Síndrome respiratória aguda grave por COVID-19 em crianças e adolescentes no Brasil: perfil dos óbitos e letalidade hospitalar até a 38ᵃ Semana Epidemiológica de 2020

Hillesheim, Danúbia; Tomasi, Yaná Tamara; Figueiró, Thamara Hübler; Paiva, Karina Mary de

doi:10.1590/s1679-49742020000500021

Cited by 24 publications

(12 citation statements)

References 15 publications

(17 reference statements)

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“…All the studies included were published between 2020–2021 and were cross-sectional ( n = 15). Eleven of the included studies were conducted in the indigenous population of Brazil ( Hallal et al, 2020 ; Baqui et al, 2020 ; Santos et al, 2020 ; Palamim, Ortega & Marson, 2020 ; Horta et al, 2020 ; Rodrigues et al, 2021 ; da Silva et al, 2021a ; Escobar, Rodriguez & Monteiro, 2020 ; Mendes et al, 2021 ; da Silva et al, 2021b ; Hillesheim et al, 2020 ), three were conducted in the indigenous population of Mexico ( Ortiz-Hernández & Pérez-Sastré, 2020 ; Argoty-Pantoja et al, 2021 ; Ibarra-Nava et al, 2021 ), and one in Colombia ( Cifuentes et al, 2021 ). No multicounty studies were included.…”

Section: Resultsmentioning

confidence: 99%

“…Twelve studies reported data on the lethality in indigenous populations; eight were from Brazil ( Baqui et al, 2020 ; Santos et al, 2020 ; Palamim, Ortega & Marson, 2020 ; da Silva et al, 2021a ; Escobar, Rodriguez & Monteiro, 2020 ; Mendes et al, 2021 ; da Silva et al, 2021b ; Hillesheim et al, 2020 ), three from Mexico ( Ortiz-Hernández & Pérez-Sastré, 2020 ; Argoty-Pantoja et al, 2021 ; Ibarra-Nava et al, 2021 ), and one from Colombia ( Cifuentes et al, 2021 ) ( Table 1 ). Regarding the Brazilian studies, lethality ranged between 0%, in a study that reported zero deaths among 89 confirmed COVID-19 cases ( da Silva et al, 2021a ), and 53.3% in a study that included 15 indigenous people with COVID-19 in a hospital setting, eight of whom died ( Baqui et al, 2020 ).…”

Section: Resultsmentioning

confidence: 99%

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Seroprevalence and lethality by SARS-CoV-2 in indigenous populations of Latin America and the Caribbean: a systematic review

Hernández-Vasquéz

Barrenechea-Pulache

Comandé

et al. 2021

PeerJ

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Background Latin America and the Caribbean (LAC) has presented some of the highest numbers of cases and deaths due to COVID-19 in the world. Even though indigenous communities represent 8% of the total population in this region, the impact of COVID-19 on this historically vulnerable population has only been briefly explored. Thus, this study aimed to estimate the seroprevalence and lethality attributable to SARS-CoV-2 in the indigenous population of LAC. Methods A systematic review was conducted utilizing multiple databases (registry PROSPERO: CRD42020207862). Studies published in English, Spanish or Portuguese were selected between December 1st, 2019, and April 14th, 2021. The evaluation of the quality of the study was carried out utilizing the Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies. A qualitative synthesis of the data analyzed was conducted following the MOOSE and PRISMA declarations. Results Fifteen studies met the inclusion criteria. Eleven studies were carried out in a Brazilian population, three in a Mexican population, and one in a Colombian population. Four studies reported data about the seroprevalence of SARS-CoV-2 in indigenous populations of Brazil (range: 4.2–81.65%). Twelve studies reported lethality in indigenous people (eight in Brazil, three in Mexico, and one in Colombia). In Brazil, a lethality of 53.30% was described in a hospital setting and between 1.83% and 4.03% in community studies. In Mexico, the lethality of COVID-19 ranged between 16.5% and 19.9%. Meanwhile, in Colombia, a lethality of 3.41% was reported. Most studies were deemed to be of good quality. Conclusions Despite COVID-19 affecting indigenous populations of LAC, there is limited evidence of the seroprevalence and lethality of the infection by SARS-CoV-2 in this population. Future investigations should ensure standardized methods that allow comparability among studies and ensure the precision of the results obtained.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Seroprevalence and lethality by SARS-CoV-2 in indigenous populations of Latin America and the Caribbean: a systematic review

Hernández-Vasquéz

Barrenechea-Pulache

Comandé

et al. 2021

PeerJ

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“…que comunidades indígenas apresentam vulnerabilidades específicas capazes de potencializar o impacto da pandemia (Sardinha et al, 2020). Hillesheim et al (2020) atestou a alta taxa de letalidade entre crianças e adolescentes indígenas que foram internados com Síndrome Respiratória Aguda Grave (SRAG) pela COVID-19. Este agravante na população indígena pode estar relacionado às inúmeras barreiras de acesso aos serviços de saúde, assim como precárias condições sanitárias impostas aos mesmos, o que, constantemente, limitam a tomada de medidas de prevenção em saúde capazes de combater a disseminação do vírus.…”

