INTERACTIONS BETWEEN COVID-19 AND ARBOVIRUSES IN BAHIA: A SYNDEMIC APPROACH

• Autor(a) principal: Saavedra, Ramon da Costa
• Data de Publicação: 2021
• Outros Autores: Costa, Luciana Bahiense da, Varjão, Anna Ariane Alves Silva, Santos, Marcio Pires dos, Santos, Maiane Ferreira dos
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Baiana de Saúde Pública (Online)
• Texto Completo: https://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3250
• topic: Sindemia; covid-19; arboviroses; epidemiologia; Sindemia; covid-19; arbovirus; epidemiología; Syndemic; covid-19; arbovirus infections; epidemiology

Syndemic is the interaction between two or more diseases that can cause more damage than the simple sum of these. In the state of Bahia, the arrival of the new coronavirus was preceded by an alarming epidemiological context regarding arboviruses, with an exponential increase in cases of chikungunya and a record of the highest coefficient of dengue incidence in the last decade. This article analyzes indicators and risk factors for the diseases to establish interactions in the epidemiological dynamics and the effect on health services. This study was conducted between the epidemiological weeks (EW) 11 and 40 of 2020, with data collected in the e-SUS Notifica, Sivep-Gripe (Covid-19), Sinan online (chikungunya and dengue) and Sinan Net (zika). The analyzes were performed using the statistical program R version 3.6.3, including descriptive and relative risk between comorbidities and death by COVID-19. The highest incidences for the syndemic were observed in the South (260,040), Central East (200,135) and Southwest (148,130) macroregions, especially of Covid-19 and dengue. For dengue, the highest incidences did not coincide with those with a high incidence for COVID19. Multivariate analysis showed that the presence of diabetes, respiratory, heart and kidney diseases increased the risk of death from COVID-19. Prevention and control measures for these diseases are complex, considering that there are no specific vaccines and drugs. More comprehensive public policies, aimed at understanding the interaction of these diseases in a social and environmental context characterized by profound inequalities and that exacerbates the effect of simultaneous occurrences must be intensified.