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Item Hantavirus Expansion Trends in Natural Host Populations in Brazil.(MDPI (Basel, Switzerland), 2024-07-17) Mello JHF; Muylaert RL; Grelle CEV; Kemenesi G; Kurucz KHantaviruses are zoonotic agents responsible for causing Hantavirus Cardiopulmonary Syndrome (HCPS) in the Americas, with Brazil ranking first in number of confirmed HCPS cases in South America. In this study, we simulate the monthly spread of highly lethal hantavirus in natural hosts by conjugating a Kermack-McCormick SIR model with a cellular automata model (CA), therefore simultaneously evaluating both in-cell and between-cell infection dynamics in host populations, using recently compiled data on main host species abundances and confirmed deaths by hantavirus infection. For both host species, our models predict an increase in the area of infection, with 22 municipalities where no cases have been confirmed to date expected to have at least one case in the next decade, and a reduction in infection in 11 municipalities. Our findings support existing research and reveal new areas where hantavirus is likely to spread within recognized epicenters. Highlighting spatial-temporal trends and potential expansion, we emphasize the increased risk due to pervasive habitat fragmentation and agricultural expansion. Consistent prevention efforts and One Health actions are crucial, especially in newly identified high-risk municipalities.Item Malaria Risk Drivers in the Brazilian Amazon: Land Use-Land Cover Interactions and Biological Diversity.(MDPI (Basel, Switzerland), 2023-08-01) Gonzalez Daza W; Muylaert RL; Sobral-Souza T; Lemes Landeiro V; Oren E; Blanco GMalaria is a prevalent disease in several tropical and subtropical regions, including Brazil, where it remains a significant public health concern. Even though there have been substantial efforts to decrease the number of cases, the reoccurrence of epidemics in regions that have been free of cases for many years presents a significant challenge. Due to the multifaceted factors that influence the spread of malaria, influencing malaria risk factors were analyzed through regional outbreak cluster analysis and spatio-temporal models in the Brazilian Amazon, incorporating climate, land use/cover interactions, species richness, and number of endemic birds and amphibians. Results showed that high amphibian and bird richness and endemism correlated with a reduction in malaria risk. The presence of forest had a risk-increasing effect, but it depended on its juxtaposition with anthropic land uses. Biodiversity and landscape composition, rather than forest formation presence alone, modulated malaria risk in the period. Areas with low endemic species diversity and high human activity, predominantly anthropogenic landscapes, posed high malaria risk. This study underscores the importance of considering the broader ecological context in malaria control efforts.Item The risk of vector transmission of Trypanosoma cruzi remains high in the State of Paraná.(Instituto Oswaldo Cruz, Ministério da Saúde, 2024-06-10) Trovo JVS; Weber-Lima MM; Prado-Costa B; Iunklaus GF; Andrade AJ; Sobral-Souza T; Muylaert RL; Alvarenga LM; Toledo MJOBACKGROUND: Monitoring and analysing the infection rates of the vector of Trypanosoma cruzi, that causes Chagas disease, helps assess the risk of transmission. OBJECTIVES: A study was carried out on triatomine in the State of Paraná, Brazil, between 2012 and 2021 and a comparison was made with a previous study. This was done to assess the risk of disease transmission. METHODS: Ecological niche models based on climate and landscape variables were developed to predict habitat suitability for the vectors as a proxy for risk of occurrence. FINDINGS: A total of 1,750 specimens of triatomines were recorded, of which six species were identified. The overall infection rate was 22.7%. The areas with the highest risk transmission of T. cruzi are consistent with previous predictions in municipalities. New data shows that climate models are more accurate than landscape models. This is likely because climate suitability was higher in the previous period. MAIN CONCLUSION: Regardless of uneven sampling and potential biases, risk remains high due to the wide presence of infected vectors and high environmental suitability for vector species throughout the state and, therefore, improvements in public policies aimed at wide dissemination of knowledge about the disease are recommended to ensure the State remains free of Chagas disease.Item Planning for an offshore oiled wildlife response: case studies from New Zealand and Brazil.