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Coletro HN, de Menezes-Júnior LAA, Mendonça RDD, Meireles AL, Machado-Coelho GLL, de Menezes MC. The combined consumption of fresh/minimally processed food and ultra-processed food on food insecurity: COVID Inconfidentes, a population-based survey. Public Health Nutr 2023; 26:1414-1423. [PMID: 36919847 PMCID: PMC10346086 DOI: 10.1017/s136898002300054x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2022] [Revised: 11/11/2022] [Accepted: 03/03/2023] [Indexed: 03/16/2023]
Abstract
OBJECTIVE To investigate whether the combined consumption of fresh/minimally processed and ultra-processed food is associated with food insecurity (FI) during the COVID-19 pandemic. DESIGN Cross-sectional observational study was derived from a survey using a population-based search of a complex sample. FI was assessed using the validated Brazilian Food Insecurity Scale. Food consumption was assessed using a qualitative FFQ and the NOVA classification for fresh/minimally processed food and ultra-processed food. A scoring system was used to evaluate combined food consumption according to the extent and purpose of processing, considering the weekly consumption of the two groups (according to the NOVA classification). Higher punctuation reflects worse diet quality (higher consumption of ultra-processed foods and lower consumption of fresh/minimally processed foods). A theoretical causality model was constructed using a directed acyclic graph, and multivariate analysis was performed using Poisson regression to test the association between FI and food consumption. SETTING Ouro Preto and Mariana, Brazil, between October and December 2020. PARTICIPANTS An epidemiological household survey was conducted with 1753 individuals selected through a stratified and clustered sampling design in three stages. RESULTS Those with food consumption scores in the fourth quartile had a 60 % higher prevalence ratio (PR) for FI (PR: 1·60 and 95 % CI: 1·06 - 2·40). Also, the increased consumption of fresh/minimally processed foods and low consumption of ultra-processed foods presented a 45 % lower prevalence ratio of FI (PR: 0·55 and 95 % CI: 0·40 - 0·80). CONCLUSION These results indicate an inverse association between FI and diet quality.
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Affiliation(s)
- Hillary Nascimento Coletro
- Universidade Federal de Ouro Preto, Research and Study Group on Nutrition and Public Health (GPENSC), School of Nutrition, Ouro Preto, Minas Gerais, Brazil
| | - Luiz Antônio Alves de Menezes-Júnior
- Universidade Federal de Ouro Preto, Research and Study Group on Nutrition and Public Health (GPENSC), School of Nutrition, Ouro Preto, Minas Gerais, Brazil
| | - Raquel de Deus Mendonça
- Universidade Federal de Ouro Preto, Department of Clinical and Social Nutrition, Research and Study Group on Nutrition and Public Health (GPENSC), School of Nutrition, Ouro Preto, Minas Gerais, Brazil
| | - Adriana Lúcia Meireles
- Universidade Federal de Ouro Preto, Department of Clinical and Social Nutrition, Research and Study Group on Nutrition and Public Health (GPENSC), School of Nutrition, Ouro Preto, Minas Gerais, Brazil
| | | | - Mariana Carvalho de Menezes
- Universidade Federal de Ouro Preto, Department of Clinical and Social Nutrition, Research and Study Group on Nutrition and Public Health (GPENSC), School of Nutrition, Ouro Preto, Minas Gerais, Brazil
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Delpino FM, Figueiredo LM, Costa ÂK, Carreno I, Silva LND, Flores AD, Pinheiro MA, Silva EPD, Marques GÁ, Saes MDO, Duro SMS, Facchini LA, Vissoci JRN, Flores TR, Demarco FF, Blumenberg C, Chiavegatto Filho ADP, Silva ICD, Batista SR, Arcêncio RA, Nunes BP. Emergency department use and Artificial Intelligence in Pelotas: design and baseline results. REVISTA BRASILEIRA DE EPIDEMIOLOGIA 2023; 26:e230021. [PMID: 36921129 PMCID: PMC10000014 DOI: 10.1590/1980-549720230021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2022] [Accepted: 01/09/2023] [Indexed: 03/12/2023] Open
Abstract
OBJETIVO To describe the initial baseline results of a population-based study, as well as a protocol in order to evaluate the performance of different machine learning algorithms with the objective of predicting the demand for urgent and emergency services in a representative sample of adults from the urban area of Pelotas, Southern Brazil. METHODS The study is entitled "Emergency department use and Artificial Intelligence in PELOTAS (RS) (EAI PELOTAS)" (https://wp.ufpel.edu.br/eaipelotas/). Between September and December 2021, a baseline was carried out with participants. A follow-up was planned to be conducted after 12 months in order to assess the use of urgent and emergency services in the last year. Afterwards, machine learning algorithms will be tested to predict the use of urgent and emergency services over one year. RESULTS In total, 5,722 participants answered the survey, mostly females (66.8%), with an average age of 50.3 years. The mean number of household people was 2.6. Most of the sample has white skin color and incomplete elementary school or less. Around 30% of the sample has obesity, 14% diabetes, and 39% hypertension. CONCLUSION The present paper presented a protocol describing the steps that were and will be taken to produce a model capable of predicting the demand for urgent and emergency services in one year among residents of Pelotas, in Rio Grande do Sul state.
