Publications by authors named "Danielle Moulia"

Article Synopsis
  • A global outbreak of clade II mpox has been primarily affecting gay, bisexual, and other men who have sex with men (MSM) since May 2022, with limited understanding of transmission routes.
  • A study analyzed 457 case-patients and 1,030 control patients (aged 18-49) to estimate the odds of mpox transmission based on different types of close contact; results showed that those engaging in condomless receptive anal sex had a 5.4 times higher odds of contracting mpox.
  • Despite the effectiveness of the mpox vaccine, vaccination rates are low, highlighting the need for a comprehensive prevention strategy that includes vaccination promotion and safer sex practices.
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  • COVID-19 vaccinations, particularly the newly recommended monovalent XBB.1-strain vaccines for all individuals 6 months and older, are vital for protection against severe illness and death from COVID-19, especially as new strains like Omicron JN.1 and KP.2 are spreading in the U.S.! -
  • As vaccine effectiveness decreases over time, the ACIP has advised that everyone 6 months and older should receive the 2024-2025 COVID-19 vaccines, which have been approved or authorized by the FDA, including those from Moderna and Pfizer-BioNTech for ages 12 and up, and under Emergency Use Authorization for younger children!* -
  • The FDA also authorized Novava
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  • - COVID-19 is still a significant public health concern, especially for individuals aged 65 and older, who accounted for 67% of COVID-19-related hospitalizations from October 2023 to January 2024.
  • - The CDC recommended that everyone aged 6 months and older receive the updated 2023-2024 COVID-19 vaccine to protect against severe illness, as the virus continues to circulate and variants are emerging.
  • - Additionally, on February 28, 2024, it was advised that those aged 65 and older get an extra dose of the updated vaccine to boost their immunity and reduce the risk of severe outcomes, including death.
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Article Synopsis
  • - COVID-19 vaccines have been a significant success in reducing hospitalizations and deaths in the U.S., with over 675 million doses given and over 80% of the population receiving at least one dose.
  • - The vaccines are estimated to have prevented more than 18 million hospitalizations and 3 million deaths, despite over one million fatalities from COVID-19 during the pandemic.
  • - The Advisory Committee on Immunization Practices (ACIP) has actively reviewed data and made recommendations on COVID-19 vaccines, emphasizing their safety and effectiveness as key tools in combating serious illness from the virus.
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Article Synopsis
  • COVID-19 vaccines are crucial for preventing severe outcomes, like hospitalization and death, but their effectiveness has been impacted by evolving variants.
  • Since September 2022, bivalent mRNA vaccines were recommended, but they were tailored to variants that are no longer prevalent.
  • As of September and October 2023, the FDA approved updated vaccines from Moderna, Pfizer-BioNTech, and Novavax to enhance immunity against currently circulating variants, with vaccination recommended for everyone aged 6 months and older.
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  • Respiratory syncytial virus (RSV) is a major cause of hospitalization for infants in the U.S., leading to recommended preventative measures like nirsevimab (Bevfortus) for infants and the newly approved RSVpreF vaccine (Abrysvo) for pregnant individuals.
  • The FDA approved the RSVpreF vaccine in August 2023 for administration during weeks 32-36 of pregnancy to help protect infants under 6 months from RSV-related respiratory issues.
  • The CDC's Advisory Committee on Immunization Practices recommends that either the RSVpreF vaccine for mothers or nirsevimab for infants be used to protect against RSV, but not necessarily both for most infants.
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To inform Advisory Committee for Immunization Practices (ACIP) COVID-19 vaccine policy decisions, we developed a benefit-risk assessment framework that directly compared the estimated benefits of COVID-19 vaccination to individuals (e.g., prevention of COVID-19-associated hospitalization) with risks associated with COVID-19 vaccines.

