Mitigation of Socio‑Economical Inequalities on the Profile of Healthcare Workers Infected with SARS‑CoV‑2 upon Vaccination: The Experience of a Brazilian Public Healthcare Institution during the Omicron Wave

Detalhes bibliográficos
Autor(a) principal: Zuma, Maria Celia Chaves
Data de Publicação: 2023
Outros Autores: Faccion, Roberta Soares, Costa, Ana Carolina Carioca da, Gomes, Leonardo Henrique Ferreira, Moore, Daniella Campelo Batalha Cox, Gomes Junior, Saint Clair, Bonomo, Adriana Cesar, Savino, Wilson, Missailidis, Sotiris, Vasconcelos, Zilton Farias Meira
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/59067
Resumo: Fundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira (IFF). Laboratório de Alta Complexidade (LACIFF). Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. Instituto Fernandes Figueira, Programa de Pós‑Graduação em Pesquisa Aplicada à Saúde da Criança e da Mulher. Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. IFF. Unidade de Pesquisa Clínica. Rio de Janeiro, RJ, Brasil.
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spelling Zuma, Maria Celia ChavesFaccion, Roberta SoaresCosta, Ana Carolina Carioca daGomes, Leonardo Henrique FerreiraMoore, Daniella Campelo Batalha CoxGomes Junior, Saint ClairBonomo, Adriana CesarSavino, WilsonMissailidis, SotirisVasconcelos, Zilton Farias Meira2023-06-18T17:08:25Z2023-06-18T17:08:25Z2023ZUMA, Maria Celia Chaves et al. Mitigation of Socio‑Economical Inequalities on the Profile of Healthcare Workers Infected with SARS‑CoV‑2 upon Vaccination: The Experience of a Brazilian Public Healthcare Institution during the Omicron Wave. COVID, v.3, p. 65-81, Jan. 2023.2673-8112https://www.arca.fiocruz.br/handle/icict/5906710.3390/covid3010004engMDPISARS‑CoV‑2COVID‑19Profissionais de saúdeDeterminantes sociais da saúdeDesigualdadeVariante OmicronHealthcare workersHealthcare professionalsSARS‑CoV‑2COVID‑19Social determinants of health; inequalityOmicron variantMitigation of Socio‑Economical Inequalities on the Profile of Healthcare Workers Infected with SARS‑CoV‑2 upon Vaccination: The Experience of a Brazilian Public Healthcare Institution during the Omicron Waveinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira (IFF). Laboratório de Alta Complexidade (LACIFF). Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. Instituto Fernandes Figueira, Programa de Pós‑Graduação em Pesquisa Aplicada à Saúde da Criança e da Mulher. Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. IFF. Unidade de Pesquisa Clínica. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira (IFF). Laboratório de Alta Complexidade (LACIFF). Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. Instituto Fernandes Figueira, Programa de Pós‑Graduação em Pesquisa Aplicada à Saúde da Criança e da Mulher. Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. IFF. Unidade de Pesquisa Clínica. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Unidade de Pesquisa Clínica. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira (IFF). Laboratório de Alta Complexidade (LACIFF). Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Unidade de Pesquisa Clínica. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. IFF. Departamento de Pediatria, Unidade de Terapia Intensiva, Rio de Janeiro, RJ, Brasil / Universidade Federal Fluminense (UFF). Departamento de Medicina Clínica. Niterói, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Unidade de Pesquisa Clínica. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Oswaldo Cruz (IOC). Laboratório de Pesquisas Sobre o Timo. Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. Instituto National de Ciencia e Tecnologia em Neuroimunomodulação (INCT/NIM) / Rede FAPERJ de Pesquisa em Neuroinflamação, IOC, FIOCRUZ.Fundação Oswaldo Cruz. Instituto Oswaldo Cruz (IOC). Laboratório de Pesquisas Sobre o Timo. Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. Instituto National de Ciencia e Tecnologia em Neuroimunomodulação (INCT/NIM) / Rede FAPERJ de Pesquisa em Neuroinflamação, IOC, FIOCRUZ.Fundação Oswaldo Cruz. Laboratório de Tecnologia Imunológica, Instituto de Tecnologia em Imunobiológicos, Bio‑Manguinhos. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira (IFF). Laboratório de Alta Complexidade (LACIFF). Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Unidade de Pesquisa Clínica. Rio de Janeiro, RJ, Brasil.Abstract: Background: COVID‑19 increased health inequalities worldwide. Even among healthcare workers, social‑economical features enhanced the risk of infection (having positive serology) during the first outbreak. The Omicron variant changed the pandemic course and differs from previous variants in many aspects (molecular, clinical, and epidemiological). Herein, we investigated if the profile of our hospital SARS‑CoV‑2‑positive workers during the Omicron outbreak was the same as the first COVID‑19 wave. Methods: Socio‑demographics, previous infection, and vaccine status of 351 healthcare workers from our institution during the Omicron outbreak were compared between SARS‑CoV‑2‑negative and ‑positive workers, using chi‑square tests. These data were confronted with the profile observed at the beginning of the pandemic. Results: Compared to the original COVID‑19 wave, higher odds of SARS‑CoV‑2 positivity in highly exposed workers in our hospital and a loss of impact of public transportation and other socio‑demographic features in SARS‑CoV‑2 transmission were observed. Conclusions: Our data suggest the current phase of the pandemic is associated with a reduction of social inequalities among healthcare workers in Rio de Janeiro, possibly due to vaccine‑associated protection. Therefore, a worldwide effort to advance vaccination coverage, especially for healthcare workers in developing countries, should be reinforced.info:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/59067/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALWilsonSavino_AdrianaBonomo_etal_IOC_2023.pdfWilsonSavino_AdrianaBonomo_etal_IOC_2023.pdfapplication/pdf1642939https://www.arca.fiocruz.br/bitstream/icict/59067/2/WilsonSavino_AdrianaBonomo_etal_IOC_2023.pdf4a53e24f5d241cfc6f9a367e8608630dMD52icict/590672023-09-14 15:37:35.343oai:www.arca.fiocruz.br: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ório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352023-09-14T18:37:35Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.en_US.fl_str_mv Mitigation of Socio‑Economical Inequalities on the Profile of Healthcare Workers Infected with SARS‑CoV‑2 upon Vaccination: The Experience of a Brazilian Public Healthcare Institution during the Omicron Wave
title Mitigation of Socio‑Economical Inequalities on the Profile of Healthcare Workers Infected with SARS‑CoV‑2 upon Vaccination: The Experience of a Brazilian Public Healthcare Institution during the Omicron Wave
spellingShingle Mitigation of Socio‑Economical Inequalities on the Profile of Healthcare Workers Infected with SARS‑CoV‑2 upon Vaccination: The Experience of a Brazilian Public Healthcare Institution during the Omicron Wave
Zuma, Maria Celia Chaves
SARS‑CoV‑2
COVID‑19
Profissionais de saúde
Determinantes sociais da saúde
Desigualdade
Variante Omicron
Healthcare workers
Healthcare professionals
SARS‑CoV‑2
COVID‑19
Social determinants of health; inequality
Omicron variant
title_short Mitigation of Socio‑Economical Inequalities on the Profile of Healthcare Workers Infected with SARS‑CoV‑2 upon Vaccination: The Experience of a Brazilian Public Healthcare Institution during the Omicron Wave
title_full Mitigation of Socio‑Economical Inequalities on the Profile of Healthcare Workers Infected with SARS‑CoV‑2 upon Vaccination: The Experience of a Brazilian Public Healthcare Institution during the Omicron Wave
title_fullStr Mitigation of Socio‑Economical Inequalities on the Profile of Healthcare Workers Infected with SARS‑CoV‑2 upon Vaccination: The Experience of a Brazilian Public Healthcare Institution during the Omicron Wave
title_full_unstemmed Mitigation of Socio‑Economical Inequalities on the Profile of Healthcare Workers Infected with SARS‑CoV‑2 upon Vaccination: The Experience of a Brazilian Public Healthcare Institution during the Omicron Wave
title_sort Mitigation of Socio‑Economical Inequalities on the Profile of Healthcare Workers Infected with SARS‑CoV‑2 upon Vaccination: The Experience of a Brazilian Public Healthcare Institution during the Omicron Wave
author Zuma, Maria Celia Chaves
author_facet Zuma, Maria Celia Chaves
Faccion, Roberta Soares
Costa, Ana Carolina Carioca da
Gomes, Leonardo Henrique Ferreira
Moore, Daniella Campelo Batalha Cox
Gomes Junior, Saint Clair
Bonomo, Adriana Cesar
Savino, Wilson
Missailidis, Sotiris
Vasconcelos, Zilton Farias Meira
author_role author
author2 Faccion, Roberta Soares
Costa, Ana Carolina Carioca da
Gomes, Leonardo Henrique Ferreira
Moore, Daniella Campelo Batalha Cox
Gomes Junior, Saint Clair
Bonomo, Adriana Cesar
Savino, Wilson
Missailidis, Sotiris
Vasconcelos, Zilton Farias Meira
author2_role author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Zuma, Maria Celia Chaves
Faccion, Roberta Soares
Costa, Ana Carolina Carioca da
Gomes, Leonardo Henrique Ferreira
Moore, Daniella Campelo Batalha Cox
Gomes Junior, Saint Clair
Bonomo, Adriana Cesar
Savino, Wilson
Missailidis, Sotiris
Vasconcelos, Zilton Farias Meira
dc.subject.other.en_US.fl_str_mv SARS‑CoV‑2
COVID‑19
Profissionais de saúde
Determinantes sociais da saúde
Desigualdade
Variante Omicron
topic SARS‑CoV‑2
COVID‑19
Profissionais de saúde
Determinantes sociais da saúde
Desigualdade
Variante Omicron
Healthcare workers
Healthcare professionals
SARS‑CoV‑2
COVID‑19
Social determinants of health; inequality
Omicron variant
dc.subject.en.en_US.fl_str_mv Healthcare workers
Healthcare professionals
SARS‑CoV‑2
COVID‑19
Social determinants of health; inequality
Omicron variant
description Fundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira (IFF). Laboratório de Alta Complexidade (LACIFF). Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. Instituto Fernandes Figueira, Programa de Pós‑Graduação em Pesquisa Aplicada à Saúde da Criança e da Mulher. Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. IFF. Unidade de Pesquisa Clínica. Rio de Janeiro, RJ, Brasil.
publishDate 2023
dc.date.accessioned.fl_str_mv 2023-06-18T17:08:25Z
dc.date.available.fl_str_mv 2023-06-18T17:08:25Z
dc.date.issued.fl_str_mv 2023
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv ZUMA, Maria Celia Chaves et al. Mitigation of Socio‑Economical Inequalities on the Profile of Healthcare Workers Infected with SARS‑CoV‑2 upon Vaccination: The Experience of a Brazilian Public Healthcare Institution during the Omicron Wave. COVID, v.3, p. 65-81, Jan. 2023.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/59067
dc.identifier.issn.en_US.fl_str_mv 2673-8112
dc.identifier.doi.none.fl_str_mv 10.3390/covid3010004
identifier_str_mv ZUMA, Maria Celia Chaves et al. Mitigation of Socio‑Economical Inequalities on the Profile of Healthcare Workers Infected with SARS‑CoV‑2 upon Vaccination: The Experience of a Brazilian Public Healthcare Institution during the Omicron Wave. COVID, v.3, p. 65-81, Jan. 2023.
2673-8112
10.3390/covid3010004
url https://www.arca.fiocruz.br/handle/icict/59067
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
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instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
bitstream.url.fl_str_mv https://www.arca.fiocruz.br/bitstream/icict/59067/1/license.txt
https://www.arca.fiocruz.br/bitstream/icict/59067/2/WilsonSavino_AdrianaBonomo_etal_IOC_2023.pdf
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repository.name.fl_str_mv Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv repositorio.arca@fiocruz.br
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