The COVID-19 pandemic impacted the activities of the Schistosomiasis Control Program in Brazil: is the goal of controlling the disease by 2030 at risk?

BACKGROUND: Schistosomiasis continues to represent a serious public health problem in Brazil. With the coronavirus disease 2019 (COVID-19) pandemic, several control strategies were suspended, probably compromising the goals of eradicating the disease in the country. We aimed to assess the impact of the COVID-19 pandemic on Schistosomiasis Control Program (PCE) actions in all endemic states of Brazil. METHODS: We performed an ecological study using spatial analysis techniques. The PCE variables assessed were the population surveyed, the number of Kato-Katz tests, positive cases of schistosomiasis and the percentage of cases treated between 2015 and 2021. The percent change was calculated to verify if there was an increase or decrease in 2020 and 2021, along with time trend analyses provided by the Joinpoint model. Spatial distribution maps were elaborated considering the percent change. RESULTS: The surveyed population decreased in 2020 (-65.38%) and 2021 (-37.94%) across Brazil. There was a proportional reduction in the number of Kato-Katz tests (2020, -67.48%; 2021, -40.52%), a decrease in the percentage of positive cases (2020, -71.16%; 2021, -40.5%) and a reduction in the percentage of treated cases (2020, -72.09%; 2021, -41.67%). Time trend analyses showed a decreasing trend in most PCE variables. CONCLUSIONS: The PCE activities were impacted by the COVID-19 pandemic in Brazil and PCE strategies must be urgently reviewed, focusing on investments in all endemic areas.

Emerging Role of Mast Cells as Biological Markers in the Pathogenesis of Infectious Diseases and their Projection in Health Emergencies / Rol Emergente de los Mastocitos como Marcadores Biológicos en la Patogenia de Enfermedades Infecciosas y su Proyección en Emergencias Sanitarias

SUMMARY: Mast cells (MC) are cells of the immune system that regulate cell and tissue homeostasis, are found in low numbers, have an intact plasma membrane, and a cytoplasm with a wide variety of inflammatory chemical mediators. The activation or degranulation of mast cells implies the release of these chemical mediators (interleukins, cytokines, and more), causing tissue actions ranging from the activation of metalloproteinases to the development of anaphylactic hypersensitivity of different degrees, alterations in vascular permeability, and loss of cell homeostasis. This behavior would allow them to act as sentinels responding to pathophysiological processes. During the COVID-19 pandemic, in positive human patients, the available literature reports the presence and degranulation of mast cells in a generalized manner, especially in the respiratory tract. This study aimed to analyze the emerging role of MCs in the pathogenesis of diseases and their projection as biological markers in the treatment of diseases or pandemics. The analysis of human biopsies showed that MCs are observed as cells with diameters between 8 to 20 µm, and in inflamed tissues, degranulation of MCs is observed. The action of MCs degranulation was related to different inflammatory processes of autoimmune diseases. It is concluded that the potential of MC as therapeutic targets and biomarkers could raise new pharmacological targets, as supportive therapy, and possibly of great help in the treatment of future emerging pandemics such as the current monkeypox.

Los mastocitos (MC) son células del sistema inmune que regulan la homeostasis celular y tisular, se encuentran en escasas cantidades, presentan una membrana plasmática íntegra, y un citoplasma con una amplia variedad de mediadores químicos. La activación o degranulación de los mastocitos implica la liberación de estos mediadores químicos (interleuquinas, citoquina y más), provocando acciones tisulares que van desde la activación de metaloproteinasas hasta el desarrollo de hipersensibilidad anafiláctica de distinto grado, provocando la pérdida de la homeostasis celular. Durante la pandemia de la COVID-19, en pacientes humanos positivos, se informa recurrentemente la presencia y degranulación de mastocitos de manera generalizada sobre todo en las vías respiratorias. El análisis de la degranulación de los MCs podría proporcionar información que podría utilizarse en el desarrollo de tratamientos preventivos contra infecciones virales, bacterianas u otros patógenos. Este comportamiento les permitiría actuar como centinelas en respuesta a procesos fisiopatológicos. El objetivo de este trabajo fue analizar el rol emergente de los MCs en la patogenia de enfermedades y su proyección como marcadores biológicos en el tratamiento de enfermedades o pandemias. En análisis de biopsias humanas se muestran que MCs se observan como células con diámetros de entre 8 a 20 µm, en tejidos inflamados se observa degranulación de MCs. Se relacionó el accionar de degranulación de los MCs en diferentes procesos inflamatorios de enfermedades autoinmunes. Se concluye que el potencial de MC como dianas terapéuticas y biomarcadores podrían plantear nuevos objetivos farmacológicos, como terapia de apoyo, y posiblemente de gran ayuda en el tratamiento de futuras pandemias emergentes como la actual viruela del mono.

Actions for the prevention and control of zoonoses in health education: a systematic review and meta-analysis / Ações de prevenção e controle de zoonoses na educação em saúde: uma revisão sistemática e metanálise / Acciones para la prevención y control de las zoonosis en la educación para la salud: una revisión sistemática y metanálisis

Diseases arising from the imbalance between the triad environment, humans, and animals affect individuals' health, as well as the social, and economic well-being of the world's population. Across the globe, health education activities are being conducted to prevent and control zoonoses. To guide future educational interventions, we reviewed scientific articles published in the last five years to characterize and verify the tools: target audience, duration, effectiveness, and gaps and difficulties. Four databases were searched, and 16 articles were selected for the meta-analysis, with 81.3% of the studies being conducted in underdeveloped or developing countries. Of these, 56.3% involved children under 14 years of age, and 62.5% involved activities in elementary and middle schools. The researchers are the professionals who are the most engaged in the activities, and 56.3% of the studies are conducted by veterinarians. Several new teaching tools have been proposed, demonstrating remarkable effectiveness. For systematic reviews to provide a guide for the design of new educational activities, it is necessary to better describe teaching methodologies and evaluation tools, as well as to evaluate in the long term, not only the impact of knowledge on the population but also the incidence of zoonoses.

