Student’s t-test was employed to determine the significance of di

Student’s t-test was employed to determine the significance of differences between the studied groups. p values <0.05 (*) were

considered to be significant. DNA fragments encoding bfpA (600 bp) and intimin (eae388–667) (840 bp), were amplified by PCR from EPEC (E2348/69) and ligated into the KpnI and BamHI sites of the pMIP12 vector under the control of the pblaF* promoter KU-57788 manufacturer ( Supplementary Figure); the constructs were named pMH12-bfpA and pMH12-intimin, respectively. The plasmids were electroporated into BCG and Smeg, and the resulting strains were examined for BfpA and intimin expression. Expression of both bfpA and intimin (eae) was confirmed by immunoblotting bacterial whole-cell extracts using anti-BfpA or anti-intimin antisera. As observed in Fig. 1A and B, the antisera specifically recognized bands of approximately 19.5 and 34 kDa, corresponding to BfpA and intimin, respectively, from both rBCG and rSmeg strains. No proteins were recognized by the antisera in whole-cell lysates from BCG or Smeg controls without the plasmid vectors ( Fig. 1A and B). C57BL/6 mice were immunized by oral gavage or intraperitoneal injection with 4 doses of 1 × 108 CFU in 200 μL of rBCG-bfpA, rSmeg-bfpA, rBCG-intimin or rSmeg-intimin at two-week intervals. As a mucosal adjuvant, SBA-15 click here silica was used. Control mice were immunized with

non-recombinant BCG or Smeg or with PBS following the same immunization schedule. A significantly higher level of anti-BfpA and anti-intimin IgA or IgG antibodies was observed in

both the feces and serum of mice immunized with rBCG or rSmeg as compared with that of serum collected in the groups that received non-recombinant BCG or Smeg or PBS (p < 0.001) ( Fig. 2A and B). Pre-immune sera and feces that were collected and pooled were evaluated, and presented no reactivity to BfpA or intimin (data not shown), suggesting the absence of anti-BfpA or anti-intimin antibodies prior to immunization. Our analysis of serum IgG subclass Levetiracetam responses also revealed that mice subjected to intraperitoneal immunization predominantly developed an IgG2a response, indicating a Th1-type cell response ( Fig. 2C). To evaluate the involvement of Th1-type cells on the immune responses induced by recombinant BCG-bfpA, BCG-intimin, Smeg-bfpA and Smeg-intimin, spleen cells were recovered 15 days after the final immunization and treated in vitro with the corresponding recombinant protein expressed in the vaccine used. We assayed the supernatants for the presence of the cytokines TNF-α, IFN-γ, IL-4 and IL-5. As is shown in Fig. 2A–C, anti-BfpA and anti-intimin, respectively, IgA and IgG antibodies were detected in feces and serum. Immunization with recombinant vaccine expressing BfpA induced higher production of IFN-γ, in vitro, by spleen cells (Fig. 3).

Western Ghats of India is an important biodiversity hotspot of th

Western Ghats of India is an important biodiversity hotspot of the world. Therefore, this study was undertaken to assess the antimicrobial and antioxidant activity of H. japonicum collected from Western Ghats GSK1210151A nmr of India. For the extent of our knowledge, this is the first report on bioactivity of this plant from Western Ghats. However, A few reports are available on total phenolic content, antiviral and

antioxidant activity of H. japonicum collected from Nilgiris of India. 9 and 17 Since the extraction of polyphenols reported to be maximum in methanolic extracts, the plant material was extracted extensively in methanol.18 Phytochemical analysis revealed the presence of important classes of pharmacologically active phytochemicals, which had also been reported in the previous studies.19 The antimicrobial activity of the extract was of broad spectrum. S. aureus and Staphylococcus epidermidis were more inhibited than others. Isojacareubin isolated from H. japonicum had been reported to effectively inhibit the methicillin resistant S. aureus and to exert synergistic Tofacitinib inhibition with antibiotics. 20 Apart from this, quercetin, quercetrin, sarothralen A and sarothralen B are known for antibacterial activity. 4 and 5 Xanthones have been reported as bactericidal including methicillin/multidrug resistant S. aureus. 21,

