Anti-HBc screening in Egyptian blood donors reduces the risk of hepatitis B virus transmission

Occult hepatitis B virus (HBV) in blood donors is considered as a potential risk for transmission of HBV infection. The aim of this study was to determine the prevalence of anti-hepatitis B core antibody (anti-HBC) positivity in Egyptian blood donations as well as to estimate the frequency of HBV-DNA in anti-HBc-positive donations. The study included 760 Egyptian healthy blood donors, representing 26 different Egyptian governorates screened according to routine practice for the presence of hepatitis B surface antigen (HBsAg), hepatitis C virus (HCV) antibodies (Abs), HIV-1/2 Abs and Treponema Abs. The accepted blood units for donation were tested for the presence of total anti-HBc Abs by two tests. Positive units for anti-HBc were further tested for HBV-DNA by polymerase chain reaction. According to routine screening, a total of 48/760 units (6.3%) were rejected [38 (5%) HCV-Ab-positive units, 9 (1.18%) HbsAg-positive units and 1 (0.13%) Treponema-Ab-positive unit]. Among the accepted blood units for donation, prevalence of anti-HBc was 78/712 units (10.96%). HBV-DNA was detected in 9/78 (11.54%) of the anti-HBc-positive units, and thus, occult HBV infection was detected in 9/712 (1.26%) of the accepted blood donations. Implementing anti-HBc test to the routine assay for the forthcoming two decades would certainly eliminate possible HBV-infected units. Rejection of these units will be beneficial to decrease the risk of HBV transmission with its potential consequences particularly in immunocompromised recipients.

Levels of 137Cs and 40K in edible parts of some vegetables consumed in Egypt

The concentrations of (137)Cs and (40)K in some Egyptian foodstuffs have been measured. The results of this study can be considered as a first step towards calculating the baseline levels of radioactivity in foodstuffs in Egypt. Furthermore, the data presented herein can be used as a reference level for future food radioactivity monitoring after the possible operation of the planned nuclear power plants, as well as to screen imported foodstuffs that are suspected of being contaminated. The overall intake of (137)Cs is quite low and no significant radionuclide contamination was found. The highest contents of (137)Cs and (40)K among the tested foodstuffs were in Jew's mallow and roquette. Calculations were also made to determine the potential dose to an individual consuming vegetables.

Distribution of gamma-ray emitting radionuclides in the environment of Burullus Lake: I. Soils and vegetations

The concentrations and distribution of gamma-ray emitting isotopes in Burullus Lake were investigated with the aim of evaluating the environmental radioactivity. Particularly in wetlands, natural properties of the environment can cause the actual inventory to be different from the activity originally deposited. The mean concentrations of (226)Ra, (232)Th and (40)K were 14.3, 15.5 and 224 Bq/kg, respectively, in the coastal soils. On the other hand, soil samples from the islands had mean concentrations of 13.5, 17.4 and 341 Bq/kg for (226)Ra, (232)Th and (40)K, respectively. Samples from coast and islands show evidence of possible transfer and accumulation of the (137)Cs radionuclide. The mean (137)Cs activity concentrations in the soil samples were 1.2 and 15.1 Bq/kg in the coast and islands, respectively. The vertical migration of (137)Cs was studied based on its content in the consequently located three soil layers down to 30 cm depth. The radium equivalent, dose rate in air and annual dose equivalent from the terrestrial natural gamma-radiation were evaluated. The mean activity concentrations of the gamma-ray emitting radionuclides in vegetation were relatively low.

Characteristics, spatial distribution and vertical profile of gamma-ray emitting radionuclides in the coastal environment of North Sinai

