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Underreporting of Death by COVID-19 in Brazil's Second Most Populous State.
Alves, Thiago Henrique Evangelista; de Souza, Tafarel Andrade; Silva, Samyla de Almeida; Ramos, Nayani Alves; de Oliveira, Stefan Vilges.
  • Alves THE; Department of Collective Health, Faculty of Medicine, Federal University of Uberlândia, Uberlândia, Brazil.
  • de Souza TA; Department of Collective Health, Faculty of Medicine, Federal University of Uberlândia, Uberlândia, Brazil.
  • Silva SA; Department of Collective Health, Faculty of Medicine, Federal University of Uberlândia, Uberlândia, Brazil.
  • Ramos NA; Department of Collective Health, Faculty of Medicine, Federal University of Uberlândia, Uberlândia, Brazil.
  • de Oliveira SV; Department of Collective Health, Faculty of Medicine, Federal University of Uberlândia, Uberlândia, Brazil.
Front Public Health ; 8: 578645, 2020.
Article in English | MEDLINE | ID: covidwho-1004709
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ABSTRACT
The COVID-19 pandemic brings to light the reality of the Brazilian health system. The underreporting of COVID-19 deaths in the state of Minas Gerais (MG), where the second largest population of the country is concentrated, reveals government unpreparedness, as there is a low capacity of testing in the population, which prevents the real understanding of the general panorama of SARS-CoV-2 dissemination. The goals of this research are to analyze the causes of deaths in different Brazilian government databases (Civil Registry Transparency Portal and InfoGripe) and to assess whether there are sub-records showing an unexpected increase in the frequency of deaths from causes clinically similar to COVID-19. A descriptive and quantitative analysis of the number of deaths by COVID-19 and similar causes was performed in different databases. Our results demonstrate that different official sources had a discrepancy of 109.45% between these data referring to the same period. There was also a 758.57% increase in SARI deaths in 2020, when compared to the average of previous years. Finally, it was shown that there was an increase in the rate of pneumonia and respiratory insufficiency (RI) by 6.34 and 6.25%, respectively. In conclusion, there is an underreporting of COVID-19 deaths in MG due to the unexplained excess of deaths caused by SARI, respiratory insufficiency, and pneumonia compared to previous years.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Cause of Death / Severe Acute Respiratory Syndrome / COVID-19 Type of study: Observational study / Prognostic study Limits: Humans Country/Region as subject: South America / Brazil Language: English Journal: Front Public Health Year: 2020 Document Type: Article Affiliation country: Fpubh.2020.578645

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Cause of Death / Severe Acute Respiratory Syndrome / COVID-19 Type of study: Observational study / Prognostic study Limits: Humans Country/Region as subject: South America / Brazil Language: English Journal: Front Public Health Year: 2020 Document Type: Article Affiliation country: Fpubh.2020.578645