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Almeida PMPD, Câmara DCP, Nobre AA, Ayllón T, Ribeiro MS, Dias CMG, Peixoto EM, Rocha MMD, Carvalho S, Honório NA. Spatio-Temporal Cluster Detection of Dengue, Chikungunya, and Zika Viruses' Infection in Rio de Janeiro State from 2010 to 2019. Viruses 2023; 15:1496. [PMID: 37515183 PMCID: PMC10384805 DOI: 10.3390/v15071496] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2023] [Revised: 06/24/2023] [Accepted: 06/27/2023] [Indexed: 07/30/2023] Open
Abstract
Dengue (DENV), chikungunya (CHIKV), and Zika (ZIKV) virus infections are widespread throughout the Rio de Janeiro state. The co-circulation of these emergent arboviruses constitutes a serious public health problem, resulting in outbreaks that can spatially and temporally overlap. Environmental conditions favor the presence, maintenance, and expansion of Aedes aegypti, the primary vector of these urban arboviruses. This study assessed the detection of clusters of urban arboviruses in the Rio de Janeiro state from 2010 to 2019. Notified cases of dengue, chikungunya, and Zika were grouped by year according to the onset of symptoms and their municipality of residence. The study period recorded the highest number of dengue epidemics in the state along with the simultaneous circulation of chikungunya and Zika viruses. The analyzes showed that the central municipalities of the metropolitan regions were associated with higher risk areas. Central municipalities in metropolitan regions were the first most likely clusters for dengue and Zika, and the second most likely cluster for chikungunya. Furthermore, the northwest and north regions were comprised clusters with the highest relative risk for the three arboviruses, underscoring the impact of these arboviruses in less densely populated regions of Brazil. The identification of high-risk areas over time highlights the need for effective control measures, targeted prevention and control interventions for these urban arboviral diseases.
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Affiliation(s)
- Paula Maria Pereira de Almeida
- Laboratório das Interações Vírus Hospedeiros, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro 210400-900, RJ, Brazil
- Núcleo Operacional Sentinela de Mosquitos Vetores-Nosmove, Fundação Oswaldo Cruz, Rio de Janeiro 21400-900, RJ, Brazil
- Secretaria de Estado de Saúde do Rio de Janeiro, Rio de Janeiro 20031-142, RJ, Brazil
| | - Daniel Cardoso Portela Câmara
- Laboratório das Interações Vírus Hospedeiros, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro 210400-900, RJ, Brazil
- Núcleo Operacional Sentinela de Mosquitos Vetores-Nosmove, Fundação Oswaldo Cruz, Rio de Janeiro 21400-900, RJ, Brazil
| | - Aline Araújo Nobre
- Programa de Computação Científica, Fundação Oswaldo Cruz, Rio de Janeiro 210400-900, RJ, Brazil
| | - Tania Ayllón
- Núcleo Operacional Sentinela de Mosquitos Vetores-Nosmove, Fundação Oswaldo Cruz, Rio de Janeiro 21400-900, RJ, Brazil
- Department of Genetics, Physiology and Microbiology, Faculty of Biological Sciences, University Complutense of Madrid, 28040 Madrid, Spain
| | - Mário Sérgio Ribeiro
- Secretaria de Estado de Saúde do Rio de Janeiro, Rio de Janeiro 20031-142, RJ, Brazil
| | | | | | - Maíra Mendonça da Rocha
- Secretaria de Estado de Saúde do Rio de Janeiro, Rio de Janeiro 20031-142, RJ, Brazil
- Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz, Rio de Janeiro 210400-900, RJ, Brazil
| | - Silvia Carvalho
- Secretaria de Estado de Saúde do Rio de Janeiro, Rio de Janeiro 20031-142, RJ, Brazil
| | - Nildimar Alves Honório
- Laboratório das Interações Vírus Hospedeiros, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro 210400-900, RJ, Brazil
- Núcleo Operacional Sentinela de Mosquitos Vetores-Nosmove, Fundação Oswaldo Cruz, Rio de Janeiro 21400-900, RJ, Brazil
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Pons MJ, Mayanga-Herrera A, Ulloa GM, Ymaña B, Medina S, Alava F, Álvarez-Antonio C, Meza-Sánchez G, Calampa C, Casanova W, Carey C, Rodríguez-Ferrucci H, Morrison AC, Quispe AM. Dengue and COVID-19 Co-Circulation in the Peruvian Amazon: A Population-Based Study. Am J Trop Med Hyg 2023; 108:1249-1255. [PMID: 37094790 PMCID: PMC10540116 DOI: 10.4269/ajtmh.22-0539] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2022] [Accepted: 02/21/2023] [Indexed: 04/26/2023] Open
Abstract