22 and 23 Higher MIC values of the extract than the antibiotics are not surprising, because, the active molecules were expected to be present in low concentration in a crude extract. Other workers have also recorded high MIC values in crude extracts. 24 Free radicals are Liothyronine Sodium highly reactive because of one or more unpaired electrons in their outermost shell. Free radicals of various forms are produced in the living cells during metabolism, as a byproduct of aerobic mode of life. Body has enzymatic and endogenous protective machineries to avoid the free radical mediated injury, nevertheless, these are

not adequate for the complete protection. Therefore, dietary sources of antioxidants are essential as exogenous means to compensate the deficit. Dietary antioxidants from natural sources may be an essential alternate in treating post myocardial infarction and post angioplastic restenosis due to the risk of adverse effects associated with the long term usage of antioxidant synthetic drugs such as Probucol.25 In this view, antioxidant activity of the methanolic extract of H. japonicum was determined by five different methods, each of which is based on different principles. DPPH scavenging activity indicates the hydrogen donation capacity of the extract.9 The results suggested that the antiradical activity of the H. japonicum extract was comparable to that of synthetic BHA which has been considered as a good antioxidant agent. Inhibition of β-carotene bleaching is an effective method to determine the antioxidant capacity of an extract. The assay also indicates the levels of lipophilic antioxidant compounds.1H.

Another commonly stated reason for non-immunization was the belie

Another commonly stated reason for non-immunization was the belief that vaccination weakens the natural immune system, which will be Bortezomib in vivo referred to as naturalistic beliefs.

Finally, prevention beliefs constitute the opinion that other means of prevention (i.e. regular hand disinfection, staying at home when ill) are more effective in preventing influenza than vaccination [26]. The aim of this longitudinal study was to test with a survey whether the intention to get vaccinated, as well as the measured social cognitive variables, are good predictors of the actual vaccination behaviour of HCP. The social cognitive variables that will be identified to predict actual vaccination uptake can serve as reference points for the systematic development of a program to increase influenza vaccination uptake of SB203580 in vitro HCP. Dutch HCP belonging to an online panel (N = 1370) were invited in the last week of September 2013 to participate in a longitudinal survey about the factors that influence the decision to get vaccinated against influenza (baseline). HCP in the Netherlands commonly get offered influenza vaccination between October and November. Participants who got vaccinated before the last week of September were excluded from the sample (N = 23), as were HCP that indicated that they did not have direct patient contact (N = 199). In total, 556 participants were included in the baseline measure (response rate 40.6%). To

link intention to actual vaccination behaviour, participants who completed the first questionnaire were sent a second questionnaire in the last week of November 2013 (follow-up). The follow-up survey was completed by 458 (82%) participants. The first

online questionnaire consisted of 42 questions targeting social cognitive variables and additional beliefs about annual influenza vaccination, past behaviour, and socio-demographics. Variables were measured on 7-point Likert scales ranging from 1 = totally disagree to 7 = totally agree, unless otherwise indicated. Items measuring the same underlying theoretical construct were averaged into one single construct when internal consistency was sufficient (Cronbach’s alpha α > .60 Ketanserin or Pearson correlation coefficient r > .40). Table 1 provides an overview of the constructs and their internal consistency. In addition, past behaviour was measured with two questions (‘In past years I got vaccinated against influenza, when it was offered to me: 1 = always; 7 = never.’; ‘Did you get vaccinated against influenza this year (season 2012/2013)? yes/no.’). Past experience with influenza was measured with two questions (‘How often did you have influenza in the past? 1 = never; 7 = more than 10 times.’; ‘Did you have influenza last winter? no/yes, once/yes, more than once.’). These items measured own experiences of influenza-like illness (ILI) instead of laboratory confirmed influenza.

However, flaviviruses belonging to the tick-borne encephalitis vi

However, flaviviruses belonging to the tick-borne encephalitis virus complex are on this list. Construction of infectious flaviviruses, involving DNA synthesis, cloning, assembly into larger Erlotinib solubility dmso units, in vitro transcription and transfection steps, is a complex task and can be done in a professional environment only. A recent review on synthetic viruses discusses the dual use concerns in more detail [24]. For vaccine manufacturing,

the most important advantage of using primary seed virus stocks derived by gene synthesis is the exclusion of potential contamination with unknown and known adventitious agents – including the transmissible spongiforme encephalopathy agents – which maybe co-isolated from animal-derived viruses or their host cells. Furthermore, this approach renders passaging, plaque purifications and other steps to achieve satisfactory purity of seed viruses from animal sources unnecessary. Our study demonstrates the feasibility of generating the flavivirus WNV in a completely synthetic approach. Synthetic biology is therefore a valuable alternative to obtain viral seed stocks free from the adventitious agents that might accompany recovery from vertebrate or insect cells. We thank Helga

