Penna Gerson Oliveira, Silva José Agenor Alvares da, Neto José Cerbino, Temporão José Gomes, Pinto Luiz Felipe
Núcleo de Medicina Tropical, Universidade de Brasília, Brasília, DF, Brazil,
Escola Fiocruz de Governo, Fundação Oswaldo Cruz, Brasília, DF, Brazil.
Cien Saude Colet. 2020 Sep;25(9):3567-3571. doi: 10.1590/1413-81232020259.24002020. Epub 2020 Aug 28.
On February 3, 2020, the Brazilian Ministry of Health declared a state of emergency in public health of national relevance due to the pandemic caused by the new coronavirus SARS-CoV-2. As a result, IBGE postponed the 2020 Demographic Census and started to formulate a COVID-19 PNAD. The survey included a total sample of 349 thousand people in about 200 thousand households. Of the total Brazilian resident population, the IBGE estimated in May/2020 that 24.0 million (11.4%) had at least one of the flu-like syndrome symptoms. Of this contingent, 20.2 million (84.3% of all symptomatic patients) did not seek health care. The innovations brought to health surveillance and the IBGE's pioneering spirit show that it is possible, in a continental country that has been experiencing several local epidemics at different times in its territory, that other countries also develop similar household surveys, with weekly data collection (referred to epidemiological weeks) by telephone in an innovative and timely manner. The COVID-19 PNAD also brought new technology to the Institute, reviving its role as an external evaluator of the Unified Health System (SUS).
2020年2月3日,由于新型冠状病毒SARS-CoV-2引发的大流行,巴西卫生部宣布全国公共卫生进入紧急状态。因此,巴西地理与统计研究所(IBGE)推迟了2020年人口普查,并开始制定新冠疫情全国住户抽样调查(COVID-19 PNAD)。该调查在约20万户家庭中抽取了总计34.9万人作为样本。IBGE在2020年5月估计,巴西常住人口中,有2400万(11.4%)至少出现了一种流感样综合征症状。在这些有症状的人群中,有2020万(占所有有症状患者的84.3%)未寻求医疗护理。此次健康监测所采用的创新方法以及IBGE的开拓精神表明,在一个领土上不同时期经历过多次局部疫情的大国,其他国家也有可能以创新且及时的方式开展类似的住户调查,通过电话每周收集数据(以流行病学周计)。新冠疫情全国住户抽样调查还为该研究所带来了新技术,使其重新发挥作为统一卫生系统(SUS)外部评估机构的作用。