Dissemination of COVID-19 in inland cities of Northeastern Brazil.

Costa de Assis, Sanderson José; Lopes, Johnnatas Mikael; de Lima Filho, Bartolomeu Fagundes; José Bouzas Sanchis, Geronimo; Sousa Rodrigues Guedes, Thais; Limeira Cavalcanti, Rafael; Araujo, Diego Neves; José Sarmento da Nóbrega, Antonio et al. · PLoS One · 2021

cross_sectional · Level IV

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Abstract

SARS-CoV-2 causes the new coronavirus disease (COVID-19) and it is weakening all health systems. Therefore, the most vulnerable populations are exposed to harmful consequences, such as illness and death. Thus, this study aims to estimate the temporal effect of COVID-19 dissemination on social indicators of the Northeastern region of Brazil. An ecological time-series study was developed with the following: diagnosed cases of COVID-19 in the largest inland cities of Northeast Brazil, Human Development Index (HDI), poverty incidence, and Gini coefficient. Cities with high HDI, poverty rate, and Gini presented a larger number of patients. It was observed by evaluating case trends that COVID-19 spreads unevenly in inland cities of the Northeastern region of Brazil. In this sense, we emphasize that regional health managers should support small cities with vulnerable population and social assistance.

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