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Cesar GA, do Lago BV, Ortiz Tanaka TS, Zanini PB, Bandeira LM, Puga MAM, Pires Fernandes FR, Pinto CS, Castro LS, Bertolacci-Rocha LG, dos Santos Fernandes CE, de Rezende GR, Motta-Castro ARC. Differences in risky sexual behaviors and HIV prevalence between men who have sex with men and transgender women in the Midwest Brazil. PLOS Glob Public Health 2024; 4:e0003061. [PMID: 38709753 PMCID: PMC11073717 DOI: 10.1371/journal.pgph.0003061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/10/2022] [Accepted: 03/05/2024] [Indexed: 05/08/2024]
Abstract
Men who have sex with men (MSM) and transgender women (TW) are disproportionally affected by HIV infection. This cross-sectional study evaluated the HIV-1/2 prevalence, risk factors and HIV molecular features of MSM and TW from Midwest Brazil. Four hundred and thirty participants (278 MSM and 152 TW) from Mato Grosso do Sul, Brazil, were interviewed and tested for HIV-1/2 infection between November 2011 and September 2013. Participants who were assigned male at birth, older than 18 years old and self-declared as MSM or TW were recruited from LGBT+ associations, as well as public (parks, square, streets, etc) and private [nightclubs, saunas, brothels, etc] places. The prevalence of HIV-1 was 14.4% (9.0% among MSM and 24% among TW; p<0.001). The factor independently associated with HIV-1 infection among MSM was being 30 years-old or older. Among TW, having suffered sexual coercion, lifetime syphilis infection and hepatitis C virus exposure were associated with HIV-1 infection. Phylogenetic analyses classified 65% sequences as subtype B and 35% as possible recombinants. All but one recombinant sample were from TW individuals. High HIV-1 prevalences were observed in both groups, highlighting the urgent need to devise specific HIV interventions targeting these key populations. Notably, TWs are more vulnerable to HIV infection, which was associated with sexual violence and co-infection with other STIs. With regard to MSM, being 30 years old or older was significanty associated to HIV, reinforcing the idea that MSM are less exposed [or exposed later] to STIs than TWs, although MSM are clearly more vulnerable than the general population.
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Affiliation(s)
- Gabriela Alves Cesar
- Laboratory of Clinical Immunology, Federal University of Mato Grosso do Sul, Campo Grande, MS, Brazil
| | - Bárbara Vieira do Lago
- Laboratory of Viral Hepatitis, Oswaldo Cruz Foundation, Rio de Janeiro, Rio de Janeiro, RJ, Brazil
- Institute of Immunobiological Technology (Bio-Manguinhos), Fiocruz, Rio de Janeiro, Brazil
| | - Tayana Serpa Ortiz Tanaka
- Laboratory of Clinical Immunology, Federal University of Mato Grosso do Sul, Campo Grande, MS, Brazil
| | - Priscila Brunini Zanini
- Laboratory of Clinical Immunology, Federal University of Mato Grosso do Sul, Campo Grande, MS, Brazil
| | - Larissa Melo Bandeira
- Laboratory of Clinical Immunology, Federal University of Mato Grosso do Sul, Campo Grande, MS, Brazil
| | | | | | - Clarice Souza Pinto
- Secretary of Health of the State of Mato Grosso do Sul, Campo Grande, MS, Brazil
| | | | | | | | | | - Ana Rita Coimbra Motta-Castro
- Laboratory of Clinical Immunology, Federal University of Mato Grosso do Sul, Campo Grande, MS, Brazil
- Laboratory of Molecular Virology, Oswaldo Cruz Foundation, Mato Grosso do Sul, Campo Grande, MS, Brazil
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Castro LS, de Rezende GR, Puga MAM, Bandeira LM, Ortiz Tanaka TS, Weis-Torres S, Taira DL, Demarchi LHF, Croda JRH, Pinho JRR, Gomes-Gouvêa MS, Motta-Castro ARC. Hepatitis A virus infection in Brazilian correctional facilities. PLoS One 2023; 18:e0283868. [PMID: 37098017 PMCID: PMC10128929 DOI: 10.1371/journal.pone.0283868] [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: 09/21/2022] [Accepted: 03/17/2023] [Indexed: 04/26/2023] Open
Abstract
Hepatitis A virus (HAV) infection is transmitted by the fecal-oral route, through interpersonal contact and ingestion of contaminated food or water. Prisoners are at higher risk of acquiring HAV infection mainly due to the environment of closed penal institutions and socioeconomic conditions. This study aims to determine the seroprevalence of anti-HAV and its associated risk factors among inmates from twelve prisons in Central Brazil. A cross-sectional study was conducted between March 2013 and March 2014. A total of 580 prisoners participated in the study. The participant's samples were tested for Total and IgM anti-HAV antibodies by electrochemiluminescence immunoassay (ECLIA). Risk factors associated with anti-HAV seropositivity were also analyzed. The prevalence rate of HAV exposure was 88.1% (95% CI: 85.5-90.7). No sample had a positive reaction to IgM anti-HAV. Increasing age, low level of education, and being imprisoned in Corumbá city were independently associated with HAV exposure among prisoners. To prevent the burden of the disease, vaccination strategies should be considered for susceptible prisoners in Central Brazil.
