{"id":8591,"date":"2021-12-01T03:21:00","date_gmt":"2021-12-01T07:21:00","guid":{"rendered":"https:\/\/informatepy.com\/2021\/?p=8591"},"modified":"2021-11-30T20:01:53","modified_gmt":"2021-12-01T00:01:53","slug":"the-lancet-la-relevancia-epidemiologica-de-la-poblacion-vacunada-contra-el-covid-19-esta-aumentando","status":"publish","type":"post","link":"https:\/\/informatepy.com\/2021\/2021\/12\/01\/the-lancet-la-relevancia-epidemiologica-de-la-poblacion-vacunada-contra-el-covid-19-esta-aumentando\/","title":{"rendered":"The Lancet: La relevancia epidemiol\u00f3gica de la poblaci\u00f3n vacunada contra el COVID-19 est\u00e1 aumentando"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Se esperaba que las altas tasas de vacunaci\u00f3n contra COVID-19 redujeran la transmisi\u00f3n del SARS-CoV-2 en las poblaciones al reducir el n\u00famero de posibles fuentes de transmisi\u00f3n y, por lo tanto, reducir la carga de la enfermedad por COVID-19.\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Sin embargo, datos recientes indican que la relevancia epidemiol\u00f3gica de las personas vacunadas con COVID-19 est\u00e1 aumentando.\u00a0En el Reino Unido se describi\u00f3 que las tasas de ataque secundario entre los contactos dom\u00e9sticos expuestos a casos \u00edndice completamente vacunados eran similares a los de los contactos dom\u00e9sticos expuestos a casos \u00edndice no vacunados (25% para los vacunados frente al 23% para los no vacunados).\u00a012 de 31 infecciones en contactos dom\u00e9sticos completamente vacunados (39%) surgieron de casos \u00edndice vinculados epidemiol\u00f3gicamente completamente vacunados.\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">La carga viral m\u00e1xima no difiri\u00f3 seg\u00fan el estado de vacunaci\u00f3n o el tipo de variante.\u00a0En Alemania, la tasa de casos sintom\u00e1ticos de COVID-19 entre los completamente vacunados (\u00abinfecciones intercurrentes\u00bb) se informa semanalmente desde el 21 de julio de 2021 y era del 16,9% en ese momento entre los pacientes de 60 a\u00f1os o m\u00e1s.\u00a0Esta proporci\u00f3n aumenta semana a semana y era del 58,9% el 27 de octubre de 2021, lo que proporciona una clara evidencia de la creciente relevancia de los vacunados completos como posible fuente de transmisi\u00f3n.\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Se describi\u00f3 una situaci\u00f3n similar para el Reino Unido.\u00a0Entre la semana 39 y 42, se reportaron un total de 100.160 casos de COVID-19 entre ciudadanos de 60 a\u00f1os o m\u00e1s.\u00a089.821 ocurrieron entre los completamente vacunados (89.7%), 3.395 entre los no vacunados (3.4%).\u00a0Una semana antes, la tasa de casos de COVID-19 por 100.000 era mayor entre el subgrupo de vacunados en comparaci\u00f3n con el subgrupo de no vacunados en todos los grupos de edad de 30 a\u00f1os o m\u00e1s.\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">En Israel se inform\u00f3 de un brote nosocomial que involucr\u00f3 a 16 trabajadores de la salud, 23 pacientes expuestos y dos miembros de la familia.\u00a0La fuente fue un paciente COVID-19 completamente vacunado.\u00a0La tasa de vacunaci\u00f3n fue del 96,2% entre todas las personas expuestas (151 trabajadores sanitarios y 97 pacientes).\u00a0Catorce pacientes completamente vacunados enfermaron gravemente o murieron, los dos pacientes no vacunados desarrollaron una enfermedad leve.\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Los Centros para el Control y la Prevenci\u00f3n de Enfermedades (CDC) de EE. UU. Identifican cuatro de los cinco condados principales con el porcentaje m\u00e1s alto de poblaci\u00f3n completamente vacunada (99,9\u201384,3%) como condados de transmisi\u00f3n \u201calta\u201d.\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Muchos tomadores de decisiones asumen que los vacunados pueden ser excluidos como fuente de transmisi\u00f3n.\u00a0Parece ser una negligencia grave ignorar a la poblaci\u00f3n vacunada como una posible y relevante fuente de transmisi\u00f3n al momento de decidir sobre las medidas de control de salud p\u00fablica.<\/strong><\/p>\n\n\n\n<div id=\"fig0001\" class=\"wp-block-image\"><figure class=\"aligncenter is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/i0.wp.com\/els-jbs-prod-cdn.jbs.elsevierhealth.com\/cms\/attachment\/9cdbc010-f6d0-4ed1-be26-6190da9134f5\/gr1.jpg?resize=645%2C396&#038;ssl=1\" alt=\"Figura 1\" width=\"645\" height=\"396\" data-recalc-dims=\"1\" \/><figcaption><strong>Figura 1&nbsp;<\/strong>Tasas de vacunaci\u00f3n y proporciones de personas totalmente vacunadas entre los casos sintom\u00e1ticos de COVID-19 (\u2265 60 a\u00f1os) en Alemania entre el 21 de julio y el 27 de octubre de 2021 seg\u00fan los informes semanales del Robert Koch-Institute<\/figcaption><\/figure><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Se esperaba que las altas tasas de vacunaci\u00f3n contra COVID-19 redujeran la transmisi\u00f3n del SARS-CoV-2 en las poblaciones al reducir el n\u00famero de posibles fuentes de transmisi\u00f3n y, por lo tanto, reducir la carga de la enfermedad por COVID-19.\u00a0 Sin embargo, datos recientes indican que la relevancia epidemiol\u00f3gica de las personas vacunadas con COVID-19 est\u00e1 [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":8415,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"footnotes":"","jetpack_publicize_message":"","jetpack_is_tweetstorm":false,"jetpack_publicize_feature_enabled":true},"categories":[216],"tags":[819,876,803,1036],"ppma_author":[1051],"class_list":["post-8591","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-salud","tag-covid","tag-covid-19","tag-covid19","tag-destacada"],"jetpack_publicize_connections":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - 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