The COVID-19 pandemic remains a public health problem threatening national and global health security. The socio-economic impact of COVID-19 was more severe on developing countries including Lebanon, especially due to the fragile healthcare system, weak surveillance infrastructure and lack of comprehensive emergency preparedness and response plans. Lebanon has been struggling with plethora of challenges at the social, economic, financial, political and healthcare levels prior to the COVID-19 pandemic. The COVID-19 pandemic in Lebanon revealed gaps and challenges across the spectrum of preparedness and response to emergencies. Despite these challenges, the Lebanese response was successful in delaying the steep surge of COVID-19 cases and hospitalisations through imposing strict public health and social measures. The deployment of the national vaccination plan in Lebanon in February 2021 coincided with the reduction in the number of cases and hospitalisation rates. The aim of this manuscript is to advance the epidemiologic evolution of COVID-19 in Lebanon pre- and post-vaccination, the challenges affecting the response and recovery, and the lessons learned.

Little is known about the decision-making process of college students in Lebanon regarding coronavirus disease-2019 (COVID-19) vaccination. The aim of this study was to identify factors predicting behavioural intentions of students enrolled at the American University of Beirut to obtain a COVID-19 vaccine. A total of 3805 students were randomly selected. Participants were divided into three groups: vaccine accepting (willing to take or already took the vaccine), vaccine hesitant (hesitant to take the vaccine) and vaccine resistant (decided not to take the vaccine). Overall, participants were vaccine accepting (87%), with 10% and 3% being hesitant and resistant, respectively. Vaccine hesitancy was significantly associated with nationality, residency status and university rank. Participants who believed the vaccine was safe and in agreement with their personal views were less likely to be hesitant. Participants who did not receive the flu vaccine were more hesitant than those who did. Moreover, a significant association between hesitancy and agreement with conspiracies was observed. A high level of knowledge about COVID-19 disease and vaccine resulted in lower odds of vaccine resistance among students. The factors identified explaining each of the three vaccine intention groups can be used as core content for health communication and social marketing campaigns to increase the rate of COVID-19 vaccination.

Particulate matter (PM) specimens from a traffic site were sampled on Teflon filters using a low volume sampler. The sampling campaign ran over a one-year period with sampling frequency of twice a week for both PM2.5 and PM10. X-ray diffraction (XRD) methods, which are not commonly used in PM analysis, have been utilized successfully to identify crystalline phases present, including secondary pollutants. XRD data confirmed results obtained by X-ray fluorescence, positive matrix factorization modeling, and scanning electron microscopy. PM2.5 consisted mainly of secondary sulfates, like Mascagnite [(NH4)2SO4], Koktaite [(NH4)2Ca(SO4)2·H2O], and Gypsum [CaSO4·2H2O]. For PM10, it was found that the major phases are mostly originating from natural sources, such as dust storms and sea salts, in addition to secondary compounds, such as sodium nitrate. The main phases identified were Calcite, Quartz, Gypsum, Halite, and Palygorskite.

The early Miocene site of Wadi Moghra, Qattara Depression, Egypt, is important for interpreting anthracothere (Mammalia, Artiodactyla) evolution, because the Moghra sediments preserve a higher diversity of anthracotheres than any other pene-contemporaneous site. New specimens from Moghra are described and form the basis for the systematic revision of Moghra anthracotheres provided here. Among the important discoveries recently made at Moghra is the first complete skull of Sivameryx moneyi. Other new specimens described here include two new species of Afromeryx, and a new genus and species, all of which are unique to Moghra. A review of biogeographic information supports the conclusion that three of the Moghra anthracotheres (Brachyodus depereti, B. mogharensis, and Jaggermeryx naida, n. gen. n. sp.) are members of late surviving lineages with a long history in Africa, while three other species (Afromeryx grex, n. sp., A. palustris, n. sp., and Sivameryx moneyi) represent more recent immigrants from Eurasia.

Patients with a clinical diagnosis of dengue but negative by serological testing were studied for rubella infection. Paired sera were obtained from 69 patients during an outbreak in Yucatán, México. The presence of specific anti-viral IgM in the acute sera was considered as diagnostic for rubella infection. The immunoglobulin was determined by measuring the difference in the inhibition of hemagglutination between the non-reduced and the reduced fractionated sera. Immunoglobulins were separated by sucrose density centrifugation. Acute rubella infection was found in 7 (10·1%) of the patients. These results demonstrate active rubella infection in patients clinically diagnosed as dengue.

We studied case-fatality rates (CFRs) among cases of meningococcal disease (MCD) admitted to Makkah (Saudi Arabia) hospitals during the period 1988–97. Of 483 cases, 431 (89·2%) were due to strains of serogroup A, 31 (6·4%) to serogroup W135, 16 (3·3%) to serogroup C, and 5 (1·0%) to serogroup B. Eighty-one patients died (case fatality rate (CFR)) 16·8%, 95% CI 13·5%, 20·4%). The CFR in infections due to serogroup A strains was 14·8%, and for other serogroups it was 32·7% (95% CI 20·3%, 47·1%). The CFR of MCD due to N. meningitidis serogroup A increased steadily with age (P < 0·05). Seeking first medical help at a foreign Hajj medical mission and being treated in a non-specialized hospital were associated with a higher case fatality rate.

We consider the ergodic skew product of translations on the torus ${\Bbb T}^{2}$. We characterize a class of smooth functions with exponential correlation decay rate and a class of subsets with an exponential rate of mixing. We show that the class of functions with sub-exponential correlation decay rate is generic. We also characterize another class of subsets with mixing rate of the order of $1/t$.

The object of this paper is to study the stochastic asymptotic exponential stability of a stochastic integral equation of the form

A random solution of the stochastic integral equation is considered to be a second order stochastic process satisfying the equation almost surely. The random solution, y(t, ω) is said to be. stochastically asymptotically exponentially stable if there exist some β > 0 and a γ > 0 such that for t∈ R+.

The results of the paper extend the results of Tsokos' generalization of the classical stability theorem of Poincaré-Lyapunov.