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Two closely related strains associated with pertussis resurgence in Israel
Bahaa Abu Raya1, Ellen Bamberger, Gilad Spiegel
1Department of Pediatrics, Bnai Zion Medical Center, The Bruce Rappaport Faculty of Medicine, Haifa, Israel. baha_aboraya@yahoo.com
Abstract:
Eighty-two isolates of Bordetella pertussis analyzed by pulsed-field gel electrophoresis from the epidemic years, 2007 to 2008, revealed 4 strains with 2 closely related isolates accounting for 95% of the circulating strains. The most common Israeli strain has the same pulsed-field gel electrophoresis cluster as the dominant European BpSR11 strain (pulsed-field gel electrophoresis cluster IVβ) identified in the 1999 to 2004 EU Pertstrain II project.
Insights
Two Bordetella pertussis strains dominated Israeli pertussis epidemics from 2007-2008, with one strain matching the common European BpSR11 strain. This highlights shared pertussis epidemiology across regions.
Area of Science:
- Microbiology
- Epidemiology
- Genetics
Background:
- Pertussis remains a significant public health concern globally.
- Understanding the genetic diversity and evolution of Bordetella pertussis is crucial for effective control strategies.
- Previous studies have tracked Bordetella pertussis strains in Europe, but regional data from other areas are essential.
Purpose of the Study:
- To characterize the genetic profiles of Bordetella pertussis strains circulating in Israel during the 2007-2008 pertussis epidemic.
- To compare Israeli strains with previously identified European strains to understand potential epidemiological links.
Main Methods:
- Pulsed-field gel electrophoresis (PFGE) was employed to analyze the genomic DNA of 82 Bordetella pertussis isolates.
- Isolates were collected from the epidemic years 2007 and 2008 in Israel.
- PFGE profiles were compared to those from the EU Pertstrain II project.
Main Results:
- Analysis revealed four distinct Bordetella pertussis strains, with two closely related strains accounting for 95% of isolates.
- The most prevalent Israeli strain belonged to the same PFGE cluster (IVβ) as the dominant European BpSR11 strain.
- This dominant strain was identified in the 1999-2004 EU Pertstrain II project, indicating sustained circulation.
Conclusions:
- A limited number of Bordetella pertussis strains were responsible for the majority of infections in Israel during 2007-2008.
- The genetic similarity between the dominant Israeli and European strains suggests potential cross-border transmission or shared evolutionary pressures.
- Continued molecular surveillance is necessary to monitor pertussis epidemiology and inform vaccination strategies.
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Acute Pharyngitis
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:

