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COVID-19 in Northeast Brazil: achievements and limitations in the responses of the state governments.
Cien Saude Colet. 2020 Oct; 25(suppl 2):4099-4120.CS

Abstract

The COVID-19 pandemic has been most severe in the poorest regions of Brazil, such as the states of the Northeast Region. The lack of national policies for pandemic control forced state and municipal authorities to implement public health measures. The aim of this study is to show the effect of these measures on the epidemic. The highest incidence of COVID-19 among the nine states in the Northeast was recorded in Sergipe, Paraíba and Ceará. Piauí, Paraíba and Ceará were the states that most tested. Factors associated with transmission included the high proportion of people in informal work. States with international airports played an important role in the entry of the virus and the initial spread, especially Ceará. All states applied social distancing measures, banned public events and closed schools. The response was a significant increase in social distancing, especially in Ceará and Pernambuco, a decline in the reproduction rate (Rt), and a separation of the curve of observed cases versus expected cases if the non-pharmacological interventions had not been implemented in all states. Poverty, inequality, and the high rates of informal work provide clues to the intensity of COVID-19 in the region. On the other hand, the measures taken early by the governments mitigated the effects of the pandemic.

Authors+Show Affiliations

Programa de Pós-Graduação em Saúde Coletiva, Departamento de Saúde Comunitária, Faculdade de Medicina, Universidade Federal do Ceará. R. Professor Costa Mendes 1608, Bairro Rodolfo Teófilo. 60430-140 Fortaleza CE Brasil. ligiakerr@gmail.com.Programa de Pós-Graduação em Saúde Coletiva, Departamento de Saúde Comunitária, Faculdade de Medicina, Universidade Federal do Ceará. R. Professor Costa Mendes 1608, Bairro Rodolfo Teófilo. 60430-140 Fortaleza CE Brasil. ligiakerr@gmail.com. School of Public Health and Tropical Medicine, Tulane University. New Orleans LA USA.Departamento de Saúde Pública, Universidade Federal do Maranhão. São Luís MA Brasil.Instituto de Saúde Coletiva, Universidade Federal da Bahia (UFBA). Salvador BA Brasil.Centro de Integração de Dados e Conhecimentos para Saúde, Fundação Oswaldo Cruz (Fiocruz). Salvador BA Brasil.Programa de Pós-Graduação em Saúde Coletiva, Universidade de Fortaleza. Fortaleza CE Brasil.Centro de Integração de Dados e Conhecimentos para Saúde, Fundação Oswaldo Cruz (Fiocruz). Salvador BA Brasil.Centro de Integração de Dados e Conhecimentos para Saúde, Fundação Oswaldo Cruz (Fiocruz). Salvador BA Brasil.Faculdade de Ciências Médicas, Universidade Federal de Pernambuco. Recife PE Brasil.Centro de Integração de Dados e Conhecimentos para Saúde, Fundação Oswaldo Cruz (Fiocruz). Salvador BA Brasil.Instituto de Física, UFBA. Salvador BA Brasil.Faculdade de Ciências Médicas, Universidade Federal de Pernambuco. Recife PE Brasil.Centro de Integração de Dados e Conhecimentos para Saúde, Fundação Oswaldo Cruz (Fiocruz). Salvador BA Brasil.Instituto de Saúde Coletiva, Universidade Federal da Bahia (UFBA). Salvador BA Brasil.Instituto Aggeu Magalhães, Fiocruz. Recife PE Brasil.Instituto de Saúde Coletiva, Universidade Federal da Bahia (UFBA). Salvador BA Brasil.Centro de Integração de Dados e Conhecimentos para Saúde, Fundação Oswaldo Cruz (Fiocruz). Salvador BA Brasil.Centro de Integração de Dados e Conhecimentos para Saúde, Fundação Oswaldo Cruz (Fiocruz). Salvador BA Brasil.Faculdade de Ciências Médicas, Universidade Federal de Pernambuco. Recife PE Brasil.Instituto Aggeu Magalhães, Fiocruz. Recife PE Brasil.Instituto Aggeu Magalhães, Fiocruz. Recife PE Brasil.Instituto Aggeu Magalhães, Fiocruz. Recife PE Brasil.Centro de Integração de Dados e Conhecimentos para Saúde, Fundação Oswaldo Cruz (Fiocruz). Salvador BA Brasil.

