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Article ; Online: Spatio-temporal dynamics of dengue-related deaths and associated factors.

Santana, Lidia Maria Reis / Baquero, Oswaldo Santos / Maeda, Adriana Yurika / Nogueira, Juliana Silva / Chiaravalloti Neto, Francisco

Revista do Instituto de Medicina Tropical de Sao Paulo

2022 Volume 64, Page(s) e30

Abstract: Since the reintroduction of dengue viruses in 1987, Sao Paulo State (SP), Brazil, has experienced recurrent epidemics in a growing number of municipalities, each time with more cases and deaths. In the present study, we investigated the spatio-temporal ... ...

Abstract	Since the reintroduction of dengue viruses in 1987, Sao Paulo State (SP), Brazil, has experienced recurrent epidemics in a growing number of municipalities, each time with more cases and deaths. In the present study, we investigated the spatio-temporal dynamics of dengue-related deaths and associated factors in SP. This was an ecological study with spatial and temporal components, based on notified dengue-related deaths in the municipalities of SP between 2007 and 2017. A latent Gaussian Bayesian model with Poisson probability distribution was used to estimate the standardized mortality ratios (SMR) for dengue and relative risks (RR) for the socioeconomic, demographic, healthcare-related, and epidemiological factors considered. Epidemiological factors included the annual information on the number of circulating serotypes. A total of 1,019 dengue-related deaths (0.22 per 100,000 inhabitant-years) between 2007 and 2017 were confirmed in SP by laboratory testing. Mortality increased with age, peaking at 70 years or older (1.41 deaths per 100,000 inhabitant-years). Mortality was highest in 2015, and the highest SMR values were found in the North, Northwest, West, and coastal regions of SP. An increase of one circulating serotype, one standard deviation in the number of years with cases, and one standard deviation in the degree of urbanization were associated with increases of 75, 35, and 45% in the risk of death from dengue, respectively. The risk of death from dengue increased with age, and the distribution of deaths was heterogeneous in space and time. The positive relationship found between the number of dengue serotypes circulating and years with cases at the municipality/micro-region level indicates that this information can be used to identify risk areas, intensify surveillance and control measures, and organize healthcare to better respond to this disease.
MeSH term(s)	Aged ; Bayes Theorem ; Brazil/epidemiology ; Cities ; Dengue/epidemiology ; Humans ; Spatio-Temporal Analysis
Language	English
Publishing date	2022-04-04
Publishing country	Brazil
Document type	Journal Article
ZDB-ID	128928-7
ISSN	1678-9946 ; 0036-4665
ISSN (online)	1678-9946
ISSN	0036-4665
DOI	10.1590/S1678-9946202264030
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Article ; Online: The search for yellow fever virus vaccine in breast milk of inadvertently vaccinated women in Brazil.

Fernandes, Eder Gatti / Nogueira, Juliana Silva / Porto, Victor Bertollo Gomes / Sato, Helena Keico

Revista do Instituto de Medicina Tropical de Sao Paulo

2020 Volume 62, Page(s) e33

Abstract: Eleven lactating women were inadvertently vaccinated with 17DD yellow fever vaccine in a small city of Sao Paulo State, Brazil. Their infants were being exclusively breast-fed and the breastfeeding was interrupted for 10 days. Serum and breastmilk were ... ...