(Springer Nature, 2023-04-01) Chilvers BL; Ruoppolo V; Garrigues PWhen an offshore oil spill occurs, it is often assumed that there will be no wildlife impacted or that an oiled wildlife response could not be undertaken. In most cases, one or both assumptions are wrong. With increasing offshore fishing, petroleum exploration, and shipping routes, the risk of accidents and spills offshore has increased. This review outlines the important considerations for offshore oiled wildlife response and explores two case studies on offshore oiled wildlife response planning based on offshore drilling or active platforms in New Zealand and Brazil. There are significant challenges for running a response in offshore environments; however, with planning, including preparation of specialized response plans, equipment, and readiness of skilled personnel, an offshore oiled wildlife response can lead to greater survival and protection for wildlife and the environment.Item Translation, adaptation, and cross-cultural validation into Brazilian portuguese of the hearing protection assessment questionnaire (HPA)(Sociedade Brasileira de Fonoaudiologia, 2023-05-01) Bramati L; Gonçalves CGDO; Marques JM; Reddy R; Welch D; Lacerda ABDMPURPOSE: The aim of the present study is to translate, adapt, and cross-culturally validate the Brazilian Portuguese version of the questionnaire Hearing Protection Assessment Questionnaire (HPA). METHODS: The original instrument, developed in English, seeks to assess barriers and supports related to the use of hearing protection devices (HPD), as well as workers' knowledge, habits and attitudes towards occupational noise. The translation, adaptation, and cross-cultural validation of the questionnaire consisted of five steps: Translation of the questionnaire from English to Portuguese; 2) Reverse translation from Portuguese to English; 3) Analysis of the instrument by three experts in the field; 4) Pre-test of the questionnaire with ten workers; 5) Application of the instrument to 509 workers in a meatpacking industry after the pre-employment medical exam. RESULTS: The results indicate the construction and content validity of the Brazilian Portuguese version for use with a working population and its internal consistency. CONCLUSION: This study resulted in the translation, cultural adaptation, and validation of the Hearing Protection Assessment Questionnaire (HPA), in order to be used to assess the use of individual hearing protection in the occupational field, called Hearing Protection Assessment Questionnaire (HPA).Item Apparent prevalence and risk factors for bovine tuberculosis in the state of Paraná, Brazil: an assessment after 18 years since the beginning of the Brazilian program(Springer Nature BV, 2022-12) Rodrigues DL; Amorim EA; Ferreira F; Amaku M; Baquero OS; de Hildebrand E Grisi Filho JH; Dias RA; Heinemann MB; Telles EO; Gonçalves VSP; Compton C; Ferreira Neto JSBovine tuberculosis (bTB) impacts considerably animal production and one health worldwide. To describe the prevalence, risk factors, and spatial pattern of the disease in the state of Paraná, Brazil, a cross-sectional study was conducted from September 2018 to February 2019. The area was divided into seven regions. Within each region, farms were randomly selected, and a predetermined number of cows was selected and tested by a comparative cervical tuberculin test. 17,210 animals were tested across 1757 farms. Herd prevalence of bTB-infected herds in Paraná was 2.5% [1.87-3.00%]. It has varied from 0.8 to 3.98% among seven regions, with clustering being detected in the west, central, and northeast areas. Animal prevalence was 0.35% [0.21-0.59%] and has varied from 0.08 to 0.6% among the pre-set regions. No major shifts in the prevalence of bTB were detected since 2007. Large-sized herds, dairy production, and feeding with whey were detected to be correlated with the presence of bTB. Exclusively among dairy herds, veterinary assistance from cooperatives, possession of self-owned equipment to cool milk, and feeding with whey were correlated with the disease. Considering these results, it is recommended that the state of Paraná seek to implement a surveillance system for the detection of bTB-infected herds transforming them into free ones, if possible, incorporating elements of risk-based surveillance. Health education is also recommended to inform farmers about the risks of introducing animals without testing and of feeding raw whey to calves.Item Children with HIV: A scoping review of auditory processing skills(PLoS (Public Library of Science), 2019-09-12) Dawood G; Klop D; Olivier E; Elliott H; Pillay MIIntroduction Auditory processing