Open AccessAnalysis of COVID-19 mortality and case-fatality in a low- income region: an ecological time-series study in Tocantins, Brazilian Amazon
Author(s) -
André Evaristo Marcondes Cesar,
Blanca Elena Guerrero Daboin,
Tassiane Cristina Morais,
Isabella Portugal,
Jorge de Oliveira Echeimberg,
Luciano Miller Reis Rodrigues,
Lucas Cauê Jacintho,
Rodrigo Daminello Raimundo,
Khalifa Elmusharaf,
Carlos Eduardo Siqueira
Publication year - 2021
Publication title -
journal of human growth and development
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.218
H-Index - 11
eISSN - 2175-3598
pISSN - 0104-1282
DOI - 10.36311/jhgd.v31.12744
Subject(s) - case fatality rate , pandemic , incidence (geometry) , demography , context (archaeology) , lethality , covid-19 , population , ecological study , geography , mortality rate , medicine , biology , disease , infectious disease (medical specialty) , toxicology , physics , archaeology , pathology , sociology , optics
Inserted in the vulnerable context of the Brazilian Amazon, the state of Tocantins has suffered damages with the dissemination of COVID-19 in its territory; however, little evidence is published from this state.
Objective: This study aims to analyze the case-fatality, mortality, and incidence of COVID-19 in Tocantins.
Methods: This is an ecological study, population-based, time-series analysis of COVID-19 cases and deaths in the state of Tocantins from March 2020 to August 2021.
Results: During the examined period, 219,031 COVID-19 cases, and 3,594 deaths were registered due to disease. Two possible occurrence peaks were characterized in this time-series analysis. Remarkably, the Second Wave had the highest lethality rates (3.02% - April 2021), mortality (39.81 deaths per 100,000 inhabitants – March 2021), and incidence (1,938.88 cases per 100,000 inhabitants – March 2021). At the end of the period, mortality, incidence, and lethality showed flat trends, suggesting a positive outcome of the vaccination program.
Conclusion: The prevention, surveillance, and control actions of COVID-19 cases in Tocantins State have been directed to mitigate the deleterious effects of the pandemic. Nevertheless, efforts are still needed to decrease lethality, mortality, and incidence trends, and ultimately to achieve control of the COVID-19 pandemic in the region.