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新冠疫情爆发:从首例病例到医疗服务崩溃的巴西现实

COVID-19 pandemic outbreak: the Brazilian reality from the first case to the collapse of health services.

作者信息

Melo Cristiane M L DE, Silva Guilherme A S, Melo Alanne R S, Freitas AntÔnio C DE

机构信息

Laboratory of Immunological and Antitumor Analysis, Federal University of Pernambuco, Recife, PE, Brazil.

Laboratory of Molecular Studies and Experimental Therapy, Federal University of Pernambuco, Recife, PE, Brazil.

出版信息

An Acad Bras Cienc. 2020;92(4):e20200709. doi: 10.1590/0001-3765202020200709. Epub 2020 Aug 24.

DOI:10.1590/0001-3765202020200709
PMID:32844985
Abstract

Coronavirus is associated with several infectious diseases that cause outbreaks in humans, such as SARS in 2002-2003 and MERS in 2012. In December 2019, COVID-19, promoted by the SARS-CoV-2 virus, was first reported in Wuhan (China) as a new coronavirus disease. This outbreak quickly reached a pandemic status, affecting at least 185 countries and territories to date on all continents. The first case of COVID-19 reported in São Paulo city (Brazil) occurred in February 26th. Days later, 182 suspected cases in 16 states were being monitored. In May 30th, 514,849 cases and 29,314 deaths were confirmed in Brazil comprising all 26 states and Federal District. The primary measure in order to contain the spread of SARS-CoV-2 involved social isolation. At that time there were not enough diagnostic tests to identify infected individuals and data were strongly associated with sub notifications. Nevertheless, the effectiveness of this measure largely depends on the individual's social responsibility. This measure has a severe economic and social impact, as in other countries. In this review, we present an overview and scientific perspectives of the evolution of COVID-19 from Brazilian databases in which climate and economic situations differ from China, European countries, and the USA.

摘要

冠状病毒与多种在人类中引发疫情的传染病相关,比如2002 - 2003年的非典和2012年的中东呼吸综合征。2019年12月,由严重急性呼吸综合征冠状病毒2引发的2019冠状病毒病首次在中国武汉被报告为一种新型冠状病毒疾病。这次疫情迅速演变成大流行,截至目前已影响到各大洲至少185个国家和地区。巴西圣保罗市报告的首例2019冠状病毒病病例发生在2月26日。数天后,16个州的182例疑似病例正在接受监测。5月30日,巴西包括所有26个州和联邦区在内,共确诊514,849例病例,29,314人死亡。为遏制严重急性呼吸综合征冠状病毒2传播的主要措施包括社交隔离。当时没有足够的诊断检测来识别感染者,且数据与报告不足密切相关。然而,这一措施的有效性在很大程度上取决于个人的社会责任。与其他国家一样,这一措施产生了严重的经济和社会影响。在本综述中,我们从巴西数据库呈现2019冠状病毒病演变的概述和科学观点,巴西的气候和经济状况与中国、欧洲国家及美国不同。

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