Insights from a Systematic Search for Information on Designs,Costs, and Effectiveness of Poliovirus Environmental Surveillance Systems

Poliovirus surveillance plays a critical role in achieving and certifying eradication and will play a key role in the polio endgame. Environmental surveillance can provide an opportunity to detect circulating polioviruses prior to the observation of any acute flaccid paralysis cases. We completed a systematic review of peer-reviewed publications on environmental surveillance for polio including the search terms “environmental surveillance” or “sewage,” and “polio,” “poliovirus,” or “poliomyelitis,” and compared characteristics of the resulting studies. The review included 146 studies representing 101 environmental surveillance activities from 48 countries published between 1975 and 2016. Studies reported taking samples from sewage treatment facilities, surface waters, and various other environmental sources, although they generally did not present sufficient details to thoroughly evaluate the sewage systems and catchment areas. When reported, catchment areas varied from 50 to over 7.3 million people (median of 500,000 for the 25% of activities that reported catchment areas, notably with 60% of the studies not reporting this information and 16% reporting insufficient information to estimate the catchment area population size). While numerous studies reported the ability of environmental surveillance to detect polioviruses in the absence of clinical cases, the review revealed very limited information about the costs and limited information to support quantitative population effectiveness of conducting environmental surveillance. This review motivates future studies to better characterize poliovirus environmental surveillance systems and the potential value of information that they may provide in the polio endgame.     

Small Female Upper Extremity Interaction with a Deploying Side Air Bag

This paper presents a study characterizing the interaction between a deploying side air bag and a small female upper extremity. The results are based on twelve tests with small female cadavers, and fifteen tests with the instrumented SAE 5th percentile female upper extremity attached to the 5th percentile Hybrid III female dummy. The upper extremity was loaded by a deploying seat mounted thoracic side air bag in a static test environment. Three inflators were used that varied in peak pressure and pressure onset rate. Despite kinematic differences between the dummy and cadaver, the moments recorded in the cadaver and dummy were similar. Chondral and osteochondral fractures in the cadaver elbow joints were identified in seven of the twelve cadaver tests, while a simple fracture of the distal humerus head was observed in one test. A linear logistic regression analysis was performed to correlate occurrence of recorded injury and the test parameters. Injury risk functions were constructed using age, forearm acceleration, elbow moment, and air bag inflator level as variables.     

Investigation and Long-Term Monitoring of Phragmites australis Within Virginia's Constructed Wetland Sites

Phragmites australis Trin., and/or aggressive species, Typha spp. Tidally influenced wetlands that have subtidal perimeter ditches have significantly less (P < 0.05) P. australis in the wetland interior than those without perimeter ditches. Fractured regression analyses show that 6 years after construction, P. australis invasion can be extensive. Linear regression analysis suggests that, if conditions remain favorable for P. australis colonization, constructed wetlands could be overrun in 40 years.     

Environmental hazard

Parts II – IV will be published in the following issues of ESPR.