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Pereira WM, Oliveira FESD, Coelho ML, Martelli DRB, Martelli Júnior H. Vaccination against COVID-19: the view of Brazilian federal judges. CAD SAUDE PUBLICA 2024; 40:e00086823. [PMID: 38695454 PMCID: PMC11057475 DOI: 10.1590/0102-311xen086823] [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] [Received: 05/12/2023] [Revised: 10/11/2023] [Accepted: 12/28/2023] [Indexed: 05/06/2024] Open
Abstract
The aim was to analyze the perception of Brazilian federal judges on the implications of COVID-19 vaccination. A study was carried out with Brazilian federal judges, who received a survey designed with multiple-choice questions on COVID-19 vaccination, covering topics such as its mandatory aspect, the application of coercive measures, hesitation to vaccinate, priority groups, the duties of Brazilian Health Regulatory Agency (Anvisa, acronym in Portuguese), the role of the Judiciary branch, and immunity passports. A total of 254 out of 1,300 federal judges from all states responded to the survey. Most respondents have a Bachelor's degree or a specialization (59.1%) and have been judges for more than 10 years (63.8%). A great majority of the judges (87.7%) agree with vaccine mandates for adults and for children and adolescents (66.1%). Over 75% of judges believe that all levels of government can impose sanctions on those who refuse to get vaccinated. The judges trust vaccination 93% of the time, 56.1% reject anti-vaccination movements, and 75.2% believe that Anvisa duties should be respected. The Judiciary branch actions concerning the COVID-19 pandemic are approved by 62.6% of judges, and 88.2% support immunity passports. There is a direct connection among mandatory vaccination, trust in the vaccine, and the adoption of immunity passports. Most federal judges agree with vaccine mandates for children and adults, support the application of sanctions for vaccination refusal, disapprove of anti-vaccination movements, agree with Anvisa's duties, and support judicial intervention in relation to the COVID-19 pandemic.
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Affiliation(s)
- Wilson Medeiros Pereira
- Universidade Estadual de Montes Claros, Montes Claros, Brasil
- Tribunal Regional Federal da 6ª Região, Belo Horizonte, Brasil
| | | | | | | | - Hercílio Martelli Júnior
- Universidade Estadual de Montes Claros, Montes Claros, Brasil
- Centro Pró-Sorriso, Universidade de Alfenas, Alfenas, Brasil
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Costa PN, Pereira JO, Cañigral AH, Quintana EM, Sanchez-Nieto JM, Delis PB, Villarroya AR, Gomez LL, Fernandez NA, Alcaraz AC. Vaccination status and outcomes in critical COVID-19 patients. J Bras Pneumol 2024; 50:e20230116. [PMID: 38422336 PMCID: PMC11095925 DOI: 10.36416/1806-3756/e20230116] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2023] [Accepted: 12/04/2023] [Indexed: 03/02/2024] Open
Abstract
OBJECTIVE To analyze the clinical characteristics and outcomes of patients with COVID-19-related acute respiratory failure on the basis of their vaccination status at the time of ICU admission. METHODS We conducted a retrospective observational study using a prospective database of patients admitted to the ICU of a university hospital in the city of Murcia, in Spain, between January 1, 2021 and September 1, 2022. Clinical, analytical, and sociodemographic data were collected and analyzed on the basis of patient vaccination status. We adjusted for confounding variables using propensity score matching and calculated adjusted ORs and 95% CIs. RESULTS A total of 276 patients were included in the study. Of those, 8.3% were fully vaccinated, 12% were partially vaccinated, and 79.7% were unvaccinated. Although fully vaccinated patients had more comorbidities, partially vaccinated patients had higher disease severity. The proportion of patients with severe acute respiratory failure was higher in the unvaccinated group, followed by the partially vaccinated group. No significant differences were found among the different groups regarding complications, duration of ventilatory support, or length of ICU/hospital stay. In the sample selected by propensity score matching, the number of patients with severe complications and the in-hospital mortality rate were higher in unvaccinated patients, but the differences were not significant. CONCLUSIONS This study failed to show a significant improvement in outcomes in critically ill COVID-19 patients vaccinated against SARS-CoV-2. However, the CIs were wide and the mortality point estimates favored patients who received at least one dose of COVID-19 vaccine.