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Affiliation(s)
- Lisie Souza Castro
- Universidade Federal de Mato Grosso do Sul, Campo Grande, Mato Grosso do Sul, Brazil
- Universidade Federal de Rondonópolis, Rondonópolis, Mato Grosso, Brazil
| | | | | | - Larissa Melo Bandeira
- Universidade Federal de Mato Grosso do Sul, Campo Grande, Mato Grosso do Sul, Brazil
| | | | - Sabrina Weis-Torres
- Universidade Federal de Mato Grosso do Sul, Campo Grande, Mato Grosso do Sul, Brazil
| | - Deborah Ledesma Taira
- Laboratório Central de Saúde Pública de Mato Grosso do Sul/SES/MS, Campo Grande, Mato Grosso do Sul, Brazil
| | | | - Julio Rosa Henrique Croda
- Universidade Federal de Mato Grosso do Sul, Campo Grande, Mato Grosso do Sul, Brazil
- Fiocruz Mato Grosso do Sul, Fundação Oswaldo Cruz, Campo Grande, Mato Grosso do Sul, Brazil
| | - João Renato Rebello Pinho
- LIM-07, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, São Paulo, Brazil
| | - Michele Soares Gomes-Gouvêa
- LIM-07, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, São Paulo, Brazil
| | - Ana Rita Coimbra Motta-Castro
- Universidade Federal de Mato Grosso do Sul, Campo Grande, Mato Grosso do Sul, Brazil
- Fiocruz Mato Grosso do Sul, Fundação Oswaldo Cruz, Campo Grande, Mato Grosso do Sul, Brazil
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Almeida de Freitas C, Soldera A, Rocha de Rezende G, Thomaz Martins A, Garcia Braz Trovão AC, Solon S, Guimarães dos Santos Almeida R. Atenção primária à saúde no Brasil: adolescência, desinformação e infecções sexualmente transmissíveis. hu rev 2022. [DOI: 10.34019/1982-8047.2022.v48.37729] [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: 11/06/2022] Open
Abstract
Introdução: As infecções sexualmente transmissíveis (IST), principalmente na população jovem, apresentam-se como um problema de saúde pública a nível mundial. Objetivo: Identificar o conhecimento de adolescentes escolares sobre IST e acessibilidade ao serviço de saúde. Método: Trata-se de um estudo descritivo, qualitativo, desenvolvido com 13 adolescentes, estudantes de uma escola municipal de uma capital da região centro-oeste, Brasil. Resultados: A análise das entrevistas proporcionou a identificação de três categorias temáticas: conhecimento e desconhecimento sobre o assunto; a importância da educação sexual na busca de respostas e o elo inexistente com o sistema de saúde. Conclusão: Evidenciou-se que os participantes apresentaram algum conhecimento sobre a prevenção de IST, porém a maioria desconhece a sintomatologia e formas de transmissão destas infecções.
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Demarchi LHF, Bandeira LM, Taira DL, Zardin MCSU, Ibanhes ML, Esposito AOP, de Arruda LDC, Gonçalves CCM, Weis-Torres SMDS, Cesar GA, da Cunha RV, Tanaka TSO, Puga MAM, de Rezende GR, Lopes RB, Uehara SNDO, Pinho JRR, Carrilho FJ, Gomes-Gouvêa MS, Motta-Castro ARC. Hepatitis B Virus Infection among Japanese Immigrants and Descendants: The Need to Strengthen Preventive and Control Measures. Viruses 2022; 14:v14051085. [PMID: 35632826 PMCID: PMC9145874 DOI: 10.3390/v14051085] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2021] [Revised: 03/03/2022] [Accepted: 03/04/2022] [Indexed: 02/01/2023] Open
Abstract
This cross-sectional study aimed to investigate the prevalence and risk factors of Hepatitis B virus infection among Japanese immigrants and their descendants from São Paulo (SP), and to verify the occurrence of occult hepatitis B and coinfection with HCV, Delta, and HTLV. All samples (n = 2.127) were tested for HBV serological markers by electrochemiluminescence. HBsAg and/or total anti-HBc positive samples were tested for HBV DNA by real-time PCR, and genotyped by sequencing using the Sanger methodology. The prevalence rate of HBV exposure was 13.4% (CI 95%: 11.9–14.9%), and 22 (1.1%) were HBsAg positive. A high rate of susceptibility to HBV infection was found (67.4%; CI 95%: 65.4–69.4%). In contrast, only 19.2% (CI 95%: 17.6–20.9%) presented a serological profile analogous to that elicited by Hepatitis B vaccination. HBV isolates (n = 8) were classified as genotypes HBV/B1 (62.5%), HBV/C2 (12.5%), HBV/F1b (12.5%), and HBV/A1 (12.5%). Hepatitis B vaccination strategies and educational measures to control this infection should be considered.
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Affiliation(s)
- Luiz Henrique Ferraz Demarchi
- Laboratório Central de Saúde Pública de Mato Grosso do Sul/SES/MS, Campo Grande 79080-320, Brazil; (D.L.T.); (M.C.S.U.Z.); (M.L.I.); (A.O.P.E.)
- Correspondence: (L.H.F.D.); (L.M.B.); (A.R.C.M.-C.)
| | - Larissa Melo Bandeira
- Laboratory of Clinical Immunology, Federal University of Mato Grosso do Sul, Campo Grande 79070-900, Brazil; (S.M.d.S.W.-T.); (G.A.C.); (T.S.O.T.); (M.A.M.P.); (G.R.d.R.); (S.N.d.O.U.)
