nih-gov/www.ncbi.nlm.nih.gov/pathogens/docs/ncbi_minute_230329/index.html

630 lines
No EOL
29 KiB
HTML
Raw Blame History

This file contains ambiguous Unicode characters

This file contains Unicode characters that might be confused with other characters. If you think that this is intentional, you can safely ignore this warning. Use the Escape button to reveal them.

<!DOCTYPE html>
<html lang="en" >
<head >
<meta charset="UTF-8">
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<!-- Mobile properties -->
<meta name="HandheldFriendly" content="True">
<meta name="MobileOptimized" content="320">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<!-- Stylesheets -->
<link href="/pathogens/static/django_uswds/uswds/css/uswds.css" rel="stylesheet" />
<link rel="stylesheet" href="/pathogens/static/nwds/css/nwds.css" />
<link rel="stylesheet" href="/pathogens/static/nwds/css/header.css" />
<link rel="stylesheet" href="/pathogens/static/nwds/css/footer.css" />
<link rel="stylesheet" href="/pathogens/static/nwds/css/form.css" />
<link rel="stylesheet" href="https://maxcdn.bootstrapcdn.com/font-awesome/4.7.0/css/font-awesome.min.css"/>
<title>
None -
Pathogen Detection - NCBI
</title>
<!-- extra head -->
<!-- Favicons -->
<link rel="shortcut icon" type="image/ico" href="https://www.ncbi.nlm.nih.gov/coreutils/nwds/img/favicons/favicon.ico" />
<link rel="icon" type="image/png" href="https://www.ncbi.nlm.nih.gov/coreutils/nwds/img/favicons/favicon.png" />
<!-- 192x192, as recommended for Android
http://updates.html5rocks.com/2014/11/Support-for-theme-color-in-Chrome-39-for-Android
-->
<link rel="icon" type="image/png" sizes="192x192" href="https://www.ncbi.nlm.nih.gov/coreutils/nwds/img/favicons/favicon-192.png" />
<!-- 57x57 (precomposed) for iPhone 3GS, pre-2011 iPod Touch and older Android devices -->
<link rel="apple-touch-icon-precomposed" href="https://www.ncbi.nlm.nih.gov/coreutils/nwds/img/favicons/favicon-57.png">
<!-- 72x72 (precomposed) for 1st generation iPad, iPad 2 and iPad mini -->
<link rel="apple-touch-icon-precomposed" sizes="72x72" href="https://www.ncbi.nlm.nih.gov/coreutils/nwds/img/favicons/favicon-72.png">
<!-- 114x114 (precomposed) for iPhone 4, 4S, 5 and post-2011 iPod Touch -->
<link rel="apple-touch-icon-precomposed" sizes="114x114" href="https://www.ncbi.nlm.nih.gov/coreutils/nwds/img/favicons/favicon-114.png">
<!-- 144x144 (precomposed) for iPad 3rd and 4th generation -->
<link rel="apple-touch-icon-precomposed" sizes="144x144" href="https://www.ncbi.nlm.nih.gov/coreutils/nwds/img/favicons/favicon-144.png">
<link rel="stylesheet" href="/pathogens/static/main/styles/app.css" type="text/css" media="screen">
<link rel="stylesheet" href="/pathogens/static/main/styles/breadcrumbs.css" type="text/css" media="screen">
<style type="text/css">
a { text-decoration: underline }
</style>
<!-- Logging params: Pinger defaults -->
<meta name="ncbi_app" content="labs_pathogens" />
<meta name="ncbi_pdid" content="static" />
<meta name="ncbi_phid" content="939B8FCEB20BE4F500005179533BB0BC.1.m_8" />
<!-- /extra head -->
<link rel="stylesheet" href="/pathogens/static/main/styles/page-search.css" type="text/css">
</head>
<body >
<a class="usa-skipnav" href="#main_content">Skip to main page content</a>
<!-- ========== BEGIN HEADER ========== -->
<section class="usa-banner">
<div class="usa-accordion">
<header class="usa-banner-header">
<div class="usa-grid usa-banner-inner">
<img src="https://www.ncbi.nlm.nih.gov/coreutils/uswds/img/favicons/favicon-57.png" alt="U.S. flag" />
<p>An official website of the United States government</p>
<button
class="usa-accordion-button usa-banner-button"
aria-expanded="false"
aria-controls="gov-banner-top"
>
<span class="usa-banner-button-text">Here's how you know</span>
</button>
</div>
</header>
<div
class="usa-banner-content usa-grid usa-accordion-content"
id="gov-banner-top"
>
<div class="usa-banner-guidance-gov usa-width-one-half">
<img
class="usa-banner-icon usa-media_block-img"
src="https://www.ncbi.nlm.nih.gov/coreutils/uswds/img/icon-dot-gov.svg"
alt="Dot gov"
/>
<div class="usa-media_block-body">
<p>
<strong>The .gov means its official.</strong>
<br />
Federal government websites often end in .gov or .mil. Before
sharing sensitive information, make sure youre on a federal
government site.