disorders can negatively affect academic performance in children. They can result from a number of aetiologies, including the human immunodeficiency virus (HIV). Although studies in paediatrics are limited, research suggests that HIV-infected children display poorer auditory processing skills than uninfected children. Methods The aims of this study were to scan the peer-reviewed literature on auditory processing skills in HIV-infected children, to describe how auditory processing was tested, how auditory processing skills were reported, and to identify gaps in current evidence. This systematic scoping review was conducted using a modified version of Arksey and O’Malley’s framework. Key words comprised ‘HIV’, ‘auditory processing’, ‘hearing’ and ‘child’. Electronic databases were searched for relevant articles published from 1 January 2000 to 30 April 2018, and reference lists of included studies were pearled. Two researchers reviewed the articles and extracted data on sample descriptors, auditory processing testing procedures, and auditory processing skills. A third author collated the results and resolved discrepancies. The American Speech-Language-Hearing Association description of auditory processing skills framed the analysis. Results Five articles were included in this review (three from Brazil, one each from Mexico and Tanzania). Samples, and methods of testing were heterogeneous. Three studies reported on localization abilities, while gap detection thresholds, performance on dichotic tasks and speech discrimination scores were reported in one article each. No one study tested all areas of auditory processing skills and there was limited information about the auditory processing skills required for learning. Conclusion This review highlighted the current sparse evidence-base for auditory processing in HIV-infected children. It identified the need to standardise testing procedures, measures of auditory processing skills, and sample selection.Item Asthma inflammatory phenotypes on four continents: most asthma is non-eosinophilic(Oxford University Press on behalf of the International Epidemiological Association, 2023-04) Pembrey L; Brooks C; Mpairwe H; Figueiredo CA; Oviedo AY; Chico M; Ali H; Nambuya I; Tumwesige P; Robertson S; Rutter CE; van Veldhoven K; Ring S; Barreto ML; Cooper PJ; Henderson J; Cruz AA; Douwes J; Pearce N; WASP Study GroupBACKGROUND: Most studies assessing pathophysiological heterogeneity in asthma have been conducted in high-income countries (HICs), with little known about the prevalence and characteristics of different asthma inflammatory phenotypes in low-and middle-income countries (LMICs). This study assessed sputum inflammatory phenotypes in five centres, in Brazil, Ecuador, Uganda, New Zealand (NZ) and the United Kingdom (UK). METHODS: We conducted a cross-sectional study of 998 asthmatics and 356 non-asthmatics in 2016-20. All centres studied children and adolescents (age range 8-20 years), except the UK centre which involved 26-27 year-olds. Information was collected using questionnaires, clinical characterization, blood and induced sputum. RESULTS: Of 623 asthmatics with sputum results, 39% (243) were classified as eosinophilic or mixed granulocytic, i.e. eosinophilic asthma (EA). Adjusted for age and sex, with NZ as baseline, the UK showed similar odds of EA (odds ratio 1.04, 95% confidence interval 0.37-2.94) with lower odds in the LMICs: Brazil (0.73, 0.42-1.27), Ecuador (0.40, 0.24-0.66) and Uganda (0.62, 0.37-1.04). Despite the low prevalence of neutrophilic asthma in most centres, sputum neutrophilia was increased in asthmatics and non-asthmatics in Uganda. CONCLUSIONS: This is the first time that sputum induction has been used to compare asthma inflammatory phenotypes in HICs and LMICs. Most cases were non-eosinophilic, including in settings where corticosteroid use was low. A lower prevalence of EA was observed in the LMICs than in the HICs. This has major implications for asthma prevention and management, and suggests that novel prevention strategies and therapies specifically targeting non-eosinophilic asthma are required globally.Item Achieving goal 02 of the United Nations' millennium development goals : problems and prospects for Brazil : a thesis presented in partial fulfilment of the requirements for the degree of Master of Philosophy in Education at Massey University(Massey University, 2007) Formiga, Marcela Figueiredo NobreTo help fight inequalities and other factors that negatively affect its education system, the Brazilian government has signed many agreements with international agencies, among which are the Millennium Development