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巴西里约热内卢市 COVID-19 大流行第一年的时空分析。

Space-time analysis of the first year of COVID-19 pandemic in the city of Rio de Janeiro, Brazil.

机构信息

Institute of Social Medicine, Universidade do Estado do Rio de Janeiro - Rio de Janeiro (RJ), Brazil.

Institute of Studies in Public Health, Universidade Federal do Rio de Janeiro - Rio de Janeiro (RJ), Brazil.

出版信息

Rev Bras Epidemiol. 2021 Oct 29;24:e210046. doi: 10.1590/1980-549720210046. eCollection 2021.

Abstract

OBJECTIVE

To describe the space-time evolution of cases and deaths due to COVID-19 in the Rio de Janeiro municipality, Brazil, during the first year of the pandemic.

METHODS

An ecological study was carried out. The units of analysis were the neighborhoods of the city of Rio de Janeiro. Incidence and mortality rates, excess risk, Global Moran's Index (Moran's I), local indicator for spatial association, standardized incidence ratio, and standardized mortality ratio were estimated for neighborhoods in the municipality of Rio de Janeiro.

RESULTS

Over the first year of the pandemic, registries in the city of Rio de Janeiro included 204,888 cases and 19,017 deaths due to COVID-19. During the first three months of the pandemic, higher incidence rates were verified in the municipality compared with the state of Rio de Janeiro and Brazil, in addition to higher mortality rates compared with the state of Rio de Janeiro and Brazil from May 2020 to February 2021. Bonsucesso was the neighborhood with the highest incidence and mortality rates, and throughout the neighborhoods and months, there is no synchrony between the worst moments of the COVID-19 pandemic.

CONCLUSION

The authors emphasize the need for implementing more rigid control and prevention measures, increasing case detection, and accelerating the COVID-19 immunization campaign.

摘要

目的

描述巴西里约热内卢市 COVID-19 病例和死亡的时空演变,在大流行的第一年。

方法

进行了一项生态学研究。分析单位是该市的街区。计算了里约热内卢市各街区的发病率和死亡率、超额风险、全局 Moran 指数(Moran's I)、空间关联的局部指标、标准化发病比和标准化死亡比。

结果

在大流行的第一年,里约热内卢市的登记册包括 204888 例 COVID-19 病例和 19017 例死亡。在大流行的头三个月,与里约热内卢州和巴西相比,该市的发病率较高,并且与 2020 年 5 月至 2021 年 2 月期间的里约热内卢州和巴西相比,死亡率较高。Bonsucesso 是发病率和死亡率最高的街区,在所有街区和月份中,COVID-19 大流行的最糟糕时刻没有同步。

结论

作者强调需要实施更严格的控制和预防措施,增加病例检测,并加快 COVID-19 疫苗接种运动。

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