Emergence of W South American sublineage strain variant in Brazil: disease and carriage.

Invasive meningococcal disease is a major health problem, impacting morbidity and mortality worldwide. Exploratory genomics has revealed insights into adaptation, transmissibility and virulence to elucidate endemic, outbreaks or epidemics caused by serogroup W (MenW) strains. Limited information on the genomics of serogroup W ST11/cc11 is available from emerging countries, especially in contemporary isolates.

Structure and work process for implementing medical teleconsultation in the Brazilian National Health System, a cross-sectional study using 2017-2018 data.

Objective: To compare the structure and the work process in Primary Care for implementing medical teleconsultation in municipalities in different regions and with different population sizes (<25,000; 25,000-100,000; >100,000 inhabitants).

Methods: Cross-sectional study, with descriptive and bivariate analysis, using data from 2017-2018 to assess the availability of computers with internet access, webcam, microphone, speaker, as well as to assess the work processes (use of Telehealth, service supply and demand control center, and communication flow).

Results: 30,346 primary health centers and 38,865 teams were evaluated.

Intercensal Brazilian municipality stratificatation updating for health performance evaluation, 2015.

Objective: to describe updating of stratification of the Brazilian municipalities in order to evaluate health performance.

Methods: this was a descriptive and methodological study with stratification of municipalities according to population size and conditions influencing health management, using data from the intercensal period (2015) and showing classification variations compared with the census period (2010); the original data on demographic characteristics, funding capacity and population purchasing power were adjusted for the year 2015 based on a baseline study conducted with census data.

Results: some 15% of the municipalities were reclassified in the intercensal period, with the main factors of change being the conditions influencing health management.

Predictive Factors for Fatal Tick-Borne Spotted Fever in Brazil.

In Brazil, two pathogenic Rickettsia species have been identified causing tick-borne spotted fever (SF). The aetiological agent Rickettsia rickettsii causes serious illness, particularly in the south-eastern region of the country. Moreover, the Rickettsia sp.

Risk factors associated with hantavirosis fatality: a regional analysis from a case-control study in Brazil.

Introduction: In Brazil, hantavirus cardiopulmonary syndrome (HCPS) has a high lethality rate that varies by region. This study aimed to identify the risk factors associated with fatal hantavirosis.

Methods: This study was a case-control study that included all laboratory confirmed cases of hantavirosis.