Public health articles within Nature Communications

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  • Article
    | Open Access

    Hepatitis B virus is an ancient human pathogen that dates back more than 10,000 years. Here, the authors investigate the evolutionary history of the virus in Eastern Eurasia by sequencing 34 genomes dating from approximately 400–5,000 years ago and comparing them with other contemporary sequences.

    • Bing Sun
    • , Aida Andrades Valtueña
    •  & Yinqiu Cui

  • Article
    | Open Access

    Maternal anti-SARS-CoV-2 antibodies can provide protection against severe COVID-19 in infants, but the relative protection conferred by maternal infection, vaccination, and hybrid immunity is unknown. Here, the authors use data from Israel and show that infants born to mothers with hybrid immunity had lowest rates of COVID-19 hospitalisation.

    • Joshua Guedalia
    • , Michal Lipschuetz
    •  & Ofer Beharier

  • Perspective
    | Open Access

    In this Perspective, the authors discuss the importance of preventing zoonotic spillover to prevent pandemics. They highlight mechanisms by which environmental changes can enable spillover, identify ecological interventions for spillover prevention and suggest policy frameworks through which interventions can be implemented.

    • Raina K. Plowright
    • , Aliyu N. Ahmed
    •  & Annika T. H. Keeley

  • Article
    | Open Access

    Seasonal influenza vaccine effectiveness depends on including virus strains in the vaccine that closely match those circulating in the upcoming season. In this study, the authors develop a computational model of influenza virus evolution to predict future circulating strains and therefore support vaccine strain selection.

    • Jingzhi Lou
    • , Weiwen Liang
    •  & Maggie Haitian Wang

  • Article
    | Open Access

    Routine sampling of pregnant women at first antenatal care (ANC) visits could be used for malaria surveillance. Here, the authors compare the genetic structure of Plasmodium falciparum parasite populations between samples from first ANC users and children from the community in Mozambique, and show that it can inform about changes in transmission beyond epidemiological data.

    • Nanna Brokhattingen
    • , Glória Matambisso
    •  & Alfredo Mayor

  • Article
    | Open Access

    COVID-19 vaccination has been recommended for children and young people (aged 5–17) in the UK since 2021/2022. In this study, the authors use linked health and administrative data to estimate vaccine uptake in this age group and show that age and adult household vaccination status are associated with uptake.

    • Sarah J. Aldridge
    • , Utkarsh Agrawal
    •  & Rhiannon K. Owen

  • Article
    | Open Access

    Use of cloud-based personal health records are increasing globally. Here, authors introduce the Global Patient co-Owned Cloud (GPOC) concept. The systematic review and meta-analysis examine factors like data security, efficiency, privacy, and cost. It aims to establish a scientific basis for a GPOC, which may disseminate global artificial intelligence for healthcare.

    • Niklas Lidströmer
    • , Joe Davids
    •  & Eric Herlenius

  • Article
    | Open Access

    Identification of patients at high risk of methicillin-resistant Staphylococcus aureus (MRSA) infection could improve treatment outcomes by optimising antimicrobial therapy. Here the authors develop a deep learning model that uses electronic health record data from the United States to predict MRSA culture positivity.

    • Masayuki Nigo
    • , Laila Rasmy
    •  & Degui Zhi

  • Article
    | Open Access

    The optimal frequency of COVID-19 booster vaccination is unclear. Here, the authors use a microsimulation model to assess the impact of different vaccine schedules on severe disease and show that regular boosters have large benefits for older and immunocompromised individuals but less so for younger age groups.

    • Hailey J. Park
    • , Gregg S. Gonsalves
    •  & Nathan C. Lo

  • Article
    | Open Access

    An indirect impact of the COVID-19 pandemic was a decline in healthcare utilisation for other conditions. Here, the authors quantify this decline in the Netherlands and show that impacts were greater for individuals with lower household income, females, older people, and those with a migrant background.

    • Arun Frey
    • , Andrea M. Tilstra
    •  & Mark D. Verhagen

  • Article
    | Open Access

    Escherichia coli ST131 is a globally dominant multidrug resistant clone associated with high rates of recurring urinary tract infections. In this genomic epidemiology study, the authors describe the evolution, population structure, and antimicrobial resistance in 142 E. coli ST131 samples from Wales, UK.

