COVID-19 in northeast Brazil: first year of the pandemic and uncertainties to come

ABSTRACT OBJECTIVE To analyze the epidemic of COVID-19 in northeastern Brazil, one of the regions most affected by the virus. METHODS The official data for COVID-19, from March 2020 to March 2021 in the states of the Northeast Region (NE), were used. The analysis of capital cities and states for...

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Main Authors: Ligia Regina Franco Sansigolo Kerr, Carl Kendall, Rosa Lívia Freitas de Almeida, Maria Yury Ichihara, Estela Maria L Aquino, Antônio Augusto Moura da Silva, Ricardo Arraes de Alencar Ximenes, Maria de Fatima Pessoa Militão de Albuquerque, Naomar Almeida-Filho, Rafael Felipe Souza, Sinval Pinto Brandão Filho, Wayner Vieira de Souza, Maurício Lima Barreto
Format: Article
Language:English
Published: Universidade de São Paulo 2021-06-01
Series:Revista de Saúde Pública
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102021000100226&tlng=pt
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author Ligia Regina Franco Sansigolo Kerr
Carl Kendall
Rosa Lívia Freitas de Almeida
Maria Yury Ichihara
Estela Maria L Aquino
Antônio Augusto Moura da Silva
Ricardo Arraes de Alencar Ximenes
Maria de Fatima Pessoa Militão de Albuquerque
Naomar Almeida-Filho
Rafael Felipe Souza
Sinval Pinto Brandão Filho
Wayner Vieira de Souza
Maurício Lima Barreto
author_facet Ligia Regina Franco Sansigolo Kerr
Carl Kendall
Rosa Lívia Freitas de Almeida
Maria Yury Ichihara
Estela Maria L Aquino
Antônio Augusto Moura da Silva
Ricardo Arraes de Alencar Ximenes
Maria de Fatima Pessoa Militão de Albuquerque
Naomar Almeida-Filho
Rafael Felipe Souza
Sinval Pinto Brandão Filho
Wayner Vieira de Souza
Maurício Lima Barreto
author_sort Ligia Regina Franco Sansigolo Kerr
collection DOAJ
description ABSTRACT OBJECTIVE To analyze the epidemic of COVID-19 in northeastern Brazil, one of the regions most affected by the virus. METHODS The official data for COVID-19, from March 2020 to March 2021 in the states of the Northeast Region (NE), were used. The analysis of capital cities and states for accumulated weekly cases and confirmed deaths was made using the JoinPoint Trend Analysis application. RESULTS In one year, the Northeast region reported 22.9% of the cases and 21.5% of the deaths in the country due to COVID-19. At the beginning of the pandemic, all states showed a growing number of cases, first in the capitals and then in the interior. Following this wave, decreases are observed in all states and their capitals, but with many still reporting a large number of cases. In the middle of the 2nd semester of 2020 the number of cases begins to increase again simultaneously in states and their capitals—some at explosive speed—especially in late 2020 and early 2021. A similar pattern is observed in deaths, which exceed or approach the peak seen in the first wave. In the first wave, all capitals and northeastern states adopted intense isolation measures. Fortaleza, Recife and Teresina reached the highest isolation index of all capitals, close to 0.60. This index decreases, with a slight growth trend until the end of December. With the exception of Fortaleza and Salvador, the other capitals fell to less than 0.40. CONCLUSION The Brazilian NE and the country are in increasingly complicated health, social and economic situations. It is necessary to speed up vaccinations and maintain non-pharmacological measures: face masks, social distancing measures and hygiene care, in addition to policies to protect workers who have lost their incomes and to subsidize small business owners.
