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for disease propagation. 24 days later, the Peruvian man died of a severe pneumonia, being the
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first death of the Delta variant in the country.
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On 26 November 2021, Scatec ASA, a Norwegian company specializing in renewable energy systems, held
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a Christmas party in Oslo, Norway attended by 120 people, all of whom were fully vaccinated against
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COVID-19 and tested negative for COVID-19 prior to the party being held. One person who attended
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the party had recently returned from South Africa, the epicenter of the SARS-CoV-2 Omicron variant
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outbreak and a country where the company has a solar panel project. It was later found that the
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attendee from South Africa had been infected with the Omicron variant. More than half of the
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party's attendees have since tested positive for COVID-19 and of those attendees, at least 13 of
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them were confirmed to have the variant.
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Several factors are identified as contributing to superspreading events with COVID-19: closed
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spaces with poor ventilation, crowds, and close contact settings ("three Cs").
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Statistical analyses of the frequency of coronavirus superspreading events, including SARS-CoV-2
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and SARS, have shown that they correspond to fat-tailed events, indicating that they are extreme,
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but likely, occurrences.
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A SARS-CoV-2 superspreading events database maintained by a group of researchers at the London
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School of Hygiene and Tropical Medicine includes more than 1,600 superspreading events from around
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the world.
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SARS outbreak: 2003
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The first cases of SARS occurred in mid-November 2002 in the Guangdong Province of China. This was
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followed by an outbreak in Hong Kong in February 2003. A Guangdong Province doctor, Liu Jianlun,
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who had treated SARS cases there, had contracted the virus and was symptomatic. Despite his
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symptoms, he traveled to Hong Kong to attend a family wedding. He stayed on the ninth floor of the
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Metropole Hotel in Kowloon, infecting 16 other hotel guests also staying on that floor. The guests
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then traveled to Canada, Singapore, Taiwan, and Vietnam, spreading SARS to those locations and
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transmitting what became a global epidemic.
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In another case during this same outbreak, a 54-year-old male was admitted to a hospital with
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coronary heart disease, chronic kidney failure and type II diabetes mellitus. He had been in
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contact with a patient known to have SARS. Shortly after his admission he developed fever, cough,
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myalgia and sore throat. The admitting physician suspected SARS. The patient was transferred to
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another hospital for treatment of his coronary artery disease. While there, his SARS symptoms
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became more pronounced. Later, it was discovered he had transmitted SARS to 33 other patients in
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just two days. He was transferred back to the original hospital where he died of SARS.
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In his post-mortem reflection, Low remained puzzled as to the reason for this phenomenon and
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speculated that "possible explanations for (the superspreaders') enhanced infectivity include the
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lack of early implementation of infection control precautions, higher load of SCoV, or larger
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amounts of respiratory secretions."
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The SARS outbreak was eventually contained, but not before it caused 8,273 cases and 775 deaths.
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Within two weeks of the original outbreak in Guangdong Province, SARS had spread to 29 countries.
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Measles outbreak: 1989
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Measles is a highly contagious, air-borne virus that reappears even among vaccinated populations.
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In one Finnish town in 1989, an explosive school-based outbreak resulted in 51 cases, several of
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whom had been previously vaccinated. One child alone infected 22 others. It was noted during this
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outbreak that when vaccinated siblings shared a bedroom with an infected sibling, seven out of nine
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became infected as well.
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Typhoid fever
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Typhoid fever is a human-specific disease caused by the bacterium Salmonella typhi. It is highly
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contagious and becoming resistant to antibiotics. S. typhi is susceptible to creating asymptomatic
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carriers. The most famous carriers are Mary Mallon, known as Typhoid Mary, from New York City, and
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Mr. N. the Milker, from Folkstone, England. Both were active around the same time. Mallon infected
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51 people from 1902 to 1909. Mr. N. infected more than 200 people over 14 years from 1901 to 1915.
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At the request of health officials, Mr. N. gave up working in food service. Mallon was at first
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also compliant, choosing other work – but eventually she returned to cooking and caused further
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outbreaks. She was involuntarily quarantined at Brothers Island in New York, where she stayed until
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she died in November 1938, aged 69.
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It has been found that Salmonella typhi persists in infected mice macrophages that have cycled from
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an inflammatory state to a non-inflammatory state. The bacteria remain and reproduce without
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causing further symptoms in the mice, and this helps to explain why carriers are asymptomatic.
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See also
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Scale-free network – A model in which most people spread an infection to few people, but a few
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people spread infection to many
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References External links
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World Health Organisation (WHO) – authoritative source of information about global health issues
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Past pandemics that ravaged Europe at the BBC
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Influenza pandemic phases at the US Center for Disease Control (CDC)
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European Centre for Disease Prevention and Control (ECDC)
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TED-Education video – How pandemics spread
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Biological hazards Epidemics Epidemiology Global health Infectious diseases Pandemics Zoonoses
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G protein-gated ion channels are a family of transmembrane ion channels in neurons and atrial
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myocytes that are directly gated by G proteins.
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Overview of mechanisms and function
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Generally, G protein-gated ion channels are specific ion channels located in the plasma membrane of
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cells that are directly activated by a family of associated proteins. Ion channels allow for the
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selective movement of certain ions across the plasma membrane in cells. More specifically, in nerve
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cells, along with ion transporters, they are responsible for maintaining the electrochemical
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gradient across the cell.
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G proteins are a family of intracellular proteins capable of mediating signal transduction
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pathways. Each G protein is a heterotrimer of three subunits: α-, β-, and γ- subunits. The
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α-subunit (Gα) typically binds the G protein to a transmembrane receptor protein known as a G
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protein-coupled receptor, or GPCR. This receptor protein has a large, extracellular binding domain
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which will bind its respective ligands (e.g. neurotransmitters and hormones). Once the ligand is
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bound to its receptor, a conformational change occurs. This conformational change in the G protein
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allows Gα to bind GTP. This leads to yet another conformational change in the G protein, resulting
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in the separation of the βγ-complex (Gβγ) from Gα. At this point, both Gα and Gβγ are active and
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able to continue the signal transduction pathway. Different classes of G protein-coupled receptors
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have many known functions including the cAMP and Phosphatidylinositol signal transduction pathways.
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A class known as metabotropic glutamate receptors play a large role in indirect ion channel
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activation by G proteins. These pathways are activated by second messengers which initiate signal
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cascades involving various proteins which are important to the cell's response.
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G protein-gated ion channels are associated with a specific type of G protein-coupled receptor.
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These ion channels are transmembrane ion channels with selectivity filters and a G protein binding
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site. The GPCRs associated with G protein-gated ion channels are not involved in signal
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transduction pathways. They only directly activate these ion channels using effector proteins or
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the G protein subunits themselves (see picture). Unlike most effectors, not all G protein-gated ion
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channels have their activity mediated by Gα of their corresponding G proteins. For instance, the
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opening of inwardly rectifying K+ (GIRK) channels is mediated by the binding of Gβγ.
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G protein-gated ion channels are primarily found in CNS neurons and atrial myocytes, and affect the
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flow of potassium (K+), calcium (Ca2+), sodium (Na+), and chloride (Cl−) across the plasma
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membrane.
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Types of G Protein-gated ion channels Potassium channels Structure