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Article ; Online: Letter to the editor: outbreaks caused by parvovirus B19.

Kelly, Heath / Leydon, Jennie

Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin

2005 Volume 10, Issue 9, Page(s) E1–2; author reply E5–6

MeSH term(s)	Disease Outbreaks ; Europe/epidemiology ; Humans ; Parvoviridae Infections/epidemiology ; Parvovirus B19, Human
Language	English
Publishing date	2005-09-30
Publishing country	Sweden
Document type	Comment ; Letter
ZDB-ID	1338803-4
ISSN	1560-7917 ; 1025-496X
ISSN (online)	1560-7917
ISSN	1025-496X
DOI	10.2807/esm.10.09.00565-en
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Article ; Online: An outbreak investigation of congenital rubella syndrome in Solomon Islands, 2013.

Durski, Kara N / Tituli, Carol / Ogaoga, Divi / Musto, Jennie / Joshua, Cynthia / Dofai, Alfred / Leydon, Jennie / Nilles, Eric

Western Pacific surveillance and response journal : WPSAR

2016 Volume 7, Issue 1, Page(s) 10–13

Abstract: Introduction: During May 2012, a rubella outbreak was declared in Solomon Islands. A suspected case of congenital rubella syndrome (CRS) was reported from one hospital 11 months later in 2013. This report describes the subsequent CRS investigation, ... ...

Abstract	Introduction: During May 2012, a rubella outbreak was declared in Solomon Islands. A suspected case of congenital rubella syndrome (CRS) was reported from one hospital 11 months later in 2013. This report describes the subsequent CRS investigation, findings and measures implemented. Methods: Prospective CRS surveillance was conducted at the newborn nursery, paediatric and post-natal wards, and the paediatric cardiology and ophthalmology clinics of the study hospital from April to July 2013. Retrospective case finding by reviewing medical records was also undertaken to identify additional cases born between January and March 2013 for the same wards and clinics. Cases were identified using established World Health Organization case definitions for CRS. Results: A total of 13 CRS cases were identified, including two laboratory-confirmed, four clinically confirmed and seven suspected cases. Five CRS cases were retrospectively identified, including four suspected and one clinically confirmed case. There was no geospatial clustering of residences. The mothers of the cases were aged between 20 and 36 years. Three of the six mothers available for interview recalled an acute illness with rash during the first trimester of pregnancy. Discussion: Additional CRS cases not captured in this investigation are likely. Caring for CRS cases is a challenge in resource-poor settings. Rubella vaccination is safe and effective and can prevent the serious consequences of CRS. Well planned and funded vaccination activities can prevent future CRS cases.
MeSH term(s)	Disease Outbreaks ; Female ; Humans ; Incidence ; Infant ; Infant, Newborn ; Male ; Melanesia/epidemiology ; Population Surveillance ; Prospective Studies ; Rubella Syndrome, Congenital/epidemiology
Language	English
Publishing date	2016-02-03
Publishing country	Philippines
Document type	Journal Article
ZDB-ID	2592503-9
ISSN	2094-7313 ; 2094-7313
ISSN (online)	2094-7313
ISSN	2094-7313
DOI	10.5365/WPSAR.2015.6.4.005
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Article ; Online: Evaluation of the World Health Organization global measles and rubella quality assurance program, 2001-2008.

Stambos, Vicki / Leydon, Jennie / Riddell, Michaela / Clothier, Hazel / Catton, Mike / Featherstone, David / Kelly, Heath

The Journal of infectious diseases

2011 Volume 204 Suppl 1, Page(s) S499–505

Abstract: Background: During 2001-2008, the Victorian Infectious Diseases Reference Laboratory (VIDRL) prepared and provided a measles and rubella proficiency test panel for distribution to the World Health Organization (WHO) measles and rubella network ... ...

