The purpose of this article is to compare the evolution of COVID-19 in Manaus and Fortaleza, two epicenters of the pandemic in 2020, analyzing legal measures by local governments and levels of social isolation. An algorithm was defined to calculate the Homestay Index (HSI), using data from the Google Mobility Report. The Decree's timeline, the HSI evolution, the incidence of COVID-19 and the number of deaths from March/2020 to January/2021 were analyzed. The population of Fortaleza was exposed to more consistent measures of social distance, than those of Manaus. Longer homestay was observed from March to May 2020 and Fortaleza achieved higher and more lasting levels. As of June 2020, the HSI fell, notably in Manaus, reaching levels below zero in late December. As an aggravating factor, the government decreed ample isolation in Manaus on December 23/2020, but after protests, it repeals it on December 26/2020. A Judicial Decision determines the complete closure in Manaus on January 02/2021, but it was too late: SUS collapses with an exponential increase in deaths. In Fortaleza, the demand for health services is high, but under control. We consider that only the strict application of non-pharmacological measures and mass immunization can prevent further deaths.
This article aims to compare the evolution of Covid-19 in Manaus and Fortaleza, two epicenters of the pandemic in 2020, analyzing legal measures by local governments and levels of social isolation. An algorithm was defined to calculate the Homestay Index (HSI), using data from the Google Mobility Report. We analyzed the decree’s timeline, the HSI evolution, the Covid-19 incidence and the number of deaths from March/2020 to January/2021. The population of Fortaleza was exposed to more consistent measures of social distancing than that of Manaus. Longer homestay was observed from March to May 2020 and Fortaleza achieved higher and more lasting levels. As of June 2020, the HSI fell, notably in Manaus, reaching levels below zero in late December. As an aggravating factor, the government decreed broad isolation in Manaus on December 23, 2020, but after protests it was repealed on December 26, 2020. A judicial decision determined the complete closure in Manaus on January 2nd 2021, but it was too late: the SUS collapsed with an exponential increase in deaths. In Fortaleza, the demand for health services was high, but under control. We consider that only the strict application of non-pharmacological measures and mass immunization can prevent further deaths.
Resumo O grupo de colaboradores do LARIISA realiza pesquisa e desenvolvimento de soluções tecnológicas para apoio à tomada de decisão em sistemas de saúde desde 2009. Dentre as soluções produzidas está o GISSA®, sistema em nuvem resultado da evolução científica e tecnológica do projeto LARIISA. O objetivo do presente artigo é descrever a trajetória de evolução do GISSA®, ferramenta tecnológica que apoia a Estratégia de Saúde da Família no nordeste do Brasil, apontando desafios, caminhos e potencialidades. Trata-se de um estudo descritivo e exploratório, baseado em fontes secundárias do IBGE, INMET, SINAN, SIM e SINASC, com análise quantitativa a partir de modelos de aprendizagem de máquina aplicados na criação de microserviços em saúde digital. Operando nas regiões nordeste e sudeste, o GISSA® disponibiliza informações que qualificam o processo de tomada de decisão de gestores de saúde e, consequentemente, contribui para aperfeiçoar a gestão do sistema de saúde municipal.
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