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The COVID-19 pandemic showed that epidemiological surveillance was under-resourced to respond to increases in cases and outbreaks. The high community transmissibility among the school population in the city of Barcelona at the beginning of the sixth wave strained the local COVID-19 surveillance unit. Using SCRUM methodology, Germina was developed and implemented as a software tool capable of capturing, harmonizing, integrating, storing, analysing and visualizing data from multiple information sources on a daily basis. Germina identifies clusters of three or more school cases and calculates epidemiological indicators. The implementation of Germina facilitated the epidemiological response to the sixth wave of COVID-19 in the school setting in the city of Barcelona. This tool is transferable to other exposure settings and communicable diseases. The use of automated informatics tools such, as Germina, improves epidemiological surveillance systems and supports evidence-based decision making.
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http://dx.doi.org/10.1016/j.gaceta.2023.102321 | DOI Listing |
J Am Soc Nephrol
September 2025
Technical Officer, Health Ethics and Governance Unit, Research for Health Department, World Health Organization.
Trop Doct
September 2025
Additional Professor, Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Chikungunya virus (CHIKV) typically causes febrile illness and arthralgia. However, severe complications such as encephalitis, rhabdomyolysis, and multiorgan dysfunction are increasingly recognised, particularly during epidemics in endemic regions. We report a case of a 61-year old male presenting with progressive flaccid paraparesis and respiratory failure following febrile illness.
View Article and Find Full Text PDFRheumatology (Oxford)
September 2025
Department of Rheumatology, Hôpital Bicêtre, Assistance Publique - Hôpitaux de Paris, Université Paris-Saclay, Le Kremlin-Bicêtre, France.
JAMA Neurol
September 2025
Translational Neuropathology Research Laboratory, Department of Pathology and Laboratory Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia.
Importance: Exposure to fine particulate matter air pollution (PM2.5) may increase risk for dementia. It is unknown whether this association is mediated by dementia-related neuropathologic change found at autopsy.
View Article and Find Full Text PDFJAMA Pediatr
September 2025
Department of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill.