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Epidemiologia, Volume 6, Issue 4

2025 December - 37 articles

Cover Story: In early 2025, a major measles outbreak emerged in the Texas–New Mexico region, raising serious public health concerns amid declining vaccination coverage. This study uses empirical and mechanistic mathematical models to characterize the outbreak’s growth dynamics. By estimating the exponential growth rate, basic reproduction number, and effective reproduction number, we provide quantitative insight into the transmissibility of measles during the early phase of the outbreak and compare it with previous epidemics. View this paper
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Articles (37)

  • Article
  • Open Access
613 Views
16 Pages

Physical and Mental Health of Nurses During COVID-19: A Pilot Study on the Role of Work Engagement and Musculoskeletal Symptoms

  • Luciano Garcia Lourenção,
  • José Gustavo Monteiro Penha,
  • Daniela Menezes Galvão,
  • Luiz Antônio Alves de Menezes Júnior,
  • Daiani Modernel Xavier,
  • Natália Sperli Geraldes Marin dos Santos Sasaki,
  • Francisco Rosemiro Guimarães Ximenes Neto,
  • Jacqueline Flores de Oliveira,
  • Alberto de Oliveira Redü and
  • Sidiane Rodrigues Bacelo
  • + 5 authors

Background/Objectives: Nursing professionals were among the most affected groups during the COVID-19 pandemic, exposed to simultaneous physical demands and emotional strain. This study examined the interplay between work engagement, compassion fatigu...

  • Article
  • Open Access
626 Views
11 Pages

Spina Bifida Incidence Trends: A Comparative Study of Puerto Rico and the United States

  • Eric Pérez-Pérez,
  • Esteban Rivera-Rivera,
  • Natasha Frontera,
  • Alejandro Cedeño-Moran,
  • Camelia Carvajal-Matta,
  • Jeremy González,
  • Aixa de Jesús-Espinosa,
  • Iván Sosa-González and
  • Miguel Mayol del Valle

Objectives: Neural tube defects such as myelomeningocele (MMC) remain a significant public health concern despite prevention efforts. Public health measures have reduced the global MMC incidence, but socioeconomic disparities may limit their impact....

  • Article
  • Open Access
615 Views
12 Pages

High Household Transmission Among Asymptomatic Contacts Across Pandemic Waves in Cincinnati, Ohio

  • Katherine Bowers,
  • Stefanie Benoit,
  • James Rose,
  • Andrew F. Beck,
  • Alonzo T. Folger,
  • Tara N. Calhoun,
  • Melissa E. Day,
  • Andrew Lovell and
  • Maryse Amin

Background/Objectives: COVID-19 and long COVID remain prevalent, with household transmission being an important mode of spread. To quantify household transmission of subclinical SARS-COV-2 infection and identify sociodemographic risk factors that may...

  • Article
  • Open Access
657 Views
19 Pages

Background/Objectives: Cervical cancer is one of the most common cancers among women of reproductive age, with 80% of the cases occurring in developing countries. Cervical cancer is largely preventable by effective screening programs. This study asse...

  • Article
  • Open Access
663 Views
17 Pages

Increasing Prevalence and Temporal Trend of Prematurity, São Paulo, Brazil, 2000–2023

  • Adriana Gonçalves de Oliveira,
  • João Batista Francalino da Rocha,
  • Edige Felipe de Sousa Santos,
  • Hugo Macedo Jr.,
  • Orivaldo Florencio de Souza,
  • Luiz Carlos de Abreu and
  • Rubens Wajnsztejn

Background: premature birth is a significant public health problem, especially in developing countries such as Brazil. Premature newborns require special care from birth, often requiring prolonged hospitalization and continuous monitoring by various...

  • Article
  • Open Access
662 Views
15 Pages

Oral Health Assessment in Prisoners: A Cross-Sectional Observational and Epidemiological Study

  • William Alves dos Reis,
  • Bruno Gomes dos Santos Martins,
  • Rodrigo Resende,
  • Urubatan Vieira de Medeiros,
  • Juliana Campos Hasse Fernandes and
  • Gustavo Vicentis Oliveira Fernandes

Objectives: This cross-sectional observational and epidemiological study aimed to collect data on the oral health conditions of the prison population in Rio de Janeiro, Brazil. Methods: The Penitentiary Moniz Sodré, part of the Penitentiary Co...

