domingo, setembro 27, 2015

As Brazilian Economy Descends Into Crisis, Tech Is Growing Double Digits | TechCrunch

As Brazilian Economy Descends Into Crisis, Tech Is Growing Double Digits | TechCrunch

As Brazilian Economy Descends Into Crisis, Tech Is Growing Double Digits

Despite a miserable macro-economic mix of circumstances, including the worst recession in almost 100 years, the biggest corruption scandal Brazil has ever seen, and calls for President Dilma Rousseff's impeachment, Brazil's tech industry is thriving.

Startups are churning out funding announcements as fast as the bad news pours in, with over $150M in announcements this summer alone.

Venture capitalist Anderson Thees, a founding partner of Redpoint eventures in São Paulo, says the ecommerce and web sectors have grown over 20% year-over-year, while Brazil's GDP has stayed flat, and tech is all but guaranteed to keep growing.

Although only half of Brazil's population is online, it's already the fifth largest internet and mobile economy in the world, a top five three market for Facebook, Google and Twitter, and one of the fastest-growing smartphone markets globally — with another 100 million people starting to come online.

Last week, while Brazil reeled from Standard & Poor's surprise decision to junk the country's debt rating, the country's top venture capital investors and entrepreneurs gathered in São Paulo to celebrate the launch of Cubo, a 50,000 square foot tech hub for startup entrepreneurs.

The not-for-profit venture between Redpoint eventures and banking giant Itau is the most ambitious co-working space I have seen aside from New York City's Civic Hall, and provides office space for 250 entrepreneurs and fifty startups, across five floors of prime commercial real estate in São Paulo's ritzy Vila Olimpia district — plus an auditorium for events, and a rooftop open to the public to encourage use of the space as hub for the tech community.

Cubo launch

Redpoint eventures Cubo launch party

There are no exact numbers on the venture capital investment in Brazil this year over last year, in part because Brazilian entrepreneurs (and their investors) are notoriously reticent to disclose investment rounds or dollar amounts. But venture capital investment in Latin America has grown over over 800% since 2010, totalling over $650M.

In Brazil, startups have been announcing at least one funding deal a week in recent months, as local and international venture capitalists have teamed up to invest at least $150M across mobile, ecommerce, education, banking, shipping, services and security sectors this summer.

"What is a little odd, and very beneficial, is the way that the digital economy is faring through this crisis," says Thees.

Redpoint eventures has announced six deals in recent months: seed investments in Olist, Escale and Intoo, a $3M Series A investment with Accion's Frontier Investments Group and QED Investors in BankFacil, and Series B rounds for digital marketing platform Resultados Digitais and data analytics firm Cortex Intelligence.

"If crisis remains for way too long, it could affect us, but for right now what we have is a detachment between what we have in the startup ecosystem and the macro-economy.
— Anderson Thees, founding partner Redpoint eventures

Thees says the total number of deals the firm is about the same as last year, but that the opportunities are better now that some of the Brazil buzz has died down. "Those guys that were jumping ship from a big company expecting to make a fortune in six months — that's gone."

"If crisis remains for way too long, it could affect us," Thees says, "but for right now what we have is a detachment between what we have in the startup ecosystem and the macro-economy. It would be better if we didn't have it, but we might actually end up moving faster with it. Because when everything is great, people tend not to change behavior. People are more likely to pay attention to efficiency now, and they might be more willing to experiment with new things."

BankFacil, an online lending platform that helps Brazilians identify and secure lower-interest financing, is one of the startups that is primed to benefit from the downturn by helping Brazilians save up to 70% on loan payments. BankFacil founder and CEO Sergio Furio says Brazilians pay ten to twenty times more interest on debt than American consumers: 120% on consumer loans (versus 11%), 300% for credit cards (versus 14%), and 58% for mortgages (versus 6-7%) — and household debt represents about 25% of the Brazil's entire GDP.

"We're using technology to create efficiencies in processes that are extremely inefficient," Furio says.

Screen Shot 2015-09-27 at 1.31.03 PM

Buenos Aires investment powerhouse KaszeK Ventures is also investing in economic efficiencies, announcing a Series A round in Contabilizei, an accounting services platform for small businesses and freelancers to navigate one of the most bureaucratic tax codes on the planet. Contabilizei that has grown over 350% over last year.

"I believe the most innovative feature at this point is offering a high quality service for a fraction of the current cost today," says founder and CEO Vitor Torres. "By combining fanatic accountants with intelligent software, we are offering a high quality and cost effective service that substitutes entirely the traditional accountant. We are the last important piece that the SMB market needed in order to fully manage their businesses online."

Contabilizei is one of over a dozen first-round investments KaszeK Ventures has made so far this year in Brazil. Other recent investment rounds include the fashion ecommerce startup Dress & Go; employer review site LoveMondaysNuvemShop, the largest provider of ecommerce store solutions for small businesses in Latin America; and pioneering pet sharing service DogHero (Brazil is the second largest pet market in the world behind the US).

"Looking beyond the 'crisis', the adoption of smartphones keeps growing, 'consumer internet' keeps going, and companies are incorporating more technology to lower costs, seek cost efficiencies or provide a better service," says KaszeK partner Hernan Kazah.

"The companies with good projects and teams can take advantage of the moment and consolidate. In general terms, fewer competitors are going to secure funding. Less companies are investing in marketing, so acquisition costs are lower. There's less difficulty to secure good talent. Costs in dollars are lower, so companies have a lower "burn" in dollars. And there are less distractions, so we can focus on the strategic points."

Screen Shot 2015-09-27 at 1.34.08 PM

KaszeK has also joined Tiger Global and Monashees for a $13M Series B in horizontal services marketplace GetNinjas. GetNinjas generates about $3.2M a month in contract jobs for over 100,000 registered service providers, from painters to wedding planners.

"It's a big round for Brazilian standards," says GetNinjas CEO Eduardo L'Hotellier. "Some investors, especially the foreign ones, showed fear in relation to Brazil. But crises come and go, and our business has what we need to weather the turbulence and keep growing. We're growing double digits month over month, so the economic contraction has had little effect on us."

GetNinjas is one of a number of startups closing bigger rounds this summer. Security startup PSafe, the most downloaded app in Brazil, closed a $30M Series C investment with Redpoint eventures, Pinnacle and Quihoo360, making PSafe the first mobile startup in Latin America to reach a R$1B valuation (about $320M).