</p>
</div>
</div>
<div class="usa-banner-guidance-ssl usa-width-one-half">
<img
class="usa-banner-icon usa-media_block-img"
src="https://www.ncbi.nlm.nih.gov/coreutils/uswds/img/icon-https.svg"
alt="Https"
/>
<div class="usa-media_block-body">
<p>
<strong>The site is secure.</strong>
<br />
The <strong>https://</strong> ensures that you are connecting to the
official website and that any information you provide is encrypted
and transmitted securely.
</p>
</div>
</div>
</div>
</div>
</section>
<div class="usa-overlay"></div>
<header class="ncbi-header" role="banner" data-section="Header">
<div class="usa-grid">
<div class="usa-width-one-whole">
<div class="ncbi-header__logo">
<a href="https://www.ncbi.nlm.nih.gov/" class="logo" aria-label="NCBI Logo" data-ga-action="click_image" data-ga-label="NIH NLM Logo">
<img src="https://www.ncbi.nlm.nih.gov/coreutils/nwds/img/logos/AgencyLogo.svg" alt="NIH NLM Logo" />
</a>
</div>
<div class="ncbi-header__account">
<a id="account_login" href="https://account.ncbi.nlm.nih.gov" class="usa-button header-button" style="display:none" data-ga-action="open_menu" data-ga-label="account_menu">Log in</a>
<button id="account_info" class="header-button" style="display:none"
aria-controls="account_popup">
<span class="fa fa-user" aria-hidden="true"></span>
<span class="username desktop-only" aria-hidden="true" id="uname_short"></span>
<span class="sr-only">Show account info</span>
</button>
</div>
<div class="ncbi-popup-anchor">
<div class="ncbi-popup account-popup" id="account_popup" aria-hidden="true">
<div class="ncbi-popup-head">
<button class="ncbi-close-button" data-ga-action="close_menu" data-ga-label="account_menu"><span class="fa fa-times"></span><span class="usa-sr-only">Close</span></button>
<h4>Account</h4>
</div>
<div class="account-user-info">
Logged in as:<br/>
<b><span class="username" id="uname_long">username</span></b>
</div>
<div class="account-links">
<ul class="usa-unstyled-list">
<li><a id="account_myncbi" href="/myncbi/" class="set-base-url" data-ga-action="click_menu_item" data-ga-label="account_myncbi">Dashboard</a></li>
<li><a id="account_pubs" href="/myncbi/collections/bibliography/" class="set-base-url" data-ga-action="click_menu_item" data-ga-label="account_pubs">Publications</a></li>
<li><a id="account_settings" href="/account/settings/" class="set-base-url" data-ga-action="click_menu_item" data-ga-label="account_settings">Account settings</a></li>
<li><a id="account_logout" href="/account/signout/" class="set-base-url" data-ga-action="click_menu_item" data-ga-label="account_logout">Log out</a></li>
</ul>
</div>
</div>
</div>
</div>
</div>
</header>
<div role="navigation" aria-label="access keys">
<a id="nws_header_accesskey_0" href="https://www.ncbi.nlm.nih.gov/guide/browsers/#ncbi_accesskeys" class="usa-sr-only" accesskey="0" tabindex="-1">Access keys</a>
<a id="nws_header_accesskey_1" href="https://www.ncbi.nlm.nih.gov" class="usa-sr-only" accesskey="1" tabindex="-1">NCBI Homepage</a>
<a id="nws_header_accesskey_2" href="/myncbi/" class="set-base-url usa-sr-only" accesskey="2" tabindex="-1">MyNCBI Homepage</a>