Abstract	Background: During 2001-2008, the Victorian Infectious Diseases Reference Laboratory (VIDRL) prepared and provided a measles and rubella proficiency test panel for distribution to the World Health Organization (WHO) measles and rubella network laboratories as part of their annual laboratory accreditation assessment. Methods: Panel test results were forwarded to VIDRL, and results from 8 consecutive years were analyzed. We assessed the type of assays used and results achieved on the basis of the positive and negative interpretation of submitted results, by year and WHO region, for measles and rubella. Results: Over time, there has been a noticeable increase in laboratory and WHO regional participation. For all panels, the proportion of laboratories in all WHO regions using the WHO-validated Dade Behring assay for measles and rubella-specific IgM antibodies ranged from 35% to 100% and 59% to 100%, respectively. For all regions and years, the proportion of laboratories obtaining a pass score ranged from 87% to 100% for measles and 93% to 100% for rubella. Conclusions: During 2001-2008, a large proportion of laboratories worldwide achieved and maintained a pass score for both measles and rubella. Measles and rubella proficiency testing is regarded as a major achievement for the WHO measles and rubella laboratory program.
MeSH term(s)	Clinical Laboratory Techniques/standards ; Communicable Disease Control/methods ; Data Collection ; Global Health ; International Cooperation ; Measles/diagnosis ; Measles/epidemiology ; Population Surveillance ; Program Evaluation ; Quality Assurance, Health Care/organization & administration ; Quality Assurance, Health Care/standards ; Rubella/diagnosis ; Rubella/epidemiology ; Surveys and Questionnaires ; Time Factors ; World Health Organization/organization & administration
Language	English
Publishing date	2011-07
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	3019-3
ISSN	1537-6613 ; 0022-1899
ISSN (online)	1537-6613
ISSN	0022-1899
DOI	10.1093/infdis/jir128
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Article ; Online: Residual susceptibility to measles among young adults in Victoria, Australia following a national targeted measles-mumps-rubella vaccination campaign

Leydon Jennie A / Karapanagiotidis Theo / Gidding Heather F / Kelly Heath A / Riddell Michaela A

BMC Public Health, Vol 7, Iss 1, p

2007 Volume 99

Abstract: Abstract Background Past measles immunisation policies in Australia have resulted in a cohort of young adults who have been inadequately vaccinated, but who also have low levels of naturally acquired immunity because immunisation programs have decreased ... ...

Abstract	Abstract Background Past measles immunisation policies in Australia have resulted in a cohort of young adults who have been inadequately vaccinated, but who also have low levels of naturally acquired immunity because immunisation programs have decreased the circulation of wild virus. A measles-mumps-rubella (MMR) immunisation campaign aimed at addressing this susceptibility to measles among young adults was conducted in Australia in 2001–2. By estimating age-specific immunity, we aimed to evaluate the success of this campaign in the state of Victoria. Methods We conducted serosurveys after the young adult MMR program at state and national levels to estimate immunity among young adults born between 1968–82. We compared results of the Victorian (state) surveys with the Victorian component of the national surveys and compared both surveys with surveys conducted before the campaign. We also reviewed all laboratory confirmed measles cases in Victoria between 2000–4. Results The Victorian state serosurveys indicated no significant change in immunity of the cohort following the young adult MMR campaign (83.9% immune pre and 85.5% immune post campaign) while the Victorian component of the national serosurvey indicated a significant decline in immunity (91.0% to 84.2%; p = 0.006). Both surveys indicated about 15% susceptibility to measles among young Victorian adults after the campaign. Measles outbreaks in Victoria between 2000–4 confirmed the susceptibility of young adults. Outbreaks involved a median of 2.5 cases with a median age of 24.5 years. Conclusion In Victoria, the young adult MMR program appears to have had no effect on residual susceptibility to measles among the 1968–82 birth cohort. Young adults in Victoria, as in other countries where past immunisation policies have left a residual susceptible cohort, represent a potential problem for the maintenance of measles elimination.
Keywords	Public aspects of medicine ; RA1-1270
Subject code	333
Language	English
Publishing date	2007-06-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
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Article: Development of a Real-Time PCR Assay To Detect Treponema pallidum in Clinical Specimens and Assessment of the Assay's Performance by Comparison with Serological Testing

Leslie, David E / Azzato, Franca / Karapanagiotidis, Theo / Leydon, Jennie / Fyfe, Janet

Journal of clinical microbiology JCM. 2007 Jan., v. 45, no. 1

2007

Abstract: The incidence of infectious syphilis in men who have sex with men and human immunodeficiency virus-infected patients has increased steadily in Victoria, Australia, since 2002. A TaqMan real-time PCR assay targeting the polA gene of Treponema pallidum ( ... ...

