Spatial and Epidemiological Analyses of COVID-19 in the Older Population of the Brazilian Amazon Region During 2020

N. Shigaeff, Marcus Vinicius Mariano de Souza, A. C. Campos
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Abstract

Background and aims: In December 2019, the disease associated with SARS-CoV-2 was identified as the new coronavirus (COVID-19). The older population is regarded as the greatest risk group. The objective of the present study was to investigate the epidemiological aspects of COVID-19 during 2020 in the older adults in the Brazilians Amazon region. Methods: The present study is a longitudinal study based on a national database from the Website of the State Department of Health of Para from January to December 2020. Medical, socio-demographic, and geographical data were analyzed to assess the epidemiological data to verify whether there was an association between these variables using logistic regression. Results: Official data published until December 31 indicated 293802 confirmed cases and 7199 deaths from COVID-19 in the state of Para, as well as a 12.5% rate of fatality. Para has demonstrated a linear curve in relation to the number of deaths since August. More cases of COVID-19 were found among the older people, men, and people who declared themselves brown, and a greater chance of death was observed among indigenous and yellow people. Conclusion: Brazil is among the five countries with the highest number of infected cases and deaths resulting from COVID19, possibly due to poor planning concerning social isolation and the lack of public health policies and guidance by government leaders, especially in this specific context.
2020年巴西亚马逊地区老年人口COVID-19的空间和流行病学分析
背景与目的:2019年12月,与SARS-CoV-2相关的疾病被确定为新型冠状病毒(COVID-19)。老年人被认为是风险最大的群体。本研究的目的是调查2020年巴西亚马逊地区老年人中COVID-19的流行病学方面。方法:本研究是基于2020年1月至12月帕拉州卫生部网站的国家数据库的纵向研究。对医学、社会人口统计学和地理数据进行分析,以评估流行病学数据,并使用逻辑回归验证这些变量之间是否存在关联。结果:截至12月31日公布的官方数据显示,帕拉州新冠肺炎确诊病例293802例,死亡7199例,病死率为12.5%。帕拉州自8月以来的死亡人数呈线性曲线。在老年人、男性和自称棕色人种的人群中发现了更多的COVID-19病例,在土著人和黄色人种中观察到更大的死亡机会。结论:巴西是covid - 19感染病例和死亡人数最多的五个国家之一,可能是由于在社会隔离方面规划不周,缺乏公共卫生政策和政府领导人的指导,特别是在这种特定背景下。
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