Pub Type(s)

Journal Article

Language

por eng

PubMed ID

33027347

Citation

Kerr, Ligia, et al. "COVID-19 in Northeast Brazil: Achievements and Limitations in the Responses of the State Governments." Ciencia & Saude Coletiva, vol. 25, no. suppl 2, 2020, pp. 4099-4120.
Kerr L, Kendall C, Silva AAMD, et al. COVID-19 in Northeast Brazil: achievements and limitations in the responses of the state governments. Cien Saude Colet. 2020;25(suppl 2):4099-4120.
Kerr, L., Kendall, C., Silva, A. A. M. D., Aquino, E. M. L., Pescarini, J. M., Almeida, R. L. F., Ichihara, M. Y., Oliveira, J. F., Araújo, T. V. B., Santos, C. T., Jorge, D. C. P., Miranda Filho, D. B., Santana, G., Gabrielli, L., Albuquerque, M. F. P. M., Almeida-Filho, N., Silva, N. J., Souza, R., Ximenes, R. A. A., ... Barreto, M. L. (2020). COVID-19 in Northeast Brazil: achievements and limitations in the responses of the state governments. Ciencia & Saude Coletiva, 25(suppl 2), 4099-4120. https://doi.org/10.1590/1413-812320202510.2.28642020
Kerr L, et al. COVID-19 in Northeast Brazil: Achievements and Limitations in the Responses of the State Governments. Cien Saude Colet. 2020;25(suppl 2):4099-4120. PubMed PMID: 33027347.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - COVID-19 in Northeast Brazil: achievements and limitations in the responses of the state governments. AU - Kerr,Ligia, AU - Kendall,Carl, AU - Silva,Antônio Augusto Moura da, AU - Aquino,Estela Maria L, AU - Pescarini,Julia M, AU - Almeida,Rosa Lívia Freitas de, AU - Ichihara,Maria Yury, AU - Oliveira,Juliane F, AU - Araújo,Thália Velho Barreto de, AU - Santos,Carlos Teles, AU - Jorge,Daniel Cardoso Pereira, AU - Miranda Filho,Demócrito de Barros, AU - Santana,Guilherme, AU - Gabrielli,Ligia, AU - Albuquerque,Maria de Fatima Pessoa Militão de, AU - Almeida-Filho,Naomar, AU - Silva,Natanael de Jesus, AU - Souza,Rafael, AU - Ximenes,Ricardo Arraes de Alencar, AU - Martelli,Celina Maria Turchi, AU - Brandão Filho,Sinval Pinto, AU - Souza,Wayner Vieira de, AU - Barreto,Maurício Lima, Y1 - 2020/08/12/ PY - 2020/07/31/received PY - 2020/08/10/accepted PY - 2020/10/7/entrez PY - 2020/10/8/pubmed PY - 2020/10/21/medline SP - 4099 EP - 4120 JF - Ciencia & saude coletiva JO - Cien Saude Colet VL - 25 IS - suppl 2 N2 - The COVID-19 pandemic has been most severe in the poorest regions of Brazil, such as the states of the Northeast Region. The lack of national policies for pandemic control forced state and municipal authorities to implement public health measures. The aim of this study is to show the effect of these measures on the epidemic. The highest incidence of COVID-19 among the nine states in the Northeast was recorded in Sergipe, Paraíba and Ceará. Piauí, Paraíba and Ceará were the states that most tested. Factors associated with transmission included the high proportion of people in informal work. States with international airports played an important role in the entry of the virus and the initial spread, especially Ceará. All states applied social distancing measures, banned public events and closed schools. The response was a significant increase in social distancing, especially in Ceará and Pernambuco, a decline in the reproduction rate (Rt), and a separation of the curve of observed cases versus expected cases if the non-pharmacological interventions had not been implemented in all states. Poverty, inequality, and the high rates of informal work provide clues to the intensity of COVID-19 in the region. On the other hand, the measures taken early by the governments mitigated the effects of the pandemic. SN - 1678-4561 UR - https://www.unboundmedicine.com/medline/citation/33027347/COVID_19_in_Northeast_Brazil:_achievements_and_limitations_in_the_responses_of_the_state_governments_ DB - PRIME DP - Unbound Medicine ER -