Boosting COVID-19 vaccine inoculation and booster shots: a systematic review and meta-analysis of factors that influence coronavirus vaccine uptake in practice

Introduction: Vaccines alone do not control pandemics, but vaccinations. The hope of COVID-19 pandemic control is hinged on vaccinations and other public health measures. This systematic review/meta-analysis (SR/MA) investigated the factors that inform coronavirus vaccine uptake globally in an attempt to improve COVID-19 immunization. Method: The PRISMA 2020 methodology was used for this review. A total of 2902 articles were identified from electronic databases and other sources. After screening, 33 articles were included in the review and quantitative meta-analysis. Comprehensive meta-analysis software version 3 was used for the meta-analysis. Results: We observed that vaccine effectiveness, side effects and the proportion of acquaintances vaccinated significantly influenced respondents' COVID-19 immunization decision. Also, associations of vaccine effectiveness, smaller risks to serious side effects, free and voluntary vaccinations and fewer vaccine doses, and longer duration to wanning were observed. We also observed variations in vaccine hesitancy trends in studies carried out in Asia, Europe, America, and Africa. Conclusion: Wanning and acquaintance's vaccination status as factors to vaccination are insights the present paper is bringing to the limelight. Health promotion and COVID-19 vaccination planning are crucial for enhancing vaccine uptake

Deaths, infections, and herd immunity in the COVID-19 pandemic: A comparative study of the strategies for disease containment implemented in Peru and the United Kingdom / Muertes, infecciones e inmunidad de rebaño en la pandemia por COVID-19: un estudio comparativo de las estrategias de control de la pandemia implementadas en Perú y Reino Unido

Abstract Introduction: In light of the threat posed by the COVID-19 pandemic, most countries have implemented several containment and prevention measures to slow down the rapid spread of the disease. Objectives: To compare the COVID-19 pandemic containment strategies implemented in Peru [World Health Organization (WHO) - confinement and social distancing] and the United Kingdom [herd immunity (HI)] in terms of morbidity and mortality, and to simulate the implementation of HI in Peru during the initial stage of the pandemic. Materials and methods: Exploratory study with a simulation model based on official data obtained from both countries at the beginning of the pandemic. Mortality, case fatality, and infection rates documented within the first 55 days after the first COVID-19 case report in the United Kingdom and the start of the WHO-recommended containment and prevention strategy implementation in Peru were evaluated. Additionally, the impact of applying HI, according to WHO guidelines, as the initial strategy in Peru was simulated. The Paired-samples t-test was used to determine the differences between the two strategies at both stages of the study. Results: During the follow-up period, 15 034 and 33 931 COVID-19 cases were reported in the United Kingdom and Peru, respectively. The case fatality rate was higher in the United Kingdom (7.82% vs. 2.74%), while the cumulative mortality rate was higher in Peru (2.89 vs. 1.74x100 000 inhabitants p= 0.0001). Regarding the simulation, a minimum critical population of 60% (>19 million positive cases) was established for Peru to achieve HI, with 1 223 473.1 deaths and a hospitalization rate of 44 770x100 000 patients. Conclusions: During the follow-up period (55 days), the United Kingdom's strategy resulted in a higher case fatality rate, while the Peruvian strategy in over twice as many COVID-19 cases. The HI simulation strategy in Peru showed a sharp increase in all unfavorable indicators of the pandemic.

Resumen Introducción. Ante la amenaza de la pandemia por COVID-19, la mayoría de los países han establecido diversas medidas de control y prevención para disminuir la rápida propagación de esta enfermedad. Objetivos. Comparar las estrategias de control de la pandemia por COVID-19 implementadas en Perú (de confinamiento y distanciamiento social de la Organización Mundial de la Salud (OMS)) y Reino Unido (de inmunidad de rebaño (IR)) en términos de morbimortalidad, y simular la implementación de la IR en Perú durante la etapa inicial de la pandemia. Materiales y métodos. Estudio exploratorio con un modelo de simulación basado en datos oficiales de ambos países registrados al inicio de la pandemia. Se evaluaron las tasas de mortalidad, letalidad e infección en Reino Unido (IR) y Perú (confinamiento y distanciamiento social) dentro de los 55 días posteriores al reporte del primer caso de COVID-19 en Reino Unido y al inicio de la implementación de la estrategia de control y prevención recomendada por la OMS en Perú. Además, se simuló el impacto de haber aplicado la IR, según pautas de la OMS, como estrategia inicial en Perú. Se utilizó la prueba t-Student para muestras relacionadas para determinar las diferencias entre ambas estrategias en las dos etapas del estudio. Resultados. En el periodo de seguimiento se registraron 15 034 y 33 931 casos de COVID-19 en Reino Unido y Perú, respectivamente. La tasa de letalidad fue mayor para Reino Unido (7.82% vs. 2.74%), y la tasa de mortalidad acumulada fue mayor en Perú (2.89 vs. 1.74x100 000 habitantes; p=0.0001). Respecto a la simulación, se estableció una población crítica mínima de 60% (>19 millones de casos positivos) para que Perú logre la IR, con 1 223 473.1 muertes y una tasa de hospitalización de 44 770x100 000 pacientes. Conclusiones. Durante el periodo de seguimiento (55 días), la estrategia de Reino Unido resultó en una mayor letalidad y la peruana, en más del doble de casos de COVID-19. La simulación de la IR en Perú mostró un dramático incremento de todos los indicadores desfavorables de la pandemia.