Latin American mobile commerce powerhouse Movile and Just Eat, the global online take-out service, made a $50M investment in Brazil's leading food delivery service, iFood. And an undisclosed private equity firm in New York pumped $30M into BelezaNaWeb, the leading beauty ecommerce startup in Brazil's $43BN beauty industry.

The company has been growing 50-60% year over year since closing a $10M Series B round with KaszeK Ventures and Tiger Capital in 2013, and is on a run rate to close R$100M (US $32M) in sales this year.

The education sector has also seen some big investments — all from foreign funds. Valor Capital, Amadeus Capital and Social Capital Partners teamed up for an $8M Series B investment in Descomplica, a radically accessible online education platform with 12 million active students paying less than $5 a month to access test prep materials for Brazil's college entrance exams.

And an undisclosed American firm has made a $23M Series B investment in Passei Direto, an academic social network with four million students, 50% of the Brazilian college market share, and zero acquisition costs to date.

"If crisis remains for way too long, it could affect us, but for right now what we have is a detachment between what we have in the startup ecosystem and the macro-economy.
— Anderson Thees, Redpoint eventures

Valor Capital also teamed up with São Paulo firm Monashees on a a $1.5M Series A investment in on-demand shipping platform Mandaê. "In our case and at this stage, the economic downturn wasn't a factor," says Mandaê CEO Marcelo Fujimoto. "Mandaê operates in a very large market and we also solve a very real, very big pain point shared by millions of people. As a result, we were showing very rapid growth — 30% month over month. For our Series A round, we got a lot of investor interest (both national and international) and were in a position to be selective."

"There are amazing, big things happening behind the scenes in Brazil," says Fujimoto. "While foreign perception of the potential here was perhaps too optimistic in 2010, it's now swung way too far to the negative, which isn't accurate either."

Featured Image: Shutterstock



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domingo, setembro 20, 2015

The Billion-Dollar Company That Not Even the Feds Could Stop | Inc.com

The Billion-Dollar Company That Not Even the Feds Could Stop | Inc.com

The Billion-Dollar Company That Not Even the Feds Could Stop

Not long ago, 23andMe founder Anne Wojcicki was watching her daughter compete in a swim meet near their home in Palo Alto, California, when she realized her mother, Esther, whom she'd expected to see there, was nowhere in the crowd. Worried, she phoned. "Mom, why aren't you at the swim meet?" she demanded. "I'm in Amsterdam," her mother crowed. "They want me to change education!"

Wojcicki tells this story to explain something most people don't typically grasp. Yes, until a few months ago, she was married to Sergey Brin, co-founder of Google and one of the icons of Silicon Valley. But when it comes to locating the wellspring of her entrepreneurial drive, her ex comes in a distant second to the woman known to generations of students as Woj.

"My mom is totally insane in the best possible way," Wojcicki (pronounced Wo-JIT-skee) says, dressed in running shorts and hoodie at her company's Mountain View offices. The elder Wojcicki is hardly a technologist; she's a longtime Palo Alto high school journalism teacher who wired her three daughters (a brood that also includes YouTube CEO Susan Wojcicki) with what Anne describes as irrational optimism. "Without a doubt, the number one thing that's influenced me is her saying, 'Just get it done. It's all within your control,'" she says. "Zuckerberg and Elon and Sergey and Larry are like her in that way--that free spirit, enthusiasm, get-stuff-done thing." Growing up in the shadow of Woj, Baby Woj (as she's known to her mother's acolytes) internalized her greatest teaching: "The worst thing you can do in life is whine about what you can't change."

That guiding philosophy--there are no obstacles, only unexpected gifts--has been essential for the leader of a company whose path has been anything but smooth and straight. Wojcicki co-founded 23andMe in 2006. A decade working on Wall Street as a health care analyst had convinced her that the American way of treating illness and inventing new drugs had to change. "It just felt like there was this massive amount of waste," she says, referring to the billions of dollars the pharma industry annually plunges into drug discovery, with diminishing results. A chance dinner party conversation with Markus Stoffel, a molecular biologist, left her thinking the solution lay in aggregating the world's genetic data and teasing out the patterns to prevent and combat diseases like Parkinson's and Alzheimer's. Wojcicki, who studied biology, had a handy template in her then husband's company, which more or less did for the internet what she was proposing to do for the genome.

By filling a plastic vial with saliva and mailing it to 23andMe, customers could decode the DNA embedded in their 23 chromosomes. That meant discovering everything from the existence of long-lost relatives to whether they were at risk for inherited diseases like cystic fibrosis, or genetic traits, like lactose intolerance. As 23andMe was able to drive down the price of its tests, from $999 to $399 in 2008 to $99 in 2012, the company signed up hundreds of thousands of customers and expanded to Canada and Europe. Customers seeking the secrets in their own genes also contribute DNA and personal information to the company's growing database. Wojcicki believes correlating genotypes to diseases could ultimately lead to efficient, targeted drug breakthroughs.

In 2013, the FDA put a halt to the startup's first effort to decode clients' chromosomes as a predictor of future health.

But in November 2013, just as Wojcicki's company was gaining momentum, she hit a brick wall in the U.S. The Food and Drug Administration ordered 23andMe to stop marketing its tests for health purposes, deeming them unregulated medical devices. Having your most compelling product yanked off the market is the kind of blow that could easily kill a startup. Rather than panic, Wojcicki reverted to her Wall Street analyst self, gathering vast amounts of information, certain a solution was hiding in plain sight. She held endless conference calls with lawyers, regulatory experts, pharma CEOs, anyone who might have useful insight. "That first week was like 'Data, data, data--I need data!'" Wojcicki recalls.

The outcome of those frantic conversations was a tactical retreat and a strategic regrouping. Conceding to the FDA's demands, 23andMe immediately began working closely with the agency to hash out what it would take to resume selling its tests. Meanwhile, it orchestrated deals with Genentech and Pfizer, giving them access to parts of its DNA database in exchange for upfront payments and a cut of revenue from new drugs developed using it. The company announced plans to make its own therapeutics, hiring a former top Genentech scientist to lead the effort. In February, the FDA agreed to allow 23andMe and its competitors to resume marketing tests for autosomal-recessive diseases, which result when both parents carry an abnormal gene. The decision stopped well short of full regulatory sign-off, but it was a promising enough omen that 23andMe was able to raise a reported $79 million funding round in July that pushed the company's valuation above $1 billion.

As a first-time entrepreneur, Wojcicki admits she's learned the hard way not to tackle all the pieces of a complex undertaking simultaneously. "When I look back, pacing wasn't our strength," she says. "I have a much better sense now of how long it takes to build things."

