medigraphic.com
ISSN 1561-302X (Print)

2021, Number 1

<< Back Next >>

Rev cubana med 2021; 60 (1)

Coronavirus 2019 and people living on the streets in Mato Grosso State, Brazil

Pereira Terças-Trettel AC, Herrero da Silva J, de Oliveira EC, Hattori TY, de Oliveira FDT, Ferreira NV, Sampaio LER

Language: Spanish
References: 38
Page: 1-11
PDF size: 466.34 Kb.


ABSTRACT

Introduction: The expansion of Coronavirus Disease 2019 (COVID-19) in new territories represents great challenge for public health in the world, especially for countries like Brazil, due to its wide territorial extensions and regional inequalities.
Objectives: To describe, during the pandemic, the COVID-19 outbreak in homeless people in inner Mato Grosso, Brazil.
Methods: A descriptive study on COVID-19 outbreak was carried out in inner Mato Grosso state. The data were collected from the documentary records of the municipal epidemiological investigation, in line with the Unified Health System.
Results: From the index case, a person living on the street who was transferred to the municipal shelter in Tangará da Serra, Mato Grosso. Forty seven (47) people got infected by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) and they were confirmed by serological tests and/or molecular: (i) in the shelter: 8 homeless people and 5 employees; (ii) contact with the employees' home: 3 family members; (iii) in the hospital unit: 19 professionals and 6 patients in the intensive care unit.
Conclusions: The lack of individual protection was a critical factor for SARS-CoV-2 infection in the index case and it spreads in the shelter due to the involvement of domestic contacts. In addition to professionals in the hospital environment, where the outbreak occurred due to structural factors, the lack of adequate personal protection equipment and the lack of careful adoption of biosecurity.


REFERENCES

  1. Barata RB, Carneiro Junior N, Ribeiro MCSA, Silveira C. Desigualdade social em saúde napopulação em situação de rua na cidade de São Paulo. Saúde Soc. 2015[acceso:12/05/2020];24(1):219-32. Disponible en: https://www.scielo.br/pdf/sausoc/v24s1/0104-1290-sausoc-24-s1-00219.pdf

  2. Neves-Silva P, Martins GI, Heller L. A gente tem acesso de favores, né?. A percepção de pessoasem situação de rua sobre os direitos humanos à água e ao esgotamento sanitário. Cad. SaudePublica. 2018[[acceso: 12/05/2020]];34 (3):e00024017. Disponible en:https://www.scielo.br/scielo.php?pid=S0102-311X2018000305019&script=sci_abstract&tlng=pt

  3. Wang C, Horby PW, Hayden FG, Gao GF. A novel coronavirus outbreak of global health concern.Lancet. 2020[acceso: 30/04/2020];395(10223):470-3. Disponible en:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7135038/

  4. Vale ARD, Vecchia MD. UPA é nós aqui mesmo”: as redes de apoio social no cuidado à saúde dapopulação em situação de rua em um município de pequeno porte. Saúde Soc. 2019[acceso:12/05/2020];28(1):222-34 Disponible en:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-12902019000100016&lng=en

  5. Liu Y, Gayle AA, Wilder-Smith A, Rocklöv J. The reproductive number of COVID-19 is highercompared to SARS coronavirus. J Travel Med. 2020[acceso: 30/04/2020];27(2):taaa021. Disponibleen: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7074654/

  6. Nishiura H, Kobayashi T, Miyama T, Suzuki A, Jung SM, Hayashi K, et al. Estimation of theasymptomatic ratio of novel coronavirus infections (COVID-19). Int J Infect Dis. 2020[acceso:30/04/2020];94:154-5. Disponible en: https://pubmed.ncbi.nlm.nih.gov/32179137/

  7. Chan JFW, Yuan S, Kok KH, To KKW, Chu H, Yang J, et al. A familial cluster of pneumoniaassociated with the 2019 novel coronavirus indicating person‐to‐person transmission: a study of afamily cluster. Lancet. 2020[acceso: 30/04/2020];395(10223):514-23. Disponible en:https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30154-9/fulltext

  8. Houghton C, Meskell P, Delaney H, Smalle M, Glenton C, Booth A, et al. Barriers and facilitatorsto healthcare workers' adherence with infection prevention and control (IPC) guidelines forrespiratory infectious diseases: a rapid qualitative evidence synthesis. Cochrane Database SystVer. 2020[acceso: 22/05/2020];4(4):CD013582. Disponible en:https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD013582/full

  9. Zhou P, Yang XL, Wang XG, Hu B, Zhang L, Zhang W, et al. A pneumonia outbreak associatedwith a new coronavirus of probable bat origin. Nature. 2020[acceso: 30/04/2020];579(7798):270-3.Disponible en: https://www.nature.com/articles/s41586-020-2012-7

  10. Huang L, Zhang X, Zhang X, Wei Z, Zhang L, Xu J, et al. Rapid asymptomatic transmission ofCOVID-19 during the incubation period demonstrating strong infectivity in a cluster of youngstersaged 16-23 years outside Wuhan and characteristics of young patients with COVID-19: Aprospective contact-tracing study. J Infect. 2020[acceso: 10/04/2020];80(6):e1-e13. Disponibleen: https://www.journalofinfection.com/article/S0163-4453(20)30117-1/abstract