Savidis-Dacho and her team Ruxolitinib cell line for performing the animal experiments, Kathrin Janecki, Marie-Luise Zips and Petra Cech for expert technical assistance and the Geneart team for providing the cloning strategy and the six genomic plasmids. “
“Kaposi’s sarcoma-associated herpesvirus (KSHV) was identified as a causative agent of Kaposi’s sarcoma (KS) in 1994 [1]. Since KSHV has been detected in all cases of KS, there is no doubt about the association between KS pathogenesis and KSHV infection [2]. More than 15 years after the discovery of KSHV, KS is still an important complication in AIDS patients. KS occurs frequently among human immunodeficiency Cell press virus (HIV)-infected men who have had sex with men (MSM), suggesting that homosexual behavior in males is an important risk factor for KS and KSHV infection [3]. Although vaccine is available for other

herpes viruses, such as varicella zoster virus, KSHV vaccine is not available so far. There are several reasons why KSHV vaccine has not yet been developed. First, most HIV-infected MSM are already infected with KSHV [3]. For example, an epidemiological study revealed that about 60% of HIV-infected MSM were positive for serum antibody to KSHV in Japan, suggesting widespread KSHV infection among MSM [4]. Immunodeficiency condition may cause some problems for vaccine to work in HIV-infected individuals [5]. However, vaccination of influenza vaccine to asymptomatic HIV-infected patients showed similar antibody production to uninfected group [6], suggesting possibility of vaccine strategy for KSHV in HIV-infected adults.

Actually, this is true only in previously exposed, adult

Actually, this is true only in previously exposed, adult

selleck individuals in which a BCG vaccination scar was present along with a history of living in a setting of environmental mycobacteria, such as Brazil. We were not, however, able to reproduce those findings in monocytes from naïve individuals; rather, necrosis was quite evident, particularly at 24 h of infection. The reasons behind this are speculative; perhaps this is due to a higher amount of circulating immature immune cells or to a lack of exposure to mycobacterial antigens. In fact, because of decreased production of Th1-cell-associated cytokines, it is thought that the neonatal innate immune system is generally impaired or depressed. The bias against Th1-cell-polarizing cytokines leaves the newborn susceptible to microbial

infection and contributes to impairment of the neonatal immune responses to most vaccines, thereby frustrating efforts to protect this vulnerable population [15]. The ability of pro-inflammatory cytokines to induce spontaneous abortion is likely to be an important reason for the strong bias of the maternal and fetal immune systems of many mammalian species towards Th2-cell-polarizing cytokines [Reviewed by 16]. After birth, there is an age-dependent maturation of the immune response. www.selleckchem.com/products/pexidartinib-plx3397.html Thus, the higher necrosis levels in these subjects might reflect still very immature monocytes in which BCG could behave as a moderate virulence organism. In fact, in immune compromised individuals, such as those co-infected with HIV, BCG is considered a life-threaten organism due to impairment of the immune response [17]. In

an attempt to better explore the apoptosis and necrosis findings, we also measured levels of pro-inflammatory cytokines, the key components during cell-death induction. TNF-α is a pleiotropic cytokine during Th1 immune responses and it is also closely connected to mechanism of cell death, given this cytokine is intrinsic ability to activate caspases and thus induce apoptosis DNA ligase [Reviewed by 18]. This topic was considered in a previous study, where M. avium-induced macrophage apoptosis was dependent on the function of TNF-α because it was inhibited by the presence of anti-TNF-α antibodies [5]. In fact, true TNF-α bioactivity was actually reduced in supernatants from M. tuberculosis-infected cell cultures due to neutralization when soluble TNFR2, but not TNFR1, was released during macrophage infection [Reviewed by 6]. Accordingly, we observed a significant and progressive increase in the levels of TNF-α and IL-1β during in vitro BCG infection of monocytes from HD individuals that was consistent with the increased rate of apoptosis in this group. This phenomenon was also supported by the fact that the apoptosis levels were not dominant in the immature, naïve group. There, TNF-α level is unchanged, while IL-1β tends to increase over the time during BCG infection.

