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Botosso VF, Precioso AR, Wilder-Smith A, de Oliveira DBL, de Oliveira FBL, De Oliveira CM, Soares CP, Oliveira LTL, dos Santo RMV, de Agostini Utescher CL, Coutinho FAB, Massad E. Seroprevalence of Zika in Brazil stratified by age and geographic distribution. Epidemiol Infect 2023; 151:1-16. [PMID: 37965751 PMCID: PMC10728971 DOI: 10.1017/s0950268823001814] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2023] [Revised: 09/11/2023] [Accepted: 09/13/2023] [Indexed: 11/16/2023] Open
Abstract
Congenital Zika is a devastating consequence of maternal Zika virus infections. Estimates of age-dependent seroprevalence profiles are central to our understanding of the force of Zika virus infections. We set out to calculate the age-dependent seroprevalence of Zika virus infections in Brazil. We analyzed serum samples stratified by age and geographic location, collected from 2016 to 2019, from about 16,000 volunteers enrolled in a Phase 3 dengue vaccine trial led by the Institute Butantan in Brazil. Our results show that Zika seroprevalence has a remarkable age-dependent and geographical distribution, with an average age of the first infection varying from region to region, ranging from 4.97 (3.03–5.41) to 7.24 (6.98–7.90) years. The calculated basic reproduction number, , varied from region to region, ranging from 1.18 (1.04–1.41) to 2.33 (1.54–3.85). Such data are paramount to determine the optimal age to vaccinate against Zika, if and when such a vaccine becomes available.
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Affiliation(s)
| | | | - Annelies Wilder-Smith
- Heidelberg Institute of Global Health, University of Heidelberg, Heidelberg, Germany
| | | | | | | | | | | | | | | | | | - Eduardo Massad
- Instituto Butantan, São Paulo, Brazil
- School of Medicine, University of São Paulo, São Paulo, Brazil
- Fundação Getúlio Vargas, Rio de Janeiro, Brazil
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Chaib E, Pessoa JLE, Struchiner CJ, D'Albuquerque LAC, Massad E. THE OPTIMUM LEVEL OF MELD TO MINIMIZE THE MORTALITY ON LIVER TRANSPLANTATION WAITING LIST, AND LIVER TRANSPLANTED PATIENT IN SÃO PAULO STATE, BRAZIL. Arq Bras Cir Dig 2023; 36:e1746. [PMID: 37729279 PMCID: PMC10510095 DOI: 10.1590/0102-672020230028e1746] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/18/2023] [Accepted: 06/20/2023] [Indexed: 09/22/2023]
Abstract
BACKGROUND After validation in multiple types of liver disease patients, the MELD score was adopted as a standard by which liver transplant candidates with end-stage liver disease were prioritized for organ allocation in the United States since 2002, and in Brazil, since 2006. AIMS To analyze the mortality profile of patients on the liver transplant waiting list correlated to MELD score at the moment of transplantation. METHODS This study used the data from the Secretary of Health of the São Paulo State, Brazil, which listed 22,522 patients, from 2006 (when MELD score was introduced in Brazil) until June 2009. Patients with acute hepatic failure and tumors were included as well. We also considered the mortality of both non-transplanted and transplanted patients as a function of the MELD score at presentation. RESULTS Our model showed that the best MELD score for patients on the liver transplant waiting list associated to better results after liver transplantation was 26. CONCLUSIONS We found that the best score for applying to liver transplant waiting list in the State of São Paulo was 26. This is the score that minimizes the mortality in both non-transplanted and liver transplanted patients.
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Affiliation(s)
- Eleazar Chaib
- Department of Gastroenterology, Faculty of Medicine, Universidade de São Paulo - São Paulo (SP), Brazil
| | | | - Claudio José Struchiner
- Applied Mathematics, School of Applied Mathematics, Fundação Getulio Vargas - Rio de Janeiro (RJ), Brazil
| | | | - Eduardo Massad
- Applied Mathematics, School of Applied Mathematics, Fundação Getulio Vargas - Rio de Janeiro (RJ), Brazil
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3
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Simon S, Amaku M, Massad E. Effects of migration rates and vaccination on the spread of yellow fever in Latin American communities. Rev Panam Salud Publica 2023; 47:e86. [PMID: 37266487 PMCID: PMC10231272 DOI: 10.26633/rpsp.2023.86] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2022] [Accepted: 01/28/2023] [Indexed: 06/03/2023] Open
Abstract
Objective To assess how relevant the flow of people between communities is, compared to vaccination and type of vector, on the spread and potential outbreaks of yellow fever in a disease-free host community. Methods Using a SEIRV-SEI model for humans and vectors, we applied numerical simulations to the scenarios: (1) migration from an endemic community to a disease-free host community, comparing the performance of Haemagogus janthinomys and Aedes aegypti as vectors; (2) migration through a transit community located on a migratory route, where the disease is endemic, to a disease-free one; and (3) effects of different vaccination rates in the host community, considering the vaccination of migrants upon arrival. Results Results show no remarkable differences between scenarios 1 and 2. The type of vector and vaccination coverage in the host community are more relevant for the occurrence of outbreaks than migration rates, with H. janthinomys being more effective than A. aegypti. Conclusions With vaccination being more determinant for a potential outbreak than migration rates, vaccinating migrants on arrival may be one of the most effective measures against yellow fever. Furthermore, H. janthinomys is a more competent vector than A. aegypti at similar densities, but the presence of A. aegypti is a warning to maintain vaccination above recommended levels.
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Affiliation(s)
- Sabrina Simon
- University of São PauloSão PauloBrazilUniversity of São Paulo, São Paulo, Brazil
| | - Marcos Amaku
- University of São PauloSão PauloBrazilUniversity of São Paulo, São Paulo, Brazil
| | - Eduardo Massad
- Getúlio Vargas FoundationRio de JaneiroBrazilGetúlio Vargas Foundation, Rio de Janeiro, Brazil
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Loria J, Albani VVL, Coutinho FAB, Covas DT, Struchiner CJ, Zubelli JP, Massad E. Time-dependent vaccine efficacy estimation quantified by a mathematical model. PLoS One 2023; 18:e0285466. [PMID: 37167285 PMCID: PMC10174497 DOI: 10.1371/journal.pone.0285466] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2023] [Accepted: 04/23/2023] [Indexed: 05/13/2023] Open
Abstract
In this paper we calculate the variation of the estimated vaccine efficacy (VE) due to the time-dependent force of infection resulting from the difference between the moment the Clinical Trial (CT) begins and the peak in the outbreak intensity. Using a simple mathematical model we tested the hypothesis that the time difference between the moment the CT begins and the peak in the outbreak intensity determines substantially different values for VE. We exemplify the method with the case of the VE efficacy estimation for one of the vaccines against the new coronavirus SARS-CoV-2.
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Affiliation(s)
- Jennifer Loria
- Instituto de Matemática Pura e Aplicada, Rio de Janeiro, Brazil
- School of Mathematics, Universidad de Costa Rica, San José, Costa Rica
| | - Vinicius V L Albani
- LAMMCA, Department of Mathematics, Federal University of Santa Catarina, Florianopolis, Brazil
| | | | | | | | | | - Eduardo Massad
- School of Applied Mathematics, Fundação Getúlio Vargas, Rio de Janeiro, Brazil
- School of Medicine, University of São Paulo and LIM01-HCFMUSP, São Paulo, Brazil
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Coelho LE, Luz PM, Pires DC, Jalil EM, Perazzo H, Torres TS, Cardoso SW, Peixoto EM, Nazer S, Massad E, Silveira MF, Barros FC, Vasconcelos AT, Costa CA, Amancio RT, Villela DA, Pereira T, Goedert GT, Santos CV, Rodrigues NC, Grinsztejn B, Veloso VG, Struchiner CJ. Prevalence and predictors of anti-SARS-CoV-2 serology in a highly vulnerable population of Rio de Janeiro: A population-based serosurvey. The Lancet Regional Health - Americas 2022; 15:100338. [PMID: 35936224 PMCID: PMC9337985 DOI: 10.1016/j.lana.2022.100338] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Background COVID-19 serosurveys allow for the monitoring of the level of SARS-CoV-2 transmission and support data-driven decisions. We estimated the seroprevalence of anti-SARS-CoV-2 antibodies in a large favela complex in Rio de Janeiro, Brazil. Methods A population-based panel study was conducted in Complexo de Manguinhos (16 favelas) with a probabilistic sampling of participants aged ≥1 year who were randomly selected from a census of individuals registered in primary health care clinics that serve the area. Participants answered a structured interview and provided blood samples for serology. Multilevel regression models (with random intercepts to account for participants’ favela of residence) were used to assess factors associated with having anti-S IgG antibodies. Secondary analyses estimated seroprevalence using an additional anti-N IgG assay. Findings 4,033 participants were included (from Sep/2020 to Feb/2021, 22 epidemic weeks), the median age was 39·8 years (IQR:21·8-57·7), 61% were female, 41% were mixed-race (Pardo) and 23% Black. Overall prevalence was 49·0% (95%CI:46·8%-51·2%) which varied across favelas (from 68·3% to 31·4%). Lower prevalence estimates were found when using the anti-N IgG assay. Odds of having anti-S IgG antibodies were highest for young adults, and those reporting larger household size, poor adherence to social distancing and use of public transportation. Interpretation We found a significantly higher prevalence of anti-S IgG antibodies than initially anticipated. Disparities in estimates obtained using different serological assays highlight the need for cautious interpretation of serosurveys estimates given the heterogeneity of exposure in communities, loss of immunological biomarkers, serological antigen target, and variant-specific test affinity. Funding Fundação Oswaldo Cruz, Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Fundação de Amparo a Pesquisa do Estado do Rio de Janeiro (FAPERJ), the European Union's Horizon 2020 research and innovation programme, Royal Society, Serrapilheira Institute, and FAPESP.
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Albani VVL, Albani RAS, Bobko N, Massad E, Zubelli JP. On the role of financial support programs in mitigating the SARS-CoV-2 spread in Brazil. BMC Public Health 2022; 22:1781. [PMID: 36127657 PMCID: PMC9485798 DOI: 10.1186/s12889-022-14155-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2022] [Accepted: 09/09/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND During 2020, there were no effective treatments or vaccines against SARS-CoV-2. The most common disease contention measures were social distance (social isolation), the use of face masks and lockdowns. In the beginning, numerous countries have succeeded to control and reduce COVID-19 infections at a high economic cost. Thus, to alleviate such side effects, many countries have implemented socioeconomic programs to fund individuals that lost their jobs and to help endangered businesses to survive. METHODS We assess the role of a socioeconomic program, so-called "Auxilio Emergencial" (AE), during 2020 as a measure to mitigate the Coronavirus Disease 2019 (COVID-19) outbreak in Brazil. For each Brazilian State, we estimate the time-dependent reproduction number from daily reports of COVID-19 infections and deaths using a Susceptible-Exposed-Infected-Recovered-like (SEIR-like) model. Then, we analyse the correlations between the reproduction number, the amount of individuals receiving governmental aid, and the index of social isolation based on mobile phone information. RESULTS We observed significant positive correlation values between the average values by the AE and median values of an index accounting for individual mobility. We also observed significantly negative correlation values between the reproduction number and this index on individual mobility. Using the simulations of a susceptible-exposed-infected-removed-like model, if the AE was not operational during the first wave of COVID-19 infections, the accumulated number of infections and deaths could be 6.5 (90% CI: 1.3-21) and 7.9 (90% CI: 1.5-23) times higher, respectively, in comparison with the actual implementation of AE. CONCLUSIONS Our results suggest that the AE implemented in Brazil had a significant influence on social isolation by allowing those in need to stay at home, which would reduce the expected numbers of infections and deaths.
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Affiliation(s)
- Vinicius V L Albani
- Department of Mathematics, Federal University of Santa Catarina, Florianopolis, Brazil
| | - Roseane A S Albani
- Instituto Politécnico do Rio de Janeiro, Rio de Janeiro State University, Nova Friburgo, Brazil
| | - Nara Bobko
- Federal University of Technology - Paraná, Curitiba, Brazil
| | - Eduardo Massad
- School of Medicine, University of São Paulo and LIM01-HCFMUSP, São Paulo, Brazil.,School of Applied Mathematics, Fundação Getúlio Vargas, Rio de Janeiro, Brazil
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Albani VVL, Albani RAS, Massad E, Zubelli JP. Nowcasting and forecasting COVID-19 waves: the recursive and stochastic nature of transmission. R Soc Open Sci 2022; 9:220489. [PMID: 36016918 PMCID: PMC9399708 DOI: 10.1098/rsos.220489] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/14/2022] [Accepted: 08/02/2022] [Indexed: 05/20/2023]
Abstract
We propose a parsimonious, yet effective, susceptible-exposed-infected-removed-type model that incorporates the time change in the transmission and death rates. The model is calibrated by Tikhonov-type regularization from official reports from New York City (NYC), Chicago, the State of São Paulo, in Brazil and British Columbia, in Canada. To forecast, we propose different ways to extend the transmission parameter, considering its estimated values. The forecast accuracy is then evaluated using real data from the above referred places. All the techniques accurately provided forecast scenarios for periods 15 days long. One of the models effectively predicted the magnitude of the four waves of infections in NYC, including the one caused by the Omicron variant for periods of 45 days using out-of-sample data.
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Affiliation(s)
- V. V. L. Albani
- Department of Mathematics, Federal University of Santa Catarina, Florianopolis, Brazil
| | - R. A. S. Albani
- Instituto Politecnico do Rio de Janeiro, Rio de Janeiro State University, Nova Friburgo, Brazil
| | - E. Massad
- School of Medicine, University of São Paulo and LIM01-HCFMUSP, São Paulo, Brazil
- School of Applied Mathematics, Fundação Getúlio Vargas, Rio de Janeiro, Brazil
| | - J. P. Zubelli
- Mathematics Department, Khalifa University, Abu Dhabi, UAE
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8
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Junior JBS, Massad E, Lobao-Neto A, Kastner R, Oliver L, Gallagher E. Epidemiology and costs of dengue in Brazil: a systematic literature review. Int J Infect Dis 2022; 122:521-528. [DOI: 10.1016/j.ijid.2022.06.050] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2022] [Revised: 06/02/2022] [Accepted: 06/29/2022] [Indexed: 11/29/2022] Open
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Laporta GZ, Grillet ME, Rodovalho SR, Massad E, Sallum MAM. Reaching the malaria elimination goal in Brazil: a spatial analysis and time-series study. Infect Dis Poverty 2022; 11:39. [PMID: 35382896 PMCID: PMC8981179 DOI: 10.1186/s40249-022-00945-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2021] [Accepted: 02/06/2022] [Indexed: 11/10/2022] Open
Abstract
Background Since 2015, the Global Technical Strategy (GTS) for Malaria 2016–2030 has been adopted by the World Health Organization (WHO) as a comprehensive framework to accelerate progress for malaria elimination in endemic countries. This strategy sets the target of reducing global malaria incidence and mortality rates by 90% in 2030. Here it is sought to evaluate Brazil’s achievements towards reaching the WHO GTS milestone in 2030. Considering the total number of new malaria cases in 2015, the main research question is: will Brazil reach the malaria elimination goal in 2030? Methods Analytical strategies were undertaken using the SIVEP-malaria official databases of the Brazilian Malaria Control Programme for the Brazilian Amazon region from 2009 to 2020. Spatial and time-series analyses were applied for identifying municipalities that support the highest numbers of malaria cases over the years. Forecast analysis was used for predicting the estimated number of new cases in Brazil in 2025–2050. Results Brazil has significantly reduced the number of new malaria cases in 2020 in comparison with 2015 in the states of Acre (− 56%), Amapá (− 75%), and Amazonas (− 21%); however, they increased in the states of Pará (156%), Rondônia (74%), and Roraima (362%). Forecast of the predicted number of new malaria cases in 2030 is 74,764 (95% CI: 41,116–141,160) in the Brazilian Amazon. Conclusions It is likely that Brazil will reduce the number of new malaria cases in the Brazilian Amazon in 2030 in relation to that in 2015. Herein forecast shows a reduction by 46% (74,754 in 2030 forecast/137,982 in 2015), but this reduction is yet far from the proposed reduction under the WHO GTS 2030 milestone (90%). Stable and unbeatable transmission in the Juruá River Valley, Manaus, and Lábrea still support endemic malaria in the Brazilian Amazon. Today’s cross-border malaria is impacting the state of Roraima unprecedently. If this situation is maintained, the malaria elimination goal (zero cases) may not be reached before 2050. An enhanced political commitment is vital to ensure optimal public health intervention designs in the post-2030 milestones for malaria elimination. Graphical Abstract ![]()
Supplementary Information The online version contains supplementary material available at 10.1186/s40249-022-00945-5.