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Affiliation(s)
- Pedro Nogueira Costa
- . Departamento de Pneumologia, Centro Hospitalar e Universitário de Coimbra, Universidade de Coimbra, Coimbra, Portugal
| | - João Oliveira Pereira
- . Departamento de Pneumologia, Centro Hospitalar e Universitário de Coimbra, Universidade de Coimbra, Coimbra, Portugal
| | - Aurea Higon Cañigral
- . Unidad de Cuidados Intensivos y Ventilación No Invasiva, Hospital General Universitario Morales Meseguer, Murcia, España
| | - Elena Martinez Quintana
- . Unidad de Cuidados Intensivos y Ventilación No Invasiva, Hospital General Universitario Morales Meseguer, Murcia, España
| | - Juan Miguel Sanchez-Nieto
- . Unidad de Cuidados Intensivos y Ventilación No Invasiva, Hospital General Universitario Morales Meseguer, Murcia, España
| | - Pablo Bayoumy Delis
- . Unidad de Cuidados Intensivos y Ventilación No Invasiva, Hospital General Universitario Morales Meseguer, Murcia, España
| | - Ana Renedo Villarroya
- . Unidad de Cuidados Intensivos y Ventilación No Invasiva, Hospital General Universitario Morales Meseguer, Murcia, España
| | - Laura Lopez Gomez
- . Unidad de Cuidados Intensivos y Ventilación No Invasiva, Hospital General Universitario Morales Meseguer, Murcia, España
| | - Nuria Alonso Fernandez
- . Unidad de Cuidados Intensivos y Ventilación No Invasiva, Hospital General Universitario Morales Meseguer, Murcia, España
| | - Andrés Carrillo Alcaraz
- . Unidad de Cuidados Intensivos y Ventilación No Invasiva, Hospital General Universitario Morales Meseguer, Murcia, España
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Oliveira SH, Silva BS, Carvalho LMR, Gontijo TL, Pinto IC, Guimarães EADA, de Oliveira VC. Prevalence and underreporting of immunization errors in childhood vaccination: results of a household survey. Rev Esc Enferm USP 2024; 57:e20230253. [PMID: 38373188 PMCID: PMC10878123 DOI: 10.1590/1980-220x-reeusp-2023-0253en] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2023] [Accepted: 12/22/2023] [Indexed: 02/21/2024] Open
Abstract
OBJECTIVE To investigate underreporting of immunization errors based on vaccination records from children under five years of age. METHOD An epidemiological, cross-sectional analytical study, carried out through a household survey with 453 children aged 6 months to 4 years in three municipalities in Minas Gerais in 2021. A descriptive analysis was carried out, and the prevalence of the error was calculated per 100 thousand doses applied between 2016 and 2021. The magnitude was estimated of the association between variables by prevalence and 95% Confidence Intervals (95%CI). To analyze underreporting, State reporting records were used. RESULTS A prevalence of immunization errors was found to be 41.9/100,000 doses applied (95%CI:32.2 - 51.6). The highest prevalence occurred between 2020 (50.0/100,000 doses applied) and 2021 (78.6/100,000 doses applied). The most frequent error was an inadequate interval between vaccines (47.2%) associated with adsorbed diphtheria, tetanus and pertussis (DTP) vaccine (13.7/100,000) administration. Vaccination delay was related to immunization errors (7.55 95% CI:2.30 - 24.80), and the errors found were underreported. CONCLUSION The high prevalence of underreported errors points to a worrying scenario, highlighting the importance of preventive measures.
