Deciphering Multifactorial Correlations of Covid-19 Incidence and Mortality in the Brazilian Amazon Basin

Bibliographic Data

ID15509679
AuthorsBlanca Elena Guerriero Daboin (0000-0001-9052-1923, University of Limerick), Blanca Elena Guerrero Daboin (University of Limerick), Italla Maria Pinheiro Bezerra (0000-0002-8604-587X, Escola Superior de Ciências da Santa Casa de Misericórdia de Vitória), Tassiane Cristina Morais (0000-0002-5101-2883, Escola Superior de Ciências da Santa Casa de Misericórdia de Vitória), Isabella Portugal (0000-0002-6448-2550, Universidade de São Paulo), Jorge De Oliveira Echeimberg (0000-0002-2008-9212, Faculdade de Medicina do ABC), Andre Evaristo Marcondes Cesar (University of Limerick), Matheus Paiva Emidio Cavalcanti (0000-0001-5264-8181, University of Limerick), Lucas Cauê Jacintho (0000-0003-1510-0218, Universidade de São Paulo), Rodrigo Daminello Raimundo (0000-0002-3043-0728, Faculdade de Medicina do ABC), Khalifa Elmusharaf (0000-0001-8652-1867, University of Limerick), Carlos Eduardo Gomes Siqueira (0000-0001-8993-3031, University of Limerick), Luiz Carlos De Abreu (0000-0002-7618-2109, Universidade de São Paulo, corresponding author)
Year2022
Volume19
Issue3
Pages1153-1153
Publication date2022-01-20
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph19031153
PMID35162177
OpenAlexW4206221841
LanguageEN
Citations received3
References cited39

Amazonas suffered greatly during the COVID-19 pandemic. The mortality and fatality rates soared and scarcity of oxygen and healthcare supplies led the health system and funerary services to collapse. Thus, we analyzed the trends of incidence, mortality, and lethality indicators of COVID-19 and the dynamics of their main determinants in the state of Amazonas from March 2020 to June 2021. This is a time-series ecological study. We calculated the lethality, mortality, and incidence rates with official and public data from the Health Department. We used the Prais-Winsten regression and trends were classified as stationary, increasing, or decreasing. The effective reproduction number (Rt) was also estimated. Differences were considered significant when p < 0.05. We extracted 396,772 cases of and 13,420 deaths from COVID-19; 66% of deaths were in people aged over 60; 57% were men. Cardiovascular diseases were the most common comorbidity (28.84%), followed by diabetes (25.35%). Rural areas reported 53% of the total cases and 31% of the total deaths. The impact of COVID-19 in the Amazon is not limited to the direct effects of the pandemic itself; it may present characteristics of a syndemic due to the interaction of COVID-19 with pre-existing illnesses, endemic diseases, and social vulnerabilities

Amazon rainforest · Biology · Case fatality rate · Comorbidity · Coronavirus disease 2019 (COVID-19 · Disease · Ecological study · Environmental health · Geography · Incidence (geometry · Mortality rate · Pandemic · Population · Public health · Syndemic · COVID-19 epidemiological studies · Demography · Indigenous Health and Education · Medicine · Mosquito-borne diseases and control · Ecology

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