    • Rhys T. White
    • , Matthew J. Bull
    •  & Scott A. Beatson

  • Article
    | Open Access

    The optimal timing between first and second mRNA COVID-19 vaccine doses has not been established. Here, the authors use electronic health record data from Georgia, USA in a target trial emulation study to estimate vaccine effectiveness against infection for different dose intervals.

    • Kayoko Shioda
    • , Alexander Breskin
    •  & Elizabeth T. Rogawski McQuade

  • Article
    | Open Access

    West Nile Virus is emerging as an important pathogen in Europe, likely driven by recent climate and land-use changes. Here, the authors estimate the extent of the climate change-driven impact by modelling the change in West Nile Virus ecological suitability across the continent in the absence of climate change.

    • Diana Erazo
    • , Luke Grant
    •  & Simon Dellicour

  • Editorial
    | Open Access

    Africa is undergoing a demographic transition1 that has led to significant reductions in the number of individuals living in extreme poverty, and to positive shifts in related health outcomes, across its diverse populations2. Building on these successes requires a consideration of intersecting factors that impact health metrics, which is the focus of the United Nations Sustainable Development Goals3. To support researchers in their efforts towards reaching these goals, Nature Communications, Communications Medicine and Scientific Reports invite submissions of papers that advance our understanding of all aspects of health in Africa.

  • Article
    | Open Access

    Pertussis immunisation for pregnant women has been introduced to protect newborns, but immunological evidence suggests that this lessens subsequent infant immune response to vaccination. Here, the authors assess the epidemiological impacts of both consequences of maternal immunisation on infant infection.

    • Michael Briga
    • , Elizabeth Goult
    •  & Matthieu Domenech de Cellès

  • Comment
    | Open Access

    The African continent demonstrated decisive leadership throughout its response to the COVID-19 pandemic, leveraging lessons learned from previous outbreaks and acting quickly to limit the impact of the SARS-CoV-2 virus. We propose a framework to build on these successes that calls for greater collaboration between African leaders, and greater inclusion of African voices in the global health ecosystem.

    • Nicaise Ndembi
    • , Aggrey Aluso
    •  & Jean Kaseya

  • Article
    | Open Access

    Monitoring antimicrobial resistance in food animals is challenging due to limited surveillance systems. Here, the authors combine data from point prevalence surveys in lower- and middle-income settings to map resistance to seven antimicrobials and predict which are likely to exceed key resistance thresholds.

    • Cheng Zhao
    • , Yu Wang
    •  & Thomas P. Van Boeckel

  • Article
    | Open Access

    Chronic SARS-CoV-2 infections have been hypothesised to be sources of new variants. Here, the authors use large-scale genome sequencing data to identify mutations predictive of chronic infections, which may therefore be relevant in future variants.

    • Sheri Harari
    • , Danielle Miller
    •  & Adi Stern

  • Article
    | Open Access

    Live poultry markets in rural areas can be hotspots for transmission of pathogens, but the effects of markets on selection of viral virulence are not known. This study demonstrates through mathematical modelling that high turnover rate and persistence of viral particles can select for highly virulent pathogens in markets.

    • Justin K. Sheen
    • , Fidisoa Rasambainarivo
    •  & C. Jessica E. Metcalf

  • Article
    | Open Access

    Seasonal influenza levels were unusually low when non-pharmaceutical interventions for COVID-19 were in place. Here, the authors analyse serological and epidemiological evidence for the hypothesis that such lulls in influenza transmission lead to reduced immunity and therefore larger epidemics in subsequent seasons.

    • Simon P. J. de Jong
    • , Zandra C. Felix Garza
    •  & Colin A. Russell

  • Article
    | Open Access

    Despite being recommended, day-zero biopsies are often not performed, due to the cost and time. Here, the authors show that machine learning and donor’s basic parameters can predict the biopsy, offering a reliable virtual estimation of the day-zero biopsy findings.

    • Daniel Yoo
    • , Gillian Divard
    •  & Alexandre Loupy

  • Article
    | Open Access

    SARS-CoV-2 coinfections may lead to recombination events which could be important in the emergence of new variants. Here, the authors develop an automated bioinformatics pipeline to identify coinfections in genomic data and test it on >2 million publicly available raw read data sets collected globally.

    • Orsolya Anna Pipek
    • , Anna Medgyes-Horváth
    •  & István Csabai

  • Article
    | Open Access

    Bacteria in the same environment can share genetic material but the extent to which this influences development of antimicrobial resistance is unclear. Here, the authors investigate the evidence for co-evolution of antimicrobial resistance in bacteria found coexisting in animals and the environment in chicken farms and slaughterhouses in China.

