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  1. Article ; Online: Geographic heterogeneity of the epidemiological impact of the COVID-19 pandemic in Italy using a socioeconomic proxy-based classification of the national territory.

    Petrelli, Alessio / Ventura, Martina / Di Napoli, Anteo / Mateo-Urdiales, Alberto / Pezzotti, Patrizio / Fabiani, Massimo

    Frontiers in public health

    2023  Volume 11, Page(s) 1143189

    Abstract: Objectives: This study aimed to evaluate the differences in incidence, non-intensive care unit (non-ICU) and intensive care unit (ICU) hospital admissions, and COVID-19-related mortality between the "inner areas" of Italy and its metropolitan areas.: ... ...

    Abstract Objectives: This study aimed to evaluate the differences in incidence, non-intensive care unit (non-ICU) and intensive care unit (ICU) hospital admissions, and COVID-19-related mortality between the "inner areas" of Italy and its metropolitan areas.
    Study design: Retrospective population-based study conducted from the beginning of the pandemic in Italy (20 February 2020) to 31 March 2022.
    Methods: The municipalities of Italy were classified into metropolitan areas, peri-urban/intermediate areas and "inner areas" (peripheral/ultra-peripheral). The exposure variable was residence in an "inner area" of Italy. Incidence of diagnosis of SARS-CoV-2 infection, non-ICU and ICU hospital admissions and death within 30 days from diagnosis were the outcomes of the study. COVID-19 vaccination access was also evaluated. Crude and age-standardized rates were calculated for all the study outcomes. The association between the type of area of residence and each outcome under study was evaluated by calculating the ratios between the standardized rates. All the analyses were stratified by period of observation (original Wuhan strain, Alpha variant, Delta variant, Omicron variant).
    Results: Incidence and non-ICUs admissions rates were lower in "inner areas." ICU admission and mortality rates were much lower in "inner areas" in the early phases of the pandemic, but this protection progressively diminished, with a slight excess risk observed in the "inner areas" during the Omicron period. The greater vaccination coverage in metropolitan areas may explain this trend.
    Conclusion: Prioritizing healthcare planning through the strengthening of the primary prevention policies in the peripheral areas of Italy is fundamental to guarantee health equity policies.
    MeSH term(s) Humans ; COVID-19/epidemiology ; Pandemics ; SARS-CoV-2 ; Retrospective Studies ; COVID-19 Vaccines ; Socioeconomic Factors
    Chemical Substances COVID-19 Vaccines
    Language English
    Publishing date 2023-04-21
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2711781-9
    ISSN 2296-2565 ; 2296-2565
    ISSN (online) 2296-2565
    ISSN 2296-2565
    DOI 10.3389/fpubh.2023.1143189
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Socioeconomic Inequalities in SARS-CoV-2 Infection and COVID-19 Health Outcomes in Urban Italy During the COVID-19 Vaccine Rollout, January-November 2021.

    Fotakis, Emmanouil Alexandros / Mateo-Urdiales, Alberto / Fabiani, Massimo / Sacco, Chiara / Petrone, Daniele / Riccardo, Flavia / Bella, Antonino / Pezzotti, Patrizio

    Journal of urban health : bulletin of the New York Academy of Medicine

    2024  Volume 101, Issue 2, Page(s) 289–299

    Abstract: This study analysed the evolution of the association of socioeconomic deprivation (SED) with SARS-CoV-2 infection and COVID-19 outcomes in urban Italy during the vaccine rollout in 2021. We conducted a retrospective cohort analysis between January and ... ...

