Antibiotic resistance among enterococci and γ-proteobacteria is an increasing problem in healthcare settings. Dense colonization of the gut by antibiotic-resistant bacteria facilitates their spread between patients and also leads to bloodstream and other systemic infections. Antibiotic-mediated destruction of the intestinal microbiota and consequent loss of colonization resistance are critical factors leading to persistence and spread of antibiotic-resistant bacteria.

IFITM3 is critical for limiting the severity of influenza virus infections in humans and mice. Optimal antiviral activity of IFITM3 is achieved when it is present at high levels within cells. Our results indicate that the E3 ubiquitin ligase NEDD4 decreases baseline IFITM3 levels by ubiquitinating IFITM3 and promoting its turnover. Depleting NEDD4 from cells results in IFITM3 accumulation and greater resistance to infection by influenza viruses.

Very little is known about how vector-borne pathogens interact within their vector and how this impacts transmission. Here we show that mosquitoes can accumulate mixed strain malaria infections after feeding on multiple hosts. We found that parasites have a greater chance of establishing and reach higher densities if another strain is already present in a mosquito. Mixed infections contained more parasites but these larger populations did not have a detectable impact on vector survival.

Nearly 25% of the global population (1.8 billion people in 2012) is consuming fecally-contaminated water. This water can contain bacteria, protozoa, and viruses that can cause a variety of diseases in humans, most notably gastroenteritis. The impact on public health is staggering. Unsafe water, inadequate sanitation, and poor hygiene are responsible for about 90% of diarrheal deaths worldwide. Not surprisingly, diarrhea is the second leading cause of death for children under the age of five globally (1.2 million deaths in 2012).

Hepatitis C virus (HCV) represents a significant health burden worldwide, with an estimated 185 million people chronically infected. A leading cause of liver transplantation, HCV infection can result in severe liver disease including cirrhosis and hepatocellular carcinoma. Cure of HCV infection results in substantial decreases in such liver-related morbidity and mortality. Prior therapies for HCV offered only 40% cure for the most difficult-to-treat genotype-1 infection, required 48 weeks of therapy with an injectable interferon, and included significant adverse events.

Malaria remains one of the leading causes of death worldwide, despite decades of public health efforts. The recent commitment by many endemic countries to eliminate malaria marks a shift away from programs aimed at controlling disease burden towards one that emphasizes reducing transmission of the most virulent human malaria parasite, Plasmodium falciparum. Gametocytes, the only developmental stage of malaria parasites able to infect mosquitoes, have remained understudied, as they occur in low numbers, do not cause disease, and are difficult to detect in vivo by conventional methods.

Despite significant advances, there is more work to be done before the international community can be confident that it possesses sufficient protection against any future smallpox threats. The current World Health Organization (WHO)-approved research agenda for smallpox has been tightly focused by the interpretation that research “essential for public health” equates solely to applied research related directly to the development of new antiviral drugs, safer vaccines, and better diagnostics.

As is apparent in many fields of science and medicine, the new biology, and particularly new high-throughput genetic sequencing and transcriptomic and epigenetic technologies, are radically altering our understanding and views of science. In this article, we make the case that while mostly ignored thus far in the vaccine field, these changes will revolutionize vaccinology from development to manufacture to administration.

An accurate, simple, and direct test for tuberculosis (TB) has been a priority for many years, but to date no such test has become available. Easily detectable sensitive and specific biomarkers are elusive and may remain so. In parallel to the essential extensive efforts in biomarker discovery performed in this field, we suggest it is also worthwhile to evaluate the utility of biomarkers of TB infection in a “treat-to-test” strategy.

The emergence and rapid global spread of the swine-origin H1N1/09 pandemic influenza A virus in humans underscores the importance of swine populations as reservoirs for genetically diverse influenza viruses with the potential to infect humans. However, despite their significance for animal and human health, relatively little is known about the phylogeography of swine influenza viruses in the United States.

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