Virology
Post-pandemic respiratory viral infections in hospitals
Virology
Post-pandemic respiratory viral infections in hospitals
9am – 9.30am BST, 26 September 2023 ‐ 30 mins
Virology
Learning outcomes
Severe infection is always bacterial …. right?
What has COVID taught us about respiratory viral infections?
Delegates will gain knowledge on:
- Common respiratory virus infections in the UK.
- Risk of spread in hospital.
- Hospital acquired viral respiratory tract infections - what are the risks, what do they look like
- Infection control of viral respiratory tract infections
Speakers
Dr Brendan Healy
Consultant in Microbiology and Infectious Diseases , Public Health Wales
Post-pandemic respiratory viral infections in the community
Virology
Post-pandemic respiratory viral infections in the community
9.30am – 10am BST, 26 September 2023 ‐ 30 mins
Virology
Learning outcomes
Delegates will gain knowledge on:
- How COVID changed how we manage respiratory viral infections in the community
- What might be the pattern of respiratory disease now
- How has Primary care adapted to the post-pandemic world
Speakers
Dr Owen Seddon
Consultant in Infectious Diseases and Medical Microbiology, Public Health Wales
Emerging arthropod-borne viral threats to the UK
Virology
Emerging arthropod-borne viral threats to the UK
10.30am – 11am BST, 26 September 2023 ‐ 30 mins
Virology
Abstract
Globally, arthropod-borne viral diseases represent one the of greatest threats to public and animal health. Vectors such as mosquitoes, ticks and midges transmit a vast range of viruses. For the UK, historically free of many arthropod-borne pathogens, events in mainland Europe have had a profound impact on the risk of disease emergence and this trend will continue. Mosquito-borne viruses provide an example of this process where the introduction of exotic species, such as the Asian tiger mosquito (Aedes albopictus) across much of Europe, has increased the risk of emergence of human pathogens such as dengue and chikungunya fever. This mosquito species has also been detected in southern England.
In recent decades there has been a dramatic increase in the distribution of zoonotic viruses such as West Nile and Usutu in mainland Europe that are making the introduction of these pathogens through short distance bird migration increasingly likely. This has been realised with the repeated detection of Usutu virus in Central London during the late summer months since 2020. In the absence of vaccines against many of these viruses, early detection linked to public awareness campaigns offer the best options for mitigating the impact of these threats.
Learning outcomes
Delegates will learn:
- What are the arthropod vector species responsible for arthropod-borne virus transmission to humans, livestock and wildlife.
- Which viruses have emerged in the United Kingdom in recent years and what are the drivers of emergence.
- Emphasis on the importance of surveillance in detection and control of emerging arthropod-borne viruses.
Speakers
Eco-epidemiology of tick-borne encephalitis virus in the UK
Virology
Eco-epidemiology of tick-borne encephalitis virus in the UK
11am – 11.30am BST, 26 September 2023 ‐ 30 mins
Virology
Learning outcomes
Delegates will gain :
- An understanding of the application of a OneHealth approach for the surveillance of emerging vector-borne disease.
- Knowledge of the locations where TBEV has been identified in the UK.
- Possibility of the occurrence of UK acquired as well as imported TBEV cases
Speakers
The changing epidemiology of Crimean-Congo haemorrhagic fever (CCHF)
Virology
The changing epidemiology of Crimean-Congo haemorrhagic fever (CCHF)
11.30am – 12pm BST, 26 September 2023 ‐ 30 mins
Virology
Abstract
Crimean-Congo haemorrhagic fever is the most widely distributed hard tick-borne disease in the world.
Different factors, such as a better knowledge of the disease, but also trade, modifications of the migratory bird routes and, probably, the climate change are favouring its increase.
The example of the emergence in Spain will be reviewed.
Learning outcomes
Crimean-Congo haemorrhagic fever is the most widely distributed hard tick-borne disease in the world.
Through the discussion of the emergence in Spain delegates will understand how different factors, such as better knowledge of the disease, but also trade, migratory bird routes and possibly climate change are favouring its increase.