    Abstract This study analysed the evolution of the association of socioeconomic deprivation (SED) with SARS-CoV-2 infection and COVID-19 outcomes in urban Italy during the vaccine rollout in 2021. We conducted a retrospective cohort analysis between January and November 2021, comprising of 16,044,530 individuals aged ≥ 20 years, by linking national COVID-19 surveillance system data to the Italian SED index calculated at census block level. We estimated incidence rate ratios (IRRs) of infection and severe COVID-19 outcomes by SED tercile relative to the least deprived tercile, over three periods defined as low (0-10%); intermediate (> 10-60%) and high (> 60-74%) vaccination coverage. We found patterns of increasing relative socioeconomic inequalities in infection, hospitalisation and death as COVID-19 vaccination coverage increased. Between the low and high coverage periods, IRRs for the most deprived areas increased from 1.09 (95%CI 1.03-1.15) to 1.28 (95%CI 1.21-1.37) for infection; 1.48 (95%CI 1.36-1.61) to 2.02 (95%CI 1.82-2.25) for hospitalisation and 1.57 (95%CI 1.36-1.80) to 1.89 (95%CI 1.53-2.34) for death. Deprived populations in urban Italy should be considered as vulnerable groups in future pandemic preparedness plans to respond to COVID-19 in particular during mass vaccination roll out phases with gradual lifting of social distancing measures.
    MeSH term(s) Humans ; COVID-19/epidemiology ; COVID-19/prevention & control ; Italy/epidemiology ; Middle Aged ; Retrospective Studies ; COVID-19 Vaccines/administration & dosage ; Male ; Female ; Adult ; Socioeconomic Factors ; Aged ; SARS-CoV-2 ; Hospitalization/statistics & numerical data ; Vaccination Coverage/statistics & numerical data ; Health Status Disparities ; Urban Population/statistics & numerical data ; Young Adult
    Chemical Substances COVID-19 Vaccines
    Language English
    Publishing date 2024-03-18
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1435288-6
    ISSN 1468-2869 ; 1099-3460
    ISSN (online) 1468-2869
    ISSN 1099-3460
    DOI 10.1007/s11524-024-00844-0
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  3. Article ; Online: Effect of an enhanced public health contact tracing intervention on the secondary transmission of SARS-CoV-2 in educational settings: The four-way decomposition analysis.

    Djuric, Olivera / Larosa, Elisabetta / Cassinadri, Mariateresa / Cilloni, Silvia / Bisaccia, Eufemia / Pepe, Davide / Bonvicini, Laura / Vicentini, Massimo / Venturelli, Francesco / Giorgi Rossi, Paolo / Pezzotti, Patrizio / Mateo Urdiales, Alberto / Bedeschi, Emanuela

    eLife

    2024  Volume 13

    Abstract: Background: The aim of our study was to test the hypothesis that the community contact tracing strategy of testing contacts in households immediately instead of at the end of quarantine had an impact on the transmission of SARS-CoV-2 in schools in ... ...

    Abstract Background: The aim of our study was to test the hypothesis that the community contact tracing strategy of testing contacts in households immediately instead of at the end of quarantine had an impact on the transmission of SARS-CoV-2 in schools in Reggio Emilia Province.
    Methods: We analysed surveillance data on notification of COVID-19 cases in schools between 1 September 2020 and 4 April 2021. We have applied a mediation analysis that allows for interaction between the intervention (before/after period) and the mediator.
    Results: Median tracing delay decreased from 7 to 3.1 days and the percentage of the known infection source increased from 34-54.8% (incident rate ratio-IRR 1.61 1.40-1.86). Implementation of prompt contact tracing was associated with a 10% decrease in the number of secondary cases (excess relative risk -0.1 95% CI -0.35-0.15). Knowing the source of infection of the index case led to a decrease in secondary transmission (IRR 0.75 95% CI 0.63-0.91) while the decrease in tracing delay was associated with decreased risk of secondary cases (1/IRR 0.97 95% CI 0.94-1.01 per one day of delay). The direct effect of the intervention accounted for the 29% decrease in the number of secondary cases (excess relative risk -0.29 95%-0.61 to 0.03).
    Conclusions: Prompt contact testing in the community reduces the time of contact tracing and increases the ability to identify the source of infection in school outbreaks. Although there are strong reasons for thinking it is a causal link, observed differences can be also due to differences in the force of infection and to other control measures put in place.
    Funding: This project was carried out with the technical and financial support of the Italian Ministry of Health - CCM 2020 and Ricerca Corrente Annual Program 2023.
    MeSH term(s) Humans ; Public Health ; SARS-CoV-2 ; Contact Tracing ; COVID-19/epidemiology ; COVID-19/prevention & control ; Educational Status
    Language English
    Publishing date 2024-02-28
    Publishing country England
    Document type Journal Article
    ZDB-ID 2687154-3
    ISSN 2050-084X ; 2050-084X
    ISSN (online) 2050-084X
    ISSN 2050-084X
    DOI 10.7554/eLife.85802
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Excess Mortality During 2020 in Spain: The Most Affected Population, Age, and Educational Group by the COVID-19 Pandemic.