  • Feature Paper
  • Article
  • Open Access
567 Views
28 Pages

Background/Objectives: Unintended pregnancy is linked to an increased risk of subsequent unintended pregnancies, but its impact on contraceptive use and intention remains vastly understudied. This study assessed whether unintended pregnancy independe...

  • Article
  • Open Access
1 Citations
1,132 Views
14 Pages

Early Menarche and Hypertension Among Postmenopausal Women: The Mediating Role of Obesity

  • Eunice Carolina Ibáñez-García,
  • Mónica Alethia Cureño-Díaz,
  • María Alicia Mejía-Blanquel,
  • Ana Cristina Castañeda-Márquez,
  • Ahidée Leyva-López,
  • Yaneth Citlalli Orbe Orihuela,
  • Miguel Trujillo-Martínez,
  • Ricardo Castrejón-Salgado,
  • Erick Ordoñez-Villordo and
  • José Ángel Hernández-Mariano

Background/Objectives: Cardiovascular diseases are the leading cause of mortality worldwide and are strongly influenced by obesity and hypertension. Age at menarche has been proposed as an early marker of cardiometabolic risk, but evidence in postmen...

  • Article
  • Open Access
801 Views
11 Pages

Adult Food Allergy Is an Under-Recognized Health Problem in Northwestern Mexico: A Population-Based Cross-Sectional Survey

  • Lizbeth Vizcarra-Olguin,
  • Marcela de Jesús Vergara-Jiménez,
  • Juancarlos Manuel Velásquez-Rodríguez,
  • Oscar Gerardo Figueroa-Salcido,
  • Elisa María Barrón-Cabrera,
  • Perla Y. Gutiérrez-Arzapalo,
  • Fernando Salas-López,
  • Noé Ontiveros and
  • Jesús Gilberto Arámburo-Gálvez

Objectives: To estimate the prevalence, clinical characteristics, and risk factors of IgE-mediated food allergy (FA) in adults from northwestern Mexico. Methods: A population-based, cross-sectional study was conducted in Culiacán, Sinaloa. A v...

  • Article
  • Open Access
653 Views
13 Pages

Population Attributable Fraction of Tobacco Use and Type 2 Diabetes Mellitus: An Analysis of the ENSANUT 2021

  • Julio Cesar Campuzano,
  • Jorge Martin Rodríguez,
  • Luz Myriam Reynales,
  • Anaid Hernández and
  • Diana Carolina Urrego

Background: Robust evidence demonstrates that tobacco use acts as a causal and, therefore, modifiable risk factor for the development of type 2 diabetes mellitus (T2DM). However, its specific population-level impact in Mexico has not yet been quantif...

  • Article
  • Open Access
1 Citations
1,649 Views
17 Pages

Respiratory Infant Mortality Rate by Month of Birth in Mexico

  • Alessandro Milán,
  • Juan C. Cuevas-Tello and
  • Daniel E. Noyola

Background: Respiratory syncytial virus (RSV) is a major contributor to severe Acute Respiratory Infections (ARI) in infants worldwide, leading to significant morbidity and mortality. The seasonal nature of RSV and other respiratory infections presen...

  • Systematic Review
  • Open Access
735 Views
15 Pages

Perinatal Health Disparities Between Roma and Non-Roma Populations: A Systematic Review

  • Afroditi Dimogerontaki,
  • Nikoletta Iacovidou,
  • Styliani Paliatsiou,
  • Paraskevi Volaki,
  • Theodoros Xanthos,
  • Ioannis Panagiotopoulos,
  • Zoi Iliodromiti,
  • Theodora Boutsikou and
  • Rozeta Sokou

Background: Women from Roma communities face considerable health inequalities, primarily due to limited access to healthcare systems, alongside broader social and structural disadvantages. Among Roma women these disparities are reflected in poorer pe...

  • Article
  • Open Access
822 Views
21 Pages

Epidemiological, Socioeconomic, and Health Service Factors Associated with Tuberculosis Treatment Interruption in Brazil

  • Jéssica Simões Mendonça,
  • Fabrício Sette Abrantes Silveira,
  • Renata Maria Colodette,
  • Deíse Moura de Oliveira,
  • Érica Toledo de Mendonça,
  • Rosângela Minardi Mitre Cotta,
  • Antônio Almeida de Barros Junior,
  • João Vitor Andrade and
  • Tiago Ricardo Moreira

Background: Brazil must make progress toward eliminating tuberculosis as a public health problem and achieving the goal of reducing treatment interruption to below 5%. Improving adherence requires a thorough understanding of the factors that influenc...

