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Effluent from wastewater treatment plants (WWTPs) remains one of the major pollutants of aquatic environments; however, knowledge about its ecotoxic effects at fish early life stages is limited. The ecotoxicity of effluent from Brazilian WWTPs was herein analyzed based on responses of multiple biomarkers in the zebrafish embryotoxicity test (ZET). Ecotoxicity was analyzed based on mortality rate, hatching rate, spontaneous movement rate (neurotoxicity), heart rate (cardiotoxicity), frequency of morphological changes and morphometric parameters during 144 h exposure time. Results showed that embryos exposed to affluent and effluent presented high mortality rate and delayed hatching rate, as well as changes in morphometric parameters. Exposed embryos also showed physiological, sensory, skeletal and muscular changes, which confirms that the ecotoxic effect of WWTPs effluent is systemic and associated with the presence of several pollutants, even at low concentrations (mixture toxicity). The present study is pioneer in using responses of multiple biomarkers in ZET as suitable approach to assess the ecotoxicity of WWTPs effluent in developing countries, as well as to add value and contribute to studies on WWTPs worldwide. Zebrafish is a suitable vertebrate model to assess the ecotoxicity of WWTP effluent., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2020 Elsevier B.V. All rights reserved.)

Introduction: We assessed the clinical-epidemiological profile of acquired immune deficiency syndrome (AIDS) patients in the Santos region (São Paulo state) with the highest AIDS prevalence in Brazil., Methods: Information was extracted from records of 409 AIDS-infected patients hospitalized between 2011 and 2016., Results: Human immunodeficiency virus (HIV) was diagnosed in 24.7% of patients during admission, and 39.6% of already diagnosed patients received highly active antiretroviral therapy (HAART) irregularly. The mortality rate was 19.1%, and the main secondary manifestations were neurotoxoplasmosis and tuberculosis., Conclusions: AIDS patients in the Santos region had high rates of late diagnosis and low treatment adherence.