Speakers
Dr Aránzazu Portillo
Head of Special Pathogens Laboratory , San Pedro University Hospital-Centre for Biomedical Research of La Rioja Logroño
Performance of a new molecular Point-of-Care system for respiratory viruses under field conditions
Virology
Performance of a new molecular Point-of-Care system for respiratory viruses under field conditions
9am – 9.30am BST, 27 September 2023 ‐ 30 mins
Virology
Abstract
The presentation provides an overview on the technology and analytical performance of a new true molecular point of care testing system without need for upfront specimen preparation, and the potential benefits resulting from its use at the point of care. The presentation also discusses key aspects to be considered prior to implementation at the point of care
Speakers
Next-generation molecular diagnostics: Leveraging digital technologies to enhance multiplexing in real-time PCR
Virology
Next-generation molecular diagnostics: Leveraging digital technologies to enhance multiplexing in real-time PCR
9.30am – 10am BST, 27 September 2023 ‐ 30 mins
Virology
Learning outcomes
Next-generation molecular diagnostics: Leveraging digital technologies to enhance multiplexing in real-time PCR.
Delegates will learn:
- There is a need to improve multiplexing capabilities of qPCR platforms and chemistries.
- Digital technologies can complement existing single-well and spatial multiplexing solutions.
- Machine learning can extract information from the bio-signals emitted during amplification.
- Innovative rule-based and data-driven software solutions can help rationalize and optimize mPCR assay design.
Speakers
Career and qualification progression in virology
Virology
Career and qualification progression in virology
10.30am – 10.50am BST, 27 September 2023 ‐ 20 mins
Virology
Abstract
The dynamic of virological diagnosis has transformed dramatically over the past few years in light of the Covid-19 pandemic, with significant changes to equipment and technology, workforce, workload and expertise. This presentation looks at those changes and focuses on the challenges observed and how these will continue over the coming years for virology departments across the country.
Learning Outcomes
-
What challenges have been felt over the previous few years
- What options and efforts are available for training and development needs
- What future challenges and opportunities are available to support the evolving services
Speakers
Gareth Pierce-Wilding
Lead Biomedical Scientist, University Hospitals of North Midlands (North Midlands and Cheshire Pathology Service)
My early career Point-of-Care Testing experience
Virology
My early career Point-of-Care Testing experience
10.50am – 11.10am BST, 27 September 2023 ‐ 20 mins
Virology
Abstract
This presentation will include how her career progressed to a Point of Care Testing (POCT) role in the Wales Specialist Virology Centre. It will also cover what POCT is; the method of testing, who gets tested and why POCT is crucial in the efforts to achieve the WHO initiative to eliminate Hepatitis C in Wales.
Examples of what a day-in-the-life of a "POCT-er" consists of: mass screening projects, case studies, what has been learnt from testing in prison and in the community (homeless shelters and substance misuse services). The future of POCT: what's on the horizon?
Learning outcomes
Delegates will learn:
- How the speakers career at PHW progressed from an honorary contract in mycology to the Point-of-Care Testing (POCT) role in the Wales Specialist Virology Centre.
- What POCT is; the method of testing, who gets tested and why POCT is crucial in the efforts to achieve the WHO initiative to eliminate Hepatitis C in Wales.
- What a day-in-the-life of a "POCT-er" consists of: projects, general findings, what I've learnt from testing in the community and in prisons, testing statistics etc.
- The future of POCT: what’s on the horizon
Speakers
Morgan Cutlan
Point of Care Testing Practitioner, Wales Specialist Virology Centre, Public Health Wales
Evolution of infectious disease Point-of-Care Testing (POCT) across Wales - National POCT Lead perspective
Virology
Evolution of infectious disease Point-of-Care Testing (POCT) across Wales - National POCT Lead perspective
11.10am – 11.30am BST, 27 September 2023 ‐ 20 mins
Virology
Abstract
Learn how infectious disease POCT services have evolved across Wales. Discover how Louise's role as a Biomedical Scientist has evolved to National infectious disease POCT lead. Discover how POCT projects are contributing towards the World Health Organisations Hepatitis C elimination targets and how we foresee future POCT services expanding.
Learning outcomes
Delegates will gain knowledge on:
- How POCT services have evolved across Wales
- From Biomedical Scientist to National infectious disease POCT lead: How the speaker’s my role has expanded to support in POCT service roll out
- Successful projects and how they are contributing to Hepatitis C elimination
- Future POCT plans and how Public Health Wales foresees POCT services expanding.