- Correspondence: (L.H.F.D.); (L.M.B.); (A.R.C.M.-C.)
| | - Deborah Ledesma Taira
- Laboratório Central de Saúde Pública de Mato Grosso do Sul/SES/MS, Campo Grande 79080-320, Brazil; (D.L.T.); (M.C.S.U.Z.); (M.L.I.); (A.O.P.E.)
| | - Marina Castilhos Souza Umaki Zardin
- Laboratório Central de Saúde Pública de Mato Grosso do Sul/SES/MS, Campo Grande 79080-320, Brazil; (D.L.T.); (M.C.S.U.Z.); (M.L.I.); (A.O.P.E.)
| | - Mary Luizia Ibanhes
- Laboratório Central de Saúde Pública de Mato Grosso do Sul/SES/MS, Campo Grande 79080-320, Brazil; (D.L.T.); (M.C.S.U.Z.); (M.L.I.); (A.O.P.E.)
| | - Ana Olivia Pascoto Esposito
- Laboratório Central de Saúde Pública de Mato Grosso do Sul/SES/MS, Campo Grande 79080-320, Brazil; (D.L.T.); (M.C.S.U.Z.); (M.L.I.); (A.O.P.E.)
| | | | | | - Sabrina Moreira dos Santos Weis-Torres
- Laboratory of Clinical Immunology, Federal University of Mato Grosso do Sul, Campo Grande 79070-900, Brazil; (S.M.d.S.W.-T.); (G.A.C.); (T.S.O.T.); (M.A.M.P.); (G.R.d.R.); (S.N.d.O.U.)
| | - Gabriela Alves Cesar
- Laboratory of Clinical Immunology, Federal University of Mato Grosso do Sul, Campo Grande 79070-900, Brazil; (S.M.d.S.W.-T.); (G.A.C.); (T.S.O.T.); (M.A.M.P.); (G.R.d.R.); (S.N.d.O.U.)
| | | | - Tayana Serpa Ortiz Tanaka
- Laboratory of Clinical Immunology, Federal University of Mato Grosso do Sul, Campo Grande 79070-900, Brazil; (S.M.d.S.W.-T.); (G.A.C.); (T.S.O.T.); (M.A.M.P.); (G.R.d.R.); (S.N.d.O.U.)
| | - Marco Antonio Moreira Puga
- Laboratory of Clinical Immunology, Federal University of Mato Grosso do Sul, Campo Grande 79070-900, Brazil; (S.M.d.S.W.-T.); (G.A.C.); (T.S.O.T.); (M.A.M.P.); (G.R.d.R.); (S.N.d.O.U.)
| | - Grazielli Rocha de Rezende
- Laboratory of Clinical Immunology, Federal University of Mato Grosso do Sul, Campo Grande 79070-900, Brazil; (S.M.d.S.W.-T.); (G.A.C.); (T.S.O.T.); (M.A.M.P.); (G.R.d.R.); (S.N.d.O.U.)
| | - Roberta Barbosa Lopes
- Secretaria Nacional de Vigilância em Saúde SVS, Ministério da Saúde, Brasília, Distrito Federal 70740-610, Brazil;
| | - Silvia Naomi de Oliveira Uehara
- Laboratory of Clinical Immunology, Federal University of Mato Grosso do Sul, Campo Grande 79070-900, Brazil; (S.M.d.S.W.-T.); (G.A.C.); (T.S.O.T.); (M.A.M.P.); (G.R.d.R.); (S.N.d.O.U.)
| | - João Renato Rebello Pinho
- Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo 05403-000, Brazil; (J.R.R.P.); (F.J.C.); (M.S.G.-G.)
| | - Flair Jose Carrilho
- Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo 05403-000, Brazil; (J.R.R.P.); (F.J.C.); (M.S.G.-G.)
| | - Michele Soares Gomes-Gouvêa
- Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo 05403-000, Brazil; (J.R.R.P.); (F.J.C.); (M.S.G.-G.)
| | - Ana Rita Coimbra Motta-Castro
- Laboratory of Clinical Immunology, Federal University of Mato Grosso do Sul, Campo Grande 79070-900, Brazil; (S.M.d.S.W.-T.); (G.A.C.); (T.S.O.T.); (M.A.M.P.); (G.R.d.R.); (S.N.d.O.U.)
- Fiocruz Mato Grosso do Sul, Fundação Oswaldo Cruz, Campo Grande 79081-746, Brazil
- Correspondence: (L.H.F.D.); (L.M.B.); (A.R.C.M.-C.)
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Melo Bandeira L, Moreira Puga MA, Croda J, Pompílio MA, Amianti C, Rocha de Rezende G, Coimbra Motta-Castro AR. Human T-Lymphotropic Virus-1/2 Infection in Central Brazil Prisons: A Multicenter Study. Front Microbiol 2022; 12:740245. [PMID: 35126323 PMCID: PMC8815966 DOI: 10.3389/fmicb.2021.740245] [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] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2021] [Accepted: 12/20/2021] [Indexed: 01/12/2023] Open
Abstract
Human T-lymphotropic virus (HTLV) infection is endemic in some group populations. Prisoners are at high risk of acquiring HTLV infection mainly due to the environment of closed penal institutions, socioeconomic conditions, and risk behaviors. This study aimed to investigate the prevalence, the occurrence of new cases of HTLV infection after a 1-year follow-up, and circulating subtypes of HTLV-1 among prisoners from twelve closed prisons in Mato Grosso do Sul state, Central Brazil. A total of 1,507 prisoners were randomly enrolled in the cross-sectional study. Out of the 1,507 participants, 1,000 prisoners, susceptible to HTLV infection, were included in the prospective cohort study. In the cross-sectional study, serological evidence of HTLV infection was 0.4% (CI 95%: 0.1-0.7), tested for anti-HTLV antibodies by enzyme-linked immunosorbent assay (ELISA). Three samples were positive for HTLV-1, two samples were positive for HTLV-2, and 1 sample was indeterminate by the Western blot method. The presence of HTLV proviral DNA was detected in all positive samples by amplification of the HTLV tax gene through nested-PCR. Phylogenetic analysis showed that HTLV-1 samples belonged to the Cosmopolitan subtype Transcontinental subgroup. From a cohort of 1,000 individuals, no new case of HTLV infection was detected. Although the prevalence rate of HTLV infection found in this study was similar to that observed in the Brazilian general population, the lack of access to preventive interventions and harm reduction measures all contribute to increasing the risk of HTLV transmission and acquisition among this key and vulnerable population.
