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
;
+32 more...Belotti, Maria Carolina TD
; 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 UG
; Braga, Carlos KV; 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; and Faria, Nuno Rodrigues
(2020)
Epidemiological and clinical characteristics of the COVID-19 epidemic in Brazil.
NATURE HUMAN BEHAVIOUR, 4 (8).
pp. 856-865.
ISSN 2397-3374
DOI:
10.1038/s41562-020-0928-4
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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