Letalidad de la COVID-19: ausencia de patrón epidemiológico

Figueiredo, Alexandre Medeiros de; Daponte, Antonio; Figueiredo, Daniela; Gil‐García, Eugenia; Kalache, Alexandre

doi:10.1016/j.gaceta.2020.04.001

Cited by 54 publications

(45 citation statements)

References 4 publications

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“…Several disease susceptibility patterns and predictions are also made to understand trends of infections, death, and recovery patterns (6,32) and factors that influence transmission and fatalities (6). The associations of different environmental factors have also been investigated (6,33,34). COVID-19 requires sufficient public attention and needs to reprioritize financial involvement in appropriate segments of the health sector to confirm inclusive responses.…”

Section: Introductionmentioning

confidence: 99%

Lifestyle Acquired Immunity, Decentralized Intelligent Infrastructures, and Revised Healthcare Expenditures May Limit Pandemic Catastrophe: A Lesson From COVID-19

Ahmed

Haque

Rahman

2020

Front. Public Health

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Throughout history, the human race has often faced pandemics with substantial numbers of fatalities. As the COVID-19 pandemic has now affected the whole planet, even countries with moderate to strong healthcare support and expenditure have struggled to contain disease transmission and casualties. Countries affected by COVID-19 have different demographics, socioeconomic, and lifestyle health indicators. In this context, it is important to find out to what extent these parametric variations are modulating disease outcomes. To answer this, this study selected demographic, socioeconomic, and health indicators e.g., population density, percentage of the urban population, median age, health expenditure per capita, obesity, diabetes prevalence, alcohol intake, tobacco use, case fatality of non-communicable diseases (NCDs) as independent variables. Countries were grouped according to these variables and influence on dependent variables e.g., COVID-19 positive tests, case fatality, and case recovery rates were statistically analyzed. The results suggested that countries with variable median age had a significantly different outcome on positive test rate (P < 0.01). Both the median age (P = 0.0397) and health expenditure per capita (P = 0.0041) showed a positive relation with case recovery. An increasing number of tests per 100 K of the population showed a positive and negative relationship with the number of positives per 100 K population (P = 0.0001) and the percentage of positive tests (P < 0.0001), respectively. Alcohol intake per capita in liter (P = 0.0046), diabetes prevalence (P = 0.0389), and NCDs mortalities (P = 0.0477) also showed a statistical relation to the case fatality rate. Further analysis revealed that countries with high healthcare expenditure along with high median age and increased urban population showed more case fatality but also had a better recovery rate. Investment in the health sector alone is insufficient in controlling the severity of the pandemic. Intelligent and sustainable healthcare both in urban and rural settings and healthy lifestyle acquired immunity may reduce disease transmission and comorbidity induced fatalities, respectively.

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Section: Introductionmentioning

confidence: 99%

Lifestyle Acquired Immunity, Decentralized Intelligent Infrastructures, and Revised Healthcare Expenditures May Limit Pandemic Catastrophe: A Lesson From COVID-19

Ahmed

Haque

Rahman

2020

Front. Public Health

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“…Spread of the COVID-19 pandemic has exhibited important heterogeneity between countries and regions (1,2). Spatial differences between incidence and mortality rates have been associated with factors as various as: arrival time of the SARS-CoV-2 virus (3), population age structure (4), urban development and population density (5), economic level (5), health system (6), climatic and meteorological factors (7)(8)(9)(10)(11)(12)(13)(14)(15), anti-contagion policies and practices (16)(17)(18)(19).…”

Section: Introductionmentioning

confidence: 99%

Factors associated with the spatial heterogeneity of COVID-19 in France: a nationwide ecological study

Gaudart

Landier

Huiart

et al. 2020

Preprint

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Like in many countries and regions, spread of the COVID 19 pandemic has exhibited important spatial heterogeneity across France, one of the most affected countries so far. To better understand factors associated with incidence, mortality and lethality heterogeneity across the 96 administrative departments of metropolitan France, we thus conducted a geoepidemiological analysis based on publicly available data, using hierarchical ascendant classification (HAC) on principal component analysis (PCA) of multidimensional variables, and multivariate analyses with generalized additive models (GAM). Our results confirm a marked spatial heterogeneity of in-hospital COVID 19 incidence and mortality, following the North East / South West diffusion of the epidemic. The delay elapsed between the first COVID-19 associated death and the onset of the national lockdown on March 17th, 2020, appeared positively associated with in-hospital incidence, mortality and lethality. Mortality was also strongly associated with incidence. Mortality and lethality rates were significantly higher in departments with older population, but they were not significantly associated with the number of intensive-care beds available in 2018. We did not find any significant association between incidence, mortality or lethality rates and incidence of new chloroquine and hydroxychloroquine dispensations in pharmacies either, nor between COVID 19 incidence and climate, nor between economic indicators and in-hospital COVID 19 incidence or mortality. This ecological study highlights the impact of population age structure, epidemic spread and transmission mitigation policies in COVID-19 morbidity or mortality heterogeneity.

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“…La situación de emergencia debido a la pandemia ocasionada por el virus SARS-CoV-2 ha provocado un drástico cambio en el estilo de vida de la mayoría de los habitantes del mundo; el aislamiento físico y social -distanciamiento y cuarentena-se consolidan como las mejores medidas adoptadas en el mundo para la prevención del contagio y para aplanar la curva epidémica, con el fin de evitar la saturación de los sistemas de salud (Medeiros de Figueiredo et al, 2020). La implementación de estas medidas registra diversos matices que van de lo voluntario a lo obligatorio, lo cual afecta de distintas maneras a los miembros de cada comunidad.…”

Section: Introductionunclassified

Patrones de consumo de mariguana, abastecimiento y estado de ánimo durante el confinamiento por COVID-19

Sustaeta

Salas-García

Jorge-Cárdenas

et al. 2020

RIIAD

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Introduction: the emergence of the pandemic caused by the SARS-Cov-2 virus has generated lifestyles changes for humanity. Strategies to prevent exponential contagion and the collapse of health systems such as social-distancing and quarantine have affected people in different ways according to their vulnerability, including marijuana consumers. Objective: to learn if the regular consumers of marijuana who remained in physical and social isolation due to COVID-19 altered or modified their consumption, in their disposition and in their method of supply. Method: a cross-sectional, non-probabilistic and analytical study that used the snowball technique, aimed at regular marijuana consumers in Mexico, of legal age, who have access to the Internet and/or WhatsApp. Results: 50 men and 25 women participated, most from the state of Veracruz; the only mood related variable that was statistically significant was the relief provided by marijuana use and level of marijuana use during quarantine, as well there were changes in consumption, in the method of supply and in the relationship established with the people with whom they live. Conclusions: this work addresses an emerging problem of which little is still known, especially regarding its correlation with mental health and disorders resulting from the use of psychoactive substances. Thus, contributing a building basis for understanding the impact of quarantine and for the attention of marijuana consumers.

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Letalidad de la COVID-19: ausencia de patrón epidemiológico

Cited by 54 publications

References 4 publications

Lifestyle Acquired Immunity, Decentralized Intelligent Infrastructures, and Revised Healthcare Expenditures May Limit Pandemic Catastrophe: A Lesson From COVID-19

Lifestyle Acquired Immunity, Decentralized Intelligent Infrastructures, and Revised Healthcare Expenditures May Limit Pandemic Catastrophe: A Lesson From COVID-19

Factors associated with the spatial heterogeneity of COVID-19 in France: a nationwide ecological study

Patrones de consumo de mariguana, abastecimiento y estado de ánimo durante el confinamiento por COVID-19

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