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Affiliation(s)
- Larissa Melo Bandeira
- Federal University of Mato Grosso do Sul, Campo Grande, Brazil
- *Correspondence: Larissa Melo Bandeira,
| | | | - Julio Croda
- Federal University of Mato Grosso do Sul, Campo Grande, Brazil
- Fiocruz Mato Grosso do Sul, Fundação Oswaldo Cruz, Ministério da Saúde, Campo Grande, Brazil
| | | | | | | | - Ana Rita Coimbra Motta-Castro
- Federal University of Mato Grosso do Sul, Campo Grande, Brazil
- Fiocruz Mato Grosso do Sul, Fundação Oswaldo Cruz, Ministério da Saúde, Campo Grande, Brazil
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6
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Castro LS, Rezende GRD, Pires Fernandes FR, Bandeira LM, Cesar GA, do Lago BV, Gomes Gouvêa MS, Motta-Castro ARC. HAV infection in Brazilian men who have sex with men: The importance of surveillance to avoid outbreaks. PLoS One 2021; 16:e0256818. [PMID: 34529672 PMCID: PMC8445402 DOI: 10.1371/journal.pone.0256818] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [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: 03/24/2021] [Accepted: 08/16/2021] [Indexed: 11/22/2022] Open
Abstract
Background Hepatitis A is a fecal-oral infection caused by hepatitis A virus (HAV). Men who have sex with men (MSM) and transgender women (TW) have been reported as target groups for HAV infection. This study aimed to determine the seroprevalence, risk factors, and circulating strains associated with HAV infection among MSM and TW in Central Brazil. Methods A cross-sectional study was conducted from November 2011 to September 2013. Serum samples were collected from 425 individuals for anti-HAV antibody testing and HAV molecular characterization. Of them, 149 (35.1%) participants were self-identified as transgender women. Statistical analysis was performed to evaluate the risk factors of HAV seropositivity. Results The seroprevalence of HAV exposure was 69.7% (95% Confidence Interval: 65.3–74.0%). Serological evidence of HAV was significantly higher in participants who self-identified as transgender women (83.2%) than MSM (62.3%). Increasing age, non-white race, and lower monthly household income were independently associated with HAV exposure among MSM. Only lower monthly household income was independently associated with HAV exposure among TW. One anti-HAV IgM positive sample, from a transgender woman (0.2%), was detected and classified as subgenotype IA. Conclusions High HAV prevalence was observed, markedly among TW. Considering the risky sexual behaviors this population is exposed to, HAV vaccination and prevention programs targeting this population should be considered to prevent outbreaks and the burden of the disease.
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Affiliation(s)
- Lisie Souza Castro
- Federal University of Mato Grosso do Sul, Campo Grande, Brazil.,Federal University of Mato Grosso, Rondonópolis, Brazil
| | | | - Fernanda Rodas Pires Fernandes
- Federal University of Mato Grosso do Sul, Campo Grande, Brazil.,Ministry of Agriculture, Livestock and Food Supply/National Agricultural Laboratory, MAPA/LANAGRO, Minas Gerais, Brazil
| | | | | | | | | | - Ana R C Motta-Castro
- Federal University of Mato Grosso do Sul, Campo Grande, Brazil.,Oswaldo Cruz Foundation, FIOCRUZ, Rio de Janeiro, Mato Grosso do Sul, Brazil
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Lima LRP, Almeida NAA, Horta MAP, Belo VS, da Silva AS, Capelin GJM, Fernandes FRP, Puga MAM, Rezende GRD, Tanaka TSO, Castro LS, Motta-Castro ARC, de Paula VS. Human alphaherpesvirus 2 (HSV-2) among female sex workers from Brazil: cross-sectional study using respondent-driven sampling. Sex Transm Infect 2020; 97:461-464. [PMID: 32938706 DOI: 10.1136/sextrans-2019-054400] [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: 12/18/2019] [Revised: 07/09/2020] [Accepted: 08/24/2020] [Indexed: 11/03/2022] Open
Abstract
OBJECTIVE Female sex workers (FSWs) are vulnerable to human alphaherpesvirus 2 (HSV-2) infection due to their high numbers of sexual partners. The objective of this study was to evaluate the seroprevalence and risk behaviours associated with HSV-2. METHODS A cross-sectional study was conducted in Mato Grosso do Sul, Brazil. A total of 376 FSWs were recruited by respondent-driven sampling (RDS) methodology and answered an epidemiological questionnaire. Blood samples were collected to test for HSV-2 antibodies using commercial ELISA and for HSV-2 DNA using real-time PCR. RESULTS The seropositivity was 47.3% (178/376) for HSV-2 IgG and 10.1% (38/376) for HSV-2 IgM. HSV-2 viraemia was detected in two infected FSWs with primary infections. In bivariate and multivariate analyses, the OR for HSV-2 IgG increased with age (OR=2.53-7.90, OR=2.66-6.37) and the number of sexual partners (OR=2.30-3.25). On the other hand, daily alcohol consumption (OR=0.10) and the use of condoms during the last intercourse (OR=0.47) were protective factors against HSV-2 acquisition. CONCLUSION Despite the impact of FSWs in public health policies with the dissemination of sexually transmitted infections, there have been few studies performed regarding the prevalence of HSV-2 in Brazil, making it difficult to implement any control or preventative measures. The results produced here using an RDS methodology demonstrated a high prevalence, risk behaviours and primary infection among the FSWs. These results reinforce the need to implement control and preventative measures for HSV-2 infection in this population.