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  • The CDC has been providing guidelines for COVID-19 vaccine use in the U.S. during the national public health emergency, based on recommendations from the Advisory Committee on Immunization Practices (ACIP).
  • Between August 2022 and April 2023, the FDA approved a bivalent COVID-19 vaccine that targets both the original virus and Omicron BA.4/BA.5 strains for people aged 6 and older, as well as vaccines for younger children and additional doses for high-risk groups.
  • Currently, there are three approved COVID-19 vaccines in the U.S.: the bivalent mRNA Pfizer-BioNTech, the bivalent mRNA Moderna, and the monovalent Novavax, while mon
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  • Over 30,000 monkeypox cases were reported in the U.S. by March 31, 2023, with the outbreak mainly affecting gay, bisexual, and transgender individuals.
  • The FDA approved the JYNNEOS vaccine in 2019 for smallpox and monkeypox prevention, and in August 2022, allowed a new injection method to increase vaccine access.
  • A study showed that JYNNEOS vaccine effectiveness was 75.2% for partial vaccination and 85.9% for full vaccination among men who have sex with men and transgender individuals aged 18-49.
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  • - Over 30,000 cases of mpox were reported in the U.S. by March 2023, primarily affecting transgender individuals and men who have sex with men, with the JYNNEOS vaccine available for preventing the infection.
  • - A case-control study analyzed the effectiveness of the JYNNEOS vaccine using data from a large electronic health record database, comparing vaccinated patients who contracted mpox to those who did not.
  • - Results showed that full vaccination with JYNNEOS had an estimated effectiveness of 66%, while partial vaccination had an effectiveness of 35.8%, indicating that vaccinated individuals were less likely to contract mpox compared to unvaccinated individuals.
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Article Synopsis
  • - The FDA has approved four COVID-19 vaccines for primary series vaccination in the U.S., including options from Pfizer-BioNTech, Moderna, Johnson & Johnson, and Novavax, with dosage recommendations based on age and health status.
  • - To enhance protection amid decreasing vaccine effectiveness against the Omicron variant, the FDA authorized bivalent booster doses for individuals aged 5 and older who completed a primary vaccination series.
  • - The bivalent vaccines from Pfizer-BioNTech and Moderna contain equal mRNA from both the original virus and the Omicron strains, and health authorities recommend that eligible individuals receive the booster at least two months after their last vaccination.
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  • - The NVX-CoV2373 (Novavax) COVID-19 vaccine uses a recombinant spike protein nanoparticle combined with a Matrix-M adjuvant, aiming to protect adults aged 18 and older from COVID-19, with two doses administered three weeks apart.
  • - The FDA granted Emergency Use Authorization for this vaccine on July 13, 2022, and the Advisory Committee on Immunization Practices issued an interim recommendation shortly after its authorization.
  • - The vaccine demonstrated a notable efficacy of 89.6% against symptomatic COVID-19, although rare cases of myocarditis or pericarditis were reported, and further updates on its use are expected as more data emerges.
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Article Synopsis
  • The FDA granted Emergency Use Authorization for the Moderna and Pfizer-BioNTech COVID-19 vaccines for young children, allowing 2 doses of Moderna for kids 6 months-5 years and 3 doses of Pfizer for those 6 months-4 years.
  • The ACIP issued interim recommendations for vaccination to help prevent COVID-19, confirming both vaccines met immunobridging criteria by comparing antibody responses in children to those in adults.
  • No significant safety issues were found in the vaccines, and the ACIP noted that the recommendations are provisional and will be updated with new data; vaccination is essential for protecting this age group.
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  • The mRNA-1273 (Moderna) COVID-19 vaccine, developed from a stabilized form of the SARS-CoV-2 spike protein, was granted Emergency Use Authorization by the FDA in December 2020 for adults aged 18 and older.
  • Over 204 million doses were given in the U.S. between December 2020 and January 2022, using a two-dose regimen administered four weeks apart.
  • The vaccine received full FDA approval on January 31, 2022, and subsequent guidance from ACIP and CDC explored the effectiveness of longer intervals between doses, recommending an 8-week period based on updated data.
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  • - The Pfizer-BioNTech COVID-19 vaccine (Comirnaty) is a genetically engineered mRNA vaccine approved by the FDA for individuals aged 16 and older, with an Emergency Use Authorization (EUA) available for adolescents aged 12-15.
  • - As of November 2021, over 248 million doses have been administered in the U.S., and an EUA for a pediatric formulation was issued for children aged 5-11, requiring two doses with a lower dosage than older age groups.
  • - The Advisory Committee on Immunization Practices (ACIP) recommends the vaccine for 5-11-year-olds, citing high efficacy (>90%) and emphasizing its importance for protecting children and reducing the spread
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  • - Three COVID-19 vaccines are approved or authorized in the U.S.: the 2-dose Pfizer-BioNTech/Comirnaty and Moderna vaccines, and the single-dose Janssen vaccine, with recommendations for primary vaccination provided by the Advisory Committee on Immunization Practices (ACIP).
  • - In August and September-October 2021, the FDA updated emergency use authorizations to include additional primary doses for immunocompromised individuals and booster doses for those at increased risk of severe COVID-19 after initial vaccination.
  • - Health care professionals are essential in administering COVID-19 vaccinations, including primary, additional, and booster doses, to protect vulnerable patients from severe illness and complications.
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The Pfizer-BioNTech COVID-19 vaccine (BNT162b2) is a lipid nanoparticle-formulated, nucleoside mRNA vaccine encoding the prefusion spike glycoprotein of SARS-CoV-2, the virus that causes COVID-19. Vaccination with the Pfizer-BioNTech COVID-19 vaccine consists of 2 intramuscular doses (30 μg, 0.3 mL each) administered 3 weeks apart.