The COVID-19 pandemic affected the main Amazon cities dramatically, with Iquitos City reporting the highest seroprevalence of anti-SARS-CoV-2 antibodies during the first COVID-19 wave worldwide. This phenomenon raised many questions about the possibility of a co-circulation of dengue and COVID-19 and its consequences. We carried out a population-based cohort study in Iquitos, Peru. We obtained a venous blood sample from a subset of 326 adults from the Iquitos COVID-19 cohort (August 13-18, 2020) to estimate the seroprevalence of anti-dengue virus (DENV) and anti-SARS-CoV-2 antibodies. We tested each serum sample for anti-DENV IgG (serotypes 1, 2, 3, and 4) and SARS-CoV-2 antibodies anti-spike IgG and IgM by ELISA. We estimated an anti-SARS-CoV-2 seroprevalence of 78.0% (95% CI, 73.0-82.0) and an anti-DENV seroprevalence of 88.0% (95% CI, 84.0-91.6), signifying a high seroprevalence of both diseases during the first wave of COVID-19 transmission in the city. The San Juan District had a lower anti-DENV antibody seroprevalence than the Belen District (prevalence ratio, 0.90; 95% CI, 0.82-0.98). However, we did not observe these differences in anti-SARS-CoV-2 antibody seroprevalence. Iquitos City presented one of the highest seroprevalence rates of anti-DENV and anti-SARS-CoV-2 antibodies worldwide, but with no correlation between their antibody levels.
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Affiliation(s)
- Maria J. Pons
- Grupo de Enfermedades Infecciosas Re-emergentes, Universidad Científica del Sur, Lima, Peru
| | - Ana Mayanga-Herrera
- Grupo Cultivo Celular e Immunología, Universidad Cientìfica del Sur, Lima, Peru
| | - Gabriela M. Ulloa
- Grupo de Enfermedades Infecciosas Re-emergentes, Universidad Científica del Sur, Lima, Peru
| | - Barbara Ymaña
- Grupo de Enfermedades Infecciosas Re-emergentes, Universidad Científica del Sur, Lima, Peru
| | - Sabrina Medina
- Grupo de Enfermedades Infecciosas Re-emergentes, Universidad Científica del Sur, Lima, Peru
| | - Freddy Alava
- Dirección Regional de Salud de Loreto, Loreto, Peru
| | | | - Graciela Meza-Sánchez
- Dirección Regional de Salud de Loreto, Loreto, Peru
- Universidad Nacional de la Amazonía Peruana, Loreto, Peru
| | - Carlos Calampa
- Dirección Regional de Salud de Loreto, Loreto, Peru
- Universidad Nacional de la Amazonía Peruana, Loreto, Peru
| | - Wilma Casanova
- Universidad Nacional de la Amazonía Peruana, Loreto, Peru
| | - Cristiam Carey
- Universidad Nacional de la Amazonía Peruana, Loreto, Peru
| | | | - Amy C. Morrison
- Department of Pathology, Microbiology, and Immunology, School of Veterinary Medicine, University of California, Davis, California
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Moin-Vaziri V, Badakhshan M. The Impact of COVID-19 Pandemic on Arthropod-Related Diseases. J Arthropod Borne Dis 2023; 17:28-35. [PMID: 37609568 PMCID: PMC10440499 DOI: 10.18502/jad.v17i1.13199] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2021] [Accepted: 03/12/2023] [Indexed: 08/24/2023] Open
Abstract
Background The Covid-19 pandemic that caused by the infection with the novel Coronavirus SARS-CoV-2 has revealed individual and global vulnerabilities all over the world. Many countries that had been struggled with arthropod-borne diseases (VBDs) are now embroiled in another challenge caused by COVID-19 pandemic. The situation that poses major obstacles 1) by misdiagnosis 2) delay in early and appropriate treatment of VBDs 3) difficulties in applying regular strategy for vector control and prevention methods and finally 4) irregularity in financing supports. Given the possible scenario of syndemics, it is important to plan integrated and combined measurement with the maximum participation of the people and health authorities. Here, the impact of COVID-19 pandemic on some major arthropod-related diseases will be discussed. Methods To access the collective data all related databases such as Science direct, PubMed, Elsevier, Google scholar, as well WHO web page were searched with key words "arthropoda-related diseases, COVID-19 with the name of each individual disease". Results The results showed that the management, control, and treatment of most important arthropod-related diseases could be delayed due to COVID-19 pandemic. Conclusion Dealing with COVID-19, it is crucial to consider the other main killers such as malaria, dengue fever, etc. more especially in vulnerable populations by greater political, financial and global commitment. Continued surveillance will be essential to monitor for any possible changes.
