Publications by authors named "Ana Garcia-Fulgueiras"

Background: With the emergence of SARS-CoV-2, influenza surveillance systems in Spain were transformed into a new syndromic sentinel surveillance system. The Acute Respiratory Infection Surveillance System (SiVIRA in Spanish) is based on a sentinel network for acute respiratory infection (ARI) surveillance in primary care and a network of sentinel hospitals for severe ARI (SARI) surveillance in hospitals.

Methods: Using a test-negative design and data from SARI admissions notified to SiVIRA between January 1 and October 3, 2021, we estimated COVID-19 vaccine effectiveness (VE) against hospitalization, by age group, vaccine type, time since vaccination, and SARS-CoV-2 variant.

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When responding to infectious disease outbreaks, rapid and accurate estimation of the epidemic trajectory is critical. However, two common data collection problems affect the reliability of the epidemiological data in real time: missing information on the time of first symptoms, and retrospective revision of historical information, including right censoring. Here, we propose an approach to construct epidemic curves in near real time that addresses these two challenges by 1) imputation of dates of symptom onset for reported cases using a dynamically-estimated "backward" reporting delay conditional distribution, and 2) adjustment for right censoring using the NobBS software package to nowcast cases by date of symptom onset.

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Article Synopsis
  • * A second cluster of two dengue cases was later identified in Murcia, linked to a visit from someone in the first cluster, with similar DENV type 1 sequences found.
  • * The outbreak marks the first local dengue cases in Spain, raising concerns about detecting and managing dengue in areas where it is typically not found.
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The aim of this study was to describe perceived abuse in adult Spanish and Ecuadorian women and men and to assess its association with mental health. A population-based survey was conducted in Spain in 2006. Data were taken from a probabilistic sample allowing for an equal number of men and women, Spaniards and Ecuadorians.

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Purpose: We aimed to study the association between the Ecuadorians' ethnic density (EED) of the areas of residence (AR) with the mental health of Ecuadorians in Spain.

Methods: Multilevel study of 568 Ecuadorian adults in 33 AR randomly selected from civil registries and interviewed at home. Possible psychiatric case (PPC) was measured by scoring ≥5 in General Health Questionnaire-28.

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Purpose: To describe the prevalence of and the risk factors for poor mental health in female and male Ecuadorian migrants in Spain compared to Spaniards.

Method: Population-based survey. Probabilistic sample was obtained from the council registries.

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Article Synopsis
  • This paper outlines a multilevel research study aimed at understanding how environmental factors affect the mental health of both native Spanish and Ecuadorian immigrant populations.
  • The study involved a comprehensive questionnaire and collected data from a random sample of 1186 adults in several Spanish cities between September 2006 and January 2007, achieving a high response rate and addressing challenges in participant localization.
  • The findings highlight the need to critically assess sampling strategies in similar studies, especially given budget constraints and the lack of social integration indicators at the neighborhood level.
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  • Hepatitis C (HCV) and B (HBV) are significant health issues in Spain, with 2000 data revealing HCV responsible for around 70% of hepatocellular carcinoma (HCC) deaths and 50% of cirrhosis-related deaths, while HBV accounted for 10% of HCC and 13% of cirrhosis deaths.
  • The study estimated approximately 4,342 deaths from HCV and 877 from HBV in Spain in 2000, making up about 1.5% of total deaths that year, predominantly due to cirrhosis and HCC.
  • The research highlights the critical need for better early diagnosis and treatment access to significantly reduce
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Background: The effect of the weather temperature on mortality has been studied more in depth than its effect on morbidity. In Murcia, the number of daily emergencies and the cases of heat stroke for which care is provided at the hospitals in this Region have been studied.

Objective: to evaluate the effect that the weather temperature has on the number of hospital emergencies and the use of these indicators for the surveillance of hot weather-related morbidity.

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