  • Article
  • Open Access
1,248 Views
16 Pages

Spatial Distribution of Breast Cancer in Morocco and the Impact of Travel Distance and Rural Residence on Cancer Stage

  • Chaimaa Elattabi,
  • Jeroen Berden,
  • Najoua Lamchabbek,
  • Ilhame Bourais,
  • Karima Bendahhou,
  • Saber Boutayeb,
  • Najia Mane,
  • Siham Mrah,
  • Inge Huybrechts and
  • Mohamed Khalis
  • + 1 author

Introduction: Breast cancer is the most common cancer among women worldwide, and its prognosis can be influenced by various factors, including geographic accessibility of healthcare services. This study describes the geographic distribution of breast...

  • Article
  • Open Access
1,042 Views
15 Pages

Background/Objectives: Adolescent girls and young women (AGYW) have a high burden of sexually transmitted infections (STIs). This study examined the prevalence of Chlamydia trachomatis, its association with human papillomavirus (HPV), and other assoc...

  • Article
  • Open Access
956 Views
14 Pages

Molecular Epidemiology of SARS-CoV-2 in Northern Greece from the Index Case up to Early 2025 Using Nanopore Sequencing

  • Georgios Meletis,
  • Styliani Pappa,
  • Georgia Gioula,
  • Maria Exindari,
  • Maria Christoforidi and
  • Anna Papa

Background/Objectives: Since its emergence in late 2019, SARS-CoV-2 has demonstrated remarkable genetic diversity driven by mutations and recombination events that shaped the course of the COVID-19 pandemic. Continuous genomic monitoring is essential...

  • Article
  • Open Access
851 Views
15 Pages

Background: Porcine reproductive and respiratory syndrome virus type 2 (PRRSV-2) remains a significant threat to swine production globally, including Japan. While the genetic diversity of PRRSV-2 has been reported previously, the potential associatio...

  • Article
  • Open Access
865 Views
21 Pages

Educational Level Mediates the Relationship Between Knowledge and Preventive Practices in Multidrug-Resistant Tuberculosis Patients

  • Raquel Clemencia Guardia Zuñiga,
  • Blanca Victoria Abad de Vite,
  • Amariles Azañero Suarez,
  • Danicsa Karina Espino Carrasco,
  • Esther García Santos,
  • Idalia Eufemia Lajo Aquise and
  • Irma Cachay Sánchez

Background: Multidrug-resistant tuberculosis (MDR-TB) prevention presents significant challenges in Peruvian healthcare settings, with substantial gaps in knowledge implementation and preventive practices. However, little is known about how patients&...

  • Article
  • Open Access
2,359 Views
19 Pages

Background: Babesiosis and malaria are infectious diseases caused by the intraerythrocytic parasites Babesia and Plasmodium, respectively. While no human red blood cell (RBC) receptors have been shown to be essential for B. microti (Bm) invasion, Duf...

  • Article
  • Open Access
1,506 Views
15 Pages

Assessment of Gaps and Inequalities in Cancer Screening at the District Level in Peru

  • Akram Hernández-Vásquez,
  • Lucía Villar Bernaola,
  • Maricela Curisinche-Rojas and
  • Raúl Timaná-Ruiz

Objectives: This study assessed socioeconomic inequalities in cancer screening at the district level in Peru, focusing on bilateral mammography, fecal occult blood test (FOBT), and prostate-specific antigen (PSA) test. Methods: An ecological study wa...

  • Article
  • Open Access
1 Citations
1,698 Views
16 Pages

Background: Health literacy, including its digital and vaccination-specific components, is essential for informed health decision-making in adolescence—a developmental period when health attitudes and behaviors are shaped and may persist into a...

  • Case Report
  • Open Access
1,723 Views
14 Pages

Problem-Solving and Behavioural Activation for Young Mothers with Depression in Harare, Zimbabwe: A Mixed-Methods Case Series

  • Concilia Tarisai Bere,
  • Rufaro Hamish Mushonga,
  • Rhulani Beji-Chauke,
  • Patrick Smith,
  • Jermaine Dambi,
  • Dzifa Abra Attah,
  • Takudzwa Mtisi,
  • Dixon Chibanda and
  • Melanie Abas

Background. Depression and anxiety among young people in Africa are highly prevalent and a significant public health concern. Evidence-based interventions (EBIs) tailored to this demographic’s unique cultural and contextual needs are limited. M...