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Affiliation(s)
- Gabriel Zorello Laporta
- Graduate Research and Innovation Program, Centro Universitario FMABC, Santo André, SP, Brazil.
| | - Maria Eugenia Grillet
- Laboratory of Parasite and Vector Biology, Institute of Zoology and Tropical Ecology, School of Sciences, Central University of Venezuela, Caracas, Venezuela
| | - Sheila Rodrigues Rodovalho
- Technical Unit of Transmissible Diseases and Current Health Assessment, Pan American Health Organization (PAHO/WHO), Brasília, DF, Brazil
| | - Eduardo Massad
- School of Applied Mathematics, Getulio Vargas Foundation, Rio de Janeiro, RJ, Brazil
| | - Maria Anice Mureb Sallum
- Epidemiology Department, School of Public Health, University of São Paulo, São Paulo, SP, Brazil.
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Haq I, Thomas M, Hameed M, Al-Abdullah J, Haq R, Massad E, Kassas H, Oto T, Sattar HA. Lobar Anastomosis in Marginal Lung Donors. J Heart Lung Transplant 2022. [DOI: 10.1016/j.healun.2022.01.725] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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11
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Bancroft D, Power GM, Jones RT, Massad E, Iriat JB, Preet R, Kinsman J, Logan JG. Vector control strategies in Brazil: a qualitative investigation into community knowledge, attitudes and perceptions following the 2015-2016 Zika virus epidemic. BMJ Open 2022; 12:e050991. [PMID: 35105618 PMCID: PMC8808399 DOI: 10.1136/bmjopen-2021-050991] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
OBJECTIVE The World Health Organization declared a Public Health Emergency of International Concern following the rapid emergence of neonatal microcephaly in Brazil during the 2015-2016 Zika virus (ZIKV) epidemic. In response, a national campaign sought to control Aedes mosquito populations and reduce ZIKV transmission. Achieving adherence to vector control or mosquito-bite reduction behaviours, including the use of topical mosquito repellents, is challenging. Coproduction of research at the community level is needed to understand and mitigate social determinants of lower engagement with Aedes preventive measures, particularly within disempowered groups. DESIGN In 2017, the Zika Preparedness Latin America Network (ZikaPLAN) conducted a qualitative study to understand individual and community level experiences of ZIKV and other mosquito-borne disease outbreaks. Presented here is a thematic analysis of 33 transcripts from community focus groups and semistructured interviews, applying the Health Belief Model (HBM) to elaborate knowledge, attitudes and perceptions of ZIKV and vector control strategies. PARTICIPANTS 120 purposively sampled adults of approximate reproductive age (18-45); 103 women participated in focus groups and 17 men in semistructured interviews. SETTING Two sociopolitically and epidemiologically distinct cities in Brazil: Jundiaí (57 km north of São Paolo) and Salvador (Bahia state capital). RESULTS Four key and 12 major themes emerged from the analysis: (1) knowledge and cues to action; (2) attitudes and normative beliefs (perceived threat, barriers, benefits and self-efficacy); (3) behaviour change (household prevention and community participation); and (4) community preferences for novel repellent tools, vector control strategies and ZIKV messaging. CONCLUSIONS Common barriers to repellent adherence were accessibility, appearance and effectiveness. A strong case is made for the transferability of the HBM to inform epidemic preparedness for mosquito-borne disease outbreaks at the community level. Nationally, a health campaign targeting men is recommended, in addition to local mobilisation of funding to strengthen surveillance, risk communication and community engagement.
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Affiliation(s)
- Dani Bancroft
- Department of Public Health, Environments and Society, London School of Hygiene and Tropical Medicine, London, UK
| | - Grace M Power
- Department of Disease Control, London School of Hygiene & Tropical Medicine, London, UK
| | - Robert T Jones
- Department of Disease Control, London School of Hygiene & Tropical Medicine, London, UK
| | - Eduardo Massad
- School of Medicine, University of São Paulo, São Paulo, SP, Brazil
- School of Applied Mathematics, Fundação Getulio Vargas, Rio de Janeiro, RJ, Brazil
| | | | - Raman Preet
- Department of Epidemiology and Global Health, Umeå University, Umeå, Sweden
| | - John Kinsman
- Department of Epidemiology and Global Health, Umeå University, Umeå, Sweden
| | - James G Logan
- Department of Disease Control, London School of Hygiene & Tropical Medicine, London, UK
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12
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Abstract
BACKGROUND Underreporting cases of infectious diseases poses a major challenge in the analysis of their epidemiological characteristics and dynamical aspects. Without accurate numerical estimates it is difficult to precisely quantify the proportions of severe and critical cases, as well as the mortality rate. Such estimates can be provided for instance by testing the presence of the virus. However, during an ongoing epidemic, such tests' implementation is a daunting task. This work addresses this issue by presenting a methodology to estimate underreported infections based on approximations of the stable rates of hospitalization and death. METHODS We present a novel methodology for the stable rate estimation of hospitalization and death related to the Corona Virus Disease 2019 (COVID-19) using publicly available reports from various distinct communities. These rates are then used to estimate underreported infections on the corresponding areas by making use of reported daily hospitalizations and deaths. The impact of underreporting infections on vaccination strategies is estimated under different disease-transmission scenarios using a Susceptible-Exposed-Infective-Removed-like (SEIR) epidemiological model. RESULTS For the considered locations, during the period of study, the estimations suggest that the number of infected individuals could reach 30% of the population of these places, representing, in some cases, more than six times the observed numbers. These results are in close agreement with estimates from independent seroprevalence studies, thus providing a strong validation of the proposed methodology. Moreover, the presence of large numbers of underreported infections can reduce the perceived impact of vaccination strategies in reducing rates of mortality and hospitalization. CONCLUSIONS pBy using the proposed methodology and employing a judiciously chosen data analysis implementation, we estimate COVID-19 underreporting from publicly available data. This leads to a powerful way of quantifying underreporting impact on the efficacy of vaccination strategies. As a byproduct, we evaluate the impact of underreporting in the designing of vaccination strategies.
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Affiliation(s)
- Vinicius Albani
- Department of Mathematics, Federal University of Santa Catarina, Florianopolis, Brazil
| | - Jennifer Loria
- Instituto de Matemática Pura e Aplicada, Rio de Janeiro, Brazil
- Universidad de Costa Rica, San Jose, Costa Rica
| | - Eduardo Massad
- School of Applied Mathematics, Fundação Getúlio Vargas, Rio de Janeiro, Brazil
- School of Medicine, University of São Paulo and LIM01-HCFMUSP, São Paulo, Brazil
| | - Jorge Zubelli
- Mathematics Department, Khalifa University, Abu Dhabi, UAE
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13
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Wilder-Smith A, Brickley EB, Ximenes RADA, Miranda-Filho DDB, Turchi Martelli CM, Solomon T, Jacobs BC, Pardo CA, Osorio L, Parra B, Lant S, Willison HJ, Leonhard S, Turtle L, Ferreira MLB, de Oliveira Franca RF, Lambrechts L, Neyts J, Kaptein S, Peeling R, Boeras D, Logan J, Dolk H, Orioli IM, Neumayr A, Lang T, Baker B, Massad E, Preet R. The legacy of ZikaPLAN: a transnational research consortium addressing Zika. Glob Health Action 2021; 14:2008139. [PMID: 35377284 PMCID: PMC8986226 DOI: 10.1080/16549716.2021.2008139] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022] Open
Abstract
Global health research partnerships with institutions from high-income countries and low- and middle-income countries are one of the European Commission's flagship programmes. Here, we report on the ZikaPLAN research consortium funded by the European Commission with the primary goal of addressing the urgent knowledge gaps related to the Zika epidemic and the secondary goal of building up research capacity and establishing a Latin American-European research network for emerging vector-borne diseases. Five years of collaborative research effort have led to a better understanding of the full clinical spectrum of congenital Zika syndrome in children and the neurological complications of Zika virus infections in adults and helped explore the origins and trajectory of Zika virus transmission. Individual-level data from ZikaPLAN`s cohort studies were shared for joint analyses as part of the Zika Brazilian Cohorts Consortium, the European Commission-funded Zika Cohorts Vertical Transmission Study Group, and the World Health Organization-led Zika Virus Individual Participant Data Consortium. Furthermore, the legacy of ZikaPLAN includes new tools for birth defect surveillance and a Latin American birth defect surveillance network, an enhanced Guillain-Barre Syndrome research collaboration, a de-centralized evaluation platform for diagnostic assays, a global vector control hub, and the REDe network with freely available training resources to enhance global research capacity in vector-borne diseases.
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Affiliation(s)
- Annelies Wilder-Smith
- Department of Epidemiology and Global Health, Umeå University, Umeå, Sweden.,Heidelberg Institute of Global Health, University of Heidelberg, Heidelberg, Germany
| | | | | | | | | | - Tom Solomon
- NIHR Health Protection Research Unit for Emerging and Zoonotic Infections, Institute of Infection, Veterinary and Ecological Sciences University of Liverpool, Liverpool, UK
| | - Bart C Jacobs
- Departments of Neurology and Immunology, Erasmus Universitair Medisch Centrum Rotterdam, The Netherlands
| | - Carlos A Pardo
- Department of Neurology, Johns Hopkins School of Medicine, Baltimore, Maryland, USA
| | | | | | - Suzannah Lant
- NIHR Health Protection Research Unit for Emerging and Zoonotic Infections, Institute of Infection, Veterinary and Ecological Sciences University of Liverpool, Liverpool, UK
| | - Hugh J Willison
- Institute of Infection, Immunity & Inflammation, University of Glasgow, Glasgow, UK
| | - Sonja Leonhard
- Departments of Neurology and Immunology, Erasmus Universitair Medisch Centrum Rotterdam, The Netherlands
| | - Lance Turtle
- NIHR Health Protection Research Unit for Emerging and Zoonotic Infections, Institute of Infection, Veterinary and Ecological Sciences University of Liverpool, Liverpool, UK
| | | | | | - Louis Lambrechts
- Insect-Virus Interactions Unit, Institut Pasteur, UMR2000, CNRS, 75015 Paris, France
| | - Johan Neyts
- KU Leuven Department of Microbiology, Immunology and Transplantation, Rega Institute for Medical Research, Laboratory of Virology and Chemotherapy, Leuven, Belgium
| | - Suzanne Kaptein
- KU Leuven Department of Microbiology, Immunology and Transplantation, Rega Institute for Medical Research, Laboratory of Virology and Chemotherapy, Leuven, Belgium
| | - Rosanna Peeling
- London School of Hygiene & Tropical Medicine, London, United Kingdom
| | | | - James Logan
- London School of Hygiene & Tropical Medicine, London, United Kingdom
| | - Helen Dolk
- Centre for Maternal, Fetal and Infant Research, Institute for Nursing and Health Research, Ulster University, Ulster, United Kingdom
| | - Ieda M Orioli
- RELAMC and ECLAMC at Genetics Department, Federal University of Rio de Janeiro, Brazil
| | - Andreas Neumayr
- Department of Medicine, Swiss Tropical and Public Health Institute, Basel, Switzerland
| | - Trudie Lang
- The Global Health Network, Centre for Tropical Medicine and Global Health, University of Oxford, Oxford, UK
| | - Bonny Baker
- The Global Health Network, Centre for Tropical Medicine and Global Health, University of Oxford, Oxford, UK
| | - Eduardo Massad
- School of Medicine, University of Sao Paulo and Fundacao Getulio Vargas, Sao Paulo, Brazil
| | - Raman Preet
- Department of Epidemiology and Global Health, Umeå University, Umeå, Sweden
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14
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Albani VVL, Loria J, Massad E, Zubelli JP. The impact of COVID-19 vaccination delay: A data-driven modeling analysis for Chicago and New York City. Vaccine 2021; 39:6088-6094. [PMID: 34507859 PMCID: PMC8405507 DOI: 10.1016/j.vaccine.2021.08.098] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2021] [Revised: 08/14/2021] [Accepted: 08/27/2021] [Indexed: 01/28/2023]
Abstract
Background By the beginning of December 2020, some vaccines against COVID-19 already presented efficacy and security, which qualify them to be used in mass vaccination campaigns. Thus, setting up strategies of vaccination became crucial to control the COVID-19 pandemic. Methods We use daily COVID-19 reports from Chicago and New York City (NYC) from 01-Mar2020 to 28-Nov-2020 to estimate the parameters of an SEIR-like epidemiological model that accounts for different severity levels. To achieve data adherent predictions, we let the model parameters to be time-dependent. The model is used to forecast different vaccination scenarios, where the campaign starts at different dates, from 01-Oct-2020 to 01-Apr-2021. To generate realistic scenarios, disease control strategies are implemented whenever the number of predicted daily hospitalizations reaches a preset threshold. Results The model reproduces the empirical data with remarkable accuracy. Delaying the vaccination severely affects the mortality, hospitalization, and recovery projections. In Chicago, the disease spread was under control, reducing the mortality increment as the start of the vaccination was postponed. In NYC, the number of cases was increasing, thus, the estimated model predicted a much larger impact, despite the implementation of contention measures. The earlier the vaccination campaign begins, the larger is its potential impact in reducing the COVID-19 cases, as well as in the hospitalizations and deaths. Moreover, the rate at which cases, hospitalizations and deaths increase with the delay in the vaccination beginning strongly depends on the shape of the incidence of infection in each city.
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Affiliation(s)
| | - Jennifer Loria
- Instituto de Matemática Pura e Aplicada, Rio de Janeiro, Brazil; Universidad de Costa Rica, San José, Costa Rica.
| | - Eduardo Massad
- School of Medicine, University of São Paulo and LIM01-HCFMUSP, São Paulo, Brazil; School of Applied Mathematics, Fundação Getúlio Vargas, Rio de Janeiro, Brazil.
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15
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Amaku M, Covas DT, Coutinho FAB, Azevedo RS, Massad E. Modelling the impact of delaying vaccination against SARS-CoV-2 assuming unlimited vaccine supply. Theor Biol Med Model 2021; 18:14. [PMID: 34325717 PMCID: PMC8319712 DOI: 10.1186/s12976-021-00143-0] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2021] [Accepted: 06/25/2021] [Indexed: 02/06/2023] Open
Abstract
Background At the moment we have more than 177 million cases and 3.8 million deaths (as of June 2021) around the world and vaccination represents the only hope to control the pandemic. Imperfections in planning vaccine acquisition and difficulties in implementing distribution among the population, however, have hampered the control of the virus so far. Methods We propose a new mathematical model to estimate the impact of vaccination delay against the 2019 coronavirus disease (COVID-19) on the number of cases and deaths due to the disease in Brazil. We apply the model to Brazil as a whole and to the State of Sao Paulo, the most affected by COVID-19 in Brazil. We simulated the model for the populations of the State of Sao Paulo and Brazil as a whole, varying the scenarios related to vaccine efficacy and compliance from the populations. Results The model projects that, in the absence of vaccination, almost 170 thousand deaths and more than 350 thousand deaths will occur by the end of 2021 for Sao Paulo and Brazil, respectively. If in contrast, Sao Paulo and Brazil had enough vaccine supply and so started a vaccination campaign in January with the maximum vaccination rate, compliance and efficacy, they could have averted more than 112 thousand deaths and 127 thousand deaths, respectively. In addition, for each month of delay the number of deaths increases monotonically in a logarithmic fashion, for both the State of Sao Paulo and Brazil as a whole. Conclusions Our model shows that the current delay in the vaccination schedules that is observed in many countries has serious consequences in terms of mortality by the disease and should serve as an alert to health authorities to speed the process up such that the highest number of people to be immunized is reached in the shortest period of time.
