Covid-19

Local/regional inequalities and impacts over critical healthcare infrastructure in Brazil

Dados Bibliográficos

ID3754566
AutoresWilson Cabral De Sousa Júnior (0000-0001-6176-2410, Aeronautics Institute of Technology - Infrastructure, Environment and Sustainability Research Group, Brasil), Demerval Gonçcalves (0000-0002-9893-5845, Aeronautics Institute of Technology - Infrastructure, Environment and Sustainability Research Group, Brasil), Dafne Brito Cruz (0000-0002-2417-6161, Aeronautics Institute of Technology - Infrastructure, Environment and Sustainability Research Group, Brasil)
Ano2020
Volume23
Data de publicação2020-01-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoAmbiente & sociedade (JOURNAL)
Identificadores do periódicoISSN: 1414-753X • E-ISSN: 1809-4422
EditoraFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/1809-4422asoc20200114vu2020l3id
OpenAlexW3038561877
SCIELO_PIDS1414-753X2020000100905
IdiomaEN
Citações recebidas5
Referências citadas4

This article addresses regional inequalities about critical healthcare infrastructure for coping with the COVID-19, based on geospatial analysis and compartmental modeling (SEIR). The study sites were the São Paulo Macro Metropolis (MMP) and the Metropolitan Region of Vale do Paraíba/Litoral Norte (RMVPLN). The results indicated the absence of ICU beds in more than 2/3 of the municipalities, in addition to the concentration in regional hubs, for which the migration of COVID-19 cases from neighboring municipalities should be considered. The analysis with the SEIR model, performed for scenarios with and without social isolation, showed that the isolation adopted in the regions was able to postpone the collapse of the health infrastructure, reducing the reproduction rate of the disease. The simulations indicated a reproduction rate of 0.95 in order to avoid collapse in the health infrastructure for RMVPLN in the analyzed period. In addition, for future resilience, it is essential to address inequalities in terms of health infrastructure available for public and private access

Cartography · Critical infrastructure · Disease · Economic geography · Economic growth · Economics · Geography · Geospatial analysis · Health care · Healthcare system · Inequality · Metropolitan area · Political science · Public health · Regional science · Social inequality · COVID-19 epidemiological studies · COVID-19 Pandemic Impacts · Medicine · Zoonotic diseases and public health