Cultura de rebaño e inmunidad de rebaño / Herd culture and herd immunity

Resumen Aunque las enfermedades transmisibles afectan nuestros cuerpos, ocurren en una sociedad que las interpreta y dota de significado, y cuyos individuos causan o evitan. La inmunidad de rebaño permite lograr una protección del cuerpo, sin embargo, para su sustentabilidad, se requiere de cambios en la manera cómo las personas interpretan y responden a la enfermedad, de transformaciones culturales que permitan desarrollar conocimientos, hábitos y destrezas que hagan factible y sostenible la inmunidad de rebaño. La cultura de rebaño permite a los individuos protegerse y restringir su libertad para proteger a los demás, es una forma de ejercicio de la libertad positiva y el complemento necesario de la inmunidad del rebaño en la sociedad democrática.

Abstract Although communicable diseases affect our bodies, they occur in a society that interprets and gives them meaning. Herd immunity provides the body protection; however, long-term protection requires shifts in the way people interpret and respond to disease, cultural transformation that enables the development of the knowledge, habits and skills that make herd immunity feasible and sustainable. Herd culture allows individuals to protect themselves and restrict their liberty in order to protect others; it is a form of exercising positive liberty and a necessary complement to herd immunity in a democratic society.

Covid-19 Morbidity amongst Covishield Vaccinated Vs Non-Vaccinated: A Comparative Study

Introduction: Covid-19 pandemic is further spreading its leg in India. Indigenous Covishield vaccination drive was started to protect people from the disease. Objective: This observational cross sectional study was conducted to assess the morbidity and mortality pattern amongst Covishield vaccinated people Vs non-vaccinated patients of covid19. Methodology: This observation study was conducted in a dedicated covid-19 hospital. All RTPCR covid-19 patients were included. The data on vaccination against covid-19 amongst the patients was obtained, and analysed using statistical software. Results: The study population comprised of 155 cases of confirmed covid-19 patients of which 24 (15.48%) were fully vaccinated, however 41 (26.45%) and 90 (58.06%) were partially and non-vaccinated respectively. Fully vaccinated people were protected from development of severe form of disease (X2=9.57, d.f=2, p=0.0083). Mortality was significantly less amongst vaccinated group (X2=4.83, d.f=1, p= 0.028). Conclusion: Patients who are completely vaccinated with Covishield vaccine are protected from development of severe form of diseases and deaths and hence mass vaccination of Indian population to overcome the pandemic is required at the earliest.

Evaluation of the direct and indirect impact on pneumonia hospitalization after almost a decade of the 10-valent pneumococcal non-typeable Haemophilus influenzae protein D conjugate vaccine in Brazil

Introduction: Pneumococcal pneumonia is a leading cause of severe disease, leading to approximately 2.2 million hospital admissions in 2019 in Brazil. Since 2010, the 10-valent pneumococcal non-typeable Haemophilus influenzae protein D conjugate vaccine was introduced in Brazil, as part of the National Immunization Program (NIP) with universal access, approximated coverage of 91.4% in 2019. Although studies from many countries are available, there is still a need to understand the effect of the vaccine introduction on the incidence of pneumonia hospitalizations in Brazil.Methods: Data on hospitalization associated with the diagnosis of pneumonia in the population assisted by the Brazilian Public Health System were accessed to fit a time series analysis, which tested the main hypothesis of the influence of vaccination on the trends for the incidence of pneumonia hospitalizations.Results: The post-vaccination period showed a negative trend, reducing 1.75, 0.16, and 0.11 cases per 100,000 inhabitants per month for the groups < 1, 1­4, and 5­9 years old, respectively. In individuals older than 20 years, the post-vaccination period has a positive trend, but not as great as compared trends before the vaccination period. These results indicate a protective herd effect in the older population, nine years after introducing the pneumococcal vaccine in the NIP.Conclusion: Vaccination with pneumococcal conjugated vaccine reduces hospitalizations associated with pneumonia diagnosis in vaccinated and non-vaccinated populations in a sustained and progressive manner.

Combinación de vacunas contra la COVID-19 y su eficacia: una propuesta teórica / Combination of COVID-19 vaccines and their efficacy: a theoretical proposal / Combinação de vacinas contra a COVID-19 e sua eficácia: uma proposta teórica

RESUMEN Ante la pandemia de la enfermedad por el coronavirus 2019 (COVID-19, por su sigla en inglés), la preocupación de toda la humanidad es alcanzar la anhelada inmunidad colectiva que permita superar esta crisis sanitaria en la que se vive. Estimar la eficacia que se podría alcanzar en una población al combinar vacunas de distintas marcas o tecnologías sería un elemento valioso para los tomadores de decisiones en el ámbito de la salud pública en la presente pandemia y en futuros escenarios similares. El presente artículo busca brindar una fórmula matemática que permita estimar la probable eficacia contra la COVID-19 al administrar dos vacunas en una población específica. Estas vacunas, aplicadas en serie, podrían ser de tecnologías y marcas distintas.