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Affiliation(s)
- Marcos Amaku
- School of Medicine, University of Sao Paulo and LIM01-HCFMUSP, Sao Paulo, Brazil.,School of Veterinary Medicine, University of Sao Paulo, Sao Paulo, Brazil
| | | | | | | | - Eduardo Massad
- School of Medicine, University of Sao Paulo and LIM01-HCFMUSP, Sao Paulo, Brazil. .,School of Applied Mathematics, Fundacao Getulio Vargas, Rua Praia de Botafogo 190, Rio de Janeiro, RJ, CEP 22250-900, Brazil. .,London School of Hygiene and Tropical Medicine, Keppel St., London, WC1E 7HT, UK.
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16
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Clancy IL, Jones RT, Power GM, Logan JG, Iriart JAB, Massad E, Kinsman J. Public health messages on arboviruses transmitted by Aedes aegypti in Brazil. BMC Public Health 2021; 21:1362. [PMID: 34243740 PMCID: PMC8272386 DOI: 10.1186/s12889-021-11339-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2021] [Accepted: 04/30/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The outbreak of Zika virus in Brazil in 2015 followed the arrival of chikungunya in 2014 and a long history of dengue circulation. Vital to the response to these outbreaks of mosquito-borne pathogens has been the dissemination of public health messages, including those promoted through risk communication posters. This study explores the content of a sample of posters circulated in Brazil towards the end of the Zika epidemic in 2017 and analyses their potential effectiveness in inducing behaviour change. METHODS A content analysis was performed on 37 posters produced in Brazil to address outbreaks of mosquito-borne pathogens. The six variables of the Health Belief Model were used to assess the potential effectiveness of the posters to induce behaviour change. RESULTS Three overarching key messages emerged from the posters. These included (i) the arboviruses and their outcomes, (ii) a battle against the mosquito, and (iii) a responsibility to protect and prevent. Among the six variables utilised through the Health Belief Model, cues to action were most commonly featured, whilst the perceived benefits of engaging in behaviours to prevent arbovirus transmission were the least commonly featured. CONCLUSIONS The posters largely focused on mosquito-borne transmission and the need to eliminate breeding sites, and neglected the risk of the sexual and congenital transmission of Zika and the importance of alternative preventive actions. This, we argue, may have limited the potential effectiveness of these posters to induce behaviour change.
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Affiliation(s)
- India L Clancy
- Department of Public Health, Environments & Society, London School of Hygiene & Tropical Medicine, London, UK
| | - Robert T Jones
- Department of Disease Control, London School of Hygiene & Tropical Medicine, London, UK
| | - Grace M Power
- Department of Disease Control, London School of Hygiene & Tropical Medicine, London, UK
- MRC Integrative Epidemiology Unit, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK
| | - James G Logan
- Department of Disease Control, London School of Hygiene & Tropical Medicine, London, UK.
| | | | - Eduardo Massad
- School of Applied Mathematics, Fundacao Getulio Vargas, Rua Praia de Botafogo 190, Rio de Janeiro, RJ, CEP 22250-900, Brazil
| | - John Kinsman
- Department of Epidemiology and Global Health, Faculty of Medicine, Umeå University, Umeå, Sweden
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17
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Oliveira TMP, Laporta GZ, Bergo ES, Chaves LSM, Antunes JLF, Bickersmith SA, Conn JE, Massad E, Sallum MAM. Vector role and human biting activity of Anophelinae mosquitoes in different landscapes in the Brazilian Amazon. Parasit Vectors 2021; 14:236. [PMID: 33957959 PMCID: PMC8101188 DOI: 10.1186/s13071-021-04725-2] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2020] [Accepted: 04/16/2021] [Indexed: 12/26/2022] Open
Abstract
BACKGROUND Environmental disturbance, deforestation and socioeconomic factors all affect malaria incidence in tropical and subtropical endemic areas. Deforestation is the major driver of habitat loss and fragmentation, which frequently leads to shifts in the composition, abundance and spatial distribution of vector species. The goals of the present study were to: (i) identify anophelines found naturally infected with Plasmodium; (ii) measure the effects of landscape on the number of Nyssorhynchus darlingi, presence of Plasmodium-infected Anophelinae, human biting rate (HBR) and malaria cases; and (iii) determine the frequency and peak biting time of Plasmodium-infected mosquitoes and Ny. darlingi. METHODS Anopheline mosquitoes were collected in peridomestic and forest edge habitats in seven municipalities in four Amazon Brazilian states. Females were identified to species and tested for Plasmodium by real-time PCR. Negative binomial regression was used to measure any association between deforestation and number of Ny. darlingi, number of Plasmodium-infected Anophelinae, HBR and malaria. Peak biting time of Ny. darlingi and Plasmodium-infected Anophelinae were determined in the 12-h collections. Binomial logistic regression measured the association between presence of Plasmodium-infected Anophelinae and landscape metrics and malaria cases. RESULTS Ninety-one females of Ny. darlingi, Ny. rangeli, Ny. benarrochi B and Ny. konderi B were found to be infected with Plasmodium. Analysis showed that the number of malaria cases and the number of Plasmodium-infected Anophelinae were more prevalent in sites with higher edge density and intermediate forest cover (30-70%). The distance of the drainage network to a dwelling was inversely correlated to malaria risk. The peak biting time of Plasmodium-infected Anophelinae was 00:00-03:00 h. The presence of Plasmodium-infected mosquitoes was higher in landscapes with > 13 malaria cases. CONCLUSIONS Nyssorhynchus darlingi, Ny. rangeli, Ny. benarrochi B and Ny. konderi B can be involved in malaria transmission in rural settlements. The highest fraction of Plasmodium-infected Anophelinae was caught from midnight to 03:00 h. In some Amazonian localities, the highest exposure to infectious bites occurs when residents are sleeping, but transmission can occur throughout the night. Forest fragmentation favors increases in both malaria and the occurrence of Plasmodium-infected mosquitoes in peridomestic habitat. The use of insecticide-impregnated mosquito nets can decrease human exposure to infectious Anophelinae and malaria transmission.
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Affiliation(s)
- Tatiane M P Oliveira
- Departamento de Epidemiologia, Faculdade de Saúde Pública, Universidade de São Paulo, Av. Dr. Arnaldo, 715, Cerqueira César, São Paulo, SP, 01246-904, Brazil.
| | - Gabriel Z Laporta
- Setor de Pós-Graduação, Pesquisa e Inovação, Centro Universitário Saúde ABC (FMABC), Fundação ABC, Santo André, SP, Brazil
| | - Eduardo S Bergo
- Superintendencia de Controle de Endemias, Secretaria de Estado da Saúde, Araraquara, SP, Brazil
| | - Leonardo Suveges Moreira Chaves
- Departamento de Epidemiologia, Faculdade de Saúde Pública, Universidade de São Paulo, Av. Dr. Arnaldo, 715, Cerqueira César, São Paulo, SP, 01246-904, Brazil
| | - José Leopoldo F Antunes
- Departamento de Epidemiologia, Faculdade de Saúde Pública, Universidade de São Paulo, Av. Dr. Arnaldo, 715, Cerqueira César, São Paulo, SP, 01246-904, Brazil
| | | | - Jan E Conn
- Wadsworth Center, New York State Department of Health, Albany, NY, USA
- Department of Biomedical Sciences, School of Public Health, State University of New York, Albany, NY, USA
| | - Eduardo Massad
- Escola de Matemática Aplicada, Fundação Getúlio Vargas, Rio de Janeiro, RJ, Brazil
| | - Maria Anice Mureb Sallum
- Departamento de Epidemiologia, Faculdade de Saúde Pública, Universidade de São Paulo, Av. Dr. Arnaldo, 715, Cerqueira César, São Paulo, SP, 01246-904, Brazil
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18
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Massad E, Amaku M, Tadeu Covas D, Fernandes Lopez L, Coutinho FAB. Estimating the effects of reopening of schools on the course of the epidemic of COVID-19. Epidemiol Infect 2021. [PMID: 33814022 DOI: 10.1017/s0950268821000686)] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/16/2023] Open
Abstract
In this paper, we present a method to estimate the risk of reopening of schools illustrated with the case of the State of São Paulo, Brazil. The model showed that, although no death of children would result from the reopening of the schools in the three cities analysed, the risk of asymptomatic and symptomatic cases and secondary cases among teachers, school staff and relatives of the children is not negligible. Although the epidemic hit different regions with different intensities, our model shows that, for regions where the incidence profile is similar to the cities analysed, the risk of reopening of schools is still too high. This in spite of the fact that incidences in these cities were declining in the period of the time considered. Therefore, although we cannot extend the result to the entire country, the overall conclusion is valid for regions with a declining incidence and it is even more valid for regions where incidence is increasing. We assumed a very conservative level of infection transmissibility of children of just 10% as that of adults. In spite of the very low level of transmissibility is assumed, the number of secondary cases caused by infected children among teachers, school staff and relatives varied from 2 to 85. It is, therefore, too soon to have any degree of confidence that reopening of schools before the advent of a vaccine is the right decision to take. The purpose of our model and simulations is to provide a method to estimate the risk of school reopening, although we are sure it could be applied as a guide to public health strategies.
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Affiliation(s)
- Eduardo Massad
- School of Medicine, University of Sao Paulo and LIM01-HCFMUSP, Sao Paulo, Brazil
- School of Applied Mathematics, Fundacao Getulio Vargas, Rio de Janeiro, Brazil
| | - Marcos Amaku
- School of Medicine, University of Sao Paulo and LIM01-HCFMUSP, Sao Paulo, Brazil
- School of Veterinary Medicine, University of Sao Paulo, Sao Paulo, Brazil
| | | | - Luis Fernandes Lopez
- School of Medicine, University of Sao Paulo and LIM01-HCFMUSP, Sao Paulo, Brazil
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19
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Massad E, Amaku M, Tadeu Covas D, Fernandes Lopez L, Coutinho FAB. Estimating the effects of reopening of schools on the course of the epidemic of COVID-19. Epidemiol Infect 2021; 149:e86. [PMID: 33814022 PMCID: PMC8047398 DOI: 10.1017/s0950268821000686] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2020] [Revised: 03/22/2021] [Accepted: 03/30/2021] [Indexed: 01/19/2023] Open
Abstract
In this paper, we present a method to estimate the risk of reopening of schools illustrated with the case of the State of São Paulo, Brazil. The model showed that, although no death of children would result from the reopening of the schools in the three cities analysed, the risk of asymptomatic and symptomatic cases and secondary cases among teachers, school staff and relatives of the children is not negligible. Although the epidemic hit different regions with different intensities, our model shows that, for regions where the incidence profile is similar to the cities analysed, the risk of reopening of schools is still too high. This in spite of the fact that incidences in these cities were declining in the period of the time considered. Therefore, although we cannot extend the result to the entire country, the overall conclusion is valid for regions with a declining incidence and it is even more valid for regions where incidence is increasing. We assumed a very conservative level of infection transmissibility of children of just 10% as that of adults. In spite of the very low level of transmissibility is assumed, the number of secondary cases caused by infected children among teachers, school staff and relatives varied from 2 to 85. It is, therefore, too soon to have any degree of confidence that reopening of schools before the advent of a vaccine is the right decision to take. The purpose of our model and simulations is to provide a method to estimate the risk of school reopening, although we are sure it could be applied as a guide to public health strategies.
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Affiliation(s)
- Eduardo Massad
- School of Medicine, University of Sao Paulo and LIM01-HCFMUSP, Sao Paulo, Brazil
- School of Applied Mathematics, Fundacao Getulio Vargas, Rio de Janeiro, Brazil
| | - Marcos Amaku
- School of Medicine, University of Sao Paulo and LIM01-HCFMUSP, Sao Paulo, Brazil
- School of Veterinary Medicine, University of Sao Paulo, Sao Paulo, Brazil
| | | | - Luis Fernandes Lopez
- School of Medicine, University of Sao Paulo and LIM01-HCFMUSP, Sao Paulo, Brazil
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20
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Laporta GZ, Ilacqua RC, Bergo ES, Chaves LSM, Rodovalho SR, Moresco GG, Figueira EAG, Massad E, de Oliveira TMP, Bickersmith SA, Conn JE, Sallum MAM. Malaria transmission in landscapes with varying deforestation levels and timelines in the Amazon: a longitudinal spatiotemporal study. Sci Rep 2021; 11:6477. [PMID: 33742028 PMCID: PMC7979798 DOI: 10.1038/s41598-021-85890-3] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2020] [Accepted: 03/08/2021] [Indexed: 01/31/2023] Open
Abstract
The relationship between deforestation and malaria is a spatiotemporal process of variation in Plasmodium incidence in human-dominated Amazonian rural environments. The present study aimed to assess the underlying mechanisms of malarial exposure risk at a fine scale in 5-km2 sites across the Brazilian Amazon, using field-collected data with a longitudinal spatiotemporally structured approach. Anopheline mosquitoes were sampled from 80 sites to investigate the Plasmodium infection rate in mosquito communities and to estimate the malaria exposure risk in rural landscapes. The remaining amount of forest cover (accumulated deforestation) and the deforestation timeline were estimated in each site to represent the main parameters of both the frontier malaria hypothesis and an alternate scenario, the deforestation-malaria hypothesis, proposed herein. The maximum frequency of pathogenic sites occurred at the intermediate forest cover level (50% of accumulated deforestation) at two temporal deforestation peaks, e.g., 10 and 35 years after the beginning of the organization of a settlement. The incidence density of infected anophelines in sites where the original forest cover decreased by more than 50% in the first 25 years of settlement development was at least twice as high as the incidence density calculated for the other sites studied (adjusted incidence density ratio = 2.25; 95% CI, 1.38-3.68; p = 0.001). The results of this study support the frontier malaria as a unifying hypothesis for explaining malaria emergence and for designing specific control interventions in the Brazilian Amazon.
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Affiliation(s)
- Gabriel Z Laporta
- Setor de Pós-Graduação, Pesquisa e Inovação, Centro Universitário Saúde ABC (FMABC), Fundação ABC, Santo André, SP, Brazil.
| | - Roberto C Ilacqua
- Setor de Pós-Graduação, Pesquisa e Inovação, Centro Universitário Saúde ABC (FMABC), Fundação ABC, Santo André, SP, Brazil
| | - Eduardo S Bergo
- Superintendência de Controle de Endemias (SUCEN), Secretaria de Estado da Saúde de São Paulo, Araraquara, SP, Brazil
| | - Leonardo S M Chaves
- Departamento de Epidemiologia, Faculdade de Saúde Pública, Universidade de São Paulo (FSP-USP), São Paulo, SP, Brazil
| | - Sheila R Rodovalho
- Unidade Técnica de Doenças Transmissíveis e Análise de Situação em Saúde, Pan American Health Organization (PAHO/WHO), Brasília, DF, Brazil
| | - Gilberto G Moresco
- Coordenação-Geral de Vigilância de Zoonoses e Doenças de Transmissão Vetorial, Secretaria de Vigilância em Saúde, Ministério da Saúde (MS), Brasília, DF, Brazil
| | | | - Eduardo Massad
- Escola de Matemática Aplicada, Fundação Getúlio Vargas, Rio de Janeiro, RJ, Brazil
| | - Tatiane M P de Oliveira
- Departamento de Epidemiologia, Faculdade de Saúde Pública, Universidade de São Paulo (FSP-USP), São Paulo, SP, Brazil
| | - Sara A Bickersmith
- New York State Department of Health, The Wadsworth Center, Slingerlands, NY, USA
| | - Jan E Conn
- New York State Department of Health, The Wadsworth Center, Slingerlands, NY, USA
- Department of Biomedical Sciences, School of Public Health, State University of New York, Albany, NY, USA
| | - Maria Anice M Sallum
- Departamento de Epidemiologia, Faculdade de Saúde Pública, Universidade de São Paulo (FSP-USP), São Paulo, SP, Brazil.
