Epidemiologic Features and Control Measures during Monkeypox Outbreak, Spain, June 2022.

During June 2022, Spain was one of the countries most affected worldwide by a multicountry monkeypox outbreak with chains of transmission without identified links to disease-endemic countries. We provide epidemiologic features of cases reported in Spain and the coordinated measures taken to respond to this outbreak.

Influenza vaccine effectiveness against influenza A subtypes in Europe: Results from the 2021-2022 I-MOVE primary care multicentre study.

BACKGROUND: In 2021-2022, influenza A viruses dominated in Europe. The I-MOVE primary care network conducted a multicentre test-negative study to measure influenza vaccine effectiveness (VE). METHODS: Primary care practitioners collected information on patients presenting with acute respiratory infection. Cases were influenza A(H3N2) or A(H1N1)pdm09 RT-PCR positive, and controls were influenza virus negative. We calculated VE using logistic regression, adjusting for study site, age, sex, onset date, and presence of chronic conditions. RESULTS: Between week 40 2021 and week 20 2022, we included over 11 000 patients of whom 253 and 1595 were positive for influenza A(H1N1)pdm09 and A(H3N2), respectively. Overall VE against influenza A(H1N1)pdm09 was 75% (95% CI: 43-89) and 81% (95% CI: 45-93) among those aged 15-64 years. Overall VE against influenza A(H3N2) was 29% (95% CI: 12-42) and 25% (95% CI: -41 to 61), 33% (95% CI: 14-49), and 26% (95% CI: -22 to 55) among those aged 0-14, 15-64, and over 65 years, respectively. The A(H3N2) VE among the influenza vaccination target group was 20% (95% CI: -6 to 39). All 53 sequenced A(H1N1)pdm09 viruses belonged to clade 6B.1A.5a.1. Among 410 sequenced influenza A(H3N2) viruses, all but eight belonged to clade 3C.2a1b.2a.2. DISCUSSION: Despite antigenic mismatch between vaccine and circulating strains for influenza A(H3N2) and A(H1N1)pdm09, 2021-2022 VE estimates against circulating influenza A(H1N1)pdm09 were the highest within the I-MOVE network since the 2009 influenza pandemic. VE against A(H3N2) was lower than A(H1N1)pdm09, but at least one in five individuals vaccinated against influenza were protected against presentation to primary care with laboratory-confirmed influenza.

[Family and Community Medicine Training Program: Theory and practice]. / Programa Medicina Familiar y Comunitaria: de la teoría a la práctica.

OBJECTIVE: To improve and adapt training rotation periods following the training program (POE) of the Badajoz Family and Community Medicine (MFyC) Training Unit (UDOCBA). DESIGN: Mixed qualitative (brainstorming and nominal technical group), and quantitative (cross-sectional descriptive), study in 2006 and 2007. SETTING: UDOCBA. PARTICIPANTS: The participants include 50 Residents, 31 accredited tutors, a health technician and a UDOCBA coordinator, as well as 93 MFyC Teaching Units in Spain (UUDD). INTERVENTIONS AND MEASUREMENTS: A rotations working group was formed in UDOCBA, which met on two occasions to make substantial modifications to adapt the POE. The first meeting was a brainstorming session, and the second using a nominal technical group, whose results were submitted to an Advisory Committee. MATERIALS: Questionnaire aimed at tutors, analysis of residents self-assessment files, a questionnaire delivered to all the UUDD (via e-mail) and nominal resident groups. Descriptive and bivariate statistics on the variables using the SPSS 15 program. RESULTS: The consensus of the second meeting of the UDOCBA rotations group on evaluating the results obtained with the rest of the tools used, were: to shorten the initial rotation of the C.S. to 5 months, increase the cardiology rotation to 3 months, shorten the rural rotation to 2 months and opt out of the elective 1 month stay in palliatives and radiology. CONCLUSIONS: Theoretically well prepared and easily to put into practice. All the consensus results of the UDOCBA were accepted by the Advisory Committee, followed by POE directives. Homogeneity was seen in the UUDD rotations. Unanimity of initial and final rotation by the C.S., and less in rural.

Programa Medicina Familiar y Comunitaria: de la teoría a la práctica / Family and Community Medicine Training Program: Theory and practice

ObjetivoMejorar y adaptar las estancias formativas según el Programa de la Especialidad (POE) en la Unidad Docente de Medicina Familiar y Comunitaria de Badajoz (UDOCBA).DiseñoEstudio mixto, cualitativo (brainstorming y técnica de grupo nominal) y cuantitativo (descriptivo transversal) en los años 2006 y 2007.EmplazamientoEn la UDOCBA.ParticipantesCincuenta residentes, 31 tutores acreditados, un técnico de salud y un coordinador de la UDOCBA; 93 unidades docentes (UU. DD.) de Medicina Familiar y Comunitaria de España.Intervenciones y medicionesSe creó un grupo de trabajo de rotaciones en la UDOCBA, que se reunió en 2 ocasiones para las modificaciones pertinentes en la adaptación del POE, primero con brainstroming y luego mediante técnica de grupo nominal, cuyos resultados se elevaron a la Comisión Asesora.MaterialesEncuesta de elaboración propia a tutores, análisis de fichas de autoevaluación de residentes, cuestionario pasado a todas las UU. DD. de España (por correo electrónico) y grupo nominal a residentes.MaterialesEstadística descriptiva y bivariante de las variables, programa SPSS 15.ResultadosEn la segunda reunión del grupo de rotaciones de la UDOCBA, al valorar los resultados obtenidos con el resto de herramientas usadas, los resultados consensuados fueron acortar la rotación inicial del centro de salud a 5 meses, alargar a 3 meses la rotación de cardiología, acortar a 2 meses la rotación rural y pasar de estancia electiva a obligatoria de un mes de duración en cuidados paliativos y radiología.ConclusionesLa Comisión Asesora, que seguía directrices del POE, aceptó todos los resultados consensuados de la UDOCBA. Observamos la homogeneidad en las rotaciones de las UU. DD. de España. Hubo unanimidad en la rotación inicial y final por el centro de salud, pero fue menor en el rural(AU)

ObjectiveTo improve and adapt training rotation periods following the training program (POE) of the Badajoz Family and Community Medicine (MFyC) Training Unit (UDOCBA).DesignMixed qualitative (brainstorming and nominal technical group), and quantitative (cross-sectional descriptive), study in 2006 and 2007.SettingUDOCBA.ParticipantsThe participants include 50 Residents, 31 accredited tutors, a health technician and a UDOCBA coordinator, as well as 93 MFyC Teaching Units in Spain (UUDD).Interventions and measurementsA rotations working group was formed in UDOCBA, which met on two occasions to make substantial modifications to adapt the POE. The first meeting was a brainstorming session, and the second using a nominal technical group, whose results were submitted to an Advisory Committee.MaterialsQuestionnaire aimed at tutors, analysis of residents self-assessment files, a questionnaire delivered to all the UUDD (via e-mail) and nominal resident groups.MaterialsDescriptive and bivariate statistics on the variables using the SPSS 15 program.ResultsThe consensus of the second meeting of the UDOCBA rotations group on evaluating the results obtained with the rest of the tools used, were: to shorten the initial rotation of the C.S. to 5 months, increase the cardiology rotation to 3 months, shorten the rural rotation to 2 months and opt out of the elective 1 month stay in palliatives and radiology.ConclusionsTheoretically well prepared and easily to put into practice. All the consensus results of the UDOCBA were accepted by the Advisory Committee, followed by POE directives. Homogeneity was seen in the UUDD rotations. Unanimity of initial and final rotation by the C.S., and less in rural(AU)