Abstract	The incidence of infectious syphilis in men who have sex with men and human immunodeficiency virus-infected patients has increased steadily in Victoria, Australia, since 2002. A TaqMan real-time PCR assay targeting the polA gene of Treponema pallidum (TpPCR) was developed. The analytical sensitivity of the assay was estimated to be 1.75 target copies per reaction. Initially, the assay was used to test a variety of specimens (excluding blood) from 598 patients. Of the 660 tests performed, positive PCR results were obtained for 55 patients. TpPCR results were compared with serology results for 301 patients being investigated for early syphilis. Of these patients, 41 were positive by both TpPCR and serology, 246 were negative by both TpPCR and serology, 4 were TpPCR positive but negative by serology, and 10 were TpPCR negative but showed evidence of recent or active infection by serology. Directly compared with serology, TpPCR showed 95% agreement, with a sensitivity of 80.39% and a specificity of 98.40%. Potential factors leading to the discrepant results are discussed. Concurrent serology on 21 patients with TpPCR-positive primary syphilitic lesions demonstrated that a panel of current syphilis serological tests has high sensitivity for the detection of early syphilis. We found that TpPCR is a useful addition to serology for the diagnosis of infectious syphilis. Direct comparison with other T. pallidum PCR assays will be required to fully assess the limitations of the assay.
Language	English
Dates of publication	2007-01
Size	p. 93-96.
Publishing place	American Society for Microbiology
Document type	Article
ZDB-ID	390499-4
ISSN	1098-660X ; 0095-1137
ISSN (online)	1098-660X
ISSN	0095-1137
Database	NAL-Catalogue (AGRICOLA)

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Article: The mumps outbreak that wasn't.

Guy, Rebecca / Leydon, Jennie / Andrews, Ross / Lambert, Stephen

Australian and New Zealand journal of public health

2002 Volume 26, Issue 2, Page(s) 180–181

MeSH term(s)	Adult ; Child ; Child, Preschool ; Diagnosis, Differential ; Disease Outbreaks ; Humans ; Immunoenzyme Techniques ; Infant ; Measles-Mumps-Rubella Vaccine/administration & dosage ; Middle Aged ; Mumps/diagnosis ; Mumps/epidemiology ; Mumps/prevention & control ; Population Surveillance ; Sensitivity and Specificity ; Victoria/epidemiology
Chemical Substances	Measles-Mumps-Rubella Vaccine
Language	English
Publishing date	2002-01-28
Publishing country	Australia
Document type	Letter
ZDB-ID	1323548-5
ISSN	1326-0200
ISSN	1326-0200
DOI	10.1111/j.1467-842x.2002.tb00914.x
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Article: Report on a workshop on the laboratory diagnosis of measles.

Leydon, Jennie / Curley, Shannon / Karapanagiotidis, Theo / Stambos, Vicki / Kelly, Heath

Pacific health dialog

2005 Volume 12, Issue 2, Page(s) 159–163

Abstract: The Western Pacific Region of the World Health Organization (WHO) has declared a goal of regional measles elimination with a target date of 2012. To facilitate this goal, and in order to increase the familiarity of staff from some Western Pacific ... ...

Abstract	The Western Pacific Region of the World Health Organization (WHO) has declared a goal of regional measles elimination with a target date of 2012. To facilitate this goal, and in order to increase the familiarity of staff from some Western Pacific national laboratories with the technique of enzyme immunoassay (EIA) for the detection of anti-measles IgM, a WHO sponsored workshop was held at the Victorian Infectious Diseases Reference Laboratory (VIDRL) in May 2005. The workshop included participants from national laboratories in Cambodia and Lao People's Democratic Republic, and from five Pacific Island countries, Fiji, French Polynesia, Guam, New Caledonia and Papua New Guinea. An observer from Guam also participated. In addition to increasing the workshop participants' familiarity with the Dade Behring Enzygnost Anti-Measles Virus/IgM assay by hands-on involvement, the participants learnt to use dried venous blood spots for measles diagnosis. All participants successfully completed the practical component of the workshop. The workshop also included informal seminars on troubleshooting problems in EIA, good laboratory practice, data management in the laboratory and transporting infectious and diagnostic material. The EIA measles IgM calculation worksheets and the seminar on good laboratory practice were considered to be particularly useful by the majority of participants. The workshop was considered a success in terms of equipping participants with the knowledge and capacity to perform accurate measles IgM testing for both serum and dried venous blood spots. It also provided an introduction to proficiency testing.
MeSH term(s)	Antibodies, Viral/blood ; Antibodies, Viral/isolation & purification ; Antibody Specificity ; Clinical Laboratory Techniques ; Education ; Humans ; Immunoenzyme Techniques/methods ; Measles/diagnosis ; Measles virus/immunology ; Medical Laboratory Personnel/education ; Pacific Islands
Chemical Substances	Antibodies, Viral
Language	English
Publishing date	2005-09
Publishing country	New Zealand
Document type	Journal Article
ZDB-ID	2582245-7
ISSN	1015-7867
ISSN	1015-7867
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Article: Development of a real-time PCR assay to detect Treponema pallidum in clinical specimens and assessment of the assay's performance by comparison with serological testing.