    Pulido, José / Barrio, Gregorio / Donat, Marta / Politi, Julieta / Moreno, Almudena / Cea-Soriano, Lucía / Guerras, Juan Miguel / Huertas, Lidia / Mateo-Urdiales, Alberto / Ronda, Elena / Martínez, David / Lostao, Lourdes / Belza, María José / Regidor, Enrique

    Disaster medicine and public health preparedness

    2024  Volume 18, Page(s) e27

    Abstract: Objective: The objective of this work was to study mortality increase in Spain during the first and second academic semesters of 2020, coinciding with the first 2 waves of the Covid-19 pandemic; by sex, age, and education.: Methods: An observational ... ...

    Abstract Objective: The objective of this work was to study mortality increase in Spain during the first and second academic semesters of 2020, coinciding with the first 2 waves of the Covid-19 pandemic; by sex, age, and education.
    Methods: An observational study was carried out, using linked populations and deaths' data from 2017 to 2020. The mortality rates from all causes and leading causes other than Covid-19 during each semester of 2020, compared to the 2017-2019 averages for the same semester, was also estimated. Mortality rate ratios (MRR) and differences were used for comparison.
    Results: All-cause mortality rates increased in 2020 compared to pre-covid, except among working-age, (25-64 years) highly-educated women. Such increases were larger in lower-educated people between the working age range, in both 2020 semesters, but not at other ages. In the elderly, the MMR in the first semester in women and men were respectively, 1.14, and 1.25 among lower-educated people, and 1.28 and 1.23 among highly-educated people. In the second semester, the MMR were 1.12 in both sexes among lower-educated people and 1.13 in women and 1.16 in men among highly-educated people.
    Conclusion: Lower-educated people within working age and highly-educated people at older ages showed the greatest increase in all-cause mortality in 2020, compared to the pre-pandemic period.
    MeSH term(s) Male ; Humans ; Female ; Aged ; Adult ; Middle Aged ; COVID-19/epidemiology ; Pandemics ; Spain/epidemiology ; Educational Status ; Mortality
    Language English
    Publishing date 2024-02-19
    Publishing country United States
    Document type Observational Study ; Journal Article
    ZDB-ID 2375268-3
    ISSN 1938-744X ; 1935-7893
    ISSN (online) 1938-744X
    ISSN 1935-7893
    DOI 10.1017/dmp.2024.17
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  5. Article ; Online: Effectiveness of the Comirnaty (BNT162b2, BioNTech/Pfizer) vaccine in preventing SARS-CoV-2 infection among healthcare workers, Treviso province, Veneto region, Italy, 27 December 2020 to 24 March 2021.

    Fabiani, Massimo / Ramigni, Mauro / Gobbetto, Valentina / Mateo-Urdiales, Alberto / Pezzotti, Patrizio / Piovesan, Cinzia

    Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin

    2021  Volume 26, Issue 17

    Abstract: Data on effectiveness of the BioNTech-/Pfizer COVID-19 vaccine in real-world settings are limited. In a study of 6,423 healthcare workers in Treviso Province, Italy, we estimated that, within the time intervals of 14-21 days from the first and at least 7 ...

