The coronavirus disease 2019 pandemic (COVID-19) has an important direct and indirect impact on both physical and mental health. We aim to describe the impact of an emergency state period due to COVID-19 on psychiatric emergency department (ED) visits. We conducted a retrospective observational study analysing all emergency visits occurring at a metropolitan psychiatric ED between March 19th and May 2nd 2019 and 2020 (the beginning/end date of the emergency state which Portugal was under due to COVID-19). Data regarding age, sex, diagnoses, admission date, discharge destiny and status were collected. Diagnoses were classified using the International Classification of Diseases version 9, Clinical Modification (ICD-9-CM). There was a 52·2% decrease on the number of psychiatric emergency visits during the emergency state period (n 2020 = 780 vs n 2019 = 1633 episodes). The decrease on psychiatric ED visits was greater in the female sex and in the younger age groups. Episodes with a primary diagnosis of Mood disorders lead the decrease on psychiatric ED visits with 68·3% less episodes. Schizophrenia and other psychotic disorders was the diagnosis group with the smaller decline (9·8% decrease). COVID-19 emergency state period had an important impact on the number and characteristics of psychiatric ED visits, reinforcing the great indirect effects of COVID-19 on mental health.

MIRU-VNTR typing produced 16 distinct genotypes, with 53 isolates forming eight of the groups, and individual isolates with unique VNTR profiles forming the remaining eight groups. The allelic diversity of each VNTR locus was calculated and only two of the 12-MIRU-VNTR loci presented scores with either a moderate (0.4, MIRU16) or high (0.6, MIRU26) discriminatory index (h). Both typing methods produced similar discriminatory indexes (spoligotyping h = 0.85; MIRU-VNTR h = 0.86) and the combination of the two methods increased the h value to 0.94, resulting in 29 distinct patterns. These results confirm that spoligotyping and VNTR analysis are valuable tools for studying the molecular epidemiology of M. bovis infections in Brazil. Key words: Mycobacterium bovis -spoligotyping -MIRU-VNTR typing -bovine tuberculosis -molecular epidemiologyGenotyping of M. bovis from Brazil • Patrícia Martins Parreiras et al. 65While IS6110-RFLP lacks resolution in this species, spoligotyping has been demonstrated to be a fast and cost-effective method for first-line typing (Haddad et al. 2004). The MIRU-VNTR typing procedure has been extensively evaluated in M. tuberculosis and the recent data available about this method on M. bovis strains confirmed its considerable power of discrimination (Sola et al. 2003, Michel et al. 2008, 2010. Smith et al. (2006) inferred that a combination of spoligotyping and VNTR typing resulted in the simplest and most cost-effective method for routine molecular typing and epidemiological tracing of bovine TB in Great Britain.Some previous studies have successfully employed techniques such as IS6110-RFLP and spoligotyping to genotype M. bovis strains isolated from cattle in Brazil (Zanini et al. 2001, Rodriguez et al. 2004), but as far as we know, no data exist on genotyping of M. bovis by combining spoligotyping and MIRU-VNTR typing in our country. We aimed to use spoligotyping and MIRU-VNTR typing to assess the genetic diversity of Brazilian M. bovis isolates. MATERIALS AND METHODS Sampling and conventional procedures -During 2001and 2002, tissue samples from cattle with lesions suggestive of TB were collected immediately after slaughter at the time of inspection in abattoirs. The study samples were collected in abattoirs that followed slaughter inspection procedures from the states of Amazonas (AM), Paraíba (PB), Distrito Federal (DF), Mato Grosso do Sul (MS), São Paulo, Santa Catarina (SC) and Minas Gerais (MG). The sampled specimens from respective carcasses were pooled, put on ice and sent to the Laboratório Nacional Agropecuário de Minas Gerais (Pedro Leopoldo, MG), where they were processed for inoculation in Stonebrink culture medium (Mota 1985). The cultures were incubated at 37ºC and verified for bacterial growth every week for a period of at least two months. Bacterial isolates were submitted to standard procedures for differentiation of certain species of the MTBC, including the evaluation of niacin production, nitrate reductase activity, Tween hydrolysis, catalase activity at 68ºC and resis...

Mycobacterium bovis is the causative agent of bovine tuberculosis (BTB), the pathogen responsible for serious economic impact on the livestock sector. In order to obtain data on isolated M. bovis strains and assist in the control and eradication program for BTB, a cross sectional descriptive molecular epidemiology study in the Brazilian Midwest was conducted. Through spoligotyping and 24-loci MIRU-VNTR methods, 37 clinical isolates of M. bovis circulating in the region were analyzed, 10 isolated from the state of Mato Grosso, 12 from the state of Mato Grosso do Sul and 15 from the state of Goiás. The spoligotyping analysis identified 10 distinct M. bovis profiles (SB0121 n = 14, SB0295 n = 6, SB0140 n = 6, SB0881 n = 3, SB1144 n = 2, SB1145 n = 2, SB0134 n = 1, SB1050 n = 1, SB1055 n = 1, SB1136 n = 1) grouped in six clusters and four orphan patterns. The MIRU-VNTR 24-loci grouped the same isolates in six clusters and 22 unique orphan patterns, showing higher discriminatory power than spoligotyping. When associating the results of both techniques, the isolates were grouped in five clusters and 24 unique M. bovis profiles. Among the 24-loci MIRU-VNTR evaluated, two, ETR-A and QUB 11b loci, showed high discriminatory ability (h = ≥ 0.50), while MIRU 16, MIRU 27, ETR-B, ETR-C, Mtub21 and QUB 26 loci showed moderate ability (h = 0.33 or h = 0.49) and were the most effective in evaluating the genotypic similarities among the clinical M. bovis isolate samples. Herein, the 29 patterns found amongst the 37 isolates of M. bovis circulating in the Brazilian Midwest can be due to the animal movement between regions, municipalities and farms, thus causing the spread of various M. bovis strains in herds from Midwest Brazil.

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 RESUMOAs estratégias de combate à brucelose bovina são bastante conhecidas e, até o momento, os resultados são divergentes. No Brasil, o Ministério da Agricultura, Pecuária e Abastecimento (MAPA) implementou, em 2001, o Programa Nacional de Controle e Erradicação da Brucelose e Tuberculose. Conhecer a situação epidemiológica da brucelose no início de um programa de controle permite: 1 -escolher as melhores estratégias de controle em função da frequência e padrão de distribuição da doença na população e 2 -acompanhar o programa com a finalidade de promover correções e evitar o desperdício de tempo e de recursos. Em razão disso, é necessário realizar estudos para dar suporte à escolha das melhores estratégias para os vários estados e regiões brasileiras e criar um mecanismo racional de verificação da efetividade das ações implementadas. Para tanto, o MAPA estabeleceu um Termo de Cooperação Técnica com a Faculdade de Medicina Veterinária da Universidade de São Paulo e envolveu também a Faculdade de Agronomia e Veterinária da Universidade de Brasília. Até o momento, foram concluídos os estudos de 15 unidades federativas, cujos resultados são apresentados nos artigos subsequentes. Além disso, há um 16º artigo que explora o impacto da vacinação de bezerras com a B19 na redução da prevalência da brucelose.Palavras-chave: brucelose bovina, programa de erradicação, Brasil ABSTRACT Although strategies for controlling and eradicating of bovine brucellosis are well known, the achievements vary widely. In 2001, the Brazilian Ministry of Agriculture, Livestock, and Food Supply (MAPA) started a new National Program for the Control and Eradication of Brucellosis and Tuberculosis (NPCEBT). In the beginning of a brucellosis control program, it is of utmost importance to gain insights into the epidemiological status of the disease in order to