  • Article
  • Open Access
869 Views
9 Pages

Absence of Brucella canis Detection in Dogs from Central Italy: Implications for Regional Surveillance and Zoonotic Risk

  • Maria Luisa Marenzoni,
  • Sabrina Attura,
  • Brigitta Favi,
  • Maria Teresa Antognoni,
  • Maria Beatrice Conti,
  • Andrea Felici,
  • Carmen Maresca,
  • Eleonora Scoccia,
  • Maria Rita Bonci and
  • Manuela Tittarelli
  • + 7 authors

Background: Brucella canis is a zoonotic pathogen associated with reproductive disorders in dogs and represents an emerging public health concern. Dogs are the only known source of infection for humans, and transmission is often associated with close...

  • Article
  • Open Access
1,255 Views
13 Pages

Background/Objectives: Nitrous oxide (N2O), commonly known as laughing gas, is increasingly being used recreationally. While neurological risks are recognized, psychiatric effects remain underexplored. This study investigates neuropsychiatric present...

  • Article
  • Open Access
656 Views
14 Pages

Background/Objectives: Patient satisfaction is increasingly recognized as a key indicator of the effectiveness of substance use disorder (SUD) treatment. While some studies suggest disparities in satisfaction across treatment settings, there remains...

  • Article
  • Open Access
1,217 Views
10 Pages

Clinical Features According to the Type of Intermittent Exotropia: Korean Intermittent Exotropia Multicenter Study

  • Hee Kyung Yang,
  • Hae Ri Yum,
  • Sun A Kim,
  • Hyuna Kim,
  • Jinu Han,
  • Yoonae A. Cho,
  • Hyunkyung Kim and
  • Dong Gyu Choi

Background/Objectives: To determine the clinical features of different types of intermittent exotropia according to the distance and near angles of exodeviation. Methods: This study included 5331 patients with intermittent exotropia. The patients wer...

  • Article
  • Open Access
1 Citations
916 Views
19 Pages

Background: The COVID-19 pandemic significantly disrupted various aspects of daily life, including hygiene routines, dietary habits, and access to dental care. This study aimed to evaluate the impact of the pandemic on the oral health-related and die...

  • Article
  • Open Access
1,801 Views
19 Pages

Gaps in Vitamin D Intake and Status in Moroccan Women

  • Noura Zouine,
  • Ilham Lhilali,
  • Abdelhai Messaoudi,
  • Samir El Jaafari and
  • Younes Filali-Zegzouti

Background: Vitamin D is essential for women’s health, yet deficiency is widespread among Moroccan premenopausal women. Objectives: This study examined vitamin D intake, dietary sources, determinants, and predictors of serum 25-hydroxyvitamin D...

  • Article
  • Open Access
916 Views
16 Pages

A Pooled Sample Study of Opioid Use Disorder Treatment Wait Time Among a Pregnant Population in New York

  • Stanley Nkemjika,
  • Gulshan Begum,
  • Bolaji Yoade,
  • Vaibhav Vyas,
  • Henry Onyeaka,
  • Olubusola Olatunji,
  • Olaniyi Olayinka and
  • Ayana Jordan

Background and Aim: Opioid use disorder (OUD) during pregnancy has become a major public health issue, with its prevalence rising significantly in recent years. The incidence of neonatal abstinence syndrome (NAS) has also surged, from 1.5 cases per 1...

  • Case Report
  • Open Access
1,205 Views
12 Pages

Feminizing Adrenocortical Carcinoma in Men: A Rare Cause of Persistent Gynecomastia and a Contemporary Literature Review

  • Ana Maria Arnautu,
  • Diana Loreta Paun,
  • Corina Neamtu,
  • Costin Gingu,
  • Victor Nimigean,
  • Dana-Mihaela Tilici,
  • Ruxandra Costinescu,
  • Mirona Costea,
  • Adina Onofrei and
  • Sorin Paun
  • + 2 authors

Background: Feminizing adrenocortical tumors (FATs) are an exceedingly rare subset of adrenal neoplasms, typically affecting adult men and characterized by an excess of estrogen, suppressed gonadotropins, and gynecomastia. Most FATs are malignant, wi...