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Affiliation(s)
- Lyana Rodrigues Pinto Lima
- Laboratory of Molecular Virology, Oswaldo Cruz Institute- FIOCRUZ, Rio de Janeiro, Rio de Janeiro, Brazil
| | | | | | - Vinicius S Belo
- Departamento de Endemias Samuel Pessoa, ENSP/ FIOCRUZ, Rio de Janeiro, Rio de Janeiro, Brazil
| | - Alexandre Santos da Silva
- Laboratory of Molecular Virology, Oswaldo Cruz Institute- FIOCRUZ, Rio de Janeiro, Rio de Janeiro, Brazil
| | | | | | | | | | | | - Lisie Souza Castro
- Federal University of Mato Grosso do Sul, Campo Grande, Mato Grosso do Sul, Brazil
| | - Ana Rita Coimbra Motta-Castro
- Federal University of Mato Grosso do Sul, Campo Grande, Mato Grosso do Sul, Brazil.,Fiocruz Mato Grosso do Sul, Mato Grosso do Sul, Mato Grosso do Sul, Brazil
| | - Vanessa Salete de Paula
- Laboratory of Molecular Virology, Oswaldo Cruz Institute- FIOCRUZ, Rio de Janeiro, Rio de Janeiro, Brazil
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Puga MAM, Bandeira LM, Pompilio MA, de Rezende GR, Soares LS, de Castro VDOL, Tanaka TSO, Cesar GA, de Oliveira SMDVL, Teles SA, Yassuda RTS, Weis-Torres SMDS, Basílio SF, Croda J, Motta-Castro ARC. Screening for HBV, HCV, HIV and syphilis infections among bacteriologically confirmed tuberculosis prisoners: An urgent action required. PLoS One 2019; 14:e0221265. [PMID: 31437184 PMCID: PMC6705821 DOI: 10.1371/journal.pone.0221265] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [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: 01/21/2019] [Accepted: 08/04/2019] [Indexed: 12/18/2022] Open
Abstract
Viral hepatitis, syphilis, HIV, and tuberculosis infections in prisons have been identified globally as a public health problem. Tuberculosis (TB) and viral hepatitis co-infection may increase the risk of anti-tuberculosis treatment-induced hepatotoxicity, leading to the frequent cause of discontinuation of the first-line anti-tuberculosis drugs. Therefore, the aim of this cross-sectional study was to investigate the epidemiological features of HCV, HBV, syphilis and HIV infections among bacteriologically confirmed tuberculosis prisoners in Campo Grande (MS), Central Brazil. The participants who agreed to participate (n = 279) were interviewed and tested for the presence of active or current HCV, HBV, syphilis and HIV infections. The prevalence of HCV exposure was 4.7% (13/279; 95% CI 2.2-7.1). HCV RNA was detected in 84.6% (11/13) of anti-HCV positive samples. Out of 279 participants, 19 (6.8%; 95% CI 4.4-10.4) were HIV co-infected, 1.4% (4/279, 95% CI 0.5-3.8) had chronic hepatitis B virus (HBsAg positive) and 9.3% (26/279, 95% CI 6.4-13.4) had serological marker of exposure to hepatitis B virus (total anti-HBc positive). The prevalence of lifetime syphilis infection (anti-T. pallidum positive) was 10% (28/279, 95% CI 7.0-14.2) and active syphilis (VDRL ≥ 1/8 titre) was 5% (14/279, 95% CI 2.9-8.3). The prevalence of TB/HCV co-infection among prisoners with HIV (15.8%) was higher than among HIV-non-infected prisoners (3.8%; P<0.05). These results highlight the importance of hepatitis testing among prisoners with bacteriologically confirmed case of TB who can be more effectively and safely treated in order to reduce the side effects of hepatotoxic anti-TB drugs.
