American Journal of Field Epidemiology最新文献_第6页

COVID-19 Vaccine Coverage and Hesitancy in Long-Term Care Facilities, Houston, Texas 德克萨斯州休斯顿长期护理机构的COVID-19疫苗覆盖率和犹豫不决

American Journal of Field Epidemiology Pub Date : 2023-03-31 DOI: 10.59273/ajfe.v1i1.7445

Abisola M. Oladimeji, A. Afe, T. Olumuyiwa, Charlene Evans Offiong, Ifrah Chaudhary, Bakbergen Turibekov, O. Aikulola, Courtney Persse, Jahana Deadmon, Kristine Hansen, Vijisha Vijayan, Wanda Mora, Jacob Farris, Krystal-Lynn Dean, Kristine Short

{"title":"COVID-19 Vaccine Coverage and Hesitancy in Long-Term Care Facilities, Houston, Texas","authors":"Abisola M. Oladimeji, A. Afe, T. Olumuyiwa, Charlene Evans Offiong, Ifrah Chaudhary, Bakbergen Turibekov, O. Aikulola, Courtney Persse, Jahana Deadmon, Kristine Hansen, Vijisha Vijayan, Wanda Mora, Jacob Farris, Krystal-Lynn Dean, Kristine Short","doi":"10.59273/ajfe.v1i1.7445","DOIUrl":"https://doi.org/10.59273/ajfe.v1i1.7445","url":null,"abstract":"Background\u0000Vaccine hesitancy threatens a reversal of progress made in tackling vaccine-preventable diseases. The Houston, Texas, Health Department assessed COVID-19 vaccine availability and uptake in these facilities after the emergency use authorization of the COVID-19 vaccines in United States.\u0000Population and Methods \u0000A facility-based cross-sectional study was conducted using a structured interviewer-administered questionnaire to elicit data on facility demographics, vaccine availability, residents and staff vaccine uptake at time of assessment. The unit of inquiry was the facility. We calculated frequencies and assessed association with facility type. Facilities were classified as: small-scale facilities (SSF) ≤ 10 beds, medium scale (MSF) 11-50 beds, and large-scale (LSF) > 50 beds.\u0000Results \u0000A total of 118 facilities were enrolled, with 2,431 residents and 2,290 staff. Twenty-five (14.5%) of the facilities were LSF, 47 (39.8%) MSF, and 46 (39.0%) SSF. Overall, 70 (59.3%) facilities had COVID-19 vaccine available. The staff of these facilities were four-times as likely as the patients to be unvaccinated (prevalence ratio= 4.1; 95% CI= 3.7, 4.6) since the vast majority of residents, (86.5%), were vaccinated but less than half of staff (44.2%) were (P < 0.0001). Reasons provided for vaccine hesitancy included fear of side effects from a new vaccine, need to wait and see what happens to others, government distrust, religious beliefs, conspiracy theories among other things. \u0000Discussion\u0000The findings supported highlighted a preventable gap in the protection of the elderly in these facilities and prompted a health education campaign tackling vaccine hesitancy and encourage vaccine uptake.","PeriodicalId":166522,"journal":{"name":"American Journal of Field Epidemiology","volume":"2016 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127264763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Lessons learned from the epidemiology and control of the COVD-19 pandemic in the American Continent 美洲大陆2019冠状病毒病流行病学和控制的经验教训

American Journal of Field Epidemiology Pub Date : 2023-03-31 DOI: 10.59273/ajfe.v1i1.7415

Martiza González, Franklyn E Prieto, Wanderson Kleber de Oliveira, Xiomara Badilla, Melissa Marzán Rodríguez, P. Dély, J. Boncy, R. Skewes, V. Cardenas, M. Pollack

{"title":"Lessons learned from the epidemiology and control of the COVD-19 pandemic in the American Continent","authors":"Martiza González, Franklyn E Prieto, Wanderson Kleber de Oliveira, Xiomara Badilla, Melissa Marzán Rodríguez, P. Dély, J. Boncy, R. Skewes, V. Cardenas, M. Pollack","doi":"10.59273/ajfe.v1i1.7415","DOIUrl":"https://doi.org/10.59273/ajfe.v1i1.7415","url":null,"abstract":"On December 12, 2022, a panel seminar organized by the American Journal of Field Epidemiology (AJFE) was held with the enthusiastic support of the National Institute of Health of Colombia. More than 200 professionals from Colombia, Peru, Brazil, El Salvador, Canada, the USA, Ecuador, Costa Rica, Chile, and Mexico participated. The panelists, moderated by Dr. Marjorie Pollack, member of the AJFE Editorial Board and associate editor of ProMED, presented the epidemiological characteristics of the pandemic in Colombia, Brazil, Costa Rica, Puerto Rico, Haiti, and the Dominican Republic, as well as the public health response with which it was responded to mitigate and control it. The panelists emphasized the value of the preparation provided by the existence of field epidemiology training programs, the existence of a response plan, of establishing good communication with decision makers to make them collectively. The Costa Rican experience of using epidemiology to facilitate the provision of health services to patients with COVID-19 was shared. Likewise, the panelists emphasized that the misinformation, spread on the internet and some other means, had a negative impact, and the experience of educating those working for the news media was shared. It was commented that greater agility is needed to respond early to events that could lead to a pandemic. The panelists added the pandemic highlighted, more than ever before, the importance of having appropriate communication strategies to inform the public.","PeriodicalId":166522,"journal":{"name":"American Journal of Field Epidemiology","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117133994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Análisis de los datos del sistema de vigilancia de malformaciones congénitas observables en el Hospital Materno Infantil José Domingo de Obaldía, Panamá, 2013 - 2020 2013 - 2020年巴拿马jose Domingo de obaldia母婴医院可观察到的先天性畸形监测系统数据分析

