Background: Coronavirus disease (COVID-19) vaccine-related side effects have a determinant role in the public decision regarding vaccination. Therefore, this study has been designed to actively monitor the safety and effectiveness of COVID-19 vaccines globally. Methods: A multi-country, three-phase study including a cross-sectional survey to test for the short-term side effects of COVID-19 vaccines among target population groups. In the second phase, we will monitor the booster doses’ side effects, while in the third phase, the long-term safety and effectiveness will be investigated. A validated, self-administered questionnaire will be used to collect data from the target population; Results: The study protocol has been registered at ClinicalTrials.gov, with the identifier NCT04834869. Conclusions: CoVaST is the first independent study aiming to monitor the side effects of COVID-19 vaccines following booster doses, and the long-term safety and effectiveness of said vaccines.

resumoO artigo traz a evolução e a contribuição da produção científica relacionada ao conceito de vulnerabilidade e sua potencialidade em estudos das doenças transmissíveis. AbstrActThis article presents the evolution and the contribution of the scientific production related to the concept of vulnerability and its potential to help studying transmissible diseases. It presents the concept of vulnerability and the production of knowledge in nursing, developed particularly by the CNPq Research Group Vulnerability, Adherence, and Health Needs. The purpose is to improve the understanding of health issues, based on this concept, and permit the proposition of coping interventions that surpass the individual domain, thus contemplating the organization of health care work and the social determination of the health-disease process. descriptors Vulnerability Communicable diseases Public health Public health nursing resumenEl artículo se refiere a la evolución y a la contribución de la producción científica relacionada al concepto de vulnerabilidad y su potencialidad en estudios de las enfermedades contagiosas. Se presenta el concepto de Vulnerabilidad y la producción de conocimiento en Enfermería, particularmente, desarrollada en el Grupo de Investigación Vulnerabilidad, Adhesión y Necesidades en Salud, del CNPq. Tiene como finalidad ampliar la comprensión de perjuicios de salud con base en este concepto, además de posibilitar la propuesta de intervenciones para su enfrentamiento que extrapolen el ámbito del individuo, pero que contemple la organización del trabajo en los servicios de salud y la determinación social del proceso salud-enfermedad.

In December of 2019, there was an outbreak of a severe acute respiratory syndrome caused by the coronavirus 2 (SARS-CoV-2 or COVID-19) in China. The virus rapidly spread into the whole world causing an unprecedented pandemic and forcing governments to impose a global quarantine, entering an extreme unknown situation. The organizational consequences of quarantine/isolation are absence of organized training and competition, lack of communication among athletes and coaches, inability to move freely, lack of adequate sunlight exposure, and inappropriate training conditions. The reduction of mobility imposed to contain the advance of the SARS-Cov-2 pandemic can negatively affect the physical condition and health of individuals leading to muscle atrophy, progressive loss of muscle strength, and reductions in neuromuscular and mechanical capacities. Resistance training (RT) might be an effective tool to counteract these adverse consequences. RT is considered an essential part of an exercise program due to its numerous health and athletic benefits. However, in the face of the SARS-Cov-2 outbreak, many people might be concerned with safety issues regarding its practice, especially in indoor exercise facilities, such as gyms and fitness centers. These concerns might be associated with RT impact in the immune system, respiratory changes, and contamination due to equipment sharing and agglomeration. In this current opinion article, we provide insights to address these issues to facilitate the return of RT practices under the new logistical and health challenges. We understand that RT can be adapted to allow its performance with measures adopted to control coronavirus outbreak such that the benefits would largely overcome the potential risks. The article provides some practical information to help on its implementation.

Problema: A emergência da pandemia de Covid-19 desafiou a Atenção Primária à Saúde a modificar seus processos de trabalho para mitigar sua ocorrência, sem abandonar as ações programáticas que já vinham desenvolvendo. Método: Trata-se de um relato de experiência sobre a reorganização da Atenção Primária à Saúde (APS) para enfrentamento da pandemia da Covid-19, por meio da descrição das ações e estratégias adotadas pelo município de Diadema (SP). Resultados: Apresenta: rotinas e linhas de cuidados prioritárias; visitas domiciliares e ações no território; atendimento à demanda espontânea; fluxo de atendimento para usuários com Síndrome Gripal; imunização e campanha de vacinação da gripe; vigilância dos casos; Saúde Bucal; ações do Núcleo Ampliado de Saúde da Família e Atenção Básica e os procedimentos de enfermagem. Sintetiza o eixo operacional, as ações para o enfrentamento do Covid-19 e os desafios enfrentados. Desde o início da pandemia até janeiro de 2021, a APS foi o maior notificador municipal, responsável por 58% das notificações de casos suspeitos ou confirmados de Covid-19. Conclusão: A pandemia reforça a necessidade de defesa do protagonismo da APS para a alocação de recursos financeiros, otimizando gastos e organizando fluxos para reduzir gastos desnecessários com internações hospitalares, tanto pela Covid-19, quanto pelas demais causas sensíveis à APS.

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