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Affiliation(s)
- Vahideh Moin-Vaziri
- Department of Medical Parasitology and Mycology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Mehdi Badakhshan
- Department of Medical Entomology and Vector Control, School of Public Health, Urmia University of Medical Sciences, Urmia, Iran
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Costa LDD, Barros AD, Lorenzo C, Mendonça AVM, Sousa MFD. Percepção da população sobre a atuação das autoridades e das comunidades no controle das arboviroses. SAÚDE EM DEBATE 2022. [DOI: 10.1590/0103-1104202213414] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
Abstract
RESUMO O controle ambiental para a prevenção das arboviroses depende tanto de ações dos poderes públicos quanto do envolvimento das comunidades. A presente pesquisa analisou a percepção de 385 pessoas em 17 municípios das 5 regiões do País sobre a atuação das autoridades e da própria comunidade em relação ao controle e à prevenção da dengue. Independentemente da região, os participantes reconheceram que ações como saneamento básico, coleta regular de lixo, fiscalização de terrenos baldios e domicílios fechados têm sido frequentemente negligenciadas pelas autoridades. A responsabilização da comunidade, na figura do vizinho que não cumpre as medidas de controle, também foi percepção dominante, chamando a atenção a ausência de qualquer reconhecimento sobre como condições sociais desfavoráveis influenciam nas dificuldades para a realização dos procedimentos preventivos. Reflete-se ainda acerca dos prejuízos que a pandemia de Covid-19 tem causado às práticas preventivas e seus possíveis impactos futuros.
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Costa LDD, Barros AD, Lorenzo C, Mendonça AVM, Sousa MFD. Perception of the population on the role of authorities and communities in controlling arboviruses. SAÚDE EM DEBATE 2022. [DOI: 10.1590/0103-1104202213414i] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
Abstract
ABSTRACT The environmental control for prevention of arboviruses depends both on the actions of public authorities and the involvement of communities. The present study analyzed the perception of 385 citizens of 17 municipalities from the 5 regions of Brazil regarding the actions of the authorities and the community itself in relation to the control and prevention of dengue. The participants acknowledged that actions such as basic sanitation, regular waste collection, inspection of vacant lots and closed homes have often been neglected by the authorities. There was a tendency to hold the community accountable, through the example of neighbors who do not carry out prevention procedures. It was also noteworthy the silencing around unfavorable social conditions that can hinder the implementation of prevention procedures. We also reflected on the damage that the COVID-19 pandemic has caused to preventive practices and its possible future impacts.
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Bispo Júnior JP, Santos DBD. [COVID-19 as a syndemic: a theoretical model and foundations for a comprehensive approach in health]. CAD SAUDE PUBLICA 2021; 37:e00119021. [PMID: 34644754 DOI: 10.1590/0102-311x00119021] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2021] [Accepted: 08/13/2021] [Indexed: 01/22/2023] Open
Abstract
This essay aims to present and discuss the theoretical framework for the COVID-19 syndemic. The first part presents the foundations and principles of syndemic theory. For the purposes of this essay, syndemic was defined as a process of synergic interaction between two or more diseases, in which the effects are mutually enhanced. We discussed the three principal typologies of syndemic interaction: mutually causal epidemics; epidemics interacting synergically; and serial causal epidemics. In the second part, COVID-19 is analyzed as a syndemic resulting from the interaction between various groups of diseases and the socioeconomic context. The theoretical model considered the interaction between COVID-19 and chronic noncommunicable diseases, infectious and parasitic diseases, and mental health problems. The essay addressed how social iniquities and conditions of vulnerability act at various levels to increase the effect of COVID-19 and other pandemics. The last section discusses the need for comprehensive, multisector, and integrated responses to COVID-19. A model for intervention was presented that involves the patient care and socioeconomic dimensions. In the sphere of patient care, the authors defend the structuring of strong and responsive health systems, accessible to the entire population. The economic and social dimension addressed the issue of reclaiming the ideals of solidarity, the health promotion strategy, and emphasis on social determinants of health. In conclusion, the lessons learned from the syndemic approach to COVID-19 call on government and society to develop policies that link clinical, sanitary, socioeconomic, and environmental interventions.
