Signatures of the Venezuelan Humanitarian Crisis in the First Wave of COVID-19: Fuel Shortages and Border Migration

Lampo, Margarita; Hernández-Villena, Juan V; Cascante, Jaime; Vincenti-González, María F.; Forero‐Peña, David A.; Segovia, Maikell; Hampson, Katie; Castro, Julio; Grillet, María Eugenia

doi:10.3390/vaccines9070719

Cited by 14 publications

(11 citation statements)

References 21 publications

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“…However, because of the protracted socioeconomic and political crisis in the country, it is unlikely that the dynamics of STHs have changed in the study area, as no improvements of the country and local living conditions have occurred ever since [40][41][42][43]. Moreover, our observations might be generalizable to similar situations in other resource-limited settings worldwide and provide historical data for comparison with other studies as well.…”

Section: Discussionmentioning

confidence: 78%

Risk of acquiring Ascaris lumbricoides infection in an endemically infected rural community in Venezuela

et al. 2022

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Soil-transmitted helminths, such as Ascaris lumbricoides, are the most prevalent parasites globally. Optimal anthelmintic treatment for A. lumbricoides in endemically infected communities is challenged by several host-related and environmental factors influencing infection acquisition. We assessed the risk of A. lumbricoides (re)infection after treatment in a Venezuelan rural community. Individual merthiolate-iodine-formaldehyde-fixed faecal samples were collected from 224 persons before a single-dose pyrantel treatment and at 1, 3, 6, 9 and 15 months after treatment. Effects of age, sex and socioeconomic status (SES) on A. lumbricoides prevalence, eggs/gram faeces (EPG) and infection (re)acquisition were assessed using both generalised linear mixed-effects models and survival analysis. Pre-treatment A. lumbricoides prevalence was 39.7%. Higher prevalence was associated with younger age and lower SES. Higher EPG values were observed among young children. Median time to A. lumbricoides infection was six months after treatment: at 1, 3, 6, 9 and 15 months post-treatment, cumulative incidence was 6.7%, 18.9%, 34.6%, 42.2%, and 52.6%, respectively. Younger age, lower SES, and pre-treatment A. lumbricoides infection status showed significantly elevated hazard ratios. Mass drug administration protocols would benefit from considering these factors in selective treatment strategies and possibly more than just annual or biannual treatments in the target population.

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Section: Discussionmentioning

confidence: 78%

Risk of acquiring Ascaris lumbricoides infection in an endemically infected rural community in Venezuela

et al. 2022

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“…El informe científico (Lampo et al, 2021) concluye que la crisis humanitaria en Venezuela es la evidencia de la crisis, las infecciones y muertes que no son notificadas como producto del avance de la primera y segunda ola del Covid-19, Se advierte que si no se toman medidas políticas para reconstruir la infraestructura hospitalaria aumentará el número de muertes. Según la fuente Encuesta de condiciones de Vida (ENCOVI), del año 2021, en la cuantificación de la migración venezolana, más de 5 millones de venezolanos a partir del año 2015, han migrado de su país, aunque se desconoce en realidad la dimensión real total de esta migración.…”

Section: Resultsunclassified

El derecho a la protección legal, políticia y humanitaria, frente a la migración venezolana en el Perú ́

Rivera¹,

Cruz²

2023

rcli

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La investigación tuvo como objetivo general la revisión analítica de artículos científicos relacionados con el derecho a la protección legal, política y humanitaria que deben recibir los migrantes venezolanos en el Perú. Personas que se vieron obligadas a dejar su país por causa de la extremada crisis social, política y económica; en ese contexto, los países que los albergaron no estructuraron políticas y normas acordes a su grave situación de vulnerabilidad, más bien, adoptaron políticas y normas que agravaron su situación y contrarias a su condición migratoria y de pobreza extrema. La presente investigación apunta a efectuar aportes de naturaleza legal y política, que tienden a proteger a los migrantes venezolanos, acorde con sus derechos fundamentales, empleando el método inductivo, con una perspectiva cualitativa, tipo básico y un diseño no experimental transversal de revisión sistemática de literatura nacional e internacional. En cuanto a los resultados, se analizaron publicaciones de artículos científicos indexados en bases de datos como Scopus, Wos y Scielo. La investigación sugiere un cambio en la legislación peruana, con con carácter humanista, con normas que los protejan y los ayuden a formalizar su calidad migratoria, con el fin de acceder a la salud, educación y empleo, con respeto a su dignidad y a sus derechos fundamentales.

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“…COVID-19 has become an unprecedented challenge to healthcare systems worldwide and has affected malaria control programs by delaying the distribution of insecticide-treated nets, and disrupting early diagnosis and drug supplies, among others [ 37 , 38 ]. Malaria-endemic areas in Venezuela are not spared from those challenges [ 39 ] and delays in malaria diagnosis during pregnancy could favor mortality and severe complications [ 40 ]. Thus, the need for timely diagnosis to ensure an appropriate clinical management is emphasized.…”

Section: Discussionmentioning

confidence: 99%

Plasmodium vivax and SARS-CoV-2 co-infection in Venezuelan pregnant women: a case series

Carrión‐Nessi

Mendoza-Millán

Omaña‐Ávila

et al. 2023

Malar J

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Background Malaria‐endemic areas are not spared from the impact of coronavirus disease 2019 (COVID-19), leading to co-infection scenarios where overlapping symptoms impose serious diagnostic challenges. Current knowledge on Plasmodium spp. and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) co‐infection in pregnant women remains limited, especially in Latin America, where Plasmodium vivax infection is highly prevalent. Methods This is a case series of five pregnant women with P. vivax and SARS-CoV-2 co-infection hospitalized in two main malaria referral centers of the Capital District and Bolivar state, Venezuela between March 13, 2020 and December 31, 2021. Results Clinical and laboratory data from five pregnant women with a mean age of 22 years were analyzed; three of them were in the third trimester of pregnancy. Comorbidities included obesity in two cases, hypertension in one, and asthma in one. Three out of five patients had severe to critical COVID-19 disease. Dry cough, fever, chills, and headache were the most frequent symptoms reported. Laboratory analyses showed elevated aspartate/alanine aminotransferase and creatinine levels, thrombocytopenia, and severe anemia as the most relevant abnormalities. The mean period between symptom onset and a positive molecular test for SARS-CoV-2 infection or positive microscopy for Plasmodium spp. was 4.8 ± 2.5 days and 2.8 ± 1.6 days, respectively. The mean hospital stay was 5.4 ± 7 days. Three women recovered and were discharged from the hospital. Two women died, one from cerebral malaria and one from respiratory failure. Three adverse fetal outcomes were registered, two miscarriages and one stillbirth. Conclusion This study documented a predominance of severe/critical COVID-19 disease and a high proportion of adverse maternal–fetal outcomes among pregnant women with malaria and COVID-19 co-infection. More comprehensive prospective cohort studies are warranted to explore the risk factors, management challenges, and clinical outcomes of pregnant women with this co-infection.

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Signatures of the Venezuelan Humanitarian Crisis in the First Wave of COVID-19: Fuel Shortages and Border Migration

Cited by 14 publications

References 21 publications

Risk of acquiring Ascaris lumbricoides infection in an endemically infected rural community in Venezuela

Risk of acquiring Ascaris lumbricoides infection in an endemically infected rural community in Venezuela

El derecho a la protección legal, políticia y humanitaria, frente a la migración venezolana en el Perú ́

Plasmodium vivax and SARS-CoV-2 co-infection in Venezuelan pregnant women: a case series

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