Epidemiological and clinical characteristics of the COVID-19 epidemic in Brazil.

de Souza, William MarcielORCID logo; Buss, Lewis Fletcher; Candido, Darlan da Silva; Carrera, Jean-PaulORCID logo; Li, Sabrina; Zarebski, Alexander EORCID logo; Pereira, Rafael Henrique MoraesORCID logo; Prete, Carlos AORCID logo; de Souza-Santos, Andreza AruskaORCID logo; Parag, Kris VORCID logo; +32 more...Belotti, Maria Carolina TDORCID logo; Vincenti-Gonzalez, Maria F; Messina, JaneyORCID logo; da Silva Sales, Flavia CristinaORCID logo; Andrade, Pamela Dos SantosORCID logo; Nascimento, Vítor HeloizORCID logo; Ghilardi, Fabio; Abade, LeandroORCID logo; Gutierrez, BernardoORCID logo; Kraemer, Moritz UGORCID logo; Braga, Carlos KV; Aguiar, Renato Santana; Alexander, NealORCID logo; Mayaud, PhilippeORCID logo; Brady, Oliver JORCID logo; Marcilio, IzabelORCID logo; Gouveia, NelsonORCID logo; Li, Guangdi; Tami, Adriana; de Oliveira, Silvano Barbosa; Porto, Victor Bertollo GomesORCID logo; Ganem, Fabiana; de Almeida, Walquiria Aparecida FerreiraORCID logo; Fantinato, Francieli Fontana Sutile Tardetti; Macário, Eduardo Marques; de Oliveira, Wanderson Kleber; Nogueira, Mauricio LORCID logo; Pybus, Oliver GORCID logo; Wu, Chieh-HsiORCID logo; Croda, JulioORCID logo; Sabino, Ester C; and Faria, Nuno RodriguesORCID logo (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
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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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