COVID-19: Local/regional inequalities and impacts over critical healthcare infrastructure in Brazil
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Ambiente & Sociedade (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1414-753X2020000100905 |
Resumo: | Abstract This article addresses regional inequalities about critical healthcare infrastructure for coping with the COVID-19, based on geospatial analysis and compartmental modeling (SEIR). The study sites were the São Paulo Macro Metropolis (MMP) and the Metropolitan Region of Vale do Paraíba/Litoral Norte (RMVPLN). The results indicated the absence of ICU beds in more than 2/3 of the municipalities, in addition to the concentration in regional hubs, for which the migration of COVID-19 cases from neighboring municipalities should be considered. The analysis with the SEIR model, performed for scenarios with and without social isolation, showed that the isolation adopted in the regions was able to postpone the collapse of the health infrastructure, reducing the reproduction rate of the disease. The simulations indicated a reproduction rate of 0.95 in order to avoid collapse in the health infrastructure for RMVPLN in the analyzed period. In addition, for future resilience, it is essential to address inequalities in terms of health infrastructure available for public and private access. |
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Ambiente & Sociedade (Online) |
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COVID-19: Local/regional inequalities and impacts over critical healthcare infrastructure in BrazilCOVID-19regional aspectsBrazilhealth infrastructureAbstract This article addresses regional inequalities about critical healthcare infrastructure for coping with the COVID-19, based on geospatial analysis and compartmental modeling (SEIR). The study sites were the São Paulo Macro Metropolis (MMP) and the Metropolitan Region of Vale do Paraíba/Litoral Norte (RMVPLN). The results indicated the absence of ICU beds in more than 2/3 of the municipalities, in addition to the concentration in regional hubs, for which the migration of COVID-19 cases from neighboring municipalities should be considered. The analysis with the SEIR model, performed for scenarios with and without social isolation, showed that the isolation adopted in the regions was able to postpone the collapse of the health infrastructure, reducing the reproduction rate of the disease. The simulations indicated a reproduction rate of 0.95 in order to avoid collapse in the health infrastructure for RMVPLN in the analyzed period. In addition, for future resilience, it is essential to address inequalities in terms of health infrastructure available for public and private access.ANPPAS - Revista Ambiente e Sociedade2020-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1414-753X2020000100905Ambiente & Sociedade v.23 2020reponame:Ambiente & Sociedade (Online)instname:Universidade de São Paulo (USP)instacron:ANPPAS10.1590/1809-4422asoc20200114vu2020l3idinfo:eu-repo/semantics/openAccessSousa Júnior,Wilson Cabral deGonçalves,Demerval AparecidoCruz,Dafne Britoeng2020-07-03T00:00:00Zoai:scielo:S1414-753X2020000100905Revistahttp://anpocs.com/index.php/revista-ambiente-e-sociedadehttps://old.scielo.br/oai/scielo-oai.php||revistaambienteesociedade@gmail.com1809-44221414-753Xopendoar:2020-07-03T00:00Ambiente & Sociedade (Online) - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
COVID-19: Local/regional inequalities and impacts over critical healthcare infrastructure in Brazil |
title |
COVID-19: Local/regional inequalities and impacts over critical healthcare infrastructure in Brazil |
spellingShingle |
COVID-19: Local/regional inequalities and impacts over critical healthcare infrastructure in Brazil Sousa Júnior,Wilson Cabral de COVID-19 regional aspects Brazil health infrastructure |
title_short |
COVID-19: Local/regional inequalities and impacts over critical healthcare infrastructure in Brazil |
title_full |
COVID-19: Local/regional inequalities and impacts over critical healthcare infrastructure in Brazil |
title_fullStr |
COVID-19: Local/regional inequalities and impacts over critical healthcare infrastructure in Brazil |
title_full_unstemmed |
COVID-19: Local/regional inequalities and impacts over critical healthcare infrastructure in Brazil |
title_sort |
COVID-19: Local/regional inequalities and impacts over critical healthcare infrastructure in Brazil |
author |
Sousa Júnior,Wilson Cabral de |
author_facet |
Sousa Júnior,Wilson Cabral de Gonçalves,Demerval Aparecido Cruz,Dafne Brito |
author_role |
author |
author2 |
Gonçalves,Demerval Aparecido Cruz,Dafne Brito |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Sousa Júnior,Wilson Cabral de Gonçalves,Demerval Aparecido Cruz,Dafne Brito |
dc.subject.por.fl_str_mv |
COVID-19 regional aspects Brazil health infrastructure |
topic |
COVID-19 regional aspects Brazil health infrastructure |
description |
Abstract This article addresses regional inequalities about critical healthcare infrastructure for coping with the COVID-19, based on geospatial analysis and compartmental modeling (SEIR). The study sites were the São Paulo Macro Metropolis (MMP) and the Metropolitan Region of Vale do Paraíba/Litoral Norte (RMVPLN). The results indicated the absence of ICU beds in more than 2/3 of the municipalities, in addition to the concentration in regional hubs, for which the migration of COVID-19 cases from neighboring municipalities should be considered. The analysis with the SEIR model, performed for scenarios with and without social isolation, showed that the isolation adopted in the regions was able to postpone the collapse of the health infrastructure, reducing the reproduction rate of the disease. The simulations indicated a reproduction rate of 0.95 in order to avoid collapse in the health infrastructure for RMVPLN in the analyzed period. In addition, for future resilience, it is essential to address inequalities in terms of health infrastructure available for public and private access. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1414-753X2020000100905 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1414-753X2020000100905 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1809-4422asoc20200114vu2020l3id |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
ANPPAS - Revista Ambiente e Sociedade |
publisher.none.fl_str_mv |
ANPPAS - Revista Ambiente e Sociedade |
dc.source.none.fl_str_mv |
Ambiente & Sociedade v.23 2020 reponame:Ambiente & Sociedade (Online) instname:Universidade de São Paulo (USP) instacron:ANPPAS |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
ANPPAS |
institution |
ANPPAS |
reponame_str |
Ambiente & Sociedade (Online) |
collection |
Ambiente & Sociedade (Online) |
repository.name.fl_str_mv |
Ambiente & Sociedade (Online) - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||revistaambienteesociedade@gmail.com |
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1754209167054209024 |