As doenças decorrentes do desequilíbrio entre a tríade ambiente, humanos e animais afetam a saúde dos indivíduos, bem como o bem-estar social e econômico da população mundial. Em todo o mundo, atividades de educação em saúde estão sendo realizadas para prevenir e controlar zoonoses. Para orientar futuras intervenções educativas, revisamos artigos científicos publicados nos últimos cinco anos para caracterizar e verificar as ferramentas: público-alvo, duração, efetividade, lacunas e dificuldades. Quatro bases de dados foram pesquisadas e 16 artigos foram selecionados para a meta-análise, com 81,3% dos estudos sendo conduzidos em países subdesenvolvidos ou em desenvolvimento. Destes, 56,3% envolviam menores de 14 anos e 62,5% envolviam atividades no ensino fundamental e médio. Os pesquisadores são os profissionais mais engajados nas atividades, sendo que 56,3% dos estudos são conduzidos por veterinários. Várias novas ferramentas de ensino foram propostas, demonstrando notável eficácia. Para que as revisões sistemáticas orientem o desenho de novas ações educativas, é necessário descrever melhor as metodologias de ensino e os instrumentos de avaliação, bem como avaliar a longo prazo não só o impacto do conhecimento na população, mas também a incidência de zoonoses.

Las enfermedades derivadas del desequilibrio entre el medio ambiente, los seres humanos y los animales afectan la salud de las personas, así como el bienestar social y económico de la población mundial. En todo el mundo se están realizando actividades de educación sanitaria para prevenir y controlar las zoonosis. Para orientar futuras intervenciones educativas, revisamos artículos científicos publicados en los últimos cinco años para caracterizar y verificar las herramientas: público objetivo, duración, efectividad, vacíos y dificultades. Se realizaron búsquedas en cuatro bases de datos y se seleccionaron 16 artículos para el metanálisis, y el 81,3 % de los estudios se realizaron en países subdesarrollados o en vías de desarrollo. De estos, el 56,3% involucraba a niños menores de 14 años y el 62,5% involucraba actividades en educación primaria y secundaria. Los investigadores son los profesionales más comprometidos con las actividades, siendo el 56,3% de los estudios realizados por veterinarios. Se han propuesto varias herramientas didácticas nuevas que han demostrado una eficacia notable. Para que las revisiones sistemáticas orienten el diseño de nuevas acciones educativas, es necesario describir mejor las metodologías docentes y los instrumentos de evaluación, así como evaluar a largo plazo no solo el impacto del conocimiento en la población, sino también la incidencia de las zoonosis.

Caminando hacia el final de la pandemia COVID-19: caso México / Moving towards the end of the COVID-19 pandemic: the case of Mexico

Introducción: se vive una crisis de confianza en la ciencia y una época de menosprecio a los conocimientos y evidencias. Las opiniones de los líderes políticos y otras figuras públicas ajenas a los problemas de salud tienen una mayor consideración y peso que los juicios emitidos por los expertos. Una evidencia que demuestra la debilidad de México en el campo de la salud son dos hechos en los cuales las autoridades del país son los culpables que son: la desaparición del Seguro Popular y la pobre respuesta a la pandemia de COVID-19. Conclusiones: la pandemia no termina por decreto, se logrará con cuidados y prevención realizada por el gobierno, instituciones y personal de salud y la sociedad (AU)

Introduction: we are living through a crisis of confidence in science and an era of disregard for knowledge and evidence. The opinions of political leaders and other public figures who are not involved in health problems are given greater consideration and weight than the judgments made by experts. Evidence that demonstrates Mexico's weakness in the field of health are two facts in which the country's authorities are to blame: the disappearance of Seguro Popular and the poor response to the COVID-19 pandemic. Conclusions: the pandemic does not end by decree, it will be achieved with care and prevention carried out by the government, health institutions and personnel and society (AU)

Tratamientos y barreras de protección utilizadas antes y durante la pandemia en entidades de México / Treatments and protective barriers used before and during the pandemic in entities in Mexico

Introducción: los tratamientos bucodentales son procedimientos que requieren de un diagnóstico visual y táctil; existe alto riesgo de contagio por productos biológicos. Objetivo: determinar los tipos de tratamientos y barreras de protección implementados antes y durante la pandemia de COVID-19 en tres entidades de México. Material y métodos: estudio observacional, analítico y longitudinal en odontólogos de atención clínica privada, instituciones educativas y/o de salud, mediante un muestreo no probabilístico por cuotas de 100 odontólogos por entidad. La información fue recopilada en un formulario de Google distribuido vía WhatsApp y correos electrónicos. Los datos se procesaron en el SPSS v. 22. Resultados: los tratamientos implementados antes del periodo pandémico fueron los programados con 87.2%, durante la pandemia de COVID-19, la atención principal continuó programada (90.9%), las barreras de protección que más aumentaron fueron la protección ocular como gafas protectoras (84.8%) y careta facial (83.1%), presentando la sustitución de la mascarilla tricapa por ser de alta filtración KN95 (78.0%) y el traje aislante (53.0%). Conclusión: los tratamientos realizados antes y durante la pandemia fueron programados, las barreras que incrementaron fueron gafas protectoras, careta, mascarilla KN95 y traje aislante (AU)