    • Michelle Baker
    • , Xibin Zhang
    •  & Tania Dottorini

  • Article
    | Open Access

    The relation between daily meal and fasting timing with cardiovascular disease incidence remains unclear. Here, authors show that a later daily meal timing is associated with increased cardiovascular disease risk, especially in women. This study suggests that adopting earlier daily eating patterns may be beneficial for cardiovascular prevention.

    • Anna Palomar-Cros
    • , Valentina A. Andreeva
    •  & Bernard Srour

  • Article
    | Open Access

    Childhood obesity remains a global epidemic. Here, using objective measurements, the authors show that sedentary time increased from 6 h/day in childhood to 9 h/day in young adulthood, and was cumulatively associated with increased total and trunk fat mass. Both light or moderate-to-vigorous physical activity similarly partly reversed risk.

    • Andrew O. Agbaje
    • , Wei Perng
    •  & Tomi-Pekka Tuomainen

  • Article
    | Open Access

    The geographic distribution of dengue has been expanding in recent decades, and Vietnam is one of the most severely affected countries. In this study, the authors use Bayesian hierarchical modelling to investigate the socio-environmental and climatic drivers of dengue incidence in Vietnam and how they vary across the country.

    • Rory Gibb
    • , Felipe J. Colón-González
    •  & Rachel Lowe

  • Comment
    | Open Access

    Endometriosis is an incurable, under-diagnosed, systemic inflammatory disease affecting millions world-wide. Common symptoms include life-impacting pain, gastrointestinal/urinary symptoms, excessive fatigue, and infertility. Global public health policies are urgently needed to promote awareness, implement multidisciplinary care, and fund research for aetiology, biomarker discovery, and effective therapies for symptoms associated with endometriosis.

    • Linda C. Giudice
    • , Andrew W. Horne
    •  & Stacey A. Missmer

  • Article
    | Open Access

    Antivirals are now available for treating COVID-19 but must be used early in the course of infection to be effective. Here, the authors use mathematical modelling to assess the potential public health impacts of antiviral use considering different levels of testing and country sociodemographic characteristics.

    • Alvin X. Han
    • , Emma Hannay
    •  & Colin A. Russell

  • Article
    | Open Access

    Determining the prevalence of Long COVID is challenging because many symptoms attributed to the syndrome could have other causes. Here, the authors estimate the prevalence of Long COVID in Scotland by comparing rates of symptoms reported by people with and without history of SARS-CoV-2 infection.

    • Claire E. Hastie
    • , David J. Lowe
    •  & Jill P. Pell

  • Article
    | Open Access

    Novel indicators of infectious disease prevalence could improve real-time surveillance and support healthcare planning. Here, the authors show that sales data for non-prescription medications from a UK high street retailer can improve the accuracy of models forecasting mortality from respiratory infections.

    • Elizabeth Dolan
    • , James Goulding
    •  & Laila J. Tata

  • Article
    | Open Access

    Post-acute COVID-19 condition is difficult to quantify because it includes a range of symptoms that may have other causes. In this study, the authors use primary care data from England and Catalonia, Spain, to estimate the incidence of the condition and identify symptoms that occur more frequently following infection than in uninfected controls.

    • Kristin Kostka
    • , Elena Roel
    •  & Annika M. Jödicke

  • Article
    | Open Access

    Pneumococcal vaccination has been shown to promote emergence of non-vaccine S. pneumoniae serotypes. Here, the authors use data from Malawi to investigate whether vaccine introduction also results in changes in metabolic, virulence, and antimicrobial resistance profiles of circulating strains.

    • Uri Obolski
    • , Todd D. Swarthout
    •  & Robert S. Heyderman

  • Article
    | Open Access

    The relationship between circadian function and frailty is not well understood. Here, the authors show that disturbances in circadian rest-activity rhythms were associated with an elevated frailty risk and faster progress of frailty in older adults.

    • Ruixue Cai
    • , Lei Gao
    •  & Peng Li

  • Article
    | Open Access

    In this study, the authors develop a mathematical modelling framework to estimate the impacts of non-pharmaceutical interventions and vaccination on COVID-19 incidence. The model accounts for changes in SARS-CoV-2 variant and population immunity, and here they use it to investigate epidemic dynamics in French Polynesia.

    • Lloyd A. C. Chapman
    • , Maite Aubry
    •  & Adam J. Kucharski

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