Risk classification for the transmission of vaccine-preventable diseases in the state of Minas Gerais, Brazil: 2018 to 2022.

The National Immunization Program (PNI) is one of Brazil's most significant public health interventions. However, recent years have witnessed a progressive decline in vaccination coverage despite the success of the PNI and the expansion of Primary Health Care (PHC), the main point of entry for the population into health services. To address this challenge, broader strategies are needed, such as identifying areas at high risk for the transmission of vaccine-preventable diseases.

Analysis of the impact of health interventions on vaccination coverage for children under two years of age in municipalities of Minas Gerais.

Objective: To evaluate the impact of the state action-research project on vaccination coverage in children under two years of age in the state of Minas Gerais, according to the size of the municipalities, comparing the years 2021 and 2022.

Methods: This is a study nested within the state action-research project, a before-after community clinical trial carried out in 212 municipalities in the state of Minas Gerais. This study used secondary data on Vaccination Coverage (VC), Homogeneity of Vaccines (HVC) and Abandonment rate of multi-dose vaccines.

Association between different measurements of blood pressure variability by ABP monitoring and ankle-brachial index.

Background: Blood pressure (BP) variability has been associated with cardiovascular outcomes, but there is no consensus about the more effective method to measure it by ambulatory blood pressure monitoring (ABPM). We evaluated the association between three different methods to estimate BP variability by ABPM and the ankle brachial index (ABI).

Methods And Results: In a cross-sectional study of patients with hypertension, BP variability was estimated by the time rate index (the first derivative of SBP over time), standard deviation (SD) of 24-hour SBP; and coefficient of variability of 24-hour SBP.