Descriptive study of the initial cases of COVID-19 in a city in the interior of Ceará, Brazil
Descriptive study of the initial cases of Covid-19 in a city in the interior of Ceará, Brazil Estudio descriptivo de los casos iniciales de Covid-19 en una ciudad del interior de Ceará, Brasil
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Objective: to describe the sociodemographic, epidemiological and clinical characteristics of the initial cases of COVID-19 in the municipality of Sobral, Ceará, Brazil. Materials and methods: descriptive, temporal and quantitative epidemiological study, developed in the municipality of Sobral - Ceará, Brazil, with 110 confirmed cases of COVID-19. Descriptive and analytical analysis was performed, using the Chi-square test and Logistic Regression to verify the association between variables. The level of significance was set at 95% (p≤0.05). Results: it was observed that 60% of cases occurred in women, 74.5% were adults between 20 and 59 years old, 15.5% health workers and the lethality rate was 1.8%. In 58.2% of cases the main reporting unit was the hospital, 10% required hospitalization, and 64.5% were diagnosed with rapid tests. The main symptoms manifested were: cough (58.2%), fever (57.3%), sore throat (36.4%) and difficulty breathing (31.9%). There was an association between age and the presence of fever, cough and sore throat (p=0.05). Conclusion: The results suggest that older people are more susceptible to some symptoms when compared to younger people. Associated with global estimates, this work can provide subsidies for COVID-19 prevention and control actions in small and medium-sized Brazilian municipalities.
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- World Health Organization. Emergencies preparedness, response: Novel Coronavirus – China - Disease
- outbreak news: Update. 2020 [cited 2020 Apr 26]. Available from:
- https://www.who.int/csr/don/12-january-2020-novel-coronavirus-china/en/
- Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel
- coronavirus in Wuhan, China. The Lancet. 2020; 395(10223):497-506.
- https://doi.org/10.1016/S0140-6736(20)30183-5
- Chan JF, Yuan S, Kok KH, To KK-W, Chu H, Yang J et al. A familial cluster of pneumonia associated with
- the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster. The
- Lancet. 2020; 395(10223):514-523. https://doi.org/10.1016/S0140-6736(20)30154-9
- Wang C, Horby PW, Hayden FG, Gao GF. A novel coronavirus outbreak of global health concern. The Lancet.
- ; 395(10223):470-473. https://doi.org/10.1016/S0140-6736(20)30185-9
- Chen N, Zhou M, Dong X, Qu J, Gong F, Han Y, et al. Epidemiological and clinical characteristics of 99
- cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. The Lancet. 2020;
- (10223):507-513. https://doi.org/10.1016/S0140-6736(20)30211-7
- World Health Organization. WHO Director-General’s statement on IHR Emergency Committee on Novel
- Coronavirus (2019-nCoV). 2020 [cited 2020 Apr 26]. Available from:
- https://www.who.int/dg/speeches/detail/who-director-general-s-statement-on-ihr-emergency-committee-on-novel-coronavirus-(2019-ncov).
- State Secretariat of Health, Ceará. Epidemiological bulletin - New coronavirus disease (COVID-19). 2020;
- :1-4 [cited 2020 Apr 26]. Available from:
- https://coronavirus.ceara.gov.br/wp-content/uploads/2020/03/boletim_epidemiologico_n_15_160320_covid19_espce.pdf.
- Lima DLF, Dias AA, Rabelo RS, Cruz ID, Costa SC, Nigri FMN et al. Covid-19 in the State of Ceará: behaviors
- and beliefs in the arrival of the pandemic. Ciênc saúde coletiva. 2020; 25(5):1575-1586.
- https://doi.org/10.1590/1413-81232020255.07192020
- Santiago EJP, Freire AKS, Ferreira DSA, Amorim JF, Cunha ALX, Freitas JR et al. Velocity of deaths and confirmed
- cases of COVID-19 in Brazil, Italy and worldwide. Research Society and Development. 2020; 9(7):1-18
- https://doi.org/10.33448/rsd-v9i7.4085
- Brazilian Institute of Geography and Statistics. Discover cities and states in Brazil. 2020 [cited 2020 Apr 26].
- Available from: https://cidades.ibge.gov.br/brasil/ce/sobral/panorama
- Sobral. Secretariat of Health. Coordination of Primary Care. Composition. 2018 [cited 2020 Apr 26]. Available
- from: http://saude.sobral.ce.gov.br/atencao-basica/coordenacao-da-atencao-basica.
- Sobral. Municipal Health Secretariat. Health Education Coordination - Visconde de Saboia Family Health Training
- School. Sobral Municipal Health Plan 2018 to 2021. Sobral-CE: Municipal Health Secretariat; 2017.
- Ministério da Saúde (BR). Secretaria de Vigilância em Saúde. Ficha de investigação de SG suspeito de doença
- pelo Coronavírus 2019 – COVID-19. Brasília: Minsitério da Saúde, 2020 [citado 05 jan. 2021]. Disponível em:
- https://datasus.saude.gov.br/wp-content/uploads/2020/08/Ficha-COVID-19-_25_08_2020.pdf.
- Ministry of Health. Resolution Nº 466/2012, June 13, 2013, of the National Health Council. Provides for
- Regulatory Guidelines and Norms for research involving human beings. Official Diary of the Union. 2012.
- State Department of Health, Ceará. Epidemiological bulletin - New coronavirus disease (COVID-19). Brazil.