Meanwhile, the challenges facing 23andMe have changed as it has grown. Initially, the mere idea of using home DNA kits as diagnostic tools was a tough sell for many in the medical community. "The whole direct-to-consumer thing was not, how shall we say, widely applauded," recalls board member Esther Dyson. These days, the real question is whether 23andMe can monetize the revolution it has helped usher in. Doing so, says Gartner biotech analyst Stephen Davies, will require forging still closer ties to big pharma firms--the lumbering giants whose inefficiency spurred Wojcicki to action in the first place.

But Wojcicki's not worried about turning into them--after all, she is her mother's daughter. Medicine has already changed for good, she says, flashing the fitness trackers she wears religiously on her wrists. Turns out, it was the heart-rate data from one of them, not a lab test ordered by a physician, that recently helped Wojcicki, who elliptical-bikes to work most days, figure out she was anemic and not out of shape. "Your health care is no longer about the episodic visit to your doctor, where you have this once-a-year assessment of random vitals," she says. "It's about the continuous stream of you."




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domingo, setembro 13, 2015





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PEOPLE
Here's How Generation Xers Are Driving Millennials Crazy In The Workplace (And Vice Versa)
Xers tend to believe people need to "pay their dues" before voicing opinions.
 
BY QUORA
5.2k SHARES
 

IMAGE: Getty Images
 
As a Millenial, how do I understand and work with a Gen Xer? originally appeared on Quora: The best answer to any question.

Answer by Mira Zaslove, Fortune 500 manager, on Quora:

As an Xer, I've worked with and managed many Millennials. And as Michael O. Church writes, people are people. Yet, there are times when knowing a little about each generation has helped me to understand a colleague.

When generalizing about any group, it's first necessary to recognize that not everybody in any particular group acts like everyone else. There is often just as much variation within in each group as there is between groups.

However, because generations come of age and enter the workforce around the same time, members of each generation often share similar experiences. And these shared experiences often shape perceptions and work-style.

So first off, who is in each generation?

Baby Boomer: born 1943 to 1960 (aged 55-72 today)
Gen-Xer: born 1961 to 1981 (aged 34 to 54 today)
Millennial: born 1982-2002 (aged 13 to 33 today)
To understand an Xer, the first thing to know is that Xers grew up in a largely hands-off culture. Every generation for the past century has grown up with less and less self-autonomy. For an interesting article describing change over four generations, check out: How children lost the right to roam.

Boomers and Xers had pretty similar levels of freedom growing up. Kids could safely be out of sight of their parents for long periods of time. Many Xers were latchkey kids. In contrast, Millennials, due to the technological ease of staying in contact and changing parenting norms, often weren't out of their parents' sight until their teenage years.

Millennials also grew up with a lot more encouragement than Xers. As a result, Millennials generally feel more comfortable voicing their opinion. Even when they're just starting out in a job.

For instance, one Millennial I worked with had just gotten through training, and was asked by a Senior VP what they thought of the training program.

The Millennial, either not knowing or not caring who was asking the question, quickly answered, "It was boring."

To which the VP replied, "I wrote it." And then, "Who again, are you?"

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So, like Anya Deason writes, don't talk too much--until you know what you are talking about and who you are talking to. Xers tend to believe people need to "pay their dues" before voicing opinions.

A few other tips for working together:

Xers tend to be more independent. So, when working with a Xer, don't be surprised or offended if they choose to work alone.
An Xer manager is not going to act like a helicopter parent. Xers tend to be entrepreneurial thinkers and results-oriented, so they may not tell you how to do every step of the job.
Xers tend to be hands-off, low face-time managers. So when working for an Xer, ask them to clearly define their expectations.
Millennials are often cheekily called the "Everybody Gets A Trophy" generation. Few Xers were regularly praised growing up. So, when working with an Xer manager, don't expect a lot of praise.
When you do receive a compliment from an Xer, you've done an great job.
Don't take Xers' skepticism personally. Xers grew up questioning everything. Expect them to give the pros and the cons to even the best of ideas.
This question originally appeared on Quora. Ask a question, get a great answer. Learn from experts and access insider knowledge. You can follow Quora on Twitter, Facebook, and Google+. More questions:

Generation X: What's the parenting mindset of Generation X?
Millenial Generation: Why is the younger generation so opposed to capitalism?
Career Advice: How do I identify my talent?

 
How Millennials, Gen Xers and Boomers Can Work Together
Thomas Koulopoulos, founder of Delphi Group, talks about the dangers of creating artificial generation gaps and how to treat behavioral differences.
 
PUBLISHED ON: SEP 11, 2015
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5.2k SHARES

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TECHNOLOGY
Why the iPad Pro Is a Game Changer for Work
Apple just made some big headway in the business market by announcing the brand-new iPad Pro.
 
  BY JOHN BRANDON
@jmbrandonbb
870 SHARES
 

Phil Schiller, Apple's senior vice president of worldwide marketing. IMAGE: Getty Images
 
Apple doesn't make a nod to small business too often. There are obviously devices you can use, like a MacBook and an iPhone, to do real work, but the gadgets also appeal to consumers, students, and kids. They tend to be general-purpose devices anyone can use.

At an event today in San Francisco, Apple announced one of the most business-centric devices it has ever created. The new iPad Pro is a powerful, 12.9-inch tablet that runs high-end business-class apps. It feels almost as if Apple skipped over some of the usual specs--the tablet is fast, lasts 10 hours, and is almost as thin as the iPad Air 2. The company's event moved quickly to app demos from (gasp) Microsoft (showing a powerful version of Word) and Adobe (showing a new app called Photoshop Fix for retouching images).

The new iPad Pro has two accessories every business user will love. There's a new Smart Keyboard that has slightly raised keys for fast typing--they mimic what you will find on a MacBook. For airport dwellers, it means doing real work anywhere. The keyboard snaps onto the tablet using a magnet. There's also a new stylus called the Apple Pencil that adjusts automatically depending on pressure and angle. It's a boon for those taking notes at a meeting.

The iPad Pro is a major productivity booster. It's big enough to type documents using a large soft keyboard, and fast enough to run desktop-class apps. The stylus is ideal for taking notes and drawing out plans during meetings and business trips. It's a game changer for business, because it means you can stay productive without having to lug around a laptop. The everyday business apps are powerful: You can add charts to a document and edit photos on a display large enough to see what you're doing. For the iPad Pro 32GB version, you will pay $799. The Pencil costs $99 and the Smart Keyboard, $169. All of the new products will be available this November.