<a id="nws_header_accesskey_3" href="#maincontent" class="usa-sr-only" accesskey="3" tabindex="-1">Main Content</a>
<a id="nws_header_accesskey_4" href="#" class="usa-sr-only" accesskey="4" tabindex="-1">Main Navigation</a>
</div>
<section data-section="Alerts">
<div class="ncbi-alerts-placeholder"></div>
</section>
<!-- ========== END HEADER ========== -->
<main id="main_content" accesskey="3">
<section class="pathogens-content-page usa-grid">
<div class="usa-width-one-whole ptg-top">
<div><ul id="breadcrumbs" class="usa-unstyled-list breadcrumbs">
<li><a href="https://www.ncbi.nlm.nih.gov/home/health.shtml">Health</a></li>
<li><a href=/pathogens/>Pathogen Detection</a></li>
<li><a href="/pathogens/pathogens_help/">Help</a></li>
<li>None</li>
</ul>
</div>
<div class="ptg-search">
<input placeholder="Search page" type="search"/><button title="Previous" disabled="disabled"></button><button title="Next" disabled="disabled"></button>
</div>
</div>
<div>
<h1 id="ncbi-minute-20230329-introductio"><a href="https://ncbiinsights.ncbi.nlm.nih.gov/event/ncbi-pathogen-detection-in-cloud-03-2023/">NCBI Minute 2023-03-29: Introduction to NCBI Pathogen Detection and antimicrobial resistance data in Google BigQuery</a></h1>
<!-- <iframe width="560" height="315" src="https://www.youtube.com/embed/j4dzFOo2FmI" title="YouTube video player" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" allowfullscreen></iframe> -->
<p>Resources for the NCBI Minute </p>
<ul>
<li>
<p>Event page</p>
<ul>
<li><a href="https://ncbiinsights.ncbi.nlm.nih.gov/event/ncbi-pathogen-detection-in-cloud-03-2023/">https://ncbiinsights.ncbi.nlm.nih.gov/event/ncbi-pathogen-detection-in-cloud-03-2023/</a></li>
</ul>
</li>
<li>
<p>Video</p>
<ul>
<li><a href="https://www.youtube.com/watch?v=j4dzFOo2FmI">YouTube</a></li>
</ul>
</li>
<li>
<p>Used in the webinar</p>
<ul>
<li><a href="https://console.cloud.google.com">https://console.cloud.google.com</a></li>
<li><a href="https://www.ncbi.nlm.nih.gov/pathogens/">https://www.ncbi.nlm.nih.gov/pathogens/</a></li>
</ul>
</li>
<li>
<p>BigQuery</p>
<ul>
<li><a href="https://cloud.google.com/bigquery/docs/reference/standard-sql">https://cloud.google.com/bigquery/docs/reference/standard-sql</a></li>
<li><a href="https://cloud.google.com/bigquery/docs/how-to">https://cloud.google.com/bigquery/docs/how-to</a></li>
</ul>
</li>
<li>NCBI Pathogen Detection documentation<ul>
<li><a href="https://www.ncbi.nlm.nih.gov/pathogens/pathogens_help">https://www.ncbi.nlm.nih.gov/pathogens/pathogens_help</a></li>
<li>GCP<ul>
<li><a href="https://www.ncbi.nlm.nih.gov/pathogens/docs/gcp/">https://www.ncbi.nlm.nih.gov/pathogens/docs/gcp/</a></li>
</ul>
</li>
<li>How To's<ul>
<li><a href="https://www.ncbi.nlm.nih.gov/pathogens/docs/HowTo/">https://www.ncbi.nlm.nih.gov/pathogens/docs/HowTo/</a></li>
</ul>
</li>
<li>Email pd-help@ncbi.nlm.nih.gov with questions</li>
</ul>
</li>
</ul>
<h1 id="example-queries-used-in-talk">Example queries used in talk</h1>
<h3 id="count-the-isolates-from-enoki-mu">Count the isolates from enoki mushrooms</h3>
<pre><code class="language-sql">-- How many isolates were isolated from "enoki"?
SELECT COUNT(*)
FROM `ncbi-pathogen-detect.pdbrowser.isolates`
WHERE isolation_source LIKE '%enoki%'
</code></pre>
<h3 id="get-info-about-a-given-isolate">Get info about a given isolate</h3>
<pre><code class="language-sql">-- Get info about a given isolate
SELECT taxgroup_name, isolate_identifiers, erd_group, isolation_source
FROM `ncbi-pathogen-detect.pdbrowser.isolates`
WHERE biosample_acc = 'SAMN21357979'
</code></pre>
<h3 id="find-the-really-bad-contigs-with">Find the really bad contigs with the most AMR genes</h3>
<pre><code class="language-sql">-- Find the contigs with the most AMR genes
SELECT contig_acc, COUNT(*) num_genes, COUNT(DISTINCT(element_symbol)) num_unique_genes
FROM `ncbi-pathogen-detect.pdbrowser.microbigge`
WHERE subtype = 'AMR'
GROUP BY contig_acc
ORDER BY num_genes DESC
LIMIT 10
</code></pre>
<h3 id="what-are-the-genes-on-those-cont">What are the genes on those contigs?</h3>
<p>Looks like there were maybe some errors </p>
<pre><code class="language-sql">-- What are the genes on the contigs with the most AMR genes
SELECT mb.contig_acc, mb.start_on_contig, mb.element_symbol, mb.element_name, mb.subclass, top10.num_unique_genes, top10.num_genes
FROM `ncbi-pathogen-detect.pdbrowser.microbigge` mb
JOIN (
SELECT contig_acc, COUNT(*) num_genes, COUNT(DISTINCT(element_symbol)) num_unique_genes
FROM `ncbi-pathogen-detect.pdbrowser.microbigge`
WHERE subtype = 'AMR'
GROUP BY contig_acc
ORDER BY num_genes DESC
LIMIT 10
) top10
ON top10.contig_acc = mb.contig_acc
ORDER BY num_genes DESC, start_on_contig
</code></pre>
<h3 id="isolates-tested-resistant-to-car">Isolates tested resistant to carbapenems</h3>
<p>Here we filter based on one of the complex fields (<code>AST_phenotypes</code>)</p>
<pre><code class="language-sql">--- Find all the isolates tested resistant to carbapenems
SELECT target_acc, AST_phenotypes
FROM `ncbi-pathogen-detect.pdbrowser.isolates` isolates
WHERE
(SELECT COUNT(*)
FROM UNNEST(isolates.AST_phenotypes)
WHERE antibiotic LIKE '%penem' AND phenotype = 'resistant'
) &gt;= 1
</code></pre>
<h3 id="bonus-wont-explain-in-detail-fin">Bonus, won't explain in detail, find all the isolates tested resistant to carbapenems without a known carbapenem resistance gene or point mutation</h3>
<pre><code class="language-sql">--- find all the isolates tested resistant to carbapenems without a known
--- carbapenem resistance gene or point mutation
SELECT isolates.target_acc,
ARRAY(select AS STRUCT antibiotic, phenotype from UNNEST(AST_phenotypes) WHERE antibiotic LIKE "%penem") AST,
isolates.refgene_db_version, isolates.taxgroup_name, isolates.scientific_name
FROM `ncbi-pathogen-detect.pdbrowser.isolates` isolates
LEFT JOIN `ncbi-pathogen-detect.pdbrowser.microbigge` microbigge
ON isolates.target_acc = microbigge.target_acc
AND microbigge.subclass = 'CARBAPENEM' -- Only carbapenem genes / point mutations
WHERE
(SELECT count(1) FROM unnest(AST_phenotypes) AS ast
WHERE antibiotic like "%penem" AND phenotype = 'resistant') &gt;= 1
AND isolates.amrfinderplus_version IS NOT NULL -- AMRFinderPlus was run on this target
AND isolates.asm_acc IS NOT NULL -- AMRFinderPlus results should be in MicroBIGG-E because assembly is public
AND microbigge.subclass IS NULL -- There are no rows in MicroBIGG-E with subclass = CARBAPENEM
ORDER BY isolates.target_acc
</code></pre>
<h2 id="get-contig-sequence-for-an-eleme">Get contig sequence for an element</h2>
<h3 id="find-the-amrfinderplus-results-f">Find the AMRFinderPlus results for an isolate</h3>
<pre><code class="language-sql">SELECT element_symbol, element_name, subclass, contig_acc, isolation_source, contig_url
FROM `ncbi-pathogen-detect.pdbrowser.microbigge`
WHERE biosample_acc = 'SAMN21357979'
ORDER BY contig_acc, start_on_contig
</code></pre>
</div>
</section>
</main>
<!-- ========== BEGIN FOOTER ========== -->
<footer>
<section class="icon-section">
<div id="icon-section-header" class="icon-section_header">Follow NCBI</div>
<div class="grid-container container">
<div class="icon-section_container">
<a class="footer-icon" id="footer_twitter" href="https://twitter.com/ncbi" aria-label="Twitter">
<svg width="40" height="40" viewBox="0 0 40 37" fill="none" xmlns="http://www.w3.org/2000/svg">
<title>Twitter</title>
<g id="twitterx1008">
<path id="path1008"
d="M6.06736 7L16.8778 20.8991L6.00001 32.2H10.2L18.6 23.1L25.668 32.2H34L22.8 17.5L31.9 7H28.4L20.7 15.4L14.401 7H6.06898H6.06736ZM9.66753 8.73423H12.9327L29.7327 30.4658H26.5697L9.66753 8.73423Z"
fill="#5B616B"/>
</g>
</svg>
</a>
<a class="footer-icon" id="footer_facebook" href="https://www.facebook.com/ncbi.nlm" aria-label="Facebook"><svg
data-name="Layer 1" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 300 300">
<title>Facebook</title>
<path class="cls-11"
d="M210.5,115.12H171.74V97.82c0-8.14,5.39-10,9.19-10h27.14V52l-39.32-.12c-35.66,0-42.42,26.68-42.42,43.77v19.48H99.09v36.32h27.24v109h45.41v-109h35Z">
</path>
</svg></a>
<a class="footer-icon" id="footer_linkedin"
href="https://www.linkedin.com/company/ncbinlm"
aria-label="LinkedIn"><svg data-name="Layer 1" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 300 300">
<title>LinkedIn</title>
<path class="cls-11"
d="M101.64,243.37H57.79v-114h43.85Zm-22-131.54h-.26c-13.25,0-21.82-10.36-21.82-21.76,0-11.65,8.84-21.15,22.33-21.15S101.7,78.72,102,90.38C102,101.77,93.4,111.83,79.63,111.83Zm100.93,52.61A17.54,17.54,0,0,0,163,182v61.39H119.18s.51-105.23,0-114H163v13a54.33,54.33,0,0,1,34.54-12.66c26,0,44.39,18.8,44.39,55.29v58.35H198.1V182A17.54,17.54,0,0,0,180.56,164.44Z">
</path>
</svg></a>
<a class="footer-icon" id="footer_github" href="https://github.com/ncbi" aria-label="GitHub"><svg
data-name="Layer 1" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 300 300">
<defs>
<style>
.cls-11,
.cls-12 {
fill: #737373;
}
.cls-11 {
fill-rule: evenodd;
}
</style>
</defs>
<title>GitHub</title>
<path class="cls-11"
d="M151.36,47.28a105.76,105.76,0,0,0-33.43,206.1c5.28,1,7.22-2.3,7.22-5.09,0-2.52-.09-10.85-.14-19.69-29.42,6.4-35.63-12.48-35.63-12.48-4.81-12.22-11.74-15.47-11.74-15.47-9.59-6.56.73-6.43.73-6.43,10.61.75,16.21,10.9,16.21,10.9,9.43,16.17,24.73,11.49,30.77,8.79,1-6.83,3.69-11.5,6.71-14.14C108.57,197.1,83.88,188,83.88,147.51a40.92,40.92,0,0,1,10.9-28.39c-1.1-2.66-4.72-13.42,1-28,0,0,8.88-2.84,29.09,10.84a100.26,100.26,0,0,1,53,0C198,88.3,206.9,91.14,206.9,91.14c5.76,14.56,2.14,25.32,1,28a40.87,40.87,0,0,1,10.89,28.39c0,40.62-24.74,49.56-48.29,52.18,3.79,3.28,7.17,9.71,7.17,19.58,0,14.15-.12,25.54-.12,29,0,2.82,1.9,6.11,7.26,5.07A105.76,105.76,0,0,0,151.36,47.28Z">
</path>
<path class="cls-12"
d="M85.66,199.12c-.23.52-1.06.68-1.81.32s-1.2-1.06-.95-1.59,1.06-.69,1.82-.33,1.21,1.07.94,1.6Zm-1.3-1">
</path>
<path class="cls-12"
d="M90,203.89c-.51.47-1.49.25-2.16-.49a1.61,1.61,0,0,1-.31-2.19c.52-.47,1.47-.25,2.17.49s.82,1.72.3,2.19Zm-1-1.08">
</path>
<path class="cls-12"
d="M94.12,210c-.65.46-1.71,0-2.37-.91s-.64-2.07,0-2.52,1.7,0,2.36.89.65,2.08,0,2.54Zm0,0"></path>
<path class="cls-12"
d="M99.83,215.87c-.58.64-1.82.47-2.72-.41s-1.18-2.06-.6-2.7,1.83-.46,2.74.41,1.2,2.07.58,2.7Zm0,0">
</path>
<path class="cls-12"
d="M107.71,219.29c-.26.82-1.45,1.2-2.64.85s-2-1.34-1.74-2.17,1.44-1.23,2.65-.85,2,1.32,1.73,2.17Zm0,0">
</path>
<path class="cls-12"
d="M116.36,219.92c0,.87-1,1.59-2.24,1.61s-2.29-.68-2.3-1.54,1-1.59,2.26-1.61,2.28.67,2.28,1.54Zm0,0">
</path>
<path class="cls-12"
d="M124.42,218.55c.15.85-.73,1.72-2,1.95s-2.37-.3-2.52-1.14.73-1.75,2-2,2.37.29,2.53,1.16Zm0,0"></path>
</svg></a>
<a class="footer-icon" id="footer_blog" href="https://ncbiinsights.ncbi.nlm.nih.gov/" aria-label="Blog">
<svg id="Layer_1" data-name="Layer 1" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 40 40"><defs><style>.cls-1{fill:#737373;}</style></defs><path class="cls-1" d="M14,30a4,4,0,1,1-4-4,4,4,0,0,1,4,4Zm11,3A19,19,0,0,0,7.05,15a1,1,0,0,0-1,1v3a1,1,0,0,0,.93,1A14,14,0,0,1,20,33.07,1,1,0,0,0,21,34h3a1,1,0,0,0,1-1Zm9,0A28,28,0,0,0,7,6,1,1,0,0,0,6,7v3a1,1,0,0,0,1,1A23,23,0,0,1,29,33a1,1,0,0,0,1,1h3A1,1,0,0,0,34,33Z"/></svg>
</a>
</div>
</div>
</section>
<section class="container-fluid bg-primary">
<div class="container pt-5">
<div class="row mt-3">
<div class="col-lg-3 col-12">
<p><a class="text-white" href="https://www.nlm.nih.gov/socialmedia/index.html">Connect with NLM</a></p>
<ul class="list-inline social_media">
<li class="list-inline-item"><a href="https://twitter.com/NLM_NIH" aria-label="Twitter"
target="_blank" rel="noopener noreferrer">
<svg width="35" height="35" viewBox="0 0 38 35" fill="none" xmlns="http://www.w3.org/2000/svg">
<title>Twitter</title>
<g id="twitterx1009" clip-path="url(#clip0_65276_3946)">