Radionuclide concentrations of beach and dune sand from various sites in Al-Arish city and surrounding area, North Sinai, Egypt, were measured. The sampling sites included locations in the local harbor, Al-Arish valley and Zaranik protected area. The results indicate that the activities of the products of (232)Th and (226)Ra series in samples from the harbor and along the beach were higher than those from non-coastal sites. The activity concentrations of (232)Th for beach sand ranged from 2.3 to 506.5 Bq/kg with an average of 83.4 Bq/kg, while that for dune sand ranged from 2.2 to 15.1 Bq/kg with an average of 6.4 Bq/kg. The average activity concentration of (226)Ra for beach sand was 56.0 Bq/kg (2.9-261.5 Bq/kg), while that for dune sand was 6.5 Bq/kg (3.0-14.7 Bq/kg). The average activity concentrations of (40)K for beach and dune sand were 88.1 Bq/kg and 178.4 Bq/kg, respectively. Six depth profiles in the harbor area were measured up to a depth of 1m within more than two years. These sets of measurements allowed the determination of the migration rate of black sand to be 0.094 cm/day. Samples with the smallest grain size (<0.2 mm) were found to have the highest level of activities, which were attributed to their high content of black sand. No risk exists for public health based on the calculated effective dose equivalent and the recommended limit of 5 mSv/y. On the other hand, local children and adults may receive doses higher than this recommended limit in two locations in the Zaranik protected area according to a model developed in this study.

Environmental assessment of gamma-radiation levels in stream sediments around Sharm El-Sheikh, South Sinai, Egypt

A total surface area of ∼170 km(2) including 28 localities around Sharm El-Sheikh, South Sinai, were investigated by γ-ray spectroscopy. The concentrations of NORM were found to be five to seven-fold that in dune sands in different regions in Sinai. While relatively higher levels of (238)U, (234)Th, (226)Ra, and (232)Th are associated with the existing monzo-syenogranite, the concentration of (40)K is more uniformly distributed in the studied area. Locations with higher concentrations of (137)Cs are mainly located in the northern part. The (238)U, (234)Th and (226)Ra isotopes in the (238)U-series are in secular equilibrium. The absorbed dose rates and gamma-radiation hazard indices in all locations were higher than the world average value and unity, respectively. Properly regulated land use is recommended for a buffer zone in the northern part of the study area.

Factors affecting the distribution of natural and anthropogenic radionuclides in the coastal Burullus Lake

In the present study, measurements of naturally occurring radioactive materials and (137)Cs activity in sediment were conducted for locations covering the entire Burullus Lake in order to gather information about radionuclides mobility and distribution. Low-background γ-spectrometry was employed to determine the activity concentrations of water and sediment samples. The activity concentrations of (226)Ra and (232)Th are close to uniform distribution in the lake environment. Among the different physical and chemical characteristics measured for water and sediment, only salinity and total organic matter content have the potential to affect the mobility of (137)Cs and (40)K. The results suggest that these two radionuclides are attached to different mobile particulates. Increasing salinity tends to strengthen the adsorption of (137)Cs and solubilization of (40)K in sediment. On the other hand, sediment with high organic matter content traps (137)Cs and (40)K associated particulates to bottom sediment.

The impact of fetal and maternal physiologic factors on umbilical cord blood quality as a source of stem cells in Egyptian population

BACKGROUND

Umbilical cord blood (UCB) has rapidly become a clinically useful alternative stem cell source. Many variables have been used to evaluate a UCB unit and predict transplant outcomes. The objective of this study was to measure the expression of hematopoietic stem cells in UCB and its relation to certain maternal and neonatal physiologic factors to establish optimum criteria for UCB donor selection.

STUDY DESIGN AND METHODS

Two hundred UCB units were collected from normal uncomplicated vaginal and cesarean deliveries. Total volume was noted and immediately assessed for total nucleated cell (TNC) count and CD34+ cell concentration. Assessment of maternal and neonatal variables such as mode of delivery, placental weight, baby's birthweight, and sex was made.

RESULTS

The volume of the donations ranged from 42.0 to 126 mL, the TNC count ranged from 5 × 10(9) to 28.7 × 10(9) cells/L, and CD34+ cells ranged from 0.03% to 0.62%. There was a significant positive correlation between cord blood volume and cesarean section (p = 0.01) and placental weight (p = 0.02). There was a significant positive correlation with a p value of less than 0.05 between the number of CD34+ cells and UCB volume and TNC. There was no significant difference between the variables and the TNC count.

CONCLUSION

Our study concludes that cord units collected for banking should be obtained by selecting units of larger volumes, of higher TNCs, from female babies with heavy placenta, and from babies delivered via cesarean section.