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21
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Amaku M, Covas DT, Coutinho FAB, Azevedo RS, Massad E. Modelling the impact of contact tracing of symptomatic individuals on the COVID-19 epidemic. Clinics (Sao Paulo) 2021; 76:e2639. [PMID: 33787657 PMCID: PMC7978843 DOI: 10.6061/clinics/2021/e2639] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/27/2020] [Accepted: 01/28/2021] [Indexed: 12/20/2022] Open
Abstract
OBJECTIVES With the declining numbers of coronavirus disease 2019 (COVID-19) cases in the state of São Paulo, Brazil, social distancing measures have gradually been lifted. However, the risk of a surge in the number of cases cannot be overlooked. Even with the adoption of nonpharmaceutical interventions, such as restrictions on mass gatherings, wearing of masks, and complete or partial closure of schools, other public health measures may help control the epidemic. We aimed to evaluate the impact of the contact tracing of symptomatic individuals on the COVID-19 epidemic regardless of the use of diagnostic testing. METHODS We developed a mathematical model that includes isolation of symptomatic individuals and tracing of contacts to assess the effects of the contact tracing of symptomatic individuals on the COVID-19 epidemic in the state of São Paulo. RESULTS For a selection efficacy (proportion of isolated contacts who are infected) of 80%, cases and deaths may be reduced by 80% after 60 days when 5000 symptomatic individuals are isolated per day, each of them together with 10 contacts. On the other hand, for a selection efficacy of 20%, the number of cases and deaths may be reduced by approximately 40% and 50%, respectively, compared with the scenario in which no contact-tracing strategy is implemented. CONCLUSION Contact tracing of symptomatic individuals may potentially be an alternative strategy when the number of diagnostic tests available is not sufficient for massive testing.
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Affiliation(s)
- Marcos Amaku
- Laboratorio de Investigacao Medica (LIM01), Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, SP, BR
- Faculdade de Medicina Veterinaria e Zootecnia, Universidade de Sao Paulo, Sao Paulo, SP, BR
- *Corresponding author. E-mail:
| | | | | | - Raymundo Soares Azevedo
- Laboratorio de Investigacao Medica (LIM01), Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, SP, BR
| | - Eduardo Massad
- Laboratorio de Investigacao Medica (LIM01), Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, SP, BR
- Escola de Matematica Aplicada, Fundacao Getulio Vargas, Rio de Janeiro, RJ, BR
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22
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Massad E, Laporta GZ, Conn JE, Chaves LS, Bergo ES, Figueira EAG, Bezerra Coutinho FA, Lopez LF, Struchiner C, Sallum MAM. The risk of malaria infection for travelers visiting the Brazilian Amazonian region: A mathematical modeling approach. Travel Med Infect Dis 2020; 37:101792. [PMID: 32771653 DOI: 10.1016/j.tmaid.2020.101792] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2019] [Revised: 05/30/2020] [Accepted: 06/15/2020] [Indexed: 12/15/2022]
Abstract
BACKGROUND Human mobility between malaria endemic and malaria-free areas can hinder control and elimination efforts in the Amazon basin, maintaining Plasmodium circulation and introduction to new areas. METHODS The analysis begins by estimating the incidence of malaria in areas of interest. Then, the risk of infection as a function of the duration of stay after t0 was calculated as the number of infected travelers over the number of arrived travelers. Differential equations were employed to estimate the risk of nonimmune travelers acquiring malaria in Amazonian municipalities. Risk was calculated as a result of the force of the infection in terms of local dynamics per time of arrival and duration of visit. RESULTS Maximum risk occurred at the peak or at the end of the rainy season and it was nonlinearly (exponentially) correlated with the fraction of infected mosquitoes. Relationship between the risk of malaria and duration of visit was linear and positively correlated. Relationship between the risk of malaria and the time of arrival in the municipality was dependent on local effects of seasonality. CONCLUSIONS The risk of nonimmune travelers acquiring malaria is not negligible and can maintain regional circulation of parasites, propagating introductions in areas where malaria has been eliminated.
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Affiliation(s)
- Eduardo Massad
- Escola de Matemática Aplicada, Fundação Getúlio Vargas, Rio de Janeiro, Brazil
| | - Gabriel Zorello Laporta
- Setor de Pós-graduação, Pesquisa e Inovação, Centro Universitário Saúde ABC, Fundação do ABC, Santo André, SP, Brazil
| | - Jan Evelyn Conn
- Wadsworth Center, New York State Department of Health, Albany, NY, USA
| | - Leonardo Suveges Chaves
- Departamento de Epidemiologia, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Eduardo Sterlino Bergo
- Superintendência de Controle de Endemias, Secretaria de Estado da Saúde de São Paulo, Araraquara, SP, Brazil
| | | | | | | | - Claudio Struchiner
- Escola de Matemática Aplicada, Fundação Getúlio Vargas, Rio de Janeiro, Brazil
| | - Maria Anice Mureb Sallum
- Departamento de Epidemiologia, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, SP, Brazil.
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23
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Maier SB, Massad E, Amaku M, Burattini MN, Greenhalgh D. The optimal age of vaccination against dengue in Brazil based on serotype-specific forces of infection derived from serological data. Math Med Biol 2020; 38:1-27. [PMID: 32671383 DOI: 10.1093/imammb/dqaa007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/28/2019] [Revised: 06/06/2020] [Accepted: 06/06/2020] [Indexed: 11/14/2022]
Abstract
In this paper, we study a single serotype transmission model of dengue to determine the optimal vaccination age for Dengvaxia. The transmission dynamics are modelled with an age-dependent force of infection. The force of infection for each serotype is derived from the serological profile of dengue in Brazil without serotype distinction and from serotype-specific reported cases. The risk due to an infection is measured by the probability of requiring hospitalization based on Brazilian Ministry of Health data. The optimal vaccination age is determined for any number and combination of the four distinct dengue virus serotypes DENv1-4. The lifetime expected risk is adapted to include antibody dependent enhancement (ADE) and permanent cross-immunity after two heterologous infections. The risk is assumed to be serostatus-dependent. The optimal vaccination age is computed for constant, serostatus-specific vaccine efficacies. Additionally, the vaccination age is restricted to conform to the licence of Dengvaxia in Brazil and the achievable and minimal lifetime expected risks are compared. The optimal vaccination age obtained for the risk of hospitalization varies significantly with the assumptions relating to ADE and cross-immunity. Risk-free primary infections lead to higher optimal vaccination ages, as do asymptomatic third and fourth infections. Sometimes vaccination is not recommended at all, e.g. for any endemic area with a single serotype if primary infections are risk-free. Restricting the vaccination age to Dengvaxia licensed ages mostly leads to only a slightly higher lifetime expected risk and the vaccine should be administered as close as possible to the optimal vaccination age.
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Affiliation(s)
- Sandra B Maier
- Department of Mathematics and Statistics, University of Strathclyde, Glasgow G1 1XH, UK
| | - Eduardo Massad
- School of Applied Mathematics, Fundacao Getulio Vargas, Rio de Janeiro, Brazil, LIM01-Hospital de Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil, London School of Hygiene and Tropical Medicine, London, UK
| | - Marcos Amaku
- LIM01-Hospital de Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Marcelo N Burattini
- LIM01-Hospital de Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil, Hospital São Paulo, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil
| | - David Greenhalgh
- Department of Mathematics and Statistics, University of Strathclyde, Glasgow G1 1XH, UK
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Ribas LM, Massad MR, Pinto AC, Heng HG, Tremori TM, Reis ST, Baroni CO, Massad E, Rocha NS. Post-mortem CT vs necropsy in feline medicine. J Feline Med Surg 2020; 22:1206-1213. [PMID: 32436802 DOI: 10.1177/1098612x20919310] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
OBJECTIVES The aim of this study was to compare post-mortem CT findings with necropsy findings in domestic cats. METHODS Post-mortem CT and necropsies were performed in 20 cadavers of domestic cats. The sensitivity, specificity and agreement between the post-mortem CT and necropsy findings were determined. RESULTS There were a total of 315 post-mortem findings; 183 were identified by post-mortem CT and 132 were identified by necropsy. Post-mortem CT demonstrated a higher sensitivity to identify the findings mainly in bones. The higher indices of agreement between post-mortem CT and necropsy were related to abnormalities of pleural space, bones and joints. CONCLUSIONS AND RELEVANCE This study demonstrated that post-mortem CT and necropsy provided different information. Thus, their use in conjunction with each other might improve the understanding of the cause of death and the identification of post-mortem lesions.
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Affiliation(s)
- Laila M Ribas
- Department of Veterinary Clinical Sciences, School of Veterinary Medicine and Animal Science, São Paulo State University, Botucatu, Brazil
| | - Mara Rr Massad
- Department of Veterinary Clinical Sciences, School of Veterinary Medicine and Animal Science, São Paulo State University, Botucatu, Brazil
| | - Ana Cbcf Pinto
- Surgery Department, School of Veterinary Medicine and Animal Science, University of São Paulo, São Paulo, Brazil
| | - Hock Gan Heng
- Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Purdue University, West Lafayette, IN, USA
| | - Tália M Tremori
- Department of Veterinary Clinical Sciences, School of Veterinary Medicine and Animal Science, São Paulo State University, Botucatu, Brazil
| | - Sérvio Tj Reis
- Department of Veterinary Clinical Sciences, School of Veterinary Medicine and Animal Science, São Paulo State University, Botucatu, Brazil
| | - Carina O Baroni
- Surgery Department, School of Veterinary Medicine and Animal Science, University of São Paulo, São Paulo, Brazil
| | - Eduardo Massad
- School of Applied Mathematics of the Fundação Getulio Vargas, Rio de Janeiro, Brazil
| | - Noeme S Rocha
- Department of Veterinary Clinical Sciences, School of Veterinary Medicine and Animal Science, São Paulo State University, Botucatu, Brazil
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Kurauchi A, Struchiner CJ, Wilder-Smith A, Massad E. Modelling the effect of a dengue vaccine on reducing the evolution of resistance against antibiotic due to misuse in dengue cases. Theor Biol Med Model 2020; 17:7. [PMID: 32404100 PMCID: PMC7218541 DOI: 10.1186/s12976-020-00125-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2019] [Accepted: 04/24/2020] [Indexed: 02/07/2023] Open
Abstract
Background This paper intends to check whether and how a hypothetical dengue vaccine could contribute to issue of evolution of bacteria resistance against antibiotics by reducing the number of patients that would inappropriately being treated with antibiotics. Methods We use a new mathematical model that combines, in a novel way, two previously published papers, one on the evolution of resistance against antibiotics and one classical Ross-Macdonald model for dengue transmission. Results The model is simulated numerically and reproduces a real case of evolution of resistance against antibiotics. In addition the model shows that the use of a hypothetical dengue vaccine could help to curb the evolution of resistance against an antibiotic inappropriately used in dengue patients. Both the increase in the proportion of resistant bacteria due to the misuse of antibiotics in dengue cases as a function of the fraction of treated patients and the reduction of that proportion as a function of vaccination coverage occur in a highly non-linear fashion. Conclusion The use of a dengue vaccine is helpful in reducing the rate of evolution of antibiotic resistance in a scenario of misuse of the antibiotics in dengue patients.
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Affiliation(s)
- Ana Kurauchi
- School of Medicine, University of Sao Paulo, Sao Paulo, Brazil
| | - Claudio Jose Struchiner
- School of Applied Mathematics, Fundacao Getulio Vargas, Rua Praia de Botafogo 190, Rio de Janeiro, CEP - 22250-900, Brazil
| | - Annelies Wilder-Smith
- Department of Disease Control, London School of Hygiene and Tropical Medicine, London, UK.,Heidelberg Institute of Global Health, University of Heidelberg, Heidelber, Germany
| | - Eduardo Massad
- School of Medicine, University of Sao Paulo, Sao Paulo, Brazil. .,School of Applied Mathematics, Fundacao Getulio Vargas, Rua Praia de Botafogo 190, Rio de Janeiro, CEP - 22250-900, Brazil.
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Estofolete CF, Milhim BHGDA, França CCGD, Silva GCDD, Augusto MT, Terzian ACB, Zini N, Durigon EL, Oliveira DBL, Massad E, Nogueira ML. Prevalence of Measles Antibodies in São José do Rio Preto, São Paulo, Brazil: A serological survey model. Sci Rep 2020; 10:5179. [PMID: 32198469 PMCID: PMC7083962 DOI: 10.1038/s41598-020-62151-3] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2019] [Accepted: 03/10/2020] [Indexed: 01/05/2023] Open
Abstract
Measles is an acute and highly contagious but vaccine-preventable infectious disease. Despite years of being considered eliminated, decreased vaccination rates have produced virus reemergence in several countries, including Brazil. Measles can be controlled through immunization programs, through which aim to achieve 95% coverage with two doses of the vaccine. Measles can also be controlled if suspected cases can be properly identified in order to contain outbreaks. This cross-sectional study determined the prevalence of measles antibodies and their correlation with rubella antibodies (resulting from the combination vaccine used in Brazil's public immunization program) in individuals aged higher 10 years old in São José do Rio Preto, São Paulo State, Brazil, participants of a prospective cohort of arbovirosis surveillance before virus reemergence in the country. Our findings presented that 32.9% of individuals aged 10-40 years old had not antibodies against measles; 39.3% of total individuals with documented evidence of measles vaccination did not have anti-measles IgG, though only 20.2% of individuals with documented evidence of rubella vaccination lacked anti-rubella IgG. Besides, the most of measles cases reported in the city, following the virus spreading in the country, occurred especially in groups defined by us as susceptible. Because the combination MMR vaccine is part of Brazil's national vaccine schedule, the possible reasons for this relatively high rate of seronegativity need to be investigated further, once that it reflects outbreak risk.
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Affiliation(s)
- Cassia Fernanda Estofolete
- Laboratório de Pesquisas em Virologia, São José do Rio Preto Medical School (FAMERP), São José, São Paulo State, Brazil
| | | | | | | | - Marcos Tayar Augusto
- Laboratório de Pesquisas em Virologia, São José do Rio Preto Medical School (FAMERP), São José, São Paulo State, Brazil
| | | | - Nathalia Zini
- Laboratório de Pesquisas em Virologia, São José do Rio Preto Medical School (FAMERP), São José, São Paulo State, Brazil
| | - Edison Luís Durigon
- Clinical and Molecular Virology Laboratory, Department of Biomedical Science, University of São Paulo (USP), São José, São Paulo State, Brazil
| | - Daniele Bruna Leal Oliveira
- Clinical and Molecular Virology Laboratory, Department of Biomedical Science, University of São Paulo (USP), São José, São Paulo State, Brazil
| | - Eduardo Massad
- School of Applied Mathematics, Getúlio Vargas Foundation (FGV), Rio, Rio de Janeiro State, Brazil
| | - Mauricio Lacerda Nogueira
- Laboratório de Pesquisas em Virologia, São José do Rio Preto Medical School (FAMERP), São José, São Paulo State, Brazil.