An I2 value greater than 50% was considered substantial heterogen

An I2 value greater than 50% was considered substantial heterogeneity and random-effects meta-analysis rather that a fixed-effect model was used in these instances. The search returned 3096 studies. By screening titles and abstracts, 32 potentially

relevant studies were identified and retrieved in full text. Of these, 27 studies failed to meet the eligibility criteria. Therefore five studies were included in the review. The flow of studies through the review is presented in Figure 1. Three trials compared an experimental group to a control group (Johnsson et al 1988, Jan et al 2004, Trudelle-Jackson OTX015 molecular weight and Smith 2004), one trial compared two experimental groups (Galea et al 2008), and one trial compared two experimental groups

to a control group (Unlu BAY 73-4506 cost et al 2007). For the comparison of experimental versus control, the outcomes of the two experimental groups in the trial by Unlu et al (2007) were pooled before including this trial in the meta-analysis. For the comparison of outpatient versus home-based exercise, the two experimental groups were compared. The quality of the trials is summarised in Table 1 and the characteristics of the participants, interventions and outcome measures are presented in Table 2. Quality: The trials included in this review had varying internal validity with scores ranging from four to seven out of ten. All trials used true random allocation of participants and had sufficient statistical information to make their results interpretable. Only one trial ( Unlu et al 2007) reported concealment of allocation and blinding of assessors. The PEDro scale criterion that relates to external validity but which does not contribute to the PEDro score was met by all

trials. Four of the five trials scored six or more out of the possible ten points. Participants: The sample size of the studies ranged from 23 to 53. The time of recruitment of participants varied from at discharge from hospital after total hip replacement to 12–24 months after the procedure. nearly Interventions: The included trials varied in their experimental interventions. One trial assessed a supervised outpatient program ( Johnsson et al 1988), three trials assessed a home-based exercise program ( Jan et al 2004, Trudelle-Jackson and Smith 2004, Unlu et al 2007) and two trials compared a home-based program to a supervised outpatient program ( Galea et al 2008, Unlu et al 2007). Three papers included a true control group, who received no therapeutic intervention ( Johnsson et al 1988, Jan et al 2004, Unlu et al 2007). The duration of the interventions ranged from six weeks ( Unlu et al 2007) to three months ( Jan et al 2004, Johnsson et al 1988). Outcomes: All trials recorded outcomes at the end of the intervention (ie, six weeks, eight weeks or three months). Only one trial followed up beyond the intervention period ( Johnsson et al 1998).

The analysis was run from 20 °C to a temperature

The analysis was run from 20 °C to a temperature buy BMS-777607 above the melting point of the compound (Tm  ) while being purged with nitrogen gas (80 ml/min). No signs of residual solvents desorbing during heating was observed in the DSC signal. The presence of amorphous phase in the samples was judged from the occurrence of glass transition and exothermic crystallization peaks in the heat flow signal upon heating, alternatively

a complete absence of crystallization and melting peaks. The glass transition was determined from the mid-point of the step change in heat flow and the amorphous content of the spray-dried compounds was estimated from: equation(1) %Amorphous=ΔHcrΔH100where ΔHcr   is the enthalpy of crystallization and calculated from area under the crystallization peak in the thermogram, and ΔH   is the difference in enthalpy between the amorphous and crystalline state at the crystallization temperature

(Tcr  ), and given by equation(2) ΔH=ΔHm-∫TTmΔCpdTwhere ΔHm   is the melting enthalpy, Tm   the melting temperature and equation(3) ΔCp=Cpam-Cpcrwhere Cpam and Cpcr are the heat capacities of the amorphous and crystalline state, respectively. As an approximation, ΔCp can be assumed to be constant and INK 128 research buy calculated according to Thompson and Spaepen (1979): equation(4) ΔCp=ΔHmTmwhere ΔHm and Tm is obtained from the DSC data. The solid state of the spray-dried material was further verified by X-ray Powder Diffraction analysis. Diffraction patterns were obtained by using a Kratzky camera with a linear position-sensitive wide angle detector (HECUS M. BRAUN X-ray Systems, Graz, Austria) detecting diffracted radiation in a 2θ interval from 17° to 25° (given by the limits of the detector) in steps of 0.01°. The radiation was generated by an Cu Kα X-ray generator many (Philips, PW 1830/40) working at 40 V and 50 A. The temperature was controlled to 25 °C by a Peltier element. Each sample was run for 15 min in vacuum. When the X-ray analysis showed a diffuse scattering pattern the sample was considered to be