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Affiliation(s)
| | | | | | - Ioná Carreno
- Universidade Federal de Pelotas - Pelotas (RS), Brazil
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Jacques N, Silveira MFD, Hallal PC, Menezes AMB, Horta BL, Mesenburg MA, Hartwig FP, Barros AJD. [Mask use during the COVID-19 pandemic in Brazil: results of the EPICOVID19-BR study]. CAD SAUDE PUBLICA 2022; 38:e00271921. [PMID: 35857921 DOI: 10.1590/0102-311xpt271921] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2021] [Accepted: 04/14/2022] [Indexed: 11/21/2022] Open
Abstract
By March 3, 2022, the COVID-19 pandemic has caused more than 399 million infections and claimed the lives of more than five million people worldwide. To reduce infection rates, a series of prevention measures indicated by the World Health Organization (WHO) were adopted by countries, including the use of masks. This study aims to describe mask use in Brazil via data analysis from the EPICOVID19-BR, a population-based study conducted in 133 cities in the country in four phases between March and August 2020. The proportion of individuals who reported wearing a mask when they left their homes was 97.9% (95%CI: 97.8-98.0). The interviewer did not see interviewees' mask in 50% (95%CI: 49.9-51.1) of the cases at the time of the interview. However, between phase one and four of the survey, we observed a 4.4% decrease in the proportion of interviewees who failed to wear masks at the time of the interview. Mask non-visualization was more prominent in women, participants aged 10-19 and 20-29 years of indigenous, black, and brown skin color, and those with elementary and high school education and in the Central-West Region. The use of cloth masks showed a 91.4% predominance (95%CI: 91.2-1.5) with a 4.9% increase between phases 1 and 4. The results of the study bring important information to reinforce COVID-19 control policies in Brazil. The high percentage of people who failed to wear masks at the time of the interview suggests that it is still important to reinforce prevention and self-care, rather than relating mask wear to a mandatory measure.
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Horta BL, Silveira MF, Barros AJD, Hartwig FP, Dias MS, Menezes AMB, Hallal PC. COVID-19 and outpatient care: a nationwide household survey. CAD SAUDE PUBLICA 2022; 38:e00194121. [PMID: 35442261 DOI: 10.1590/0102-311x00194121] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2021] [Accepted: 12/27/2021] [Indexed: 12/31/2022] Open
Abstract
We aimed to assess the proportion of the population in 133 Brazilian municipalities who - from March to August 2020 - had a health problem but failed to seek care or failed to attend to a health service for routine appointment or examination. We conducted a household survey from August 24-27 in 133 Brazilian cities by asking the subjects if, since the beginning of the COVID-19 pandemic in March 2020, they had suffered from a health problem but did not seek care or failed to attend to a routine or screening examination. Poisson regression was used for the analyses. We interviewed 33,250 subjects and 11.8% (95%CI: 11.4-12.1) reported that, since March 2020, they failed to seek care despite being ill, 17.3% (95%CI: 16.9-17.7) failed to attend to a routine or screening examination and 23.9% (95%CI: 23.4-24.4) reported one or both outcomes. Health service closure and fear of the COVID-19 infection were the main reasons for not seeking care. Women and the poorest were more likely to not look for a health service, despite having a health problem or a scheduled routine appointment. On the other hand, those subjects who self-identified as white were less likely to not look for a health service. The COVID-19 pandemic is more critical for the indigenous people and the poorest, and these people are also more likely to not seek care for other health conditions during the pandemic.