  11. Rothe C, Schunk M, Sothmann P, Bretzel G, Froeschl G, Wallrauch C, et al. Transmission of2019-nCoV infection from an asymptomatic contact in Germany. N Engl J Med. 2020[acceso:03/05/2020];382(10):970-1. Disponible en:https://www.nejm.org/doi/full/10.1056/NEJMc2001468

  12. Brasil. Ministério da Saúde. Painel Coronavírus. [Internet]. Brasília: Ministério da Saúde, Centrode operações de emergência em Saúde Pública – COVID-192020; [acceso: 30/04/2020]. Disponibleen: https://covid.saude.gov.br

  13. Instituto Brasileiro de Geografia e Estatística. IBGE cidades: Tangará da Serra – MT. Rio deJaneiro: IBGE. 2020[acceso: 30/04/2020]. Disponible en: https://www.ibge.gov.br/cidades-eestados/mt/tangara-da-serra.html

  14. Tsai J, Wlson M. COVID-19: A Potential Public Health Problem for Homeless Population. LancetPublic Health. 2020[acceso: 18/05/2020];5(4):e186-e187. Disponível:https://www.thelancet.com/pdfs/journals/lanpub/PIIS2468-2667(20)30053-0.pdf

  15. Calmon TVL. As condições objetivas para o enfrentamento ao COVID-19: abismo socialbrasileiro, o racismo, e as perspectivas de desenvolvimento social como determinantes. RevistaNAU Social. 2020[acceso: 16/05/2020];11(20):131-6. Disponible en:https://cienciasmedicasbiologicas.ufba.br/index.php/nausocial/article/view/36543/21038

  16. Kar SK, Arafat SMY, Marthoenis M, Kabir R. Homeless mentally ill people and COVID-19pandemic: The two-way sword for LMICs. Asian J Psychiatr. 2020[acceso: 25/05/2020];51:102067.Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7194975/

  17. Lima NNR, de Souza RI, Feitosa PWG, Moreira JLS, da Silva CGL, Rolim Neto ML. Peopleexperiencing homelessness: Their potential exposure to COVID-19. Psychiatry Res. 2020[acceso:15/05/2020];288:112945. Disponible en:https://www.sciencedirect.com/science/article/pii/S0165178120306491

  18. Maremmani AGI, Pani PP, Rovai L, Bacciardi S, Maremmani I. Toward the Identification of aSpecific Psychopathology of Substance Use Disorders. Front Psychiatry. 2017[acceso:20/05/2020];8:68. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5406468/

  19. Ornell F, Moura HF, Scherer JN, Pechansky F, Kessler FHP, Diemen LV. The COVID-19 pandemicand its impact on substance use: Implications for prevention and treatment. Psychiatry Res. 2020[acceso: 10/05/2020];289:113096. Disponible en:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7219362/20. Kirby T. Efforts Escalate to Protect Homeless People From COVID-19 in UK. Lancet Respir Med.2020[acceso: 19/05/2020];8(5):447-9. Disponible en:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7195428/

  20. Mendonça FD, Rocha SS, Pinheiro DLP, Oliveira SV. Região Norte do Brasil e a pandemia deCOVID-19: análise socioeconômica e epidemiológica. J Health NPEPS. 2020[acceso: 22/05/2020];5(1):20-37. Disponible en:https://periodicos.unemat.br/index.php/jhnpeps/article/view/453522. Tavares CQ. Dimensões do cuidado na perspectiva da espiritualidade durante a pandemia pelonovo coronavírus (COVID-19). J Health NPEPS. 2020[acceso: 22/05/2020];5(1):1-4. Disponible en:https://periodicos.unemat.br/index.php/jhnpeps/article/view/4517

  21. Valle FAAL, Farah BF, Carneiro Júnior N. As vivências na rua que interferem na saúde:perspectiva da população em situação de rua. Saúde debate. 2020[acceso:20/05/2020];44(124):182-92. Disponible en:https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-11042020000100182&lang=pt

  22. Hino P, Monroe AA, Takahashi RF, Souza KMJ, Figueiredo TMRM, Bertolozzi MR. O controle datuberculose na ótica de profissionais do consultório na rua. Rev latinoam enferm. 2018[acceso:19/05/2020];26:3095. Disponible en: https://www.scielo.br/scielo.php?pid=S0104-11692018000100397&script=sci_arttext&tlng=pt

  23. Hellewell J, Abbott S, Gimma A, Bosse NI, Jarvis CI, Russell TW, et al. Feasibility of controllingCOVID-19 outbreaks by isolation of cases and contacts. Lancet Glob Health. 2020[acceso:21/05/2020];8(4):488-96. Disponible en:https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(20)30074-7/fulltext

