Carla Nunes

Statistics and Epidemiology Full Professor

Dean of ENSP-NOVA. (2019 - … ) .

Full Professor of Statistics, Coordinator of the Scientific Committee of the PhD Program in Public Health and Member of the Public Health Research Center (CISP) and the Comprehensive Health Research Center.

Aggregate in Public Health, Universidade NOVA de Lisboa (2012), PhD in Spatio-temporal Stochastic Processes (2003) and Master in Geo-resourses, by the Instituto Superior Técnico of the University of Lisbon (2003 and 1998). Her degree is in Mathematics / Statistical Sciences, Faculty of Science and Technology, Universidade NOVA de Lisbon (1995).

Her areas of academic interest are Statistics and Epidemiology, in particular spatio-temporal epidemiology, in various areas of Public Health, currently focusing on Tuberculosis, Environmental Health and Mental Health.


• Epidemiology Seminar (PhD Program in Public Health)
• Advanced Statistics in Public Health (Doctoral Program in Public Health)
• Statistics (Master Course in Public Health)
• Statistics and Health Research (Optional)

Supervisor of the following works (already completed): 8 PhD theses, 35 Master's dissertations and 15 Postgraduate final works.

Danielle Talita dos Santos | Spatial analysis of tuberculosis mortality and its social determinants of health: looking for evidence in Paraná. | Interunit Doctoral Program in Nursing at the University of São Paulo  School of Nursing and University of São Paulo at Ribeirão Preto College of Nursing, 2019. joint supervision with Prof. Ricardo Arcencio, University of São Paulo at Ribeirão Preto College of Nursing.

Maria Inês Rodrigues dos Santos Joaquim | Variations in Medical Practices - Identification, Causes and Consequences | PhD in Public Health, Health Economics | Scientific Advisor | ENSP / NOVA, 2018. joint supervision with Prof. Céu Mateus of Lancaster University, United Kingdom.

Gianina Scripcaru | Adverse Drug Events in the Context of Hospitalization in Mainland Portugal - Spatio-temporal Description of Event Occurrence and Identification of Reporting Barriers | PhD in Public Health, (specialty: Epidemiology) | Scientific Advisor | ENSP-NOVA, 2018.

Ana Margarida Veiga | “Tuberculosis: Therapeutic Failure and its determinants”. | PhD in Public Health, (specialty: Epidemiology) | Scientific Advisor | ENSP -NOVA, 2016. Joint guidance with Prof. Theodoro Briz of ENSP / NOVA .

John Friar | Vaccination strategy to eliminate measles. A sero-epidemiological study in different vaccine populations | PhD in Public Health, (specialty: Epidemiology)| Scientific Advisor | ENSP- NOVA, 2015. joint supervision with Prof. Guilherme Gonçalves of the Abel Salazar Institute of Biomedical Sciences of the University of Porto.

Franco Cazembe Mufinda | Brucellosis in Namibe Province, Angola, 2012. Human (livestock professionals) and animal prevalence, risk factors, knowledge and practices | PhD in Public Health, (specialty: Epidemiology)| Scientific Advisor | ENSP- NOVA, 2015joint supervision.with Prof. Fernando Boinas, Faculty of Veterinary Medicine, University of Lisbon.

Beatriz Machado | Osteomioarticular Disorders: Low back pain and Scoliosis. Prevalence and associated factors: an analytical and cross-sectional study in adolescents from Algarve region | PhD in Public Health , (specialty: Epidemiology)| Scientific Advisor | ENSP- NOVA, 2014. joint supervision with Prof. Raul Oliveira of the Faculty of Human Motricity, University of Lisbon.

Emília Martins Nunes | Medical advice on disease prevention and health promotion. Analysis on tobacco use | PhD in Public Health, (specialty: Health Promotion) | Scientific Coordinator | ENSP / NOVA, 2012. joint supervision with Prof. Constantino Sakellarides of ENSP- NOVA.


Member of the Public Health Research Center (CISP) and the Comprehensive Health Research Center.
Coordinates (ed) / participates (ed) in 20 research projects, 15 of them in the area of Public Health (Tuberculosis, Road Safety, Adverse Events, among others) sponsored by different entities (FP7, FCT, Gulbenkian, EC, local authorities, private companies).

Selected Publications (2016-2019)

Rocha J, Nunes C, Can We Develop a Risk Map for Suicide Rates? An Ecological Study in Portugal. Community Mental Health Journal https://doi.org/10.1007/s10597-019-00510-9

Frade J., Nunes C, Mesquita JR, Nascimento MS , Prasad L, Gonçalves G, Mumps antibodies in the cord blood: association with maternal recall of mumps. Possible consequences for vaccination strategies. Vacine. doi: 10.1016/j.vaccine.2019.11.013. [Epub ahead of print]

Bhering M1, Kritski A1, Nunes C2, Duarte R3.Multidrug-resistant tuberculosis in Lisbon: unfavourable treatment and associated factors, 2000-2014. Int J Tuberc Lung Dis. 2019 Oct 1;23(10):1075-1081. doi: 10.5588/ijtld.18.0596.