ABSTRACT In the face of the coronavirus disease 2019 (COVID-19) pandemic, the entire world is concerned with achieving desired herd immunity to overcome the current health crisis. Estimating the efficacy that could be attained in a population by combining vaccines of different brands or technologies would be a valuable asset for public health decision-makers in the present pandemic and in similar future scenarios. This article provides a mathematical formula to estimate probable efficacy against COVID-19 when administering two vaccines in a specific population. These vaccines, given in a series, could be of different technologies and brands.

RESUMO A pandemia da doença causada pelo coronavírus 2019 (COVID-19) criou a preocupação em toda a humanidade em alcançar a tão desejada imunidade coletiva para superar esta crise sanitária que o mundo está vivendo. Estimar a possível eficácia a ser obtida em uma população ao combinar vacinas de diferentes marcas ou tecnologias seria um recurso inestimável às autoridades de saúde pública na pandemia atual e em situações semelhantes futuras. O presente artigo apresenta uma fórmula matemática para estimar a provável eficácia contra a COVID-19 da vacinação em série com duas vacinas de diferentes marcas e tecnologias em uma determinada população.

Revisión del concepto de inmunidad poblacional, a propósito de la epidemia COVID-19 y del desarrollo de vacunas / Review of the concept of herd immunity, in the context of COVID-19 epidemic and the development of vaccines

Resumen Se revisa brevemente el concepto de inmunidad de grupo, poblacional o efecto "rebaño", mostrando que algunas ideas popularizadas no corresponden al concepto original. Se establece la relación con los números reproductivo básico y efectivo, enfatizándose que el umbral para el efecto rebaño no indica el número de individuos que se contagiarán en una epidemia. Se establece la relación con el umbral de vacunación efectiva y su relación con la efectividad de la vacuna. Se analiza el efecto reductor del umbral de inmunidad de rebaño producido por la heterogeneidad de transmisión y mezcla en la población y la existencia de subpoblaciones aisladas lo que podría llegar a ser importante y que podría explicar los bajos niveles de seroprevalencia post-epidemia de algunos lugares, ayudando a mitigar nuevos brotes.

Abstract The concept of herd immunity is briefly reviewed, showing that some popularized ideas do not correspond to the original concept. The relationship with the basic and effective reproductive numbers is established. It is pointed out that the threshold for the herd effect does not indicate the number of individuals that will be infected in an epidemic. The relationship with the effective vaccination threshold and its relationship with the effectiveness of the vaccine are established. The reducing effect of the herd immunity threshold produced by the heterogeneity of transmission and mixing in the population and the existence of isolated subpopulations are analyzed, which could be important and could explain the low levels of post-epidemic seroprevalence in some places helping to mitigate new outbreaks.

Consecuencias reproductivas y sanitarias de los abortos bovinos en la cuenca lechera del Valle de Lerma, Salta, Argentina / Reproductive and health consequences of bovine abortions in the dairy basin of the Valle de Lerma, Salta, Argentina

Resumen Con el objetivo de investigar los efectos de los abortos bovinos en la cuenca lechera del Valle de Lerma se estudiaron los registros de datos de 128 vacas Holstein en ordeño obtenidos de software de 4 tambos. Los abortos se clasificaron en: vacas abortadas, vueltas a inseminar que continúan en lactancia (VAC, n= 36) y vacas que abortaron e iniciaron en una nueva lactancia (VAI, n=33), además se les sumaron los registros de vacas con partos normales (VPN, n= 59). Se registraron los litros de leche a los 305 días de lactancia (L/305), los días en lactancia (DEL), los intervalos entre partos (IPP), número de eventos de salud ocurridos pos aborto y el destino final de los animales (continúa en el tambo, descarte, muerte o sacrificio). Las variables continuas se sometieron a análisis de varianza en un modelo lineal mixto y las discretas a la prueba de Chi cuadrado y Odds Ratio (OR). No se hallaron diferencias entre los litros de leche producidos (L/305) por las vacas VPN (8640 l) y las VAC (8498 l) pero si (p<0,0001) entre éstas y el grupo VAI (5742), considerando las vacas de diferente número de lactancias y el tiempo gestacional del aborto. El grupo VAC tuvo DEL (p<0,0001) e IPP (p<0,0001) respectivamente más prolongados (639,7 e 441,2 d.) que las vacas del VAI (419,9 e 404,2 d.) y VPN (405,5 e 476,7 d.). Las vacas abortadas (VAC + VAI) tuvieron una mayor (p<0,0001) probabilidad de contraer respectivamente desórdenes sanitarios y reproductivos (OR= 6,5, IC 3,2 - 24,3) y descartes más muertes/sacrificios (OR= 6,72, IC 2,9 - 15,1) en comparación con VPN. Estos resultados muestran los graves efectos de los abortos sobre la performance productiva y la salud de las vacas lecheras.

