Espalhamento da Covid-19 no interior do Amazonas: panorama e reflexões desde o Alto Solimões, Brasil (original) (raw)

Covid-19 and the increasing fragility of the Brazilian Amazon

2020

The urban Amazon On May 18th of this year, Brazil had 241,080 confirmed cases of Covid-19 (BRAZILa, 2020) and 16,118 confirmed deaths distributed all over the country. But it is doubtful that this data gives an accurate picture of the situation. As Graph 1 shows, Brazil is carrying out a really small proportion of tests per million inhabitants. On May 18th, the number of tests per million inhabitants was 3,462 (absolute number of 735,224), a very limited amount when, for example, compared with the United States (35,903, total 11.8 million), Germany (37,584, total of 3.1 million), and Spain (64,977, total 3 million) (Worldometers, 2020 and STATISTA, 2020). Indeed, the rate of testing in Brazil is on a par with that of countries like Pakistan, India and Mexico. Other Latin American countries like Ecuador (5,397, total 95,000) and Peru (19,767, total 650,000) are performing much better. Lack of testing results in an underestimation of the real impact of Covid-19 on Brazil and makes it difficult to take appropriate action to combat the virus. The figures for the Amazon Rainforest, even if they are not reliable, already indicate an alarming trend that is confirmed by observations on the ground. Graph 1: Rate of Covid-19 tests performed in the most impacted countries worldwide as of May 18, 2020 (per million of population) Source: (STATISTA,

COVID-19 pandemic in a local town in the Amazon: socio-political and socio-cultural scenarios in São Caetano de Odivelas, Pará

Vibrant, 2022

This study aims to record clinical and epidemiological data on COVID-19 in the local town of São Caetano de Odivelas (PA), in order to propose guidelines for the control of the pandemic and to reverse the socio-economic impacts. A form elaborated in the Google Docs application was used, by 200 respondents, followed by analysis and interpretation based on discourse and socio-cultural characteristics, revealing the ideology of political groups that hinder public policies, as well as the absence of socio-anthropological aspects in the consideration of sanitary measures. To conclude, three lines of action are proposed: awareness and clarification for the public concerning the pandemic, configuration of contagion networks based on families, and the guarantee of income and provisions for workers.

COVID-19 threatens indigenous peoples in the Brazilian Amazon

2020

The advance of COVID-19, which has already claimed more than 40 thousand Brazilian lives, has hit the indigenous populations of the Amazon head-on. According to the Special Health Department for Indigenous Peoples (SESAI), of Brazil’s Ministry of Health, a total of 2,219 indigenous people were infected with the new coronavirus, with 86 recorded deaths as of June 14, 2020. These figures are also clearly underreported, given that the official count does not consider indigenous victims living in the cities or those who do not receive healthcare and die in the villages.

Risk factors associated with the severity of COVID-19 in a region of the Brazilian Amazon

Scientific Reports

The Brazilian Northern region registered a high incidence of COVID-19 cases, particularly in the state of Pará. The present study investigated the risk factors associated with the severity of COVID-19 in a Brazilian Amazon region of 100,819 cases. An epidemiological, cross-sectional, analytical and demographic study, analyzing data on confirmed cases for COVID-19 available at the Brazilian Ministry of Health's surveillance platform, was conducted. Variables such as, municipalities of residence, age, gender, signs and symptoms, comorbidities were included and associated with COVID-19 cases and outcomes. The spatial distribution was performed using the ArcGIS program. A total of 100,819 cases were evaluated. Overall, patients had the mean age of 42.3 years, were female (51.2%) and with lethality reaching 4.79% of cases. Main symptoms included fever (66.5%), cough (61.9%) and sore throat (39.8%). Regarding comorbidities, most of the patients presented cardiovascular disease (5.1%) ...

COVID-19 no Nordeste brasileiro: sucessos e limitações nas respostas dos governos dos estados

Ciência & Saúde Coletiva, 2020

Resumo No Brasil, a pandemia da COVID-19 tem sido severa nos estados das regiões mais pobres, como o Nordeste. A falta de políticas nacionais para controle da pandemia levou as autoridades estaduais e municipais a implementarem medidas de saúde pública. O objetivo deste estudo é mostrar o efeito dessas medidas na epidemia. A maior incidência da COVID-19 entre os nove estados do Nordeste foi registrada em Sergipe, Paraíba e Ceará. O Piauí, a Paraíba e Ceará foram os que mais testaram. Muitos estados apresentavam alta proporção de pessoas em trabalho informal. Estados com aeroportos internacionais tiveram importante papel na entrada e disseminação inicial do vírus, em especial o Ceará. Todos os estados aplicaram medidas de distanciamento social, proibição de eventos públicos e fechamento de unidades de ensino. As respostas foram o aumento significativo de distanciamento social, em especial Ceará e Pernambuco, a queda do número de reprodução (Rt) e a separação da curva dos casos observ...

Novo coronavírus (Sars-CoV-2): difusão espacial e outro patamar para a socialização dos investimentos no Brasil

Revista Brasileira de Estudos Urbanos e Regionais

O artigo objetiva analisar os padrões de difusão espacial da Covid-19 no território brasileiro, considerando a organização dos sistemas de transportes, a rede urbana e as interações espaciais. Destacam-se também algumas estratégias e ações do Estado necessárias para combater a epidemia e influir no desenvolvimento econômico. Os sistemas de transportes e seus fluxos são vetores da difusão do novo coronavírus no território e esse processo permeia distintos momentos das interações espaciais no contexto das hierarquias das redes urbanas. O avanço da Covid-19, no caso brasileiro, tem assumido níveis elevados, dada a precariedade dos equipamentos de reprodução social, principalmente nos últimos anos. O aprofundamento do neoliberalismo no Brasil soma-se a uma política errática de combate à pandemia, contrariando a necessidade premente de socialização dos investimentos no país.

COVID-19 mortality and lethality in the State of Pará, legal Amazon, Brazil

Journal of Human Growth and Development, 2021

Introduction: the growth of coronavirus indices in the North region highlights the region’s historical social inequalities and the problems in accessing citizenship. Objective: to analyze the mortality and lethality of COVID-19 in the state of Pará, Brazil. Methods: this is an ecological study with a time series design of secondary data. All registered cases and deaths reported by COVID-19 in the period from March 2020 to June 2021, in the state of Pará, Brazil, were considered. The incidence and mortality and lethality rates were used. The daily percentage variation and their respective 95% confidence intervals were estimated. Results: the total number of confirmed cases and deaths from COVID-19 in the state of Pará was 552,937 and 15,469, respectively, from March 2020 to June 2021. Incidence and mortality rates from March 2020 to June 2021 were, respectively, 6,407.9 and 179.3 per 100,000 inhabitants and the lethality was 43.3. Regarding the analysis of the daily trend of rates in...

The Brazilian Amazon in Times of COVID-19: from crisis to transformation?

Ambiente & Sociedade

The COVID-19 crisis is not a new issue. Conditions leading to it have been taking shape for decades. This pandemic is rather a symptom of much deeper challenges resulting from contemporary production and consumption structures, social inequalities, nature deterioration, and global connectivity. To think about the post-pandemic world is to envision solutions that tackle the root causes of the problem. Local communities and indigenous groups in the Brazilian Amazon are a source of much-needed social innovations that rely on alternative views of Nature and social relations. This essay aims to turn the attention to these practices as starting point to rethink our present and reshape our future. New pathways are needed in order to overcome the region’s ‘old normal’ marked by destructive resource expropriation and social inequalities, and move to a ‘new normal’ that rely on transformations to a more sustainable and equity-based society.

Analysis of COVID-19 mortality and case-fatality in a low- income region: an ecological time-series study in Tocantins, Brazilian Amazon

Journal of Human Growth and Development, 2021

Introduction: Inserted in the vulnerable context of the Brazilian Amazon, the state of Tocantins has suffered damages with the dissemination of COVID-19 in its territory; however, little evidence is published from this state. Objective: This study aims to analyze the case-fatality, mortality, and incidence of COVID-19 in Tocantins. Methods: This is an ecological study, population-based, time-series analysis of COVID-19 cases and deaths in the state of Tocantins from March 2020 to August 2021. Results: During the examined period, 219,031 COVID-19 cases, and 3,594 deaths were registered due to disease. Two possible occurrence peaks were characterized in this time-series analysis. Remarkably, the Second Wave had the highest lethality rates (3.02% - April 2021), mortality (39.81 deaths per 100,000 inhabitants – March 2021), and incidence (1,938.88 cases per 100,000 inhabitants – March 2021). At the end of the period, mortality, incidence, and lethality showed flat trends, suggesting a p...