Speakers
Louise Davies
Louise Davies Senior Biomedical Scientist, National Infectious Disease POCT Lead, Wales Specialist Virology Centre Cardiff , Public Health Wales
Near-patient testing - (self-collected samples; breath test to bloods)
Virology
Near-patient testing - (self-collected samples; breath test to bloods)
11.30am – 12pm BST, 27 September 2023 ‐ 30 mins
Virology
Abstract
The presentation provides an overview on potential benefits and risks of near-patient testing conducted by health care professionals, including testing of self-collected specimens.
Speakers
Polio – why has it reappeared?
Virology
Polio – why has it reappeared?
2pm – 2.30pm BST, 27 September 2023 ‐ 30 mins
Virology
Learning outcomes
Delegates will gain knowledge on:
- Current situation with Polio - global and UK
- How Polio was detected in recent incident
- Incident management and communication
- Use of surveillance data to influence public health initiatives and actions
- Challenges faced with surveillance
Speakers
Laura Ryall
Regional Head of Operations, PHE East of England , UK Health Security Agency
COVID – current issues
Virology
COVID – current issues
2.30pm – 3pm BST, 27 September 2023 ‐ 30 mins
Virology
Learning outcomes
This presentation will give delegates:
- An update on current COVID implications in a hospital setting
- Provide insight into Infection control management and procedures in an acute setting
- Provide information on winter planning considerations
Speakers
Monkeypox case management/infection control
Virology
Monkeypox case management/infection control
3pm – 3.30pm BST, 27 September 2023 ‐ 30 mins
Virology
Learning outcomes
This presentation will give delegates knowledge and an insight into:
- Monkeypox clinical presentation/cases studies
- Infection control & outbreak management including contact tracing & communication during the outbreak
- The role of the Health Protection teams.
Speakers
What is new in hepatitis?
Virology
What is new in hepatitis?
4pm – 4.30pm BST, 27 September 2023 ‐ 30 mins
Virology
Abstract
Despite effective treatments and vaccines viral hepatitis remains a massive burden on global health affecting the poorest counties disproportionately. Effective treatments and diagnostics for hepatitis remain outside the reach of most people in resource-poor regions.
In contrast, UK strategies against viral hepatitis have been relatively successful, in particular the prospect of HCV elimination, which is already showing improved outcomes in liver health.
Effective strategies depend on high quality epidemiological data which is gleaned from a wide variety of sources including diagnostic laboratory reporting, sentinel surveillance programs and prospective screening of high-risk groups.
The key components preventing transmission of blood-borne viruses such as donor screening, surveillance of susceptible groups and vaccination are now further enhanced by retrospective case finding from historical data, opt-out screening in emergency departments and high intensity test-and-treat events in prisons.
Biomedical Scientists can make a valuable contribution towards viral hepatitis management by sharing local-level data, enabling practical testing solutions for marginalised groups and working closely with clinical teams.
Learning outcomes
Lecture will examine following areas:
- Overview of scale of viral hepatitis both globally and nationally, the burden of disease and economic costs.
- Examine how local diagnostic data is collected from laboratories and other stakeholders, transfer of epidemiological data and how this is analysed / by whom. How testing data from a bench level impacts on national strategy for elimination / screening etc. Sentinel surveillance centres as a richer source of hepatitis data than routine reporting. Hepatitis Dashboard.
- Case study on prison HCV micro-elimination events, who is involved, why prisons are important areas for hepatitis control, role of HCV ODN's. Success stories.
- Other topical areas in viral hepatitis: enhanced study of MTCT of HBV, outbreaks of Hep E / A, vaccine research.
Speakers
Paul Wilkson
Lead Biomedical and Clinical Scientist, Lancashire Teaching Hospitals NHS Foundation Trust
Targeting HIV where it hurts - progress on vaccines
Virology
Targeting HIV where it hurts - progress on vaccines
4.30pm – 5pm BST, 27 September 2023 ‐ 30 mins
Virology
Abstract
Effective vaccine must deal with extreme HIV-1 variability and do so without guidance from natural immunity. For HIV-1, vaccines may need to induce both bNAbs and protective CD8+ killer T cells, the latter of which clearly impose a selective pressure on the virus and their protective potential should be harnessed by vaccines. However, not all antibodies and CD8+ T cells are protective; they must target vulnerable parts on HIV-1 proteins.