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Electrochemical Biosensor Based on Laser-Induced Graphene for COVID-19 Diagnosing: Rapid and Low-Cost Detection of SARS-CoV-2 Biomarker Antibodies. SURFACES 2022. [DOI: 10.3390/surfaces5010012] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
The severe acute respiratory syndrome originated by the new coronavirus (SARS-CoV-2) that emerged in late 2019, known to be a highly transmissible and pathogenic disease, has caused the COVID-19 global pandemic outbreak. Thus, diagnostic devices that help epidemiological public safety measures to reduce undetected cases and isolation of infected patients, in addition to significantly help to control the population’s immune response to vaccine, are required. To address the negative issues of clinical research, we developed a Diagnostic on a Chip platform based on a disposable electrochemical biosensor containing laser-induced graphene and a protein (SARS-CoV-2 specific antigen) for the detection of SARS-CoV-2 antibodies. The biosensors were produced via direct laser writing using a CO2 infrared laser cutting machine on commercial polyimide sheets. The presence of specific antibodies reacting with the protein and the K3[Fe(CN)6] redox indicator produced characteristic and concentration-dependent electrochemical signals, with mean current values of 9.6757 and 8.1812 µA for reactive and non-reactive samples, respectively, proving the effectiveness of testing in clinical samples of serum from patients. Thus, the platform is being expanded to be measured in a portable microcontrolled potentiostat to be applied as a fast and reliable monitoring and mapping tool, aiming to assess the vaccinal immune response of the population.
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Schneider APH, Gaedke MÂ, Koepp J, Reuter ÉM, Darsie C, Possuelo LG, de Moura Valim AR, Carneiro M, Covid-Vrp G. [Social distancing as protection factor against COVID-19 in a non-metropolitan area in the State of Rio Grande do Sul, BrazilLas medidas de distanciamiento social como factor de protección contra la COVID-19 en el interior de Rio Grande do Sul, Brasil]. Rev Panam Salud Publica 2021; 45:e145. [PMID: 34840556 PMCID: PMC8611616 DOI: 10.26633/rpsp.2021.145] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2021] [Accepted: 08/09/2021] [Indexed: 11/24/2022] Open
Abstract
Objective To estimate the SARS-CoV-2 seroprevalence in a non-metropolitan area (Vale do Rio Pardo) in the state of Rio Grande do Sul, Brazil, and determine the association between seroprevalence and adherence to social distancing measures. Method For the present population-based, cross-sectional study, data were collected in four stages from August to October 2020. SARS-CoV-2 seroprevalence was assessed using an IgG/IgM rapid test. Demographic, socioeconomic, clinical, and behavioral data were also collected, with administration of a three-question survey to determine adherence to social distancing measures with a focus on the level of social distancing practiced by participants, their routine activities, and circulation of people in the home. The association between sociodemographic data and social distancing was assessed using the chi-square test for linear trends in proportions, and the association between social distancing and seroprevalence was assessed using Poisson regression (95% confidence interval [95%CI]; P< 0.05). Results Of 4 252 tested and interviewed participants, 11.8% (95%CI: 10.8; 12.8) did not adhere to social distancing measures. The prevalence of a positive rapid test was 4.7% in participants who did not practice social distancing and 1.9% in participants who adhered to social distancing measures (P< 0.05). The variables male sex, age 20 to 59 years, having completed high school, monthly family income ranging from R$ 3 136.00 to R$ 6 270.00, and living in rural areas were associated with non-adherence to social distancing (P< 0.05). Adherence to all social distancing measures provided protection against SARS-CoV-2 infection (prevalence ratio: 0.37; 95%CI: 0.19; 0.73). Conclusions The results indicate a reduction in seroprevalence with the adherence to social distancing measures.