<path id="Vector" d="M17.5006 34.6565C26.9761 34.6565 34.6575 26.9751 34.6575 17.4996C34.6575 8.02416 26.9761 0.342773 17.5006 0.342773C8.02514 0.342773 0.34375 8.02416 0.34375 17.4996C0.34375 26.9751 8.02514 34.6565 17.5006 34.6565Z" fill="#205493" stroke="white" stroke-width="1.2" stroke-miterlimit="10"></path>
<path id="path1009" d="M8.54811 8.5L16.2698 18.4279L8.50001 26.5H11.5L17.5 20L22.5486 26.5H28.5L20.5 16L27 8.5H24.5L19 14.5L14.5007 8.5H8.54927H8.54811ZM11.1197 9.73873H13.4519L25.4519 25.2613H23.1926L11.1197 9.73873Z" fill="white"></path>
</g>
<defs>
<clipPath id="clip0_65276_3946">
<rect width="38" height="38" fill="white"></rect>
</clipPath>
</defs>
</svg></a>
</li>
<li class="list-inline-item"><a href="https://www.facebook.com/nationallibraryofmedicine"
aria-label="Facebook" rel="noopener noreferrer" target="_blank">
<svg version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" x="0px"
y="0px" viewBox="0 0 249 249" style="enable-background:new 0 0 249 249;" xml:space="preserve">
<style type="text/css">
.st10 {
fill: #FFFFFF;
}
.st110 {
fill: none;
stroke: #FFFFFF;
stroke-width: 8;
stroke-miterlimit: 10;
}
</style>
<title>SM-Facebook</title>
<g>
<g>
<path class="st10" d="M159,99.1h-24V88.4c0-5,3.3-6.2,5.7-6.2h16.8V60l-24.4-0.1c-22.1,0-26.2,16.5-26.2,27.1v12.1H90v22.5h16.9
v67.5H135v-67.5h21.7L159,99.1z"></path>
</g>
</g>
<circle class="st110" cx="123.6" cy="123.2" r="108.2"></circle>
</svg>
</a></li>
<li class="list-inline-item"><a href="https://www.youtube.com/user/NLMNIH" aria-label="Youtube"
target="_blank" rel="noopener noreferrer"><svg version="1.1" xmlns="http://www.w3.org/2000/svg"
xmlns:xlink="http://www.w3.org/1999/xlink" x="0px" y="0px" viewBox="0 0 249 249"
style="enable-background:new 0 0 249 249;" xml:space="preserve">
<title>SM-Youtube</title>
<style type="text/css">
.st4 {
fill: none;
stroke: #FFFFFF;
stroke-width: 8;
stroke-miterlimit: 10;
}
.st5 {
fill: #FFFFFF;
}
</style>
<circle class="st4" cx="124.2" cy="123.4" r="108.2"></circle>
<g transform="translate(0,-952.36218)">
<path class="st5"
d="M88.4,1037.4c-10.4,0-18.7,8.3-18.7,18.7v40.1c0,10.4,8.3,18.7,18.7,18.7h72.1c10.4,0,18.7-8.3,18.7-18.7
v-40.1c0-10.4-8.3-18.7-18.7-18.7H88.4z M115.2,1058.8l29.4,17.4l-29.4,17.4V1058.8z"></path>
</g>
</svg></a></li>
</ul>
</div>
<div class="col-lg-3 col-12">
<p class="address_footer text-white">National Library of Medicine<br>
<a href="https://www.google.com/maps/place/8600+Rockville+Pike,+Bethesda,+MD+20894/@38.9959508,-77.101021,17z/data=!3m1!4b1!4m5!3m4!1s0x89b7c95e25765ddb:0x19156f88b27635b8!8m2!3d38.9959508!4d-77.0988323"
class="text-white" target="_blank" rel="noopener noreferrer">8600 Rockville Pike<br>
Bethesda, MD 20894</a></p>
</div>
<div class="col-lg-3 col-12 centered-lg">
<p><a href="https://www.nlm.nih.gov/web_policies.html" class="text-white">Web Policies</a><br>
<a href="https://www.nih.gov/institutes-nih/nih-office-director/office-communications-public-liaison/freedom-information-act-office"