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Wilder-Smith A, Preet R, Brickley EB, Ximenes RADA, Miranda-Filho DDB, Turchi Martelli CM, Araújo TVBD, Montarroyos UR, Moreira ME, Turchi MD, Solomon T, Jacobs BC, Villamizar CP, Osorio L, de Filipps AMB, Neyts J, Kaptein S, Huits R, Ariën KK, Willison HJ, Edgar JM, Barnett SC, Peeling R, Boeras D, Guzman MG, de Silva AM, Falconar AK, Romero-Vivas C, Gaunt MW, Sette A, Weiskopf D, Lambrechts L, Dolk H, Morris JK, Orioli IM, O'Reilly KM, Yakob L, Rocklöv J, Soares C, Ferreira MLB, Franca RFDO, Precioso AR, Logan J, Lang T, Jamieson N, Massad E. ZikaPLAN: addressing the knowledge gaps and working towards a research preparedness network in the Americas. Glob Health Action 2020; 12:1666566. [PMID: 31640505 PMCID: PMC6818126 DOI: 10.1080/16549716.2019.1666566] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022] Open
Abstract
Zika Preparedness Latin American Network (ZikaPLAN) is a research consortium funded by the European Commission to address the research gaps in combating Zika and to establish a sustainable network with research capacity building in the Americas. Here we present a report on ZikaPLAN`s mid-term achievements since its initiation in October 2016 to June 2019, illustrating the research objectives of the 15 work packages ranging from virology, diagnostics, entomology and vector control, modelling to clinical cohort studies in pregnant women and neonates, as well as studies on the neurological complications of Zika infections in adolescents and adults. For example, the Neuroviruses Emerging in the Americas Study (NEAS) has set up more than 10 clinical sites in Colombia. Through the Butantan Phase 3 dengue vaccine trial, we have access to samples of 17,000 subjects in 14 different geographic locations in Brazil. To address the lack of access to clinical samples for diagnostic evaluation, ZikaPLAN set up a network of quality sites with access to well-characterized clinical specimens and capacity for independent evaluations. The International Committee for Congenital Anomaly Surveillance Tools was formed with global representation from regional networks conducting birth defects surveillance. We have collated a comprehensive inventory of resources and tools for birth defects surveillance, and developed an App for low resource regions facilitating the coding and description of all major externally visible congenital anomalies including congenital Zika syndrome. Research Capacity Network (REDe) is a shared and open resource centre where researchers and health workers can access tools, resources and support, enabling better and more research in the region. Addressing the gap in research capacity in LMICs is pivotal in ensuring broad-based systems to be prepared for the next outbreak. Our shared and open research space through REDe will be used to maximize the transfer of research into practice by summarizing the research output and by hosting the tools, resources, guidance and recommendations generated by these studies. Leveraging on the research from this consortium, we are working towards a research preparedness network.
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Affiliation(s)
| | - Raman Preet
- Department of Epidemiology and Global Health, Umeå University , Umeå , Sweden
| | | | - Ricardo Arraes de Alencar Ximenes
- Departamento de Medicina Tropical, Universidade Federal de Pernambuco , Recife , Brasil.,Departamento de Medicina Interna, Universidade de Pernambuco , Recife , Brasil
| | | | | | | | | | | | - Marília Dalva Turchi
- Instituto de Patologia Tropical e Saúde Publica, Universidade Federal de Goiás , Goiânia , Brasil
| | - Tom Solomon
- Institute of Infection and Global Health, The University of Liverpool , Liverpool , UK
| | - Bart C Jacobs
- Departments of Neurology and Immunology, Erasmus Universitair Medisch Centrum Rotterdam , The Netherlands
| | | | | | | | - Johan Neyts
- Department of Microbiology, Immunology and Transplantation, KU Leuven, Rega Institute of Medical Research , Leuven , Belgium
| | - Suzanne Kaptein
- Department of Microbiology, Immunology and Transplantation, KU Leuven, Rega Institute of Medical Research , Leuven , Belgium
| | - Ralph Huits
- Institute of Tropical Medicine , Antwerp , Belgium
| | | | - Hugh J Willison
- Institute of Infection, Immunity & Inflammation, University of Glasgow , Glasgow , UK
| | - Julia M Edgar
- Institute of Infection, Immunity & Inflammation, University of Glasgow , Glasgow , UK
| | - Susan C Barnett
- Institute of Infection, Immunity & Inflammation, University of Glasgow , Glasgow , UK
| | | | - Debi Boeras
- London School of Hygiene & Tropical Medicine , London , UK
| | | | - Aravinda M de Silva
- Department of Microbiology and Immunology, University of North Carolina at Chapel Hill , NC , USA
| | - Andrew K Falconar
- London School of Hygiene & Tropical Medicine , London , UK.,Departmento del Medicina, Fundacion Universidad del Norte , Barranquilla , Colombia
| | - Claudia Romero-Vivas
- Departmento del Medicina, Fundacion Universidad del Norte , Barranquilla , Colombia
| | | | - Alessandro Sette
- Division of Vaccine Discovery, La Jolla Institute for Allergy and Immunology , La Jolla , CA , USA.,Department of Medicine, University of California San Diego , La Jolla , CA , USA
| | - Daniela Weiskopf
- Division of Vaccine Discovery, La Jolla Institute for Allergy and Immunology , La Jolla , CA , USA
| | - Louis Lambrechts
- Insect-Virus Interactions Unit, Institut Pasteur, UMR2000, CNRS , Paris , France
| | - Helen Dolk
- Maternal Fetal and Infant Research Centre, Institute of Nursing and Health Research, Ulster University , Newtownabbey , UK
| | - Joan K Morris
- Population Health Research Institute, St George's, University of London , London , UK
| | - Ieda M Orioli
- Associação Técnico-Científica Estudo Colaborativo Latino Americano de Malformações Congênitas (ECLAMC) no Departmento de Genética, Instituto de Biologia, Universidade Federal do Rio de Janeiro , Rio de Janeiro , Brazil
| | | | - Laith Yakob
- London School of Hygiene & Tropical Medicine , London , UK
| | - Joacim Rocklöv
- Department of Epidemiology and Global Health, Umeå University , Umeå , Sweden
| | - Cristiane Soares
- Hospital Federal dos Servidores do Estado , Rio de Janeiro , Brazil
| | | | | | - Alexander R Precioso
- Instituto Butantan , Brazil.,Pediatrics Department, Medical School of University of Sao Paulo , Sao Paulo , Brazil
| | - James Logan
- London School of Hygiene & Tropical Medicine , London , UK
| | - Trudie Lang
- The Global Health Network, Masters and Scholars of the University of Oxford , Oxford , UK
| | - Nina Jamieson
- The Global Health Network, Masters and Scholars of the University of Oxford , Oxford , UK
| | - Eduardo Massad
- Fundacao de Apoio a Universidade de Sao Paulo , Sao Paulo , Brazil.,School of Applied Mathematics, Fundacao Getulio Vargas , Rio de Janeiro , Brazil
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Maier SB, Massad E, Amaku M, Burattini MN, Greenhalgh D. The Optimal Age of Vaccination Against Dengue with an Age-Dependent Biting Rate with Application to Brazil. Bull Math Biol 2020; 82:12. [PMID: 31933012 PMCID: PMC6957571 DOI: 10.1007/s11538-019-00690-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2019] [Accepted: 12/13/2019] [Indexed: 11/07/2022]
Abstract
In this paper we introduce a single serotype transmission model, including an age-dependent mosquito biting rate, to find the optimal vaccination age against dengue in Brazil with Dengvaxia. The optimal vaccination age and minimal lifetime expected risk of hospitalisation are found by adapting a method due to Hethcote (Math Biosci 89:29–52). Any number and combination of the four dengue serotypes DENv1–4 is considered. Successful vaccination against a serotype corresponds to a silent infection. The effects of antibody-dependent enhancement (ADE) and permanent cross-immunity after two heterologous infections are studied. ADE is assumed to imply risk-free primary infections, while permanent cross-immunity implies risk-free tertiary and quaternary infections. Data from trials of Dengvaxia indicate vaccine efficacy to be age and serostatus dependent and vaccination of seronegative individuals to induce an increased risk of hospitalisation. Some of the scenarios are therefore reconsidered taking these findings into account. The optimal vaccination age is compared to that achievable under the current age restriction of the vaccine. If vaccination is not considered to induce risk, optimal vaccination ages are very low. The assumption of ADE generally leads to a higher optimal vaccination age in this case. For a single serotype vaccination is not recommended in the case of ADE. Permanent cross-immunity results in a slightly lower optimal vaccination age. If vaccination induces a risk, the optimal vaccination ages are much higher, particularly for permanent cross-immunity. ADE has no effect on the optimal vaccination age when permanent cross-immunity is considered; otherwise, it leads to a slight increase in optimal vaccination age.
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Affiliation(s)
- Sandra B Maier
- Department of Mathematics and Statistics, University of Strathclyde, Glasgow, G1 1XH, U.K
| | - Eduardo Massad
- LIM01-Hospital de Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.,London School of Hygiene and Tropical Medicine, London, U.K.,School of Applied Mathematics, Fundação Getulio Vargas, Rio de Janeiro, RJ, Brazil
| | - Marcos Amaku
- LIM01-Hospital de Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Marcelo N Burattini
- LIM01-Hospital de Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.,Hospital São Paulo, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil
| | - David Greenhalgh
- Department of Mathematics and Statistics, University of Strathclyde, Glasgow, G1 1XH, U.K..
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Sallum MAM, Conn JE, Bergo ES, Laporta GZ, Chaves LSM, Bickersmith SA, de Oliveira TMP, Figueira EAG, Moresco G, Olívêr L, Struchiner CJ, Yakob L, Massad E. Vector competence, vectorial capacity of Nyssorhynchus darlingi and the basic reproduction number of Plasmodium vivax in agricultural settlements in the Amazonian Region of Brazil. Malar J 2019; 18:117. [PMID: 30947726 PMCID: PMC6449965 DOI: 10.1186/s12936-019-2753-7] [Citation(s) in RCA: 27] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2018] [Accepted: 03/28/2019] [Indexed: 11/10/2022] Open
Abstract
Background Brazilian malaria control programmes successfully reduced the incidence and mortality rates from 2005 to 2016. Since 2017, increased malaria has been reported across the Amazon. Few field studies focus on the primary malaria vector in high to moderate endemic areas, Nyssorhynchus darlingi, as the key entomological component of malaria risk, and on the metrics of Plasmodium vivax propagation in Amazonian rural communities. Methods Human landing catch collections were carried out in 36 houses of 26 communities in five municipalities in the Brazilian states of Acre, Amazonas and Rondônia states, with API (> 30). In addition, data on the number of locally acquired symptomatic infections were employed in mathematical modelling analyses carried out to determine Ny. darlingi vector competence and vectorial capacity to P. vivax; and to calculate the basic reproduction number for P. vivax. Results Entomological indices and malaria metrics ranged among localities: prevalence of P. vivax infection in Ny. darlingi, from 0.243% in Mâncio Lima, Acre to 3.96% in Machadinho D’Oeste, Rondônia; daily human-biting rate per person from 23 ± 1.18 in Cruzeiro do Sul, Acre, to 66 ± 2.41 in Lábrea, Amazonas; vector competence from 0.00456 in São Gabriel da Cachoeira, Amazonas to 0.04764 in Mâncio Lima, Acre; vectorial capacity from 0.0836 in Mâncio Lima, to 1.5 in Machadinho D’Oeste. The estimated R0 for P. vivax (PvR0) was 3.3 in Mâncio Lima, 7.0 in Lábrea, 16.8 in Cruzeiro do Sul, 55.5 in São Gabriel da Cachoeira, and 58.7 in Machadinho D’Oeste. Correlation between P. vivax prevalence in Ny. darlingi and vector competence was non-linear whereas association between prevalence of P. vivax in mosquitoes, vectorial capacity and R0 was linear and positive. Conclusions In spite of low vector competence of Ny. darlingi to P. vivax, parasite propagation in the human population is enhanced by the high human-biting rate, and relatively high vectorial capacity. The high PvR0 values suggest hyperendemicity in Machadinho D’Oeste and São Gabriel da Cachoeira at levels similar to those found for P. falciparum in sub-Saharan Africa regions. Mass screening for parasite reservoirs, effective anti-malarial drugs and vector control interventions will be necessary to shrinking transmission in Amazonian rural communities, Brazil. Electronic supplementary material The online version of this article (10.1186/s12936-019-2753-7) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Maria Anice M Sallum
- Departamento de Epidemiologia, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, SP, Brazil.
| | - Jan E Conn
- Wadsworth Center, New York State Department of Health, Albany, NY, USA.,Department of Biomedical Sciences, School of Public Health, State University of New York, Albany, NY, USA
| | - Eduardo S Bergo
- Superintendência de Controle de Endemias, Secretaria de Estado da Saúde de São Paulo, Araraquara, SP, Brazil
| | - Gabriel Z Laporta
- Setor de Pós-graduação, Pesquisa e Inovação, Faculdade de Medicina do ABC, Santo André, SP, Brazil
| | - Leonardo S M Chaves
- Departamento de Epidemiologia, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, SP, Brazil
| | | | - Tatiane M P de Oliveira
- Departamento de Epidemiologia, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, SP, Brazil
| | | | - Gilberto Moresco
- Secretaria de Vigilância em Saúde, Departamento de Vigilância das Doenças Transmissíveis, Ministério da Saúde, Brasília, DF, Brazil
| | - Lêuda Olívêr
- Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Claudio J Struchiner
- Departamento de Doenças Endêmicas Samuel Pessoa, Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brazil
| | - Laith Yakob
- Department of Disease Control, London School of Hygiene and Tropical Medicine, London, WC1E 7HT, UK
| | - Eduardo Massad
- Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.,Escola de Matemática Aplicada, Fundação Getúlio Vargas, Rio de Janeiro, RJ, Brazil
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Orsborne J, Furuya-Kanamori L, Jeffries CL, Kristan M, Mohammed AR, Afrane YA, O'Reilly K, Massad E, Drakeley C, Walker T, Yakob L. Investigating the blood-host plasticity and dispersal of Anopheles coluzzii using a novel field-based methodology. Parasit Vectors 2019; 12:143. [PMID: 30909960 PMCID: PMC6434891 DOI: 10.1186/s13071-019-3401-3] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2018] [Accepted: 03/15/2019] [Indexed: 11/10/2022] Open
Abstract
Background The biting behaviour and dispersal of insect vectors in the field underlies the transmission of many diseases. Here, a novel collection methodology coupled with the molecular analysis of blood-meal sources and digestion rates is introduced with the aim of aiding the understanding of two critical and relatively understudied mosquito behaviours: plasticity in blood-host choice and vector dispersal. Results A collection strategy utilising a transect of mosquito traps placed at 50 m intervals allowed the collection of blood-fed Anopheles coluzzii from a malaria-endemic village of southern Ghana where human host availability ranged from zero (a cattle pen), increasing until humans were the dominant host choice (the middle of the village). Blood-meal analysis using PCR showed statistically significant variation in blood-meal origins for mosquitoes collected across the 250 m transect: with decreasing trend in Bovine Blood Index (OR = 0.60 95% CI: 0.49–0.73, P < 0.01) and correspondingly, an increasing trend in Human Blood Index (OR = 1.50 95% CI: 1.05–2.16, P = 0.028) as the transect approached the village. Using qPCR, the host DNA remaining in the blood meal was quantified for field-caught mosquitoes and calibrated according to timed blood digestion in colony mosquitoes. Time since blood meal was consumed and the corresponding distance the vector was caught from its blood-host allowed the estimation of An. coluzzii dispersal rates. Within 7 hours of feeding, mosquitoes typically remained within 50 m of their blood-host but at 60 hours they had dispersed up to 250 m. Conclusions Using this methodology the remarkably small spatial scale at which An. coluzzii blood-host choice can change was demonstrated. In addition, conducting qPCR on host blood from field-caught mosquitoes and calibrating with timed experiments with colonised mosquitoes presents a novel methodology for investigating the dispersal behaviour of vectors. Future adaptations to this novel method to make it broadly applicable to other types of setting are also discussed.
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Affiliation(s)
- James Orsborne
- Department of Disease Control, London School of Hygiene & Tropical Medicine, London, UK
| | - Luis Furuya-Kanamori
- Department of Population Medicine, College of Medicine, Qatar University, Doha, Qatar.,Research School of Population Health, College of Health and Medicine, Australian National University, Canberra, Australia
| | - Claire L Jeffries
- Department of Disease Control, London School of Hygiene & Tropical Medicine, London, UK
| | - Mojca Kristan
- Department of Disease Control, London School of Hygiene & Tropical Medicine, London, UK
| | - Abdul Rahim Mohammed
- Department of Medical Microbiology, College of Health Sciences, University of Ghana, Korle Bu, Accra, Ghana
| | - Yaw A Afrane
- Department of Medical Microbiology, College of Health Sciences, University of Ghana, Korle Bu, Accra, Ghana
| | - Kathleen O'Reilly
- Department of Disease Control, London School of Hygiene & Tropical Medicine, London, UK
| | - Eduardo Massad
- School of Applied Mathematics, Fundacao Getulio Vargas, Rio de Janeiro, Brazil
| | - Chris Drakeley
- Department of Immunology & Infection, London School of Hygiene & Tropical Medicine, London, UK
| | - Thomas Walker
- Department of Disease Control, London School of Hygiene & Tropical Medicine, London, UK
| | - Laith Yakob
- Department of Disease Control, London School of Hygiene & Tropical Medicine, London, UK.
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Azevedo F, Amaku M, Coutinho FAB, Lopez LF, Massad E. The effect of the infection within the individual host on its propagation in the population. Infect Dis Model 2019; 3:345-361. [PMID: 30839922 PMCID: PMC6326235 DOI: 10.1016/j.idm.2018.11.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2018] [Revised: 11/02/2018] [Accepted: 11/13/2018] [Indexed: 10/27/2022] Open
Abstract
We consider nested or multiscale models to study the effect of the temporal evolution of the disease within the host in the population dynamics of the disease, for one and two infectious agents. We assumed a coupling between the within-host infection rate and the between-host transmission rate. The age of infection within each individual in a population affects the probability of transmission of the disease to a susceptible host and this will affect the temporal evolution of the disease in the host population. To analyze the infection within the host, we consider bacterial-like and viral-like infections. In the model for two infectious agents, we found that, when strain 2 has a basic reproduction number R 02 greater than the basic reproduction number R 01 of strain 1, strain 2 replaces strain 1 in the population. However, if R 02 > R 01 but the values are closer, the replacement does not occur immediately and both strains can coexist for a long time. We applied the model to a scenario in which patients infected with the hepatitis C virus (HCV) are cleared of HCV when super-infected with the hepatitis A virus (HAV). We compared the time for the replacement of HCV by HAV in the population considering instantaneous and non-instantaneous replacement within the individuals. The model developed can be generalized for more than two infectious agents.
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Affiliation(s)
- Franciane Azevedo
- Faculdade de Engenharia da Computação e Engenharia Elétrica, Universidade Federal do Sul e Sudeste do Pará, Marabá, PA, Brazil.,Faculdade de Medicina, Universidade de São Paulo e LIM01-HCFMUSP, Av. Dr. Arnaldo 455, São Paulo, SP, 01246-903, Brazil
| | - Marcos Amaku
- Faculdade de Medicina, Universidade de São Paulo e LIM01-HCFMUSP, Av. Dr. Arnaldo 455, São Paulo, SP, 01246-903, Brazil.,Faculdade de Medicina Veterinária e Zootecnia, Universidade de São Paulo, São Paulo, SP, 05508-270, Brazil
| | | | - Luis Fernandez Lopez
- Faculdade de Medicina, Universidade de São Paulo e LIM01-HCFMUSP, Av. Dr. Arnaldo 455, São Paulo, SP, 01246-903, Brazil
| | - Eduardo Massad
- Faculdade de Medicina, Universidade de São Paulo e LIM01-HCFMUSP, Av. Dr. Arnaldo 455, São Paulo, SP, 01246-903, Brazil.,London School of Hygiene and Tropical Medicine, London, UK.,Escola de Matemática Aplicada, Fundação Getúlio Vargas, Rio de Janeiro, Brazil.,College of Natural and Life Sciences, The University of Derby, Derby, UK
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32
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Lara CGA, Massad E, Lopez LF, Amaku M. Analogy between the Formulation of Ising-Glauber Model and Si Epidemiological Model. ACTA ACUST UNITED AC 2019. [DOI: 10.4236/jamp.2019.75071] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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33
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Orsborne J, Furuya-Kanamori L, Jeffries CL, Kristan M, Mohammed AR, Afrane YA, O'Reilly K, Massad E, Drakeley C, Walker T, Yakob L. Using the human blood index to investigate host biting plasticity: a systematic review and meta-regression of the three major African malaria vectors. Malar J 2018; 17:479. [PMID: 30563533 PMCID: PMC6299493 DOI: 10.1186/s12936-018-2632-7] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2018] [Accepted: 12/14/2018] [Indexed: 12/17/2022] Open
Abstract
Background The proportion of mosquito blood-meals that are of human origin, referred to as the ‘human blood index’ or HBI, is a key determinant of malaria transmission. Methods A systematic review was conducted followed by meta-regression of the HBI for the major African malaria vectors. Results Evidence is presented for higher HBI among Anopheles gambiae (M/S forms and Anopheles coluzzii/An. gambiae sensu stricto are not distinguished for most studies and, therefore, combined) as well as Anopheles funestus when compared with Anopheles arabiensis (prevalence odds ratio adjusted for collection location [i.e. indoor or outdoor]: 1.62; 95% CI 1.09–2.42; 1.84; 95% CI 1.35–2.52, respectively). This finding is in keeping with the entomological literature which describes An. arabiensis to be more zoophagic than the other major African vectors. However, analysis also revealed that HBI was more associated with location of mosquito captures (R2 = 0.29) than with mosquito (sibling) species (R2 = 0.11). Conclusions These findings call into question the appropriateness of current methods of assessing host preferences among disease vectors and have important implications for strategizing vector control. Electronic supplementary material The online version of this article (10.1186/s12936-018-2632-7) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- James Orsborne
- Department of Disease Control, London School of Hygiene & Tropical Medicine, London, UK
| | - Luis Furuya-Kanamori
- Department of Population Medicine, College of Medicine, Qatar University, Doha, Qatar
| | - Claire L Jeffries
- Department of Disease Control, London School of Hygiene & Tropical Medicine, London, UK
| | - Mojca Kristan
- Department of Disease Control, London School of Hygiene & Tropical Medicine, London, UK
| | - Abdul Rahim Mohammed
- Department of Medical Microbiology, College of Health Sciences, University of Ghana, Korle Bu, Accra, Ghana
| | - Yaw A Afrane
- Department of Medical Microbiology, College of Health Sciences, University of Ghana, Korle Bu, Accra, Ghana
| | - Kathleen O'Reilly
- Department of Disease Control, London School of Hygiene & Tropical Medicine, London, UK
| | - Eduardo Massad
- School of Applied Mathematics, Fundacao Getulio Vargas, Rio de Janeiro, Brazil
| | - Chris Drakeley
- Department of Immunology & Infection, London School of Hygiene & Tropical Medicine, London, UK
| | - Thomas Walker
- Department of Disease Control, London School of Hygiene & Tropical Medicine, London, UK
| | - Laith Yakob
- Department of Disease Control, London School of Hygiene & Tropical Medicine, London, UK.
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O'Reilly KM, Lowe R, Edmunds WJ, Mayaud P, Kucharski A, Eggo RM, Funk S, Bhatia D, Khan K, Kraemer MUG, Wilder-Smith A, Rodrigues LC, Brasil P, Massad E, Jaenisch T, Cauchemez S, Brady OJ, Yakob L. Projecting the end of the Zika virus epidemic in Latin America: a modelling analysis. BMC Med 2018; 16:180. [PMID: 30285863 PMCID: PMC6169075 DOI: 10.1186/s12916-018-1158-8] [Citation(s) in RCA: 39] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/18/2018] [Accepted: 08/21/2018] [Indexed: 12/21/2022] Open
Abstract
BACKGROUND Zika virus (ZIKV) emerged in Latin America and the Caribbean (LAC) region in 2013, with serious implications for population health in the region. In 2016, the World Health Organization declared the ZIKV outbreak a Public Health Emergency of International Concern following a cluster of associated neurological disorders and neonatal malformations. In 2017, Zika cases declined, but future incidence in LAC remains uncertain due to gaps in our understanding, considerable variation in surveillance and the lack of a comprehensive collation of data from affected countries. METHODS Our analysis combines information on confirmed and suspected Zika cases across LAC countries and a spatio-temporal dynamic transmission model for ZIKV infection to determine key transmission parameters and projected incidence in 90 major cities within 35 countries. Seasonality was determined by spatio-temporal estimates of Aedes aegypti vectorial capacity. We used country and state-level data from 2015 to mid-2017 to infer key model parameters, country-specific disease reporting rates, and the 2018 projected incidence. A 10-fold cross-validation approach was used to validate parameter estimates to out-of-sample epidemic trajectories. RESULTS There was limited transmission in 2015, but in 2016 and 2017 there was sufficient opportunity for wide-spread ZIKV transmission in most cities, resulting in the depletion of susceptible individuals. We predict that the highest number of cases in 2018 would present within some Brazilian States (Sao Paulo and Rio de Janeiro), Colombia and French Guiana, but the estimated number of cases were no more than a few hundred. Model estimates of the timing of the peak in incidence were correlated (p < 0.05) with the reported peak in incidence. The reporting rate varied across countries, with lower reporting rates for those with only confirmed cases compared to those who reported both confirmed and suspected cases. CONCLUSIONS The findings suggest that the ZIKV epidemic is by and large over within LAC, with incidence projected to be low in most cities in 2018. Local low levels of transmission are probable, but the estimated rate of infection suggests that most cities have a population with high levels of herd immunity.
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Affiliation(s)
- Kathleen M O'Reilly
- Department of Disease Control, London School of Hygiene & Tropical Medicine, London, UK. .,Centre for Mathematical Modelling of Infectious Diseases, London School of Hygiene & Tropical Medicine, London, UK.
| | - Rachel Lowe
- Centre for Mathematical Modelling of Infectious Diseases, London School of Hygiene & Tropical Medicine, London, UK.,Department of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, UK.,Barcelona Institute for Global Health (ISGLOBAL), Barcelona, Spain
| | - W John Edmunds
- Centre for Mathematical Modelling of Infectious Diseases, London School of Hygiene & Tropical Medicine, London, UK.,Department of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, UK
| | - Philippe Mayaud
- Department of Clinical Research, London School of Hygiene & Tropical Medicine, London, UK
| | - Adam Kucharski
- Centre for Mathematical Modelling of Infectious Diseases, London School of Hygiene & Tropical Medicine, London, UK.,Department of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, UK
| | - Rosalind M Eggo
- Centre for Mathematical Modelling of Infectious Diseases, London School of Hygiene & Tropical Medicine, London, UK.,Department of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, UK
| | - Sebastian Funk
- Centre for Mathematical Modelling of Infectious Diseases, London School of Hygiene & Tropical Medicine, London, UK.,Department of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, UK
| | - Deepit Bhatia
- Division of Infectious Diseases, University of Toronto, Toronto, ON, Canada.,Centre for Research on Inner City Health, Li Ka Shing Knowledge Institute, St Michael's Hospital, Toronto, Toronto, ON, Canada
| | - Kamran Khan
- Division of Infectious Diseases, University of Toronto, Toronto, ON, Canada.,Centre for Research on Inner City Health, Li Ka Shing Knowledge Institute, St Michael's Hospital, Toronto, Toronto, ON, Canada
| | - Moritz U G Kraemer
- Harvard Medical School, Harvard University, Boston, MA, USA.,Boston Children's Hospital, Boston, MA, USA.,Department of Zoology, University of Oxford, Oxford, UK
| | - Annelies Wilder-Smith
- Department of Disease Control, London School of Hygiene & Tropical Medicine, London, UK.,Department of Medicine and Public Health, Umea University, Umea, Sweden.,Institute of Public Health, University of Heidelberg, Heidelberg, Germany
| | - Laura C Rodrigues
- Department of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, UK
| | - Patricia Brasil
- Instituto Nacional de Infectologia Evandro Chagas/Fiocruz, Rio de Janeiro, Brazil
| | - Eduardo Massad
- School of Applied Mathematics, Fundacao Getulio Vargas, Rio de Janeiro, Brazil
| | - Thomas Jaenisch
- Department for Infectious Diseases and Parasitology, Department for Infectious Diseases, University of Heidelberg, Heidelberg, Germany
| | - Simon Cauchemez
- Mathematical Modelling of Infectious Diseases Unit, Institut Pasteur, Paris, France.,Centre National de la Recherche Scientifique, URA3012, Paris, France.,Center of Bioinformatics, Biostatistics and Integrative Biology, Institut Pasteur, Paris, France
| | - Oliver J Brady
- Centre for Mathematical Modelling of Infectious Diseases, London School of Hygiene & Tropical Medicine, London, UK.,Department of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, UK
| | - Laith Yakob
- Department of Disease Control, London School of Hygiene & Tropical Medicine, London, UK.,Centre for Mathematical Modelling of Infectious Diseases, London School of Hygiene & Tropical Medicine, London, UK
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Amaku M, Coutinho FAB, Armstrong M, Massad E. A Note on the Risk of Infections Invading Unaffected Regions. Comput Math Methods Med 2018; 2018:6289681. [PMID: 30073032 PMCID: PMC6057402 DOI: 10.1155/2018/6289681] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/14/2018] [Revised: 04/27/2018] [Accepted: 06/07/2018] [Indexed: 11/23/2022]
Abstract
We present two probabilistic models to estimate the risk of introducing infectious diseases into previously unaffected countries/regions by infective travellers. We analyse two distinct situations, one dealing with a directly transmitted infection (measles in Italy in 2017) and one dealing with a vector-borne infection (Zika virus in Rio de Janeiro, which may happen in the future). To calculate the risk in the first scenario, we used a simple, nonhomogeneous birth process. The second model proposed in this paper provides a way to calculate the probability that local mosquitoes become infected by the arrival of a single infective traveller during his/her infectiousness period. The result of the risk of measles invasion of Italy was of 93% and the result of the risk of Zika virus invasion of Rio de Janeiro was of 22%.