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Dengue at the time of COVID-19 in the Philippines. Western Pac Surveill Response J 2021; 12:38-39. [PMID: 34540310 PMCID: PMC8421742 DOI: 10.5365/wpsar.2020.11.2.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Cavany SM, España G, Vazquez-Prokopec GM, Scott TW, Perkins TA. Pandemic-associated mobility restrictions could cause increases in dengue virus transmission. PLoS Negl Trop Dis 2021; 15:e0009603. [PMID: 34370734 PMCID: PMC8375978 DOI: 10.1371/journal.pntd.0009603] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2020] [Revised: 08/19/2021] [Accepted: 06/28/2021] [Indexed: 02/07/2023] Open
Abstract
BACKGROUND The COVID-19 pandemic has induced unprecedented reductions in human mobility and social contacts throughout the world. Because dengue virus (DENV) transmission is strongly driven by human mobility, behavioral changes associated with the pandemic have been hypothesized to impact dengue incidence. By discouraging human contact, COVID-19 control measures have also disrupted dengue vector control interventions, the most effective of which require entry into homes. We sought to investigate how and why dengue incidence could differ under a lockdown scenario with a proportion of the population sheltered at home. METHODOLOGY & PRINCIPAL FINDINGS We used an agent-based model with a realistic treatment of human mobility and vector control. We found that a lockdown in which 70% of the population sheltered at home and which occurred in a season when a new serotype invaded could lead to a small average increase in cumulative DENV infections of up to 10%, depending on the time of year lockdown occurred. Lockdown had a more pronounced effect on the spatial distribution of DENV infections, with higher incidence under lockdown in regions with higher mosquito abundance. Transmission was also more focused in homes following lockdown. The proportion of people infected in their own home rose from 54% under normal conditions to 66% under lockdown, and the household secondary attack rate rose from 0.109 to 0.128, a 17% increase. When we considered that lockdown measures could disrupt regular, city-wide vector control campaigns, the increase in incidence was more pronounced than with lockdown alone, especially if lockdown occurred at the optimal time for vector control. CONCLUSIONS & SIGNIFICANCE Our results indicate that an unintended outcome of lockdown measures may be to adversely alter the epidemiology of dengue. This observation has important implications for an improved understanding of dengue epidemiology and effective application of dengue vector control. When coordinating public health responses during a syndemic, it is important to monitor multiple infections and understand that an intervention against one disease may exacerbate another.
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Affiliation(s)
- Sean M. Cavany
- Department of Biological Sciences, University of Notre Dame, Notre Dame, Indiana, United States of America
| | - Guido España
- Department of Biological Sciences, University of Notre Dame, Notre Dame, Indiana, United States of America
| | | | - Thomas W. Scott
- Department of Entomology and Nematology, University of California, Davis, Davis, California, United States of America
| | - T Alex Perkins
- Department of Biological Sciences, University of Notre Dame, Notre Dame, Indiana, United States of America
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Field Effectiveness of Drones to Identify Potential Aedes aegypti Breeding Sites in Household Environments from Tapachula, a Dengue-Endemic City in Southern Mexico. INSECTS 2021; 12:insects12080663. [PMID: 34442229 PMCID: PMC8396529 DOI: 10.3390/insects12080663] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/16/2021] [Revised: 07/13/2021] [Accepted: 07/16/2021] [Indexed: 12/19/2022]
Abstract
Aedes aegypti control programs require more sensitive tools in order to survey domestic and peridomestic larval habitats for dengue and other arbovirus prevention areas. As a consequence of the COVID-19 pandemic, field technicians have faced a new occupational hazard during their work activities in dengue surveillance and control. Safer strategies to monitor larval populations, in addition to minimum householder contact, are undoubtedly urgently needed. Drones can be part of the solution in urban and rural areas that are dengue-endemic. Throughout this study, the proportion of larvae breeding sites found in the roofs and backyards of houses were assessed using drone images. Concurrently, the traditional ground field technician's surveillance was utilized to sample the same house groups. The results were analyzed in order to compare the effectiveness of both field surveillance approaches. Aerial images of 216 houses from El Vergel village in Tapachula, Chiapas, Mexico, at a height of 30 m, were obtained using a drone. Each household was sampled indoors and outdoors by vector control personnel targeting all the containers that potentially served as Aedes aegypti breeding sites. The main results were that the drone could find 1 container per 2.8 found by ground surveillance; however, containers that were inaccessible by technicians in roofs and backyards, such as plastic buckets and tubs, disposable plastic containers and flowerpots were more often detected by drones than traditional ground surveillance. This new technological approach would undoubtedly improve the surveillance of Aedes aegypti in household environments, and better vector control activities would therefore be achieved in dengue-endemic countries.