Abstract	Eleven lactating women were inadvertently vaccinated with 17DD yellow fever vaccine in a small city of Sao Paulo State, Brazil. Their infants were being exclusively breast-fed and the breastfeeding was interrupted for 10 days. Serum and breastmilk were collected from the vaccinated mothers and tested for the presence of genomic RNA of the vaccine strain 8, 10 and 15 days after vaccination. Viral RNA was not detected in any of the serum and human milk samples tested and the infants remained asymptomatic. Our result strengthens the effectineness of stopping breastfeeding for 10 days after the inadvertent yellow fever vaccination of lactating women.
MeSH term(s)	Antibodies, Viral/blood ; Antigens, Viral/blood ; Brazil ; Breast Feeding/adverse effects ; Female ; Humans ; Infant, Newborn ; Milk, Human/virology ; RNA, Viral/blood ; Yellow Fever/prevention & control ; Yellow Fever/transmission ; Yellow Fever Vaccine/administration & dosage ; Yellow Fever Vaccine/adverse effects ; Yellow fever virus/immunology
Chemical Substances	Antibodies, Viral ; Antigens, Viral ; RNA, Viral ; Yellow Fever Vaccine
Language	English
Publishing date	2020-05-29
Publishing country	Brazil
Document type	Journal Article
ZDB-ID	128928-7
ISSN	1678-9946 ; 0036-4665
ISSN (online)	1678-9946
ISSN	0036-4665
DOI	10.1590/s1678-9946202062033
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Article ; Online: Yellow Fever Vaccine-Associated Viscerotropic Disease among Siblings, São Paulo State, Brazil.

Fernandes, Eder Gatti / Gomes Porto, Victor Bertollo / de Oliveira, Patrícia Mouta Nunes / Duarte-Neto, Amaro Nunes / de Sousa Maia, Maria de Lourdes / Lignani, Letícia Kegele / Nogueira, Juliana Silva / Teixeira, Gabriellen Vitiello / Iglezias, Silvia D'Andretta / Blanco, Roberta Morozetti / Sato, Helena Keico

Emerging infectious diseases

2023 Volume 29, Issue 3, Page(s) 493–500

Abstract: We describe 5 cases of yellow fever vaccine-associated viscerotropic disease (YEL-AVD) in 2 familial clusters during the 2017-2018 yellow fever (YF) vaccination campaign in São Paulo state, Brazil. The first case was that of a 40-year-old white man who ... ...

Abstract	We describe 5 cases of yellow fever vaccine-associated viscerotropic disease (YEL-AVD) in 2 familial clusters during the 2017-2018 yellow fever (YF) vaccination campaign in São Paulo state, Brazil. The first case was that of a 40-year-old white man who died of icterohemorrhagic syndrome, which was confirmed to be YEL-AVD by using real-time reverse transcription PCR to detect 17DD YF vaccine in the liver. Ten years previously, his brother died of a clinically similar disease without a confirmed diagnosis 9 days after YF vaccination. The second cluster included 3 of 9 siblings in whom hepatitis developed in the first week after receiving fractionated doses of YF vaccine. Two of them died of hemorrhagic diathesis and renal and respiratory failure, and 17DD-YF vaccine was detected in serum samples from all patients and in the liver in 1 case. Genetic factors might play a substantial role in the incidence of YEL-AVD.
MeSH term(s)	Male ; Humans ; Adult ; Yellow Fever Vaccine ; Siblings ; Brazil ; Yellow Fever/epidemiology ; Vaccination ; Antigens, Viral
Chemical Substances	Yellow Fever Vaccine ; Antigens, Viral
Language	English
Publishing date	2023-03-07
Publishing country	United States
Document type	Case Reports ; Journal Article ; Review
ZDB-ID	1380686-5
ISSN	1080-6059 ; 1080-6040
ISSN (online)	1080-6059
ISSN	1080-6040
DOI	10.3201/eid2903.220989
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Article ; Online: Anti-DENV-NS1 monoclonal antibody for the differential histopathological diagnosis of hemorrhagic fever caused by dengue.

Kanamura, Cristina Takami / Piazza, Roxane Maria Fontes / Iglézias, Silvia D 'Andretta / Borges, Cinthya Cirqueira / Sansone, Marcelo / Polatto, Juliana Moutinho / Teixeira, Dayane Lima / da Silva, Miriam Aparecida / Rocha, Leticia Barboza / Nogueira, Juliana Silva / Maeda, Adriana Yurika / da Silva Vasami, Fernanda Gisele

Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology

2022 Volume 53, Issue 2, Page(s) 777–783

Abstract: Dengue is the most prevalent arboviral disease in humans in tropical and subtropical regions, especially in urban areas, and can cause major epidemics. Although a self-limiting illness, it may sometimes have serious hemorrhagic manifestations, and the ... ...