American Journal of Field Epidemiology Pub Date : 2023-03-31 DOI: 10.59273/ajfe.v1i1.7519

Ericka Ferguson

{"title":"Análisis de los datos del sistema de vigilancia de malformaciones congénitas observables en el Hospital Materno Infantil José Domingo de Obaldía, Panamá, 2013 - 2020","authors":"Ericka Ferguson","doi":"10.59273/ajfe.v1i1.7519","DOIUrl":"https://doi.org/10.59273/ajfe.v1i1.7519","url":null,"abstract":"IntroducciónLos defectos congénitos tienen una prevalencia mundial del 3%. Ocupan el segundo lugar de mortalidad en menores de 5 años. Panamá no cuenta con datos actualizados a nivel nacional sobre malformaciones congénitas observables (MCO) por lo que es necesario caracterizar las registradas en el Sistema de Vigilancia del Hospital Materno Infantil José Domingo de Obaldía para contribuir al sistema de vigilancia nacional y a la prevención.MétodosEstudio descriptivo. Definición MCO: todo nacimiento y mortinato, edad gestacional ≥22 semanas, peso ≥500 g con una o más MCO, hasta siete días posparto. Variables: sexo, edad gestacional, peso al nacer, condición, edad materna, escolaridad, procedencia, ocupación, antecedentes de enfermedades e infecciones maternas, ingesta de ácido fólico y vitaminas. Calculamos medidas de resumen, proporciones, tasas y razones.ResultadosSe registraron 67,693 nacimientos entre el 2013 y el 2020, 467(0.7%) tenían un total de 606 MCO. La tasa de mortalidad fue de 1.0 por 1,000 nacimientos. Casi un tercio (126 o 27.0%) de las mujeres que tuvieron una MCO no tomaron vitaminas durante el embarazo. De las 606 MCO, las más frecuentes fueron las musculoesqueléticas con 290 (47.9%), seguidas del sistema nervioso central, con 116 (19.1%) y de estas las más frecuentes fueron las microcefalias (38/116 o 32.8%), seguidas por la espina bífida (27/116 o 23.3%).Conclusiones Los nacimientos con MCO fueron aproximadamente 1%, por debajo de lo esperado. Recomendamos mejorar la vigilancia y evaluar la entrega e ingesta de suplementos vitamínicos en mujeres en edad fértil para disminuir las MCO prevenibles.","PeriodicalId":166522,"journal":{"name":"American Journal of Field Epidemiology","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133040455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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The First Issue of the AJFE AJFE的第一期

American Journal of Field Epidemiology Pub Date : 2023-03-31 DOI: 10.59273/ajfe.v1i1.7595

V. Cardenas

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Observations on the interaction of older age and diabetes on COVID-19 mortality, and of non-pharmaceutical interventions on daily reported cases in El Paso, Texas, 2020 老年和糖尿病对2019冠状病毒病死率的相互作用，以及对2020年德克萨斯州埃尔帕索每日报告病例的非药物干预措施的观察

American Journal of Field Epidemiology Pub Date : 2023-03-31 DOI: 10.59273/ajfe.v1i1.7471

V. Cardenas, I. C. Cardenas, H. I. Ocaranza, Ruth Castillo, Azucena Ortega-Madani, S. Barrera, Christina Urrea, Angela Mora

{"title":"Observations on the interaction of older age and diabetes on COVID-19 mortality, and of non-pharmaceutical interventions on daily reported cases in El Paso, Texas, 2020","authors":"V. Cardenas, I. C. Cardenas, H. I. Ocaranza, Ruth Castillo, Azucena Ortega-Madani, S. Barrera, Christina Urrea, Angela Mora","doi":"10.59273/ajfe.v1i1.7471","DOIUrl":"https://doi.org/10.59273/ajfe.v1i1.7471","url":null,"abstract":"Introduction. In El Paso, Texas, a largely Hispanic population, a large surge of COVID-19 occurred in October 2020. Using public health surveillance data and a field survey we report on the epidemiology and control of this pandemic in 2020. \u0000Population and methods. We used reported COVID-19 cases to the notifiable disease reporting system to: 1) calculate morbidity and mortality rate ratios by age, gender, race/ethnicity, and poverty; and 2) to assess temporal trends using joinpoint regression. A door-to-door cluster sampling serologic survey assessed prevalence of SARS-CoV-2 infection. We calculated the relative excess risk due to interaction (RERI) of older age and diabetes on mortality from COVID-19. \u0000Results. By the end of 2020, the reported morbidity and mortality were 0.8% and 216.8 per 100,000 population, respectively. The overall prevalence of infection reached 18.5%. Compared to those under 20 years of age, the reported morbidity was nearly twice among 65+ years of age (RR=1.6 [95% CI=1.6, 1.7]), but the mortality in this group was disproportionately large (RR=1,026 [95% CI=329.0, 3,171.0]). Hispanics had twice the morbidity and mortality than non-Hispanics. Essential workers had an increased prevalence of SARS-CoV-2 infection compared to other occupations. Social distancing measures appeared to have contributed to decrease the morbidity by the end of 2020. Diabetes and older age jointly increased the risk of COVID-19 mortality (RERI=27.9 [95% CI = 24.0, 32.2]). \u0000Conclusions. US Hispanics experienced excess COVID-19 morbidity and mortality. Older age and diabetes mellitus synergistically increased the risk of COVID-19 mortality.","PeriodicalId":166522,"journal":{"name":"American Journal of Field Epidemiology","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115015377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1