Comparative Analysis of Epidemiological Outcome of Incidence, Mortality and Lethality by COVID-19 between the States of Espírito Santo and Minas Gerais, Brazil.

At the beginning of December 2019, a new type of coronavirus emerged, SARS-CoV-2. This virus causes COVID-19, a highly contagious disease that can initially present asymptomatically and can also lead to death. Our ecological study goal was to evaluate the incidence, mortality, and lethality rates for COVID-19 between the states of Espírito Santo and Minas Gerais, with time series analysis using secondary and public databases on COVID-19 from January 2020 to December 2022. Prais-Winsten linear regression was used for trend analyses. In 2020, the rate in Espírito Santo was 2.19 times greater than in Minas Gerais. This trend continued in 2021, with Espírito Santo's rate being 1.29 times greater. In 2022, Espírito Santo's rate remained 2.65 times higher than Minas Gerais. Furthermore, Espírito Santo had the highest mortality, with the exception of 2021. In turn, Minas Gerais had the highest fatality rate throughout the analyzed pandemic period. The state of Espírito Santo had a higher incidence of COVID-19, as well as higher mortality when compared to the state of Minas Gerais. Furthermore, both states showed similar trends for mortality, lethality, and incidence in the years 2020 and 2021.

Outcome Measure Epidemiological of Female Inmates in West Amazon, Brazil / Medida Epidemiológica de Mulheres Reclusas na Amazônia Ocidental, Brasil

Introduction: the prison system in the Brazilian state of Acre, located in the Western region of the Amazon, is a branch of the criminal justice system that has been suffering from issues such as overcrowding and growth in internal organized crime. The prevalence of these matters directly affects the resocialization of prisoners and inhibits the successful re-engineering of their social values and beliefs.Objective: to analyze the epidemiological profile of jailed women in the State of Acre, Brazil.Methods: in a cross-sectional descriptive study, 129 participants were recruited from female penitentiaries in the state of Acre. Conducted between August and December of 2017, data was collected through a validated questionnaire, divided into modules, using both open and closed-ended items.Results: we found that most women who participated in the study were single (n = 86, 66.7%), had brown skin (n = 93, 72.1%), had children (n=102, 79.1%), resided in the state of Acre (n=117, 90.5%). The mean age of the sample was 27.69 years. Among those participants who reported having partners (n = 40, 31%), we found that half had partners who were also incarcerated (n = 20, 50%). The study results also indicate that drug trafficking (n = 86, 66.7%) was the major cause for female incarceration, followed by homicide crime (n = 16, 12.4%). Over half of the participants were in prison for the first time (n = 75, 58.1%), with a high recidivism rate observed in the total sample (n = 54, 41.9%). A majority of the participants (n = 97, 75.2%) kept in touch with members of their families and a smaller portion (n = 15, 11.6%) received conjugal visits. With regard to social activities, slightly more than half (n = 75, 58.1%) worked and the majority (n = 114, 88.4%) did not study while jailed.Conclusion: the difficulties associated with accessing inmate data and the lack of peer-reviewed studies on inmate health in Brazil suggests that the public policies recommended by the PNSSP and the National Policy for Comprehensive Health Care for Women should be reevaluated.

Introdução: o sistema prisional no estado brasileiro do Acre, localizado na região ocidental da Amazônia, é um ramo do sistema de justiça criminal que tem sofrido por situações como a superlotação e o crescimento do crime organizado interno. A prevalência destas questões afeta diretamente a ressocialização dos prisioneiros e inibe a preservação bem sucedida dos seus valores e crenças sociais.Objetivo: analisar o perfil epidemiológico das mulheres encarceradas no Estado do Acre, Brasil.Método: Estudo descritivo transversal, sendo que 129 participantes foram recrutadas em penitenciárias femininas no Estado do Acre. Conduzidos entre agosto e dezembro de 2017, os dados foram recolhidos através de um questionário validado, dividido em módulos, utilizando tanto artigos abertos como fechados.Resultados: verificamos que a maioria das mulheres que participaram no estudo eram solteiras (n = 86, 66,7%), tinham pele castanha (n = 93, 72,1%), tinham filhos (n = 102, 79,1%), residiam no estado do Acre (n = 117, 90,5%). A idade média da amostra foi de 27,69 anos. Entre os participantes que declararam ter parceiros (n = 40, 31%), descobrimos que metade tinha parceiros que também estavam encarcerados (n = 20, 50%). Os resultados do estudo indicam também que o tráfico de drogas (n = 86, 66,7%) foi a principal causa de encarceramento feminino, seguido do crime de homicídio (n = 16, 12,4%). Mais de metade dos participantes estiveram na prisão pela primeira vez (n = 75, 58,1%), com uma elevada taxa de reincidência observada na amostra total (n = 54, 41,9%). A maioria dos participantes (n = 97, 75,2%) manteve-se em contato com membros das suas famílias e uma parte menor (n = 15, 11,6%) recebeu visitas conjugais. No que respeita às atividades sociais, pouco mais de metade (n = 75, 58,1%) trabalhou e a maioria (n = 114, 88,4%) não estudou enquanto esteve presa.Conclusão: as dificuldades associadas ao acesso aos dados dos presos e a falta de estudos revistos por pares sobre a saúde dos presos no Brasil sugerem que as políticas públicas recomendadas pelo Plano Nacional de Saúde no Sistema Penitenciário - PNSSP e a Política Nacional de Atenção Integral à Saúde da Mulher - PNAISM devem ser reavaliadas.

