EXPEDITO JOSE DE ALBUQUERQUE LUNA
Projetos de Pesquisa
Unidades Organizacionais
Departamento de Medicina Preventiva, Faculdade de Medicina - Docente
LIM/38 - Laboratório de Epidemiologia e Imunobiologia, Hospital das Clínicas, Faculdade de Medicina - Líder
LIM/38 - Laboratório de Epidemiologia e Imunobiologia, Hospital das Clínicas, Faculdade de Medicina - Líder
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- Classificação de risco de transmissão de doenças imunopreveníveis a partir de indicadores de coberturas vacinais nos municípios brasileiros(2016) BRAZ, Rui Moreira; DOMINGUES, Carla Magda Allan S.; TEIXEIRA, Antônia Maria da Silva; LUNA, Expedito José de AlbuquerqueAbstract OBJECTIVE: to describe the transmission risk classification of vaccine-preventable diseases in Brazilian municipalities. METHODS: this was a descriptive epidemiologic study using 2014 data of the Brazilian National Immunization Program Information System; the vaccine coverage indicators were used to classify the transmission risk of vaccine-preventable diseases in the municipalities. RESULTS: of the 5,570 Brazilian municipalities, 12.0% were classified as very low risk, 29.6% as low risk, 2.2% as medium risk, 54.3% as high risk and 1.8% as very high risk. CONCLUSION: the vaccination coverage surveillance allowed to identify most of the municipalities in high risk situation and the minority of children living in municipalities with appropriate coverage; the vaccination coverage surveillance using indicators of the Brazilian National Health System (SUS) is a new tool for identifying priority areas where the actions can be more successful for health managers and improve the quality and the success of the immunizations program.
- Efetividade da estratégia brasileira de vacinação contra influenza: uma revisão sistemática(2014) LUNA, Expedito José de Albuquerque; GATTÁS, Vera Lúcia; CAMPOS, Sergio Roberto de Souza Leão da CostaOBJECTIVE: to evaluate the Brazilian influenza vaccination strategy's safety and effectiveness. METHODS: systematic review of scientific literature. The keywords ""influenza"", ""Brazil"", ""vaccine"", ""vaccine coverage"", ""effectiveness"", and ""adverse events"" were used to search the following databases for the period 1999-2013: Medical Literature Analysis and Retrieval System Online, US National Library of Medicine, Literatura Latino-Americana e do Caribe em Ciências Sociais, Biblioteca Virtual em Saúde, Scientific Electronic Library Online, and Google Scholar. RESULTS: 784 publications were retrieved. 73 were included in the study after applying the exclusion criteria. Vaccine coverage is high, although lower than registered on the information system. Ecological studies on influenza-related mortality and hospitalizations provide conflicting estimates, some pointing to a reduction (16 articles) and others to an increase (4 articles) in the rates after vaccine introduction. CONCLUSION: studies suggest that the vaccine is safe and effective, although the reduction in influenza-related mortality and hospitalizations was modest.
- Saúde nas metrópoles - Doenças infecciosas(2016) SEGURADO, Aluisio Cotrim; CASSENOTE, Alex Jones; LUNA, Expedito de AlbuquerqueUrbanization is an irreversible global process and the number of people living in cities is estimated to reach 67% of the world population by 2050. In low- and middle-income countries, 30% to 40% of the population currently lives in slum areas, under risk of several diseases. Even though 84.3% of the Brazilian population already lived in urban areas in 2010, no consistent initiatives have been implemented to address urban health issues. We discuss here the epidemiological features of communicable diseases that are relevant to public health (dengue, HIV/aids, leptospirosis, leprosy and tuberculosis) in Brazil's 17 metropolitan areas since 2000 to help clarify the current role of infections in the context of Brazilian urban health.