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1.
Vaccine ; 40(49): 7115-7121, 2022 11 22.
Artigo em Inglês | MEDLINE | ID: mdl-36404429

RESUMO

Vaccination strategies to control COVID-19 have been ongoing worldwide since the end of 2020. Understanding their possible effect is key to prevent future disease spread. Using a modelling approach, this study intends to measure the impact of the COVID-19 Portuguese vaccination strategy on the effective reproduction number and explore three scenarios for vaccine effectiveness waning. Namely, the no-immunity-loss, 1-year and 3-years of immunity duration scenarios. We adapted an age-structured SEIR deterministic model and used Portuguese hospitalisation data for the model calibration. Results show that, although the Portuguese vaccination plan had a substantial impact in reducing overall transmission, it might not be sufficient to control disease spread. A significant vaccination coverage of those above 5 years old, a vaccine effectiveness against disease of at least 80% and softer non-pharmaceutical interventions (NPIs), such as mask usage and social distancing, would be necessary to control disease spread in the worst scenario considered. The immunity duration scenario of 1-year displays a resurgence of COVID-19 hospitalisations by the end of 2021, the same is observed in 3-year scenario although with a lower magnitude. The no-immunity-loss scenario presents a low increase in hospitalisations. In both the 1-year and 3-year scenarios, a vaccination boost of those above 65 years old would result in a 53% and 38% peak reduction of non-ICU hospitalisations, respectively. These results suggest that NPIs should not be fully phased-out but instead be combined with a fast booster vaccination strategy to reduce healthcare burden.


Assuntos
Vacinas contra COVID-19 , COVID-19 , Humanos , Pré-Escolar , Idoso , Portugal/epidemiologia , COVID-19/prevenção & controle , Vacinação , Cobertura Vacinal
2.
Euro Surveill ; 23(20)2018 05.
Artigo em Inglês | MEDLINE | ID: mdl-29790461

RESUMO

A measles outbreak has been occurring in a healthcare setting in Porto, Portugal, since early March 2018, posing public health challenges for a central hospital and the community. Up to 22 April, 96 cases were confirmed, 67 in vaccinated healthcare workers, mostly between 18-39 years old. Following identification of the first cases, control measures were rapidly implemented. Concomitantly, other measles cases were notified in the Northern Region of the country. No common epidemiological link was identified.


Assuntos
Controle de Doenças Transmissíveis/métodos , Doenças Transmissíveis Importadas , Surtos de Doenças/prevenção & controle , Vacina contra Sarampo/administração & dosagem , Vírus do Sarampo/genética , Vírus do Sarampo/isolamento & purificação , Sarampo/epidemiologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Pré-Escolar , Doenças Transmissíveis Importadas/epidemiologia , Doenças Transmissíveis Importadas/prevenção & controle , Notificação de Doenças , Feminino , Pessoal de Saúde/estatística & dados numéricos , Humanos , Lactente , Recém-Nascido , Masculino , Notificação de Abuso , Sarampo/prevenção & controle , Sarampo/virologia , Vírus do Sarampo/imunologia , Pessoa de Meia-Idade , Exposição Ocupacional , Portugal/epidemiologia , Saúde Pública , Centros de Atenção Terciária , Vacinação/estatística & dados numéricos
3.
PLoS Biol ; 12(1): e1001756, 2014 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-24409096

RESUMO

There is growing concern that poor experimental design and lack of transparent reporting contribute to the frequent failure of pre-clinical animal studies to translate into treatments for human disease. In 2010, the Animal Research: Reporting of In Vivo Experiments (ARRIVE) guidelines were introduced to help improve reporting standards. They were published in PLOS Biology and endorsed by funding agencies and publishers and their journals, including PLOS, Nature research journals, and other top-tier journals. Yet our analysis of papers published in PLOS and Nature journals indicates that there has been very little improvement in reporting standards since then. This suggests that authors, referees, and editors generally are ignoring guidelines, and the editorial endorsement is yet to be effectively implemented.


Assuntos
Experimentação Animal/ética , Políticas Editoriais , Guias como Assunto , Editoração/ética , Experimentação Animal/estatística & dados numéricos , Animais , Humanos , Editoração/estatística & dados numéricos , Projetos de Pesquisa , Estatística como Assunto
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