Abstract	Dengue is the most prevalent arboviral disease in humans in tropical and subtropical regions, especially in urban areas, and can cause major epidemics. Although a self-limiting illness, it may sometimes have serious hemorrhagic manifestations, and the outcome of dengue hemorrhagic fever has similar clinical manifestations as in other infections, which could result in death. Therefore, autopsy procedures are required under certain circumstances such as in hemorrhagic fevers, sometimes to confirm or to clarify the diagnosis that may have epidemiological consequences. Normally, the Immunohistochemistry Laboratory of the Pathology Center of Adolfo Lutz Institute receives autopsy samples from different hospitals in Sao Paulo State to confirm a previous diagnosis, especially hemorrhagic fever of infectious etiology. For this diagnosis, we have been using a mouse polyclonal antibody to dengue virus that often does not provide a clear conclusion, because of background staining or no relevant immunostaining, which hampers the histopathological analysis. Accordingly, in the present study, anti-DENV-NS1 monoclonal antibody (4H2) was tested to determine its accuracy in immunohistochemical analysis. Twenty-four autopsy cases of hemorrhagic febrile syndrome showing histopathological alterations compatible with dengue disease were studied: twenty cases were confirmed by RT-PCR for DENV-2 and in four by RT-PCR for yellow fever virus. Samples from autopsied cases of deaths caused by other infectious diseases (two meningitis C and two severe acute respiratory syndrome caused by influenza A H1N1) were included as negative control cases. Positive immunostaining for DENV-NS1 was detected in 16/20 (80%) liver samples and 11/15 (73%) spleen samples from autopsied hemorrhagic dengue patients, whereas the polyclonal antibody detected DENV antigens in 12/20 (60%) liver and in 6/15 (40%) spleen samples from the same cases. Positive results were not obtained with liver biopsy samples from yellow fever or Neisseria meningitides and Flu-A cases. 4H2 mAb recognizes the native protein of the four DENV serotypes in infected cells and did not cross-react with native ZIKV- or CHKV-infected cells by immunohistochemical assay, so it is a useful tool for differential histopathological conclusion of acute febrile hemorrhagic deaths.
MeSH term(s)	Antibodies, Monoclonal ; Antibodies, Viral ; Brazil ; Dengue/diagnosis ; Dengue Virus ; Humans ; Influenza A Virus, H1N1 Subtype ; Viral Nonstructural Proteins ; Zika Virus ; Zika Virus Infection
Chemical Substances	Antibodies, Monoclonal ; Antibodies, Viral ; Viral Nonstructural Proteins
Language	English
Publishing date	2022-02-07
Publishing country	Brazil
Document type	Journal Article
ZDB-ID	2017175-4
ISSN	1678-4405 ; 1517-8382
ISSN (online)	1678-4405
ISSN	1517-8382
DOI	10.1007/s42770-022-00697-2
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Article ; Online: Detection of Wild-type Yellow Fever Virus in Breast Milk.

Ribeiro, Ana Freitas / Brasil, Lucas Mendes Cunha de Resende / Prada, Renato Martins / Nogueira, Juliana Silva / Maeda, Adriana Yurika / Sztajnbok, Jaques

The Pediatric infectious disease journal

2019 Volume 39, Issue 1, Page(s) 68–69

Abstract: Yellow fever is an endemic disease in tropical areas in America and Africa. We report a case where the wild-type yellow fever virus was detected in a breast milk sample of a 33-year-old woman, from a rural area in the municipality of São Paulo, thus ... ...

