1
|
Soares CLM, Alves G, Santos ED, Paim JS. The response of Italy and Vietnam to the COVID-19 pandemic: analysis of two international experiences with the first wave of the disease. CIENCIA & SAUDE COLETIVA 2023; 28:3057-3068. [PMID: 37878946 DOI: 10.1590/1413-812320232810.20812022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2022] [Accepted: 06/22/2023] [Indexed: 10/27/2023] Open
Abstract
Several studies on the fight against COVID-19 have been developed in various countries. However, there are few studies that compare cases corresponding to the first wave of the epidemic in a close period and with different responses and outcomes. Therefore, an integrative review was conducted to analyze the experiences of Italy and Vietnam in dealing with the COVID-19 pandemic during the first wave of the disease, seeking to identify the contributions of the health and surveillance systems as well as the specificities of the measures adopted in each country. Common databases were used and the empirical material related to publications was supplemented with documents from the official websites of both countries. The results of this study show that Vietnam and Italy adopted different strategies to deal with COVID-19, containment and mitigation, respectively, with specific measures that made a difference in the number of cases and deaths in each country.
Collapse
Affiliation(s)
- Catharina Leite Matos Soares
- Instituto de Saúde Coletiva, Universidade Federal da Bahia. R. Basílio da Gama s/n, Canela. 40110-040 Salvador BA Brasil.
| | - Gerluce Alves
- Instituto de Saúde Coletiva, Universidade Federal da Bahia. R. Basílio da Gama s/n, Canela. 40110-040 Salvador BA Brasil.
| | - Elberte Dos Santos
- Instituto de Saúde Coletiva, Universidade Federal da Bahia. R. Basílio da Gama s/n, Canela. 40110-040 Salvador BA Brasil.
| | - Jairnilson Silva Paim
- Instituto de Saúde Coletiva, Universidade Federal da Bahia. R. Basílio da Gama s/n, Canela. 40110-040 Salvador BA Brasil.
| |
Collapse
|
2
|
Stefanelli P, Trentini F, Petrone D, Mammone A, Ambrosio L, Manica M, Guzzetta G, d'Andrea V, Marziano V, Zardini A, Molina Grane' C, Ajelli M, Di Martino A, Riccardo F, Bella A, Sane Schepisi M, Maraglino F, Poletti P, Palamara AT, Brusaferro S, Rezza G, Pezzotti P, Merler S. Tracking the progressive spread of the SARS-CoV-2 Omicron variant in Italy, December 2021 to January 2022. Euro Surveill 2022; 27:2200125. [PMID: 36367013 PMCID: PMC9650705 DOI: 10.2807/1560-7917.es.2022.27.45.2200125] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2022] [Accepted: 08/03/2022] [Indexed: 11/26/2023] Open
Abstract
BackgroundThe SARS-CoV-2 variant of concern Omicron was first detected in Italy in November 2021.AimTo comprehensively describe Omicron spread in Italy in the 2 subsequent months and its impact on the overall SARS-CoV-2 circulation at population level.MethodsWe analyse data from four genomic surveys conducted across the country between December 2021 and January 2022. Combining genomic sequencing results with epidemiological records collated by the National Integrated Surveillance System, the Omicron reproductive number and exponential growth rate are estimated, as well as SARS-CoV-2 transmissibility.ResultsOmicron became dominant in Italy less than 1 month after its first detection, representing on 3 January 76.9-80.2% of notified SARS-CoV-2 infections, with a doubling time of 2.7-3.3 days. As of 17 January 2022, Delta variant represented < 6% of cases. During the Omicron expansion in December 2021, the estimated mean net reproduction numbers respectively rose from 1.15 to a maximum of 1.83 for symptomatic cases and from 1.14 to 1.36 for hospitalised cases, while remaining relatively stable, between 0.93 and 1.21, for cases needing intensive care. Despite a reduction in relative proportion, Delta infections increased in absolute terms throughout December contributing to an increase in hospitalisations. A significant reproduction numbers' decline was found after mid-January, with average estimates dropping below 1 between 10 and 16 January 2022.ConclusionEstimates suggest a marked growth advantage of Omicron compared with Delta variant, but lower disease severity at population level possibly due to residual immunity against severe outcomes acquired from vaccination and prior infection.