Incidence of chronic kidney disease hospitalisations and mortality in Espírito Santo between 1996 to 2017.

INTRODUCTION: Chronic kidney disease (CKD) has a set of clinical and laboratory abnormalities where renal function loss is noted. The high prevalence of comorbidity of people living with CKD, its economic impact and its prognosis have made it a public health problem, justifying the need to implement preventive measures. OBJECTIVE: To analyse the mortality and incidence of hospital admissions for CKD. METHODS: Ecological study with a time series design using secondary microdata of deaths and hospital admissions from patients with CKD from 1996 to 2017 in the State of Espírito Santo, Brazil. RESULTS: The average mortality rate of CKD during the studied years was 2.92 per 100,000 inhabitants per year. During this period global mortality was a stationary phenomenon. In women, the trend of mortality from 2005 on increased 7,87% per year. Between 2008 and 2017, the average incidence hospital admissions due to CKD per year was 45.76 per 100,000 inhabitants. It was observed that the overall hospital admission increased by the equivalent of 6.23% per year. More than a half of mortality and hospitalisations correspond to male patients over 50 years of age. In terms of mortality, 32.99% corresponded to Caucasian patients, while 35.13% of hospitalisations were mixed race. CONCLUSION: We found that age and gender are factors associated with deaths and hospitalisations for chronic kidney disease. While hospitalisation increases 6.23% per year, global mortality remains stationary. However, from 2005 onwards a trend towards increasing of 7.87%/annual in mortality was observed in women.

Infestation pattern and parasitic castration of the crustacean Riggia paranensis (Crustacea: Cymothoidea) on the fresh water fish Cyphocharax gilbert (Teleostei: Curimatidae)

Cyphocharax gilbert infested by Riggia paranensis shows parasitic castration. The prevalence of parasitism in C. gilbert varied among different environments, being higher in the middle rio Itabapoana. Fish were collected monthly using two cast nets (thrown 30 times during the day) and gillnets kept in the river during 12 hour, from sunset to sunrise, between September 1997 and August 2000. Infestation pattern was investigated on 1358 specimens. Most of them were infested (57.9 percent), with one or two parasites; the majority (62.9 percent) was collected during the rainy season (spring-summer). The parasite did not show preference for sex or size of hosts. A total of 91.5 percent of the 511 examined parasites had a body size that represented 10.1 percent to 20 percent of host standard length. The reproductive condition of 311 specimens of R. paranensis was analyzed checking the presence of oocytes in the ovarian and eggs or embryos in the marsupium. Nearly 73 percent of them were at reproductive phase, and had a body size that represented 5.1 percent to 20 percent of host standard length. The size of the immature parasites varied from 0.1 percent to 5 percent of the host size. The results suggest that R. paranensis may adopt a fast growth rate strategy and increase the investment in reproduction when they occupy most of the host's pericardial space.

Cyphocharax gilbert infestado por Riggia paranensis apresenta castração parasitária. A prevalência do parasito varia entre diferentes ambientes, sendo maior no trecho médio do rio Itabapoana. Os peixes foram coletados mensalmente neste rio usando duas tarrafas (lançadas por 30 vezes durante o dia) e redes de espera por 12 horas, do crepúsculo ao amanhecer, entre setembro de 1997 e agosto de 2000. O padrão de infestação foi investigado em 1358 peixes. Peixes infestados apresentaram um ou dois parasitos, representando 57,9 por cento da população e a maioria deles (62,9 por cento) foi coletada no período de maior precipitação (primavera-verão). O parasito não apresentou preferência por sexo ou tamanho do hospedeiro. No total, 91,5 por cento de 511 parasitos examinados apresentaram um tamanho corpóreo que representou de 10,1 por cento a 20 por cento do comprimento padrão do hospedeiro. A condição reprodutiva em 311 espécimes R. paranensis foi analisada através da presença de oócitos no ovário e ovos ou embriões no marsúpio, sendo que cerca de 73 por cento estavam em fase de reprodução, apresentando um tamanho corporal que variou entre 5,1 por cento a 20 por cento do comprimento padrão do hospedeiro. O tamanho dos parasitos imaturos variou de 0,1 por cento a 5 por cento do tamanho do hospedeiro. Os resultados sugerem que R. paranensis pode adotar uma estratégia de rápido crescimento e deve aumentar o investimento em reprodução quando ocupa grande parte do espaço disponível na cavidade pericardial do hospedeiro.