Now, it's important to note here that a large, desktop-class tablet is not exactly a new product segment. The Microsoft Surface Pro 3 is also a 12-inch tablet with a stylus. It costs $899 and weighs 1.7 pounds; the iPad Pro weighs 1.57 pounds, so they have some similarities. And both the Surface Pro 3 and the iPad Pro use a smart keyboard cover and a stylus. There's no way to know which device will fit best into the context of small business until we get a chance to compare them side by side. The Surface Pro 3 is not quite as clunky as it was before, now that you can use Windows 10 as the operating system and not deal with the confusion of Windows 8.
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Will you buy the iPad Pro? I'm curious about your view--post in comments or email me.

The opinions expressed here by Inc.com columnists are their own, not those of Inc.com.
 
PUBLISHED ON: SEP 9, 2015
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870 SHARES
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sexta-feira, setembro 11, 2015

PLOS ONE: Concentration, Size Distribution, and Infectivity of Airborne Particles Carrying Swine Viruses

PLOS ONE: Concentration, Size Distribution, and Infectivity of Airborne Particles Carrying Swine Viruses

Concentration, Size Distribution, and Infectivity of Airborne Particles Carrying Swine Viruses

Abstract

When pathogens become airborne, they travel associated with particles of different size and composition. Particle size determines the distance across which pathogens can be transported, as well as the site of deposition and the survivability of the pathogen. Despite the importance of this information, the size distribution of particles bearing viruses emitted by infectious animals remains unknown. In this study we characterized the concentration and size distribution of inhalable particles that transport influenza A virus (IAV), porcine reproductive and respiratory syndrome virus (PRRSV), and porcine epidemic diarrhea virus (PEDV) generated by acutely infected pigs and assessed virus viability for each particle size range. Aerosols from experimentally infected pigs were sampled for 24 days using an Andersen cascade impactor able to separate particles by size (ranging from 0.4 to 10 micrometer (μm) in diameter). Air samples collected for the first 9, 20 and the last 3 days of the study were analyzed for IAV, PRRSV and PEDV, respectively, using quantitative reverse transcription polymerase chain reaction (RT-PCR) and quantified as geometric mean copies/m3 within each size range. IAV was detected in all particle size ranges in quantities ranging from 5.5x102 (in particles ranging from 1.1 to 2.1μm) to 4.3x105 RNA copies/m3 in the largest particles (9.0–10.0μm). PRRSV was detected in all size ranges except particles between 0.7 and 2.1μm in quantities ranging from 6x102 (0.4–0.7μm) to 5.1x104 RNA copies/m3 (9.0–10.0μm). PEDV, an enteric virus, was detected in all particle sizes and in higher quantities than IAV and PRRSV (p < 0.0001) ranging from 1.3x106 (0.4–0.7μm) to 3.5x108 RNA copies/m3 (9.0–10.0μm). Infectious status was demonstrated for the 3 viruses, and in the case of IAV and PRRSV, viruses were isolated from particles larger than 2.1μm. In summary, our results indicated that airborne PEDV, IAV and PRRSV can be found in a wide range of particle sizes. However, virus viability is particle size dependent.

Figures

  

Citation: Alonso C, Raynor PC, Davies PR, Torremorell M (2015) Concentration, Size Distribution, and Infectivity of Airborne Particles Carrying Swine Viruses. PLoS ONE 10(8): e0135675. doi:10.1371/journal.pone.0135675

Editor: Ralph Tripp, University of Georgia, UNITED STATES

Received: July 1, 2015; Accepted: July 26, 2015; Published: August 19, 2015

Copyright: © 2015 Alonso et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited

Data Availability: All relevant data are within the paper and its Supporting Information file.

Funding: Funding for this study was provided by Agricultural Experimental Extension Project, project number MIN-62-106 MT. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.

Competing interests: The authors have declared that no competing interests exist.

Introduction

Among all infectious agents, those transmitted through aerosols are the most difficult to control [1]. The speed of dispersion of airborne infectious agents makes them hard to contain and protect against, and the wide reach of susceptible hosts makes the control of airborne pathogens a priority for public and animal health officials.

Infectious agents travel associated with particles of various natures including fecal material, dust, debris, water, respiratory fluids and, specifically in buildings housing animals, with bedding and hair particles. The composition and size distribution of these particles will determine the location of deposition in the susceptible host, and influence the time the infectious agents can remain suspended in the air, the distance across which they can be transported, and the survivability and infectivity of the pathogens [24]. Thus, particle size is central to the epidemiology of airborne pathogens.

Particles of small size can remain suspended in the air for long periods, potentially exposing a large number of susceptible individuals, including those close to the source and those at greater distances [5]. A spherical particle of 4 μm in diameter takes 33 min to settle 1 m in still air, compared to a 1μm particle that will take 8 h [6]. Relative humidity, temperature and wind currents are the most important environmental factors that will determine the settling time of airborne particles that contain volatile components.

There is limited information in regards to the particle sizes with which infectious agents are associated. In humans, measures of particle size for influenza A virus (IAV) have been evaluated in controlled laboratory and health care settings, airplanes, daycares and households [610]. Distribution of IAV particle size varied between studies and settings, with IAV found in particles 1–4 μm in diameter (49% of particles) and particles > 4 μm (46% of particles) in health care facilities [7], and particles < 2.5 μm (64% of viral copies) detected in public places (i.e. health care, airplanes and day cares) [8]. Furthermore, dispersion models that have incorporated particle size information have indicated the plausibility of airborne transmission within these settings [3].

For pigs and cattle, the size distribution of particles associated with foot and mouth disease virus (FMDV) depended on whether aerosols were generated artificially or by experimentally infected animals [11,12]. In the case of pigs affected by Aujeszky's disease virus (ADV), particle size distribution varied based on days of infection [13]. Specifically for IAV, no information was found for animals raised in agricultural environments, and the information is limited to animal models using ferrets or guinea pigs that assess the risk of IAV airborne transmission to people [1416]. Overall, there is a lack of information on particle size distribution for pathogens affecting humans and animals, including zoonotic viruses. Furthermore, studies have been limited to viruses affecting the respiratory tract even though there is evidence that enteric viruses [i.e porcine epidemic diarrhea virus (PEDV), human-noroviruses, adenoviruses and enteroviruses] can also be transmitted through the air [1720].