The central paradigm of the HIVconsvX T-cell vaccine strategy is focusing T cells on the functionally conserved regions of the HIV-1 Gag and Pol proteins, which are very similar among global isolates and harbour fewer escape mutations. At the epitope level, the remaining variability within the conserved regions is addressed computationally by using a bi-valent mosaic. Results of the first trials testing the HIVconsvX vaccine candidates confirmed that conserved sub-dominant and, therefore, underused T-cell epitopes taken out of the context of the whole virus or full-length viral proteins can induce robust and broad T-cell responses when delivered by an effective heterologous regimen such as ChAdOx1-MVA.
Progress towards an effective HIV-1 vaccine has been slow and riddled with many setbacks. However, systematic iterative development of vaccine components for both neutralizing antibodies and effective T cells informed by human data is beginning to pay off by bringing the first encouragements endorsing the field’s overall direction of travel.
Learning outcomes
Effective vaccines must deal with extreme HIV-1 variability and do so without guidance from natural immunity. For HIV-1, vaccines may need to induce both bNAbs and protective CD8+ killer T cells, the latter of which clearly impose a selective pressure on the virus and their protective potential should be harnessed by vaccines. However, not all antibodies and CD8+ T cells are protective; they must target vulnerable parts on HIV-1 proteins.
The devil about the recently failed vaccine trials is, of course, in the vaccines themselves [which many reports fail to describe in sufficient detail]. In brief, we, as a field, can do better than Uhambo and Mosaico for induction of bNAbs through using stabilized Env trimers and not gp120 and gp140, respectively. For induction of protective CD8+ T cells, we use heterologous prime-boost regimens and target conserved (shared and harder to escape) sub-protein regions. Mosaic design is just the cherry on the top of the cake best dealing with residual variability of conserved regions, but not addressing variability across the entire proteome.
mRNA is not a universal solution; it still matters which immunogens mRNA delivers, these immunogens have to deal with HIV-1 variability and as a modality, mRNA may need at least initially heterologous boost for induction of protective CD8+ T cell responses.
Speakers
What’s new in antivirals? (Antivirals & Mabs as therapeutics)
Virology
What’s new in antivirals? (Antivirals & Mabs as therapeutics)
9am – 9.30am BST, 28 September 2023 ‐ 30 mins
Virology
Delegates attending this presentation will gain knowledge on:
- the antiviral drugs available for treating COVID-19
- the new drugs for treating and preventing CMV
- the emerging role of monoclonal antibodies in treating viral infections
Speakers
Dr Brendan Payne
Consultant Virologist And ID Physician, Newcastle-Upon-Tyne Hospitals Foundation Trust
In vitro studies of antiviral treatment options for important human pathogens
Virology
In vitro studies of antiviral treatment options for important human pathogens
9.30am – 10am BST, 28 September 2023 ‐ 30 mins
Virology
This presentation will give delegates an introduction to important human viruses, their treatment with antivirals and possibilities for preventing antiviral resistance. Implications of recently identified metabolic capping of hepatitis C virus.
Speakers
Pets to pandemics – viral zoonoses
Virology
Pets to pandemics – viral zoonoses
10.30am – 11am BST, 28 September 2023 ‐ 30 mins
Virology
Learning outcomes
This presentation will give delegates an insight into role of pets in recent and past viral pandemics and the role veterinary services and organisations in pandemic management.
Abstract
It is clear that the interaction of humans with animals and the environment has been at the centre of infectious disease emergence and spread through out history. Recent global events have shown that this is still the case, or at least likely to be! Close contact with animals and our collective movements in and out of each others environments has the potential to permit transmission of organisms that have the potential to cause zoonotic or indeed enzoonotic disease. We need to consider this aspect carefully to understand what mitigations we might need to put into place and also what considerations might need to be taken on board in the light of changes to infection patterns as a possible consequence of climate change.
Speakers
Lassa fever virus & emerging mammarenaviruses
Virology
Lassa fever virus & emerging mammarenaviruses
11am – 11.30am BST, 28 September 2023 ‐ 30 mins
Virology
Abstract
The Arenaviridae have the dubious distinction of containing among their members one of greatest proportions of hazard group 4 viruses of any recognised taxonomic family. These viruses cause persistent asymptomatic infections in their rodent reservoirs, however zoonotic spill over often results in viral haemorrhagic fever (VHF) and high mortality. Transmission to humans occurs via contact with infected rodent excreta, through contaminated food and inhalation of aerosols. Human to human transmission also occurs. In sub-Sharan West Africa, Lassa virus (LASV) has been identified as a VHF since 1969 and is endemic over much of rural Nigeria, the countries of Mano River Union, Ghana, Togo and Benin.