    Abstract Data on effectiveness of the BioNTech-/Pfizer COVID-19 vaccine in real-world settings are limited. In a study of 6,423 healthcare workers in Treviso Province, Italy, we estimated that, within the time intervals of 14-21 days from the first and at least 7 days from the second dose, vaccine effectiveness in preventing SARS-CoV-2 infection was 84% (95% confidence interval (CI): 40-96) and 95% (95% CI: 62-99), respectively. These results could support the ongoing vaccination campaigns by providing evidence for targeted communication.
    MeSH term(s) BNT162 Vaccine ; COVID-19 ; COVID-19 Vaccines ; Health Personnel ; Humans ; Italy/epidemiology ; SARS-CoV-2 ; Vaccines
    Chemical Substances COVID-19 Vaccines ; Vaccines ; BNT162 Vaccine (N38TVC63NU)
    Language English
    Publishing date 2021-04-29
    Publishing country Sweden
    Document type Journal Article
    ZDB-ID 1338803-4
    ISSN 1560-7917 ; 1025-496X
    ISSN (online) 1560-7917
    ISSN 1025-496X
    DOI 10.2807/1560-7917.ES.2021.26.17.2100420
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Estimated Effectiveness of a Primary Cycle of Protein Recombinant Vaccine NVX-CoV2373 Against COVID-19.

    Mateo-Urdiales, Alberto / Sacco, Chiara / Petrone, Daniele / Bella, Antonino / Riccardo, Flavia / Del Manso, Martina / Bressi, Marco / Siddu, Andrea / Brusaferro, Silvio / Palamara, Anna Teresa / Rezza, Giovanni / Pezzotti, Patrizio / Fabiani, Massimo

    JAMA network open

    2023  Volume 6, Issue 10, Page(s) e2336854

    Abstract: Importance: Protein recombinant vaccine NVX-CoV2373 (Novavax) against COVID-19 was authorized for its use in adults in late 2021, but evidence on its estimated effectiveness in a general population is lacking.: Objective: To estimate vaccine ... ...

    Abstract Importance: Protein recombinant vaccine NVX-CoV2373 (Novavax) against COVID-19 was authorized for its use in adults in late 2021, but evidence on its estimated effectiveness in a general population is lacking.
    Objective: To estimate vaccine effectiveness of a primary cycle with NVX-CoV2373 against SARS-CoV-2 infection and symptomatic COVID-19.
    Design, setting, and participants: Retrospective cohort study linking data from the national vaccination registry and the COVID-19 surveillance system in Italy during a period of Omicron predominance. All adults starting a primary vaccination with NVX-CoV2373 between February 28 and September 4, 2022, were included, with follow-up ending on September 25, 2022. Data were analyzed in February 2023.
    Exposures: Partial (1 dose only) vaccination and full vaccination (2 doses) with NVX-CoV-2373.
    Main outcomes and measures: Notified SARS-CoV-2 infection and symptomatic COVID-19. Poisson regression models were used to estimate effectiveness against both outcomes. Adjusted estimated vaccine effectiveness was calculated as (1 - incidence rate ratio) × 100.
    Results: The study included 20 903 individuals who started the primary cycle during the study period. Median (IQR) age of participants was 52 (39-61) years, 10 794 (51.6%) were female, and 20 592 participants (98.5%) had no factors associated with risk for severe COVID-19. Adjusted estimated vaccine effectiveness against notified SARS-CoV-2 infection in those partially vaccinated with NVX-CoV2373 was 23% (95% CI, 13%-33%) and was 31% (95% CI, 22%-39%) in those fully vaccinated. Estimated vaccine effectiveness against symptomatic COVID-19 was 31% (95% CI, 16%-44%) in those partially vaccinated and 50% (95% CI, 40%-58%) in those fully vaccinated. Estimated effectiveness during the first 4 months after completion of the primary cycle decreased against SARS-CoV-2 infection but remained stable against symptomatic COVID-19.
    Conclusions and relevance: This cohort study found that, in an Omicron-dominant period, protein recombinant vaccine NVX-CoV2373 was associated with protection against SARS-CoV-2 infection and symptomatic COVID-19. The use of this vaccine could remain an important element in reducing the impact of the SARS-CoV-2 pandemic.
    MeSH term(s) Adult ; Humans ; Female ; Middle Aged ; Male ; COVID-19/epidemiology ; COVID-19/prevention & control ; Cohort Studies ; Retrospective Studies ; SARS-CoV-2/genetics ; Vaccines, Synthetic
    Chemical Substances NVX-CoV2373 adjuvated lipid nanoparticle (2SCD8Q63PF) ; Vaccines, Synthetic
    Language English
    Publishing date 2023-10-02
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 2574-3805
    ISSN (online) 2574-3805
    DOI 10.1001/jamanetworkopen.2023.36854
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  7. Article ; Online: Rapid initiation of antiretroviral therapy for people living with HIV.