Abstract In order to investigate the effects of bovine abortions in the dairy basin of Valle de Lerma records of 128 Holstein milking cows from the software of 4 dairy farms were studied. The abortions were classified into: aborted cows re-inseminated that continue in lactation (VAC, n = 36) and aborted cow that started a new lactation (VAI, n = 33) and were added the records of: cows with normal parturitions (NPV, n = 59). Milk litters accumulated at 305 lactation days (L / 305), days in lactation (DEL), the intervals between calvings (IPP), number of post-abortion health disorders and number of cows that continues, culled, death or slaughtered were recorded. Continuous variables were subjected to analysis of variance with a mixed linear model and the discrete ones to Chi square test and Odds Ratio (OR). No differences were found between the milk litters production (L / 305) of NPV (8640) and VAC (8498) cows but there were differences (p <0.0001) between those groups and the VAI group (5742) considering the cows of different number of lactations and gestational time to abortion. The VAC group had DEL (p <0.0001) and PPI (p <0.0001) respectively longer (639.7 and 441.2 d.) than those of VAI (419.9 and 404.2 d.) and NPV (405.5 e 476.7 d.) cows. Aborted cows (VAC + VAI) had a higher (p <0.0001) probability of contracting, respectively reproductive health disorders (OR= 6.5, CI 3.2 - 24.3) and culls plus deaths / slaughters (OR = 6.72, CI 2.9-15.1) than those of NPV. These results show the serious effects of abortions on milk production, reproductive performance and health of dairy cows.

The ecology of herd immunity

The COVID-19 pandemic that began in early 2020 is currently the subject of thousands of articles on the various aspects of its epidemiology. One recurrent theme is the phenomenon of herd immunity or herd effect. In this article, I present a short history of the concept, the arguments around its nomenclature, and the ecologist's view of the herd effect, using the case history of the sleeping sickness control in Africa.

Molecular biology as a diagnostic tool for detection of Leptospira spp. in cows of a border region ­ case report

The reproductive efficiency of livestock is the basis for the success of livestock, dairy or beef, and having high reproductive performance depends on several factors within the production system and the presence of infectious diseases of the reproductive sphere in the herd is one of the factors that can compromise that efficiency. The aim of this study was to use molecular biology as a diagnostic tool for the detection of Leptospira spp. DNA in cows with reproductive disorders on a rural property in the municipality of Boca do Acre, Amazonas, Brazil. Vaginal mucus was collected from nine Nelore breeding cows with a history of abortion and birth of weak calves submitted to DNA extraction and nested-PCR technique for 16S gene amplification at the bacterial genus level. Of the nine samples analyzed, five (55.55%) amplified a product of 331bp. The municipality of Boca do Acre is bordered by Peru and Bolivia, and knowledge of the prevalence of the disease, serovars, and circulating Leptospira species is essential for the adoption of measures related to animal husbandry, as well as health education for ranchers and their workers to avoid a possible occupational infection since this disease is considered an important zoonosis. New molecular studies using primers that allow the identification of the Leptospira species and mainly pathogenic species should be conducted in this region in order to elucidate the possible species of this etiological agent and the possible reservoirs of the disease to begin the understanding of the epidemiology of this disease in cattle in this region of border.

COVID-19 rhapsody:Rage towards advanced diagnostics and therapeutic strategy / 药物分析学报

The deadly global outbreak of coronavirus disease-2019(COVID-19)has forged an unrivaled threat to human civilization.Contemplating its profuse impact,initial risk management and therapies are needed,as well as rapid detection strategies alongside treatments with existing drugs or traditional treatments to provide better clinical support for critical patients.Conventional detection techniques have been considered but do not sufficiently meet the current challenges of effective COVID-19 diagnosis.Therefore,several modern techniques including point-of-care diagnosis with a biosensor,clustered regularly interspaced short palindromic repeats(CRISPR)-associated proteins that function as nuclease(Cas)technology,next-generation sequencing,serological,digital,and imaging approaches have delivered improved and noteworthy success compared to that using traditional strategies.Conventional drug treatment,plasma therapy,and vaccine development are also ongoing.However,alternative medicines including Ayurveda,herbal drugs,homeopathy,and Unani have also been enlisted as prominent treat-ment strategies for developing herd immunity and physical defenses against COVID-19.All considered,this review can help develop rapid and simplified diagnostic strategies,as well as advanced evidence-based modern therapeutic approaches that will aid in combating the global pandemic.

Population-level seropositivity trend for SARS-Cov-2 in Rio Grande do Sul, Brazil

ABSTRACT OBJECTIVE To describe the evolution of seropositivity in the State of Rio Grande do Sul, Brazil, through 10 consecutive surveys conducted between April 2020 and April 2021. METHODS Nine cities covering all regions of the State were studied, 500 households in each city. One resident in each household was randomly selected for testing. In survey rounds 1-8 we used the rapid WONDFO SARS-CoV-2 Antibody Test (Wondfo Biotech Co., Guangzhou, China). In rounds 9-10, we used a direct ELISA test that identifies IgG to the viral S protein (S-UFRJ). In terms of social distancing, individuals were asked three questions, from which we generated an exposure score using principal components analysis. RESULTS Antibody prevalence in early April 2020 was 0.07%, increasing to 10.0% in February 2021, and to 18.2% in April 2021. In round 10, self-reported whites showed the lowest seroprevalence (17.3%), while indigenous individuals presented the highest (44.4%). Seropositivity increased by 40% when comparing the most with the least exposed. CONCLUSIONS The proportion of the population already infected by SARS-Cov-2 in the state is still far from any perspective of herd immunity and the infection affects population groups in very different levels.