Goals (MDGs) established by the United Nations (UN). Through analysis of the world scenario and the global initiatives towards education, this study aims to draw a correlation between the completion of Goal 2 of the MDGs, i.e., achieve universal primary education, and the problems and prospects for Brazil. Indeed, the importance of education to society is unquestionable as it influences many different aspects of life, by helping combat poverty, aiding in development and assisting in health issues, among others. Furthermore, it is crucial not only to the personal development of individuals, but it also provides greater understanding of social rules, which increases understanding of diversity. In a country as big and diverse as Brazil, it is fundamental to take into consideration the cultural, geographic and socio-economic differences in order to find solutions that can be used towards the development of the country. Although the Brazilian government has taken effective measures to ensure that all children have access to primary education, the same cannot be said about its quality, as the numbers in educational exclusion in the country are staggering, with more than 16 million illiterates. The major issues relating to education in the country have to do with the poor quality of what is being provided to the students, and the present study points to many factors that help explain this situation. High repetition and dropout rates mark the country's education system, making it crucial to develop strategies and measures that will assure that students learn effectively. Nevertheless, Brazil's decentralised education system makes it hard to put in practice national changes and implement policies that could help improve the quality of education. Drawn widely from analysis of figures from the Brazilian 2005 school census, the findings revealed that there are many issues that still need to be addressed in order to guarantee that Brazilian students have an equal and just opportunity to learn.Item Consumer behaviour concerning food safety in Brazil and New Zealand : modelling food safety risk in the home : a thesis presented in partial fulfilment of the requirements for the degree of Doctor of Philosophy in Food Technology (Food Safety) at Massey University, Manawatu, New Zealand(Massey University, 2016) Olinto da Motta, Sergio PauloFoodborne illnesses are among the most widespread public health issues, killing about 2.2 million people annually worldwide, and costing hundreds of billions of US dollars for governments, companies, families and consumers. In Brazil, foodborne illness in the home accounts for 44% of identified disease outbreaks and in New Zealand it represents 27% of notifiable disease outbreaks. Several studies have investigated aspects of consumer behaviour concerning food safety, but it remains a challenge to obtain a full picture of critical control points (CCPs) and key factors contributing to food contamination, pathogen growth or survival, when the food is under the consumer’s responsibility. This study aimed to assess threats to food safety in the home in Brazil and New Zealand. From August 2011 to March 2012, survey questionnaires from 2,775 consumers most responsible for cooking in the home in Brazil were collected. From September 2012 to November 2012, 658 households in New Zealand responded to the same survey. Both surveys found similar CCPs with the potential to threaten food safety in the domestic environment – food preparation, cooking and handling leftovers. Information from New Zealand suggests that choosing and purchasing food, and for Brazil food transportation, are also steps of concern. The age, marital status, gender, ethnicity, first-aid in response to illness and the way a person learned to cook had a significant influence in the risky practices of consumers in both countries, suggesting that similar consumer behaviour concerning food safety can be found in countries of substantially different degrees of economic development and culture. The young, the men, socioeconomic minorities, people most susceptible to illness and ethnic groups were people of most concern, often ranked at-risk, demanding special attention of public health authorities in both countries. The CCPs of most concern and contributing factors identified in this study were officially reported in New Zealand, helping to validate the methodology used in this study and its possible use in other countries. Furthermore, food safety educational campaigns built on the steps of most concern and groups ranked at moderate or high risk, have the potential to be most effective in reducing food poisoning in the home.