- ; 23:1-20 [cited 2020 May 27]. Available from:
- https://coronavirus.ceara.gov.br/project/boletim-epidemiologico-no-23-de-28-de-abril-de-2020/
- Ministry of Health. Coronavirus: Brazil records 49,492 cases and 3,313 deaths. 2020 [cited 2020 Apr 26].
- Available from:
- https://www.saude.gov.br/noticias/agencia-saude/46771-coronavirus-brasil-registra-49-492-casos-e-3-313-mortes
- Ritchie H, Ortiz-Ospina E, Beltekian D, Mathieu E, Hasell J, Macdonald B et al. Statistics and Research Coronavirus
- Pandemic (COVID-19). 2020 [cited 2021 Feb 19]. Available from: https://ourworldindata.org/coronavirus.
- Teich VD, Klajner S, Almeida FAS, Dantas ACB, Laselva CR, Torritesi MG et al. Epidemiologic and clinical
- features of patients with COVID-19 in Brazil. Einstein (São Paulo). 2020; 18:1-7.
- https://doi.org/10.31744/einstein_journal/2020ao6022
- Chen P, Zhang Y, Wen Y, Guo J, Jia J, Ma Y et al. Epidemiological and clinical characteristics of 136 cases
- of COVID-19 in main district of Chongqing. J Formos Med Assoc. 2020; 119(7):1180-1184.
- https://doi.org/10.1016/j.jfma.2020.04.019
- Mendonça FD, Rocha SS, Pinheiro DLP, Oliveira SV. North region of Brazil and the COVID-19 pandemic:
- socioeconomic and epidemiologic analysis. J Health NPEPS. 2020; 5(1):20-37.
- http://dx.doi.org/10.30681/252610104535
- Artículo de Investigación sobre COVID-19
- Descriptive study of the initial cases of Covid-19 in a city in the interior of Ceará pp 536-547
- Zou Y, Guo H, Zhang Y, Zhang Z, Liu Y, Wang J et al. Analysis of coagulation parameters in patients with
- COVID-19 in Shanghai, China. Biosci Trends. 2020; 14(4):285-289. https://doi.org/10.5582/bst.2020.03086
- Silva CM, Menezes Filho NM, Komatsu BK. An Approach to the Service Sector in the Brazilian Economy.
- Policy Paper, n. 19. São Paulo: Public Policy Center (Insper); 2016 [cited 2020 Apr 26]. Available from:
- https://www.insper.edu.br/wp-content/uploads/2018/09/Abordagem-sobre-Setor-Servicos-Economia-Brasileira.pdf
- McCloskey B, Zumla A, Ippolito G, Blumberg L, Arbon P, Cicero A, et al. Mass gathering events and reducing
- further global spread of COVID-19: a political and public health dilema. The Lancet. 2020; 395(10230):1096-
- https://dx.doi.org/10.1016%2FS0140-6736(20)30681-4
- The Lancet. COVID-19: protecting health-care workers. The Lancet. 2020; 395(10228):922-922.
- https://doi.org/10.1016/S0140-6736(20)30644-9
- Duprat IP, Melo GC. Análise de casos e óbitos pela COVID-19 em profissionais de enfermagem no Brasil.
- Rev bras saúde ocup. 2020; 45:e30. http://dx.doi.org/10.1590/2317-6369000018220
- Lourenção LG. A Covid-19 e os desafios para o sistema e os profissionais de saúde. Enferm. Foco. 2020;
- (1):6-7. https://doi.org/10.21675/2357-707X.2020.v11.n1.3488
- Silva AAM. On the possibility of interrupting the coronavirus (COVID-19) epidemic based on the best
- available scientific evidence. Rev. bras. epidemiol. 2020; 23:1-3. http://dx.doi.org/10.1590/1980-549720200021
- Minayo MCS, Freire NP. The pandemic exacerbates health inequalities. Ciênc saúde coletiva. 2020; 25(9):3555-
- http://dx.doi.org/10.1590/1413-81232020259.13742020
- Pedrosa NL, Albuquerque NLS. Spatial Analysis of COVID-19 cases and intensive care beds in the State of
- Ceará, Brazil. Ciênc. saúde coletiva. 2020; 25(Suppl. 1):2461-2468.
- https://dx.doi.org/10.1590/1413-81232020256.1.10952020
- Zhou F, Yu T, Du R, Fan G, Liu Y, Liu Z et al. Clinical course and risk factors for mortality of adult inpatients
- with COVID-19 in Wuhan, China: a retrospective cohort study. The Lancet. 2020; 395(10229):1054-1062.
- https://doi.org/10.1016/S0140-6736(20)30566-3
- Loeffelholz MJ, Tang YW. Laboratory diagnosis of emerging human coronavirus infections - the state of the
- art. Emerg Microbes Infect. 2020; 9(1):747-756. https://doi.org/10.1080/22221751.2020.1745095
- Diao B, Wen K, Chen J, Liu Y, Yuan Z, Han C et al. Diagnosis of Acute Respiratory Syndrome Coronavirus
- Infection by Detection of Nucleocapsid Protein. medRxiv. 2020 Apr 26]. Avaliable from:
- https://www.medrxiv.org/content/10.1101/2020.03.07.20032524v2.full.pdf. https://doi.org/10.1101/2020.03.07.20032524
- Barreto ML, Barros AJD, Carvalho MS, Codeço CT, Hallal PRI, Medronho RA et al. What is urgent and necessary
- to inform policies to deal with the COVID-19 pandemic in Brazil?. Rev. bras. epidemiol. 2020; 23:1-4.
- https://doi.org/10.1590/1980-549720200032