Towards the elimination of dog-mediated rabies: development and application of an evidence-based management tool

Abstract: Background: International organizations advocate for the elimination of dog-mediated rabies, but there is only limited guidance on interpreting surveillance data for managing elimination programmes. With the regional programme in Latin America approaching elimination of dog-mediated rabies, we aimed to develop a tool to evaluate the programme’s performance and generate locally-tailored rabies control programme management guidance to overcome remaining obstacles. Methods: We developed and validated a robust algorithm to classify progress towards rabies elimination within sub-national administrative units, which we applied to surveillance data from Brazil and Mexico. The method combines criteria that are easy to understand, including logistic regression analysis of case detection time series, assessment of rabies virus variants, and of incursion risk. Subjecting the algorithm to robustness testing, we further employed simulated data sub-sampled at differing levels of case detection to assess the algorithm’s performance and sensitivity to surveillance quality. Results: Our tool demonstrated clear epidemiological transitions in Mexico and Brazil: most states progressed rapidly towards elimination, but a few regressed due to incursions and control lapses. In 2015, dog-mediated rabies continued to circulate in the poorest states, with foci remaining in only 1 of 32 states in Mexico, and 2 of 27 in Brazil, posing incursion risks to the wider region. The classification tool was robust in determining epidemiological status irrespective of most levels of surveillance quality. In endemic settings, surveillance would need to detect less than 2.5% of all circulating cases to result in misclassification, whereas in settings where incursions become the main source of cases the threshold detection level for correct classification should not be less than 5%. Conclusion: Our tool provides guidance on how to progress effectively towards elimination targets and tailor strategies to local epidemiological situations, while revealing insights into rabies dynamics. Post-campaign assessments of dog vaccination coverage in endemic states, and enhanced surveillance to verify and maintain freedom in states threatened by incursions were identified as priorities to catalyze progress towards elimination. Our finding suggests genomic surveillance should become increasingly valuable during the endgame for discriminating circulating variants and pinpointing sources of incursions

Anais do V Encontro Brasileiro de Educomunicação: Educação midiática e políticas públicas

A presente coletânea, que chega ao público através de um suporte digital, tem como objetivo disponibilizar os papers, bem como os relatos de experiências educomunicativas apresentados durante o V ENCONTRO BRASILEIRO DE EDUCOMUNICAÇÃO, que teve como tema central: “Educação Midiática e Políticas Públicas”. O evento foi realizado em São Paulo, entre 19 e 21 de setembro de 2013, a partir de uma parceria entre o NCE/USP - Núcleo de Comunicação e Educação da USP, a Licenciatura em Educomunicação da ECA/USP, a ABPEducom – Associação Brasileira de Pesquisadores e Profissionais da Educomunicação e a FAPCOM – Faculdade Paulus de Tecnologia e Comunicação, que ofereceu seu campus, na Vila Mariana, para os atos do evento. Os presentes anais disponibilizam o texto de abertura, de autoria do coordenador geral do evento, denominado “Educação midiática e políticas públicas: vertentes históricas da emergência da Educomunicação na América Latina”. Na sequência, apresentam 61 papers sobre aspectos específicos da temática geral, resultantes de pesquisas na área, seguidos de 27 relatos de práticas educomunicativas, em nível nacional

Evaluation of trace metals (cadmium, chromium, copper and zinc) in tissues of a commercially important fish (Leporinus obtusidens) from Guaíba Lake, Southern Brazil

Concentrations of Cd, Cr, Cu and Zn were determined in liver and muscle of Leporinus obtusidens. During 2003, the fishes (N = 54) were sampled from three sites along Guaíba Lake (north, central and south zones). The hypotheses tested assumed that there were differences in the location and date as to levels of contamination, association between the trace metal content in the fishes and size, and that the sex influenced metal accumulation. Possible risks of contaminated fish consumption to human health were also evaluated. The level of mean concentration (µg/g) of metals in tissues was higher in liver than muscle: [Cd] = 2.32&#9794;; [Cr] = 0.08&#9792;; [Cu] = 30.82&#9792; and [Zn] = 97.77&#9792;. The results showed differences between the local and date sampling for all metals except Cr. Metal content was higher in the warmer than colder seasons and in the central zone than at other points. Significant sexual differences were detected for Cd and Zn and there were positive associations between the size and metal concentrations for Cu and Zn. The concentration levels of metals in muscle tissue showed that the fish samples did not offer risks to human health.<br>As concentrações dos metais Cd, Cr, Cu e Zn foram determinadas para os tecidos muscular e hepático de Leporinus obtusidens no sul do Brasil. Durante o ano de 2003, 54 indivíduos foram capturados em três locais ao longo do Lago Guaíba (norte, centro e sul). Neste estudo verificamos se havia diferenças entre os locais de amostragem e as épocas do ano nas concentrações de metais nos tecidos analisados, bem como relação entre a concentração do metal e tamanho e sexo dos indivíduos. O risco para o consumo humano também foi avaliado. A concentração média (µg/g) dos metais foi maior no fígado do que no músculo para todos os metais: [Cd] = 2,32&#9794;; [Cr] = 0,08&#9792;; [Cu] = 30,82&#9792; e [Zn] = 97,77&#9792;. Os resultados apresentaram diferenças significativas entre os locais (região central do lago com as maiores concentrações) e épocas do ano (meses de primavera e verão) para todos os metais, exceto Cr. Diferenças entre os sexos também foram detectadas, para Cd e Zn, e relações com o tamanho dos indivíduos para Cu e Zn. Os níveis encontrados no tecido muscular não oferecem riscos ao consumo da espécie