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Affiliation(s)
| | | | | | | | | | | | | | | | | | | | | | | | | | - Julio Croda
- Federal University of Mato Grosso do Sul, Campo Grande, MS, Brazil
- Oswaldo Cruz Foundation, Mato Grosso do Sul, Campo Grande, MS, Brazil
| | - Ana Rita Coimbra Motta-Castro
- Federal University of Mato Grosso do Sul, Campo Grande, MS, Brazil
- Oswaldo Cruz Foundation, Mato Grosso do Sul, Campo Grande, MS, Brazil
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Tanaka TSO, Leite TF, Freitas SZ, Cesar GA, de Rezende GR, Lindenberg ADSC, Guimarães ML, Motta-Castro ARC. HIV-1 Molecular Epidemiology, Transmission Clusters and Transmitted Drug Resistance Mutations in Central Brazil. Front Microbiol 2019; 10:20. [PMID: 30804893 PMCID: PMC6371026 DOI: 10.3389/fmicb.2019.00020] [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: 10/15/2018] [Accepted: 01/09/2019] [Indexed: 12/16/2022] Open
Abstract
We aimed to characterize HIV-1 molecular epidemiology and transmission clusters among heterosexual (HET) and men who have sex with men (MSM) individuals, as well as transmitted drug resistance mutations (TDRM) in Central-Western Brazil. This cross-sectional survey was conducted among 190 antiretroviral naïve HIV-1 infected individuals. Proviral DNA was extracted, and nested PCR amplified partial polymerase gene (PR/RT). After sequencing, subtypes were assigned, and the sequences were analyzed for the occurrence of possible transmission networks. Calibrated Population Resistance (CPR) tool from Stanford HIV Database was used to investigate the presence of TDRM. Among 150 individuals whose samples were successfully sequenced, the most prevalent HIV-1 subtype was B, followed by recombinant forms. The occurrence of twenty transmission clusters composed by at least two sequences was verified, suggesting the existence of transmission clusters among individuals from the same or distinct sexual orientations. Intermediate level of TDRM (12%) was found in the study population, and almost half of the subjects with TDRM had more than one resistance mutation. No correlations between sexual orientation and the presence of TDRM, HIV-1 subtypes/recombinants forms were verified. Taken together, the necessity of the continuous monitoring of the TDRM to verify the importance of pre-genotyping and to delineate future strategies in primary antiretroviral therapy. Likewise, the knowledge of the HIV-1 transmission networks in Brazil would allow the implementation of effective HIV-1 prevention strategies in local settings.
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Affiliation(s)
- Tayana Serpa Ortiz Tanaka
- Programa de Pós-graduação em Doenças Infecciosas e Parasitárias, Faculdade de Medicina, Federal University of Mato Grosso do Sul, Campo Grande, Brazil
| | - Thaysse Ferreira Leite
- Laboratory of AIDS and Molecular Immunology, Oswaldo Cruz Institute, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil
| | - Solange Zacalusni Freitas
- Universitary Hospital Maria Aparecida Pedrossian, HUMAP, Federal University of Mato Grosso do Sul, Campo Grande, Brazil
| | - Gabriela Alves Cesar
- Programa de Pós-graduação em Doenças Infecciosas e Parasitárias, Faculdade de Medicina, Federal University of Mato Grosso do Sul, Campo Grande, Brazil
| | - Grazielli Rocha de Rezende
- Laboratory of Clinical Immunology, FACFAN, Federal University of Mato Grosso do Sul, Campo Grande, Brazil
| | | | - Monick Lindenmeyer Guimarães
- Laboratory of AIDS and Molecular Immunology, Oswaldo Cruz Institute, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil
| | - Ana Rita Coimbra Motta-Castro
- Programa de Pós-graduação em Doenças Infecciosas e Parasitárias, Faculdade de Medicina, Federal University of Mato Grosso do Sul, Campo Grande, Brazil.,Laboratory of Clinical Immunology, FACFAN, Federal University of Mato Grosso do Sul, Campo Grande, Brazil.,Laboratory of Molecular Virology, Oswaldo Cruz Foundation, Mato Grosso do Sul, Campo Grande, Brazil
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10
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Castro LS, Rezende GRD, Fernandes FRP, Bandeira LM, Puga MAM, Tanaka TSO, Weis-Torres SMDS, Vicente ACP, Otsuki K, Motta-Castro ARC. Human T cell lymphotropic virus type 1 infection among men who have sex with men in Central Brazil. Braz J Infect Dis 2018; 22:472-476. [PMID: 30528600 PMCID: PMC9425634 DOI: 10.1016/j.bjid.2018.11.003] [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: 08/01/2018] [Revised: 11/08/2018] [Accepted: 11/12/2018] [Indexed: 11/29/2022] Open
Abstract
Human T cell lymphotropic virus type 1 (HTLV-1) was the first retrovirus discovered in humans and is endemic in several parts of the world. Because of risk behaviors, mainly sexual, men who have sex with men (MSM) are at high risk of acquiring HTLV-1 infection. A cross-sectional study was performed to estimate the prevalence of HTLV-1 infection, to characterize genetically HTLV-1 sequences and to identify risk behaviors associated with this infection among MSM in Central Brazil. A total of 430 MSM were enrolled in this study and three were shown to be HTLV-1 infected, prevalence of 0.7% (95% confidence interval: 0.4–0.9). Phylogenetic analysis showed that all HTLV-1 positive samples belonged to Cosmopolitan subtype Transcontinental subgroup A. Although the prevalence rate of HTLV-1 infection found in this study was similar to that observed among Brazilian blood donors, additional HTLV-1 preventive interventions need to be further implemented because this population is engaged in high-risk sexual behavior.
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Affiliation(s)
- Lisie Souza Castro
- Universidade Federal de Mato Grosso do Sul, Faculdade de Ciências Farmacêuticas, Alimentos e Nutrição, Laboratório de Imunologia Clínica, Mato Grosso do Sul, MS, Brazil.