predominantly amorphous, while samples generating diffraction patterns with distinctive peaks were considered to contain crystalline phase. The ability of the compounds to become amorphous when cooled from the pure liquid state was investigated by cooling melts of the drugs in the DSC. The experimental conditions were the same as for the analysis of spray-dried material, except that approximately 2 mg of unprocessed substance was weighed into the aluminium pans. The samples were analysed by performing two heating/cooling cycles, the first for melt-cooling and the second for analysis. During the first cycle the samples were heated from room temperature to approximately 10 °C above their Tm at a heating rate of 20 °C/min and immediately cooled at a rate of 40 °C/min.

7–2140), at which point 97 9% (95% confidence interval (CI): 92 8

7–2140), at which point 97.9% (95% confidence interval (CI): 92.8–99.7) of subjects were seroprotected. By month 6, median titres had declined to 149 (5th to 95th percentile range: 19–1270), and 96.8% (95% CI: 90.9–99.3) were seroprotected. Titres continued to decline until year 5, when the median titre was 70.0

(5th to 95th percentile range: <10–304) and the seroprotection rate was 93.3% (95% CI: 82.1–98.6%). Statistical models were constructed to estimate the evolution of antibody titres over time and to predict, at the individual level, how long antibody titres will remain above the protective see more threshold. The raw data summarized above revealed three distinct periods of evolution of antibody titres: a rapid rise from day 0 to 28, rapid decay from day 28 to month 6 and slow decay from month 6. Since the focus here is on long-term persistence Etoposide price rather that antibody rise induced by vaccination, we analyzed

data from day 28 when observed titres were highest and developed models focused on antibody decay from that point in time. Given the highly nonlinear nature of antibody decay, and the importance of individual variations in vaccine-induced antibody responses, we constructed three alternative mixed-effects models. The first model estimated linear antibody decay and contained fixed and random effects for both slope and intercept parameters: Yij=(a+ai)+(b+bi)⋅tj+εijYij=(a+ai)+(b+bi)⋅tj+εijwhere Yij is the log of the neutralizing antibody titre for subject i observed Carnitine palmitoyltransferase II at time tj, a and ai are the population-level (fixed effect) and individual-level (random effect) intercepts and b and bi are the population-level and individual-level slope corresponding to the rate of linear antibody decay. ɛij is the residual error between model prediction and the observed value. The second model was an exponential-type

model constructed from day 28 data with fixed and random effects for slope (a, ai), intercept (b, bi) and exponent (c, ci) parameters: Yij=(a+ai)+(b+bi)⋅tjc+cj+εij The third model was a 2-period piecewise linear model with fixed and random effects for the intercept (a, ai), 2 slope parameters (b, bi, b2, b2i) and a change point Si, representing the point in time when the change in the rate of antibody decay occurs. Yij=(a+ai)+(b+bi)⋅tj+εij, for   t=SiYij=(a+ai)+(b+bi)⋅tj+εij, for   t=Si Yij=(a+ai)+(b+bi)⋅Si+(b2+b2i)⋅(tj−Si)+εij, for   t>SiYij=(a+ai)+(b+bi)⋅Si+(b2+b2i)⋅(tj−Si)+εij, for   t>Si All models were constructed using a Bayesian Monte-Carlo Markov chain approach [13] and were implemented with OpenBugs V3.12.1. Posterior summary statistics were based on 3 Markov chains of 40,000 lengths after a burn-in period of 60,000 iterations. Convergence of the model estimates was assessed using Gelman–Rubin statistics [14] as well as inspection of the parameters’ iteration history and posterior densities.

