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Respiratory syncytial virus (RSV) is a major cause of respiratory tract infections in adults, particularly older adults and those with underlying medical conditions. Vaccination has emerged as a potential key strategy to prevent RSV-related morbidity and mortality. This Neumoexperts Prevention (NEP) Group scientific paper aims to provide an evidence-based positioning and RSV vaccination recommendations for adult patients. We review the current literature on RSV burden and vaccine development and availability, emphasising the importance of vaccination in the adult population. According to our interpretation of the data, RSV vaccines should be part of the adult immunisation programme, and an age-based strategy should be preferred over targeting high-risk groups. The effectiveness and efficiency of this practice will depend on the duration of protection and the need for annual or more spaced doses. Our recommendations should help healthcare professionals formulate guidelines and implement effective vaccination programmes for adult patients at risk of RSV infection now that specific vaccines are available., (Copyright © 2024 The Authors. Published by Elsevier España, S.L.U. All rights reserved.)

In this paper, we estimated the methane emissions by the disposal of sanitary and domestic-use paper consumed throughout Brazil from 1901 to 2016. The apparent consumption of this type of paper from 1961 to 2016, calculated from the data of the FAOSTAT system, was used to estimate the amount of waste disposed of annually in three site categories: sanitary landfill, controlled dump, and open-air, uncontrolled dump. The 2006 IPCC Guide methodology was used to calculate CH4emissions and long-term carbon storage. Nine scenarios based upon the law that establishes the National Solid Waste Policy (NSWP) were examined, considering 100% waste disposal and treatment in landfills or incineration from 2014. The total emission was estimated at 1.967 MtCH4, corresponding to 55.080 MtCO2eq by GWP-AR5, and the stored carbon at 3.724 Mt, corresponding to 13.655 MtCO2eq. CH4emission increased beyond the population growth rate due to an increase in the per capita paper consumption in the country, from 0.02 kgCH4.year-1 in 1961 to 0.30 kg CH4.year-1 in 2016. The NSWP has not yet been accomplished, and the scenarios outlined indicate that, from the point of view of CH4 emissions, it would be more advantageous to carry out incineration instead of applying other waste treatment technologies.