{"title":"Reviewed article: Campos HL, Fernandes GJA, Sousa DG, Conrado PLM, Campos EO, Santos Filho RAB, Costa PFF, Silva CM, Conrado GAM, Galvão PVM. Impacts of the COVID-19 pandemic on excess deaths: descriptive study, Pernambuco, 2020-2022. Epidemiol Serv Saude. 2025:34;e20240286.","authors":"Kaciane Corrêa Mochizuke","doi":"10.1590/S2237-96222025v34e20240286.b","DOIUrl":"10.1590/S2237-96222025v34e20240286.b","url":null,"abstract":"","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240286.b"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12404604/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144986189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mateus de Paula von Glehn, Griselda Salcedo, Talita Gomes da Silva Batista, Lorena Elizabeth Romero Caballero, Carlos Henrique Michiles Frank, Eunice Atsuko Totumi Cunha, Aline Schio de Souza, Camile de Moraes, Igor Gonçalves Ribeiro
{"title":"Outbreak of infections by Mycobacterium abscessus subsp. abscessus associated with cosmetic surgeries in the Brazil/Paraguay border: a binational cohort study, 2021-2022.","authors":"Mateus de Paula von Glehn, Griselda Salcedo, Talita Gomes da Silva Batista, Lorena Elizabeth Romero Caballero, Carlos Henrique Michiles Frank, Eunice Atsuko Totumi Cunha, Aline Schio de Souza, Camile de Moraes, Igor Gonçalves Ribeiro","doi":"10.1590/S2237-96222025v34e20250516.en","DOIUrl":"10.1590/S2237-96222025v34e20250516.en","url":null,"abstract":"<p><p>Report on a field investigation into the outbreak of skin infections by Mycobacterium abscessus subsp. abscessus following cosmetic procedures.</p><p><p>A retrospective cohort study was conducted using secondary data from the Epidemiology Program Applied to SUS Services (EpiSUS) about the investigation conducted in 2022, in partnership with Paraguay's Field Epidemiology Training Program. Clinical, laboratory, and environmental information and surgical records were analyzed to characterize the cases, define the exposed population, and analyze the risk. Relative risk (RR) was estimated with a 95% confidence interval (95%CI) and Fisher's exact test was used for statistical evaluation.</p><p><p>Of the 108 individuals who underwent surgery in the period investigated, 10 became ill. Relative risk of illness was 6.50 (95%CI 2.28; 18.49; p-value 0.003) for surgeries performed in the critical period (December to January) and 10.29 (95%CI 1.37; 77.19; p-value 0.004) for lipoabdominoplasty.</p><p><p>Mycobacterium abscessus subsp. abscessus outbreak occurred among women undergoing cosmetic surgeries performed by the same professional in a hospital in Paraguay, with a higher risk associated with a specific period and type of procedure. Our findings highlight the importance of health surveillance in bordering regions and international cooperation in response to cross-border events. Educational, regulatory, and inspection strategies targeting medical tourism are essential to prevent new events.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20250516"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12435886/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144986201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reviewed article: Alencar JVA, Carvalho DPC, Umeno HG, França MASA, Azevedo MN. Intersectional analysis of the social vulnerability of individuals with differences in the time between oral cancer diagnosis and treatment: a cross-sectional study, Brazil, 2011-2020. Epidemiol Serv Saude. 2025:34;e20240849.","authors":"Cristiane Rocha Magalhães","doi":"10.1590/S2237-96222025v34e20240849.a","DOIUrl":"10.1590/S2237-96222025v34e20240849.a","url":null,"abstract":"","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240849.a"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12404602/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144986164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reviewed article: Moraes LP, Raposo LM. Impact of Vaccination and SARS-CoV-2 Variants on Severe COVID-19 Outcomes: A Cross-Sectional Study, Brazil, 2021-2022. Epidemiol Serv Saude. 2025:34;e20240613.","authors":"Ernani Tiaraju de Santa Helena","doi":"10.1590/S2237-96222025v34e20240613.a","DOIUrl":"10.1590/S2237-96222025v34e20240613.a","url":null,"abstract":"","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240613.a"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12404595/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144986197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reviewed article: Souza MA, Lopes LC, Silva MT. Factors associated with complications related to the use of peripherally inserted central venous catheter in hospitalized children: a case-control study, Sorocaba, Brazil, 2018-2022. Epidemiol Serv Saude. 2025:34;e20240134.","authors":"Catiane Costa Viana","doi":"10.1590/S2237-96222025v34e20240134.a","DOIUrl":"10.1590/S2237-96222025v34e20240134.a","url":null,"abstract":"","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240134.a"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12435945/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144986149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reviewed article: Souza MA, Lopes LC, Silva MT. Factors associated with complications related to the use of peripherally inserted central venous catheter in hospitalized children:a case-control study, Sorocaba, Brazil, 2018-2022. Epidemol Serv Saude. 2025:34;e20240134.","authors":"Maria Auxiliadora Parreiras Martins","doi":"10.1590/S2237-96222025v34e20240134.b","DOIUrl":"10.1590/S2237-96222025v34e20240134.b","url":null,"abstract":"","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240134.b"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12435960/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144986162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hélder Limeira Campos, Gabriel Jesus Alves Fernandes, Daphne Galvão de Sousa, Paloma Luna Maranhão Conrado, Évelyn de Oliveira Campos, Ricardo Augusto Barros Dos Santos Filho, Polyana Felipe Ferreira da Costa, Carolina Maria da Silva, George Alessandro Maranhão Conrado, Pauliana Valéria Machado Galvão