Abstract	Yellow fever is an endemic disease in tropical areas in America and Africa. We report a case where the wild-type yellow fever virus was detected in a breast milk sample of a 33-year-old woman, from a rural area in the municipality of São Paulo, thus highlighting a potential risk for transmission of yellow fever virus through breast-feeding.
MeSH term(s)	Adult ; Biomarkers ; Brazil ; Female ; Humans ; Milk, Human/virology ; Yellow Fever/diagnosis ; Yellow Fever/virology ; Yellow fever virus
Chemical Substances	Biomarkers
Language	English
Publishing date	2019-11-13
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	392481-6
ISSN	1532-0987 ; 0891-3668
ISSN (online)	1532-0987
ISSN	0891-3668
DOI	10.1097/INF.0000000000002496
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Zs.A 1852: Show issues

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Article ; Online: Detection and characterization of Ilheus and Iguape virus genomes in historical mosquito samples from Southern Brazil.

Cunha, Mariana Sequetin / Luchs, Adriana / da Costa, Antonio Charlys / Ribeiro, Geovani de Oliveira / Dos Santos, Fabiana Cristina Pereira / Nogueira, Juliana Silva / Komninakis, Shirley Vasconcelos / Marinho, Robson Dos Santos Souza / Witkin, Steven S / Villanova, Fabiola / Deng, Xutao / Sabino, Ester Cerdeira / Delwart, Eric / Leal, Élcio / Nogueira, Maurício Lacerda / Maiorka, Paulo César

Acta tropica

2020 Volume 205, Page(s) 105401

Abstract: In Brazil, flaviviruses have caused massive outbreaks. Surveillance programs designed to monitor virus activity in vectors provides a system for mapping disease distribution and for identifying specific vector species for targeted control. The present ... ...

Abstract	In Brazil, flaviviruses have caused massive outbreaks. Surveillance programs designed to monitor virus activity in vectors provides a system for mapping disease distribution and for identifying specific vector species for targeted control. The present study aimed to describe the detection, whole genome characterization and phylogenetic analysis of Ilheus virus (ILHV) and Iguape virus (IGUV) strains obtained from historical mosquito's samples. Twelve isolates of pooled mosquito specimens (inoculated in neonate mouse brain) collected in the state of São Paulo, Brazil, in 1993, 1994 and 1997 were investigated. Viral RNA was extracted and analyzed by qRT-PCR using Flavivirus genus-specific primers. Positive samples were sequenced and underwent phylogenetic analyses. Flavivirus was detected in 50% of the specimens. Positive samples were successfully Sanger sequenced. Three Anopholes cruzii pools collected in 1994 were positive for IGUV. One Culex sp. pool, one Anopheles triannulatus pool, and one Coquillettidia juxtamansonia pool, collected in 1994, were positive for ILHV. Metagenomic sequencing successfully characterize one ILHV and four IGUV full genomes, and revealed a high degree of homology between the Brazilian ILHV and IGUV strains and isolates available in GenBank. Phylogenetic analysis of partial ILHV NS5 gene revealed three distinct lineages (clades), an indication of genetic heterogeneity in strains circulating in Brazil. Nucleotide insertions and a high-level of nucleotide diversity were observed in the NS1 protein and capsid region of IGUV strains, respectively. Detection of ILHV and IGUV in mosquitoes from Southeastern Brazil confirms the historical circulation of these viruses in this area. Furthermore, this first evidence of ILHV in Anopheles triannulatus suggests the potential importance of Anopheles mosquitoes in the IGUV transmission cycle. Genomic and phylogenetic analysis of these viruses provided insights into their diversity and evolution, which are important for the emergence patterns of flaviviruses and their evolutionary trends in Brazil, an endemic country for several arbovirus. in In-depth studies of ILHV and IGUV including vector competence and molecular studies are needed to shed light on their epidemiology and potential risk of future emergence.
MeSH term(s)	Animals ; Base Sequence ; Brazil/epidemiology ; Culicidae/virology ; Flaviviridae Infections/epidemiology ; Flaviviridae Infections/virology ; Flavivirus/genetics ; Flavivirus/isolation & purification ; Genome, Viral ; Mice ; Mosquito Vectors/virology ; Phylogeny ; RNA, Viral/genetics
Chemical Substances	RNA, Viral
Language	English
Publishing date	2020-02-18
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	210415-5
ISSN	1873-6254 ; 0001-706X
ISSN (online)	1873-6254
ISSN	0001-706X
DOI	10.1016/j.actatropica.2020.105401
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Article ; Online: First detection and molecular diversity of Brazilian bovine torovirus (BToV) strains from young and adult cattle.