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Affiliation(s)
- Stênio Henrique Oliveira
- Universidade Federal de São João del-Rei, Programa de Pós-Graduação
em Enfermagem, Divinópolis, MG, Brazil
| | - Brener Santos Silva
- Universidade do Estado de Minas Gerais, Departamento de Ciências da
Reabilitação e Saúde, Divinópolis, MG, Brazil
| | | | - Tarcísio Laerte Gontijo
- Universidade Federal de São João del-Rei, Programa de Pós-Graduação
em Enfermagem, Divinópolis, MG, Brazil
| | - Ione Carvalho Pinto
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto,
Programa de Pós-Graduação Enfermagem em Saúde Pública, Ribeirão Preto, SP,
Brazil
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Feter N, Caputo EL, Leite JS, Delpino FM, Silva LSD, Vieira YP, Paz IDA, Rocha JQS, Silva CND, Schröeder N, Silva MCD, Rombaldi AJ. Prevalence and factors associated with long COVID in adults from Southern Brazil: findings from the PAMPA cohort. CAD SAUDE PUBLICA 2023; 39:e00098023. [PMID: 38088735 PMCID: PMC10715571 DOI: 10.1590/0102-311xen098023] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2023] [Revised: 09/13/2023] [Accepted: 09/21/2023] [Indexed: 12/18/2023] Open
Abstract
Most COVID-19 survivors have reported experiencing persistent symptoms after the infection - these types of cases are known as long COVID. Since Brazil was an epicenter of the COVID-19 pandemic, a high burden of long COVID is expected. This study aimed to identify the prevalence and factors associated with long COVID in adults in Southern Brazil, analyzing data from the PAMPA cohort. Participants filled out a self-reported online questionnaire in June 2022. This study only included subjects who tested positive for COVID-19. Long COVID was defined by any symptoms that persisted for at least three months after the SARS-CoV-2 infection. Poisson's regression models with robust variance were used to identify factors associated with long COVID; and results were reported as prevalence ratios (PR) and respective 95% confidence intervals (95%CI). A total of 1,001 participants (77.4% women, mean age [SD] = 38.3 [11.9] years) were analyzed. The prevalence of long COVID among these patients was 77.4% (95%CI: 74.7; 79.9). The likelihood of long COVID was higher in unvaccinated participants (PR = 1.23, 95%CI: 1.06; 1.42), in those with chronic conditions (PR = 1.13, 95%CI: 1.04; 1.24), and in those who were hospitalized due to the COVID-19 infection (PR = 1.24, 95%CI: 1.16; 1.32). This prevalence was also higher in women (PR = 1.21, 95%CI: 1.09; 1.33) than in men. Physical activity was associated with a reduced likelihood of fatigue, neurological complications, coughing, and headaches as persistent symptoms after a COVID-19 infection. It was found that three out of four adults in Southern Brazil experienced long COVID. Public policies aiming to reduce the burden of long COVID must be prioritized, especially in groups that are at higher risk of developing this harmful condition.
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Affiliation(s)
- Natan Feter
- Universidade Federal do Rio Grande do Sul, Porto Alegre, Brasil
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Simões NCS, Tavares LODM, da Silva CMB, Rodrigues SB, Oliveira SH, Guimarães EADA, de Oliveira VC. Construction and validity of an educational video to prevent immunization errors. Rev Bras Enferm 2023; 76:e20230010. [PMID: 37820157 PMCID: PMC10561952 DOI: 10.1590/0034-7167-2023-0010] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2023] [Accepted: 04/03/2023] [Indexed: 10/13/2023] Open
Abstract
OBJECTIVE to construct and validate an orientation video, based on a low-fidelity clinical simulation scenario, to prevent immunization errors. METHODS a methodological study with video construction, validated in two stages by different audiences. Content was selected based on a realistic simulation scenario of the vaccine administration process to a patient-actor. Items with concordance greater than 0.8 and 0.6 were considered valid, verified using the Content Validity Index (CVI) and the Content Validity Ratio (CVR), respectively. RESULTS judges' CVI had an average of 97.5%, and CVR, 0.9, and health professionals' CVI, 95.4%, and CVR, 0.8. Successes in administering vaccines were addressed, such as careful reading of labels, double-checking the vaccine, distractions/interruptions and error reporting. CONCLUSIONS the video was constructed and validated in terms of content, and can be used in training professionals working in vaccination.