class="text-white">FOIA</a><br>
<a href="https://www.hhs.gov/vulnerability-disclosure-policy/index.html" class="text-white" id="vdp">HHS Vulnerability Disclosure</a></p>
</div>
<div class="col-lg-3 col-12 centered-lg">
<p><a class="supportLink text-white" href="https://support.nlm.nih.gov/">Help</a><br>
<a href="https://www.nlm.nih.gov/accessibility.html" class="text-white">Accessibility</a><br>
<a href="https://www.nlm.nih.gov/careers/careers.html" class="text-white">Careers</a></p>
</div>
</div>
<div class="row">
<div class="col-lg-12 centered-lg">
<nav class="bottom-links">
<ul class="mt-3">
<li>
<a class="text-white" href="//www.nlm.nih.gov/">NLM</a>
</li>
<li>
<a class="text-white"
href="https://www.nih.gov/">NIH</a>
</li>
<li>
<a class="text-white" href="https://www.hhs.gov/">HHS</a>
</li>
<li>
<a
class="text-white" href="https://www.usa.gov/">USA.gov</a>
</li>
</ul>
</nav>
</div>
</div>
</div>
</section>
</footer>
<!-- ========== END FOOTER ========== -->
<!-- javascript to inject NWDS meta tags. Note: value of nwds_version is updated by "npm version" command -->
<script type="text/javascript">
var nwds_version = "1.2.3";
var meta_nwds_ver = document.createElement('meta');
meta_nwds_ver.name = 'ncbi_nwds_ver';
meta_nwds_ver.content = nwds_version;
document.getElementsByTagName('head')[0].appendChild(meta_nwds_ver);
var meta_nwds = document.createElement('meta');
meta_nwds.name = 'ncbi_nwds';
meta_nwds.content = 'yes';
document.getElementsByTagName('head')[0].appendChild(meta_nwds);
var alertsUrl = "/core/alerts/alerts.js";
if (typeof ncbiBaseUrl !== 'undefined') {
alertsUrl = ncbiBaseUrl + alertsUrl;
}
</script>
<!-- JavaScript -->
<script src="/pathogens/static/django_uswds/uswds/js/uswds.js"></script>
<script src="https://code.jquery.com/jquery-3.5.0.min.js"
integrity="sha256-xNzN2a4ltkB44Mc/Jz3pT4iU1cmeR0FkXs4pru/JxaQ="
crossorigin="anonymous">
</script>
<script>
var fallbackJquery = "/pathogens/static/base/js/jquery-3.5.0.min.js";
window.jQuery || document.write("<script src=" + fallbackJquery + ">\x3C/script>")
</script>
<script src="/pathogens/static/nwds/js/nwds.js" type="text/javascript"> </script>
<script src="/pathogens/static/nwds/js/header.js" type="text/javascript"> </script>
<script src="/pathogens/static/nwds/js/ncbipopup.js" type="text/javascript"> </script>
<script src="/pathogens/static/nwds/js/ncbiclearbutton.js" type="text/javascript"> </script>
<script src="/pathogens/static/nwds/js/override-uswds.js" type="text/javascript"> </script>
<script src="/pathogens/static/nwds/js/ncbifeedback.js" type="text/javascript"> </script>
<script type="text/javascript" src="https://www.ncbi.nlm.nih.gov/core/pinger/pinger.js"> </script>
<script type="text/javascript" src="/pathogens/static/main/scripts/page-search.js" charset="utf-8"></script>
</body>
</html>