  24. Jin YH, Huang Q, Wang YY, Zeng XT, Luo LS, Pan ZY, et al. Perceived infection transmissionroutes, infection control practices, psychosocial changes, and management of COVID-19 infectedhealthcare workers in a tertiary acute care hospital in Wuhan: a cross-sectional survey. Mil MedRes. 2020[acceso: 23/05/2020];7(1):24. Disponible en:https://mmrjournal.biomedcentral.com/articles/10.1186/s40779-020-00254-8

  25. Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors associated with mental health outcomesamong health care workers exposed to coronavirus disease 2019. JAMA Netw Open. 2020[acceso:25/05/2020];3(3):e203976. Disponible en:https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2763229

  26. Mandrola J. CoViD-19 e dispositivi di protezione individuale: qualcuno di noi morirà per la lorocarenza [CoViD-19 and PPE: some of us will die because of the shortage]. Recenti Prog Med. 2020acceso: 21/05/2020];111(4):183. Disponible en:https://www.recentiprogressi.it/articoli.php?archivio=yes&vol_id=3347&id=33175

  27. Spinazzè A, Cattaneo A, Cavallo DM. COVID-19 outbreak in Italy: protecting worker health andthe response of the Italian Industrial Hygienists Association. Ann Work Expo Health. 2020[acceso:18/05/2020];64(6):559-64. Disponible en: https://pubmed.ncbi.nlm.nih.gov/32298415/

  28. Chen H, Xu C, Paris C, Reeson A, Li X. Social distance and SARS memory: impact on the publicawareness of 2019 novel coronavirus (COVID-19) outbreak. medRxiv [pré-impressão]. 2020[acceso:30/04/2020]. Disponible en:https://www.medrxiv.org/content/medrxiv/early/2020/03/16/2020.03.11.20033688.full.pdf

  29. Kwok KO, Li KK, Chan HHH, Yi YY, Tang A, Wei WI, et al. Community responses during theearly phase of the COVID-19 epidemic in Hong Kong: risk perception, information exposure andpreventive measures. Emerg Infect Dis. 2020[acceso: 30/04/2020];26(7). Disponible en:https://wwwnc.cdc.gov/eid/article/26/7/20-0500_article

  30. Zhong BL, Luo W, Li HM, Zhang QQ, Liu XG, Li WT, et al. Knowledge, attitudes, and practicestowards COVID-19 among Chinese residents during the rapid rise period of the COVID-19 outbreak:a quick online cross-sectional survey. Int J Biol Sci. 2020[acceso: 22/05/2020];16(10):1745-52.Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7098034/

  31. Wu C, Chen X, Cai Y, Xia J, Zhou X, Xu S, et al. Risk Factors Associated With Acute RespiratoryDistress Syndrome and Death in Patients With Coronavirus Disease 2019 Pneumonia in Wuhan,China. JAMA Intern Med. 2020[acceso: 30/04/2020];180(7):1-11. Disponible en:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7070509/

  32. Li W, Zhou Q, Tang Y, Ren L, Yu X, Li Q, et al. Protocol for the development of a rapid adviceguideline for prevention, management and care of children with 2019 novel coronavirus infection.Ann Palliat Med. 2020[acceso: 30/04/2020]. Disponible en:http://apm.amegroups.com/article/view/36766/pdf

  33. Yang C, Li C, Wang S; National Clinical Research Center for Child Health and Disorders andChildren's Oncology Committee of Chinese Research Hospital Association. Clinical strategies fortreating pediatric cancer during the outbreak of 2019 novel coronavirus infection. Pediatr BloodCancer. 2020[acceso: 30/04/2020];67(5):e28248. Disponible en:https://pubmed.ncbi.nlm.nih.gov/32147944/

  34. Ai T, Yang Z, Hou H, Zhan C, Chen C, Lv W, et al. Correlation of Chest CT and RT-PCR Testingin Coronavirus Disease 2019 (COVID-19) in China: A Report of 1014 Cases. Radiology. 2020[acceso:30/04/2020];200642. Disponible en: https://europepmc.org/article/med/32101510

  35. Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with2019 novel coronavirus in Wuhan, China. Lancet. 2020[acceso: 30/04/2020];395(10223):497-506.Disponible en: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30183-5/fulltext

  36. Zhao X, Zhang B, Li P, Ma C, Gu J, Hou P, et al. Incidence, clinical characteristics andprognostic factor of patients with COVID-19: a systematic review and meta-analysis. medRxiv [préimpressão].2020[acceso: 15/05/2020]. Disponible en:https://www.medrxiv.org/content/10.1101/2020.03.17.20037572v1

  37. Rossman H, Keshet A, Shilo S, Gavrieli A, Bauman T, Cohen O, et al. A framework foridentifying regional outbreak and spread of COVID-19 from one-minute population-wide surveys.Nat Med. 2020[acceso: 30/04/2020];26(5):634-8. Disponible en:https://www.nature.com/articles/s41591-020-0857-9

  38. Guan WJ, Ni ZY, Hu Y, Liang WH, Ou CQ, He JX, et al. Clinical Characteristics of CoronavirusDisease 2019 in China. N Engl J Med. 2020[acceso: 14/04/2020];382(18):1708-20. Disponible en:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7151416/




2020     |     www.medigraphic.com