In this study we characterized the particle concentrations, size distributions and infectivity of three viruses that affect swine. These viruses were selected because of their differences in pathogenesis and modes of transmission. IAV, important because of its zoonotic potential, is shed only in respiratory secretions of pigs, and it is well established that it can be transmitted through aerosols. Porcine reproductive respiratory syndrome virus (PRRSV) is a systemic virus that can be shed in many body secretions [21], is exhaled in air, and has been detected in air as far as 9.1 km from swine herds [22]. Lastly, PEDV, an emerging virus in North America [23], is an enteric virus that primarily replicates in large quantities in the small intestine, is largely concentrated in feces of diarrheic pigs and can replicate in alveolar macrophages [24]. The information from this study may contribute to the understanding of airborne transmission of viruses of different pathogenesis and routes of transmission, which is necessary to fully prevent the spread of infectious diseases.

Materials and Methods

Ethics statement

Protocols and procedures followed throughout the study were approved by the University of Minnesota Institutional Animal Care and Use Committee (IACUC1110A05802), and the Institutional Biosafety Committee (IBC1208H18341).

Housing and experimental animals

The study was performed at the University of Minnesota BSL-2 research animal units, St. Paul, MN. The room has a total air space of 35.1 m3 and the air entering the isolation room was filtered. Relative humidity and temperature were monitored continually using a data logger (ThermaData Logger-Model HTD, ThermoWorks, Lindon, UT, US). A group of twelve, 5-week-old pigs were purchased from a herd that tested negative for IAV, PRRSV, PEDV and Mycoplasma hyopneumoniae on routine serologic and antigenic testing. The negative status of the experimental pigs was confirmed prior to inoculation. Serum samples were tested for IAV and PRRSV via enzyme linked immunosorbent assays (ELISA) (IDEXX AI Ab Test and HerdChek X3 ELISA, IDEXX, ME, US) [25,26]. Nasal swabs and rectal swabs were tested for IAV and PEDV respectively using real-time reverse transcriptase PCR (RT-PCR) [17,27]. Microchips were subcutaneously implanted to record body temperature following manufacturer specifications (LifeChip, Destron Fearing, MN, US). Pigs were housed in solid floors without bedding and fed once a day on the floor. Water was provided ad libitum.

Virus inoculation

Ten pigs out of 12 were inoculated with PRRSV and IAV 48 h after arrival at the isolation units. Two pigs were removed from the room prior to inoculation and commingled back with the rest of the pigs 6 hours after to serve as contact infected controls. Pigs were sedated using an intramuscular injection of Telazol (Fort Dodge Animal Health, Fort Dodge, IA, USA) at 6mg/Kg, and experimentally inoculated intra-nasally and intra-tracheally with 1 ml/each of 4.4 x 106 tissue culture infective dose (TCID50/ml) of IAV/Swine/Iowa/00239/2004 H1N1. Following that, pigs were inoculated intra-muscularly and intra-nasally with 1 ml/each of 1.13 x 105 TCID50/ml of PRRSV strain MN-1-8-4 [28,29].

At day 21 of the study, all pigs were intra-gastrically inoculated with a suspension of 20 ml of PEDV-material obtained from mucosal scrapings from PEDV infected pigs following published procedures [17]. The inoculation material was confirmed positive by PEDV RT-PCR and diluted to a cycle threshold (Ct) value of 15 to 16. The inoculation material was prepared and kept refrigerated for 24h at 4°C prior to inoculation. The total duration of the study was 24 days.

Clinical scores and body temperature

Body temperature and clinical signs were recorded twice daily starting 72 hours pre-inoculation. Fever was defined as rectal temperature higher than 40°C for 2 or more consecutive days. Clinical scores included lethargy and signs of respiratory disease (i.e. coughing and sneezing episodes). Lethargy score was defined a priori on a 1 to 5 scale and measured based on the response to clapping or flight reaction, and curiosity of the pigs towards the investigator and sampling rope (). This procedure was repeated 3 times each day and final scores were averaged. The respiratory disease score was defined as the number of pigs with coughing and/or sneezing episodes (i.e. one or several episodes in a sequence by an individual pig) registered in 3 minutes. The respiratory score was calculated as a percent by dividing the number of animals with coughing and/or sneezing episodes by the total number of animals observed and multiplying the result by 100 [30].

Sampling procedures

Nasal swabs were collected for IAV testing from all pigs on -2, 3, 5, 7, 9 and 13 days post infection (DPI) using rayon-tipped swab applicators with Stuart's medium (BBL CultureSwabs liquid Stuart single plastic applicator/Becton, Dickinson and Com., Sparks, Maryland, USA). After sample collection, swabs were transported to the laboratory, suspended in 2 ml of minimal essential medium (MEM Mediatech Inc., Manassas, VA, USA) supplemented with 4% of bovine serum albumin (BSA) and stored at -80°C.

Serum samples for PRRSV viremia were collected using venipuncture of the jugular vein at days -2, 4, 12 and 20 DPI. After collection, serum was separated, divided into 2 aliquots and stored at -80°C.

Oral fluids for PRRSV and IAV were collected daily at the same time when air samples were collected by hanging 0.4 m of cotton rope from a convenient metallic post following published procedures [31,32]. Oral fluid samples were then refrigerated, transported to the laboratory and stored at -80°C. For PEDV, at the termination of the study, intestines were removed from all animals and sections from 6 different areas of the jejunum and ileum were collected for histopathology.

Total particle concentrations and size distributions were measured using an optical particle counter (OPC) (AeroTrak 9306 Handheld Particle Sizer, TSI, Inc., St. Paul, MN) able to separate particles from 0.3 to >10 μm into 6 size intervals. To measure airborne virus concentrations, samples were collected twice daily (9:00 a.m. and 3:00 p.m.) for 17 days and once (9:00 a.m.) for 6 days using both a liquid cyclonic collector (Midwest Micro-tek, Brookings, SD, USA) [29] and an Andersen cascade impactor (ACI; Thermo Electron Corporation, Waltham, MA, USA) [33], which is able to separate particles according to size. The capability of both air collectors for quantifying the presence of virus was compared. Briefly, the 2 air samplers were positioned approximately 1.3 m height from the floor and the OPC was positioned 1.7 m from the floor. The distance between the air samplers was 0.9 m. The pigs did not have direct contact or access to the devices.

