Publications by authors named "Virtudes Gallardo-Garcia"

Article Synopsis
  • Contact tracing is essential for managing infectious measles cases, especially in countries where measles is primarily imported.
  • In response to a suspected measles case on an aircraft, Spanish public health authorities and airlines quickly coordinated efforts for rapid contact tracing.
  • The prompt administration of post-exposure prophylaxis (PEP) and proper information helped prevent further transmission, contributing to the continued elimination of measles in Spain.
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Introduction: Our aim was to estimate the risk of pneumonia, admission to intensive care unit (ICU) or death in individuals ≥65 years old admitted to hospital with RSV, compared to influenza or COVID-19.

Methods: We included hospitalised patients from Severe Acute Respiratory Infection Surveillance in Spain between 2021-2024, aged ≥65 years, laboratory confirmed for RSV, influenza or SARS-CoV-2. Using a binomial regression with logarithmic link, we estimated the relative risk (RR) of pneumonia, ICU admission and in-hospital mortality, in patients with RSV compared to influenza or SARS-CoV-2, adjusting for age, sex, season and comorbidities.

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Article Synopsis
  • The study analyzed data from Spain's surveillance system for severe acute respiratory infections to assess the effect of nirsevimab on infants born from April 1, 2023, onward.
  • Researchers compared actual RSV hospitalizations in children under one year old from late 2023 to early 2024 with expected numbers based on previous seasons.
  • The results showed a significant reduction in hospitalizations, estimating between 9,364 to 9,875 fewer cases, which represents a 74% to 75% decrease in RSV-related hospitalizations.
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Influenza A viruses circulated in Europe from September 2023 to January 2024, with influenza A(H1N1)pdm09 predominance. We provide interim 2023/24 influenza vaccine effectiveness (IVE) estimates from two European studies, covering 10 countries across primary care (EU-PC) and hospital (EU-H) settings. Interim IVE was higher against A(H1N1)pdm09 than A(H3N2): EU-PC influenza A(H1N1)pdm09 IVE was 53% (95% CI: 41 to 63) and 30% (95% CI: -3 to 54) against influenza A(H3N2).

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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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During June 2022, Spain was one of the countries most affected worldwide by a multicountry monkeypox outbreak with chains of transmission without identified links to disease-endemic countries. We provide epidemiologic features of cases reported in Spain and the coordinated measures taken to respond to this outbreak.

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Article Synopsis
  • Acute flaccid paralysis (AFP) surveillance is essential for global polio eradication, helping to identify poliovirus reintroductions especially from endemic areas.
  • In Spain, from 1998 to 2015, there were 678 reported AFP cases, with a mean notification rate of 0.58 cases per 100,000 population under 15 years, showing a decline in rates from the first (1998-2006) to the second period (2007-2015).
  • Although no wild poliovirus infections occurred, other types of polioviruses were detected and the majority of AFP cases were associated with Guillain-Barré syndrome, highlighting the importance of ongoing and improved surveillance for enteroviruses.
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Objective: Sexual transmission of hepatitis A (HAV) is documented, mainly by risk behaviors in men who have sex with men (MSM). There have been HAV outbreaks in MSM in countries of the European Union in the last years. The aim of this work was to study HAV epidemiology in Andalusia in the last 10 years (2007-2017) and the outbreaks among MSM in this period.

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The Andalusian Surveillance Epidemiological System (SVEA) controls and investigates any notification of measles or any other communicable disease. The aim of this article is to describe the epidemiological characteristics of measles outbreaks occurred in Andalusia in the last five years (2010-2015) and their control measures. In this period three outbreaks were reported: the first one started in Granada in 2010 in a community of objectors to vaccination.

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Background: In Spain, influenza vaccine effectiveness (EV) is estimated since 2008-09 season through the cycEVA case-control study, the Spanish component of the European I-MOVE (Monitoring Influenza Vaccine Effectiveness in the EU/EEA) network. We aimed at describing cycEVA performance in its five consolidated editions 2008/09 -; 2012/13.

Methods: During the study period the following indicators were analysed: 1) the participation of sentinel general practitioners and pediatricians (MP), 2) the population studied and the study period, 3) the data quality and 4) the dissemination of the cycEVA results.

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In April 2009, in response to the WHO's alert due to the existence of human infection cases with a new AH1N1 influenza virus, known as swine flu, Andalusian Health Authorities trigger an specific action plan. The surveillance actions developped provided us with appropriate clinical, epidemiological and virological characteristics of the disease. During the first few days, contingency plans were set up based on epidemiological surveillance and outbreak control measures were adopted through early alert and rapid response systems.

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Since human infection by a novel influenza virus A H1N1 of swine origin was reported in April 2009, the virus has spread worldwide causing a pandemic. In the Southern Hemisphere, the first pandemic wave has taken place, coinciding with Austral Winter. In the Northern Hemisphere, transmission has been sustained under the basal level of epidemic until the first weeks of October, when incidence rates have risen up to the pidemic level in some countries, including Spain.

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