in Western Cape Province, where services expanded from 6 specialized TB hospitals to 406 facilities, by analyzing National Health Laboratory Service data on TB during 2012–2015. We calculated the percentage of patients who visited a TB hospital 1 year after rifampin-resistant...

May 18, 2020 COVID-19 relief legislation that House committees are considering includes several vital provisions that would make comprehensive coverage more affordable and accessible for millions of people. The legislation would enhance premium tax credits available through the health insurance marketplaces for two years, boost financial incentives for additional states to rapidly expand Medicaid, and enact other proposals to improve access to health coverage during the ...

These provisions would result in historic reductions of child poverty and provide timely income support for millions of people, including millions of essential workers.

Children on the move: the tale of a surprising spillover in humanitarian cash transfers to refugees Imagine the following scenario: you have a population consisting of two groups, who are, on average, equally poor at baseline. You randomly pick one group to receive sizeable cash transfers: what would happen to inequality within this population? It should increase, mainly because you increased between-group inequality, which was negligible at the start (assume away, if you wish, within-group ine...

Extending grace can be a powerful public witness for Evangelicals today. Heather Rice-Minus Image: Canva The events of this past summer were a wake-up call for Christians, including Evangelicals. From acknowledging centuries-old, endemic racial inequality from the pulpit, calls to prayer, protest, and action, many are trying to find ways to step from the sidelines to the playing field in the pursuit of justice. Indeed, our faith calls us to action and accountability as God’s people....

We thank 2 anonymous reviewers for their helpful comments on the manuscript. M.V. was funded by the European Research Council under the European Union’s Horizon 2020 Research and Innovation Programme (grant agreement no. 852957). J.Y. was supported by a Collaborative Awards in Science and Engineering studentship funded by the Natural Environment Research Council, Swindon, UK. References Dennis  D, Hayes  E. Epidemiology of Lyme borreliosis. In: Gray J, Kahl O, Lane R, Stanek G, editors. Ly...

Abstract We report 3 cases of Puumala virus infection in a family in Switzerland in January 2019. Clinical manifestations of the infection ranged from mild influenza-like illness to fatal disease. This cluster illustrates the wide range of clinical manifestations of Old World hantavirus infections and the challenge of diagnosing travel-related hemorrhagic fevers. Puumala orthohantavirus (PUUV), a species of the genus Orthohantavirus within the Hantaviridae family, is an enveloped single-stran...

Plasmodium falciparum populations from Sudan, South Sudan, Nigeria, and Eritrea (A), and pfhrp2 and ... We amplified and scored 7 microsatellite loci for each sample from Sudan, South Sudan, and Nigeria (n = 86), finding 88 unique haplotypes. Two samples shared a haplotype, and we observed 2 instances of multiple haplotype infection. All 7 microsatellite markers were found to be polymorphic. We found a mean of 11 alleles per locus, a range from 6 (microsatellite markers TA109 and 2490) to 16 (...

Our investigation has some limitations. First, interviews were conducted several weeks after illness onset, which enabled accurate classification of patients by hospitalization status and data collection on all symptoms and their duration ( 45). However, this timing might result in incomplete recall and recall bias, which could affect the accuracy of reported symptoms and their timing, particularly among hospitalized patients, who might be more likely to remember more severe symptoms ( 46). Fut...