Estimated prevalence of COVID-19 in Brazil with probabilistic bias correction / Prevalência estimada de COVID-19 no Brasil com correção probabilística de vieses / Prevalencia estimada de COVID-19 en Brasil con corrección probabilística de sesgo

Abstract: Using data collected by the Brazilian National Household Sample Survey - COVID-19 (PNAD-COVID19) and semi-Bayesian modelling developed by Wu et al., we have estimated the effect of underreporting of COVID-19 cases in Brazil as of December 2020. The total number of infected individuals is about 3 to 8 times the number of cases reported, depending on the state. Confirmed cases are at 3.1% of the total population and our estimate of total cases is at almost 15% of the approximately 212 million Brazilians as of 2020. The method we adopted from Wu et al., with slight modifications in prior specifications, applies bias corrections to account for incomplete testing and imperfect test accuracy. Our estimates, which are comparable to results obtained by Wu et al. for the United States, indicate that projections from compartmental models (such as SEIR models) tend to overestimate the number of infections and that there is considerable regional heterogeneity (results are presented by state).

Resumo: Estimamos o efeito da subnotificação de casos de COVID-19 no Brasil até dezembro de 2020, com base nos dados coletados pela Pesquisa Nacional de Amostra de Domicílios sobre COVID-19 (PNAD-COVID19) e a modelagem semi-bayesiana desenvolvida por Wu et al. O número total de indivíduos infectados é cerca de 3 a 8 vezes o número de casos notificados, a depender do estado do país. No final de 2020, os casos confirmados representavam 3,1% da população total, enquanto nossa estimativa aponta para quase 15% dos cerca de 212 milhões de brasileiros no mesmo período. O método de Wu et al., que adotamos com pequenas modificações nas especificações, aplica correções de vieses para compensar pela testagem incompleta e pela acurácia imperfeita dos testes. Nossas estimativas, que são comparáveis aos resultados obtidos por Wu et al. para os Estados Unidos, indicam que projeções a partir de modelos compartimentais (tais como modelos SEIR) tendem a superestimar o número de infecções, e que há uma heterogeneidade regional considerável (resultados apresentados por estado).

Resumen: Usando los datos recogidos por la Encuesta Nacional por Muestra de Domicilios - COVID-19 (PNAD-COVID19) y un modelado semibayesiano desarrollado por Wu et al., hemos estimado el efecto del subregistro de casos de COVID-19 en Brasil en diciembre de 2020. El número total de individuos infectados es de entre 3 a 8 veces más el número de casos informados, dependiendo del estado. Los casos confirmados son un 3,1% del total de población y nuestra estimación del total de casos es al menos un 15% de aproximadamente 212 millones de brasileños en 2020. El método que se tomó fue el de Wu et al., con leves modificaciones en las especificaciones previas, es aplicable a las correcciones de sesgo para tener en cuenta los test incompletos y la imprecisión de los tests. Nuestras estimaciones, que son comparables a los resultados obtenidos por Wu et al. para los Estados Unidos, indican las proyecciones de los modelos compartimentales (tales como los modelos SEIR), que tienden a sobreestimar el número de infecciones, así como la considerable heterogeneidad regional (los resultados se presentan por estado).

Heifer management characterization in dairy herds from the west of Buenos Aires, Argentina / Caracterização da gestão de novilhas em rebanhos leiteiros do oeste de Buenos Aires, Argentina

The replacement program in a dairy farm represents the second or third largest cost in a dairy operation. This study aimed to characterize and typify the practices related to the dairy heifer replacement program and describe the growth, development, and health parameters during this period in commercial dairy herds in Trenque Lauquen. A cross-sectional observational study was carried out, including 54 randomly selected dairy farms that were visited once to collect data about facilities and management through a semi-structured survey. Cluster and principal coordinates analysis were applied to classify the farms based on all variables collected, grouped in four main areas: pre-fresh cows, colostrum management, pre-weaning calf 's management, and personnel. Additionally, growth, development, and health status were also recorded and described for calves and breeding heifers. Two similar-sized farm clusters were identified with differences in management and facilities in different areas of calves rearing. In one cluster there was a greater proportion of farms having a pre-fresh group, implementing appropriate health (colostrum, vaccination) and feeding management. Also, differences in personnel and technical support were relevant. The estimated body gain was 452 and 774 g/d for calves younger or older than 60 d of age, respectively. The age and weight farm averages in breeding heifers were 21.0 mo (range: 16.7-27.5) and 416.3 kg (range: 336.7-519.3), respectively. Diarrhea and respiratory affections were the major problems in pre-weaning calves and heifer rearing, respectively. The median mortality was 7.3, 7.6, and 2.9% at the calving, pre-weaning, and heifer rearing period, respectively. The results showed an improvement opportunity for producers, the design of precise and high impact programs that could lead to an improved replacement program.(AU)

