Estrutura e localização dos serviços de vacinação influenciam a disponibilidade da tríplice viral no brasil

Vieira, Ed Wilson Rodrigues; Pimenta, Adriano Marçal; Montenegro, Lívia Cozer; Silva, Tércia Moreira Ribeiro da

doi:10.5935/1415-2762.20200062

Cited by 17 publications

(19 citation statements)

References 13 publications

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“…The results of the present study demonstrate that the number of MMR vaccine doses applied between April 2020 and September 2020 was considerably lower than in the period from April 2019 to March 2020. This result does not rule out evidence that contextual factors and individuals have acted synergistically, contributing to the reduction in the number of applied MMR vaccine doses [ 12 , 25 , 27 , 28 ], but highlights that social isolation, triggered by the COVID-19 pandemic, greatly contributed to the reduction in the number of applied MMR vaccine doses. This fact was evidenced by the sudden change in the behavior of the absolute numbers between the evaluated periods and confirmed by statistical analyses.…”

Section: Discussionmentioning

confidence: 89%

Number of doses of Measles-Mumps-Rubella vaccine applied in Brazil before and during the COVID-19 pandemic

et al. 2021

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Background Due to the social isolation measures adopted in an attempt to mitigate the risk of transmission of SARS-CoV-2, there has been a reduction in vaccination coverage of children and adolescents in several countries and regions of the world. Objective Analyze the number of doses of vaccine against Measles-Mumps-Rubella (MMR) applied before and after the beginning of mitigation measures due to COVID-19 pandemic in Brazil. Methods The data collected refer to the number of doses of the MMR vaccine applied monthly to the target population residing in Brazil: cahildren, aged 12 months (first dose) and children, aged 9 years (second dose), from April 2019 to December 2020. Differences in MMR vaccine doses from April 2019 to March 2020 (before the start of mitigation measures) and April 2020 to September 2020 (after the start of the mitigation measures) were evaluated. Spatial analysis identified clusters with a high percentage of reduction in the median of applied doses no Brazil. Results There was a reduction in the median of doses applied in the Regions North (− 33.03%), Northeast (− 43.49%) and South (− 39.01%) e nos Estados Acre (− 48.46%), Amazonas (− 28.96%), Roraima (− 61.91%), Paraíba (− 41.58%), Sergipe (− 47.52%), Rio de Janeiro (-59.31%) and Santa Catarina (− 49.32) (p < 0.05). High-high type spatial clusters (reduction between 34.00 and 90.00%) were formed in the five regions of Brazil (Moran’s I = 0.055; p = 0.01). Conclusion A reduction in the number of MMR vaccine doses was evidenced as a possible effect by the restrictive actions of COVID-19 in Brazil.

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Section: Discussionmentioning

confidence: 89%

Number of doses of Measles-Mumps-Rubella vaccine applied in Brazil before and during the COVID-19 pandemic

et al. 2021

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“…It mainly affected its poorest regions, such as Northern Brazil 26 . It historically shows the worst immunization indicators in the country, in addition to precarious conditions of primary care services, which account for providing immunobiological drugs to the population for free 16,18 . Associated with these factors, the collapse of health services in some Northern states, due to the high demand for hospital beds for patients with covid-19, may have contributed to reducing the population's demand for immunization services 27,28 and directly impacting the number of YF vaccine doses administered in the region.…”

Section: Discussionmentioning

confidence: 99%

“…Many factors have favored such a vaccination coverage reduction, namely: precariousness of the Brazilian Unified Health System (SUS), implementation of the new immunization information system (SI-PNI), social and cultural aspects affecting vaccination acceptance, and inconstant availability of immunobiological drugs in primary care services 9,[14][15][16][17][18] . Furthermore, vaccination coverage in Brazil is heterogeneous 16,19 .…”

Section: Introductionmentioning

confidence: 99%

Yellow fever vaccination before and during the covid-19 pandemic in Brazil

et al. 2022

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OBJECTIVE To analyze the number of yellow fever vaccine doses administered before and during the covid-19 pandemic in Brazil. METHODS This is an ecological, time series study based on data from the National Immunization Program. Differences between the median number of yellow fever vaccine doses administered in Brazil and in its regions before (from April/2019 to March/2020) and after (from April/2020 to March/2021) the implementation of social distancing measures in the country were assessed via the Mann-Whitney test. Prais-Winsten regression models were used for time series analyses. RESULTS We found a reduction in the median number of yellow fever vaccine doses administered in Brazil and in its regions: North (-34.71%), Midwest (-21.72%), South (-63.50%), and Southeast (-34.42%) (p < 0.05). Series showed stationary behavior in Brazil and in its five regions during the covid-19 pandemic (p > 0.05). Brazilian states also showed stationary trends, except for two states which recorded an increasing trend in the number of administered yellow fever vaccine doses, namely: Alagoas State (before: β = 64, p = 0.081; after: β = 897, p = 0.039), which became a yellow fever vaccine recommendation zone, and Roraima State (before: β = 68, p = 0.724; after: β = 150, p = 0.000), which intensified yellow fever vaccinations due to a yellow fever case confirmation in a Venezuelan State in 2020. CONCLUSION The reduced number of yellow fever vaccine doses administered during the covid-19 pandemic in Brazil may favor the reemergence of urban yellow fever cases in the country.

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“…O aumento do número de centros de saúde nos últimos 30 anos no Brasil, acompanhado do aumento da cobertura populacional pela Estratégia Saúde da Família e equipes de AB, ampliou o acesso da população aos serviços, mas ainda perduram as desigualdades regionais da estrutura dos serviços de saúde [8][9][10] . Considerando que a precarização progressiva dos serviços AB podem influenciar o acesso das gestantes residentes no território de abrangência destes serviços 11 e que as desigualdades regionais na alocação de recursos e investimentos no setor saúde 12 podem ter comprometido tanto a oferta quanto o acesso da população à triagem da sífilis, este estudo objetivou avaliar as condições dos serviços de AB brasileiros quanto a disponibilidade de testes rápidos para o diagnóstico e de benzilpenicilina benzatina para o tratamento da sífilis em gestantes.…”

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Diagnóstico e tratamento da sífilis em gestantes nos serviços de Atenção Básica

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et al. 2022

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Resumo O objetivo deste artigo é avaliar as condições dos serviços de Atenção Básica (AB) brasileiros quanto a disponibilidade de testes rápidos (TR) para o diagnóstico precoce e de Benzilpenicilina (BZP) para o tratamento das gestantes com sífilis. Estudo transversal com dados dos serviços de AB que participaram do Programa de Melhoria da Qualidade da Atenção Básica. Os serviços que não dispunham de TR sempre disponível ou não dispunham de BZP em quantidade suficiente foram categorizados como “inadequados” e aqueles que dispunham de TR sempre disponível e de BZP em quantidade suficiente, como “adequados”. Foi realizada análise bivariada e estimados os Odds ratios com seus respectivos Intervalos de Confiança de 95%. A amostra incluiu 20.286 serviços de AB de todas as regiões do país. A prevalência de serviços com condições inadequadas para diagnóstico e tratamento da sífilis foi de 47,7%. A região Centro-Oeste e as cidades que não eram capitais apresentaram maiores prevalências de serviços de AB com condições inadequadas para diagnóstico e tratamento da sífilis em gestantes (p<0,05). Diferenças regionais e de localização dos serviços de AB impactam na disponibilidade de TR e de BZP.

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Estrutura e localização dos serviços de vacinação influenciam a disponibilidade da tríplice viral no brasil

Cited by 17 publications

References 13 publications

Number of doses of Measles-Mumps-Rubella vaccine applied in Brazil before and during the COVID-19 pandemic

Number of doses of Measles-Mumps-Rubella vaccine applied in Brazil before and during the COVID-19 pandemic

Yellow fever vaccination before and during the covid-19 pandemic in Brazil

Diagnóstico e tratamento da sífilis em gestantes nos serviços de Atenção Básica

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