  • Article
  • Open Access
1,065 Views
18 Pages

Positive Impact of Vaccinal Status Among Notified Measles Cases in Romania in 2020–2024

  • Valerian-Ionuț Stoian,
  • Iulia Chiscop,
  • Aurora Stănescu,
  • Mariana Daniela Ignat,
  • Raisa Eloise Barbu,
  • Mădălina Nicoleta Matei,
  • Alexia Anastasia Ștefania Baltă,
  • Liliana Baroiu,
  • Iulia Draghiev and
  • Mihaela Debita

Background and Objectives: Measles is a highly contagious but vaccine-preventable disease with significant morbidity in the European region, including Romania, especially in the post-COVID-19 era with low vaccination rates which no longer provide her...

  • Case Report
  • Open Access
1,067 Views
17 Pages

Basal Ganglia Involvement in Pediatric Mycoplasma pneumoniae Meningoencephalitis: Two Cases and a Literature Review

  • Dominik Ljubas,
  • Luka Švitek,
  • Lorna Stemberger Marić,
  • Nina Krajcar,
  • Maja Vrdoljak Pažur,
  • Ana Tripalo Batoš,
  • Srđan Roglić and
  • Goran Tešović

Background: Mycoplasma pneumoniae is a common cause of respiratory tract infections in children, but neurological complications, including encephalitis, are increasingly recognized. Basal ganglia involvement is rare, and a poorly characterized featur...

  • Review
  • Open Access
2,404 Views
11 Pages

The Impact of ACLS Training in the Management of Cardiac Arrest: A Narrative Review

  • Pasquale Di Fronzo,
  • Giovanni Gaetti,
  • Daniel Marcassa,
  • Valeria Gervasi,
  • Oumaiema Dardour,
  • Andrea Pedretti and
  • Luca Gambolò

Background: Cardiac arrests can occur both in and out of hospital settings. Over the years, several protocols have been developed to standardize the behavior of healthcare professionals called upon to deal with these emergencies. Advanced Cardiac Lif...

  • Article
  • Open Access
1 Citations
2,125 Views
19 Pages

Background: In late January 2025, a measles outbreak began in Gaines County, Texas, USA, and the outbreak extended to New Mexico. We used a variety of mathematical models to estimate the growth rate of the Texas–New Mexico measles outbreak of 2...

  • Article
  • Open Access
1,360 Views
13 Pages

Proposed NT-ProBNP Threshold for Predicting 2-Year Heart Failure Mortality and Implications for Long-Term Community Follow-Up

  • Ioana Camelia Teleanu,
  • Gabriel Cristian Bejan,
  • Ioana Ruxandra Poiană,
  • Anca Mîrșu-Păun,
  • Silviu Ionel Dumitrescu and
  • Ana Maria Alexandra Stănescu

Background/Objectives: Pre-discharge NT-proBNP levels may serve as a helpful tool in the algorithm of assessing the long-term risk of mortality after a hospitalization for symptomatic heart failure (HF). The goals were: (a) to identify a cut-off for...

  • Article
  • Open Access
1 Citations
2,185 Views
11 Pages

Background/Objectives: Medroxyprogesterone acetate (MPA) is a synthetic contraceptive that can be used orally or as a once-every-three-month injection (i.e., depot MPA [dMPA]). Prior research has reported an increased association between dMPA and cer...

  • Article
  • Open Access
864 Views
10 Pages

CBRNe Personal Protective Equipment Is Not a Hindrance to Lifesaving Procedures in Prehospital Settings: A Prospective, Repeated-Measures Observational Study

  • Stefano Innocenzi,
  • Fabio Ingravalle,
  • Massimo Maurici,
  • Daniela Di Rienzo,
  • Danilo Casciani,
  • Michelangelo Cesare Rinella,
  • Antonio Vinci,
  • Eliana Giuffré,
  • Nicoletta Trani and
  • Narciso Mostarda
  • + 1 author

Objectives: The primary objective was to compare the usage of Hazardous Materials (HazMat) Protective Personal Equipment (PPE) and ordinary PPE when performing basic and advanced health care support maneuvers in a prehospital setting, evaluating the...

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Epidemiologia - ISSN 2673-3986