Sample collection using the cyclonic air collector (which was demonstrated to process 200 l of air per minute) was carried out for 30 min. Ten milliliters of MEM supplemented with 4% of bovine albumin serum were used as collection media. After collection, an average of 4 ml of sample was recovered, divided into 2 aliquots, and stored at -80°C. The collector was then disinfected with 70% ethanol (or 10% chlorine during PEDV air sampling), rinsed with distilled water and dried with paper towels. After disinfection, the collection vessel and the turbine were swabbed, and samples stored at -80°C until analysis. The ACI sampled air at 28.3 l/min for 1 hour, and separated particles into 8 size intervals: 0.4–0.7, 0.7–1.1, 1.1–2.1, 2.1–3.3, 3.3–4.7, 4.7–5.8, 5.8–9.0 and >9.0 μm. Samples from this device were eluted from every plate stage using a cell scraper and 1 ml of MEM [33]. All samples were transferred into 1.5 ml sterile plastic tubes, placed on ice and stored at -80°C until testing. The ACI was then disassembled and plates and stages were scrubbed and disinfected with alkyl dimethyl benzyl ammonium chloride soap (Lysol, Reckitt Benckiser) and finally rinsed and dried with paper towels. After disinfection, a minimum of 4 collection plates and individual ACI stages were swabbed, and samples stored at -80°C. For each air sampling event, there were 8 stages assayed for the ACI and 1 sample for the cyclonic air collector.

Laboratory procedures

Oral fluid and air samples were tested using quantitative PRRSV, IAV and PEDV RT-PCRs as previously described [17,27,34]. The samples from day 1 to day 9 DPI were tested for IAV quantitative RT-PCR; for PRRSV from day 1 to day 20 DPI; and for PEDV from DPI 22 to 24 of the study. Nasal swabs, serum samples and intestinal/fecal swab samples were tested for IAV, PRRSV, and PEDV semiquantitative RT-PCRs respectively. For all three viruses, RT-PCR Ct values <35 were considered positive, 35–40 suspect, and > 40 negative.

To assess the infectivity of the air samples, virus isolation was attempted from all RT-PCR positive and suspect air samples in Madin-Darby canine kidney (MDCK) cells for IAV, MARC145 for PRRSV and VERO cells for PEDV using published procedures [3537]. Furthermore, because virus isolation is typically unsuccessful for North American variants of PEDV, a bioassay was performed by inoculating three susceptible piglets with air samples that tested PEDV RT-PCR positive. Briefly, four 10-day-old pigs from a PEDV-negative farm were purchased and each pig allocated to a separate isolation room. Each pig was intra-gastrically inoculated as described earlier in methods with PBS only (negative control) or 2 ml of pooled air samples containing the collection media of the cyclonic air collector diluted 1:10 with PBS to obtain a total of 20 ml of inoculation material per pig. All pigs were euthanized 4 days post-exposure by injection of 2 ml of pentobarbital (Fatal-Plus, 100 mg/kg IV) into the external jugular vein. Histomorphology analysis was then performed.

Statistical analysis

Data from the quantitative RT-PCR results, OPC by sampling day, type of sample and pathogen were consolidated in a spreadsheet (Microsoft EXCEL; Microsoft Corporation, Redmond, Washington, USA) and organized for analysis. Means, standard deviations, and minimum and maximum values for quantitative variables, and frequency counts and percentages for qualitative variables were calculated for descriptive analysis. Considering day as a repeated measure and particle size as an independent variable, the quantity of virus (RNA copies) for each particle size per m3 of air and mean concentration difference across all three viruses per size interval were assessed for significance using a repeated measures regression model in SAS 9.1 (SAS Institute, Cary, North Carolina, USA). Negative days (considered those of which results from both collectors were negative) were not included in the analysis. An ACI sample was included in the analysis when one or more samples from the eight stages of the sampler had a Ct value within the positive or suspect ranges. Tukey's method was also used in conjunction with ANOVA for pairwise comparison of virus concentrations among all particle size intervals.

Results

Environmental conditions, clinical signs and pig infection results

All inoculated and contact pigs became infected. For IAV all inoculated pigs, and contact controls became positive by 3 and 7 DPI (Ct values 24.6 ± 2.21 and 21.1 ± 2.79) respectively. For PRRSV all inoculated pigs and 1 of the 2 contact pigs were viremic at 7 DPI, and all pigs remained positive until 20 DPI.

Animals had an average body temperature of 39.3 ±0.6°C (mean ± standard deviation) and, an average lethargy and respiratory score of 1.98 ± 0.98 and 3.5% ± 0.05% respectively across the entire study. For the first 4 days after infection with IAV and PRRSV, animals had the maximum lethargy and respiratory scores of 4 and 16.7%, respectively (). Animals recovered from any respiratory clinical signs by 16 DPI. Lethargy scores ranged between 0 and 1 for the remainder of the study, except for the day after PEDV infection that increased to 2.5. All pigs had diarrhea 48h after PEDV inoculation.

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Fig 1. Clinical scores.

Clinical scores of lethargy (1 to 5 scale) and percentage of respiratory disease (number of pigs with coughing and/or sneezing episodes) throughout the study.

doi:10.1371/journal.pone.0135675.g001

The mean indoor temperature (mean ± standard deviation) was 23.2°C±0.7°C with a mean relative humidity of 32.6% ±7.4% and a mean air pressure of -27.4 Pa ± 0.15Pa relative to the hallway pressure.

Viral load and viral viability in air samples

IAV RNA was detected by RT-PCR in air samples collected at 36h post-infection and until 9 DPI. A total of 58.3% (70/120) ACI stages and 93.3% (14/15) samples from the cyclonic collector tested IAV RT-PCR positive. All negative control samples tested negative. IAV RNA was detected in particles of all size ranges tested (). However, there was higher viral load of IAV in larger particles (> 9 μm) compared to smaller ones (≤9 μm) (p < 0.001) ().

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Fig 2. Particle size distribution of airborne viruses.

Particle size distribution (Least Squares Means of log10 RNA copies/m3 of air and 95% confident interval) for influenza, porcine reproductive and respiratory syndrome and porcine epidemic diarrhea viruses detected by the Andersen cascade impactor from aerosols generated by infected pigs.

doi:10.1371/journal.pone.0135675.g002

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Table 1. Distribution by particle size of the quantity [geometric mean of RNA copies/m3 (geometric standard deviation)] of influenza (IAV), porcine reproductive and respiratory syndrome (PRRSV) and porcine epidemic diarrhea (PEDV) viruses in air samples.

doi:10.1371/journal.pone.0135675.t001

Using the cyclonic air collector, IAV RNA was detected in the air for 8 DPI and the total geometric mean (and geometric standard deviation) viral concentration was similar [9.1x104 (1.3x101)] to the ACI [4.77x104(4.07)] (p = 0.403). IAV was isolated in cell culture from 28.6% (20/70) of ACI samples and 35.7% (5/14) of air cyclonic samples, and from particles of all sizes > 2.1 microns ().