Introduction: oral treatments are procedures that require a visual and tactile diagnosis, there is a high risk of infection by biological products. Objective: determine the types of treatments and protection barriers implemented before and during the COVID-19 pandemic in three states in Mexico. Material and methods: it was an observational, analytical and longitudinal study in private clinical care dentists, educational and/or health institutions, through a non-probabilistic sampling by quotas of 100 dentists per entity. The information was collected in a Google form distributed via WhatsApp and emails. The data was processed in SPSS v. 22. Results: the treatments implemented before the pandemic period were those scheduled with 87.2%, during the COVID-19 pandemic the main care continued as scheduled (90.9%) where the protection barriers that increased the most were eye protection such as goggles (84.8%) and facial mask (83.1%). Presenting the substitution of the three-layer mask for high filtration KN95 (78.0%) and the disposable suit (53.0%). Conclusion: the treatments carried out before and during the pandemic were programmed, the barriers that increased were googles, face shield, KN95 mask and insulating suit (AU)

Variante mexicana de COVID-19: ómicron BW. 1 o Xibalbá / Mexican variant of COVID-19: omicron BW. 1 o Xibalbá

Introducción: desde la aparición del COVID-19 a principios de diciembre del año 2019, en la ciudad China de Wuhan, esta enfermedad respiratoria empezó a avanzar a nivel mundial. El 30 de enero de 2020, la Organización Mundial de la Salud declaró a esta enfermedad con carácter epidémico y como una situación de emergencia a nivel mundial. El propósito de este estudio es presentar información de la variante ómicron BW.1 o Xibalbá. Conclusión: México está en un proceso de transición de pandemia hacia endemia, pero no quiere decir que no seguirán apareciendo nuevas variantes como ocurrió en la quinta ola (ómicron BA.5) o con subvariantes que emergieron como BW.1 «Xibalbá¼, BQ.1 «perro del infierno¼ y XBB «pesadilla¼. La población y los gobiernos deberán continuar con las medidas preventivas establecidas desde el inicio de la pandemia como son el uso de cubrebocas, el correcto lavado de manos y de ropa, los hábitos de higiene, limpieza, desinfección personal y de nuestro entorno, el aislamiento precoz ante alguna sintomatología y la vacunación (ya sea la primera o sus refuerzos subsecuentes).(AU)

Introduction: since the appearance of COVID-19 in early December 2019 in the Chinese city of Wuhan, this respiratory disease began to spread worldwide. On the thirtieth of January of the year two thousand and twenty, the World Health Organization (WHO) declared this disease to be epidemic and with a worldwide emergency situation. The purpose of the study is to present information on the Omicron BW.1 or Xibalba variant. Conclusion: Mexico is in a process of transition from pandemic to endemic but this does not mean that new variants will not continue to appear as they did in the fifth wave (omicron BA.5) or subvariants that emerged such as: BW.1 or «Xibalbá¼, BQ.1 «hellhound¼ and XBB «nightmare¼. The population and governments should continue with the preventive measures established since the beginning of the pandemic, such as: use of masks, proper hand and clothing washing, hygiene habits, personal and environmental cleaning and disinfection, early isolation in case of any symptomatology, and vaccination, either first or subsequent boosters.(AU)

Therapeutic bath of mint hydrolate in the control of monogenea for four tilapia species / Banho terapêutico de hidrolato de hortelã no controle de parasitas para quatro espécies de tilápia

This work aimed to evaluate a therapeutic bath of mint (Mentha x villosa) hydrolate in the control of monogeneans for four tilapia species (Oreochromis niloticus, Oreochromis aureus, Oreochromis mossambicus, and Oreochromis hornorum) reared in the same environment (pond). After two months, 60 individuals of O. niloticus were divided into six groups of ten fish each. Three of them were submitted to a 1-hour therapeutic bath of mint hydrolate at the concentration of 20 mL·L-1, and the others were used as a control group. This process was repeated for O. aureus, O. mossambicus and O. hornorum. After that, mucus and gills were analyzed to determine parasitological indices (prevalence, mean abundance, and mean intensity) for monogeneans. The efficacy of mint hydrolate bath was set as 73.5, 79, 80.7, and 84.5% for O. hornorum, O. aureus, O. mossambicus and O. niloticus, respectively, against the monogeneans in the mucus. All species in this work demonstrated similar parasitic susceptibility when reared in the same environment. In addition, the use of mint therapeutic bath demonstrated efficacy in the control of monogeneans in mucus for all evaluated species.(AU)

Este trabalho teve como objetivo avaliar um banho terapêutico de hidrolato de hortelã (Mentha x villosa) no controle de monogenéticos para quatro espécies de tilápia (Oreochromis niloticus, Oreochromis aureus, Oreochromis mossambicus e Oreochromis hornorum) criadas no mesmo ambiente (viveiro). Após dois meses, 60 indivíduos de O. niloticus foram divididos em seis grupos de dez peixes cada um. Três deles foram submetidos a um banho terapêutico de uma hora de hidrolato de hortelã na concentração de 20 mL·L-1, e os demais foram utilizados como grupo controle. Esse processo foi repetido para O. aureus, O. mossambicus e O. hornorum. Em seguida, o muco e as brânquias foram analisados para determinar os índices parasitológicos (prevalência, abundância média e intensidade média). A eficácia do banho de hidrolato de hortelã no muco foi medida em 73,5, 79, 80,7 e 84,5% para O. hornorum, O. aureus, O. mossambicus e O. niloticus, respectivamente. Todas as espécies de tilápia avaliadas neste trabalho demonstraram suscetibilidade parasitária semelhante quando criadas no mesmo ambiente, no entanto o uso do banho terapêutico de hortelã demonstrou eficácia no controle de monogenéticos no muco para todas as espécies avaliadas.(AU)

Lessons learned from the implementation of integrated serosurveillance of communicable diseases in the Americas / Enseñanzas obtenidas en la aplicación de la serovigilancia integrada de las enfermedades transmisibles en la Región de las Américas / Lições aprendidas com a implementação da vigilância sorológica integrada de doenças transmissíveis nas Américas

ABSTRACT Objective. Systematize the experience and identify challenges and lessons learned in the implementation of an initiative for integrated serosurveillance of communicable diseases using a multiplex bead assay in countries of the Americas. Methods. Documents produced in the initiative were compiled and reviewed. These included concept notes, internal working papers, regional meetings reports, and survey protocols from the three participating countries (Mexico, Paraguay, and Brazil) and two additional countries (Guyana and Guatemala) where serology for several communicable diseases was included in neglected tropical diseases surveys. Information was extracted and summarized to describe the experience and the most relevant challenges and lessons learned. Results. Implementing integrated serosurveys requires interprogrammatic and interdisciplinary work teams for the design of survey protocols to respond to key programmatic questions aligned to the needs of the countries. Valid laboratory results are critical and rely on the standardized installment and roll-out of laboratory techniques. Field teams require adequate training and supervision to properly implement survey procedures. The analysis and interpretation of serosurveys results should be antigen-specific, contextualizing the responses for each disease, and triangulated with programmatic and epidemiological data for making decisions tailored to specific population socioeconomic and ecologic contexts. Conclusions. Integrated serosurveillance as a complementary tool for functional epidemiological surveillance systems is feasible to use and key components should be considered: political engagement, technical engagement, and integrated planning. Aspects such as designing the protocol, selecting target populations and diseases, laboratory capacities, anticipating the capacities to analyze and interpret complex data, and how to use it are key.

Resumen Objetivo. Sistematizar la experiencia y determinar los desafíos y las enseñanzas obtenidas durante la aplicación de una iniciativa de serovigilancia integrada de enfermedades transmisibles mediante un ensayo de perlas múltiples en países de la Región de las Américas. Métodos. Se recopilaron y revisaron los documentos generados en el marco de la iniciativa. Estos incluían notas conceptuales, documentos de trabajo internos, informes de reuniones regionales y protocolos de encuesta de los tres países participantes (Brasil, México y Paraguay) y otros dos países (Guatemala y Guyana) donde en las encuestas sobre enfermedades tropicales desatendidas también se incluía la serología para varias enfermedades transmisibles. Se recabó y resumió la información para describir tanto la experiencia como los desafíos y las enseñanzas de mayor relevancia. Resultados. La realización de encuestas serológicas integradas requiere equipos de trabajo interprogramáticos e interdisciplinarios para la elaboración de protocolos de encuesta que permitan responder a cuestiones programáticas fundamentales y ajustadas a las necesidades de los países. Es imprescindible contar con resultados de laboratorio válidos, para lo que es preciso que sus técnicas e instalaciones estén estandarizadas. Para que los equipos de campo puedan ejecutar correctamente los procedimientos de la encuesta, deben contar con una formación y supervisión adecuadas. El análisis y la interpretación de los resultados de las encuestas serológicas deben ser específicos para cada antígeno, situar las respuestas en el contexto de cada enfermedad y triangularse con los datos programáticos y epidemiológicos para tomar decisiones adaptadas a los contextos socioeconómicos y ecológicos específicos de la población. Conclusiones. Es uso de la vigilancia serológica integrada como una herramienta complementaria en los sistemas funcionales de vigilancia epidemiológica es algo posible; para esto deben tenerse en cuenta ciertos elementos fundamentales: el compromiso político, el compromiso técnico y la planificación integrada. A tal efecto, son fundamentales ciertos elementos como el diseño del protocolo, la selección de los grupos poblacionales y las enfermedades objetivo, la capacidad de los laboratorios, y la previsión de las capacidades de análisis e interpretación de datos complejos y la forma de utilizarlos.

RESUMO Objetivo. Sistematizar a experiência e identificar desafios e lições aprendidas na implementação de uma iniciativa de vigilância sorológica integrada de doenças transmissíveis, usando ensaio de micro-esferas multiplex em países das Américas. Métodos. Os documentos produzidos na iniciativa foram compilados e examinados, e incluíram notas conceituais, documentos internos de trabalho, relatórios de reuniões regionais e protocolos de pesquisa dos três países participantes (México, Paraguai e Brasil) e de dois países adicionais (Guiana e Guatemala), onde a vigilância sorológica de várias doenças transmissíveis foi incluída em pesquisas sobre doenças tropicais negligenciadas. As informações foram extraídas e resumidas para descrever a experiência e os desafios e as lições aprendidas mais relevantes. Resultados. A implementação de inquéritos sorológicos integrados requer equipes de trabalho interprogramáticas e interdisciplinares para o delineamento de protocolos que respondam a questões programáticas chave, alinhadas com as necessidades dos países. Resultados laboratoriais válidos são essenciais, e dependem da instalação e implantação padronizadas de técnicas laboratoriais. As equipes de campo precisam de treinamento e supervisão apropriados para implementar adequadamente os procedimentos de pesquisa. A análise e a interpretação dos resultados dos inquéritos sorológicos devem ser antígeno-específicas, contextualizando as respostas para cada doença, e trianguladas com dados programáticos e epidemiológicos para a tomada de decisões adaptadas aos contextos socioeconômicos e ecológicos específicos de cada população. Conclusões. A vigilância sorológica integrada como ferramenta complementar para sistemas de vigilância epidemiológica funcionais é viável. Os componentes-chave a seguir devem ser considerados: engajamento político, engajamento técnico e planejamento integrado. Aspectos como o delineamento do protocolo, a seleção de populações-alvo e doenças-alvo, a capacidade laboratorial, a previsão das capacidades para análise e interpretação de dados complexos e como usá-los são fundamentais.

Pharmacopuncture with a low dosage of B complex vitamins in the Da Zhui acupoint (Governing Vessel 14) for controlling gastrointestinal parasitism in periparturient ewes / Farmacopuntura com dose baixa de vitaminas do complexo B no acuponto Da Zhui (Vaso Governador 14) para o controle da parasitose gastrintestinal em ovelhas no periparto

Gastrointestinal parasites are a significant challenge in sheep farming, and periparturient ewes are one of the most susceptible categories in sheep flocks. This study aimed to verify whether the injection of B vitamins at the acupuncture point governing vessel 14 (GV14) can influence the parasitic load or host-parasite interaction in naturally infected ewes during the peripartum period. Four weeks before parturition, 25 ewes were divided into five treatment groups: (1) Dose Control: 0.2 mL of B complex via IM; (2) Drug Control: 2 mL Complex B via IM; (3) Acupoint Control: 0.2 mL of Water at GV14 point; (4) Control; (5) Test group: 0.2 mL of B complex at the GV14 point. Treatments were performed at weeks -3, -1, 2, 4, and 6 about the parturition time. Fecal samples to estimate the parasitic load by fecal egg counts (FEC) and total blood samples for hemogram examination were performed seven days after the treatment, coinciding with weeks -2, 3, 5, and 7 about the parturition time. The number of peripheral eosinophils was higher in group 3 than in group 1 (p <0.05). Although groups 3 and 5 had lower mean values of FEC and higher hematological values at the time of weaning, these differences were not statistically significant (p> 0.05) according to the F test. However, all animals in groups 3 and 5 maintained low parasitism levels until the end of the experiment. Further studies should be performed with larger sample sizes and minor changes to the experimental protocol to elucidate the role of GV14 acupoint stimulation in the host-parasite relationship.(AU)

A parasitose gastrointestinal é o principal desafio sanitário para a criação de ovinos a pasto, e as ovelhas no periparto são uma das categorias mais susceptíveis a esta infeção no rebanho. O objetivo deste trabalho foi verificar se a injeção de vitaminas do complexo B no acuponto Vaso Governador 14 (VG14) poderia influenciar a carga parasitária ou modular a interação hospedeiro-parasito em ovelhas naturalmente infectadas no período de periparto. Quatro semanas antes da data prevista para o parto, 25 ovelhas foram divididas em cinco grupos de tratamento (1) Controle da dose: 0,2 mL de vitaminas do complexo B via IM; (2) Controle do fármaco: 2mL complexo B via IM; (3) Controle do Ponto: 0,2 mL de água destilada no ponto VG14; (4) Controle sem tratamento; (5) Grupo teste: 0,2 mL de complexo B no pontoVG14. Estes tratamentos foram realizados nas semanas -3; -1; 2; 4 e 6 em relação à data do parto. Amostras de fezes para contagem de ovos por grama de fezes (OPG), assim como amostras de sangue para realizar o hemograma, foram obtidas dos animais sete dias após os tratamentos, coincidindo com as semanas -2, 3, 5 e 7 do parto. O número de eosinófilos periféricos foi superior no grupo 3 se comparado ao grupo 1 (p <0,05). Os animais dos grupos 3 e 5 tiveram menores valores de OPG e maior hematócrito, mas estas diferenças não foram consideradas significativas pelo teste F (p> 0,05). No entanto, todas as ovelhas dos grupos 3 e 5 se mantiveram com níveis baixos de parasitismo durante todo o experimento. Sugere-se que novos estudos sejam realizados com algumas modificações deste protocolo a fim de aprofundar o conhecimento do potencial imunomodulador do acuponto VG14.(AU)

Percepción de riesgo, eficacia preventiva y factores socio demográficos como predictores de conductas preventivas de COVID-19 en adultos chilenos / Risk perception, preventive efficacy and social factors as predictors for COVID-19 preventive behavior in chileans

BACKGROUND: Social isolation and hand washing are effective measures to prevent COVID-19 transmission Aim: To evaluate the predictive role of risk perception and preventive efficacy perception, along with sociodemographic and health factors, for adherence to hand washing and isolation behavior of Chilean adults. MATERIAL AND METHODS: In a Web-based cross-sectional study, 695 adults between 18 and 60 years old answered the COVID-19 Risk Perception Scale and a questionnaire on perception of preventive efficacy, preventive adherence, sociodemographic and health variables. RESULTS: Seventy seven percent of respondents adhered to hand washing and 71% to isolation behavior. The average risk perception of respondents was 67.2 ± 12.6%. Age, gender and perception of risk (considering its affective component and preventive efficacy perception), were identified in two predictive models as factors associated with compliance with hand washing. Conclusions: Preventive behaviors are associated with several psychosocial factors, allowing to distinguish groups at higher risk, which should be the focus of COVID-19 preventive interventions.

