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Epidemiological and clinical characteristics of the COVID-19 epidemic in Brazil.
de Souza, William Marciel; Buss, Lewis Fletcher; Candido, Darlan da Silva; Carrera, Jean-Paul; Li, Sabrina; Zarebski, Alexander E; Pereira, Rafael Henrique Moraes; Prete, Carlos A; de Souza-Santos, Andreza Aruska; Parag, Kris V; Belotti, Maria Carolina T D; Vincenti-Gonzalez, Maria F; Messina, Janey; da Silva Sales, Flavia Cristina; Andrade, Pamela Dos Santos; Nascimento, Vítor Heloiz; Ghilardi, Fabio; Abade, Leandro; Gutierrez, Bernardo; Kraemer, Moritz U G; Braga, Carlos K V; Aguiar, Renato Santana; Alexander, Neal; Mayaud, Philippe; Brady, Oliver J; Marcilio, Izabel; Gouveia, Nelson; Li, Guangdi; Tami, Adriana; de Oliveira, Silvano Barbosa; Porto, Victor Bertollo Gomes; Ganem, Fabiana; de Almeida, Walquiria Aparecida Ferreira; Fantinato, Francieli Fontana Sutile Tardetti; Macário, Eduardo Marques; de Oliveira, Wanderson Kleber; Nogueira, Mauricio L; Pybus, Oliver G; Wu, Chieh-Hsi; Croda, Julio; Sabino, Ester C; Faria, Nuno Rodrigues.
  • de Souza WM; Centro de Pesquisa em Virologia, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, Brazil.
  • Buss LF; Instituto de Medicina Tropical, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
  • Candido DDS; Instituto de Medicina Tropical, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
  • Carrera JP; Department of Zoology, University of Oxford, Oxford, UK.
  • Li S; Department of Zoology, University of Oxford, Oxford, UK.
  • Zarebski AE; Department of Research in Virology and Biotechnology, Gorgas Memorial Institute of Health Studies, Panama City, Panama.
  • Pereira RHM; School of Geography and the Environment, University of Oxford, Oxford, UK.
  • Prete CA; Department of Zoology, University of Oxford, Oxford, UK.
  • de Souza-Santos AA; Institute for Applied Economic Research (IPEA), Brasília, Brazil.
  • Parag KV; Escola Politécnica, Universidade de São Paulo, São Paulo, Brazil.
  • Belotti MCTD; Brazilian Studies Programme, Latin American Centre, University of Oxford, Oxford, UK.
  • Vincenti-Gonzalez MF; MRC Centre for Global Infectious Disease Analysis, J-IDEA, Imperial College London, London, UK.
  • Messina J; Escola Politécnica, Universidade de São Paulo, São Paulo, Brazil.
  • da Silva Sales FC; Department of Medical Microbiology and Infection Prevention, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
  • Andrade PDS; School of Geography and the Environment, University of Oxford, Oxford, UK.
  • Nascimento VH; Oxford School of Global and Area Studies, University of Oxford, Oxford, UK.
  • Ghilardi F; Instituto de Medicina Tropical, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
  • Abade L; Instituto de Medicina Tropical, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
  • Gutierrez B; Escola Politécnica, Universidade de São Paulo, São Paulo, Brazil.
  • Kraemer MUG; Instituto de Medicina Tropical, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
  • Braga CKV; Department of Zoology, University of Oxford, Oxford, UK.
  • Aguiar RS; Department of Zoology, University of Oxford, Oxford, UK.
  • Alexander N; School of Biological and Environmental Sciences, Universidad San Francisco de Quito (USFQ), Quito, Ecuador.
  • Mayaud P; Department of Zoology, University of Oxford, Oxford, UK.
  • Brady OJ; Harvard Medical School, Harvard University, Boston, MA, USA.
  • Marcilio I; Boston Children's Hospital, Boston, MA, USA.
  • Gouveia N; Institute for Applied Economic Research (IPEA), Brasília, Brazil.
  • Li G; Departamento de Genética, Ecologia e Evolução, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
  • Tami A; MRC Tropical Epidemiology Group, Department of Infectious Disease Epidemiology, Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.
  • de Oliveira SB; Department of Clinical Research, Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.
  • Porto VBG; Departamento de Genética, Ecologia e Evolução, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
  • Ganem F; Centre for the Mathematical Modelling of Infectious Diseases, Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK.
  • de Almeida WAF; Núcleo de Vigilância Epidemiológica do Hospital das Clínicas da Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
  • Fantinato FFST; Departamento de Medicina Preventiva, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
  • Macário EM; Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, China.
  • de Oliveira WK; Department of Medical Microbiology and Infection Prevention, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
  • Nogueira ML; Secretariat of Health Surveillance, Department of Immunization and Communicable Diseases, Brazilian Ministry of Health, Brasília, Brazil.
  • Pybus OG; Secretariat of Health Surveillance, Department of Immunization and Communicable Diseases, Brazilian Ministry of Health, Brasília, Brazil.
  • Wu CH; Secretariat of Health Surveillance, Department of Immunization and Communicable Diseases, Brazilian Ministry of Health, Brasília, Brazil.
  • Croda J; Secretariat of Health Surveillance, Department of Immunization and Communicable Diseases, Brazilian Ministry of Health, Brasília, Brazil.
  • Sabino EC; Secretariat of Health Surveillance, Department of Immunization and Communicable Diseases, Brazilian Ministry of Health, Brasília, Brazil.
  • Faria NR; Secretariat of Health Surveillance, Brazilian Ministry of Health, Brasília, Brazil.
Nat Hum Behav ; 4(8): 856-865, 2020 08.
Article in English | MEDLINE | ID: covidwho-690410
ABSTRACT
The first case of COVID-19 was detected in Brazil on 25 February 2020. We report and contextualize epidemiological, demographic and clinical findings for COVID-19 cases during the first 3 months of the epidemic. By 31 May 2020, 514,200 COVID-19 cases, including 29,314 deaths, had been reported in 75.3% (4,196 of 5,570) of municipalities across all five administrative regions of Brazil. The R0 value for Brazil was estimated at 3.1 (95% Bayesian credible interval = 2.4-5.5), with a higher median but overlapping credible intervals compared with some other seriously affected countries. A positive association between higher per-capita income and COVID-19 diagnosis was identified. Furthermore, the severe acute respiratory infection cases with unknown aetiology were associated with lower per-capita income. Co-circulation of six respiratory viruses was detected but at very low levels. These findings provide a comprehensive description of the ongoing COVID-19 epidemic in Brazil and may help to guide subsequent measures to control virus transmission.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Coronavirus Infections / Disease Transmission, Infectious / Influenza, Human / Pandemics / Betacoronavirus Type of study: Diagnostic study / Etiology study / Observational study / Prognostic study Topics: Variants Country/Region as subject: South America / Brazil Language: English Journal: Nat Hum Behav Year: 2020 Document Type: Article Affiliation country: S41562-020-0928-4

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Coronavirus Infections / Disease Transmission, Infectious / Influenza, Human / Pandemics / Betacoronavirus Type of study: Diagnostic study / Etiology study / Observational study / Prognostic study Topics: Variants Country/Region as subject: South America / Brazil Language: English Journal: Nat Hum Behav Year: 2020 Document Type: Article Affiliation country: S41562-020-0928-4