Long-term care in Costa Rica: Lessons for Latin America based on international evidence

The growing prevalence of functional dependency as a result of accelerated aging and epidemiological transformation has created a pressing need to implement new systems to address the problem of long-term care (LTC) in the Region of the Americas. In March 2021, Costa Rica became the only middle-income country in the Region that has taken steps to introduce a national LTC system.

Social distancing as protection factor against COVID-19 in a non-metropolitan area in the State of Rio Grande do Sul, Brazil

Objective

To estimate the SARS-CoV-2 seroprevalence in a non-metropolitan area (Vale do Rio Pardo) in the state of Rio Grande do Sul, Brazil, and determine the association between seroprevalence and adherence to social distancing measures.

Timely initiation of HIV antiretroviral therapy in Haiti 2004–2018: a retrospective cohort study

Objective

To describe trends in timing of ART initiation for newly diagnosed people living with HIV before and after Haiti adopted its Test and Start policy for universal HIV antiretroviral therapy (ART) in July 2016, and to explore predictors of timely ART initiation for both newly and previously diagnosed people living with HIV following Test and Start adoption.

Disruption of health services for pregnant women, newborns, children, adolescents, and women during the COVID-19 pandemic: ISLAC 2020 Project

Objective

Describe the perceptions of key actors regarding the disruption of health services for populations that ceased to be prioritized because of the COVID-19 pandemic—pregnant women, newborn, children, adolescents, and women—in countries of Latin America and the Caribbean (LAC) during the first stage of the
pandemic.

Synthesis of evidence and recommendations for the management of calcium supplementation before and during pregnancy for the prevention of preeclampsia and its complications

Introduction

Preeclampsia is one of the leading causes of maternal and fetal morbidity and mortality in the world. Calcium supplementation has proven to prevent this disorder. It is therefore important to issue guidelines and recommendations on its use.

Objectives

Summary of evidence and recommendations: guidelines for care of critically ill adult patients with COVID-19 in the Americas

Introduction

In 2020, the World Health Organization declared the coronavirus disease 2019 (COVID-19) pandemic, caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which has spread around the world. Approximately 5% of infected patients are critical cases that require admission to the intensive care unit (ICU). In these patients, COVID-19 can be complicated by acute respiratory distress syndrome, septic shock, and multi-organ failure, including kidney and heart failure.

Objective

SARS-CoV-2 variants in severely symptomatic and deceased persons who had been vaccinated against COVID-19 in São Paulo, Brazil

COVID-19 vaccination began in São Paulo, Brazil in January 2021, first targeting healthcare workers (HCWs) and the elderly, using the CoronaVac vaccine (Sinovac/Butantan) and subsequently the Oxford/AstraZeneca (ChAdOx1) vaccine (AstraZeneca/FIOCRUZ-RJ). Studies on such vaccines have shown efficacy in preventing severe cases and deaths, but there is a lack of information regarding their effectiveness.

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