Nogueira, Juliana Silva / Asano, Karen Miyuki / de Souza, Sibele Pinheiro / Brandão, Paulo Eduardo / Richtzenhain, Leonardo José

Research in veterinary science

2013 Volume 95, Issue 2, Page(s) 799–801

Abstract: Bovine torovirus (BToV) is an established enteric pathogen of cattle, but its occurrence in Brazilian cattle had not been reported until now. This article describes a survey on BToV in Brazil carried out on 80 fecal samples from diarrheic young and adult ...

Abstract	Bovine torovirus (BToV) is an established enteric pathogen of cattle, but its occurrence in Brazilian cattle had not been reported until now. This article describes a survey on BToV in Brazil carried out on 80 fecal samples from diarrheic young and adult cattle, using a nested-RT-PCR targeting the nucleocapsid (N) gene. BToV was detected in 6.25% (5/80) of stool samples from three different geographic regions. Sequences analysis showed that Brazilian BToVs have a high degree of identity with European and Japanese BToVs and a lower degree of identity with North American Breda 1 strain. These results show that, albeit its low frequency and the scarce number of research on the field, BToV is still present amongst cattle populations.
MeSH term(s)	Animals ; Brazil/epidemiology ; Cattle ; Europe/epidemiology ; Genetic Variation ; Japan/epidemiology ; Phylogeny ; Torovirus/classification ; Torovirus/genetics ; Torovirus Infections/epidemiology ; Torovirus Infections/veterinary ; Torovirus Infections/virology
Keywords	covid19
Language	English
Publishing date	2013-05-03
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	840961-4
ISSN	1532-2661 ; 0034-5288
ISSN (online)	1532-2661
ISSN	0034-5288
DOI	10.1016/j.rvsc.2013.04.006
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Article ; Online: Neurologic Disease after Yellow Fever Vaccination, São Paulo, Brazil, 2017-2018.

Ribeiro, Ana Freitas / Guedes, Bruno Fukelmann / Sulleiman, Jamal M A H / de Oliveira, Francisco Tomaz Meneses / de Souza, Izabel Oliva Marcilio / Nogueira, Juliana Silva / Marcusso, Rosa Maria Nascimento / Fernandes, Eder Gatti / do Olival, Guilherme Sciascia / de Figueiredo, Pedro Henrique Fonseca Moreira / Veiga, Ana Paula Rocha / Dahy, Flávia Esper / Ximenes, Natália Nasser / Pinto, Lecio Figueira / Vidal, José Ernesto / de Oliveira, Augusto Cesar Penalva

Emerging infectious diseases

2021 Volume 27, Issue 6

MeSH term(s)	Brazil ; Humans ; Nervous System Diseases ; Vaccination ; Yellow Fever
Language	English
Publishing date	2021-05-20
Publishing country	United States
Document type	Journal Article
ZDB-ID	1380686-5
ISSN	1080-6059 ; 1080-6040
ISSN (online)	1080-6059
ISSN	1080-6040
DOI	10.3201/eid2706.204170
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Article ; Online: The role of pregnant women with rash in the Zika virus sentinel surveillance.

Martins, Renata Soares / Fróes, Michele Higa / Saad, Leila Del Castillo / Ignácio Junior, Satiro Márcio / Prado, Walkiria Delnero Almeida / Figueiredo, Ernesto Machado / Souza, Renato Pereira de / Nogueira, Juliana Silva / Maeda, Adriana Yurika / Sato, Helena Keico / Paula, Regiane Cardoso de / Katz, Gizelda

Revista da Sociedade Brasileira de Medicina Tropical

2019 Volume 52, Page(s) e20180351

Abstract: Introduction: The state of São Paulo has been monitoring cases of microcephaly and pregnant women presenting with acute rash, through CeVeSP.: Methods: This was a descriptive study focusing on pregnant women with rash and the outcome of their ... ...

Abstract	Introduction: The state of São Paulo has been monitoring cases of microcephaly and pregnant women presenting with acute rash, through CeVeSP. Methods: This was a descriptive study focusing on pregnant women with rash and the outcome of their pregnancy, based on the notifications through the CeVeSP. Results: During 2016, 2,209 cases of pregnant women with rash were reported and investigated. Of these, 36.6% were confirmed. Of the pregnant women who tested positive for ZIKV, 6.4% did not have a favorable outcome. Conclusions: Our results allowed the characterization of pregnant women exposed to ZIKV and the outcome of pregnancy.
MeSH term(s)	Adolescent ; Adult ; Brazil/epidemiology ; Exanthema/diagnosis ; Exanthema/epidemiology ; Exanthema/virology ; Female ; Humans ; Pregnancy ; Pregnancy Complications, Infectious/diagnosis ; Pregnancy Complications, Infectious/epidemiology ; Sentinel Surveillance ; Young Adult ; Zika Virus Infection/diagnosis ; Zika Virus Infection/epidemiology
Language	English
Publishing date	2019-03-14
Publishing country	Brazil
Document type	Journal Article
ZDB-ID	1038126-0
ISSN	1678-9849 ; 0037-8682
ISSN (online)	1678-9849
ISSN	0037-8682
DOI	10.1590/0037-8682-0351-2018
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Article: Genomic evidence of yellow fever virus in Aedes scapularis, southeastern Brazil, 2016

Cunha, Mariana Sequetin / Faria, Nuno Rodrigues / Caleiro, Giovana Santos / Candido, Darlan Silva / Hill, Sarah C / Claro, Ingra Morales / da Costa, Antônio Charlys / Nogueira, Juliana Silva / Maeda, Adriana Yurika / da Silva, Fernanda Gisele / de Souza, Renato Pereira / Spinola, Roberta / Tubaki, Rosa Maria / de Menezes, Regiane Maria Tironi / Abade, Leandro / Mucci, Luís Filipe / Timenetsky, Maria do Carmo Sampaio Tavares / Sabino, Esther

Acta tropica. 2020 May, v. 205

2020

Abstract: The southeastern region of Brazil has recently experienced the largest yellow fever disease outbreak in decades. Since July 2016 epizootic events were reported in São Paulo state's north region, where 787 Culicidae were captured as part of public health ... ...

Abstract	The southeastern region of Brazil has recently experienced the largest yellow fever disease outbreak in decades. Since July 2016 epizootic events were reported in São Paulo state's north region, where 787 Culicidae were captured as part of public health surveillance efforts and tested using real-time quantitative PCR. One Aedes scapularis pool collected in November 2016 in an agriculture area in Urupês city tested positive for YFV-RNA. Using a validated multiplex PCR approach we were able to recover a complete virus genome sequence from this pool. Phylogenetic analysis of the novel strain and publicly available data indicates that the belongs to the South American genotype 1 clade circulating in Sao Paulo state and is basal to the recent outbreak clade in southeast Brazil. Our findings highlight the need of additional studies, including vector competence studies, to disentangle the role of Aedes scapularis in yellow fever transmission in the Americas.
Keywords	Aedes ; Yellow fever virus ; agricultural land ; disease outbreaks ; epizootic diseases ; genomics ; genotype ; monitoring ; nucleotide sequences ; phylogeny ; public health ; quantitative polymerase chain reaction ; vector competence ; viruses ; yellow fever ; Brazil ; North America
Language	English
Dates of publication	2020-05
Publishing place	Elsevier B.V.
Document type	Article
ZDB-ID	210415-5
ISSN	1873-6254 ; 0001-706X
ISSN (online)	1873-6254
ISSN	0001-706X
DOI	10.1016/j.actatropica.2020.105390
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