{"title":"Impacts of the COVID-19 pandemic on excess deaths: descriptive study, Pernambuco, 2020-2022.","authors":"Hélder Limeira Campos, Gabriel Jesus Alves Fernandes, Daphne Galvão de Sousa, Paloma Luna Maranhão Conrado, Évelyn de Oliveira Campos, Ricardo Augusto Barros Dos Santos Filho, Polyana Felipe Ferreira da Costa, Carolina Maria da Silva, George Alessandro Maranhão Conrado, Pauliana Valéria Machado Galvão","doi":"10.1590/S2237-96222025v34e20240286.en","DOIUrl":"10.1590/S2237-96222025v34e20240286.en","url":null,"abstract":"<p><strong>Objective: </strong>To estimate the excess deaths during the COVID-19 pandemic in Pernambuco between 2020 and 2022.</p><p><strong>Methods: </strong>This descriptive study used data from the Mortality Information System (SIM). The excess deaths, expressed as the observed-to-expected deaths ratio, and the P-score, expressed as the proportional excess deaths, were evaluated. The estimated deaths used historical data from 2015 to 2019 based on linear regression models.</p><p><strong>Results: </strong>The highest proportional excess mortality for 2020 was evidenced in the Regional Health Management Department I, III, and IV (28.0%, 25.9%, and 18.1%); for 2021, in the Regional Health Management Departments I, XII and VIII (35.4%, 24.7% and 23.2%); and for 2022, in the Regional Health Management Departments XI, IV and VII (20.1%, 19.1% and 16.3%).</p><p><strong>Conclusion: </strong>The distribution of excess mortality in Pernambuco varied during the pandemic years and highlighted the inland spread of COVID-19-related deaths.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240286"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12404601/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144986079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reviewed article: Rossignoli P, Pontarolo R, Fernandez-Llimos F. Variability in public procurement prices for Group 1A drugs in the specialized pharmaceutical component: an observational study, 2013-2022. Epidemiol Serv Saude. 2025:34;e20240733.","authors":"William Neves Oliveira","doi":"10.1590/S2237-96222025v34e20240733.a","DOIUrl":"10.1590/S2237-96222025v34e20240733.a","url":null,"abstract":"","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240733.a"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12404598/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144986194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reviewed article: Rossignoli P, Pontarolo R, Fernandez-Llimos F. Variability in public procurement prices for Group 1A drugs in the specialized pharmaceutical component: an observational study, 2013-2022. Epidemiol Serv Saude. 2025:34;e20240733.","authors":"Inês Ribeiro-Vaz","doi":"10.1590/S2237-96222025v34e20240733.b","DOIUrl":"10.1590/S2237-96222025v34e20240733.b","url":null,"abstract":"","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240733.b"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12404600/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144986217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Impact of vaccination and SARS-CoV-2 variants on severe COVID-19 outcomes: a cross-sectional study, Brazil, 2021-2022.","authors":"Luiza Paiva Moraes, Letícia Martins Raposo","doi":"10.1590/S2237-96222025v34e20240613.en","DOIUrl":"10.1590/S2237-96222025v34e20240613.en","url":null,"abstract":"<p><strong>Objective: </strong>To investigate association between vaccination, SARS-CoV-2 variants, and severe outcomes among Brazilian patients hospitalized due to COVID-19.</p><p><strong>Methods: </strong>This was a cross-sectional study using Brazilian Ministry of Health data on patients hospitalized with severe acute respiratory syndrome due to COVID-19 between 2021 and 2022. Demographic, clinical, and outcome variables were analyzed, considering SARS-CoV-2 variants and vaccination status. Statistical tests included Pearson's chi-square test, Cochran-Armitage trend test, Mann-Whitney U test, Kruskal-Wallis test, and Poisson regression with robust variance to identify risk factors for invasive mechanical ventilation and death, estimating prevalence ratios (PR) and 95% confidence intervals (95%CI).</p><p><strong>Results: </strong>A total of 73,193 patients were analyzed. The Omicron variant was associated with lower rates of respiratory symptoms, invasive ventilation, and mortality compared to other variants. Vaccination significantly reduced the likelihood of invasive mechanical ventilation and death. Patients infected during the period of predominant Omicron circulation had 21.0% lower prevalence of invasive mechanical ventilation (PR 0.79; 95%CI 0.74; 0.84) and 25.0% lower prevalence of death (PR 0.75; 95%CI 0.72; 0.79). Full vaccination status also showed a protective effect, with a 22.0% reduction in prevalence of invasive mechanical ventilation (PR 0.78; 95%CI 0.72; 0.85) and a 16.0% reduction in prevalence of death (PR 0.84; 95%CI 0.79; 0.90), compared to unvaccinated individuals.</p><p><strong>Conclusion: </strong>The Omicron variant was associated with lower rates of invasive mechanical ventilation and mortality compared to previous variants, while vaccination demonstrated a significant protective effect by reducing severe outcomes.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":"34 ","pages":"e20240613"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12404605/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144986014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}