Leslie, David E / Azzato, Franca / Karapanagiotidis, Theo / Leydon, Jennie / Fyfe, Janet

Journal of clinical microbiology

2007 Volume 45, Issue 1, Page(s) 93–96

Abstract	The incidence of infectious syphilis in men who have sex with men and human immunodeficiency virus-infected patients has increased steadily in Victoria, Australia, since 2002. A TaqMan real-time PCR assay targeting the polA gene of Treponema pallidum (TpPCR) was developed. The analytical sensitivity of the assay was estimated to be 1.75 target copies per reaction. Initially, the assay was used to test a variety of specimens (excluding blood) from 598 patients. Of the 660 tests performed, positive PCR results were obtained for 55 patients. TpPCR results were compared with serology results for 301 patients being investigated for early syphilis. Of these patients, 41 were positive by both TpPCR and serology, 246 were negative by both TpPCR and serology, 4 were TpPCR positive but negative by serology, and 10 were TpPCR negative but showed evidence of recent or active infection by serology. Directly compared with serology, TpPCR showed 95% agreement, with a sensitivity of 80.39% and a specificity of 98.40%. Potential factors leading to the discrepant results are discussed. Concurrent serology on 21 patients with TpPCR-positive primary syphilitic lesions demonstrated that a panel of current syphilis serological tests has high sensitivity for the detection of early syphilis. We found that TpPCR is a useful addition to serology for the diagnosis of infectious syphilis. Direct comparison with other T. pallidum PCR assays will be required to fully assess the limitations of the assay.
MeSH term(s)	Bacterial Proteins/genetics ; DNA, Bacterial/analysis ; DNA, Bacterial/isolation & purification ; Female ; Humans ; Male ; Polymerase Chain Reaction/methods ; Sensitivity and Specificity ; Syphilis/diagnosis ; Syphilis/microbiology ; Syphilis Serodiagnosis ; Taq Polymerase/metabolism ; Treponema pallidum/genetics ; Treponema pallidum/isolation & purification
Chemical Substances	Bacterial Proteins ; DNA, Bacterial ; Taq Polymerase (EC 2.7.7.-)
Language	English
Publishing date	2007-01
Publishing country	United States
Document type	Comparative Study ; Evaluation Studies ; Journal Article
ZDB-ID	390499-4
ISSN	1098-660X ; 0095-1137
ISSN (online)	1098-660X
ISSN	0095-1137
DOI	10.1128/JCM.01578-06
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Article ; Online: Residual susceptibility to measles among young adults in Victoria, Australia following a national targeted measles-mumps-rubella vaccination campaign.

Kelly, Heath A / Gidding, Heather F / Karapanagiotidis, Theo / Leydon, Jennie A / Riddell, Michaela A

BMC public health

2007 Volume 7, Page(s) 99

Abstract: Background: Past measles immunisation policies in Australia have resulted in a cohort of young adults who have been inadequately vaccinated, but who also have low levels of naturally acquired immunity because immunisation programs have decreased the ... ...