Nos rebanhos leiteiros, o programa de reposição representa o segundo ou o terceiro maior custo da atividade de produção de leite. O objetivo do presente trabalho foi caracterizar e tipificar as práticas relacionadas ao programa de reposição de novilhas leiteiras e descrever o crescimento, desenvolvimento e parâmetros de saúde durante este período em rebanhos leiteiros comerciais localizados em Trenque Lauquen, oeste de Buenos Aires, Argentina. Foi realizado um estudo observacional transversal incluindo 54 fazendas de produção de leite selecionadas ao acaso e visitadas uma única vez para a colheita de dados relacionados a instalações e manejo empregando-se um questionário semi-estruturado. Foi efetuada a análise dos agrupamentos e das coordenadas principais para classificar as fazendas com base em todas as variáveis colhidas e agrupadas em quatro principais áreas: vacas pré-parto, manejo de colostro, manejo pré-desmame de bezerros e recursos humanos. Os dados referentes ao crescimento, desenvolvimento e estado de saúde dos animais também foram registrados e descritos para bezerros e novilhas. Dois grupos de fazendas de tamanho semelhante foram identificados com diferenças no manejo e instalações em distintas áreas de recria de bezerros. Em um grupo houve uma maior proporção de fazendas que tinham um grupo de vacas pré-parto, com implementação de adequado manejo de saúde (colostro, vacinações) e manejo alimentar. Também foram relevantes as diferenças em termos de pessoal e suporte técnico. O ganho de peso estimado foi de 452 e 774 gramas por dia, respectivamente, para os bezerros jovens e os com idade superior a 60 dias. As médias das fazendas da idade e do peso das novilhas de reprodução foram, respectivamente, 21,0 meses (variação de 16,7 a 27,5) e 416,3 kg (variação de 336,7 a 519,3). A diarreia e as afecções respiratórias foram os maiores problemas de saúde, respectivamente, nos bezerros em pré-desmama e novilhas em recria. A média de mortalidade foi de 7,3; 7,6 e 2,9%, respectivamente, ao parto, na pré-desmama e durante a recria de novilhas. Os resultados obtidos demonstraram a existência de oportunidades de melhoria para os produtores, com o delineamento de programas precisos e de alto impacto que poderão propiciar um programa de reposição aprimorado.(AU)

Risk factors associated with intramammary colonization with Mollicutes in dairy cattle from Southeast Brazil / Fatores de risco associados à colonização intramamária por Mollicutes em bovinos leiteiros do Sudeste brasileiro

ABSTRACT: Bacteria of Mollicutes Class are associated with intramammary infection and decrease in milk production. This study investigated the occurrence of Mollicutes and elucidated their risk factors in dairy herds from Southeast Brazil. For this, milk samples from 387 lactation cows from Minas Gerais, Rio de Janeiro and São Paulo States were subjected to the polymerase chain reaction (PCR) to detect Mollicutes. Species of Mycoplasma were investigated in Mollicutes positive samples by PCR, including Mycoplasma bovis, M. alkalescens, M. bovigenitalium, M. bovirhinis, M. arginini and A. laidlawii. An epidemiological questionnaire was applied to collect data on possible risk factors, which were assessed using Pearson's Chi-square test followed by odds ratio (P≤0.05). Mollicutes were reported in 21% (4/19) of the herds and 4% (16/387) of the animals, while 1% (5/387) were positive for M. bovis and 3% (11/387) for M. arginini. All samples were negative to the other agents. Herds with more than 150 animals [OR=3.51 (95% CI 1.11-11.08)], manual milking [OR=9.97 (95% CI 2.80-35.49)] and not-milking animals with mastitis last [OR=6.54 (95% CI 1.92-22.29)] were risk factors. The presence of these conditions may favor intramammary infection by Mollicutes in dairy herds from Southeast Brazil. This is the first report of M. bovis in Rio de Janeiro and M. arginini in the studied states.

RESUMO: Bactérias da Classe Mollicutes estão associadas à infecção intramamária e diminuição da produção leiteira. O objetivo deste estudo foi investigar a ocorrência de Mollicutes e elucidar seus fatores de risco em rebanhos leiteiros do sudeste brasileiro. Para isso, amostras de leite de 387 vacas em lactação dos estados de Minas Gerais, Rio de Janeiro e São Paulo foram submetidas à reação em cadeia da polimerase (PCR) para detectar Mollicutes. Espécies de Mycoplasma foram investigadas nas amostras positivas por PCR, incluindo Mycoplasma bovis, M. alkalescens, M. bovigenitalium, M. bovirhinis, M. arginini e A. laidlawii. Foi aplicado um questionário epidemiológico para a coleta de dados sobre possíveis fatores de risco, que foram avaliados pelo teste de Qui-Quadrado de Pearson seguido de odds ratio (P≤0.05). Mollicutes foram detectados em 21% (4/19) dos rebanhos e 4% (16/387) dos animais, enquanto 1% (5/387) destes foram positivos para m. bovis, 3% (11/387) para m. arginini, sendo todas as amostras negativas para os demais agentes. Rebanhos com mais de 150 animais [OR=3,51 (95% IC 1,11-11,08)], ordenha manual [OR=9,97 (95% IC 2,80-35,49)] e ausência de linha de ordenha [OR=6,54 (95% IC 1,92-22,29)] foram considerados fatores de risco. A presença dessas condições pode favorecer a infecção intramamária por Mollicutes em rebanhos leiteiros no sudeste do Brasil. Este é o primeiro relato de M. bovis no Rio de Janeiro e M. arginini nos estados estudados.

