Ximenes Ricardo Arraes de Alencar, Albuquerque Maria de Fatima Pessoa Militão de, Martelli Celina Maria Turchi, Araújo Thália Velho Barreto de, Miranda Filho Demócrito de Barros, Souza Wayner Vieira de, Ichihara Maria Yury Travassos, Lira Pedro Israel Cabral de, Kerr Ligia Regina Franco Sansigolo, Aquino Estela Ml, Silva Antônio Augusto Moura da, Almeida Rosa Lívia Freitas de, Kendall Carl, Pescarini Julia M, Brandão Filho Sinval Pinto, Almeida-Filho Naomar, Oliveira Juliane Fonseca de, Teles Carlos, Jorge Daniel Cardoso Pereira, Santana Guilherme, Gabrielli Ligia, Rodrigues Moreno Ms, Silva Natanael Jesus da, Souza Rafael Felipe da Silva, Silva Vivian Alessandra Ferreira da, Barreto Maurício Lima
Universidade Federal de Pernambuco. Av. Prof. Moraes Rêgo s/n, Cidade Universitária. 50670-420 Recife PE Brasil.
Universidade de Pernambuco. Recife PE Brasil.
Cien Saude Colet. 2021 Apr;26(4):1441-1456. doi: 10.1590/1413-81232021264.39422020. Epub 2021 Jan 9.
Even in the period when the Covid-19 pandemic was on the rise in the Northeast of Brazil, the relaxation of social distancing measures was introduced. The scope of the study is to assess, in the light of the epidemiological-sanitary situation in the region, the suitability of relaxation of social distancing measures. Based on the WHO guidelines for relaxation of social distancing, operational indicators were created and analyzed for each guideline in the context of the Northeast. To analyze the behavior of the epidemic, according to selected indicators, Joinpoint trend analysis techniques, heat maps, rate ratios and time trends between capitals and the state interior were compared. The weekly growth peak of the epidemic occurred in May-July 2020 (epidemiological weeks 19 to 31). In most capitals, there was no simultaneous downward trend in the number of cases and deaths in the 14 days prior to flexibilization. In all states the number of tests performed was insufficient. In epidemiological week 24, the state percentages of ICU/Covid-19 bed occupancy were close to or above 70%. The epidemiological situation of the nine Northeastern state capitals analyzed here did not meet criteria and parameters recommended by the World Health Organization for the relaxation of social distancing measures.
即便在巴西东北部新冠疫情不断加剧的时期，仍推行了社交距离措施的放宽。本研究的范围是，根据该地区的流行病学卫生状况，评估放宽社交距离措施的适宜性。基于世界卫生组织关于放宽社交距离的指导方针，制定了操作指标，并在东北地区的背景下对每项指导方针进行了分析。为了根据选定指标分析疫情的发展态势，比较了连接点趋势分析技术、热图、比率以及首府与州内地区之间的时间趋势。疫情的每周增长高峰出现在2020年5月至7月（第19至31个流行病学周）。在大多数首府，放宽措施前14天内病例数和死亡数并未同时呈下降趋势。所有州进行的检测数量都不足。在第24个流行病学周，各州重症监护病房/新冠病床占用率接近或超过70%。此处分析的九个东北州首府的流行病学状况未达到世界卫生组织建议的放宽社交距离措施的标准和参数。