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Table 2. RT-PCR and virus isolation results by particle size and air sampler type.

Number of positive RT-PCR and virus isolation (VI) air samples for influenza (IAV), porcine reproductive and respiratory syndrome (PRRSV) and bioassay for porcine epidemic diarrhea (PEDV) viruses collected from acutely infected animals. Results are presented by air sampler, and in the case of the Andersen cascade impactor, by particle size rage.

doi:10.1371/journal.pone.0135675.t002

PRRSV RNA was detected for the first time in air samples collected at 7DPI and until 17 DPI, on a total of 8 days. A total of 5.1% (14/272) samples from the ACI stages and 23.5% (8/34) from the cyclonic collector tested RT-PCR positive. Negative results from ACI stages collected during 12 days of the study were not considered for the viral load analysis. All negative control samples tested negative.

PRRSV RNA was detected in particle sizes ranging from 0.3 to 0.7 μm and in particles ranging from 2.1 to 10 μm (). However, there was higher viral load of PRRSV in larger particles (0.9–10 μm) compared to smaller ones (<9 μm) (p = 0.015) ().

There was no difference in geometric mean concentration of PRRSV RNA in air samples collected with the cyclonic collector [5x103 (3.8x101)] versus the ACI [1.5x104 (1.1x101)] (p = 0.353). PRRSV was isolated in cell culture from 78.6% (11/14) ACI samples and 75% (6/8) air cyclonic samples, but only in samples from particles > 2.1 microns ().

PEDV RNA was detected in all air samples collected from 24 hours post infection to the termination of the study (). All negative control samples tested negative.

PEDV RNA was detected in particles of all size ranges tested but there was higher concentration in particles >3.3 to 10 μm compared to those in ranges 0.4 to 3.3 μm. No difference in geometric mean viral concentration was observed between samples from the cyclonic air collector [9.1x107(2.7)] versus the ACI [4.5x107(1.8)] (p = 0.1601). PEDV could not be isolated by standard cell culture techniques. However, all bioassay pigs infected with air samples experienced moderate to severe diarrhea, shed high quantities of PEDV in feces ranging from 3.96 x 1010 to 7.57 x 1010 (RNA copies/ml, Ct 15–16), and had histopathological lesions of moderate to marked atrophic enteritis compatible with PEDV infection. The negative control pig showed no clinical signs, tested negative by PCR and had normal intestinal histomorphology.

Overall there were higher concentrations of airborne PEDV compared to PRRSV and IAV (p < 0.0001) associated with each particle size, and higher concentrations of IAV compared to PRRSV in large particle sizes ranging from 4.7 to 9 μm (p < 0.05) ().

Total particles by size

An optical particle counter was used to measure the size distribution of total particles in the air for the 24 days of the study (). There were more total particles within the first submicrometer size (0.3–0.5 μm) compared to particles larger than 0.5 μm (p < 0.05). There were no statistically significant differences in the distribution of particles sizes among days throughout the study (results not shown).

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Fig 3. Total airborne particles distribution.

Distribution of total airborne particles (geometric mean of number of particles/m3 and 95% confident interval) measured using an optical particle counter.

doi:10.1371/journal.pone.0135675.g003

Discussion

We investigated the particle concentration, size distribution, and infectivity of three animal viruses with different pathogenesis and transmission routes. IAV, PRRSV and PEDV emitted by infected pigs were found associated with a wide range of particle sizes that can deposit throughout the respiratory tract and later be swallowed [18]. However, virus viability was particle size dependent with IAV and PRRSV isolated only from particles larger than 2.1 μm. PEDV, primarily an enteric virus, was found in larger concentrations than PRRSV and IAV while suspended in the air. Our results support the relevance of the aerosol route in the transmission of IAV, PRRS and PED viruses.

Viruses transmit differently based on the routes of excretion and ports of entry in susceptible hosts. The viruses investigated in this study have been shown to be infectious while found airborne [17,29,38]. Our study indicated that virus-associated particles disperse simultaneously across a wide range of particle sizes. This is important because it shows that viruses in airborne particles emitted or generated by animals can be transmitted simultaneously across both short and long distances. Although various conditions, including environmental temperature and relative humidity can affect the size distribution of aerosols, the findings from this study are relevant given that the viruses were emitted by pigs housed under environmental conditions similar to those found in environments where pigs and people interact.

Higher quantities of IAV, PRRSV and PEDV were found associated with larger particles, and in the case of IAV and PRRSV virus viability was also associated with larger particle size. Viability of PEDV based on particle size could not be assessed because of the lack of protocols to grow PEDV in cell culture at the time of the study, although viability in air samples was confirmed by bioassay. The association of increasing virus infectivity and concentration, with increasing particle size, has been reported before, and it has been shown to follow a power law relationship greater than 3 [4]. The bigger the particle, the higher the probability that it will carry virus and be infectious. In this study, viability was only shown for PRRSV and IAV in particles bigger than 2.1 μm in diameter, indicating that measures should be considered to mitigate transmission across both short and long distances.

Determining the particle size distribution for both respiratory and enteric viruses has important implications for the control of animal and human diseases and the use of droplet and airborne infection control measures. In general, it is considered that only respiratory viruses are airborne despite some limited evidence that enteric viruses, such as adenovirus, norovirus or enteroviruses, can be airborne [1720]. Infectious particles sized less than 10 μm tend to have more serious health implications as they are able to penetrate into the lower respiratory tract to establish infection, and in the case of enteric viruses they may deposit in the upper respiratory tract (i.e. tonsils) or the enteric tract by inhalation.

Interestingly, the quantity of PEDV in airborne particles was higher than that for PRRSV and IAV indicating the complexity of airborne transmission and that other factors such as quantity shed (i.e. course of infection), volume of secretions or excretions (i.e. mucus, feces, vomits), age of the animals, type and severity of clinical signs, and type of housing and air flows need to be taken into consideration when the risk of airborne transmission is being evaluated. In this case, we speculate that both, the quantity of PEDV shed per gram of feces in acutely infected pigs, as well as the volume of liquid found in the diarrheic material may explain the higher quantities of RNA copies of PEDV compared to IAV or PRRSV. Furthermore, comprehensive personal protective equipment including respiratory protection should be considered for potential exposures to both respiratory and enteric viruses, in particular in settings where animals and people interact. In addition, other biosecurity measurements such as air filtration could be considered to protect nearby at risk populations as previously demonstrated [39].

