Exploring the Resurgence of a Neglected Disease: Lessons From the 2023-2024 Mpox Outbreak in Rio de Janeiro, Brazil.

Following the 2022 global mpox outbreak, diagnoses decreased worldwide, even in settings with limited vaccine access. In 2023-2024, a new outbreak emerged in Rio de Janeiro, Brazil, highlighting the importance of continuous surveillance, preventive measures such as vaccination in vulnerable populations, and treatment options, emphasizing equitable global health technology distribution.

Deciphering global patterns of forest canopy rainfall interception (FCRI): A synthesis of geographical, forest species, and methodological influences.

Forest canopy rainfall interception (FRCI) is an essential hydrological process that governs water and biogeochemical cycles in forest ecosystems. Identifying patterns and relationships of FCRI using a systematic review is key to improving our knowledge supporting new experiment research, modeling, and application. In this meta-analysis, we aimed to delineate the canopy interception (CI), throughfall (TF), and stemflow (SF) concerning geographical and forest variables and experimental methodologies. We leveraged peer-reviewed 170 articles across 234 sites globally, extracting TF, CI, SF, geographical, forest, and experimental aspects. We applied multivariate statistical procedures to discern the principal influences on TF, CI, and SF and examined their multicollinearity. In addition, we developed Generalized Linear Models (GLM) for CI and TF. Global TF experiments indicate that the predominant rainfall devices, number of sample trees, number of events, and monitoring length are 10-20 devices (81% fixed), 3-6 trees, 30-50 events, and 10-30 months. Predominant global values of TF, CI, and SF are 70-80% (median = 73%), 20%-30% (median = 23.9%), and <1.0% (median = 1.87%), respectively. Global models of CI and TF were responsive to T, LAI, and D (respectively, R2adj of 0.196** and 0.206**). Temperate forests mirrored the global model (R2adj of 0.274** and 0.31**, respectively). The Subtropical CI model was fitted based on P and DBH (R2adj = 0.245*), and the TF model was based on E, D, and LAI (R2adj = 0.532**); the Mediterranean CI model was based on T, Basal, and LAI (R2adj = 0.45*), while TF was based on P, Basal, and LAI (R2adj = 0.671**). The Tropical CI model was based on T and H (R2adj = 0.396*), and the TF model, LAI, and P (R2adj = 0.35*). This meta-analysis underscores the importance of comprehending the hydrological processes in forested areas as they are pivotal in mitigating climate change impacts.

Spatial distribution of wood volume in Brazilian savannas.

Here we model and describe the wood volume of Cerrado Sensu Stricto, a highly heterogeneous vegetation type in the Savanna biome, in the state of Minas Gerais, Brazil, integrating forest inventory data with spatial-environmental variables, multivariate regression, and regression kriging. Our study contributes to a better understanding of the factors that affect the spatial distribution of the wood volume of this vegetation type as well as allowing better representation of the spatial heterogeneity of this biome. Wood volume estimates were obtained through regression models using different environmental variables as independent variables. Using the best fitted model, spatial analysis of the residuals was carried out by selecting a semivariogram model for generating an ordinary kriging map, which in turn was used with the fitted regression model in the regression kriging technique. Seasonality of both temperature and precipitation, along with the density of deforestation, explained the variations of wood volume throughout Minas Gerais. The spatial distribution of predicted wood volume of Cerrado Sensu Stricto in Minas Gerais revealed the high variability of this variable (15.32 to 98.38 m3 ha-1) and the decreasing gradient in the southeast-northwest direction.

Mpox, sexually transmitted infections and combination prevention: insights from a major cohort in Rio de Janeiro, Brazil.