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Affiliation(s)
- Ana Paula Helfer Schneider
- Universidade de Santa Cruz do Sul (UNISC), Departamento de Ciências da Vida Santa Cruz do Sul (RS) Brasil Universidade de Santa Cruz do Sul (UNISC), Departamento de Ciências da Vida, Santa Cruz do Sul (RS), Brasil
| | - Mari Ângela Gaedke
- Universidade de Santa Cruz do Sul (UNISC), Programa de Pós-Graduação em Promoção da Saúde, Departamento de Ciências da Saúde Santa Cruz do Sul (RS), Brasil Universidade de Santa Cruz do Sul (UNISC), Programa de Pós-Graduação em Promoção da Saúde, Departamento de Ciências da Saúde, Santa Cruz do Sul (RS), Brasil
| | - Janine Koepp
- Universidade de Santa Cruz do Sul (UNISC), Programa de Pós-Graduação em Promoção da Saúde, Departamento de Ciências da Saúde Santa Cruz do Sul (RS), Brasil Universidade de Santa Cruz do Sul (UNISC), Programa de Pós-Graduação em Promoção da Saúde, Departamento de Ciências da Saúde, Santa Cruz do Sul (RS), Brasil
| | - Éboni Marília Reuter
- Universidade de Santa Cruz do Sul (UNISC), Programa de Pós-Graduação em Promoção da Saúde, Departamento de Ciências da Saúde Santa Cruz do Sul (RS), Brasil Universidade de Santa Cruz do Sul (UNISC), Programa de Pós-Graduação em Promoção da Saúde, Departamento de Ciências da Saúde, Santa Cruz do Sul (RS), Brasil
| | - Camilo Darsie
- Universidade de Santa Cruz do Sul (UNISC), Programa de Pós-Graduação em Educação, Departamento de Ciências, Humanidades e Educação Santa Cruz do Sul (RS), Brasil Universidade de Santa Cruz do Sul (UNISC), Programa de Pós-Graduação em Educação, Departamento de Ciências, Humanidades e Educação, Santa Cruz do Sul (RS), Brasil
| | - Lia Gonçalves Possuelo
- Universidade de Santa Cruz do Sul (UNISC), Programa de Pós-Graduação em Promoção da Saúde, Departamento de Ciências da Saúde Santa Cruz do Sul (RS), Brasil Universidade de Santa Cruz do Sul (UNISC), Programa de Pós-Graduação em Promoção da Saúde, Departamento de Ciências da Saúde, Santa Cruz do Sul (RS), Brasil
| | - Andréia Rosane de Moura Valim
- Universidade de Santa Cruz do Sul (UNISC), Programa de Pós-Graduação em Promoção da Saúde, Departamento de Ciências da Saúde Santa Cruz do Sul (RS), Brasil Universidade de Santa Cruz do Sul (UNISC), Programa de Pós-Graduação em Promoção da Saúde, Departamento de Ciências da Saúde, Santa Cruz do Sul (RS), Brasil
| | - Marcelo Carneiro
- Universidade de Santa Cruz do Sul (UNISC), Programa de Pós-Graduação em Promoção da Saúde, Departamento de Ciências da Saúde Santa Cruz do Sul (RS), Brasil Universidade de Santa Cruz do Sul (UNISC), Programa de Pós-Graduação em Promoção da Saúde, Departamento de Ciências da Saúde, Santa Cruz do Sul (RS), Brasil
| | - Grupo Covid-Vrp
- Grupo de pesquisa COVID-Vale do Rio Pardo: Jane Dagmar Pollo Renner, Adilson Ben da Costa, Renato Michel, Ingre Paz, Daiana Klein Weber Carissimi, Suzane Beatriz Frantz Krug, Eliane Carlosso Krummenauer, Rochele Mosmann de Menezes, Clauciane Zell, Bruna Rezende, Caroline Bertelli, Fernanda Iochimns e Léa Vargas Grupo de pesquisa COVID-Vale do Rio Pardo: Jane Dagmar Pollo Renner, Adilson Ben da Costa, Renato Michel, Ingre Paz, Daiana Klein Weber Carissimi, Suzane Beatriz Frantz Krug, Eliane Carlosso Krummenauer, Rochele Mosmann de Menezes, Clauciane Zell, Bruna Rezende, Caroline Bertelli, Fernanda Iochimns e Léa Vargas
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7
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Hallal PC, Victora CG, Silveira MF, Barros AJD, Menezes AMB, Horta BL, Struchiner CJ, Hartwig FP, Victora GD, Pellanda LC, Burattini MN, Dellagostin OA, Barros FC. The challenge of conducting epidemiological research in times of pandemic and denialism: 1-year anniversary of the EPICOVID-19 project in Brazil. Int J Epidemiol 2021; 50:1049-1052. [PMID: 34215876 DOI: 10.1093/ije/dyab129] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/06/2021] [Indexed: 11/13/2022] Open
Affiliation(s)
- Pedro C Hallal
- Postgraduate Program in Epidemiology, Universidade Federal de Pelotas, Pelotas, Brazil
| | - Cesar G Victora
- Postgraduate Program in Epidemiology, Universidade Federal de Pelotas, Pelotas, Brazil
| | - Mariângela F Silveira
- Postgraduate Program in Epidemiology, Universidade Federal de Pelotas, Pelotas, Brazil
| | - Aluísio J D Barros
- Postgraduate Program in Epidemiology, Universidade Federal de Pelotas, Pelotas, Brazil
| | - Ana M B Menezes
- Postgraduate Program in Epidemiology, Universidade Federal de Pelotas, Pelotas, Brazil
| | - Bernardo L Horta
- Postgraduate Program in Epidemiology, Universidade Federal de Pelotas, Pelotas, Brazil