Dynamics of neutralizing antibodies against Bovine respiratory syncytial virus in a dairy herd from Santa Fe Province, Argentina

Abstract Bovine respiratory syncytial virus (BRSV) is one of the most relevant agents responsi-ble for respiratory disease in cattle from both dairy and beef farms. BRSV is spread by horizontalcontact causing a constant presence of seropositive animals that favors viral circulation throughout the year. Moreover, reinfections with BRSV are frequent between animals regardless of theirage as BRSV does not confer long-lasting protective immunity. Several studies have demonstrated the circulation of BRSV in cattle from different regions of the world; however, little isknown about the dynamics of BRSV infection in cows before and after they begin lactation. Theaim of this work was to study the dynamics of BRSV neutralizing antibodies from birth up to36 months of age in a closed dairy herd of Argentina specifically around the lactation period. Passive maternal antibodies against BRSV started to decrease monthly and became almost undetectable at 8 months of age. We detected two potential infection points at months 11 and 27after birth, in which 30% and 45% of the animals showed seroconversion, respectively. Specifically, an increase in the proportion of seropositive cows after the start of lactation suggests thatthey became reinfected around the time they began lactating. We demonstrate the importanceof understanding BRSV dynamics in a closed dairy herd to review the vaccination schedule ofthe animals to achieve protection against BRSV infection.

Resumen El virus respiratorio sincitial bovino (Bovine respiratory syncytial virus, [BRSV]) es uno de los principales agentes responsables de la enfermedad respiratoria en bovinos, tanto de tambos como de cría. El virus se transmite horizontalmente y causa la presencia constante de animales seropositivos, lo cual favorece la circulación viral a lo largo del ano. A su vez, las reinfecciones por BRSV son frecuentes entre animales independientemente de su edad, dado que el virus no confiere inmunidad protectora a largo plazo. Numerosos estudios han demostrado la circulación de BRSV en bovinos de diferentes regiones del mundo, sin embargo, poco se conoce acerca de la dinámica de infección en vacas antes y después del inicio de la fase de lactancia. El objetivo de este trabajo fue estudiar la dinámica de anticuerpos neutralizantes anti- BRSV en vacas lecheras desde el nacimiento hasta los 36 meses de vida en un tambo cerrado de Argentina, específicamente, en el período de lactancia. Los anticuerpos pasivos específicos para BRSV comenzaron a declinar mensualmente hasta ser casi indetectables a los 6 meses. Detectamos dos potenciales puntos de infección a los meses 11 y 27 luego del nacimiento, momentos en los que el 30 y el 45% de los animales mostraron seroconversión, respectivamente. El incremento en la proporción de vacas seropositivas luego del comienzo de la lactancia sugiere que estas se reinfectaron en el inicio de dicha etapa. Demostramos la importancia de entender la dinámica de circulación del BRSV en un tambo cerrado, a fin de revisar el esquema de vacunación de los animales para que estén protegidos frente a la posible infección por este virus.

Covid-19: a catástrofe latino-americana, entre a caça e a imaginação / Covid-19: the Latin American catastrophe between the hunting and the imagination / Covid-19: la catástrofe latinoamericana, entre la caza y la imaginación

Esta nota expõe um breve balanço da história da pandemia de Covid após sete meses de crise. Com esse objetivo, apreendemos três grandes tendências: o impacto letal do negacionismo em países como os Estados Unidos e o Brasil; a chegada da segunda onda na Europa e, enfim, a catástrofe nos países latinoamericanos onde os indicadores pioram em todos eles independentemente das políticas de contenção que foram implementadas desde o mês de março de 2020. Para a discussão dessas três tendências, elaboramos três momentos de reflexão de maior fôlego: a clivagem que separa os modelos de gestão da pandemia na Ásia no Ocidente; a necessidade de uma política social (como o auxílio emergencial) para tornar viáveis as políticas sanitárias na América Latina; e, enfim, uma reflexão mais geral sobre a relação entre as catástrofes e a imaginação.

This paper presents a brief analysis of the history concerning Covid pandemic after its beginning seven months ago. In pursuing this purpose we realised three major trends: the lethal impact of denialism in countries such as United States and Brazil; the arrival of the second wave of coronavirus in Europe; and finally, the Latin American catastrophe where the indicators of people affected by disease worsen in all their countries regardless of the policies to restrain it implemented since March 2020. To discuss these three trends, we have deepened three reflections: the cleavage between the management model of the pandemic in Asia and the Western management model; the need for a social policy (such as an emergency financial aid) to make health policies viable in Latin America; and at last a general reflection on the relationship between the catastrophes and the imagination.

Esta nota expone un breve análisis de la historia de la pandemia de Covid después de siete meses de crisis. Intentando alcanzar este propósito, hemos distinguido tres grandes tendencias: el impacto letal del negacionismo en países como Estados Unidos y Brasil; la llegada de la segunda ola a Europa; y finalmente la catástrofe latinoamericana donde los indicadores del contagio empeoraron en todos los países independiente de las políticas de contención implementadas desde marzo de 2020. Para discutir estas tres tendencias, hemos profundizado tres reflexiones: la diferencia entre el modelo de gestión de la pandemia en Asia y el modelo implementado en Occidente; la necesidad de una política social (como lo auxilio financiero de emergencia) para hacer viables las políticas de salud en Latinoamérica; y por último una reflexión de forma más general sobre la relación entre las catástrofes y la imaginación.

