2020
DOI: 10.1590/0037-8682-0345-2020
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Coronavirus disease and basic sanitation: too early to be worried?

Abstract: Introduction: Considering that severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has been detected in feces, this study aimed to verify a possible relationship between basic sanitation indices and coronavirus disease (COVID-19) numbers/rates. Methods: Data of COVID-19 cases registered in Brazil until May 28, 2020, and independent variables associated with basic sanitation were analyzed. Results: A significant correlation between the number of cases and sewage treatment index/population density was o… Show more

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Cited by 18 publications
(14 citation statements)
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“…The other results show that environmental sustainability regulations would be supportive enough to minimize coronavirus cases’ possible re-occurrence. Its possibly be minimized by improving the health hygiene of the patients (Ung 2020 ), increasing nutritional diets and supplements (BourBour et al 2020 ), proper healthcare counselling (Brownstone et al 2020 ), (Silva et al 2020 ) and mitigating air pollution (Saha and Chouhan 2020 ). The commercialization activities exacerbate new infectious cases; however, its effect can be minimized through an increase in ease in economic policies to support the healthcare agenda (Shereen et al 2020 ).…”
Section: Resultsmentioning
confidence: 99%
“…The other results show that environmental sustainability regulations would be supportive enough to minimize coronavirus cases’ possible re-occurrence. Its possibly be minimized by improving the health hygiene of the patients (Ung 2020 ), increasing nutritional diets and supplements (BourBour et al 2020 ), proper healthcare counselling (Brownstone et al 2020 ), (Silva et al 2020 ) and mitigating air pollution (Saha and Chouhan 2020 ). The commercialization activities exacerbate new infectious cases; however, its effect can be minimized through an increase in ease in economic policies to support the healthcare agenda (Shereen et al 2020 ).…”
Section: Resultsmentioning
confidence: 99%
“…Betany and colleagues estimated in their study that more than one billion people worldwide go outside to get the water they need and that 9% of the world's population defecates outdoors and 8% (627 million) use a facility shared with at least another one (Caruso & Freeman, 2020). However, Renata et al stated that the incidence and morbidity of COVID-19 are significantly related to the overall index of safe water supply services, as well as the rate of mortality with wastewater treatment index (Silva et al 2020). These hypotheses are based on the suspicion of the oral fecal transmission of COVID-19 and indicate that the lack of sanitary water and adequate sanitation facilities increase the rate of mortality and the incidence of COVID-19 cases; we must keep in mind that there are many other factors that contribute to this method of transmission.…”
Section: Discussionmentioning
confidence: 99%
“…Some people have been infected with COVID-19 without contact with infected people, indicating other modes of transmission (Odih et al 2020). The virus can attack the gastrointestinal tract directly through the angiotensin converting enzyme 2, and the virus has also been found in the fecal samples of newly discharged patients (Silva et al 2020). In areas that do not have adequate sanitation facilities, there are feces around the sewage (Odih et al 2020), and it enters the surface water and pollutes it, so it is essential to provide people with a sanitary toilet (Purnama and Susanna, 2020).…”
Section: Discussionmentioning
confidence: 99%
“…Thereby, these regional disparities and ecological variations reflect the number of cases and deaths from schistosomiasis throughout the country [ 5 , 7 , 24 ]. Hereupon, the Northeast region still presents precarious indicators of drinking water supply and sewerage system, and in accessing to specialized health services, mainly in inland cities [ 6 , 25 ]. In addition to promoting the maintenance of the parasite's transmission cycle, these conditions cause delays in the diagnosis and timely treatment of ill patients.…”
Section: Discussionmentioning
confidence: 99%