The path of canine visceral leishmaniasis versus the path of Center for Zoonoses Control: contributions of spatial analysis to health

Visceral leishmaniasis (VL) is a public health problem in Brazilian municipalities. As much as there is a planning of public policies regards VL in São Paulo State, new cases have been reported and spread. This paper aims to discuss how the Center for Zoonoses Control conducts its actions spatially in endemic city of Presidente Prudente, São Paulo State. Data are from the Municipal Health Department of Presidente Prudente, Adolfo Lutz Institute, and Brazilian Institute of Geography and Statistics. We spatially estimated the dog population per census tract and used geoprocessing tools to perform choropleth maps, spatial trends, and spatial autocorrelation. We found a spatial pattern of higher prevalence in the city’s outskirt and a positive statistically significant spatial autocorrelation (I = 0.2, p-value < 0.000) with clusters of high-high relationships in the Northwest part of the city. Moreover, we identified a different direction in the path of the conducted serosurveys versus the canine VL trend, which stresses the fragility of the Center for Zoonoses Control actions to control the disease. The Center for Zoonoses Control always seems to chase the disease. The spatial analysis may be useful for rethinking how the service works and helps in public policies.

Doenças associadas à Xylella fastidiosa no Brasil

Based on genomic information, the Xylella fastidiosa bacterium is classified into three main subspecies: fastidiosa, multiplex and pauca. These different subspecies are naturally transmitted through vector insects, known as sharpshooters, which feed on the sap of xylem vessels of plants, where the bacteria colonize. Mainly due to the obstruction in the transport of water and mineral salts in these conducting vessels, the X. fastidiosa bacterium causes serious diseases in different cultures of economic interest. In Brazil, this phytopathogen was detected for the first time in plum trees, a crop in which the multiplex subspecies is responsible for the disease known as plum leaf scald. Subsequently, the pauca subspecie was associated with citrus variegated chlorosis in sweet orange orchards in São Paulo State. In the same state, the pauca subspecie was also found in coffee plants causing atrophy of the coffee tree branches, a disease whose damage has not been quantified yet. Recently, the pauca subspecie has also been found in olive trees, causing the olive quick decline syndrome, reported in the southeast region, especially in the Serra da Mantiqueira region. In this review, specific aspects of these diseases were focused, as well as measures that can be adopted as management.

New records of the Pantanal cat Leopardus braccatus (Cope, 1889) in São Paulo state, Brazil:

We present three new records of the Pantanal cat (Leopardus braccatus) for the São Paulo state, Brazil. The records are from highly anthropized areas in the Atlantic Forest biome and are based on three roadkilled animals. Based on our records and on other recent examples of open-area dwellers recently recorded in Atlantic Forest areas, we discuss whether the new records reflect a range expansion of the Pantanal cat.

Change in COVID-19 risk over time following vaccination with CoronaVac: A test-negative case-control study

Objective To estimate the change in odds of covid-19 over time following primary series completion of the inactivated whole virus vaccine, CoronaVac (Sinovac Biotech) in São Paulo State, Brazil. Design Test negative case-control study. Setting Community testing for covid-19 in São Paulo state, Brazil. Participants Adults aged 18-120 years who were residents of São Paulo state, without a previous laboratory-confirmed covid-19 infection, who received two doses of CoronaVac, and underwent reverse transcription polymerase chain reaction (RT-PCR) testing for SARS-CoV-2 from 17 January to 30 September 2021. Main outcome measures RT-PCR-confirmed symptomatic covid-19 and associated hospital admissions and deaths. Cases were pair-matched to test-negative controls by age (in 5-year bands), municipality of residence, healthcare worker (HCW) status, and date of RT-PCR test (±3 days). Conditional logistic regression was adjusted for sex, number of covid-19-associated comorbidities, race, and previous acute respiratory infection. Results From 137,820 eligible individuals, 37,929 cases with symptomatic covid-19 and 25,756 test-negative controls with covid-19 symptoms were formed into 37,929 matched pairs. Adjusted odds ratios of symptomatic covid-19 increased with time since series completion, and this increase was greater in younger individuals, and among HCWs compared to non-HCWs. Adjusted odds ratios of covid-19 hospitalisation or death were significantly increased from 98 days since series completion, compared to individuals vaccinated 14-41 days previously: 1.40 (95% confidence interval 1.09 to 1.79) from 98-125 days, 1.55 (1.16 to 2.07) from 126-153 days, 1.56 (1.12 to 2.18) from 154-181 days, and 2.12 (1.39-3.22) from 182 days. Conclusions In the general population of São Paulo state, Brazil, an increase in odds of moderate and severe covid-19 outcomes was observed over time following primary series completion with CoronaVac.