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Pereira MAD, Arroyo LH, Gallardo MDPS, Arcêncio RA, Gusmão JD, Amaral GG, de Oliveira VC, Guimarães EADA. Vaccination coverage in children under one year of age and associated socioeconomic factors: maps of spatial heterogeneity. Rev Bras Enferm 2023; 76:e20220734. [PMID: 37729269 PMCID: PMC10506597 DOI: 10.1590/0034-7167-2022-0734] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2022] [Accepted: 02/15/2023] [Indexed: 09/22/2023] Open
Abstract
OBJECTIVE to analyze vaccination coverage spatial distribution in children under one year old and the socioeconomic factors associated with meeting the recommended goals in Minas Gerais. METHODS an ecological study, carried out in 853 municipalities in the state. Pentavalent, poliomyelitis, meningococcal conjugate, yellow fever, rotavirus, and 10-valent pneumococcal conjugate vaccination coverage were analyzed. Scan statistics and multiple logistic regression were performed to identify spatial clusters and factors associated with meeting coverage goals. RESULTS spatial analysis revealed clusters with risk of low coverage for all vaccines. Number of families with per capita income of up to 1/2 wage, Minas Gerais Social Responsibility Index and percentage of the poor or extremely poor population were associated with meeting the established goals. CONCLUSIONS the results are useful for designing interventions regarding the structuring of vaccination services and the implementation of actions to increase vaccination coverage in clusters with less propensity to vaccinate.
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Affiliation(s)
| | | | | | | | - Josianne Dias Gusmão
- Secretaria de Estado da Saúde de Minas Gerais. Belo Horizonte, Minas Gerais, Brazil
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Costa GJ, da Silva JR, da Silva CCA, de Lima TPF, Costa MM, Sousa MHO, Costa GCDS, Costa JI, Sales MJT. Risk factors for death and illness severity in vaccinated versus unvaccinated COVID-2019 inpatients: a retrospective cohort study. J Bras Pneumol 2023; 49:e20230145. [PMID: 37729337 PMCID: PMC10578947 DOI: 10.36416/1806-3756/e20230145] [Citation(s) in RCA: 1] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2023] [Accepted: 06/05/2023] [Indexed: 09/22/2023] Open
Abstract
OBJECTIVE To determine the clinical profile of COVID-19 inpatients who were vaccinated prior to hospitalization and to compare the risk factors for death and the 28-day survival rate of between those inpatients vaccinated with one, two, or three doses and unvaccinated COVID-19 inpatients. METHODS This was a retrospective observational cohort study involving COVID-19 patients admitted to a referral hospital in the city of Recife, Brazil, between July of 2020 and June of 2022. RESULTS The sample comprised 1,921 inpatients, 996 of whom (50.8%) were vaccinated prior to hospitalization. After adjusting the mortality risk for vaccinated patients, those undergoing invasive mechanical ventilation (IMV) had the highest mortality risk (adjusted OR [aOR] = 7.4; 95% CI, 3.8-14.1; p < 0.001), followed by patients > 80 years of age (aOR = 7.3; 95% CI, 3.4-15.4; p < 0.001), and those needing vasopressors (aOR = 5.6; 95% CI, 2.9-10.9; p < 0.001). After adjusting the mortality risk for all patients, having received three vaccine doses (aOR = 0.06; 95% CI, 0.03-0.11; p < 0.001) was the most important protective factor against death. There were progressive benefits of vaccination, reducing the frequency of ICU admissions, use for IMV, and death (respectively, from 44.9%, 39.0% and 39.9% after the first dose to 16.7%, 6.2% and 4.4% after the third dose), as well as significant improvements in survival after each subsequent dose (p < 0.001). CONCLUSIONS Vaccines were effective in reducing illness severity and death in this cohort of COVID-19 inpatients, and the administration of additional doses conferred them with accumulative vaccine protection.