Abstract	Background: Past measles immunisation policies in Australia have resulted in a cohort of young adults who have been inadequately vaccinated, but who also have low levels of naturally acquired immunity because immunisation programs have decreased the circulation of wild virus. A measles-mumps-rubella (MMR) immunisation campaign aimed at addressing this susceptibility to measles among young adults was conducted in Australia in 2001-2. By estimating age-specific immunity, we aimed to evaluate the success of this campaign in the state of Victoria. Methods: We conducted serosurveys after the young adult MMR program at state and national levels to estimate immunity among young adults born between 1968-82. We compared results of the Victorian (state) surveys with the Victorian component of the national surveys and compared both surveys with surveys conducted before the campaign. We also reviewed all laboratory confirmed measles cases in Victoria between 2000-4. Results: The Victorian state serosurveys indicated no significant change in immunity of the cohort following the young adult MMR campaign (83.9% immune pre and 85.5% immune post campaign) while the Victorian component of the national serosurvey indicated a significant decline in immunity (91.0% to 84.2%; p = 0.006). Both surveys indicated about 15% susceptibility to measles among young Victorian adults after the campaign. Measles outbreaks in Victoria between 2000-4 confirmed the susceptibility of young adults. Outbreaks involved a median of 2.5 cases with a median age of 24.5 years. Conclusion: In Victoria, the young adult MMR program appears to have had no effect on residual susceptibility to measles among the 1968-82 birth cohort. Young adults in Victoria, as in other countries where past immunisation policies have left a residual susceptible cohort, represent a potential problem for the maintenance of measles elimination.
MeSH term(s)	Adult ; Age Factors ; Antibodies, Viral/blood ; Cohort Studies ; Disease Susceptibility ; Health Policy ; Humans ; Immunity, Active ; Immunization Programs/standards ; Immunization Programs/utilization ; Immunoenzyme Techniques ; Measles/immunology ; Measles/prevention & control ; Measles virus/immunology ; Measles virus/pathogenicity ; Measles-Mumps-Rubella Vaccine/administration & dosage ; Measles-Mumps-Rubella Vaccine/supply & distribution ; Program Evaluation ; Seroepidemiologic Studies ; Victoria
Chemical Substances	Antibodies, Viral ; Measles-Mumps-Rubella Vaccine
Language	English
Publishing date	2007-06-08
Publishing country	England
Document type	Journal Article
ISSN	1471-2458
ISSN (online)	1471-2458
DOI	10.1186/1471-2458-7-99
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Article: Dried venous blood samples for the detection and quantification of measles IgG using a commercial enzyme immunoassay.

Riddell, Michaela A / Byrnes, Graham B / Leydon, Jennie A / Kelly, Heath A

Bulletin of the World Health Organization

2003 Volume 81, Issue 10, Page(s) 701–707

Abstract: Objectives: To determine whether samples of dried venous blood (DVB) were an acceptable alternative to serum for detecting measles-specific IgG in a commercial enzyme immunoassay.: Methods: Paired samples of serum and DVB were collected from 98 ... ...

Abstract	Objectives: To determine whether samples of dried venous blood (DVB) were an acceptable alternative to serum for detecting measles-specific IgG in a commercial enzyme immunoassay. Methods: Paired samples of serum and DVB were collected from 98 suspected cases of measles and 1153 schoolchildren in Victoria, Australia. All samples were tested using the Dade Behring Enzygnost Anti-Measles-Virus/IgG immunoassay. DVB samples were eluted using either the sample buffer provided with the kit or 5% dry milk powder in phosphate-buffered saline-Tween 20. Findings: DVB samples eluted by sample buffer showed significantly better linear correlation to the serum samples than did DVB samples eluted in 5% dry milk in phosphate-buffered saline-Tween 20. To improve the comparability of serum and DVB samples an adjustment factor of 1.28 was applied to the optical density (OD) values of DVB. This adjustment also enabled quantification of the titre of measles IgG in mIU/ml directly from the OD value using the alpha calculation as specified by the kit protocol. For DVB samples stored for less than six months at 4 degrees C, the assay showed an overall sensitivity of 98.4% and a specificity of 97.2% compared with the results of serum testing. Conclusion: These results illustrate the potential for DVB samples to be widely used with the Dade Behring enzyme immunoassay system for determining the immunity of the individual and the population to the measles virus.
MeSH term(s)	Adolescent ; Blood Specimen Collection/methods ; Child ; Feasibility Studies ; Humans ; Immunoenzyme Techniques ; Immunoglobulin G/blood ; Measles/diagnosis ; Measles/epidemiology ; Measles/immunology ; Sensitivity and Specificity ; Seroepidemiologic Studies ; Victoria
Chemical Substances	Immunoglobulin G
Language	English
Publishing date	2003
Publishing country	Switzerland
Document type	Comparative Study ; Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	80213-x
ISSN	1564-0604 ; 0042-9686 ; 0366-4996 ; 0510-8659
ISSN (online)	1564-0604
ISSN	0042-9686 ; 0366-4996 ; 0510-8659
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