Alves, L. S., Dos Santos, D. T., Arcoverde, M. A. M., Berra, T. Z., Arroyo, L. H., Ramos, A. C. V., De Assis, I. S., De Queiroz, A. A. R., Alonso, J. B., Alves, J. D., Popolin, M. P., Yamamura, M., De Almeida Crispim, J., Dessunti, E. M., Palha, P. F., Chiaraval-Neto, F., Nunes, C. & Arcêncio, R. A., 17 Jul 2019, Detection of risk clusters for deaths due to tuberculosis specifically in areas of southern Brazil where the disease was supposedly a non-problemIn : BMC Infectious Diseases. 19, 1, 628.

Martins, C., Vidal, A., De Boevre, M., De Saeger, S., Nunes, C., Torres, D., Goios, A., Lopes, C., Assunção, R. & Alvito, P., 1 Jul 2019, Exposure assessment of Portuguese population to multiple mycotoxins: the human biomonitoring approach In : International Journal Of Hygiene And Environmental Health. 222, 6, p. 913-925 13 p.

Loureiro, A., Santana, P., Nunes, C. & Almendra, R., The role of individual and neighborhood characteristics on mental health after a period of economic crisis in the lisbon region (Portugal): a multilevel analysis. International Journal of Environmental Research and Public Health. 2019: 16, 15, 2647.

Rocha J, Nunes C, Santana R. Avoidable hospitalizations in Brazil and Portugal: identifying and comparing critical areas through spatial analysis. Plos One. (aceite para publicação)

Martins C, Vidal A, Boevre M, Saeger S, Nunes C, Torres D, Goios A, Lopes C, Assunção R, Alvito P. Exposure assessment of Portuguese population to multiple mycotoxins: the human biomonitoring approach. International Journal of Hygiene and Environmental Health. 2019. (in press). doi: 10.1016/j.ijheh.2019.06.010

Picoito J, Santos C, Loureiro I, Aguiar P, Nunes C. Gender-specific substance use patterns and associations with individual, family, peer, and school factors in 15-year-old Portuguese adolescents: a latent class regression analysis. Child and Adolescent Psychiatry and Mental Health. 2019;13:21. doi: 10.1186/s13034-019-0281-4.

Viegas S, Assunção R, Martins C, Nunes C, Osteresch B, Twarużek M, Kosicki R, Grajewski J, Ribeiro E, Viegas C. Occupational exposure to mycotoxins in swine production: environmental and biological monitoring approaches. Toxins (Basel). 2019;11(2). pii: E78. doi: 10.3390/toxins11020078.

Advinha AM, Barros CT, Guerreiro MP, Nunes C, Lopes MJ, Oliveira-Martins S. Crosscultural validation and psychometric evaluation of the Self-Medication Assessment Tool (SMAT) for assessing and optimizing medication therapy management of older people. European Journal for Person Centered Healthcare. 2018;6(4):655-68.

Bombert F, Manso AC, Ferreira CS, Nogueira P, Nunes C. Sociodemographic factors associated with oral health in 12-year-old adolescents: hygiene behaviours and health appointments: a cross-sectional national study in Portugal. International Dental Journal. 2018;68(5):327-335. doi: 10.1111/idj.12390

Costa-Veiga A, Briz T, Nunes C. Unsuccessful treatment in pulmonary tuberculosis: factors and a consequent predictive model. European Journal of Public Health. 2018;28(2):352-8. https://doi.org/10.1093/eurpub/ckx136

Fernandes SG, Rodrigues AM, Nunes C, Santos O, Gregório MJ, Sousa RD, Dias S, Canhão H. Food insecurity in older adults: results from the epidemiology of chronic diseases cohort study 3. Frontiers in Medicine. 2018;5:203.doi: 10.3389/fmed.2018.00203

Frade J, Nunes C, Mesquita JR, Nascimento MSJ, Gonçalves G. Rubella antibodies in cord blood sera in Portugal: association with maternal age and vaccination status. Epidemiology and infection. 2018;146(5):600-5.

Gomes I, Miranda A, Nunes C. Spatiotemporal analysis of breast cancer incidence: a study in southern Portugal between 2005 and 2012. Anticancer Research. 2018;38(3):1797805.

Luís L, Nunes C. Short national early warning score: developing a modified early warning score. Australian Critical Care. 2018;31(6):376-81. doi: 10.1016/j.aucc.2017.11.004.

Pego MA, Nunes C. Aging, disability, and informal caregivers: a cross-sectional study in Portugal. Frontiers in Medicine. 2018;4:255. doi: 10.3389/fmed.2017.00255

Resende VAC, Neto AC, Nunes C, Andrade R, Espregueira-Mendes J, Lopes S. Higher age, female gender, osteoarthritis and blood transfusion protect against periprosthetic joint infection in total hip or knee arthroplasties: a systematic review and meta-analysis. Knee Surgery, Sports Traumatology, Arthroscopy. 2018. doi: 10.1007/s00167-018-5231-9.