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Affiliation(s)
- Marcos Amaku
- School of Medicine, University of Sao Paulo, Sao Paulo, Brazil
| | | | - Margaret Armstrong
- School of Applied Mathematics, Fundação Getúlio Vargas, Rio de Janeiro, Brazil
| | - Eduardo Massad
- School of Medicine, University of Sao Paulo, Sao Paulo, Brazil
- School of Applied Mathematics, Fundação Getúlio Vargas, Rio de Janeiro, Brazil
- College of Natural and Life Sciences, The University of Derby, Derby, UK
- London School of Hygiene and Tropical Medicine, London, UK
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Abstract
Aims and Background In Brazil, the female population has been increasingly infected with human immunodeficiency virus (HIV), and uterine cervix carcinoma now represents the second highest cause of mortality. Although HIV infection among women is associated with an increased prevalence of cervical cancer precursors, the co-infection with human papillomavirus (HPV) is considered to be a necessary but not sufficient factor to induce genital lesions. This study was conducted to identify risk factors associated with the history of genital warts among HIV-positive women. Methods A comparative cross-sectional evaluation was applied to 141 HIV-positive women. All patients were submitted to colposcopy, smear cytology, directed biopsy, and HPV-DNA detection. The chi-square, Fisher's exact test, and the odds ratio (OR, 95%; confidence interval, CI) were used to evaluate associations between history of genital warts and risk factors. Results A history of genital warts presented associations with: a) age at first sexual intercourse ≤17 years (OR, 0.42; CI, 0.16-1.11); b) history of genital warts in sex partners (OR, 11.39; CI, 4.21–30.76), especially with recurrent episodes (OR, 6.60; CI, 2.69–16.12); c) drug addiction (OR, 2.38; CI, 1.09–5.19), especially in crack users (OR, 5.34; CI, 1.64–17.41); d) cervical HPV infection (OR, 2.75; CI 1.09–6.90); e) cervical infection caused by only one HPV type (OR, 2.77; CI 1.06–7.20); f) perianal HPV infection (OR, 2.30; CI, 0.70–7.56), associated with negative results for undetermined risk HPV (OR, 8.41; P = 0.04); and g) no antiretroviral therapy (OR, 3.41; P = 0.07). Conclusions Evaluation of behavioral risk factors associated with a genital wart history is an important tool to prevent and reduce persistent HPV infection, and consequently genital cancer precursors in HIV infected women.
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Affiliation(s)
- Maria Alice G Gonçalves
- Division of Clinical Immunology, Department of Medicine, School of Medicine of Ribeirão Preto, University of São Paulo, São Paulo, Brazil.
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37
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Wilder-Smith A, Massad E. Estimating the number of unvaccinated Chinese workers against yellow fever in Angola. BMC Infect Dis 2018; 18:185. [PMID: 29665797 PMCID: PMC5905133 DOI: 10.1186/s12879-018-3084-y] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2017] [Accepted: 04/04/2018] [Indexed: 01/17/2023] Open
Abstract
BACKGROUND A yellow fever epidemic occurred in Angola in 2016 with 884 laboratory confirmed cases and 373 deaths. Eleven unvaccinated Chinese nationals working in Angola were also infected and imported the disease to China, thereby presenting the first importation of yellow fever into Asia. In Angola, there are about 259,000 Chinese foreign workers. The fact that 11 unvaccinated Chinese workers acquired yellow fever suggests that many more Chinese workers in Angola were not vaccinated. METHODS We applied a previously developed model to back-calculate the number of unvaccinated Chinese workers in Angola in order to determine the extent of lack of vaccine coverage. RESULTS Our models suggest that none of the 259,000 Chinese had been vaccinated, although yellow fever vaccination is mandated by the International Health Regulations. CONCLUSION Governments around the world including China need to ensure that their citizens obtain YF vaccination when traveling to countries where such vaccines are required in order to prevent the international spread of yellow fever.
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Affiliation(s)
- A Wilder-Smith
- Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore. .,Institute of Public Health, University of Heidelberg, Heidelberg, Germany. .,London School of Tropical Medicine and Hygiene, London, UK.
| | - E Massad
- School of Medicine, University of Sao Paulo and LIM 01 HCFMUSP, Sao Paulo, Brazil.,School of Applied Mathematics, Fundacao Getulio Vargas, Rio de Janeiro, Brazil
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Massad E, dos Santos PCC, da Rocha AF, Stupple EJN. The Monty Hall problem revisited: Autonomic arousal in an inverted version of the game. PLoS One 2018; 13:e0192542. [PMID: 29579122 PMCID: PMC5868764 DOI: 10.1371/journal.pone.0192542] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2017] [Accepted: 01/25/2018] [Indexed: 12/01/2022] Open
Abstract
The asymmetry of autonomic arousal for potential losses and gains was assessed by the galvanic skin response (GSR) of participants playing classic and inverted versions of the Monty Hall problem (MHP). In both versions, the prize remained the same (a pen valued at £10 for the right answer), but in the modified version, prizes were received prior to choosing the door. Both experimental groups showed increased levels of GSR while completing the task, demonstrating increased autonomic arousal during the game. However, a robust difference in GSR was detected between classic and inverted versions of the MHP, thus demonstrating the differing autonomic arousal involved in deciding between the alternatives presented by the game. Participants experienced a stronger autonomic response when they could lose the prize than when they could win the prize. This experiment presents the first demonstration of this effect on the MHP. The stronger autonomic arousal for the inverted task may indicate a stronger emotional reaction and/or greater attentional focus than for the standard version of the task. These data demonstrate that potential losses increase arousal in more complex tasks than is typically shown.
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Affiliation(s)
- Eduardo Massad
- School of Medicine, University of Sao Paulo, Sao Paulo, Brazil
- London School of Hygiene and Tropical Medicine, London, United Kingdom
- College of Life and Natural Sciences, University of Derby, Derby, United Kingdom
- School of Applied Mathematics, Fundacao Getulio Vargas, Rio de Janeiro, Brazil
- * E-mail:
| | - Paulo Cesar Costa dos Santos
- School of Medicine, University of Sao Paulo, Sao Paulo, Brazil
- Paulista University, Sao Paulo, Brazil
- Institute of Advanced Studies, University of Sao Paulo, Sao Paulo, Brazil
| | | | - Edward J. N. Stupple
- College of Life and Natural Sciences, University of Derby, Derby, United Kingdom
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39
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Massad E, Furuie SS, de Assis Moura L, Nascimento Saldiva PH, Nicolelis MA, Böhm GM. The Use of a Personal Computer in the Pulmonary Function Tests of Laboratory Rats. Methods Inf Med 2018. [DOI: 10.1055/s-0038-1635379] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
SummaryA system consisting of an 8-bit word microcomputer of the APPLE line equipped with an analog-to-digital converter, connected to a physiograph measuring pressures from a whole-body Plethysmograph, was used to perform pulmonary tests in rats. The system proved to be time-saving without loss in accuracy when compared to manual calculation methods. It allows measurement repetition during the same experiment, which is impossible by manual techniques, and permits to obtain flow/volume relationships without pneumotachographs or integrator and/or differentiator modules. This approach may be applied to humans and used by any physician.
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Wilder-Smith A, Tissera H, AbuBakar S, Kittayapong P, Logan J, Neumayr A, Rocklöv J, Byass P, Louis VR, Tozan Y, Massad E, Preet R. Novel tools for the surveillance and control of dengue: findings by the DengueTools research consortium. Glob Health Action 2018; 11:1549930. [PMID: 30560735 PMCID: PMC6282436 DOI: 10.1080/16549716.2018.1549930] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2018] [Accepted: 11/10/2018] [Indexed: 01/07/2023] Open
Abstract
BACKGROUND Dengue fever persists as a major global disease burden, and may increase as a consequence of climate change. Along with other measures, research actions to improve diagnosis, surveillance, prevention, and predictive models are highly relevant. The European Commission funded the DengueTools consortium to lead a major initiative in these areas, and this review synthesises the outputs and findings of this work conducted from 2011 to 2016. Research areas: DengueTools organised its work into three research areas, namely [1] Early warning and surveillance systems; [2] Strategies to prevent dengue in children; and [3] Predictive models for the global spread of dengue. Research area 1 focused on case-studies undertaken in Sri Lanka, including developing laboratory-based sentinel surveillance, evaluating economic impact, identifying drivers of transmission intensity, evaluating outbreak prediction capacity and developing diagnostic capacity. Research area 2 addressed preventing dengue transmission in school children, with case-studies undertaken in Thailand. Insecticide-treated school uniforms represented an intriguing potential approach, with some encouraging results, but which were overshadowed by a lack of persistence of insecticide on the uniforms with repeated washing. Research area 3 evaluated potential global spread of dengue, particularly into dengue-naïve areas such as Europe. The role of international travel, changing boundaries of vectors, developing models of vectorial capacity under different climate change scenarios and strategies for vector control in outbreaks was all evaluated. CONCLUDING REMARKS DengueTools was able to make significant advances in methods for understanding and controlling dengue transmission in a range of settings. These will have implications for public health agendas to counteract dengue, including vaccination programmes. OUTLOOK Towards the end of the DengueTools project, Zika virus emerged as an unexpected epidemic in the central and southern America. Given the similarities between the dengue and Zika viruses, with vectors in common, some of the DengueTools thinking translated readily into the Zika situation.
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Affiliation(s)
- Annelies Wilder-Smith
- Unit of Epidemiology and Global Health, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden
| | - Hasitha Tissera
- Epidemiological Unit, Ministry of Health, Colombo, Sri Lanka
| | - Sazaly AbuBakar
- WHO Collaborating Centre for Arbovirus Reference and Research (Dengue/Severe Dengue), Tropical Infectious Diseases Research and Education Centre (TIDREC) University of Malaya, Kuala Lumpur, Malaysia
| | - Pattamaporn Kittayapong
- Center of Excellence for Vectors and Vector-Borne Diseases, Department of Biology, Faculty of Science, Mahidol University, Salaya, Nakhon Pathom, Bangkok, Thailand
| | - James Logan
- Department of Disease Control, London School of Hygiene and Tropical Medicine, London, UK
| | - Andreas Neumayr
- Department of Medical Services, Swiss Tropical and Public Health Institute, Basel, Switzerland
| | - Joacim Rocklöv
- Unit of Epidemiology and Global Health, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden
| | - Peter Byass
- Unit of Epidemiology and Global Health, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden
| | - Valérie R. Louis
- Heidelberg Institute of Global Health, Heidelberg University Medical School, Heidelberg, Germany
| | - Yesim Tozan
- Heidelberg Institute of Global Health, Heidelberg University Medical School, Heidelberg, Germany
- NYU College of Global Public Health, New York, NY, USA
| | - Eduardo Massad
- School of Applied Mathematics, Fundacao Getulio Vargas, Rio de Janeiro, Brazil
| | - Raman Preet
- Unit of Epidemiology and Global Health, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden
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41
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Affiliation(s)
- Eduardo Massad
- School of Applied Mathematics, Fundação Getúlio Vargas, Rio de Janeiro, Brazil
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42
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Wilder-Smith A, Preet R, Renhorn KE, Ximenes RA, Rodrigues LC, Solomon T, Neyts J, Lambrechts L, Willison HJ, Peeling R, Falconar AK, Precioso AR, Logan J, Lang T, Endtz HP, Massad E, Massad E. ZikaPLAN: Zika Preparedness Latin American Network. Glob Health Action 2017; 10:1398485. [PMID: 29235414 PMCID: PMC7011980 DOI: 10.1080/16549716.2017.1398485] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023] Open
Abstract
The ongoing Zika virus (ZIKV) outbreak in Latin America, the Caribbean, and the Pacific Islands has underlined the need for a coordinated research network across the whole region that can respond rapidly to address the current knowledge gaps in Zika and enhance research preparedness beyond Zika. The European Union under its Horizon 2020 Research and Innovation Programme awarded three research consortia to respond to this need. Here we present the ZikaPLAN (Zika Preparedness Latin American Network) consortium. ZikaPLAN combines the strengths of 25 partners in Latin America, North America, Africa, Asia, and various centers in Europe. We will conduct clinical studies to estimate the risk and further define the full spectrum and risk factors of congenital Zika virus syndrome (including neurodevelopmental milestones in the first 3 years of life), delineate neurological complications associated with ZIKV due to direct neuroinvasion and immune-mediated responses in older children and adults, and strengthen surveillance for birth defects and Guillain-Barré Syndrome. Laboratory-based research to unravel neurotropism and investigate the role of sexual transmission, determinants of severe disease, and viral fitness will underpin the clinical studies. Social messaging and engagement with affected communities, as well as development of wearable repellent technologies against Aedes mosquitoes will enhance the impact. Burden of disease studies, data-driven vector control, and vaccine modeling as well as risk assessments on geographic spread of ZIKV will form the foundation for evidence-informed policies. While addressing the research gaps around ZIKV, we will engage in capacity building in laboratory and clinical research, collaborate with existing and new networks to share knowledge, and work with international organizations to tackle regulatory and other bottlenecks and refine research priorities. In this way, we can leverage the ZIKV response toward building a long-term emerging infectious diseases response capacity in the region to address future challenges.
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Affiliation(s)
- A. Wilder-Smith
- Unit of Epidemiology and Global Health, Department of Public Health and Clinical Medicine, Umeå University, Umeå Sweden,CONTACT Annelies Wilder-Smith Unit of Epidemiology and Global Health, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden
| | - R. Preet
- Unit of Epidemiology and Global Health, Department of Public Health and Clinical Medicine, Umeå University, Umeå Sweden
| | - K. E. Renhorn
- Unit of Epidemiology and Global Health, Department of Public Health and Clinical Medicine, Umeå University, Umeå Sweden
| | - R. A. Ximenes
- Instituto de Apoio a Fundacao, Universidade de Pernambuco, Recife, Brazil
| | - L. C. Rodrigues
- Instituto de Apoio a Fundacao, Universidade de Pernambuco, Recife, Brazil,London School of Hygiene and Tropical Medicine, London, UK
| | - T. Solomon
- Institute of Infection and Global Health, The University of Liverpool, Liverpool, UK
| | - J. Neyts
- Rega Institute for Medical Research, Department of Microbiology & Immunology, Katholieke Universiteit Leuven, Leuven, Belgium
| | - L. Lambrechts
- Institut Pasteur, Insect-Virus Interactions Group, Department of Genomes and Genetics, CNRS Unité de Recherche Associée 3012, Paris Cedex 15, France
| | - H. J. Willison
- Institute of Infection, Immunity & Inflammation, University of Glasgow, Glasgow, UK
| | - R. Peeling
- London School of Hygiene and Tropical Medicine, London, UK
| | - A. K. Falconar
- London School of Hygiene and Tropical Medicine, London, UK,Departmento del Medicina, Fundacion Universidad del Norte, Barranquilla, Colombia
| | | | - J. Logan
- London School of Hygiene and Tropical Medicine, London, UK
| | - T. Lang
- The Global Health Network, Masters and Scholars of the University of Oxford, Oxford, UK
| | - H. P. Endtz
- Fondation Mérieux, Lyon, France,Department of Medical Microbiology & Infectious Diseases, Rotterdam, The Netherlands
| | - E. Massad
- Fundacao de Apoio a Universidade de Sao Paulo, Sao Paulo, Brazil
| | - E Massad
- m Fundacao de Apoio a Universidade de Sao Paulo , Sao Paulo , Brazil
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Amaku M, Burattini MN, Chaib E, Coutinho FAB, Greenhalgh D, Lopez LF, Massad E. Estimating the prevalence of infectious diseases from under-reported age-dependent compulsorily notification databases. Theor Biol Med Model 2017; 14:23. [PMID: 29228966 PMCID: PMC5725986 DOI: 10.1186/s12976-017-0069-2] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2017] [Accepted: 10/10/2017] [Indexed: 11/12/2022] Open
Abstract
Background National or local laws, norms or regulations (sometimes and in some countries) require medical providers to report notifiable diseases to public health authorities. Reporting, however, is almost always incomplete. This is due to a variety of reasons, ranging from not recognizing the diseased to failures in the technical or administrative steps leading to the final official register in the disease notification system. The reported fraction varies from 9 to 99% and is strongly associated with the disease being reported. Methods In this paper we propose a method to approximately estimate the full prevalence (and any other variable or parameter related to transmission intensity) of infectious diseases. The model assumes incomplete notification of incidence and allows the estimation of the non-notified number of infections and it is illustrated by the case of hepatitis C in Brazil. The method has the advantage that it can be corrected iteratively by comparing its findings with empirical results. Results The application of the model for the case of hepatitis C in Brazil resulted in a prevalence of notified cases that varied between 163,902 and 169,382 cases; a prevalence of non-notified cases that varied between 1,433,638 and 1,446,771; and a total prevalence of infections that varied between 1,597,540 and 1,616,153 cases. Conclusions We conclude that the model proposed can be useful for estimation of the actual magnitude of endemic states of infectious diseases, particularly for those where the number of notified cases is only the tip of the iceberg. In addition, the method can be applied to other situations, such as the well-known underreported incidence of criminality (for example rape), among others.
