Publications by authors named "Karl Ciuoderis"

Dengue fever is a mosquito-borne viral disease rapidly creating a significant global public health burden, particularly in urban areas of tropical and sub-tropical countries. Hydroclimatic variables, particularly local temperature, precipitation, relative humidity, and large-scale climate teleconnections, can influence the prevalence of dengue by impacting vector population development, viral replication, and human-mosquito interactions. Leveraging predictions of these variables at lead times of weeks to months can facilitate early warning system preparatory actions such as allocating funding, acquisition and preparation of medical supplies, or implementation of vector control strategies.

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Studies on human gut microbiota have recently highlighted a significant decline in bacterial diversity associated with urbanization, driven by shifts toward processed diets, increased antibiotic usage, and improved sanitation practices. This phenomenon has been largely overlooked in the Colombian Amazon, despite rapid urbanization in the region. In this study, we investigate the composition of gut bacterial microbiota and intestinal protozoa and soil-transmitted helminths (STHs) in both urban and rural areas of Leticia, which is located in the southern Colombian Amazon.

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Yellow fever virus (YFV) is an arbovirus that causes acute febrile illness (AFI), in tropical areas of South America and Africa. Through a 2020-2023 AFI study in Leticia, Colombia, leveraging metagenomic next-generation sequencing (mNGS), we identified and isolated YFV (LET1450). Phylogenetic analysis showed this strain belongs to South American genotype II (SamII), linked to Peruvian and Bolivian sequences emerging around 1989.

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Few studies have analyzed the role of the lung microbiome in the diagnosis of pulmonary coinfection in ventilated ICU COVID-19 patients. We characterized the lung microbiota in COVID-19 patients with severe pneumonia on invasive mechanical ventilation using full-length 16S rRNA gene sequencing and established its relationship with coinfections, mortality, and the need for mechanical ventilation for more than 7 days. This study included 67 COVID-19 ICU patients.

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Article Synopsis
  • UAFI is a significant challenge in diagnosing tropical infections due to overlapping symptoms, necessitating accurate pathogen detection for effective treatment and outbreak management.
  • The research developed two real-time multiplex PCR assays designed to detect six overlooked pathogens causing UAFI, emphasizing efficiency and reliability in tropical regions.
  • The assays demonstrated high sensitivity and consistency, offering a cost-effective solution that can streamline laboratory work and cater to resource-limited settings.
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In early 2024, explosive outbreaks of Oropouche virus (OROV) linked to a novel lineage were documented in the Amazon Region of Brazil. We report the introduction of this lineage into Colombia and its co-circulation with another OROV lineage. Continued surveillance is needed to prevent further spread of OROV in the Americas.

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  • Mayaro Fever (MF) is caused by the Mayaro virus and has been reported in outbreaks in Latin America, particularly in Leticia, Colombia, where a fever surveillance study was conducted.
  • In a sample of 1,460 patients, most cases were linked to dengue and malaria, but 71.4% were unexplained until metagenomic sequencing detected MAYV in two patients with MF symptoms.
  • This research marks the first identification of MAYV in Colombia, indicating a need for more studies and improved surveillance to monitor its spread in the region.
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  • * A study in Colombia analyzing 170 swine specimens from 2011-2017 revealed a predominance of pandemic-like H1N1 lineage viruses, along with new reassortant and recombinant strains not previously identified in the country.
  • * The findings underscore the need for improved surveillance and biosecurity measures, especially since high swine density regions facilitate viral exchange, highlighting the importance of monitoring IAV evolution for effective vaccine strategies and health policy decisions.
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Dengue virus (DENV) is the etiological agent of dengue fever (DF), which is among the most prevalent vector-borne diseases in the tropics. In 2022, the Colombian health surveillance system reported more than 69,000 cases of DF. As part of a hospital-based fever surveillance study, acute-phase sera were collected from 4,545 patients with suspected dengue between 2020 and 2023 in three municipalities of Colombia.

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Background: Mansonellosis is an undermapped insect-transmitted disease caused by filarial nematodes that are estimated to infect hundreds of millions of people. Despite their prevalence, there are many outstanding questions regarding the general biology and health impacts of the responsible parasites. Historical reports suggest that the Colombian Amazon is endemic for mansonellosis and may serve as an ideal location to pursue these questions.