Diarreia em bezerros no sul do Rio Grande do Sul em um período de 34 anos / Diarrhea in calves in Southern Rio Grande do Sul in a period of 34 years

The objective of this work was to conduct a retrospective study of causes of diarrhea in calves in southern Rio Grande do Sul between 1980 and 2014. All necropsy protocols and materials received in the Regional Diagnostic Laboratory of the Veterinary School of the Federal University of Pelotas were reviewed. Ninety-four cases of calves with diarrhea were diagnosed, of these, 44.7% were caused by parasitic infections and 34.0% by bacterial infections. Parasites as cause of diarrhea was the most important diagnostic in southern Rio Grande do Sul and affected calves from three to 12 months of age. The occurrence of diarrhea in animals even infants may be associated with environmental factors and the form of management that these animals are kept. Bacterial diseases are also important causes of diarrhea in calves up to three months of age in the region.

O objetivo deste trabalho foi descrever os dados de um estudo retrospectivo nos registros de 34 anos atividade de um laboratório de diagnóstico sobre as causas de diarreia em bezerros na região sul do Rio Grande do Sul. Foram revisados os protocolos de necropsia e materiais desta espécie encaminhados ao Laboratório Regional de Diagnóstico da Faculdade de Veterinária da Universidade Federal de Pelotas. Foram diagnosticados 94 casos de bezerros com diarreia, destes, 44,7% foram de causas parasitárias e 34,0% de causas bacterianas. Diarreia de causa parasitária foi a mais importante na região sul do Rio Grande do Sul e afetou bezerros de três a 12 meses de idade. A ocorrência de diarreia em animais mesmo lactentes pode estar associada a fatores ambientais e a forma de manejo no qual esses animais são mantidos. As enfermidades bacterianas foram, também, importantes causas de diarreia em bezerros de até três meses de idade na região.

Diarreia em bezerros no sul do Rio Grande do Sul em um período de 34 anos / Diarrhea in calves in Southern Rio Grande do Sul in a period of 34 years

O objetivo deste trabalho foi descrever os dados de um estudo retrospectivo nos registros de 34 anos atividade de um laboratório de diagnóstico sobre as causas de diarreia em bezerros na região sul do Rio Grande do Sul. Foram revisados os protocolos de necropsia e materiais desta espécie encaminhados ao Laboratório Regional de Diagnóstico da Faculdade de Veterinária da Universidade Federal de Pelotas. Foram diagnosticados 94 casos de bezerros com diarreia, destes, 44,7% foram de causas parasitárias e 34,0% de causas bacterianas. Diarreia de causa parasitária foi a mais importante na região sul do Rio Grande do Sul e afetou bezerros de três a 12 meses de idade. A ocorrência de diarreia em animais mesmo lactentes pode estar associada a fatores ambientais e a forma de manejo no qual esses animais são mantidos. As enfermidades bacterianas foram, também, importantes causas de diarreia em bezerros de até três meses de idade na região.

The objective of this work was to describe the data from a retrospective study in the records of 34 years of activity in a diagnostic laboratory on the diarrhea causes of in calves in the southern region of Rio Grande do Sul. All necropsy protocols and materials received in the Regional Diagnostic Laboratory of the Veterinary School of the Federal University of Pelotas were reviewed. Ninety-four cases of calves with diarrhea were diagnosed, of these, 44.7% were caused by parasitic infections and 34.0% by bacterial infections. Parasites as cause of diarrhea was the most important diagnostic in southern Rio Grande do Sul and affected calves from three to 12 months of age. The occurrence of diarrhea in animals even infants may be associated with environmental factors and the form of management that these animals are kept. Bacterial diseases are also important causes of diarrhea in calves up to three months of age in the region.

Estimación del número reproductivo efectivo del brote de sarampión 2018-2019 en Chile / Estimation of the effective reproduction number of measles 2018-2019 in Chile

Resumen Introducción: Los casos de sarampión están resurgiendo en muchos países del mundo. Hubo un brote de sarampión importado entre noviembre de 2018 y febrero de 2019 en Chile, lo que generó preocupación entre el público y las autoridades sanitarias. Muchos se preocuparon por la tasa de inmunización contra el sarampión de la población, un factor que se relaciona con la capacidad reproductiva del virus (medida de transmisibilidad de un patógeno). Objetivo: Aquí estimamos el número reproductivo efectivo (Re) de este brote de sarampión. Resultados: Aunque la estimación tiene mucha incertidumbre por el bajo número de casos y la ausencia de mezcla homogénea de la población, encontramos que Re fue aproximadamente 1,5. Discusión y Conclusiones: En consecuencia estimamos que aproximadamente 90,3% de la población tiene inmunidad al sarampión, lo que coincide con las estimaciones del Ministerio de Salud. Estos resultados sugieren que la población chilena ha establecido la inmunidad colectiva contra la introducción de casos importados de sarampión, lo que refleja un manejo preventivo adecuado de esta enfermedad.

Abstract Background: Measles cases are reemerging in many countries across the globe. There was an outbreak of imported measles between November 2018 and February 2019 in Chile, raising concern among the public and health authorities. Many were worried about the Chilean measles herd immunity, a factor that relates to the reproductive capacity of the virus (measure of transmissibility of a pathogen). Aim: Here we estimate the effective reproductive number (Re) of this measles outbreak. Results: Although the estimate is highly uncertain due to the low number of cases and the absence of homogeneous mixing of the population, we found Re was approximately 1.5. Discussion and Conclusions: Consequently we estimated about 90,3 % had measles immunity, consistent with administrative estimates from the Ministry of Health. These results suggest the Chilean population has established herd immunity against the introduction of imported measles cases, reflecting adequate preventive management of this disease.