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Affiliation(s)
- Marcos Amaku
- LIM01-Hospital de Clínicas, Faculdade de Medicina Universidade de São Paulo, São Paulo, SP, Brazil
| | - Marcelo Nascimento Burattini
- LIM01-Hospital de Clínicas, Faculdade de Medicina Universidade de São Paulo, São Paulo, SP, Brazil.,Hospital São Paulo, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil
| | - Eleazar Chaib
- LIM01-Hospital de Clínicas, Faculdade de Medicina Universidade de São Paulo, São Paulo, SP, Brazil
| | | | - David Greenhalgh
- Department of Mathematics and Statistics, The University of Strathclyde, Glasgow, Scotland, UK
| | - Luis Fernandez Lopez
- LIM01-Hospital de Clínicas, Faculdade de Medicina Universidade de São Paulo, São Paulo, SP, Brazil.,Center for Internet Augmented Research & Assessment, Florida International University, Miami, FL, USA
| | - Eduardo Massad
- LIM01-Hospital de Clínicas, Faculdade de Medicina Universidade de São Paulo, São Paulo, SP, Brazil. .,London School of Hygiene and Tropical Medicine, London, UK.
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Massad E, Amaku M, Coutinho FAB, Struchiner CJ, Lopez LF, Wilder-Smith A, Burattini MN. Estimating the size of Aedes aegypti populations from dengue incidence data: Implications for the risk of yellow fever outbreaks. Infect Dis Model 2017; 2:441-454. [PMID: 30137722 PMCID: PMC6002028 DOI: 10.1016/j.idm.2017.12.001] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2017] [Revised: 11/06/2017] [Accepted: 12/06/2017] [Indexed: 11/20/2022] Open
Abstract
In this paper we present a model to estimate the density of aedes mosquitoes in a community affected by dengue. The method consists in fitting a continuous function to the incidence of dengue infections, from which the density of infected mosquitoes is derived straightforwardly. Further derivations allow the calculation of the latent and susceptible mosquitoes' densities, the sum of the three equals the total mosquitoes' density. The method is illustrated with the case of the risk of urban yellow fever resurgence in dengue infested areas but the same procedures apply for other aedes-transmitted infections like Zika and chikungunya viruses.
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Affiliation(s)
- Eduardo Massad
- School of Medicine, University of Sao Paulo, Brazil
- London School of Hygiene and Tropical Medicine, UK
- College of Life and Natural Sciences, The University of Derby, UK
- Corresponding author. School of Medicine, University of Sao Paulo, Brazil.
| | - Marcos Amaku
- School of Medicine, University of Sao Paulo, Brazil
| | | | | | | | - Annelies Wilder-Smith
- Li Ka Shing Knowledge Institute, St Michael's Hospital, Toronto, Canada
- Institute of Public Health, University of Heidelberg, Germany
- Department Public Health and Clinical Medicine, Epidemiology and Global Health, Umeå University, SE-901 85 Umeå, Sweden
- Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore
| | - Marcelo Nascimento Burattini
- School of Medicine, University of Sao Paulo, Brazil
- Hospital São Paulo, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil
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Garcia MK, Rizzo L, Yazbek-Júnior P, Yutiyama D, da Silva FJ, Matheus D, Mastrocolla LE, Massad E. Cardiorespiratory performance of coronary artery disease patients on land versus underwater treadmill tests: a comparative study. Clinics (Sao Paulo) 2017; 72:667-674. [PMID: 29236912 PMCID: PMC5706058 DOI: 10.6061/clinics/2017(11)04] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/20/2017] [Accepted: 07/21/2017] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVE To compare responses to a cardiopulmonary exercise test on land versus on an underwater treadmill, to assess the cardiorespiratory performance of coronary artery disease patients while immersed in warm water and to compare with the performance of healthy individuals. METHODS The sample population consisted of 40 subjects, which included 20 coronary artery disease patients aged 63.7±8.89 years old, functional class I and II, according to the New York Hearth Association, and 20 healthy subjects aged 64.7±7.09 years old. The statistical significances were calculated through an ANOVA test with a (1 - β) power of 0.861. ClinicalTrials.gov: NCT00989248 (22). RESULTS Significant differences were uncovered in coronary artery disease group regarding the variables heart beats (HB), (p>0.01), oxygen consumption (VO2), (p>0.01) and carbon dioxide production (VCO2) (p<0.01). Also, for the same group, in relation to the environment, water versus on land for HB, VO2, VCO2 and oxygen for each heart beat (VO2/HB) all of than (p<0.01). The stages for data collected featured the subject's performance throughout the experiment, and within the given context, variables rating of perceived exertion (RPE), HB, VO2, VCO2 and VO2/HB (p<0.01) showed significant interactions between test stages and environment. Additionally, there was a significant interaction between the etiology and the test stages for the variables HB, VO2 and VCO2 (p<0.01). Electrocardiographic changes compatible with myocardial ischemia or arrhythmia were not observed. The subjects exhibited lower scores on Borg's perceived exertion scale in the water than at every one of the test stages on land (p<0.01). CONCLUSION This study show that a cardiopulmonary exercise test can be safely conducted in subjects in immersion and that the procedures, resources and equipment used yielded replicable and reliable data. Significant differences observed in water versus on land allow us to conclude that coronary artery disease patients are able to do physical exercise in water and that the physiological effects of immersion do not present any risk for such patients, as exercise was well tolerated by all subjects.
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Affiliation(s)
- Mauricio Koprowski Garcia
- Instituto de Medicina e Reabilitacao, Hospital das Clinicas (HCFMUSP), Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR
- *Corresponding author. E-mail:
| | - Limanara Rizzo
- Departamento de Medicina Legal e Etica Medica, Faculdade de Medicina (FMUSP), Universidade de Sao Paulo, Sao Paulo, SP, BR
| | - Paulo Yazbek-Júnior
- Instituto de Medicina e Reabilitacao, Hospital das Clinicas (HCFMUSP), Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR
| | - Daniela Yutiyama
- Instituto de Medicina e Reabilitacao, Hospital das Clinicas (HCFMUSP), Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR
| | - Fabiola Jomar da Silva
- Instituto de Medicina e Reabilitacao, Hospital das Clinicas (HCFMUSP), Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR
| | - Denise Matheus
- Instituto de Medicina e Reabilitacao, Hospital das Clinicas (HCFMUSP), Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR
| | | | - Eduardo Massad
- Departamento de Medicina Legal e Etica Medica, Faculdade de Medicina (FMUSP), Universidade de Sao Paulo, Sao Paulo, SP, BR
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Maier SB, Huang X, Massad E, Amaku M, Burattini MN, Greenhalgh D. Analysis of the optimal vaccination age for dengue in Brazil with a tetravalent dengue vaccine. Math Biosci 2017; 294:15-32. [PMID: 28935561 DOI: 10.1016/j.mbs.2017.09.004] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2016] [Revised: 05/18/2017] [Accepted: 09/11/2017] [Indexed: 02/06/2023]
Abstract
In this paper we study a mathematical model to analyse the optimal vaccination age against Dengue in Brazil. Data from Brazil are used to estimate the basic reproduction numbers for each of the four Dengue serotypes and then the optimal vaccination age is calculated using a method due to Hethcote [1]. The vaccine has different efficacies against each serotype. Vaccination that is too early is ineffective as individuals are protected by maternal antibodies but leaving vaccination until later may allow the disease to spread. First of all the optimal vaccination ages are calculated where there is just one serotype in circulation and then when there are multiple serotypes. The calculations are done using data both assuming constant vaccine efficacy and age-dependent vaccine efficacy against a given serotype. The multiple serotype calculations are repeated assuming that the first infection is a risky infection and that it is not (to model Dengue Antibody Enhancement). The calculations are then repeated when any third or fourth Dengue infections are asymptomatic, so that two Dengue infections with different serotypes provide effective permanent immunity. The calculations are also repeated when the age-dependent risk function (fitted to Brazilian data) is hospitalisation from Dengue and when it is mortality due to Dengue. We find a wide variety of optimal vaccination ages depending on both the serotypes in circulation and the assumptions of the model.
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Affiliation(s)
- Sandra B Maier
- Department of Mathematics and Statistics, University of Strathclyde, Glasgow G1 1XH, UK
| | - Xiao Huang
- Department of Mathematics and Statistics, University of Strathclyde, Glasgow G1 1XH, UK
| | - Eduardo Massad
- LIM01-Hospital de Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil; Department of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK
| | - Marcos Amaku
- LIM01-Hospital de Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Marcelo N Burattini
- LIM01-Hospital de Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil; Hospital São Paulo, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil
| | - David Greenhalgh
- Department of Mathematics and Statistics, University of Strathclyde, Glasgow G1 1XH, UK.
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Ferreira CP, Lyra SP, Azevedo F, Greenhalgh D, Massad E. Modelling the impact of the long-term use of insecticide-treated bed nets on Anopheles mosquito biting time. Malar J 2017; 16:373. [PMID: 28915892 PMCID: PMC5602891 DOI: 10.1186/s12936-017-2014-6] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2017] [Accepted: 09/04/2017] [Indexed: 11/24/2022] Open
Abstract
Background Evidence of changing in biting and resting behaviour of the main malaria vectors has been mounting up in recent years as a result of selective pressure by the widespread and long-term use of insecticide-treated bed nets (ITNs), and indoor residual spraying. The impact of resistance behaviour on malaria intervention efficacy has important implications for the epidemiology and malaria control programmes. In this context, a theoretical framework is presented to understand the mechanisms determining the evolution of feeding behaviour under the pressure of use of ITNs. Methods An agent-based stochastic model simulates the impact of insecticide-treated bed nets on mosquito fitness by reducing the biting rates, as well as increasing mortality rates. The model also incorporates a heritability function that provides the necessary genetic plasticity upon which natural selection would act to maximize the fitness under the pressure of the control strategy. Results The asymptotic equilibrium distribution of mosquito population versus biting time is shown for several daily uses of ITNs, and the expected disruptive selection on this mosquito trait is observed in the simulations. The relative fitness of strains that bite at much earlier time with respect to the wild strains, when a threshold of about 50% of ITNs coverage highlights the hypothesis of a behaviour selection. A sensitivity analysis has shown that the top three parameters that play a dominant role on the mosquito fitness are the proportion of individuals using bed nets and its effectiveness, the impact of bed nets on mosquito oviposition, and the mosquito genetic plasticity related to changing in biting time. Conclusion By taking the evolutionary aspect into account, the model was able to show that the long-term use of ITNs, although representing an undisputed success in reducing malaria incidence and mortality in many affected areas, is not free of undesirable side effects. From the evolutionary point of view of the parasite virulence, it should be expected that plasmodium parasites would be under pressure to reduce their virulence. This speculative hypothesis can eventually be demonstrated in the medium to long-term use of ITNs.
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Affiliation(s)
- Claudia P Ferreira
- Departamento de Bioestatística, IBB, UNESP, Botucatu, SP, 18618-689, Brazil
| | - Silas P Lyra
- Departamento de Bioestatística, IBB, UNESP, Botucatu, SP, 18618-689, Brazil
| | - Franciane Azevedo
- Faculdade de Computação e Engenharia Elétrica, UNIFESSPA, Marabá, PA, 68507-590, Brazil
| | - David Greenhalgh
- Department of Mathematics and Statistics, University of Strathclyde, Glasgow, G1 1XH, Scotland
| | - Eduardo Massad
- School of Medicine, University of São Paulo, São Paulo, SP, 01246-903, Brazil.
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Affiliation(s)
- Eduardo Massad
- School of Medicine; The University of São Paulo; Av. Dr. Arnaldo 455 São Paulo 01246-903, SP Brazil
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49
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Affiliation(s)
- Eduardo Massad
- Department of Pure and Applied Biology, The Imperial College of Science and Technology, London, SW7 2BB, U.K
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50
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Melo M, Gusso GDF, Levites M, Amaro E, Massad E, Lotufo PA, Zeidman P, Price CJ, Friston KJ. How doctors diagnose diseases and prescribe treatments: an fMRI study of diagnostic salience. Sci Rep 2017; 7:1304. [PMID: 28465538 PMCID: PMC5430984 DOI: 10.1038/s41598-017-01482-0] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2017] [Accepted: 03/31/2017] [Indexed: 11/16/2022] Open
Abstract
Understanding the brain mechanisms involved in diagnostic reasoning may contribute to the development of methods that reduce errors in medical practice. In this study we identified similar brain systems for diagnosing diseases, prescribing treatments, and naming animals and objects using written information as stimuli. Employing time resolved modeling of blood oxygen level dependent (BOLD) responses enabled time resolved (400 milliseconds epochs) analyses. With this approach it was possible to study neural processes during successive stages of decision making. Our results showed that highly diagnostic information, reducing uncertainty about the diagnosis, decreased monitoring activity in the frontoparietal attentional network and may contribute to premature diagnostic closure, an important cause of diagnostic errors. We observed an unexpected and remarkable switch of BOLD activity within a right lateralized set of brain regions related to awareness and auditory monitoring at the point of responding. We propose that this neurophysiological response is the neural substrate of awareness of one’s own (verbal) response. Our results highlight the intimate relation between attentional mechanisms, uncertainty, and decision making and may assist the advance of approaches to prevent premature diagnostic closure.
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Affiliation(s)
- Marcio Melo
- Laboratory of Medical Investigations, LIM-01, Faculty of Medicine of the University of São Paulo, Av. Dr. Arnaldo 455, São Paulo, 01246-904, Brazil. .,Albert Einstein Israelite Hospital, IIEP, Av. Albert Einstein 627, São Paulo, 05652-900, Brazil.
| | - Gustavo D F Gusso
- Department of Internal Medicine, Faculty of Medicine of the University of São Paulo, Av. Dr. Eneas de Carvalho Aguiar 155, São Paulo, 05403-000, Brazil
| | - Marcelo Levites
- Department of Internal Medicine, Faculty of Medicine of the University of São Paulo, Av. Dr. Eneas de Carvalho Aguiar 155, São Paulo, 05403-000, Brazil
| | - Edson Amaro
- Albert Einstein Israelite Hospital, IIEP, Av. Albert Einstein 627, São Paulo, 05652-900, Brazil.,Department of Radiology, Faculty of Medicine of the University of São Paulo, Travessa da R. Dr. Ovídio Pires de Campos 75, São Paulo, 05403-010, Brazil
| | - Eduardo Massad
- Laboratory of Medical Investigations, LIM-01, Faculty of Medicine of the University of São Paulo, Av. Dr. Arnaldo 455, São Paulo, 01246-904, Brazil.,College of Life and Natural Sciences, University of Derby, Kedleston Road, Derby, KE22 1GB, United Kingdom
| | - Paulo A Lotufo
- Department of Internal Medicine, Faculty of Medicine of the University of São Paulo, Av. Dr. Eneas de Carvalho Aguiar 155, São Paulo, 05403-000, Brazil
| | - Peter Zeidman
- Wellcome Trust Centre for Neuroimaging, University College London, 12 Queen Square, London, WC1N 3BG, United Kingdom
| | - Cathy J Price
- Wellcome Trust Centre for Neuroimaging, University College London, 12 Queen Square, London, WC1N 3BG, United Kingdom
| | - Karl J Friston
- Wellcome Trust Centre for Neuroimaging, University College London, 12 Queen Square, London, WC1N 3BG, United Kingdom
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