| | | | - Fernando P Hartwig
- Postgraduate Program in Epidemiology, Universidade Federal de Pelotas, Pelotas, Brazil
| | - Gabriel D Victora
- Laboratory of Lymphocyte Dynamics, Rockefeller University, New York, USA
| | - Lúcia C Pellanda
- Universidade Federal de Ciências de Saúde de Porto Alegre, Porto Alegre, Brazil
| | | | - Odir A Dellagostin
- Postgraduate Program in Biotechnology, Universidade Federal de Pelotas, Pelotas, Brazil
| | - Fernando C Barros
- Postgraduate Program in Health and Behavior, Universidade Católica de Pelotas, Pelotas, Brazil
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8
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Menezes AMB, Victora CG, Hartwig FP, Silveira MF, Horta BL, Barros AJD, Mesenburg MA, Wehrmeister FC, Pellanda LC, Dellagostin OA, Struchiner CJ, Burattini MN, Barros FC, Hallal PC. High prevalence of symptoms among Brazilian subjects with antibodies against SARS-CoV-2. Sci Rep 2021; 11:13279. [PMID: 34168250 PMCID: PMC8225900 DOI: 10.1038/s41598-021-92775-y] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2020] [Accepted: 06/15/2021] [Indexed: 12/13/2022] Open
Abstract
Since the beginning of the pandemic of COVID-19, there has been a widespread assumption that most infected persons are asymptomatic. Using data from the recent wave of the EPICOVID19 study, a nationwide household-based survey including 133 cities from all states of Brazil, we estimated the proportion of people with and without antibodies for SARS-CoV-2 who were asymptomatic, which symptoms were most frequently reported, number of symptoms and the association with socio-demographic characteristics. We tested 33,205 subjects using a rapid antibody test previously validated. Information was collected before participants received the test result. Out of 849 (2.7%) participants positive for SARS-CoV-2 antibodies, only 12.1% (95% CI 10.1-14.5) reported no symptoms, compared to 42.2% (95% CI 41.7-42.8) among those negative. The largest difference between the two groups was observed for changes in smell/taste (56.5% versus 9.1%, a 6.2-fold difference). Changes in smell/taste, fever and body aches were most likely to predict positive tests as suggested by recursive partitioning tree analysis. Among individuals without any of these three symptoms, only 0.8% tested positive, compared to 18.3% of those with both fever and changes in smell or taste. Most subjects with antibodies against SARS-CoV-2 are symptomatic, even though most present only mild symptoms.
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Affiliation(s)
| | | | | | | | | | | | | | | | - Lúcia C Pellanda
- Fundação Universidade Federal de Ciências de Saúde de Porto Alegre, Porto Alegre, Brazil
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Menezes AMB, Hallal PC, Silveira MF, Wehrmeister FC, Horta BL, Barros AJDD, Hartwig FP, Oliveira PD, Vidaletti LP, Mesenburg MA, Jacques N, Barros FC, Victora CG. Influenza vaccination in older adults during the COVID-19 pandemic: a population-based study in 133 Brazilian cities. CIENCIA & SAUDE COLETIVA 2021; 26:2937-2947. [PMID: 34378687 DOI: 10.1590/1413-81232021268.09382021] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2021] [Accepted: 06/09/2021] [Indexed: 11/21/2022] Open
Abstract
Routine immunization during pandemics can be harmed. This study estimated the influenza vaccination coverage in older adults during the COVID-19 through the EPICOVID-19, a population-based study conducted in 133 cities from the 26 Brazilian states and Federal District. We selected 25 census tracts per city, with probability proportional to the tract's size, ten households by census tract, and one random individual interviewed. A total of 8,265 older adults (≥60 years old) were interviewed and asked whether they had been vaccinated against flu in 2020. Vaccination coverage was 82.3% (95% CI: 80.1-84.2) with no difference by gender, age, and region; higher vaccination coverage was observed among the wealthiest (84.7% versus 80.1% in the poorest) and among the more educated (87.3% versus 83.2% less educated); lower coverage among indigenous (56.9% versus > 80% among other ethnic groups). A positive association was identified with the number of comorbidities among men but not among women. Most of the population was vaccinated (97.5%) in the public health system. The private network was chosen mainly in the South by the wealthiest and more educated. Vaccination coverage was seven percentage points lower than the government target (90%), and inequalities should be reversed in future campaigns.