Estimating and forecasting the burden and spread of Colombia's SARS-CoV2 first wave.

Following the rapid dissemination of COVID-19 cases in Colombia in 2020, large-scale non-pharmaceutical interventions (NPIs) were implemented as national emergencies in most of the country's municipalities, starting with a lockdown on March 20th, 2020. Recently, approaches that combine movement data (measured as the number of commuters between units), metapopulation models to describe disease dynamics subdividing the population into Susceptible-Exposed-Asymptomatic-Infected-Recovered-Diseased and statistical inference algorithms have been pointed as a practical approach to both nowcast and forecast the number of cases and deaths. We used an iterated filtering (IF) framework to estimate the model transmission parameters using the reported data across 281 municipalities from March to late October in locations with more than 50 reported deaths and cases in Colombia. Since the model is high dimensional (6 state variables in every municipality), inference on those parameters is highly non-trivial, so we used an Ensemble-Adjustment-Kalman-Filter (EAKF) to estimate time variable system states and parameters. Our results show the model's ability to capture the characteristics of the outbreak in the country and provide estimates of the epidemiological parameters in time at the national level. Importantly, these estimates could become the base for planning future interventions as well as evaluating the impact of NPIs on the effective reproduction number ([Formula: see text]) and the critical epidemiological parameters, such as the contact rate or the reporting rate. However, our forecast presents some inconsistency as it overestimates the deaths for some locations as Medellín. Nevertheless, our approach demonstrates that real-time, publicly available ensemble forecasts can provide short-term predictions of reported COVID-19 deaths in Colombia. Therefore, this model can be used as a forecasting tool to evaluate disease dynamics and aid policymakers in infectious outbreak management and control.

Factors associated to the duration of COVID-19 lockdowns in Chile.

During the first year of the COVID-19 pandemic, several countries have implemented non-pharmacologic measures, mainly lockdowns and social distancing, to reduce the spread of the SARS-CoV-2 virus. These strategies varied widely across nations, and their efficacy is currently being studied. This study explores demographic, socioeconomic, and epidemiological factors associated with the duration of lockdowns applied in Chile between March 25th and December 25th, 2020. Joint models for longitudinal and time-to-event data were used. In this case, the number of days under lockdown for each Chilean commune and longitudinal information were modeled jointly. Our results indicate that overcrowding, number of active cases, and positivity index are significantly associated with the duration of lockdowns, being identified as risk factors for longer lockdown duration. In short, joint models for longitudinal and time-to-event data permit the identification of factors associated with the duration of lockdowns in Chile. Indeed, our findings suggest that demographic, socioeconomic, and epidemiological factors should be used to define both entering and exiting lockdown.

Experiences of distortions to the passage of time during the Argentinian Covid-19 pandemic.

The Coronavirus-19 global pandemic has forced many governments around the world to enforce "lockdowns" to curtail the spread of the virus. Studies conducted in the UK, France, Italy and Brazil have demonstrated that one consequence of these lockdowns is significant distortion to the speed of the passage of time. The current study sought to establish how the passage of time was experienced during the Argentinian lockdown. An online questionnaire was used to measure passage of time judgments for the day and the week, physical activity, satisfaction with social interaction, the extent to which daily routines had changed due to covid and demographic data. The results show that distortions to the passage of time were widely experienced during the lockdown in Argentina. There was a tendency for participants to report time passing more quickly than normal. A faster passage of time was associated with being a woman, of younger age and more physically active. A slower passage of time was therefore associated with being a man, of older age and less physically active. The results indicate that whilst distortions to the passage of time during the covid-19 crisis appear to be a global phenomenon, cross-cultural differences are apparent in the factors which influence temporal experience.

Assessing the impact of human mobility to predict regional excess death in Ecuador.

COVID-19 outbreaks have had high mortality in low- and middle-income countries such as Ecuador. Human mobility is an important factor influencing the spread of diseases possibly leading to a high burden of disease at the country level. Drastic control measures, such as complete lockdown, are effective epidemic controls, yet in practice one hopes that a partial shutdown would suffice. It is an open problem to determine how much mobility can be allowed while controlling an outbreak. In this paper, we use statistical models to relate human mobility to the excess death in Ecuador while controlling for demographic factors. The mobility index provided by GRANDATA, based on mobile phone users, represents the change of number of out-of-home events with respect to a benchmark date (March 2nd, 2020). The study confirms the global trend that more men are dying than expected compared to women, and that people under 30 show less deaths than expected, particularly individuals younger than 20 with a death rate reduction between 22 and 27%. The weekly median mobility time series shows a sharp decrease in human mobility immediately after a national lockdown was declared on March 17, 2020 and a progressive increase towards the pre-lockdown level within two months. Relating median mobility to excess deaths shows a lag in its effect: first, a decrease in mobility in the previous two to three weeks decreases excess death and, more novel, we found an increase of mobility variability four weeks prior increases the number of excess deaths.

