| Autor: |
Daboin BEG; School of Medicine, University of Limerick, V94 T9PX Limerick, Ireland., Bezerra IMP; School of Sciences of Santa Casa de Misericórdia de Vitória (EMESCAM), Vitoria 29045-402, Brazil., Morais TC; School of Sciences of Santa Casa de Misericórdia de Vitória (EMESCAM), Vitoria 29045-402, Brazil.; Department of Integrated Health Education, Federal University of Espirito Santo, Vitoria 29075-910, Brazil., Portugal I; Department of Internal Medicine, School of Medicine, University of Sao Paulo, São Paulo 05403-000, Brazil., Echeimberg JO; Laboratory of Studies Design and Scientific Writing, Postgraduate Division, University Center FMABC, Santo André 09060-870, Brazil., Cesar AEM; School of Medicine, University of Limerick, V94 T9PX Limerick, Ireland., Cavalcanti MPE; School of Medicine, University of Limerick, V94 T9PX Limerick, Ireland., Jacintho LC; Division of Immunology and Allergy, Department of Medicine, School of Medicine, University of Sao Paulo, São Paulo 05403-000, Brazil., Raimundo RD; Laboratory of Studies Design and Scientific Writing, Postgraduate Division, University Center FMABC, Santo André 09060-870, Brazil., Elmusharaf K; School of Medicine, University of Limerick, V94 T9PX Limerick, Ireland., Siqueira CE; School of Medicine, University of Limerick, V94 T9PX Limerick, Ireland.; Department of Urban Planning and Community Development, School for the Environment, University of Massachusetts Boston, Boston, MA 02125, USA., de Abreu LC; School of Medicine, University of Limerick, V94 T9PX Limerick, Ireland.; Department of Integrated Health Education, Federal University of Espirito Santo, Vitoria 29075-910, Brazil.; Department of Internal Medicine, School of Medicine, University of Sao Paulo, São Paulo 05403-000, Brazil.; Laboratory of Studies Design and Scientific Writing, Postgraduate Division, University Center FMABC, Santo André 09060-870, Brazil. |
| Abstrakt: |
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. |
