دورية أكاديمية
Institutional outbreaks of influenza-like illnesses in the state of São Paulo: an analysis of the epidemiological profile during the COVID-19 pandemic.
| العنوان: | Institutional outbreaks of influenza-like illnesses in the state of São Paulo: an analysis of the epidemiological profile during the COVID-19 pandemic. |
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| المؤلفون: | Lucas PCC; Secretaria de Saúde do Estado de São Paulo, Coordenadoria de Controle de Doenças, Centro de Vigilância Epidemiológica 'Prof. Alexandre Vranjac', Divisão de Doenças de Transmissão Respiratória, São Paulo, São Paulo, Brazil., Lorenz C; Secretaria de Saúde do Estado de São Paulo, Coordenadoria de Controle de Doenças, Centro de Vigilância Epidemiológica 'Prof. Alexandre Vranjac', Divisão de Doenças de Transmissão Respiratória, São Paulo, São Paulo, Brazil. Electronic address: camilalorenz@usp.br., Florez-Montero GL; Secretaria de Saúde do Estado de São Paulo, Coordenadoria de Controle de Doenças, Centro de Vigilância Epidemiológica 'Prof. Alexandre Vranjac', Divisão de Doenças de Transmissão Respiratória, São Paulo, São Paulo, Brazil., Palasio RGS; Secretaria de Saúde do Estado de São Paulo, Coordenadoria de Controle de Doenças, Centro de Vigilância Epidemiológica 'Prof. Alexandre Vranjac', Divisão de Doenças de Transmissão Respiratória, São Paulo, São Paulo, Brazil., Portella TP; Secretaria de Saúde do Estado de São Paulo, Coordenadoria de Controle de Doenças, Centro de Vigilância Epidemiológica 'Prof. Alexandre Vranjac', Divisão de Doenças de Transmissão Respiratória, São Paulo, São Paulo, Brazil., Monteiro PCM; Secretaria de Saúde do Estado de São Paulo, Coordenadoria de Controle de Doenças, Centro de Vigilância Epidemiológica 'Prof. Alexandre Vranjac', Divisão de Doenças de Transmissão Respiratória, São Paulo, São Paulo, Brazil., Yu ALF; Secretaria de Saúde do Estado de São Paulo, Coordenadoria de Controle de Doenças, Centro de Vigilância Epidemiológica 'Prof. Alexandre Vranjac', Divisão de Doenças de Transmissão Respiratória, São Paulo, São Paulo, Brazil., Carvalhanas TRMP; Secretaria de Saúde do Estado de São Paulo, Coordenadoria de Controle de Doenças, Centro de Vigilância Epidemiológica 'Prof. Alexandre Vranjac', Divisão de Doenças de Transmissão Respiratória, São Paulo, São Paulo, Brazil. |
| المصدر: | Public health [Public Health] 2023 Aug; Vol. 221, pp. 142-149. Date of Electronic Publication: 2023 Jun 19. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: Netherlands NLM ID: 0376507 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1476-5616 (Electronic) Linking ISSN: 00333506 NLM ISO Abbreviation: Public Health Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2003- : Amsterdam : Elsevier Original Publication: London ; New York : Academic Press |
| مواضيع طبية MeSH: | COVID-19*/epidemiology , Influenza, Human*/epidemiology , Virus Diseases*, Humans ; Aged ; Pandemics ; SARS-CoV-2 ; Retrospective Studies ; Cross-Sectional Studies ; Brazil/epidemiology ; Disease Outbreaks |
| مستخلص: | Objectives: This study aimed to spatiotemporally analyze the profile of influenza-like illness (ILI) outbreaks in the state of São Paulo, Brazil, between 2020 and 2022. Study Design: This was a cross-sectional retrospective study. Methods: Outbreaks of ILI with final diagnoses of COVID-19, influenza, or other respiratory viruses (ORVs) recorded between January 2020 and November 2022, obtained from the Notifiable Diseases Information System (SINAN NET) Outbreak module, were analyzed. Kernel density estimates and Getis-Ord Gi∗ statistics were performed to identify spatial clusters. Results: A total of 13,314 ILI outbreaks were identified, involving 130,568 cases and 2649 deaths. Of these, 104,399 (80%) were confirmed as COVID-19, 15,861 (12%) were confirmed as ORV, and 10,308 (8%) were confirmed as influenza. The year 2021 had the highest number of outbreaks and cases. Schools recorded the most outbreaks and cases, followed by long-term care facilities for older adults (LTCs). The highest average number of cases per outbreak and the highest attack rates occurred at social gatherings and prisons. Prisoners were three times more likely to contract COVID-19 during outbreaks than people in other institutions. The highest hospitalization and mortality rates for all virus types occurred in the LTC group. The occurrence and intensity of outbreaks were highly heterogeneous among the different institutions after the introduction of new SARS-CoV-2 variants in the state. Conclusions: ILI outbreaks were not randomly distributed; they clustered in specific areas. Transmissibility varied among different institutions with different responses to the COVID-19 pandemic. These results can be used as a basis for prioritizing actions and allocating resources during future pandemics. (Copyright © 2023 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Influenza; Long-term care facilities for older adults; Prison; Respiratory disease; SARS-CoV-2; School |
| SCR Organism: | SARS-CoV-2 variants |
| تواريخ الأحداث: | Date Created: 20230716 Date Completed: 20230808 Latest Revision: 20230808 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1016/j.puhe.2023.06.018 |
| PMID: | 37454404 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1476-5616 |
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| DOI: | 10.1016/j.puhe.2023.06.018 |