[Risk perception, preventive efficacy and social factors as predictors for COVID-19 preventive behavior in chileans]. / Percepción de riesgo, eficacia preventiva y factores socio demográficos como predictores de conductas preventivas de COVID-19 en adultos chilenos.

BACKGROUND: Social isolation and hand washing are effective measures to prevent COVID-19 transmission Aim: To evaluate the predictive role of risk perception and preventive efficacy perception, along with sociodemographic and health factors, for adherence to hand washing and isolation behavior of Chilean adults. MATERIAL AND METHODS: In a Web-based cross-sectional study, 695 adults between 18 and 60 years old answered the COVID-19 Risk Perception Scale and a questionnaire on perception of preventive efficacy, preventive adherence, sociodemographic and health variables. RESULTS: Seventy seven percent of respondents adhered to hand washing and 71% to isolation behavior. The average risk perception of respondents was 67.2 ± 12.6%. Age, gender and perception of risk (considering its affective component and preventive efficacy perception), were identified in two predictive models as factors associated with compliance with hand washing. CONCLUSIONS: Preventive behaviors are associated with several psychosocial factors, allowing to distinguish groups at higher risk, which should be the focus of COVID-19 preventive interventions.

Eficácia do método de graham para o diagnóstico de Syphacia obvelata (Rudolphi, 1802) no monitoramento sanitário de camundongos Swiss Webster de um biotério de criação / Effectiveness of the graham method for Syphacia obvelata (Rudolphi, 1802) diagnosis in the health monitoring of Swiss Webster mice in a breeding colony

A infecção por Oxyuridae constitui um problema nas barreiras sanitárias em colônias de roedores, tendo em vista que esta é a família de parasito mais encontrada em instalações de animais de laboratório, especialmente a espécie Syphacia obvelata. Camundongos outbred stock Swiss Webster apresentam sinais clínicos quando associados com elevada carga parasitária e, geralmente, é observado um aumento no número de animais com prolapso retal. O controle desse parasito e outros patógenos é realizado mediante monitoramento sanitário trimestral, conforme as recomendações da Federação das Associações Europeias de Ciência de Animais de Laboratório (FELASA). O diagnóstico pelo método de Graham é determinante para a pesquisa dos ovos através de impressão de fita adesiva na região perianal do animal no início do ciclo do oxiurídeo. Foi realizada uma análise comparativa entre os métodos de Graham e o exame direto da mucosa intestinal para diagnóstico de S. obvelata de 60 camundongos sentinelas fêmeas outbred stock Swiss webster, procedentes de instalações de roedores de um biotério de criação. Os resultados mostraram uma diferença significativa entre o método de Graham e o exame direto da mucosa intestinal (p > 0,001 a 95%, teste de Fisher exato), com uma prevalência de 50% de ovos do parasito pela técnica de Graham e 8,33% pelo exame direto da mucosa intestinal, que detectou todas as formas do parasito. Pelo exame direto, além de ovos, foram identificadas outras formas do parasito, como: larvas, fêmeas adultas e machos adultos. Concluiu-se que a técnica de Graham é capaz de ampliar o espectro de identificação de S. obvelata, pois detecta com maior precisão a presença de ovos do parasita, uma vez que a fita adesiva demonstra que as fêmeas adultas grávidas migram para o ânus antes de morrer, depositando seus ovos na região perianal do hospedeiro. Sendo assim, o método de Graham deve ser adicionado ao programa de monitoramento sanitário, associado aos outros rotineiramente empregados no controle da qualidade de animais de laboratório, contribuindo com as condutas de manejo da criação animal em prol do controle e erradicação do agente em questão.

Infection by Oxyuridae is a problem in sanitary barriers in rodent colonies, considering that this is the parasite family most commonly found in laboratory animal facilities, especially the species Syphacia obvelata. Outbred stock Swiss Webster mice show clinical signs when associated with a high parasite load and, generally, an increase in the number of animals with rectal prolapse is observed. The control of this parasite and other pathogens is carried out through quarterly sanitary monitoring, in accordance with the recommendations of the Federation of European Associations of Laboratory Animal Science (FELASA). Diagnosis by Graham's method is crucial for the search for eggs by printing adhesive tape in the animal's perianal region at the beginning of the oxyuride cycle. A comparative analysis was performed between Graham's methods and direct examination of the intestinal mucosa for the diagnosis of S. obvelata in 60 female sentinel Swiss outbred stock Swiss webster mice, from rodent installations in a breeding animal facility. Results showed a significant difference between Graham's method and direct examination of the intestinal mucosa (p > 0.001 at 95%, Fisher's exact test), with a prevalence of 50% of parasite eggs by Graham's technique and 8.33% by direct examination of the intestinal mucosa, which detected the whole parasite forms. By direct examination, in addition to eggs, other forms of the parasite were identified, such as: larvae, adult females and adult males. It was concluded that Graham's technique is capable of expanding the identification spectrum of S. obvelata, as it detects the presence of parasite eggs more accurately, since the adhesive tape demonstrates that adult pregnant females migrate to the anus before dying, depositing its eggs in the perianal region of the host. Therefore, Graham's method should be added to the health monitoring program, associated with others routinely used in the quality control of laboratory animals, contributing to the management of animal husbandry in favor of the control and eradication of the agent in question.