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Affiliation(s)
- Ana Maria Baptista Menezes
- Universidade Federal de Pelotas. Av. Marechal Deodoro 1160 3º piso, Centro. 96020-220 Pelotas RS Brasil.
| | - Pedro Curi Hallal
- Universidade Federal de Pelotas. Av. Marechal Deodoro 1160 3º piso, Centro. 96020-220 Pelotas RS Brasil.
| | | | - Fernando César Wehrmeister
- Universidade Federal de Pelotas. Av. Marechal Deodoro 1160 3º piso, Centro. 96020-220 Pelotas RS Brasil.
| | - Bernardo Lessa Horta
- Universidade Federal de Pelotas. Av. Marechal Deodoro 1160 3º piso, Centro. 96020-220 Pelotas RS Brasil.
| | | | - Fernando Pires Hartwig
- Universidade Federal de Pelotas. Av. Marechal Deodoro 1160 3º piso, Centro. 96020-220 Pelotas RS Brasil.
| | - Paula Duarte Oliveira
- Universidade Federal de Pelotas. Av. Marechal Deodoro 1160 3º piso, Centro. 96020-220 Pelotas RS Brasil.
| | - Luís Paulo Vidaletti
- Universidade Federal de Pelotas. Av. Marechal Deodoro 1160 3º piso, Centro. 96020-220 Pelotas RS Brasil.
| | | | - Nadege Jacques
- Universidade Federal de Pelotas. Av. Marechal Deodoro 1160 3º piso, Centro. 96020-220 Pelotas RS Brasil.
| | | | - Cesar Gomes Victora
- Universidade Federal de Pelotas. Av. Marechal Deodoro 1160 3º piso, Centro. 96020-220 Pelotas RS Brasil.
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Mesenburg MA, Hallal PC, Menezes AMB, Barros AJD, Horta BL, de Barros FC, Hartwig FP, Jacques N, da Silveira MF. Chronic non-communicable diseases and COVID-19: EPICOVID-19 Brazil results. Rev Saude Publica 2021; 55:38. [PMID: 34105606 PMCID: PMC8139841 DOI: 10.11606/s1518-8787.2021055003673] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2021] [Accepted: 03/23/2021] [Indexed: 12/23/2022] Open
Abstract
OBJECTIVE Describing the prevalence of chronic diseases and associated socioeconomic and demographic factors, evaluating the patterns of social distancing and the antibodies prevalence against SARS-CoV-2 and COVID-19 symptoms in carriers and non-carriers of chronic diseases. METHODS Data from 77,075 individuals aged 20 to 59 from three steps of the EPICOVID-19 Brazil (a nationwide serological survey conducted between May and June, 2021) were assessed. The presence of antibodies against SARS-CoV-2 was examined by rapid tests. Self-reported prevalence of hypertension, diabetes, asthma, cancer, chronic kidney disease and heart disease were investigated. The prevalence of mask use, adherence to isolation measures and antibodies were evaluated separately amid carriers and non-carriers of chronic diseases. The prevalence of symptoms was analyzed among carriers and non-carriers of chronic diseases with antibodies. RESULTS The prevalence of at least one chronic disease was 43%, higher in the Southeast region, among white and indigenous individuals, women, less schooled and in lower socioeconomic position. The use of masks when leaving home was similar among carriers and non-carriers of chronic diseases (98%). The proportion of participants who reported adherence to isolation measures was higher amid carriers (15.9%) than non-carriers (24.9%) of chronic diseases. The prevalence of antibodies to SARS-CoV-2 was similar amongst carriers and non-carriers (2.4% and 2.3%). The prevalence of cough, dyspnea, palpitations and myalgia was significantly higher among carriers, but the proportion of symptomatic patients was similar between groups. CONCLUSION The prevalence of chronic diseases in Brazil is high and the COVID-19 pandemic affects carriers and non-carriers of chronic diseases similarly. Carriers present more severe forms of COVID-19 and higher prevalence of symptoms. Greater adherence to social distancing measures among chronic patients is disassociated from a lower incidence of COVID-19 in this group.
