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Budget cuts could leave scientists unable to afford basics

Budget cuts could leave scientists unable to afford basics
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After years of decline, Brazil sees vaccination coverage rise in 2023

Rodrigo de Oliveira Andrade looks at the reasons for the fall in coverage and what the country has done to counter it Brazil has been gradually reversing the downward trend in childhood immunisation. Coverage for eight childhood vaccines increased in 2023 compared with 2022, according to preliminary data from the Ministry of Health.1 Hepatitis A vaccination coverage rose from 73% to 79.5% between 2022 and 2023, while the first pneumococcal booster increased from 71.5% to 78%. Polio vaccine reached coverage of 74.6%, compared with 67.1% in 2022. Among the vaccines recommended for children under 1 year of age, yellow fever showed the greatest growth in uptake, rising from 60.6% in 2022 to 67.3% in 2023.1 The most notable improvement, however, was for human papillomavirus (HPV) vaccination rates, which had been falling since 2014. In 2023, coverage rose to 83.1%, compared with 63.9% in 2022. The numbers represent a reversal of the fall in vaccination rates that Brazil has faced since

Brazil rethinks organ transplantation in wake of pandemic disruption

Brazil has an organ transplantation system that was the envy of many countries but the pandemic has exposed long standing problems. Rodrigo de Oliveira Andrade reports Brazil has been held up as a global example of organ transplantation guaranteed in full and free of charge by its public healthcare system, which is responsible for financing and performing more than 88% of the surgeries in the country.1 In absolute numbers, Brazil is second only to the US in terms of how many transplantations it performs. But the pandemic has given this exemplary system a shock. By December 2022, 52 989 people were expecting to receive an organ from a deceased donor, the highest number in more than two decades, according to the Brazilian Association of Organ Transplantation (ABTO).2 The increase in the numbers on the waiting list is one of the many side effects of the pandemic.3 “Hospitals had to reallocate doctors and other health professionals to care for patients with covid-19, which ended up

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