Highlights • We show that enterovirus D68 is prevalent in the Netherlands. • Strains observed in the Netherlands are connected with those seen in the USA and Canada. • We show that enterovirus D68 ...can cause severe respiratory illness. • Children are affected, as well as adults with underlying conditions. • We provide the method for an enterovirus D68 specific PCR.
Enteroviruses (EVs) are a group of human and animal viruses that are capable of causing a variety of clinical syndromes. Different genotypes classified into species can be distinguished on the basis ...of sequence divergence in the VP1 capsid-coding region. Apparently new genotypes are discovered regularly, often as incidental findings in studies investigating respiratory syndromes or as part of poliovirus surveillance. Recently, some EVs have become recognized as significant respiratory pathogens, and a number of new genotypes belonging to species C have been identified. The circulation of these newly identified species C EVs, such as EV-C104, EV-C105, EV-C109, and EV-C117, nevertheless appears to be limited. In this report, we show the results of routine genotyping of all enteroviruses detected in our tertiary care hospital between January 2008 and April 2015. We detected 365 EVs belonging to 40 genotypes. Interestingly, several newly identified species C EVs were detected during the study period. Sequencing of the 5' untranslated region (5' UTR) of these viruses shows divergence in this region, which is a target region in many detection assays.
Abstract Background Enterovirus 68 (EV68) belongs to species Human enterovirus D. It is unique among enteroviruses because it shares properties with human rhinoviruses. After the first isolation in ...1962 from four children with respiratory illness, reports of (clusters of) EV68 infections have been rare. During the autumn of 2010, we noticed an upsurge of EV68 infections in the Northern part of the Netherlands in patients with severe respiratory illness. Objectives To give a detailed description of the clinical and virological data of patients with EV68 infection identified in 2010, and compare these with data collected in 2009. Study design We systematically collected clinical data from patients with an EV68 infection detected in 2010. We added four patients with an EV68 infection from 2009. Further characterization of EV68 was performed by partial sequence analysis of the VP1 genomic region. Results In 2010, EV68 was identified as the only cause of respiratory illness in 24 patients, of which 5 had to be admitted to the intensive care unit. Sequence analysis revealed different lineages in the majority of EV68 detected in 2010 as compared to the 2009 isolates. Conclusions We noticed an increase of EV68 infections and present clinical as well as sequence data, in which two distinct phylogenetic clusters could be identified.
Excess sludge treatment and disposal currently represents a rising challenge for wastewater treatment plants (WWTPs) due to economic, environmental and regulation factors. There is therefore ...considerable impetus to explore and develop strategies and technologies for reducing excess sludge production in biological wastewater treatment processes. This paper reviews current strategies for reducing sludge production based on these mechanisms: lysis-cryptic growth, uncoupling metabolism, maintenance metabolism, and predation on bacteria. The strategies for sludge reduction should be evaluated and chosen for practical application using costs analysis and assessment of environmental impact. High costs still limit technologies of sludge ozonation-cryptic growth and membrane bioreactor from spreading application in full-scale WWTPs. Bioacclimation and harmful to environment are major bottlenecks for chemical uncoupler in practical application. Sludge reduction induced by oligochaetes may present a cost-effective way for WWTPs if unstable worm growth is solved. Employing any strategy for reducing sludge production may have an impact on microbial community in biological wastewater treatment processes. This impact may influence the sludge characteristics and the quality of effluent.
Pilot-scale experiments were carried out to compare sludge reduction induced by Oligochaete in a submerged membrane bioreactor (MBR) and a conventional activated sludge (CAS) reactor for 345 d. Worm ...growth in the CAS reactor was much better than in the MBR. The average worm density of the aeration tank in the CAS reactor was 71 total worms/mg of volatile suspended solids (VSS), much higher than that in the MBR (10 total worms/mg of VSS). Worms did not naturally produce in the MBR, and the dominant worm type in the MBR depended on sludge inoculation from the CAS reactor. Only two types of worms were found in the MBR, Aeolosoma hemprichicii and Nais elinguis. Worm presence and disappearance in the MBR alternated. Worms in the CAS reactor occurred nearly throughout the operating period and were continuously maintained at over 30 total worms/mg of VSS in the aeration tank for 172 d. Three types of worm were found in the CAS reactor, A. hemprichicii, Pristina aequiseta, and N. elinguis, but P. aequiseta was present only occasionally. The alternating dominance of worm types in both reactors changed between Aeolosoma and Nais, and the time of Aeolosoma dominance was longer than that of Nais dominance. Worm growth in the MBR contributed to neither sludge reduction nor improvement of sludge settling characteristics because of low density. But worm presence and bloom in the CAS reactor greatly decreased sludge yield and improved sludge settling characteristics at high density. Both the average sludge yield (0.17 kg of suspended solids (SS)/kg of chemical oxygen demand removed (CODremoved)) and sludge volume index (60 mL/g) in the CAS reactor were much lower than those in the MBR (0.40 kg of SS/kg of CODremoved and 133 mL/g). Nais had more potential for sludge reduction than Aeolosoma. Worm growth had little impact on effluent quality in the MBR but affected effluent quality very much in the CAS reactor.
Pilot-scale experiments were carried out to compare sludge reduction induced by Oligochaete in a submerged membrane bioreactor (MBR) and a conventional activated sludge (CAS) reactor for 345 d. Worm ...growth in the CAS reactor was much better than in the MBR. The average worm density of the aeration tank in the CAS reactor was 71 total worms/mg of volatile suspended solids (VSS), much higher than that in the MBR (10 total worms/mg of VSS). Worms did not naturally produce in the MBR, and the dominant worm type in the MBR depended on sludge inoculation from the CAS reactor. Only two types of worms were found in the MBR, Aeolosoma hemprichicii and Nais elinguis. Worm presence and disappearance in the MBR alternated. Worms in the CAS reactor occurred nearly throughout the operating period and were continuously maintained at over 30 total worms/mg of VSS in the aeration tank for 172 d. Three types of worm were found in the CAS reactor, A. hemprichicii, Pristina aequiseta, and N. elinguis, but P. aequiseta was present only occasionally. The alternating dominance of worm types in both reactors changed between Aeolosoma and Nais, and the time of Aeolosoma dominance was longer than that of Nais dominance. Worm growth in the MBR contributed to neither sludge reduction nor improvement of sludge settling characteristics because of low density. But worm presence and bloom in the CAS reactor greatly decreased sludge yield and improved sludge settling characteristics at high density. Both the average sludge yield (0.17 kg of suspended solids (SS)/kg of chemical oxygen demand removed (CODremoved)) and sludge volume index (60 mL/g) in the CAS reactor were much lower than those in the MBR (0.40 kg of SS/kg of CODremoved and 133 mL/g). Nais had more potential for sludge reduction than Aeolosoma. Worm growth had little impact on effluent quality in the MBR but affected effluent quality very much in the CAS reactor.
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