The information generated in this study is especially important to design effective airborne disease control programs for both enteric and respiratory viruses, including mitigation of occupational exposure of zoonotic pathogens. Changes in recommendations to protect from airborne viruses should be considered based on exposure to particles of different sizes.

Supporting Information

S1_Table.tif

Scores based on the combination of two parameters: the response to clapping or flight reaction, and the curiosity of the pigs towards the investigator and sampling rope

S1 Table. Lethargy score table.

Scores based on the combination of two parameters: the response to clapping or flight reaction, and the curiosity of the pigs towards the investigator and sampling rope

doi:10.1371/journal.pone.0135675.s001

(TIFF)

Acknowledgments

The authors would like to thank My Yang for her assistance and guidance during the laboratory procedures of this project; Dr. Sagar Goyal, Dr. Dane Goede and Dr. Harsha Verma for assistance during the bioassay procedure; and the University of Minnesota Veterinary Diagnostic Laboratory personnel specially Dr. Albert Rovira for his assistance in the post mortem examinations.

Author Contributions

Conceived and designed the experiments: CA MT. Performed the experiments: CA MT. Analyzed the data: CA MT PCR. Contributed reagents/materials/analysis tools: MT PCR. Wrote the paper: CA MT. Critically reviewed the manuscript: PCR PRD.

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  39. 39. Alonso C, Murtaugh MP, Dee SA, Davies PR. Epidemiological study of air filtration systems for preventing PRRSV infection in large sow herds. Prev Vet Med 2013 10/1;112(1–2):109–117. doi: 10.1016/j.prevetmed.2013.06.001. pmid:23870693



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Too much compelling data exists to dismiss airborne transmission of infection any longer | Infection Control Blog

Too much compelling data exists to dismiss airborne transmission of infection any longer | Infection Control Blog

TOO MUCH COMPELLING DATA EXISTS TO DISMISS AIRBORNE TRANSMISSION OF INFECTION ANY LONGER

plos oneWe recently attended a CDC workshop in Washington DC on nosocomial infections. The head of a modern hospital system categorically stated that there is no evidence to support airborne transmission. We agreed with him that perhaps no study has been done that meets the academic rigor needed to prove it as absolute law, but there certainly is some compelling data and evidence to suggest his stance is wrong. We challenged him to return to his hospital and turn off the electricity because that remains simply a theory. Clearly, that wouldn't work so well. Theories examine what happens and then tell us how and why something happens. And they are, and should be, constantly tested.

Anecdotal evidence and compelling number of studies tell us infections indeed can be transferred via the air. There certainly is more than enough to suggest that it's not only possible but likely, and further study and examination is warranted. An article recently published in the Public Library of Science – Concentration, Size Distribution, and Infectivity of Airborne Particles Carrying Swine Virus – by members of the veterinarian community, which has led many of the studies relating to airborne infection, provides some evidence. Among their findings:
• Particles of small size can remain suspended in the air for long periods, potentially exposing a large number of susceptible individuals, including those close to the source and those at greater distances.
• The study indicated that virus-associated particles disperse simultaneously across a wide range of particle sizes. This is important because it shows that viruses in airborne particles emitted or generated by animals can be transmitted simultaneously across both short and long distances.
• Determining the particle size distribution for both respiratory and enteric viruses has important implications for the control of animal and human diseases and the use of droplet and airborne infection control measures.
• The information generated in this study is especially important to design effective airborne disease control programs for both enteric and respiratory viruses, including mitigation of occupational exposure of zoonotic pathogens. Changes in recommendations to protect from airborne viruses should be considered based on exposure to particles of different sizes.

Certainly some of what these researchers found at the least should motivate us to look more closely at how and why theories on airborne infection should be scrutinized more closely. We can't categorically dismiss the possibilities as this hospital leader did. It's time we take these issues much more seriously.




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sábado, setembro 05, 2015

Ontario Teachers’ subsidiary to buy senior homes operator Amica Mature Lifestyles for $578M

Katia Dmitrieva, Bloomberg News<http://business.financialpost.com/author/bloombergnp> | September 2, 2015 4:46 PM ET
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[Vancouver-based Amica has 26 luxury senior residential properties across Ontario, British Columbia and Alberta.]
File photoVancouver-based Amica has 26 luxury senior residential properties across Ontario, British Columbia and Alberta.
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Senior-housing companies in Canada rallied after Amica Mature Lifestyles Inc. agreed to be acquired by a pension fund-backed company, extending an industrywide consolidation.

Amica, a Vancouver-based provider of luxury seniors residences, surged as much as 113 percent Wednesday after saying it will combine with BayBridge Seniors Housing Inc. BayBridge, backed by the Ontario Teachers' Pension Plan, offered $18.75 a share, more than double Tuesday's closing price of $8.79. Chartwell Retirement Residences, the largest operator of assisted-living homes across Canada, also rose, gaining as much as 11 per cent.

"This is a really big positive mark on what these types of assets are worth," Jimmy Shan, a real estate analyst at GMP Securities LP who covers both Amica and Chartwell, said by phone Wednesday. "Chartwell is the most comparable company. This confirms that Chartwell's portfolio is worth more than people thought."

Chartwell, based in Mississauga, Ontario, climbed 8.1 per cent to $12.49 at 12:24 p.m. in Toronto. Amica advanced 111 per cent to $18.59.

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Aging Population

The proposed buyout of Amica is the latest in Canada's health-care and senior real estate industry as property demand rises with an aging population.

In June, a joint venture of Revera Inc. and Health Care REIT Inc., the largest U.S. retirement housing landlord, agreed to purchase Regal Lifestyle Communities Inc. Toledo, Ohio-based Health Care REIT also acquired Canada's HealthLease Properties REIT in 2014.

Amica has 26 properties in Ontario, British Columbia and Alberta. BayBridge has 41 senior communities across Canada and the U.S., according to Wednesday's statement.

"The combination of BayBridge and Amica will create Canada's premier senior-living company," Doug MacLatchy, chief executive officer of BayBridge, said in the statement.

Other companies that rallied Wednesday include senior- services provider Extendicare Inc., with a 3.5 per cent gain, and nursing-home owner Sienna Senior Living Inc., up 4.2 per cent.

Bloomberg.com<http://www.bloomberg.com/>