IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i3p1153-d729460.html
   My bibliography  Save this article

Deciphering Multifactorial Correlations of COVID-19 Incidence and Mortality in the Brazilian Amazon Basin

Author

Listed:
  • Blanca Elena Guerrero Daboin

    (School of Medicine, University of Limerick, V94 T9PX Limerick, Ireland)

  • Italla Maria Pinheiro Bezerra

    (School of Sciences of Santa Casa de Misericórdia de Vitória (EMESCAM), Vitoria 29045-402, Brazil)

  • Tassiane Cristina Morais

    (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)

  • Isabella Portugal

    (Department of Internal Medicine, School of Medicine, University of Sao Paulo, São Paulo 05403-000, Brazil)

  • Jorge de Oliveira Echeimberg

    (Laboratory of Studies Design and Scientific Writing, Postgraduate Division, University Center FMABC, Santo André 09060-870, Brazil)

  • André Evaristo Marcondes Cesar

    (School of Medicine, University of Limerick, V94 T9PX Limerick, Ireland)

  • Matheus Paiva Emidio Cavalcanti

    (School of Medicine, University of Limerick, V94 T9PX Limerick, Ireland)

  • Lucas Cauê Jacintho

    (Division of Immunology and Allergy, Department of Medicine, School of Medicine, University of Sao Paulo, São Paulo 05403-000, Brazil)

  • Rodrigo Daminello Raimundo

    (Laboratory of Studies Design and Scientific Writing, Postgraduate Division, University Center FMABC, Santo André 09060-870, Brazil)

  • Khalifa Elmusharaf

    (School of Medicine, University of Limerick, V94 T9PX Limerick, Ireland)

  • Carlos Eduardo Siqueira

    (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)

  • Luiz Carlos de Abreu

    (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)

Abstract

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.

Suggested Citation

  • Blanca Elena Guerrero Daboin & Italla Maria Pinheiro Bezerra & Tassiane Cristina Morais & Isabella Portugal & Jorge de Oliveira Echeimberg & André Evaristo Marcondes Cesar & Matheus Paiva Emidio Caval, 2022. "Deciphering Multifactorial Correlations of COVID-19 Incidence and Mortality in the Brazilian Amazon Basin," IJERPH, MDPI, vol. 19(3), pages 1-16, January.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:3:p:1153-:d:729460
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/3/1153/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/3/1153/
    Download Restriction: no
    ---><---

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Gagnon-Dufresne, Marie-Catherine & Gautier, Lara & Beaujoin, Camille & Boivin, Pauline & Coulibaly, Abdourahmane & Richard, Zoé & Gomes de Medeiros, Stéphanie & Dutra Da Nóbrega, Raylson Emanuel & de , 2023. "Did the design and planning of testing and contact tracing interventions for COVID-19 consider social inequalities in health? A multiple case study from Brazil, Canada, France & Mali," Social Science & Medicine, Elsevier, vol. 335(C).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:3:p:1153-:d:729460. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.