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Health collapse in Manaus

The burden of not adhering to non-pharmacological measures to reduce the transmission of Covid-19

Bibliographic Data

ID5335958
AuthorsIvana Cristina De Holanda Cunha Barreto (0000-0001-8447-3654, Fundação Oswaldo Cruz), Raimundo Valter Costa Filho (0000-0002-2456-8819, Instituto Federal de Educação), Ronaldo Fernandes Ramos (0000-0003-2841-1787, Instituto Federal de Educação), Luciana Gonzaga De Oliveira (0000-0003-2399-3052, Universidade de Brasília), Natália Regina Alves Vaz Martins (0000-0003-1162-8795, Universidade de Brasília), Francisca Verônica Cavalcante (0000-0002-8706-0457, Universidade de Brasília), Luiz Odorico Monteiro De Andrade (0000-0002-3335-0619, Fundação Oswaldo Cruz), Leonor Maria Pacheco Santos (0000-0002-6739-6260, Universidade de Brasília)
Year2021
Volume45
Issue131
Pages1126-1139
Publication date2021-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueSaúde em Debate (JOURNAL)
Journal identifiersISSN: 0103-1104 • E-ISSN: 2358-2898
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/0103-1104202113114i
OpenAlexW4205697133
SCIELO_PIDS0103-11042021000401126
LanguageEN
Citations received10
References cited7

This article aims to compare the evolution of Covid-19 in Manaus and Fortaleza, two epicenters of the pandemic in 2020, analyzing legal measures by local governments and levels of social isolation. An algorithm was defined to calculate the Homestay Index (HSI), using data from the Google Mobility Report. We analyzed the decree's timeline, the HSI evolution, the Covid-19 incidence and the number of deaths from March/2020 to January/2021. The population of Fortaleza was exposed to more consistent measures of social distancing than that of Manaus. Longer homestay was observed from March to May 2020 and Fortaleza achieved higher and more lasting levels. As of June 2020, the HSI fell, notably in Manaus, reaching levels below zero in late December. As an aggravating factor, the government decreed broad isolation in Manaus on December 23, 2020, but after protests it was repealed on December 26, 2020. A judicial decision determined the complete closure in Manaus on January 2nd 2021, but it was too late: the SUS collapsed with an exponential increase in deaths. In Fortaleza, the demand for health services was high, but under control. We consider that only the strict application of non-pharmacological measures and mass immunization can prevent further deaths

Biology · Coronavirus disease 2019 (COVID-19) · Decree · Disease · Economics · Environmental health · Geography · Government (linguistics) · Isolation (microbiology) · Pandemic · Political science · Population · Social distance · Socioeconomics · Sociology · Timeline · Transmission (telecommunications) · Computer Science · COVID-19 epidemiological studies · COVID-19 Pandemic Impacts · Demography · Global Public Health Policies and Epidemiology · Law · Medicine

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Unique citing works10
Citations per year2,5
Citation span2022 - 2025 (4)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 9
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