    Mateo-Urdiales, Alberto / Johnson, Samuel / Smith, Rhodine / Nachega, Jean B / Eshun-Wilson, Ingrid

    The Cochrane database of systematic reviews

    2019  Volume 6, Page(s) CD012962

    Abstract: Background: Despite antiretroviral therapy (ART) being widely available, HIV continues to cause substantial illness and premature death in low-and-middle-income countries. High rates of loss to follow-up after HIV diagnosis can delay people starting ART. ...

    Abstract Background: Despite antiretroviral therapy (ART) being widely available, HIV continues to cause substantial illness and premature death in low-and-middle-income countries. High rates of loss to follow-up after HIV diagnosis can delay people starting ART. Starting ART within seven days of HIV diagnosis (rapid ART initiation) could reduce loss to follow-up, improve virological suppression rates, and reduce mortality.
    Objectives: To assess the effects of interventions for rapid initiation of ART (defined as offering ART within seven days of HIV diagnosis) on treatment outcomes and mortality in people living with HIV. We also aimed to describe the characteristics of rapid ART interventions used in the included studies.
    Search methods: We searched CENTRAL, the Cochrane Database of Systematic Reviews, MEDLINE, Embase, and four other databases up to 14 August 2018. There was no restriction on date, language, or publication status. We also searched ClinicalTrials.gov and the World Health Organization (WHO) International Clinical Trials Registry Platform, and websites for unpublished literature, including conference abstracts.
    Selection criteria: We included randomized controlled trials (RCTs) that compared rapid ART versus standard care in people living with HIV. Children, adults, and adolescents from any setting were eligible for inclusion.
    Data collection and analysis: Two review authors independently assessed the eligibility of the studies identified in the search, assessed the risk of bias and extracted data. The primary outcomes were mortality and virological suppression at 12 months. We have presented all outcomes using risk ratios (RR), with 95% confidence intervals (CIs). Where appropriate, we pooled the results in meta-analysis. We assessed the certainty of the evidence using the GRADE approach.
    Main results: We included seven studies with 18,011 participants in the review. All studies were carried out in low- and middle-income countries in adults aged 18 years old or older. Only one study included pregnant women.In all the studies, the rapid ART intervention was offered as part of a package that included several cointerventions targeting individuals, health workers and health system processes delivered alongside rapid ART that aimed to facilitate uptake and adherence to ART.Comparing rapid ART with standard initiation probably results in greater viral suppression at 12 months (RR 1.18, 95% CI 1.10 to 1.27; 2719 participants, 4 studies; moderate-certainty evidence) and better ART uptake at 12 months (RR 1.09, 95% CI 1.06 to 1.12; 3713 participants, 4 studies; moderate-certainty evidence), and may improve retention in care at 12 months (RR 1.22, 95% CI 1.11 to 1.35; 5001 participants, 6 studies; low-certainty evidence). Rapid ART initiation was associated with a lower mortality estimate, however the CIs included no effect when compared to standard of care (RR 0.72, 95% CI 0.51 to 1.01; 5451 participants, 7 studies; very low-certainty evidence). It is uncertain whether rapid ART has an effect on modification of ART treatment regimens as data are lacking (RR 7.89, 95% CI 0.76 to 81.74; 977 participants, 2 studies; very low-certainty evidence). There was insufficient evidence to draw conclusions on the occurrence of adverse events.
    Authors' conclusions: RCTs that include initiation of ART within one week of diagnosis appear to improve outcomes across the HIV treatment cascade in low- and middle-income settings. The studies demonstrating these effects delivered rapid ART combined with several setting-specific cointerventions. This highlights the need for pragmatic research to identify feasible packages that assure the effects seen in the trials when delivered through complex health systems.
    MeSH term(s) Adolescent ; Adult ; Anti-Retroviral Agents/adverse effects ; Anti-Retroviral Agents/therapeutic use ; Child ; Developing Countries ; Female ; HIV Infections/drug therapy ; HIV Infections/mortality ; Humans ; Male ; Medication Adherence/statistics & numerical data ; Pregnancy ; Pregnancy Complications, Infectious/drug therapy ; Randomized Controlled Trials as Topic/statistics & numerical data ; Time Factors ; Time-to-Treatment
    Chemical Substances Anti-Retroviral Agents
    Language English
    Publishing date 2019-06-17
    Publishing country England
    Document type Journal Article ; Meta-Analysis ; Research Support, Non-U.S. Gov't ; Systematic Review
    ISSN 1469-493X
    ISSN (online) 1469-493X
    DOI 10.1002/14651858.CD012962.pub2
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  8. Article ; Online: Relative vaccine effectiveness against COVID-19 hospitalisation in persons aged ≥ 65 years: results from a VEBIS network, Europe, October 2021 to July 2023.