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Affiliation(s)
- Marilia Arndt Mesenburg
- Universidade Federal de PelotasPrograma de Pós-Graduação em EpidemiologiaPelotasRSBrasilUniversidade Federal de Pelotas. Programa de Pós-Graduação em Epidemiologia. Pelotas, RS, Brasil.
- Universidade Federal de Ciências da Saúde de Porto AlegreDepartamento de Saúde ColetivaPorto AlegreRSBrasilUniversidade Federal de Ciências da Saúde de Porto Alegre. Departamento de Saúde Coletiva. Porto Alegre, RS, Brasil.
| | - Pedro Curi Hallal
- Universidade Federal de PelotasPrograma de Pós-Graduação em EpidemiologiaPelotasRSBrasilUniversidade Federal de Pelotas. Programa de Pós-Graduação em Epidemiologia. Pelotas, RS, Brasil.
| | - Ana Maria Baptista Menezes
- Universidade Federal de PelotasPrograma de Pós-Graduação em EpidemiologiaPelotasRSBrasilUniversidade Federal de Pelotas. Programa de Pós-Graduação em Epidemiologia. Pelotas, RS, Brasil.
| | - Aluísio J D Barros
- Universidade Federal de PelotasPrograma de Pós-Graduação em EpidemiologiaPelotasRSBrasilUniversidade Federal de Pelotas. Programa de Pós-Graduação em Epidemiologia. Pelotas, RS, Brasil.
| | - Bernardo Lessa Horta
- Universidade Federal de PelotasPrograma de Pós-Graduação em EpidemiologiaPelotasRSBrasilUniversidade Federal de Pelotas. Programa de Pós-Graduação em Epidemiologia. Pelotas, RS, Brasil.
| | - Fernando Celso de Barros
- Universidade Federal de PelotasPrograma de Pós-Graduação em EpidemiologiaPelotasRSBrasilUniversidade Federal de Pelotas. Programa de Pós-Graduação em Epidemiologia. Pelotas, RS, Brasil.
| | - Fernando Pires Hartwig
- Universidade Federal de PelotasPrograma de Pós-Graduação em EpidemiologiaPelotasRSBrasilUniversidade Federal de Pelotas. Programa de Pós-Graduação em Epidemiologia. Pelotas, RS, Brasil.
| | - Nadège Jacques
- Universidade Federal de PelotasPrograma de Pós-Graduação em EpidemiologiaPelotasRSBrasilUniversidade Federal de Pelotas. Programa de Pós-Graduação em Epidemiologia. Pelotas, RS, Brasil.
| | - Mariangela Freitas da Silveira
- Universidade Federal de PelotasPrograma de Pós-Graduação em EpidemiologiaPelotasRSBrasilUniversidade Federal de Pelotas. Programa de Pós-Graduação em Epidemiologia. Pelotas, RS, Brasil.
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11
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Heck TG, Frantz RZ, Frizzo MN, François CHR, Ludwig MS, Mesenburg MA, Buratti GP, Franz LBB, Berlezi EM. Insufficient social distancing may contribute to COVID-19 outbreak: The case of Ijuí city in Brazil. PLoS One 2021; 16:e0246520. [PMID: 33596229 PMCID: PMC7888680 DOI: 10.1371/journal.pone.0246520] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2020] [Accepted: 01/20/2021] [Indexed: 12/17/2022] Open
Abstract
The coronavirus disease that emerged in 2019 (COVID-19) is highly contagious and has given way to a global pandemic. A present COVID-19 has high transmission rates worldwide, including in small Brazilian cities such as Ijuí. Located in the northwest part of the state of Rio Grande do Sul (RS) and with a population of 83,475, Ijuí was selected as the site of a population-based survey involving 2,222 subjects, from April to June 2020. Subjects were tested for the presence of antibodies against coronavirus (SARS-CoV-2) and answered questions regarding social distance adherence (SDA), daily preventive routines (DPR), comorbidities, and sociodemographic characteristics. In parallel, the local government registered the official COVID-19 cases in Ijuí, as well as the mobile social distancing index (MSDI). In this study, we demonstrate that there was a decrease in the levels of SDA, DPR and MSDI before the beginning of COVID-19 community transmission in Ijuí. Furthermore, we provide predictions for the number of COVID-19 cases, hospitalizations, and deaths in the city. We conclude that insufficient social distancing, as evidenced by different methods, may be related to the rapid increase of COVID-19 cases in Ijuí. Our study predicts an approaching outbreak of COVID-19 in Ijuí through community spread, which could be avoided or attenuated with increased levels of social distancing among the population.