Section: Autor (A)unclassified

“…Aliado a isto, existem fatos e costumes intrínsecos na dinâmica de convivência indígena que são considerados verdadeiros aliados à propagação do vírus entre estes indivíduos, a citar a coleta parcial de água com canecos ou vasilhames compartilhados, e a dificuldade na obtenção de insumos básicos de higiene pessoal, uma vez que as condições limitantes de transporte e compra destes produtos tem se deteriorado com a redução do funcionamento do mercado. O processo de migração indígena também pode ser considerado um fator de alto risco de contágio, uma vez que ao longo da pandemia muitos indígenas saíram da área urbana e voltaram às suas comunidades de origem (Hillesheim et al, 2020).…”

Section: Autor (A)unclassified

Consequências e agravantes de saúde evidenciados pela COVID-19 em populações indígenas brasileiras: uma revisão integrativa

Silva

Barcelar

Gonçalves

et al. 2021

RSD

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Este estudo objetivou realizar uma revisão integrativa acerca dos estudos que identificaram a influência da pandemia na saúde de indígenas brasileiros, a fim de agrupar estas informações e gerar dados pertinentes à uma análise qualitativa. Foram realizadas buscas nas bases de dados Scielo, Pubmed e BVS, utilizando-se os descritores “covid-19”, “indigenous” e “Brazil” conectados pelo operador booleano “AND”. Foram considerados somente artigos científicos publicados nos últimos 05 anos, de acesso gratuito, e cujo conteúdo fosse escrito em língua portuguesa ou inglesa. No total foram encontrados 22 artigos, sendo que 10 deles foram considerados na composição dos resultados. Observou-se que os principais fatores da realidade indígena evidenciados pelo contexto pandêmico estão associados às consequências oriundas do isolamento social (falha no suprimento de alimentos, ameaças de grileiros e migração de centros urbanos para aldeias), a barreiras geográficas (dificuldade de atendimento médico devido as rigorosas vigilâncias em fronteiras), e a aspectos culturais (recusa na utilização de medicamentos sintéticos, execução de cerimônias ritualísticas em grupo e confinamento de muitas pessoas em um mesmo ambiente). As etnias indígenas têm se deparado com diversos agravantes ocasionados pela pandemia, o que tem servido de obstáculos à concretização de uma assistência em saúde que faça jus às especificidades deste povo, sendo necessário – frente os desafios impostos pela pandemia – fortalecer setores de atenção específicos, além de garantir a participação de lideranças indígenas no processo de construção de políticas públicas saudáveis.

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“…Other topics discussed within Brazil in relation to children and the impact of COVID-19 showing differences in clinical manifestations, being the most frequent symptoms asthma, fever, cough and nasal discharge (Rabha et al, 2021). The profile of deaths demonstrated that children under 1 year old, females, those from rural areas and indigenous children were the most affected (Hillesheim et al, 2020). Concerns about physical activity levels were raised, as families with children had their physical activity time decreased, while time in front of the screens increased (De Sá et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

How parents share and limit their child’s access to information about COVID-19: A mixed methods online survey study

Avila

Carter

Blake

et al. 2021

J Child Health Care

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This study aimed to understand the role that parents play in sharing or limiting their child’s access to information about coronavirus disease 2019 (COVID-19). A subset of data from an international mixed methods online survey study was analysed to elucidate the findings from Brazil. An online survey, conducted between April and June 2020, gathered closed and open text views from parents of children aged 7–12 years old. Quantitative data were analysed using descriptive statistics. Qualitative open text data were analysed using the three stages of the Bardin content analysis framework: pre-analysis (data organisation and initial full-content reading); exploration of the material (thematic coding to identify major motifs and develop thematic categories) and interpretation (treating the data as significant and valid). The sample consisted of 112 (89%) mothers and 14 (11%) fathers. The analysis of the parents open text resulted in two categories: ‘How parents share information with their children about COVID-19’ and ‘How parents limit information to their children about COVID-19’. Some parents reported adopting an honest and open approach on how they shared information with their children, whilst some parents chose to minimise their child’s access to information about the pandemic over concerns of the mortality related to COVID-19.

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Síndrome respiratória aguda grave por COVID-19 em crianças e adolescentes no Brasil: perfil dos óbitos e letalidade hospitalar até a 38ᵃ Semana Epidemiológica de 2020

Cited by 24 publications

References 15 publications

Seroprevalence and lethality by SARS-CoV-2 in indigenous populations of Latin America and the Caribbean: a systematic review

Seroprevalence and lethality by SARS-CoV-2 in indigenous populations of Latin America and the Caribbean: a systematic review

Consequências e agravantes de saúde evidenciados pela COVID-19 em populações indígenas brasileiras: uma revisão integrativa

How parents share and limit their child’s access to information about COVID-19: A mixed methods online survey study

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