    Fontán-Vela, Mario / Kissling, Esther / Nicolay, Nathalie / Braeye, Toon / Van Evercooren, Izaak / Holm Hansen, Christian / Emborg, Hanne-Dorthe / Fabiani, Massimo / Mateo-Urdiales, Alberto / AlKerwi, Ala'a / Schmitz, Susanne / Castilla, Jesús / Martínez-Baz, Iván / de Gier, Brechje / Hahné, Susan / Meijerink, Hinta / Starrfelt, Jostein / Nunes, Baltazar / Caetano, Constantino /
    Derrough, Tarik / Nardone, Anthony / Monge, Susana

    Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin

    2024  Volume 29, Issue 1

    Abstract: To monitor relative vaccine effectiveness (rVE) against COVID-19-related hospitalisation of the first, second and third COVID-19 booster (vs complete primary vaccination), we performed monthly Cox regression models using retrospective cohorts constructed ...

    Abstract To monitor relative vaccine effectiveness (rVE) against COVID-19-related hospitalisation of the first, second and third COVID-19 booster (vs complete primary vaccination), we performed monthly Cox regression models using retrospective cohorts constructed from electronic health registries in eight European countries, October 2021-July 2023. Within 12 weeks of administration, each booster showed high rVE (≥ 70% for second and third boosters). However, as of July 2023, most of the relative benefit has waned, particularly in persons ≥ 80-years-old, while some protection remained in 65-79-year-olds.
    MeSH term(s) Humans ; Aged, 80 and over ; COVID-19/epidemiology ; COVID-19/prevention & control ; Retrospective Studies ; Vaccine Efficacy ; Europe/epidemiology ; Hospitalization
    Language English
    Publishing date 2024-01-04
    Publishing country Sweden
    Document type Journal Article
    ZDB-ID 1338803-4
    ISSN 1560-7917 ; 1025-496X
    ISSN (online) 1560-7917
    ISSN 1025-496X
    DOI 10.2807/1560-7917.ES.2024.29.1.2300670
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  9. Article ; Online: Malaria prevention in the older traveller: a systematic review.

    Del Prete, Viola / Mateo-Urdiales, Alberto / Bueno-Cavanillas, Aurora / Ferrara, Pietro

    Journal of travel medicine

    2019  Volume 26, Issue 7

    Abstract: Older travellers are at higher risk of malaria-related morbidity and mortality compared with younger people. Yet, prevention of malaria in this specific group of travellers is a long-standing issue in travel medicine. The aim of this research was to ... ...