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Affiliation(s)
| | - José Roberto da Silva
- . Departamento de Ensino e Pesquisa, Instituto de Medicina Integral Professor Fernando Figueira - IMIP - Recife (PE) Brasil
| | - Caio Cesar Arruda da Silva
- . Departamento de Ensino e Pesquisa, Instituto de Medicina Integral Professor Fernando Figueira - IMIP - Recife (PE) Brasil
| | | | - Mariana Menezes Costa
- . Departamento de Ensino e Pesquisa, Instituto de Medicina Integral Professor Fernando Figueira - IMIP - Recife (PE) Brasil
| | - Marcos Henrique Oliveira Sousa
- . Departamento de Ensino e Pesquisa, Instituto de Medicina Integral Professor Fernando Figueira - IMIP - Recife (PE) Brasil
| | | | - José Iran Costa
- . Departamento de Ensino e Pesquisa, Hospital Alfa, Recife (PE) Brasil
| | - Mozart Júlio Tabosa Sales
- . Departamento de Ensino e Pesquisa, Instituto de Medicina Integral Professor Fernando Figueira - IMIP - Recife (PE) Brasil
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Dias S, Castro S, Ribeiro AI, Krainski ET, Duarte R. Geographic patterns and hotspots of pediatric tuberculosis: the role of socioeconomic determinants. J Bras Pneumol 2023; 49:e20230004. [PMID: 37341241 PMCID: PMC10578936 DOI: 10.36416/1806-3756/e20230004] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2023] [Accepted: 04/24/2023] [Indexed: 06/22/2023] Open
Abstract
OBJECTIVE Children are an important demographic group for understanding overall tuberculosis epidemiology, and monitoring of childhood tuberculosis is essential for appropriate prevention. The present study sought to characterize the spatial distribution of childhood tuberculosis notification rates in continental Portugal; identify high-risk areas; and evaluate the association between childhood tuberculosis notification rates and socioeconomic deprivation. METHODS Using hierarchical Bayesian spatial models, we analyzed the geographic distribution of pediatric tuberculosis notification rates across 278 municipalities between 2016 and 2020 and determined high-risk and low-risk areas. We used the Portuguese version of the European Deprivation Index to estimate the association between childhood tuberculosis and area-level socioeconomic deprivation. RESULTS Notification rates ranged from 1.8 to 13.15 per 100,000 children under 5 years of age. We identified seven high-risk areas, the relative risk of which was significantly above the study area average. All seven high-risk areas were located in the metropolitan area of Porto or Lisbon. There was a significant relationship between socioeconomic deprivation and pediatric tuberculosis notification rates (relative risk = 1.16; Bayesian credible interval, 1.05-1.29). CONCLUSIONS Identified high-risk and socioeconomically deprived areas should constitute target areas for tuberculosis control, and these data should be integrated with other risk factors to define more precise criteria for BCG vaccination.
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Affiliation(s)
- Sara Dias
- . Hospital Pedro Hispano, Matosinhos, Portugal
| | - Sofia Castro
- . Centro Hospitalar do Baixo Vouga, Hospital Infante D. Pedro, Aveiro, Portugal
| | - Ana Isabel Ribeiro
- . EPIUnit, Instituto de Saúde Pública - ISPUP - Universidade do Porto, Porto, Portugal
- . Laboratório para a Investigação Integrativa e Translacional em Saúde Populacional - ITR - Porto, Portugal
- . Departamento de Ciências da Saúde Pública e Forenses e Educação Médica, Faculdade de Medicina, Universidade do Porto, Porto, Portugal
| | - Elias T Krainski
- . Departamento de Estatística, Universidade Federal do Paraná - UFPR -Curitiba (PR) Brasil
- . King Abdullah University of Science and Technology - KAUST - Tuwal, Saudi Arabia
| | - Raquel Duarte
- . EPIUnit, Instituto de Saúde Pública - ISPUP - Universidade do Porto, Porto, Portugal
- . Instituto de Ciências Biomédicas Abel Salazar - ICBAS - Universidade do Porto, Porto, Portugal
- . Unidade de Investigação Clínica da ARS Norte, Porto, Portugal
- . Serviço de Pneumologia, Centro Hospitalar de Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal
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Paludetto Junior M, Olak AS, Passarelli-Araujo H, Susuki AM, Aschner M, Pott-Junior H, Paoliello MMB, Urbano MR. COVID-19 vaccination and case fatality rates: a case report in a Brazilian municipality. CAD SAUDE PUBLICA 2023; 39:e00067922. [PMID: 37018770 PMCID: PMC10463226 DOI: 10.1590/0102-311xen067922] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2002] [Accepted: 12/15/2022] [Indexed: 04/05/2023] Open
Abstract
Vaccination campaigns played a crucial role in reducing the incidence of COVID-19. However, a scant number of studies evaluated the impact of vaccination on case fatality rates (CFRs), including in Brazil. Our study aimed to compare CFRs according to vaccination status among subjects living in Arapongas (Paraná State, Brazil), considering the age composition of the population. Several strategies adopted by the Arapongas City Hall to minimize the spread of the virus were also elaborated upon. We accessed the 2021 database of the Arapongas Municipal Health Department, in which a total of 16,437 confirmed cases and 425 deaths were reported. The CFR was calculated as the ratio between COVID-19 deaths and the number of confirmed cases. Differences in age composition between unvaccinated and fully vaccinated individuals were observed in our study. Considering that CFR is a crude indicator and is highly sensitive to the age composition of the population, we adopted the average age distribution of confirmed cases among the three vaccination statuses (unvaccinated, partially, and fully) as a standard age distribution. The age-standardized CFR for unvaccinated and fully vaccinated groups were 4.55% and 2.42%, respectively. Fully vaccinated individuals showed lower age-specific CFRs in all age groups above 60 years than unvaccinated populations. Our findings strengthen the role of vaccination as a critical measure for preventing deaths among infected people and is particularly important to the ongoing reassessment of public health interventions and policies.
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Affiliation(s)
| | - André S Olak
- Departamento de Arquitetura e Urbanismo, Universidade Estadual de Londrina, Londrina, Brasil
| | | | - Aline M Susuki
- Departamento de Arquitetura e Urbanismo, Universidade Estadual de Londrina, Londrina, Brasil
| | - Michael Aschner
- Department of Molecular Pharmacology, Albert Einstein College of Medicine, New York, U.S.A
| | - Henrique Pott-Junior
- Departamento de Medicina, Universidade Federal de São Carlos, São Carlos, Brasil
| | - Monica M B Paoliello
- Department of Molecular Pharmacology, Albert Einstein College of Medicine, New York, U.S.A
| | - Mariana R Urbano
- Departamento de Estatística, Universidade Estadual de Londrina, Londrina, Brasil
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Amaral TDS, Alves CMDS, Rezende FR, Caetano KAA, Tipple AFV. Serological and vaccine evaluation for hepatitis B among Community Health Workers. Rev Lat Am Enfermagem 2023; 31:e3765. [PMID: 36722634 PMCID: PMC9886073 DOI: 10.1590/1518-8345.6107.3765] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2022] [Accepted: 07/26/2022] [Indexed: 02/02/2023] Open
Abstract
OBJECTIVE to identify the vaccination and serological status against hepatitis B among community health workers; to vaccinate against hepatitis B virus and to evaluate the immune response of susceptible workers. METHOD phase I, cross-sectional and descriptive study, among community health workers in a capital city of the Midwest region, through a self-administered questionnaire, checking of vaccination cards, and blood collection for testing of serological markers for hepatitis B. Phase II, cohort study carried out in vaccinated non-immune workers identified in phase I. They received one dose of vaccine (challenge dose) and serological testing. RESULTS a total of 109 workers participated in the study. Most had vaccination record (97; 89.0%) and vaccination completeness (75; 77.3%), while the isolated anti-HBs (Antibodies against hepatitis B virus) marker was detected in 78 (71.6%) workers. The prevalence of hepatitis B virus exposure was 8.2%. Of the ten non-immune vaccinated workers, after challenge dose, one remained susceptible. CONCLUSION although most workers are vaccinated and show immunological response to hepatitis B, susceptibility after challenge dose was identified. Therefore, it is necessary to have a surveillance program of the vaccination situation and serological status for this virus, to promote these workers' safety.