We observed small clusters of GFP+ cells in draining popliteal LN

We observed small clusters of GFP+ cells in draining popliteal LNs at 24 h post-injection, however amplification of the GFP signal using anti-GFP Ig was required to visualise these rare cells (Fig. 7C). These results suggest pDNA-encoded Ag is in the tissue draining lymph node as early

as 24 h post-injection. As previously described for the EαGFP system, we could detect Y-Ae+ EαRFP+ cells in the subcapsular sinus (Fig. 7D) and paracortical areas of draining LNs, 24 h after EαRFP injection. However many Y-Ae+ cells in the T cell areas were EαRFP negative, suggesting that Ag had already been processed and hence no longer fluorescent, or that these cells contained levels of EαRFP below the limits of detection by immunofluorescence microscopy. We observed cells of a similar phenotype, Y-Ae+EαRFP−, in mice immunised with pCI-EαRFP. Three days after plasmid injection, we detected rare, sparsely distributed Y-Ae+EαRFP− check details cells in the subcapsular sinus find more of draining inguinal lymph nodes (Fig. 7E and F). No staining was observed in pCIneo-immunised mice or using the isotype control, mIgG2b (data not shown). We were unable to conclusively demonstrate pMHC+ cells in the T cell areas of peripheral lymph nodes or spleen, presumably because the level of pMHC complex on these very rare cells was below the sensitivity of detection of the immunofluorescence staining protocol. Others

have shown previously that Ag dose has consequences for both the number of pMHC complexes generated and T cell activation in vivo and hence we were interested to know if the apparently low level pMHC we observed on CD11c+ cells was for sufficient for T cell activation and whether the pMHC complex staining we observed 3 days after DNA injection correlated temporally with the activation of Eα-specific CD4+ T cells. We also wanted to establish the precise anatomical localisation and kinetics of CD4+ T cell activation and proliferation following

intramuscular DNA injection and hence determine the relationship between pDNA distribution, pMHC+ cells and T cell activation. Therefore we used adoptive transfer of Eα-specific TEa T cells and kinetic analysis of activation and cell division following injection with Eα-expressing plasmids, to readout antigen presentation in vivo. The TEa TcR recognises the same pMHC complex as the Y-Ae mAb [12] and thus the initial activation/blastogenesis of these cells should be a good indication of the first time these cells see Ag, i.e. the precise timing of Ag presentation. At early timepoints (e.g. 12 h), we observed a transient upregulation of surface CD69 in both non-Tg and Tg CD4 T cells in pCI-EαRFP- and pCIneo-immunised mice, indicative of DNA-induced non-specific activation (data not shown). However by 24 h surface CD69 had returned to control levels (data not shown).

Individuals at risk of influenza related complications include th

Individuals at risk of influenza related complications include those with

chronic respiratory, heart, liver or kidney disease, and the immunosuppressed, as well as all individuals over the age of 64 years [10]. Although at risk individuals are click here currently targeted for seasonal vaccination in England and Wales and a number of other European countries, vaccination rates in most countries are suboptimal although coverage of the elderly is often better than that of clinical risk groups [11] and [12]. A recent survey has shown that vaccination rates in the elderly differ considerably across Europe [12], being highest in the UK (70.2%) and lowest in Eastern European countries such as Poland (13.9%). Furthermore, evidence is accumulating that vaccination of the elderly with an inactivated vaccine offers only partial protection. Reported estimates of vaccine effectiveness vary widely in the elderly, ranging from 20% to over 50% [13] and [14]. Vaccination rates in individuals with a chronic medical Apoptosis inhibitor condition considered at a high risk

of developing complications due to influenza are also low, ranging from 56% in the UK to 11% in Poland. Vaccination rates have increased marginally over the last few years. Non-vaccinated individuals constitute a hard to reach group. In those EU member states where vaccination rates are low due to the absence of funding, childhood vaccination may be an attractive option. Provided adequate coverage is achieved, not only will children be protected but herd immunity could offer protection to at risk groups across the age ranges. The aim of this paper is to estimate the

potential clinical impact of paediatric influenza vaccination in England and Wales. Specific objectives were to develop a demographic model of England and Wales, to capture the population structure over time, and to create a dynamic transmission model simulating the transmission of influenza and the current influenza vaccination policy. A set of risk functions were developed to translate the Astemizole incidence of infection into clinical outcomes. The resulting model was used to estimate the impact of vaccinating pre-school and school aged children with a live attenuated influenza vaccine. Clinical impact was quantified as the mean annual number of averted influenza infections and the related general practice consultations, hospitalisations and deaths, over a 15-year time horizon. The model adopts a realistic age structure (RAS), starting with population data for England and Wales in 1980, provided by the Office for National Statistics (ONS). These data are single year of age stratified population numbers [15].