OBJECTIVE: To evaluate the prevalence and characteristics of concurrent bacterial sexually transmitted infections (bSTIs) among individuals with mpox. DESIGN: Prospective cohort study of participants aged 18 years or older with confirmed mpox conducted in Rio de Janeiro, Brazil. This cross-sectional analysis includes only participants who underwent bSTI testing at baseline between June 2022 and January 2024. METHODS: Participants were offered testing for chlamydia/gonorrhea (NAAT, anorectal swabs) and syphilis (active diagnosis if VDRL ≥ 1/8). Baseline prevalence of bSTIs was calculated, and participant characteristics were described based on concomitant bSTI diagnosis (yes/no). Chi-squared/Fisher's tests were used for qualitative variables, and the Wilcoxon rank-sum test for quantitative variables. RESULTS: Out of 634 enrolled participants, 538 (84.9%) were tested for STIs and included in this analysis, mostly cisgender men, aged 30-39 years with postsecondary education. Overall prevalence of concomitant bSTI was 37.3%, mainly syphilis, followed by chlamydia and gonorrhea. Half of the participants were living with HIV, and one third was on HIV pre-exposure prophylaxis. Concomitant bSTI diagnosis at the time of mpox assessment was associated with being aged 30-39 years, self-identifying as cisgender men, having HIV-positive status, reporting proctitis symptoms and reporting any STI in the past 12 months. CONCLUSIONS: Our data reveals a notable prevalence of concomitant bSTIs among participants with confirmed mpox at a prominent infectious diseases' referral center in Rio de Janeiro, Brazil. These findings underscore the importance of integrating mpox into the differential diagnosis of anogenital manifestations and the promotion of combination prevention strategies within sexual healthcare services.

The inverted forest: Aboveground and notably large belowground carbon stocks and their drivers in Brazilian savannas.

Savannas contribute to ca. 30 % of the total terrestrial net primary productivity and are responsible for significant carbon storage. Savannas in South America are mostly found within the Cerrado Domain, which is very threatened and presents remarkable carbon pools. Herein, we used a unique dataset of 21 Cerrado sites spanning 144 permanent field plots in Southeastern Brazil to assess the general patterns of above and belowground carbon stocks. We identified the main environmental and tree diversity drivers of aboveground wood carbon and productivity, belowground carbon stocks (roots and soil), carbon ratios (root:shoot and above:below) and total carbon stocks in the Cerrado through a combination of climatic estimates, fire frequency data, field measurements of vegetation, roots, soil carbon, nutrients and texture, and assessment of different components of diversity (species, functional and phylogenetic). Our findings reveal average aboveground, root, and soil carbon stocks of 20.4, 14.24, and 123.13 Mg.ha-1, respectively. Average Root:Shoot and Above:Below confirm the "inverted forest" concept with values of 1.58 and 0.21, respectively. Total carbon was 145.62 Mg.ha-1, reinforcing the great amount of carbon storage in the Cerrado and its role in the carbon cycle and dynamics. Tree diversity variables (mainly species diversity and functional composition variables) had more significant effects over aboveground variables, whereas environmental variables had more significant effects over belowground variables. Ratios and total carbon mixed up these effects. The impressive values of carbon storage, especially belowground, point out the need to better manage and protect the Cerrado. Moreover, our findings might be particularly relevant for discussions on restoration programs focused on the trees-for­carbon idea that do not consider species diversity and belowground carbon stocks.

Structural and compositional shifts in Cerrado fragments in up to 11 years monitoring

The Cerrado has a wide diversity of fauna and flora, and the knowledge of its horizontal structure, in different time intervals allows the prediction of its structural and floristic characteristics. The aim of this study was to evaluate the changes in structure and composition of tree community in three fragments of Cerrado with low anthropization, in an interval of 11 years at Minas Gerais state. Rectangular plots of fixed size were sampled, measuring stem diameter and height of all living arboreal individuals with diameter at 1.30 meters above ground (DBH) ≥ 5 cm. The tree vegetation dynamics study of the areas was performed, as well as the floristic analysis and the diametric structure. Considering all fragments and years of measurement, the recruitment of trees surpassed its mortality. The basal area varied between 3.67 and 13.07 m².ha-1. The studied areas, considering all fragments and years of measurement, showed a Shannon diversity index (H') from 3.43 to 3.87 nat.ind-1 and Pielou equitability index (J') ranged an interval between 0.77 and 0.82. The similarity calculated by the Jaccard index (J), when performed per plot considering the three fragments, showed a value of 0.2653. Also, related to the development and growth of the study areas, it can be inferred that all fragments and their respective years of measurement had a J-inverse pattern. In conclusion, it can be inferred that the three fragments maintained a representative growth in number of individuals and basal area.