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Affiliation(s)
- Tauana de Souza Amaral
- Universidade Federal de Goiás, Goiânia, GO, Brazil
- Scholarship holder at the Fundação de Amparo à Pesquisa no Estado de Goiás, Brazil
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Teixeira JC, Vianna MSC, Vale DB, Arbore DM, Perini THW, Couto TJT, Neto JP, Zeferino LC. School-based HPV Vaccination: The Challenges in a Brazilian Initiative. Rev Bras Ginecol Obstet 2021; 43:926-931. [PMID: 34933386 PMCID: PMC10183876 DOI: 10.1055/s-0041-1740279] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2021] [Accepted: 11/03/2021] [Indexed: 10/19/2022] Open
Abstract
OBJECTIVE The present study assesses the implementation and the impact after 2 years of a school-based human papillomavirus (HPV) vaccination program in a Brazilian city. METHODS A prospective study assessing the implementation of the program, offering quadrivalent HPV vaccine in two annual doses to girls and boys aged from 9 to 10 years old. The program was started in the city of Indaiatuba, state of São Paulo, Brazil, in 2018, and had authorization from the National Immunization Program. The number of HPV vaccine first doses applied and the coverage in 2018 was calculated and compared to the year 2017. There were described events that have influenced the results. RESULTS The program invited 4,878 children through schools (87.1% of the target population), and 7.5% refused vaccination. Several concurrent events required or competed for health professionals of the vaccination teams. The coverage of the first dose (between 9 and 10 years old) was 16.1% in 2017 and increased to 50.5% in 2018 (p < 0.0001). The first dose in all ages increased 78% in 2018 compared with 2017 (6,636/3,733). Competing demands over the program continued in 2019, and the first dose coverage dropped (26.9%). For 2020, a municipal law instituted school-based vaccination and the creation of dedicated teams for vaccination, and these strategies are waiting to be tested. CONCLUSION School-based annual HPV vaccination in children between 9 and 10 years old was feasible and increased vaccination coverage, regardless of gender, although the program was vulnerable to competing events.
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Affiliation(s)
- Julio Cesar Teixeira
- Department of Obstetrics and Gynecology, Faculty of Medical Sciences, Universidade Estadual de Campinas, Campinas, SP, Brazil
| | - Mariana Silva Castro Vianna
- Epidemiological Surveillance and Women Health Secretariat, Administration of the City of Indaiatuba – Mayor's Office, Indaiatuba, SP, Brazil
| | - Diama Bhadra Vale
- Department of Obstetrics and Gynecology, Faculty of Medical Sciences, Universidade Estadual de Campinas, Campinas, SP, Brazil
| | - Daniella Moretti Arbore
- Department of Obstetrics and Gynecology, Faculty of Medical Sciences, Universidade Estadual de Campinas, Campinas, SP, Brazil
| | - Thais Helena Wilmers Perini
- Epidemiological Surveillance and Women Health Secretariat, Administration of the City of Indaiatuba – Mayor's Office, Indaiatuba, SP, Brazil
| | - Tulio Jose Tomass Couto
- Epidemiological Surveillance and Women Health Secretariat, Administration of the City of Indaiatuba – Mayor's Office, Indaiatuba, SP, Brazil
| | - Jose Pedroso Neto
- Epidemiological Surveillance and Women Health Secretariat, Administration of the City of Indaiatuba – Mayor's Office, Indaiatuba, SP, Brazil
| | - Luiz Carlos Zeferino
- Department of Obstetrics and Gynecology, Faculty of Medical Sciences, Universidade Estadual de Campinas, Campinas, SP, Brazil
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Cesena FHY. Avoidable Cardiovascular Events: A Serious Side Effect of the COVID-19 Pandemic. Arq Bras Cardiol 2021; 116:381-382. [PMID: 33909763 PMCID: PMC8159556 DOI: 10.36660/abc.20210113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Affiliation(s)
- Fernando H. Y. Cesena
- Hospital Israelita Albert EinsteinSão PauloSPBrasilHospital Israelita Albert Einstein, São Paulo, SP – Brasil,Correspondência: Fernando Cesena • Hospital Israelita Albert Einstein, Avenida Brasil, 953. CEP 01431-000, São Paulo, SP – Brasil, E-mail: ,
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