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Justo AFO, Bueno MS, Barbosa GR, Perosa AH, Carvalho JMA, Bellei N. Comparison of viral load between saliva and nasopharyngeal swabs for SARS-CoV2: the role of days of symptoms onset on diagnosis. Mem Inst Oswaldo Cruz 2021; 116:e210018. [PMID: 33886872 PMCID: PMC8061341 DOI: 10.1590/0074-02760210018] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2021] [Accepted: 04/01/2021] [Indexed: 12/15/2022] Open
Abstract
BACKGROUND Coronavirus disease 2019 (COVID-19) is highly infectious causing millions of deaths worldwide. Nasopharyngeal swabs are the primary sample of choice for the diagnosis of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), thus, to decrease the exposure to potentially infected samples through the collection is a key point to reduce the risk of infection in healthcare workers. OBJECTIVES This study aimed to evaluate the sensitivity and viral load of saliva specimens by days of symptoms onset comparing to nasopharyngeal swabs in subjects with mild symptoms. METHODS Saliva and nasopharyngeal swabs samples were collected from São Paulo Hospital workers presenting mild symptoms, such as fever, cough, sore throat, rhinorrhea, myalgia, headaches, anosmia, ageusia, and fatigue. To understand the positivity and viral load, reverse transcription-polymerase chain reaction (RT-PCR) was performed. FINDINGS Saliva specimens presented a sensitivity of 98.6% compared to nasopharyngeal swabs. Overall, saliva showed lower viral load compared to nasopharyngeal swabs, regarding days of symptoms onset on diagnosis, the first four days had significant changes in viral load and no significant difference was reported in the days five to nine. MAIN CONCLUSIONS Although RT-PCR of saliva has presented a lower viral load compared to nasopharyngeal swabs, saliva specimens are a potential and reliable candidate for COVID-19 diagnosis through RT-PCR.
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Affiliation(s)
| | - Mariana Sardinha Bueno
- Universidade Federal de São Paulo, Departamento de Medicina, Laboratório de Virologia Clínica, São Paulo, SP, Brasil
| | - Gabriela Rodrigues Barbosa
- Universidade Federal de São Paulo, Departamento de Medicina, Laboratório de Virologia Clínica, São Paulo, SP, Brasil
| | | | - Joseane MA Carvalho
- Universidade Federal de São Paulo, Departamento de Medicina, Laboratório de Virologia Clínica, São Paulo, SP, Brasil
| | - Nancy Bellei
- Universidade Federal de São Paulo, Departamento de Medicina, Laboratório de Virologia Clínica, São Paulo, SP, Brasil
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Tsheten T, Wangchuk S, Wangmo D, Clements ACA, Gray DJ, Wangdi K. COVID-19 Response and Lessons Learned on Dengue Control in Bhutan. JOURNAL OF MEDICAL ENTOMOLOGY 2021; 58:502-504. [PMID: 33095868 PMCID: PMC7665684 DOI: 10.1093/jme/tjaa225] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/23/2020] [Indexed: 06/11/2023]
Affiliation(s)
- Tsheten Tsheten
- Research School of Population Health, Australian National University, Canberra, Australia
- Royal Centre for Disease Control, Ministry of Health, Thimphu, Bhutan
| | - Sonam Wangchuk
- Royal Centre for Disease Control, Ministry of Health, Thimphu, Bhutan
| | | | - Archie C A Clements
- Faculty of Health Sciences, Curtin University, Perth, Australia
- Wesfarmers Centre of Vaccines and Infectious Diseases, Telethon Kids Institute, Nedlands, Australia
| | - Darren J Gray
- Research School of Population Health, Australian National University, Canberra, Australia
| | - Kinley Wangdi
- Research School of Population Health, Australian National University, Canberra, Australia
