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AN INITIATIVE OF COOPERATION IN ZIKA VIRUS RESEARCH: THE EXPERIENCE OF THE ZIKABRA STUDY IN BRAZIL
Author
Giozza, Silvana Pereira
Bermúdez, Ximena Pamela Díaz
Kara, Edna Oliveira
Calvet, Guilherme Amaral
Filippis, Ana Maria Bispo de
Lacerda, Marcus Vinícius Guimarães
Bôtto-Menezes, Camila Helena Aguiar
Castilho, Marcia da Costa
Franca, Rafael Freitas Oliveira
Menezes Neto, Armando
Storme, Casey
Lima, Noemia S.
Modjarrad, Kayvon
Oliveira, Maria Cristina Pimenta de
Pereira, Gerson Fernando Mendes
Broutet, Nathalie
ZIKABRA Study Team
Bermúdez, Ximena Pamela Díaz
Kara, Edna Oliveira
Calvet, Guilherme Amaral
Filippis, Ana Maria Bispo de
Lacerda, Marcus Vinícius Guimarães
Bôtto-Menezes, Camila Helena Aguiar
Castilho, Marcia da Costa
Franca, Rafael Freitas Oliveira
Menezes Neto, Armando
Storme, Casey
Lima, Noemia S.
Modjarrad, Kayvon
Oliveira, Maria Cristina Pimenta de
Pereira, Gerson Fernando Mendes
Broutet, Nathalie
ZIKABRA Study Team
Affilliation
Ministry of Health. Health Surveillance Secretariat. Department of Chronic Condition Diseases and Sexually Transmitted Infections. Brasília, DF, Brazil.
University of Brasilia. Public Health Department. Brasilia, DF, Brazil.
World Health Organization. Geneva, Switzerland.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Leônidas & Maria Deane. Manaus, AM, Brasil / Tropical Medicine Foundation Dr Heitor Vieira Dourado. Manaus, AM, Brasil.
Amazonas State University. Manaus, AM, Brazil.
Tropical Medicine Foundation Dr Heitor Vieira Dourado. Manaus, AM, Brasil.
Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Recife, PE, Brasil.
Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Recife, PE, Brasil.
Henry M. Jackson Foundation for the Advancement of Military Medicine. Bethesda, MD, USA.
Henry M. Jackson Foundation for the Advancement of Military Medicine. Bethesda, MD, USA.
Walter Reed Army Institute of Research. Emerging Infectious Diseases Branch. Silver Spring, MD, USA.
Ministry of Health. Health Surveillance Secretariat. Department of Chronic Condition Diseases and Sexually Transmitted Infections. Brasília, DF, Brazil.
Ministry of Health. Health Surveillance Secretariat. Department of Chronic Condition Diseases and Sexually Transmitted Infections. Brasília, DF, Brazil.
World Health Organization. Geneva, Switzerland.
University of Brasilia. Public Health Department. Brasilia, DF, Brazil.
World Health Organization. Geneva, Switzerland.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Leônidas & Maria Deane. Manaus, AM, Brasil / Tropical Medicine Foundation Dr Heitor Vieira Dourado. Manaus, AM, Brasil.
Amazonas State University. Manaus, AM, Brazil.
Tropical Medicine Foundation Dr Heitor Vieira Dourado. Manaus, AM, Brasil.
Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Recife, PE, Brasil.
Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Recife, PE, Brasil.
Henry M. Jackson Foundation for the Advancement of Military Medicine. Bethesda, MD, USA.
Henry M. Jackson Foundation for the Advancement of Military Medicine. Bethesda, MD, USA.
Walter Reed Army Institute of Research. Emerging Infectious Diseases Branch. Silver Spring, MD, USA.
Ministry of Health. Health Surveillance Secretariat. Department of Chronic Condition Diseases and Sexually Transmitted Infections. Brasília, DF, Brazil.
Ministry of Health. Health Surveillance Secretariat. Department of Chronic Condition Diseases and Sexually Transmitted Infections. Brasília, DF, Brazil.
World Health Organization. Geneva, Switzerland.
Abstract
Background: The Zika virus outbreak has triggered a set of local and global actions for a rapid, effective, and timely public health response. A World Health Organization (WHO) initiative, supported by the Department of Chronic Condition Diseases and Sexually Transmitted Infections (DCCI) of the Health Surveillance Secretariat (SVS), Brazil Ministry of Health (MoH) and other public health funders, resulted in the start of the "Study on the persistence of Zika virus in body fluids of patients with ZIKV infection in Brazil - ZIKABRA study". The ZIKABRA study was designed to increase understanding of how long ZIKV persists in bodily fluids and informing best measures to prevent its transmission. Data collection began in July 2017 and the last follow up visit occurred in 06/26/2020.
Methods: A framework for the ZIKABRA Cooperation initiative is provided through a description and analysis of the mechanisms, strategies and the ethos that have guided the models of international governance and technical cooperation in health for scientific exchange in the context of a public health emergency. Among the methodological strategies, we included a review of the legal documents that supported the ZIKABRA Cooperation; weekly documents produced in the meetings and working sessions; technical reports; memorandum of understanding and the research protocol.
Conclusion: We highlight the importance of working in cooperation between different institutional actors to achieve more significant results than that obtained by each group working in isolation. In addition, we point out the advantages of training activities, ongoing supervision, the construction of local installed research capacity, training academic and non-academic human resources, improvement of laboratory equipment, knowledge transfer and the availability of the ZIKABRA study protocol for development of similar studies, favoring the collective construction of knowledge to provide public health emergency responses. Strategy harmonization; human resources and health services; timing and recruiting particularities and processing institutional clearance in the different sites can be mentioned as challenges in this type of initiative.
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