Evidence map›Paper›PMID 39923013›Full record

ArticleBMC public health2025

Classification of risk for transmission of vaccine-preventable diseases in Brazilian municipalities: comparative analysis before and after the national movement for vaccination and multivaccination proposed by the Ministry of Health as of 2023.

Ana Catarina de Melo Araújo, Thales Philipe Rodrigues da Silva, Janaina Fonseca Almeida Souza, Krishna Mara Rodrigues Freire, Fernanda Penido Matozinhos, Eder Gatti Fernandes

Abstract readComparative Study
In one paragraph

Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ana Catarina de Melo AraújoCoordenadora-Geral de incorporação cientifica e Imunização, Ministério da Saúde Secretaria de Vigilância em Saúde e Ambiente, Departamento de Doenças Imunopreveníveis, Incorporação Cientifica e Imunizações, Ministério da Saúde, Brasília, Brazil.
Thales Philipe Rodrigues da SilvaDoutor em Ciências da Saúde - Saúde da Criança e do Adolescente pela Faculdade de Medicina da UFMG. Residente Pósdoutoral pelo programa de Pós-graduação em Enfermagem da EE UFMG. Departamento de Enfermagem na Saúde da Mulher, Universidade Federal de São Paulo - UNIFESP, Vice-líder do OPESV - Observatório de Pesquisa e Estudos em Vacinação, São Paulo, Brazil.
Janaina Fonseca Almeida SouzaEscola de Enfermagem, Departamento de Enfermagem Materno-Infantil e Saúde Pública, Grupo de Pesquisa OPESV - Observatório de Pesquisa e Estudos em Vacinação, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Krishna Mara Rodrigues FreireConsultora Técnica, Ministério da Saúde, Secretaria de Vigilância em Saúde e Ambiente, Departamento de Doenças Imunopreveníveis, Coordenação-Geral de Incorporação Cientifica e Imunizações, Ministério da Saúde, Brasília, Brazil.
Fernanda Penido MatozinhosDoutora em Saúde e Enfermagem, Universidade Federal de Minas Gerais, Escola de Enfermagem, Departamento de Enfermagem Materno-Infantil e Saúde Pública. Bolsista de Produtividade em Pesquisa - CNPq. Programa de Pós-Graduação em Enfermagem - EEUFMG. Líder do grupo de Pesquisa OPESV - Observatório de Pesquisa e Estudos em Vacinação, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil. nandapenido@hotmail.com.
Eder Gatti FernandesDiretor do Programa Nacional de Imunizações, Ministério da Saúde, Secretaria de Vigilância em Saúde e Ambiente, Departamento de Doenças Imunopreveníveis. Doutor em Saúde Coletiva pela Faculdade de Medicina da Universidade de São Paulo - FMUSP, Ministério da Saúde, Brasília, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo analyze the classification of the risk of transmission of vaccine-preventable diseases in Brazilian municipalities before and after the National Movement for Vaccination and Multivaccination proposed by the Ministry of Health.

methodsThis is an epidemiological, ecological study using secondary data on vaccination coverage, dropout rates, and homogeneity of vaccination coverage (HCV) for ten immunobiologicals recommended for children under 2 years of age. The study aims to compare the years 2022 and 2023 in Brazil. The vaccination coverage index (VCI), HCV, and dropout rate (DR) were evaluated in the municipalities of Brazil in the years 2022 and 2023. The municipalities were classified into risk strata for transmission of vaccine-preventable diseases before and after the strategy proposed by the Ministry of Health.

resultsThe study found an increase in median vaccination coverage (VC) for all vaccines evaluated, except for the varicella vaccine. Regarding HCV, in 2022, 27.99% of Brazilian municipalities were classified as adequate (≥ 70%), and 410 (7.36%) achieved 100% HCV for all vaccines. In 2023, 34.90% of municipalities were classified as adequate (≥ 70%), and among them, 582 (10.46%) achieved 100% HCV for all vaccines. In terms of the risk classification for the transmission of vaccine-preventable diseases, Brazil had 72.01% of municipalities classified as high or very high risk in 2022, which decreased to 65.13% in 2023. As for municipalities classified as low or very low risk, 11.27% fell into this category in 2022, increasing to 18.12% in 2023.

conclusionThe study concludes that VC surveillance, in conjunction with the Microplanning for High-Quality Vaccination Activities methodology developed by the Ministry of Health in 2023, played a crucial role in resuming immunization efforts that had been hindered by science denialism and the COVID-19 pandemic.

Indexed as

Immunization ProgramsVaccinationVaccination CoverageVaccine-Preventable DiseasesBrazilCitiesHumansInfantRisk AssessmentMonitoringRisk managementSurveillanceVaccination coverageVaccine-preventable diseases

Identifiers

PMID39923013
PMCPMC11807307

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.