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Vicente CR, Silva TCCD, Pereira LD, Miranda AE. Impact of concurrent epidemics of dengue, chikungunya, zika, and COVID-19. Rev Soc Bras Med Trop 2021; 54:e08372020. [PMID: 33656154 PMCID: PMC8008862 DOI: 10.1590/0037-8682-0837-2020] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2020] [Accepted: 01/21/2021] [Indexed: 11/22/2022] Open
Abstract
INTRODUCTION: This study evaluated the epidemiological implications of arbovirus infections and coronavirus disease (COVID-19) co-occurrences in Espírito Santo, Brazil. METHODS: This ecological study of dengue, chikungunya, zika, and COVID-19 was performed from January 1 to July 31, 2020. RESULTS: Espírito Santo registered 44,614, 8,092, 3,138, and 91,483 cases of dengue, chikungunya, zika, and COVID-19, respectively (January-July, 2020). In the 27 and four municipalities with a high incidence of dengue and chikungunya, respectively, the incidence of COVID-19 was 647.0-3,721.7 and 1,787.2-3,403.0 cases per 100,000 inhabitants, respectively. CONCLUSIONS: Espírito Santo experienced an overlap of epidemics, especially in urban areas.
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Affiliation(s)
- Creuza Rachel Vicente
- Universidade Federal do Espírito Santo, Departamento de Medicina Social, Vitória, ES, Brasil.,Universidade Federal do Espírito Santo, Programa de Pós-Graduação em Doenças Infecciosas, Vitória, ES, Brasil
| | - Theresa Cristina Cardoso da Silva
- Secretaria de Estado da Saúde do Espírito Santo, Vigilância em Saúde, Vitória, ES, Brasil.,Universidade Federal do Espírito Santo, Programa de Pós-Graduação em Saúde Coletiva, Vitória, ES, Brasil
| | - Larissa Dell'Antonio Pereira
- Secretaria de Estado da Saúde do Espírito Santo, Vigilância em Saúde, Vitória, ES, Brasil.,Universidade Federal do Espírito Santo, Programa de Pós-Graduação em Saúde Coletiva, Vitória, ES, Brasil
| | - Angelica E Miranda
- Universidade Federal do Espírito Santo, Departamento de Medicina Social, Vitória, ES, Brasil.,Universidade Federal do Espírito Santo, Programa de Pós-Graduação em Saúde Coletiva, Vitória, ES, Brasil
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The adoption of the One Health approach to improve surveillance of venomous animal injury, vector-borne and zoonotic diseases in Foz do Iguaçu, Brazil. PLoS Negl Trop Dis 2021; 15:e0009109. [PMID: 33600424 PMCID: PMC7891772 DOI: 10.1371/journal.pntd.0009109] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Abstract
Public health institutions with sectorized structure and low integration among field teams, old-fashioned practices such as paper-based storage system, and poorly qualified health agents have limited ability to conduct accurate surveillance and design effective timely interventions. Herein, we describe the steps taken by the Zoonosis Control Center of Foz do Iguaçu (CCZ-Foz) in the last 23 years to move from an archaic and sectorized structure to a modern and timely surveillance program embracing zoonotic diseases, venomous animal injuries, and vector-borne diseases epidemiology under the One Health approach. The full implementation of the One Health approach was based on 5 axes: (1) merging sectorized field teams; (2) adoption of digital solutions; (3) health agents empowerment and permanent capacitation; (4) social mobilization; and (5) active surveys. By doing so, notifications related to zoonotic diseases and venomous animals increased 10 and 21 times, respectively, with no impairment on arbovirus surveillance (major concern in the city). Open sources database (PostgreSQL) and software (QGis) are daily updated and create real-time maps to support timely decisions. The adoption of One Health approach increased preparedness for endemic diseases and reemerging and emerging threats such as Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2).
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