| | - Grazielli Rocha de Rezende
- Universidade Federal de Mato Grosso do Sul, Faculdade de Ciências Farmacêuticas, Alimentos e Nutrição, Laboratório de Imunologia Clínica, Mato Grosso do Sul, MS, Brazil
| | - Fernanda Rodas Pires Fernandes
- Universidade Federal de Mato Grosso do Sul, Faculdade de Ciências Farmacêuticas, Alimentos e Nutrição, Laboratório de Imunologia Clínica, Mato Grosso do Sul, MS, Brazil
| | - Larissa Melo Bandeira
- Universidade Federal de Mato Grosso do Sul, Faculdade de Ciências Farmacêuticas, Alimentos e Nutrição, Laboratório de Imunologia Clínica, Mato Grosso do Sul, MS, Brazil
| | - Marco Antonio Moreira Puga
- Universidade Federal de Mato Grosso do Sul, Faculdade de Ciências Farmacêuticas, Alimentos e Nutrição, Laboratório de Imunologia Clínica, Mato Grosso do Sul, MS, Brazil
| | - Tayana Serpa Ortiz Tanaka
- Universidade Federal de Mato Grosso do Sul, Faculdade de Ciências Farmacêuticas, Alimentos e Nutrição, Laboratório de Imunologia Clínica, Mato Grosso do Sul, MS, Brazil
| | - Sabrina Moreira Dos Santos Weis-Torres
- Universidade Federal de Mato Grosso do Sul, Faculdade de Ciências Farmacêuticas, Alimentos e Nutrição, Laboratório de Imunologia Clínica, Mato Grosso do Sul, MS, Brazil
| | - Ana Carolina Paulo Vicente
- Fundação Oswaldo Cruz, FIOCRUZ, Laboratório de Genética Molecular de Microrganismos, Rio de Janeiro, RJ, Brazil
| | - Koko Otsuki
- Fundação Oswaldo Cruz, FIOCRUZ, Laboratório de Genética Molecular de Microrganismos, Rio de Janeiro, RJ, Brazil
| | - Ana Rita Coimbra Motta-Castro
- Universidade Federal de Mato Grosso do Sul, Faculdade de Ciências Farmacêuticas, Alimentos e Nutrição, Laboratório de Imunologia Clínica, Mato Grosso do Sul, MS, Brazil; Fundação Oswaldo Cruz, FIOCRUZ, Mato Grosso do Sul, MS, Brazil
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11
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Puga MAM, Bandeira LM, Weis SMDS, Fernandes FRP, Castro LS, Tanaka TSO, Rezende GRD, Teles SA, Castro VDOLD, Murat PG, Capelin GJM, Motta-Castro ARC. High-risk behaviors for hepatitis B and C infections among female sex workers. Rev Soc Bras Med Trop 2018; 51:198-202. [PMID: 29768553 DOI: 10.1590/0037-8682-0231-2017] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2017] [Accepted: 11/17/2017] [Indexed: 11/22/2022] Open
Abstract
INTRODUCTION The prevalence of hepatitis B and hepatitis C and risk behaviors among 402 female sex workers in Central Brazil were investigated by respondent-driven sampling. METHODS Blood samples were tested for hepatitis B and C markers by enzyme-linked immunosorbent assay. Two hepatitis B vaccination schedules were performed. RESULTS The prevalence of hepatitis B and C infections were 9.3% and 0.5%, respectively. Susceptibility to hepatitis B infection was observed in 61.5% of subjects. There was no significant difference in adherence index (p=0.52) between vaccination schedules and all participants had protective antibody titers. CONCLUSIONS This hard-to-reach population requires hepatitis B and C surveillance.
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Affiliation(s)
- Marco Antonio Moreira Puga
- Laboratório de Imunologia Clínica, Faculdade de Ciências Farmacêuticas, Alimentos e Nutrição, Universidade Federal de Mato Grosso do Sul, Campo Grande, MS, Brasil
| | - Larissa Melo Bandeira
- Laboratório de Imunologia Clínica, Faculdade de Ciências Farmacêuticas, Alimentos e Nutrição, Universidade Federal de Mato Grosso do Sul, Campo Grande, MS, Brasil
| | - Sabrina Moreira Dos Santos Weis
- Laboratório de Imunologia Clínica, Faculdade de Ciências Farmacêuticas, Alimentos e Nutrição, Universidade Federal de Mato Grosso do Sul, Campo Grande, MS, Brasil
| | - Fernanda Rodas Pires Fernandes
- Laboratório de Imunologia Clínica, Faculdade de Ciências Farmacêuticas, Alimentos e Nutrição, Universidade Federal de Mato Grosso do Sul, Campo Grande, MS, Brasil
| | - Lisie Souza Castro
- Laboratório de Imunologia Clínica, Faculdade de Ciências Farmacêuticas, Alimentos e Nutrição, Universidade Federal de Mato Grosso do Sul, Campo Grande, MS, Brasil
| | - Tayana Serpa Ortiz Tanaka
- Laboratório de Imunologia Clínica, Faculdade de Ciências Farmacêuticas, Alimentos e Nutrição, Universidade Federal de Mato Grosso do Sul, Campo Grande, MS, Brasil
| | - Grazielli Rocha de Rezende
- Laboratório de Imunologia Clínica, Faculdade de Ciências Farmacêuticas, Alimentos e Nutrição, Universidade Federal de Mato Grosso do Sul, Campo Grande, MS, Brasil
| | - Sheila Araújo Teles
- Departamento de Enfermagem, Faculdade de Enfermagem e Nutrição, Universidade Federal de Goiás, Goiânia, GO, Brasil
| | - Vivianne de Oliveira Landgraf de Castro
- Laboratório de Imunologia Clínica, Faculdade de Ciências Farmacêuticas, Alimentos e Nutrição, Universidade Federal de Mato Grosso do Sul, Campo Grande, MS, Brasil
| | - Paula Guerra Murat
- Laboratório de Imunologia Clínica, Faculdade de Ciências Farmacêuticas, Alimentos e Nutrição, Universidade Federal de Mato Grosso do Sul, Campo Grande, MS, Brasil
