Covid-19 epidemiology in a city of the State of São Paulo
DOI:
https://doi.org/10.11606/issn.1679-9836.v101i6e-197577Keywords:
COVID-19, Epidemiology, Signs and symptoms, Pandemics, CatanduvaAbstract
Since the description of the first cases of Covid-19 in China in December 2019, the disease has spread rapidly across the globe. In Brazil, the first case was described in late February 2020, in the state of São Paulo, becoming the first country in South America to notify a case of Covid-19. The disease spread quickly through the interior of the country, reaching all cities in a short time. In Catanduva, a medium-sized city in the northwest region of São Paulo, the first cases were identified at the end of March 2020. This study aims to demonstrate some epidemiological aspects of the behavior of the pandemic in a medium-sized municipality from Sao Paulo. METHOD: descriptive cross-sectional study. Data were obtained on the clinical and epidemiological profile of patients diagnosed with Covid-19 and residing in the city of Catanduva, from March to December 2020. Data were obtained from the e-SUS and Information System of the Epidemiological Surveillance (SIVEP), provided by the Municipal Health Department. The research was approved by the Research Ethics Committee (CEP) of Centro Universitário Padre Albino with protocol number 4,871,572. RESULTS: In the selected period, 5705 cases of Covid-19 were reported, with 5122 classified as mild cases and 583 as severe cases (SRAG). Among the severe cases, 186 evolved to death. The mean age were different when comparing the groups, with the most severe cases showing higher means. Females predominated in mild cases and males in severe cases and deaths. The most frequent symptoms were fever, cough, dyspnea and odynophagia. Comorbidities such as heart disease, diabetes, obesity and lung disease were more frequent, especially among severe cases and deaths. Among hospitalized patients, the death rate was 32.1%. This rate increases to 50.5% for patients who required intensive care and to 79.2% for patients who required orotracheal intubation. CONCLUSION: The results presented in the present study are in accordance with the findings in the literature and demonstrate the impact the pandemic has had on the health of the population.
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