Albendazole is effective for controlling monogenean parasites of the gills of Piaractus brachypomus (Serrasalmidae) and Megaleporinus macrocephalus (Anostomidae) / Albendazol é eficaz no controle de parasitos monogenéticos das brânquias de Piaractus brachypomus (Serrasalmidae) e Megaleporinus macrocephalus (Anostomidae)

Monogenean infestations can cause high mortality in farmed fish and therefore significant economic losses. The present study investigated the efficacy of albendazole in therapeutic baths against monogeneans of Piaractus brachypomus Cuvier, 1818 and Megaleporinus macrocephalus (Garavello & Britski, 1988). For both fish, a 24 hours therapeutic bath with albendazole concentrations of 150, 300 and 500 mg/L were tested against monogeneans from the gills. The baths had an efficacy from 61.4 ± 32.9 (95%CI=64.5) against monogeneans of P. brachypomus, and from 95.4 ± 5.6 (95%CI=10.9) against monogeneans of M. macrocephalus. In P. brachypomus, the hepatosomatic index (HSI) in fish exposed to 150 mg/L of albendazole was higher than in fish exposed to 300 mg/L. The splenosomatic index (SSI) values in fish exposed to 150 mg/L of albendazole were lower than in fish exposed to 300 mg/L. In M. macrocephalus, the HSI and SSI values decreased in treatments with 150, 300 and 500 mg/L of albendazole to control and treat infestations by monogeneans. For M. macrocephalus, 150 mg/L of albendazole can be used to control and treat infestations by monogeneans, while for P. brachypomus 500 mg/L of albendazole can be used in a 24 hours bath.(AU)

Infestações por monogenéticos podem causar alta mortalidade entre os peixes cultivados e, portanto, perdas econômicas significativas. O presente estudo investigou a eficácia do albendazol em banhos terapêuticos contra monogenéticos de Piaractus brachypomus Cuvier, 1818 e Megaleporinus macrocephalus (Garavello & Britski, 1988). Para ambos os peixes, um banho terapêutico de 24 horas com concentrações de albendazol de 150, 300 e 500 mg/L, foi testado contra monogenéticos nas brânquias. Os banhos tiveram eficácia 61,4 ± 32,9 (IC95%=64,5) contra monogenéticos de P. brachypomus, e de 95,4 ± 5.6 (IC95%=10.9) contra monogenéticos de M. macrocephalus. Em P. brachypomus, o índice hepatossomático (IHS) em peixes expostos a 150 mg/L de albendazol foi maior do que em peixes expostos a 300 mg/L. Os valores do índice esplenossomático (IES) em peixes expostos a 150 mg/L de albendazol foram menores do que em peixes expostos a 300 mg/L. Em M. macrocephalus, os valores de IHS e IES diminuíram nos tratamentos com 150, 300 e 500 mg/L de albendazol, para controlar e tratar infestações por monogenéticos. Para M. macrocephalus, 150 mg/L de albendazol pode ser usado para controlar e tratar infestações por monogenéticos, enquanto para P. brachypomus, 500 mg/L de albendazol pode ser usado em um banho de 24 horas.(AU)

Selective control of Rhipicephalus microplus in a dairy cattle herd from different genetic groups / Controle seletivo de Rhipicephalus microplus em rebanho leiteiro de diferentes grupos genéticos

Alternatives for Rhipicephalus microplus control are needed in the light of its resistance to acaricides. One of the ways to decrease the use of acaricides in a herd is selective control (SC). In the present study, SC was evaluated in a dairy herd consisting of different genetic groups: Holstein, Jersey, crossbreed and Girolando. Ticks were counted in the right anterior third region on around 90 cows, totaling nine evaluations at intervals of 21 days. Commercial pour-on acaricide was applied only when the infestation was greater than or equal to eight ticks larger than 4 mm in the anterior third region. Tick counts were transformed into log10 and analyzed using mixed models. There was significant difference among groups: Holstein had the highest averages of tick numbers, as expected, although 34.3% did not receive tick treatment. In the other groups, SC reduced the use of acaricides by 79.1% for crossbreed, 81.5% for Jersey and 94.9% for Girolando. The criterion used for applying the acaricide successfully kept the tick population under control. The great advantage of SC was savings to the system, without harming the animals, in addition to generate fewer residues in the animals and in the environment.(AU)

A resistência de Rhipicephalus microplus a carrapaticidas gera a necessidade de alternativas de controle. Uma das formas de diminuir o uso de carrapaticida em um rebanho é o controle seletivo do carrapato (CS). O presente estudo avaliou o CS em rebanho leiteiro, constituído de diferentes grupos genéticos: Holandês, Jersey, mestiço e Girolando. Carrapatos foram contados na região do terço anterior direito, totalizando nove avaliações em cerca de 90 vacas, a intervalos ao redor de 21 dias. Carrapaticida comercial pour-on foi aplicado somente quando a infestação fosse igual ou superior a oito carrapatos maiores que 4 mm na região anterior. Dados de contagens foram transformados em log10 e analisados por meio de modelos mistos. Houve diferença significativa entre os grupos genéticos: vacas Holandesas apresentaram maiores médias no número de carrapatos, como esperado, embora 34,3% não tenha recebido tratamento carrapaticida; nas demais, o CS proporcionou diminuição do uso de carrapaticidas de 79,1% para as mestiças, 81,5% para as Jersey e 94,9% para as Girolando. O critério utilizado para aplicar o carrapaticida manteve a população de carrapatos sob controle. A grande vantagem do CS foi a economia ao sistema, sem prejudicar os animais, com menos resíduos para animais e meio ambiente.(AU)