| | - Gina Jonasson Mousquer Capelin
- Laboratório de Imunologia Clínica, Faculdade de Ciências Farmacêuticas, Alimentos e Nutrição, Universidade Federal de Mato Grosso do Sul, Campo Grande, MS, Brasil
| | - Ana Rita Coimbra Motta-Castro
- Laboratório de Imunologia Clínica, Faculdade de Ciências Farmacêuticas, Alimentos e Nutrição, Universidade Federal de Mato Grosso do Sul, Campo Grande, MS, Brasil.,Fundação Oswaldo Cruz, Campo Grande, MS, Brasil
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12
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Puga MAM, Bandeira LM, Pompilio MA, Croda J, de Rezende GR, Dorisbor LFP, Tanaka TSO, Cesar GA, Teles SA, Simionatto S, Novais ART, Nepomuceno B, Castro LS, do Lago BV, Motta-Castro ARC. Prevalence and Incidence of HCV Infection among Prisoners in Central Brazil. PLoS One 2017; 12:e0169195. [PMID: 28060860 PMCID: PMC5218405 DOI: 10.1371/journal.pone.0169195] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.1] [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: 04/28/2016] [Accepted: 12/10/2016] [Indexed: 12/12/2022] Open
Abstract
The aim of this multicenter, cross sectional study was to assess the prevalence, incidence and associated risk factors among incarcerated populations from twelve Brazilian prisons. The total of 3,368 individuals from twelve prisons was randomly recruited between March 2013 and March 2014. Participants were interviewed, and provided blood samples which were tested for antibodies to Hepatitis C (HCV ab). One year after the first investigation, a cohort study was conducted with 1,656 inmates who participated the cross sectional study. Positive samples were tested for the presence of HCV RNA. Out of 3,368 inmates, 520 (15.4%) were females, and 2,848 (84.6%) were males. The overall prevalence of HCV was 2.4% (95% CI: 1.9 to 2.9), with 0.6% (95% CI: 0.4 to 0.8) in females, and 2.7% (95% CI: 2.1 to 3.3) in males (p<0.01). HCV RNA was detected in 51/80 (63.7%) samples. Among men prisoners, multivariate analysis of associated factors showed independent associations between HCV exposure and increasing age, inject drug use, length of incarceration, smoking hashish, sharing needle and syringe and HIV positivity. During the cohort study, 7/1,656 new cases of HCV infection were detected, and the incidence rate was 0.4/100 person-year. Once high frequency rates of specific HCV risk behaviors and new HCV infections have been identified inside prisons, effective interventions strategies such as screening, clinical evaluation and treatment to reduce the spread of HCV infection are essential.
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Affiliation(s)
| | | | | | - Julio Croda
- Oswaldo Cruz Foundation, Mato Grosso do Sul, MS, Brazil
- Federal University of Grande Dourados, Dourados, MS, Brazil
| | | | | | | | | | | | | | | | - Bruna Nepomuceno
- Federal University of Mato Grosso do Sul, Campo Grande, MS, Brazil
| | | | | | - Ana Rita Coimbra Motta-Castro
- Federal University of Mato Grosso do Sul, Campo Grande, MS, Brazil
- Oswaldo Cruz Foundation, Mato Grosso do Sul, MS, Brazil
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da Silva ADS, Lima LRP, Perse ADS, Castro LS, Rezende GRD, Pires FR, Puga MAM, Bandeira LM, Tanaka TSO, Motta-Castro ARC, de Paula VS. Epidemiological evaluation of herpes simplex virus in men who have sex with men in Mato Grosso do Sul, Brazil. Sex Transm Infect 2014; 91:182. [PMID: 25253761 DOI: 10.1136/sextrans-2014-051739] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2014] [Accepted: 09/03/2014] [Indexed: 11/04/2022] Open
Affiliation(s)
| | | | | | - Lisie Souza Castro
- Federal University of Mato Grosso do Sul-UFMS, Centro de Ciências Biológicas e da Saúde, Setor HemonúcleoCampo Grande, Mato Grosso do Sul, Brazil
| | - Grazielli Rocha de Rezende
- Federal University of Mato Grosso do Sul-UFMS, Centro de Ciências Biológicas e da Saúde, Setor HemonúcleoCampo Grande, Mato Grosso do Sul, Brazil
| | - Fernanda Rodas Pires
- Federal University of Mato Grosso do Sul-UFMS, Centro de Ciências Biológicas e da Saúde, Setor HemonúcleoCampo Grande, Mato Grosso do Sul, Brazil
| | - Marco Antonio Moreira Puga
- Federal University of Mato Grosso do Sul-UFMS, Centro de Ciências Biológicas e da Saúde, Setor HemonúcleoCampo Grande, Mato Grosso do Sul, Brazil
| | - Larissa Melo Bandeira
- Federal University of Mato Grosso do Sul-UFMS, Centro de Ciências Biológicas e da Saúde, Setor HemonúcleoCampo Grande, Mato Grosso do Sul, Brazil
| | - Tayana Serpa Ortiz Tanaka
- Federal University of Mato Grosso do Sul-UFMS, Centro de Ciências Biológicas e da Saúde, Setor HemonúcleoCampo Grande, Mato Grosso do Sul, Brazil
| | - Ana Rita Coimbra Motta-Castro
- Federal University of Mato Grosso do Sul-UFMS, Centro de Ciências Biológicas e da Saúde, Setor HemonúcleoCampo Grande, Mato Grosso do Sul, Brazil FIOCRUZ-MS; Rua Gabriel Abrão, Campo Grande, Mato Grosso do Sul, Brazil
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