From a global health security perspective, it is of significant international interest since it the most commonly imported VHF into non-endemic countries. In nearly every imported circumstance, the cryptic nature of Lassa fever and related difficulties in diagnosis, places enormous demand on clinical, laboratory and public health resources of the recipient country. Given our current understanding of LASV and other evolving members of the genus, attention should be focused on other new and emerging mammarenaviruses which have similar incubation times and could result in similar human disease with a propensity to overburden public health systems.
Learning outcomes
This presentation will give delegates:
- A brief description of arenaviruses
- Information on medically important members including Lassa fever virus and significance to the UK
- A summary of less well known mammarenavirsus
- Knowledge on collaborations in Brazil and discovery of new species .
Speakers
Professor Roger Hewson
Head of WHO Collaborating Centre and Professor of Virology , UK Health Security Agency and London School of Hygiene & Tropical Medicine
In-house tests to CE marked - Impact on the laboratory (Debate – impact on laboratory vs commercial company)
Virology
In-house tests to CE marked - Impact on the laboratory (Debate – impact on laboratory vs commercial company)
11.30am – 12pm BST, 28 September 2023 ‐ 30 mins
Virology
The presentation will focus on the In Vitro Diagnostics Regulations with considerations of the impact on laboratory testing carried out by Biomedical Scientists in Virology. Laboratory and Commercial representatives will appraise and debate the strengths and current challenges in supporting the migration of laboratory testing into compliance with IVDR. The question that will be debated is "Has the IVDR regulations benefited Biomedical Scientists?"
Abstract
The IVDR is the new regulatory instrument for placing IVDs on the European market. The aims of the IVDR are to provide a robust, transparent and sustainable IVD framework, harmonize divergence in implementation (as experienced with the IVDD) and most importantly to increase patient safety. The document runs to 156 pages (compared to 43 for the IVDD, containing 114 articles and 15 annexes. The IVDR places more emphasis on the economic operators (actors) involved in the IVD supply chain, from the manufacturer to the customer.
Manufacturers have the obligations to design and manufacture products in compliance with the IVDR; evaluate product performance and manage risk, have a Quality Management System, create and maintain product technical documentation, conduct post market surveillance, and implement field safety corrective actions. One of the biggest changes with IVDR is the introduction of a new rules-based approach for product classification. Under IVDR, Notified Bodies perform conformity assessment on 80% of IVDs (compared to 20% under the IVDD, which becomes stricter as the risk class increases. There are also enhanced concepts for performance evaluation and clinical evidence.
Under the IVDR there is a requirement to state the clinical purpose in the intended use. Thus, in order to comply with the new regulation, manufacturers must revise all intended purpose statements in product labelling. Further, there is the obligation to gather a large amount of data to evaluate both analytical and clinical performance. Manufacturers are required to continually evaluate performance across the whole product lifecycle through post market surveillance and vigilance, with reports for the highest-risk devices uploaded to the new EUDAMED database on an annual basis.
Speakers
Melanie Amphlett
Technical Services Manager, Specialised Microbiology and Laboratories, UK Health Security Agency
Pandemics – Past (polio; smallpox; Ebola)
Virology
Pandemics – Past (polio; smallpox; Ebola)
2pm – 2.30pm BST, 28 September 2023 ‐ 30 mins
Virology
Abstract
This lecture will overview previous viral pandemics affecting humans and highlight lessons learned (or not). This lecture will provide the audience with background information relevant to the two subsequent talks on pandemics currently affecting and what might come next. At the end of this talk the audience will have knowledge on some major pathogenic viruses that have impacted hugely on the human population including:
Smallpox; influenza; polio; yellow fever; HIV and Ebola that bring us up to the novel coronavirus outbreaks that have plagued mankind during more recent years.
Speakers
Pandemics Present
Virology
Pandemics Present
2.30pm – 3pm BST, 28 September 2023 ‐ 30 mins
Virology
Learning outcomes
Speakers
Future: Preparedness planning & what might come next
Virology
Future: Preparedness planning & what might come next
3pm – 3.30pm BST, 28 September 2023 ‐ 30 mins
Virology
Learning outcomes
This presentation will give delegates:
- Insight into strategic planning
- Information on the key workstreams/areas for focus
- The lessons learned from past pandemics
Speakers
Jonathan Turner MBE
Head of Scientific and Technical Service, UK Health Security Agency