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Long Covid challenges in Brazil

An unfinished agenda for the Brazilian Unified National Health System

Bibliographic Data

ID5222756
AuthorsAlberto Novaes Ramos (0000-0001-7982-1757, Universidade Federal do Ceará, corresponding author)
Year2024
Volume40
Issue2
Publication date2024-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueCadernos de Saude Publica (JOURNAL)
Journal identifiersISSN: 0102-311X • E-ISSN: 1678-4464
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/0102-311xen008724
OpenAlexW4391941546
LanguageEN
Citations received1
References cited20

The COVID-19 pandemic represented an unprecedented public health and humanitarian crisis in the history of humanity and, from a syndemic perspective, caused unequal and long-term direct and indirect effects on the population combined with political, economic, social, environmental, and individual issues 1,2,3 .From the first cases in 2019 to December 31, 2023, the cumulative number of global cases and deaths reported to the World Health Organization (WHO) was impressive, despite the number of underreported cases: almost 774 million people affected, of which, more than 38 million in Brazil (4.9%).In total, COVID-19 caused 7 million deaths including 708,000 in Brazil (10%) 4,5 .With the WHO declaring COVID-19 a global health emergency in February 2020, global efforts have focused on reducing morbidity, with measures to prevent the spread of SARS-CoV-2, vaccination to prevent infection and severe clinical forms, and reducing mortality 2,6 .Brazil, despite the response of Brazilian Unified National Health System (SUS, acronym in Portuguese), has negative inter-federative articulation and coping strategies 1,2 .In addition the significant number of cases and deaths, COVID-19 is recognized as a chronic condition with high morbidity and mortality, despite being neglected by governments, researchers, health professionals, society in general, and people affected 2,6,7,8,9,10,11 .This clinical syndrome was initially called "long COVID" by patients with strong social media engagement and mobilization in advocacy strategies.The idea was to raise awareness and give visibility to an emerging public health problem 3,8,9,11,12 .The WHO officially recognized it in August 2020 13 , and defined it as a "post-COVID-19 condition" in people with probable or confirmed SARS-CoV-2 infection, usually with persistent signs/symptoms three months after infection and lasting at least two months, and which are not explained by another diagnosis 8,12,13 .Other names are found in the literature, with specific definitions but limited consensus: "post-COVID syndrome" (National Institute for Health and Care Excellence/United Kingdom), "post-COVID-19 conditions" (Centers for Disease Control and Prevention/United States), "persistent symptoms or consequences of COVID-19", and "post-acute sequelae of SARS CoV-2 infection" 3,8,12

2019-20 coronavirus outbreak · Betacoronavirus · Coronavirus disease 2019 (COVID-19) · Economic growth · Economics · Geography · Health care · Healthcare system · Political science · Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) · COVID-19 and Mental Health · Intensive Care Unit Cognitive Disorders · Long-Term Effects of COVID-19 · Medicine · Virology

  • Contested Illness and Alternative Expertise Networks in Global Health

    Open Access•Renan Gonçalves Leonel Da Silva, Amanda Curi et al.•Sociology of Health & Illness•2025

  • A clinical case definition of post-Covid-19 condition by a Delphi consensus

    Open Access•Joan B Soriano, Srinivas Murthy et al.•The Lancet Infectious Diseases•2022

  • Long Covid

    Open Access•Hannah Davis, Lisa Mccorkell et al.•Nature Reviews Microbiology•2023

  • Prevalence of long Covid decreases for increasing Covid-19 vaccine uptake

    Open Access•Manlio De Domenico, Srinivasa Rao Mutheneni•PLOS Global Public Health•2023

  • Long Covid requires a global response centred on equity and dialogue

    Open Access•Larry Au, Cristian Capotescu et al.•Global Health Action•2023

  • Exploring invisibility and epistemic injustice in Long Covid—A citizen science qualitative analysis of patient stories from an online Covid community

    Open Access•Jane Ireson, Amy Taylor et al.•Health Expectations•2022

  • An intersectional analysis of long Covid prevalence

    Open Access•Jennifer Cohen, Yana Van Der Meulen Rodgers•International Journal for Equity…•2023

  • Propensity for Covid-19 severe epidemic among the populations of the neighborhoods of Fortaleza, Brazil, in 2020

    Open Access•José Ueleres Braga, Alberto Novaes Ramos et al.•BMC Public Health•2020

  • Post-Covid-19 syndrome

    Open Access•Fernando Shizuo Ida, Hebert Pereira Ferreira et al.•Cadernos de Saude Publica•2024

  • Prevalence and factors associated with long Covid in adults from Southern Brazil

    Open Access•Natan Feter, Eduardo L Caputo et al.•Cadernos de Saude Publica•2023

  • Post-Covid-19 syndrome among hospitalized Covid-19 patients

    Open Access•Roseany Patricia Silva Rocha, Ana Carolina Da Silva Andrade et al.•Cadernos de Saude Publica•2024

  • Long-term mass population effects of the Covid-19 pandemic

    Open Access•Guilherme Loureiro Werneck•Cadernos de Saude Publica•2022

  • How and why patients made Long Covid

    Open Access•Felicity Callard, Elizabeth Perego et al.•Social Science & Medicine•2021

  • Racial Inequalities in the Health Establishment Access to the Treatment of Covid-19 in Brazil in 2020

    Open Access•Lídia Santos Silva, Julio Silva et al.•Journal of Racial and Ethnic…•2025

Unique citing works1
Citations per year1
Citation span2025 - 2025 (1)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 1
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