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In December 2020, the Food and Drug Administration (FDA) issued Emergency Use Authorizations (EUAs) for Pfizer-BioNTech and Moderna COVID-19 vaccines, and in February 2021, FDA issued an EUA for the Janssen (Johnson & Johnson) COVID-19 vaccine. After each EUA, the Advisory Committee on Immunization Practices (ACIP) issued interim recommendations for vaccine use; currently Pfizer-BioNTech is authorized and recommended for persons aged ≥12 years and Moderna and Janssen for persons aged ≥18 years (1-3). Both Pfizer-BioNTech and Moderna vaccines, administered as 2-dose series, are mRNA-based COVID-19 vaccines, whereas the Janssen COVID-19 vaccine, administered as a single dose, is a recombinant replication-incompetent adenovirus-vector vaccine.

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In December 2020, the Food and Drug Administration (FDA) issued Emergency Use Authorizations (EUAs) for the Pfizer-BioNTech COVID-19 (BNT162b2) vaccine and the Moderna COVID-19 (mRNA-1273) vaccine, and the Advisory Committee on Immunization Practices (ACIP) issued interim recommendations for their use in persons aged ≥16 years and ≥18 years, respectively. In May 2021, FDA expanded the EUA for the Pfizer-BioNTech COVID-19 vaccine to include adolescents aged 12-15 years; ACIP recommends that all persons aged ≥12 years receive a COVID-19 vaccine. Both Pfizer-BioNTech and Moderna vaccines are mRNA vaccines encoding the stabilized prefusion spike glycoprotein of SARS-CoV-2, the virus that causes COVID-19.

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Article Synopsis
  • The Pfizer-BioNTech COVID-19 vaccine is an mRNA vaccine designed to protect against SARS-CoV-2, requiring two doses administered three weeks apart.
  • The FDA granted an Emergency Use Authorization for the vaccine on December 11, 2020, for individuals aged 16 and older, later expanding to adolescents aged 12-15 on May 10, 2021.
  • As of May 12, 2021, over 141.6 million doses had been administered, with ongoing recommendations being evaluated by the Advisory Committee on Immunization Practices (ACIP) using a structured Evidence to Recommendation framework.
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  • The FDA granted Emergency Use Authorization for the Janssen COVID-19 vaccine on February 27, 2021, with recommendations for adults 18 and older following shortly after.
  • On April 13, 2021, a pause in its use was recommended due to rare cases of cerebral venous sinus thrombosis (CVST) occurring among vaccine recipients.
  • After reviewing risks and benefits, ACIP resumed the vaccine's use on April 23, 2021, while advising caution regarding potential rare clotting events, especially in women under 50, and stressed the importance of patient education and awareness of alternative vaccines.
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In December 2020, two COVID-19 vaccines (Pfizer-BioNTech and Moderna) were authorized for emergency use in the United States for the prevention of coronavirus disease 2019 (COVID-19).* Because of limited initial vaccine supply, the Advisory Committee on Immunization Practices (ACIP) prioritized vaccination of health care personnel and residents and staff members of long-term care facilities (LTCF) during the first phase of the U.S.

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On February 27, 2020, the Santa Clara County Public Health Department (SCCPHD) identified its first case of coronavirus disease 2019 (COVID-19) associated with probable community transmission (i.e., infection among persons without a known exposure by travel or close contact with a patient with confirmed COVID-19).

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During a severe pandemic, especially one causing respiratory illness, many people may require mechanical ventilation. Depending on the extent of the outbreak, there may be insufficient capacity to provide ventilator support to all of those in need. As part of a larger conceptual framework for determining need for and allocation of ventilators during a public health emergency, this article focuses on the strategies to assist state and local planners to allocate stockpiled ventilators to healthcare facilities during a pandemic, accounting for critical factors in facilities' ability to make use of additional ventilators.

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Objectives: The aims of the study were to examine the reactions of first-year health profession students to medical errors and determine whether differences exist between disciplines.

Methods: After viewing the Team STEPPS Program's Susan Sheridan video that describes two separate medical errors, students from anesthesia assistant, medical imaging, medicine, nursing, physical therapy, and physician assistant programs provided unstructured open responses reflecting on initial impressions of medical errors depicted in the film. Student responses were assessed via inductive coding techniques and thematic analysis and stratified by discipline.

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