Oral live attenuated human rotavirus vaccine (RotarixTM) offers sustained high protection against severe G9P[8] rotavirus gastroenteritis during the first two years of life in Brazilian children

In a large Phase III trial conducted in 10 Latin American countries, the safety and efficacy of the live attenuated monovalent rotavirus vaccine RIX4414 was evaluated in 15,183 healthy infants followed up during the first two years of life. Belém was the only site in Brazil included in this multicentre trial. The study in Belém included a subset of 653 infants who were followed up until 24 months of age for protection against severe rotavirus gastroenteritis. These subjects were randomly assigned in a 1:1 ratio to receive two doses of vaccine (n = 328) or two doses of placebo (n = 325) at approximately two and four months of age. Of the 653 enrolled infants, 23 dropped out during the study period. For the combined two-year period, the efficacy of RIX4414 was 72.3% [95% confidence interval (CI) 37.5-89.1%] against severe rotavirus-related gastroenteritis, reaching a protection rate of 81.8% (95% CI 36.4-96.6%) against circulating wild-type G9 rotavirus strains. It is concluded that two doses of RIX4414 are highly efficacious against severe rotavirus gastroenteritis in Belém during the first two years of life and provide high protection against the worldwide emergence and spread of G9P[8] strains.

Changes in the relationship between society and nature in the Mezzo-region of Southeastern Pará, Amazon, Brazil

Neste texto, busca-se demonstrar algumas das alterações ocorridas nos padrões de relações existentes entre sociedade e natureza ocorridas no século XX, nos vales dos rios Parauapebas, Itacaiúnas e em parte do vale rio Tocantins, no sudeste do estado do Pará, o que é feito realizando um resgate das descrições decorrentes do olhar de Coudreau (1889) e transcritas em "Voyage a Itaboca et a L'Itacayuna", publicado em 1897, no qual se descreve uma área quase que integralmente coberta pela floresta. Em seguida, realiza-se uma contraposição, recorrendo a outro olhar, o que é viabilizado pelos sensores do satélite Landsat 5, que imagiaram a área destes vales em 2001, explicitando conseqüências das transformações da sociedade e da pressão sobre recursos naturais mas, sobretudo, a drástica redução da floresta a 52% dos 63 mil km² analisados.