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刻画社会不平等对发展中国家新冠疫情传播的影响

Characterizing the Impact of Social Inequality on COVID-19 Propagation in Developing Countries.

作者信息

Cardoso Evelin Helena Silva, Silva Marcelino Silva Da, De Albuquerque Felix Junior Francisco Eguinaldo, De Carvalho Solon Venancio, De Carvalho Andre Carlos Ponce De Leon Ferreira, Vijaykumar Nandamudi, Frances Carlos Renato Lisboa

机构信息

Postgraduate Program in Electrical EngineeringFederal University of Pará (UFPA) Belém 66075110 Brazil.

Computer Science AreaFederal Rural University of the Amazon (UFRA) Capitão Poço 68650-000 Brazil.

出版信息

IEEE Access. 2020 Sep 18;8:172563-172580. doi: 10.1109/ACCESS.2020.3024910. eCollection 2020.

Abstract

The world faces a pandemic not previously experienced in modern times. The internal mechanism of SARS-Cov-2 is not well known and there are no Pharmaceutical Interventions available. To stem the spread of the virus, measures of respiratory etiquette, social distancing and hand hygiene have been recommended. Based on these measures, some countries have already managed to control the COVID-19 propagation, although in the absence of pharmaceutical interventions, this control is not definitive. However, we have seen that social heterogeneity across populations makes the effects of COVID-19 also different. Social inequality affects the population of developing countries not only from an economic point of view. The relationship between social inequality and the health condition is not new, but it becomes even more evident in times of crisis, such as the one the world has been facing with COVID-19. How does social inequality affect the COVID-19 propagation in developing countries is the object of this study. We propose a new epidemic SEIR model based on social indicators to predict outbreak and mortality of COVID-19. The estimated number of infected and fatalities are compared with different levels of Non-Pharmaceutical Interventions. We present a case study for the Deep Brazil. The results showed that social inequality has a strong effect on the propagation of COVID-19, increasing its damage and accelerating the collapse of health infrastructure.

摘要

世界正面临一场现代史上未曾经历过的大流行病。新型冠状病毒(SARS-CoV-2)的内在机制尚不明确,且尚无药物干预措施。为阻止病毒传播,已建议采取呼吸道礼仪、社交 distancing 和手部卫生等措施。基于这些措施,一些国家已成功控制了新冠病毒病(COVID-19)的传播,不过在缺乏药物干预的情况下,这种控制并非决定性的。然而,我们发现不同人群之间的社会异质性使得 COVID-19 的影响也有所不同。社会不平等不仅从经济角度影响发展中国家的人口。社会不平等与健康状况之间的关系并非新鲜事,但在危机时期,比如世界正面临的 COVID-19 危机中,这种关系变得更加明显。社会不平等如何影响 COVID-19 在发展中国家的传播是本研究的主题。我们提出一种基于社会指标的新的流行病易感-暴露-感染-康复(SEIR)模型来预测 COVID-19 的爆发和死亡率。将感染和死亡的估计数量与不同程度的非药物干预措施进行比较。我们给出了一个针对巴西内地的案例研究。结果表明,社会不平等对 COVID-19 的传播有强烈影响,加剧其破坏并加速卫生基础设施的崩溃。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d083/8545300/ae02b9280eec/cardo1-3024910.jpg

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