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Affiliation(s)
- Thiago Gomes Heck
- Research Group in Physiology, Regional University of Northwestern Rio Grande do Sul State, Ijuí, Rio Grande do Sul State, Brazil
- Postgraduate Program in Integral Attention to Health, Regional University of Northwestern Rio Grande do Sul State, Ijuí, Rio Grande do Sul State, Brazil
- Medicine Course, Department of Life Sciences, Regional University of Northwestern Rio Grande do Sul State, Ijuí, Rio Grande do Sul State, Brazil
- Postgraduate Program in Mathematical and Computational Modeling, Ijuí, RS, Brazil
| | - Rafael Z. Frantz
- Postgraduate Program in Mathematical and Computational Modeling, Ijuí, RS, Brazil
- Department of Exact Sciences and Engineering, Regional University of Northwestern Rio Grande do Sul State, Ijuí, Rio Grande do Sul State, Brazil
| | - Matias Nunes Frizzo
- Research Group in Physiology, Regional University of Northwestern Rio Grande do Sul State, Ijuí, Rio Grande do Sul State, Brazil
- Postgraduate Program in Integral Attention to Health, Regional University of Northwestern Rio Grande do Sul State, Ijuí, Rio Grande do Sul State, Brazil
- Medicine Course, Department of Life Sciences, Regional University of Northwestern Rio Grande do Sul State, Ijuí, Rio Grande do Sul State, Brazil
| | - Carlos Henrique Ramires François
- Medicine Course, Department of Life Sciences, Regional University of Northwestern Rio Grande do Sul State, Ijuí, Rio Grande do Sul State, Brazil
| | - Mirna Stela Ludwig
- Research Group in Physiology, Regional University of Northwestern Rio Grande do Sul State, Ijuí, Rio Grande do Sul State, Brazil
- Postgraduate Program in Integral Attention to Health, Regional University of Northwestern Rio Grande do Sul State, Ijuí, Rio Grande do Sul State, Brazil
- Medicine Course, Department of Life Sciences, Regional University of Northwestern Rio Grande do Sul State, Ijuí, Rio Grande do Sul State, Brazil
| | - Marilia Arndt Mesenburg
- Federal University of Pelotas (UFPel), Pelotas, Rio Grande do Sul State, Brazil
- Federal University of Health Sciences of Porto Alegre (UFCSPA), Porto Alegre, Rio Grande do Sul State, Brazil
| | - Giovano Pereira Buratti
- Postgraduate Program in Integral Attention to Health, Regional University of Northwestern Rio Grande do Sul State, Ijuí, Rio Grande do Sul State, Brazil
| | - Lígia Beatriz Bento Franz
- Postgraduate Program in Integral Attention to Health, Regional University of Northwestern Rio Grande do Sul State, Ijuí, Rio Grande do Sul State, Brazil
- Research Group in Human Aging, Regional University of Northwestern Rio Grande do Sul State, Ijuí, Rio Grande do Sul State, Brazil
| | - Evelise Moraes Berlezi
- Postgraduate Program in Integral Attention to Health, Regional University of Northwestern Rio Grande do Sul State, Ijuí, Rio Grande do Sul State, Brazil
- Medicine Course, Department of Life Sciences, Regional University of Northwestern Rio Grande do Sul State, Ijuí, Rio Grande do Sul State, Brazil
- Research Group in Human Aging, Regional University of Northwestern Rio Grande do Sul State, Ijuí, Rio Grande do Sul State, Brazil
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12
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Izbicki R, Diniz MA, Bastos LS. Sensitivity and specificity in prevalence studies: The importance of considering uncertainty. Clinics (Sao Paulo) 2020; 75:e2449. [PMID: 33331403 PMCID: PMC7690961 DOI: 10.6061/clinics/2020/e2449] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Affiliation(s)
- Rafael Izbicki
- Departamento de Estatisticas, Universidade Federal de Sao Carlos, Sao Carlos, SP, BR
| | - Márcio A Diniz
- Departamento de Estatisticas, Universidade Federal de Sao Carlos, Sao Carlos, SP, BR
| | - Leonardo S Bastos
- Programa de Computacao Cientifica (PROCC), Fundacao Oswaldo Cruz, Rio de Janeiro, RJ, BR
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