Rodrigues DFS, Nunes C. Inpatient profile of patients with major depression in Portuguese national health system hospitals, in 2008 and 2013: variation in a time of economic crisis. Community Mental Health Journal. 2018;54(2):224-35.

Santos DT, Nunes C, Alves LS, Queiroz AAR, Miranda MJ, Arroyo LH, Yamamura M, Belchior AS, Popolin MP, Arcoverde MAM, Berra TZ, Ramos ACV, Pinto IC, Palha PF, Gabardo BMA, Dessunti EM, Arcêncio RA. Is there association between human development index and tuberculosis mortality risk?: evidence from a spatial analysis study in the south of Brazil. Epidemiology and Infection. 2018;146(14):1763-1770.

Sousa P, Uva AS, Serranheira F, Uva MS, Nunes C. Patient and hospital characteristics that influence incidence of adverse events in acute public hospitals in Portugal: a retrospective cohort study. International Journal for Quality in Health Care. 2018;30(2):132–7.

Viegas S, Assunção R, Nunes C, Osteresch B, Twarużek M, Kosicki R, Grajewski J, Martins C, Alvito P, Almeida A, Viegas C. Exposure assessment to mycotoxins in a Portuguese fresh bread dough company by using a multi-biomarker approach. Toxins (Basel). 2018;10(9). pii: E342. doi: 10.3390/toxins10090342.

Mufinda FC, Boinas F, Nunes C. Prevalence and factors associated with human brucellosis in livestock professionals = Prevalência e factores associados à brucelose humana em profissionais da pecuária. Revista de Saúde Pública. 2017;51:57. doi: 10.1590/S15188787.2017051006051.

Nunes C, Duarte R, Veiga AM, Taylor B. Who are the patients that default tuberculosis treatment?: space matters! Epidemiology & Infection. 2017;145(6):1130-4.

Scripcaru G, Mateus C, Nunes C. A decade of adverse drug events in Portuguese hospitals: space-time clustering and spatial variation in temporal trends. BMC Pharmacology and Toxicology. 2017;18(1):34. doi: 10.1186/s40360-017-0140-y.

Scripcaru G, Mateus C, Nunes C. Adverse drug events: analysis of a decade: a Portuguese case-study, from 2004 to 2013 using hospital database. PLoS One. 2017;12(6):e0178626. doi: 10.1371/journal.pone.0178626.

Advinha AM, Henriques A, Guerreiro MP, Nunes C, Lopes MJ, Oliveira-Martins S. Crosscultural validation of the Drug Regimen Unassisted Grading Scale (DRUGS) to assess community-dwelling elderly's ability to manage medication. European Geriatric Medicine. 2016; 7(5):424-9. doi:10.1016/j.eurger.2016.04.002..

Alves J, Nunes C, Perelman J. Socio-economic inequalities in tobacco-related diseases in Portugal: an ecological approach. Public Health. 2016;130:36-42. Disponível em http://dx.doi.org/10.1016/j.puhe.2015.08.008

Gonçalves G, Frade J, Nascimento MSJ, Mesquita JR, Nunes C. Persistence of rubella and mumps antibodies, following changes in the recommended age for the second dose of MMR vaccine in Portugal. Epidemiology and Infection. 2016;144(15):3139-47.

Gonçalves G, Nunes C, Mesquita JR, Nascimento MS, Frade J. Measles antibodies in cord blood in Portugal: possible consequences for the recommended age of vaccination. Vaccine. 2016;34(24):2750-7.

Nunes C, Taylor BM. Modelling the time to detection of urban tuberculosis in two big cities in Portugal: a spatial survival analysis. International Journal of Tuberculosis and Lung Disease. 2016;20(9):1219-25.

Robalo L, Cruz EB, Nunes C. Validação para a população adolescente portuguesa com dor lombar do Modified Hanover Functional Ability Questionnaire = Modified Hanover Functional Ability Questionnaire: validation for the Portuguese speaking adolescentes with back pain. Revista Portuguesa de Saúde Pública. 2016;34(1): 61-8.

Sousa TB, Santos C, Mateus C, Areal A, Trigoso J, Nunes C. Road traffic accidents and selfreported Portuguese car driver's attitudes, behaviors, and opinions: are they related? Traffic Injury Prevention. 2016;17(7):705-11.




Full details of publications can be found at:


Research ID


Google Scholar

In addition to scientific articles (more than 100) she has authored about 100 papers in Congresses and other national and international scientific meetings.

She collaborates with two working group at General Directorate of Health, one about National Health Strategic Plan and other specifically in the area of Tuberculosis.

Statistics expert at INFARMED.

She coordinate (ed) / participate (ed)  in projects in the Road Safety and in Environmental Health, working with private companies and local authorities.

In 2014/2015 she was a visiting researcher at the Center for Health Informatics, Computing, and Statistics (CHICAS), Lancaster University, UK, with which she has partnerships.

Collaborates with the University of São Paulo at Ribeirão Preto College of Nursing, in projects and doctoral supervision in the area of Tuberculosis and spatio-temporal epidemiology.

Scientific Reviewer of more than 20 international journals.