Spatial distribution of radioisotopes in the coast of Suez Gulf, southwestern Sinai and the impact of hot springs

This work describes the concentrations of radioisotopes in soil, sediment, wild plants and groundwater in southwestern Sinai. The study area extends from Suez to Abu Rudies along the eastern part of the Suez Gulf. It included two hot springs: Ayun Musa and Hammam Faraoun. No dependence of ¹³⁷Cs concentrations on any of the measured sand characteristics was found, including calcium carbonate. The enrichment of ²²⁶Ra in Hammam Faraoun hot spring was the most prominent feature. The ²²⁶Ra concentration in hot springs of Ayun Musa and Hammam Faraoun were 68 and 2377 Bq kg⁻¹ for sediments, 3.5 and 54.0 Bq kg⁻¹ for wild plants and 205 and 1945 mBq l⁻¹ for the groundwater, respectively. In addition, ²²⁶Ra activity concentration in local sand in the area of Hammam Faraoun was ∼14 times that of Ayun Musa. On the other hand, the ²³²Th concentrations were comparable in the two hot springs, while ¹³⁷Cs concentrations were relatively higher in Ayun Musa. The characteristics and radioelements studies support possible suggestions that the waters in the two hot springs have different contributions of sea and groundwaters crossing different geological layers where the water-rock interaction takes place.

Inter-comparison study of the population dose due to gamma-radiation in the coast of North Sinai between Rafah and Bir El-Abd areas

This study compares the external dose due to the gamma-ray emitting radionuclides in various areas in North Sinai, Egypt. The whole area was divided into 10 regions. The average absorbed dose rates were evaluated for each region. It was found that Zaranik-protected area and Al-Massaid have the highest values of 72.7 and 57.2 nGy h(-1), respectively. The corresponding values of the remaining regions were <23 nGy h(-1). The mean annual effective dose equivalents for the four largest cities Rafah, El-Sheikh Zuwaied, Al-Arish and Bir El-Abd were 20.8, 18.8, 57.4 and 14.0 microSv, respectively. The results are compared with those from different areas in Egypt and in various countries.

Assessment of elemental and NROM/TENORM hazard potential from non-nuclear industries in North Sinai, Egypt

Non-nuclear industries use raw materials containing significant levels of naturally occurring radioactive material (NORM). The processing of these materials may expose workers engaged in or even people living near such sites to technologically enhanced naturally occurring radioactive material (TENORM) above the natural background. Inductively coupled plasma and gamma ray spectrometry have been used to determine major and trace elements and radionuclide concentrations in various samples, respectively, in order to investigate the environmental impact of coal mining and cement plant in North Sinai, Egypt. Generally, very little attention was directed to the large volumes of waste generated by either type of industrial activities. Different samples were analyzed including various raw materials, coal, charcoal, Portland and white cement, sludge, and wastes. Coal mine and cement plant workers dealing with waste and kaolin, respectively, are subjected to a relatively high annual effective dose. One of the important finding is the enhancement of all measured elements and radionuclides in the sludge found in coal mine. It may pose an environmental threat because of its large volume and its use as combustion material. The mine environment may have constituted Al, Fe, Cr, and V pollution source for the local area. Higher concentration of Al, Fe, Mn, B, Co, Cr, Mn, Ni, Sr, V, and TENORM were found in Portland cement and Zn in white cement. Coal has higher concentrations of Al, Fe, B, Co, Cr, and V as well as (226)Ra and (232)Th. The compiled results from the present study and different worldwide investigations demonstrate the obvious unrealistic ranges normally used for (226)Ra and (232)Th activity concentrations in coal and provided ranges for coal, Portland and white cement, gypsum, and limestone.

Pioneering investigation of the characteristics and elemental concentrations in the environment of the declining Wadi Maryut Lake

Wadi Maryut Lake is one of the remaining parts of the ancient Lake Mareotis and is not mentioned in the scientific literature. For the first time, physical and chemical characteristics as well as elemental concentrations in sediment, water, soil, and plants were determined. The lowest metal pollution indices are in the northeastern end of the lake and tend to increase toward the other end. In lake aquatic environment, Al, Fe, K, Mn, Na, B, and Cr are more likely to exist in insoluble form in the southwestern part and in soluble form in the northeastern part. Using different approaches to assess sediment contamination demonstrates that sediments can be categorized as unpolluted. However, the geo-accumulation index suggests that two locations have low anthropogenic influence of Pb and the enrichment factors and the degree of contamination indicate that Co and Pb may be enriched in sediment of some locations. Comparisons with consensus-based sediment quality guidelines revealed that no sample exceeded the probable effect concentration for Cr, Cu, Ni, Pb, and Zn. The most mobile elements in sediment-water and soil-plant systems are Na, K, and Pb. In sediment-water system, Al, Fe, and Mn oxides have the major influence on scavenging of B, K, and Cr. Similarity in the occurrences of Mn, K, and Fe in soil and Mn and Fe in wild plant was found. This work demonstrates the state of decontamination of the lake and confirms its importance as a reference and comparative case for south Mediterranean coastal water bodies.

Combination treatment of interferon alpha-2b and ribavirin in comparison to interferon monotherapy in treatment of chronic hepatitis C genotype 4 patients

BACKGROUND AND AIM

Treatment of chronic hepatitis C patients, infected with genotype 4 with interferon-alpha yielded a limited response. Our aim was to compare the efficacy of interferon-alpha alone and in combination with ribavirin in chronic hepatitis C patients infected with genotype 4.

PATIENTS

Fifty-two chronic hepatitis C patients (all males) infected with genotype 4, who had not received interferon, were randomized into 2 equal comparable groups.

METHODS

Group I received interferon alpha-2b "Schering Plough" 3 MU, tiw combined with ribavirin (1000 mg/day). Group II received interferon alpha-2b alone in the same dose. Both groups were evaluated monthly, at the end of 24 weeks of treatment and 24 weeks later. Two patients were dropped from group I and one patient from group II.

RESULTS

Biochemical response: at the end of treatment, a return to normal of ALT was obtained in 16/24 (66.7%) patients on combination therapy vs 8/25 (32%) patients on interferon alone (p = 0.0152). At the end of follow-up, a sustained response was achieved in 10/24 (41.7%) patients on combination therapy vs 4/25 (16%) patients on interferon (p = 0.0468). Virologic response: at the end of treatment, the rates of virological response were higher in the patients on combination therapy 9/24 (37.5%) than in those on interferon 4/25 (16%) (p = 0.0380). At the end of follow-up, loss of serum HCV RNA was reported in 5/24 (20.8%) patients on combination therapy vs 2/25 (8%) patients on interferon (p = 0.1916). Histologic response: mild histologic improvement was shown by a decrease in the inflammatory score, which was highest in patients in the combination group.

CONCLUSIONS

In chronic hepatitis C patients infected with genotype 4, combination therapy with interferon-alpha and ribavirin was more effective than treatment with interferon monotherapy. At the end of the follow-up, about 50% of patients in both groups were still viraemic though their ALT remained normal.

Metal concentrations in irrigation canals and the Nile River in an intensively exploited agricultural area

Concentrations of major and trace elements (Al, Fe, Mn, B, Cd, Co, Cr, Cu, Mo, Ni, Pb, Sr, V, and Zn) were determined in water and sediments from irrigation canals and the Nile River in an agricultural area of 120 km(2) to evaluate the impact of agricultural practices and the spatial distribution and mobility of these elements. The enrichment factors of cadmium indicate contamination in this area. Metal pollution indices are higher at locations downstream of the irrigation canals, possibly a consequence of waste discharges and phosphate fertilizing. Comparisons with consensus-based sediment quality guidelines revealed that ∼92 % (Cr), ∼85 % (Cu), ∼46 % (Ni), and ∼23 % (Zn) of the samples exceeded the threshold effect concentrations, with 7.7 % for Cr and Ni being above the probable effect concentration. Contamination with many metals in water was found in the secondary irrigation canals. The partition coefficients of all determined metals were evaluated. The major elements Al, Fe, and Mn were found to be very mobile while V was the least mobile.