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  • The first 18 months of SARS-CoV-2 infections in Colombia were marked by three waves, with the Mu variant emerging and outperforming Alpha and Gamma during the third wave from March to August 2021.
  • Using Bayesian phylodynamic inference and epidemiological modeling, the study revealed that Mu's success in Colombia stemmed from local transmission, genetic diversity, and its ability to evade immunity, even though it wasn't the most transmissible variant overall.
  • The findings emphasize that both genetic and external factors affect variant competition outcomes, and while Mu thrived in Colombia, it struggled to spread internationally due to the earlier establishment of more immune-resistant variants like Delta in those regions.
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Background: Severe acute respiratory syndrome coronavirus 2 continues to threaten public health. The virus is causing breakthrough infections in vaccinated individuals. Also, scarce information is available about cutaneous manifestations after severe acute respiratory syndrome coronavirus 2 infection.

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Arbovirus infections are frequent causes of acute febrile illness (AFI) in tropical countries. We conducted health facility-based AFI surveillance at four sites in Colombia (Cucuta, Cali, Villavicencio, Leticia) during 2019-2022. Demographic, clinical and risk factor data were collected from persons with AFI that consented to participate in the study ( = 2,967).

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This cross-sectional study assesses the emergence and spread of the SARS-CoV-2 Mu variant compared with other variants in Antioquia State, Columbia, from July 2020 to August 2021.

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Detection and epidemiologic characterization of infectious disease outbreaks are key for early identification and response to potential pandemic threats. The rapid global spread of severe SARS-CoV-2 in 2020 highlighted the critical role of diagnostics in understanding the epidemiology of the virus early in the pandemic. As a natural extension of Abbott's work in diagnostics, virus discovery, and virus surveillance, the Abbott Pandemic Defense Coalition (APDC) was launched in early 2021.

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Article Synopsis
  • The Omicron variant B.1.1.529 has raised concerns about its ability to evade vaccine protection and therapeutic antibodies.
  • Research using mice and hamsters revealed that B.1.1.529 caused less severe respiratory infections compared to previous SARS-CoV-2 variants, even though it binds strongly to mouse ACE2.
  • The findings indicate a milder disease response in rodents infected with B.1.1.529, which aligns with some early clinical observations in humans.
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Despite the development and deployment of antibody and vaccine countermeasures, rapidly-spreading SARS-CoV-2 variants with mutations at key antigenic sites in the spike protein jeopardize their efficacy. The recent emergence of B.1.

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Timely and accurate diagnostics are essential to fight the COVID-19 pandemic, but no test satisfies both conditions. Dogs can scent-identify the unique odors of volatile organic compounds generated during infection by interrogating specimens or, ideally, the body of a patient. After training 6 dogs to detect SARS-CoV-2 by scent in human respiratory secretions (in vitro diagnosis), we retrained 5 of them to search and find the infection by scenting the patient directly (in vivo screening).

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Zika virus appeared in South America in 2015, generating alarm worldwide as it causes microcephaly and autoimmunity. This study aims to determine the serological footprint of the incoming epidemic in a student community and to characterize the memory functional cell response during post convalescence. In a cross-sectional study, Zika-specific IgG using LIA immunoassay was found in 328 university students (CI=95%), while in the second phase, the functional cellular memory response for IFN-γ and IL-2 was quantified using post-stimulus ELISpot with inactivated virus, starting with individuals seropositive for Zika and control individuals (seropositive only for Dengue and seronegative for Zika-Dengue).

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Live animal markets (LAMs) are an essential source of food and trade in Latin American countries; however, they can also serve as 'hotbeds' for the emergence and potential spillover of avian influenza viruses (AIV). Despite extensive knowledge of AIV in Asian LAMs, little is known about the prevalence South American LAMs. To fill this gap in knowledge, active surveillance was carried out at the major LAM in Medellin, Colombia between February and September 2015.

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While much is known about the prevalence of influenza viruses in North America and Eurasia, their prevalence in birds and mammals in South America is largely unknown. To fill this knowledge gap and provide a baseline for future ecology and epidemiology studies, we conducted 2 years of influenza surveillance in the eastern plains (Los Llanos) region of Colombia. Real-time reverse transcriptase polymerase chain reaction (RT-PCR) identified influenza viruses in wild birds, domestic poultry, swine and horses.

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Serum samples from a total of 71 healthy captive birds belonging to 18 species were collected in July of 2008 in Medellin (Colombia) and tested for flaviviruses. Eighteen of 29 samples from American Flamingoes (Phoenicopterus ruber) were positive for West Nile virus (WNV) by reverse transcription-polymerase chain reaction. Selected positive samples were serially passaged and WNV was confirmed by immunofluorescence.

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