Abstract:
:The aim of this study was to analyze the Severe Acute Respiratory Syndrome (SARS) pattern in Pernambuco before and during a COVID-19 pandemic. Ecological study conducted from January to June, 2015 to 2019 and from January 1 to June 15, 2020. The detection rates by municipality and by Regional Health of residence were calculated. The spatial area of SARS was estimated through the risk ratio. Before the pandemic, there were 5,617 cases of SARS, 187 cases/month and 23.8 cases/100 thousand inhabitants, while during the pandemic there were 15,100 cases, 2,516 cases/month and 320.3 cases/100 thousand inhabitants, which represents a 13-fold increase in detection. The following expanded (p < 0,001): the occurrence in elderly people, the collection of samples and the identification of SARS etiological agent with predominance of SARS by COVID-19. Most municipalities experienced a 20-fold higher detection than expected, suggesting a process of virus spread to the hinterlands. The excess risk associate with lower IDHM, the condition of the municipality being the headquarters of the Regional Health and the presence of a highway in the municipality. The change in the pattern of occurrence of SRAG, combined with Spatial analysis may contribute to action planning at different levels of management. :Foi analisado o padrão da Síndrome Respiratória Aguda Grave (SRAG) em Pernambuco antes e durante período pandêmico da COVID-19. Estudo ecológico, de janeiro a junho de 2015 a 2019 (período pré-pandemia) e 01 de janeiro a 15 de junho de 2020, período que contempla parte inicial da pandemia. Taxas de detecção por município e Regional de Saúde de residência foram calculadas e, por meio da razão de risco, a dinâmica espacial da SRAG foi estimada. Na pré-pandemia ocorreram 5.617 casos de SRAG, 187 casos/mês e 23,8 casos/100 mil hab. e, na pandemia, 15.100 casos, 2.516 casos/mês e 320,3 casos/100 mil hab., um aumento da detecção mensal em 13 vezes. Foi ampliada (p < 0,001) a ocorrência em idosos (de 7,7% para 48,3%), a coleta de amostras (de 60,9% para 96,5%) e a identificação do agente etiológico causador da SRAG, com predomínio da SRAG por COVID-19 (66,0%). Regiões do interior do estado tiveram razão de detecção de SRAG 20 vezes superior à esperada, sendo o excesso de risco associado a menor IDHM, a condição do município ser sede de Regional de Saúde e a presença de rodovia federal no território municipal. Conhecer a mudança do padrão da ocorrência da SRAG, aliada a análise espacial poderão contribuir para o planejamento de ações a curto e médio prazo nos diferentes níveis de gestão.
journal_name
Cien Saude Coletjournal_title
Ciencia & saude coletivaauthors
Silva APSC,Maia LTS,Souza WVdoi
10.1590/1413-812320202510.2.29452020subject
Has Abstractpub_date
2020-10-01 00:00:00pages
4141-4150issue
suppl 2eissn
1413-8123issn
1678-4561pii
S1413-81232020006804141journal_volume
25pub_type
杂志文章abstract::This study analyses the opinion of teachers regarding the inclusion of contents on Bioethics in the curricular structure of high school. Six schools were selected: three public and three private in the main administrative region of Brasília. In a universe of 340 teachers, 150 joined the research. They were given a que...
journal_title:Ciencia & saude coletiva
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doi:10.1590/s1413-81232011000700004
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journal_title:Ciencia & saude coletiva
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journal_title:Ciencia & saude coletiva
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journal_title:Ciencia & saude coletiva
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journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-81232018247.18752017
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journal_title:Ciencia & saude coletiva
pub_type: 杂志文章,评审
doi:10.1590/s1413-81232008000100030
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journal_title:Ciencia & saude coletiva
pub_type: 杂志文章,评审
doi:10.1590/1413-81232014192.19802012
更新日期:2014-02-01 00:00:00
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journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-81232015207.04802015
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journal_title:Ciencia & saude coletiva
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doi:10.1590/s1413-81232010000400012
更新日期:2010-07-01 00:00:00
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journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/s1413-81232011000700094
更新日期:2011-01-01 00:00:00
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journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/s1413-81232013001000028
更新日期:2013-10-01 00:00:00
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journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-81232020251.25972019
更新日期:2020-01-01 00:00:00
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journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/s1413-81232011000900028
更新日期:2011-08-01 00:00:00
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journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-81232018231.16882015
更新日期:2018-01-01 00:00:00
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pub_type: 已发布勘误
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更新日期:2020-11-01 00:00:00
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journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-81232015209.11392015
更新日期:2015-09-01 00:00:00
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journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/s1413-81232012000600013
更新日期:2012-06-01 00:00:00
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journal_title:Ciencia & saude coletiva
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journal_title:Ciencia & saude coletiva
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doi:10.1590/1413-81232017226.14822016
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journal_title:Ciencia & saude coletiva
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journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/s1413-81232010000800014
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journal_title:Ciencia & saude coletiva
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journal_title:Ciencia & saude coletiva
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journal_title:Ciencia & saude coletiva
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journal_title:Ciencia & saude coletiva
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