Collapse
Affiliation(s)
| | - Filippo Trentini
- Dondena Centre for Research on Social Dynamics and Public Policy, Bocconi University, Milan, Italy
- Center for Health Emergencies, Bruno Kessler Foundation, Trento, Italy
| | | | - Alessia Mammone
- Health Prevention Directorate, Ministry of Health, Rome, Italy
| | | | - Mattia Manica
- Epilab-JRU, FEM-FBK Joint Research Unit, Trento, Italy
- Center for Health Emergencies, Bruno Kessler Foundation, Trento, Italy
| | - Giorgio Guzzetta
- Epilab-JRU, FEM-FBK Joint Research Unit, Trento, Italy
- Center for Health Emergencies, Bruno Kessler Foundation, Trento, Italy
| | - Valeria d'Andrea
- Center for Health Emergencies, Bruno Kessler Foundation, Trento, Italy
| | | | - Agnese Zardini
- Center for Health Emergencies, Bruno Kessler Foundation, Trento, Italy
| | - Carla Molina Grane'
- University of Trento, Trento, Italy
- Center for Health Emergencies, Bruno Kessler Foundation, Trento, Italy
| | - Marco Ajelli
- Laboratory for Computational Epidemiology and Public Health, Department of Epidemiology and Biostatistics, Indiana University School of Public Health, Bloomington, United States
| | | | | | | | | | | | - Piero Poletti
- Epilab-JRU, FEM-FBK Joint Research Unit, Trento, Italy
- Center for Health Emergencies, Bruno Kessler Foundation, Trento, Italy
| | | | | | - Giovanni Rezza
- Health Prevention Directorate, Ministry of Health, Rome, Italy
| | | | - Stefano Merler
- Epilab-JRU, FEM-FBK Joint Research Unit, Trento, Italy
- Center for Health Emergencies, Bruno Kessler Foundation, Trento, Italy
| |
Collapse
|
3
|
Prado NMDBL, Biscarde DGDS, Pinto Junior EP, Santos HLPCD, Mota SEDC, Menezes ELCD, Oliveira JS, Santos AMD. Primary care-based health surveillance actions in response to the COVID-19 pandemic: contributions to the debate. CIENCIA & SAUDE COLETIVA 2021; 26:2843-2857. [PMID: 34231697 DOI: 10.1590/1413-81232021267.00582021] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2020] [Accepted: 03/27/2021] [Indexed: 12/23/2022] Open
Abstract
We conducted an integrated literature review aimed at reflecting on the challenges related to primary care-based health surveillance actions in response to the COVID-19 pandemic in selected countries. The study included countries with different PHC models that adopted surveillance as an approach to control the transmission of COVID-19. We performed a search in October 2020 for relevant literature and norms and guidelines related to the organization of primary health care (PHC) in response to the pandemic on official government websites and the databases Web of Science and Science Direct. The integrated health surveillance actions demonstrated that efforts were more focused on risks, with some countries adopting innovative and effective measures to respond to COVID-19, considering emerging needs within PHC. However, in addition to ethical controversies and operational difficulties, access to technology was a challenge in actions developed by some countries due to social inequalities.
Collapse
Affiliation(s)
- Nilia Maria de Brito Lima Prado
- Instituto Multidisciplinar em Saúde, Universidade Federal da Bahia. Campus Anísio Teixeira. Rua Hormindo Barros 58 Quadra 17 Lote 58. 45029-094 Vitória da Conquista. BA Brasil.
| | | | - Elzo Pereira Pinto Junior
- Centro de Integração de Dados e Conhecimentos para a Saúde, Instituto Gonçalo Moniz, Fundação Oswaldo Cruz. Parque Tecnológico da Bahia. Salvador BA Brasil
| | | | | | - Erica Lima Costa de Menezes
- Núcleo Técnico Científico de Telessaúde, Diretoria de Atenção Básica, Secretaria de Saúde do Estado da Bahia. Salvador BA Brasil
| | - Josilene Silva Oliveira
- Instituto Multidisciplinar em Saúde, Universidade Federal da Bahia. Campus Anísio Teixeira. Rua Hormindo Barros 58 Quadra 17 Lote 58. 45029-094 Vitória da Conquista. BA Brasil.
| | - Adriano Maia Dos Santos
- Instituto Multidisciplinar em Saúde, Universidade Federal da Bahia. Campus Anísio Teixeira. Rua Hormindo Barros 58 Quadra 17 Lote 58. 45029-094 Vitória da Conquista. BA Brasil.
| |
Collapse
|