“…The first reported death was in São Paulo city on March 16, 2020 and after March 20, 2020 the community spread of COVID-19 was happening in all the country, according Ministry of Health [6]. In Feira de Santana, a city in the state of Bahia on March 6, 2020 [7], in Manaus, a city in the state of Amazonas on March 13, 2020 [8], in Brasília, a city Capital of Brazil on March 6, 2020 [9], in Porto Alegre, a city in the state of Rio Grande do Sul on March 10, 2020 [10] were the first reported infections in Northeast, North, Center-West and South regions, respectively. Nicolelis et al highlighted that while international airports served as primary entry points for SARS-CoV-2, the drivers behind the uneven geographic spread of COVID-19 cases and deaths in Brazil are largely undisclosed.…”