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spelling doaj.art-0b27b2a6f17e429ea9432776edd9a54a2022-12-22T04:12:38ZengUniversidade de São PauloRevista de Saúde Pública1518-87872021-06-015510.11606/s1518-8787.2021055003728COVID-19 in northeast Brazil: first year of the pandemic and uncertainties to comeLigia Regina Franco Sansigolo Kerrhttps://orcid.org/0000-0003-4941-408XCarl Kendallhttps://orcid.org/0000-0002-0794-4333Rosa Lívia Freitas de Almeidahttps://orcid.org/0000-0001-6423-543XMaria Yury Ichiharahttps://orcid.org/0000-0001-8590-6212Estela Maria L Aquinohttps://orcid.org/0000-0002-8204-1249Antônio Augusto Moura da Silvahttps://orcid.org/0000-0003-4968-5138Ricardo Arraes de Alencar Ximeneshttps://orcid.org/0000-0002-9951-8840Maria de Fatima Pessoa Militão de Albuquerquehttps://orcid.org/0000-0002-4999-4160Naomar Almeida-Filhohttps://orcid.org/0000-0002-4435-755XRafael Felipe Souzahttps://orcid.org/0000-0002-0484-0782Sinval Pinto Brandão Filhohttps://orcid.org/0000-0003-3768-2810Wayner Vieira de Souzahttps://orcid.org/0000-0002-0939-9332Maurício Lima Barretohttps://orcid.org/0000-0002-0215-4930ABSTRACT OBJECTIVE To analyze the epidemic of COVID-19 in northeastern Brazil, one of the regions most affected by the virus. METHODS The official data for COVID-19, from March 2020 to March 2021 in the states of the Northeast Region (NE), were used. The analysis of capital cities and states for accumulated weekly cases and confirmed deaths was made using the JoinPoint Trend Analysis application. RESULTS In one year, the Northeast region reported 22.9% of the cases and 21.5% of the deaths in the country due to COVID-19. At the beginning of the pandemic, all states showed a growing number of cases, first in the capitals and then in the interior. Following this wave, decreases are observed in all states and their capitals, but with many still reporting a large number of cases. In the middle of the 2nd semester of 2020 the number of cases begins to increase again simultaneously in states and their capitals—some at explosive speed—especially in late 2020 and early 2021. A similar pattern is observed in deaths, which exceed or approach the peak seen in the first wave. In the first wave, all capitals and northeastern states adopted intense isolation measures. Fortaleza, Recife and Teresina reached the highest isolation index of all capitals, close to 0.60. This index decreases, with a slight growth trend until the end of December. With the exception of Fortaleza and Salvador, the other capitals fell to less than 0.40. CONCLUSION The Brazilian NE and the country are in increasingly complicated health, social and economic situations. It is necessary to speed up vaccinations and maintain non-pharmacological measures: face masks, social distancing measures and hygiene care, in addition to policies to protect workers who have lost their incomes and to subsidize small business owners.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102021000100226&tlng=ptCoronavirus Infections, epidemiologyCommunicable Diseases, Emerging, prevention & controlPandemicsEpidemiology, Descriptive
spellingShingle Ligia Regina Franco Sansigolo Kerr
Carl Kendall
Rosa Lívia Freitas de Almeida
Maria Yury Ichihara
Estela Maria L Aquino
Antônio Augusto Moura da Silva
Ricardo Arraes de Alencar Ximenes
Maria de Fatima Pessoa Militão de Albuquerque
Naomar Almeida-Filho
Rafael Felipe Souza
Sinval Pinto Brandão Filho
Wayner Vieira de Souza
Maurício Lima Barreto
COVID-19 in northeast Brazil: first year of the pandemic and uncertainties to come
Revista de Saúde Pública
Coronavirus Infections, epidemiology
Communicable Diseases, Emerging, prevention & control
Pandemics
Epidemiology, Descriptive
title COVID-19 in northeast Brazil: first year of the pandemic and uncertainties to come
title_full COVID-19 in northeast Brazil: first year of the pandemic and uncertainties to come
title_fullStr COVID-19 in northeast Brazil: first year of the pandemic and uncertainties to come
title_full_unstemmed COVID-19 in northeast Brazil: first year of the pandemic and uncertainties to come
title_short COVID-19 in northeast Brazil: first year of the pandemic and uncertainties to come
title_sort covid 19 in northeast brazil first year of the pandemic and uncertainties to come
topic Coronavirus Infections, epidemiology
Communicable Diseases, Emerging, prevention & control
Pandemics
Epidemiology, Descriptive
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102021000100226&tlng=pt
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