    Abstract Older travellers are at higher risk of malaria-related morbidity and mortality compared with younger people. Yet, prevention of malaria in this specific group of travellers is a long-standing issue in travel medicine. The aim of this research was to synthetize the existing evidence about this important topic, highlighting older travellers' attitudes and practises toward malaria prevention. Searches were performed on PubMed, Embase, EuropePMC, Web of Science, WHOLIS and LILACS databases for relevant studies reporting malaria prevention measures in older travellers. To measure malaria prevention in the older traveller population, the main information outcomes were obtained from the ABCD framework that included travellers' 'Awareness' towards pre-travel health advice, their utilisation of 'Bite-prevention measures' and adherence to 'Chemoprophylaxis'. Data on 'Diagnosis'-related outcomes were excluded for not being measures of malaria prevention. Three evaluators independently selected studies, extracted data and assessed the quality of the included articles. The research protocol was registered with PROSPERO (protocol number CRD42019124202). Out of the 899 titles and abstracts screened, 13 articles were included in this review synthesis. These studies included a wide range of interventions for malaria prevention: no relevant differences in pre-travel healthcare attendance were found depending on age; older travellers were found to be less likely to comply with bite-prevention measures; three high-quality studies reported that adherence to chemoprophylaxis significantly increased with age, while three studies did not find age-related differences in travellers' adherence. Overall, prevention of malaria in the older traveller has received limited attention from the scientific community. Older travellers seem to be less likely to comply with bite-prevention measures, but there was high heterogeneity across the reports. This population group demands particular attention and tailored health advice before travelling to malaria endemic areas. More research is required on how to improve malaria prevention in the older traveller.
    MeSH term(s) Antimalarials/therapeutic use ; Chemoprevention/methods ; Global Health ; Health Knowledge, Attitudes, Practice ; Humans ; Incidence ; Malaria/epidemiology ; Malaria/prevention & control ; Surveys and Questionnaires ; Travel
    Chemical Substances Antimalarials
    Language English
    Publishing date 2019-09-11
    Publishing country England
    Document type Journal Article ; Systematic Review
    ZDB-ID 1212504-0
    ISSN 1708-8305 ; 1195-1982
    ISSN (online) 1708-8305
    ISSN 1195-1982
    DOI 10.1093/jtm/taz067
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  10. Article ; Online: Effectiveness of XBB.1.5 Monovalent COVID-19 Vaccines During a Period of XBB.1.5 Dominance in EU/EEA Countries, October to November 2023: A VEBIS-EHR Network Study.

    Monge, Susana / Humphreys, James / Nicolay, Nathalie / Braeye, Toon / Van Evercooren, Izaak / Holm Hansen, Christian / Emborg, Hanne-Dorthe / Sacco, Chiara / Mateo-Urdiales, Alberto / Castilla, Jesús / Martínez-Baz, Iván / de Gier, Brechje / Hahné, Susan / Meijerink, Hinta / Kristoffersen, Anja Bråthen / Machado, Ausenda / Soares, Patricia / Nardone, Anthony / Bacci, Sabrina /
    Kissling, Esther / Nunes, Baltazar

    Influenza and other respiratory viruses

    2024  Volume 18, Issue 4, Page(s) e13292

    Abstract: Using a common protocol across seven countries in the European Union/European Economic Area, we estimated XBB.1.5 monovalent vaccine effectiveness (VE) against COVID-19 hospitalisation and death in booster-eligible ≥ 65-year-olds, during October-November ...

    Abstract Using a common protocol across seven countries in the European Union/European Economic Area, we estimated XBB.1.5 monovalent vaccine effectiveness (VE) against COVID-19 hospitalisation and death in booster-eligible ≥ 65-year-olds, during October-November 2023. We linked electronic records to construct retrospective cohorts and used Cox models to estimate adjusted hazard ratios and derive VE. VE for COVID-19 hospitalisation and death was, respectively, 67% (95%CI: 58-74) and 67% (95%CI: 42-81) in 65- to 79-year-olds and 66% (95%CI: 57-73) and 72% (95%CI: 51-85) in ≥ 80-year-olds. Results indicate that periodic vaccination of individuals ≥ 65 years has an ongoing benefit and support current vaccination strategies in the EU/EEA.
    MeSH term(s) Humans ; COVID-19/prevention & control ; COVID-19/epidemiology ; Aged ; Male ; Aged, 80 and over ; Female ; COVID-19 Vaccines/immunology ; COVID-19 Vaccines/administration & dosage ; Retrospective Studies ; European Union ; Hospitalization/statistics & numerical data ; SARS-CoV-2/immunology ; Vaccine Efficacy ; Vaccination/statistics & numerical data ; Europe/epidemiology ; Electronic Health Records
    Chemical Substances COVID-19 Vaccines
    Language English
    Publishing date 2024-04-23
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2274538-5
    ISSN 1750-2659 ; 1750-2640
    ISSN (online) 1750-2659
    ISSN 1750-2640
    DOI 10.1111/irv.13292
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