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10.1093/trstmh/traa187

http://scihub22266oqcxt.onion/10.1093/trstmh/traa187
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33547895!7928698!33547895
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suck abstract from ncbi


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pmid33547895      Trans+R+Soc+Trop+Med+Hyg 2021 ; 115 (7): 832-840
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  • Basic sanitation: a new indicator for the spread of COVID-19? #MMPMID33547895
  • Silva RR; Ribeiro CJN; Moura TR; Santos MB; Santos AD; Tavares DS; Santos PL
  • Trans R Soc Trop Med Hyg 2021[Jul]; 115 (7): 832-840 PMID33547895show ga
  • BACKGROUND: Basic sanitation could be a potential indicator of the spread of coronavirus disease-2019 (COVID-19) and, in this context, space-time patterns are important tools with which to elucidate the spread of disease and identify risk factors. The aim of this study was to assess a possible association between basic sanitation indices and COVID-19 rates in all the 5570 municipalities of Brazil and its spatial distribution. METHODS: Data of COVID-19 cases registered in Brazil from 28 February until 31 May 2020 and independent variables associated with basic sanitation were included. RESULTS: High incidence rates were significantly associated with precarious water service index (0-25% coverage) and offstandard faecal coliforms index for tap water (5-50% and 75-100% of samples tested). A significant association between high mortality rates and sewage collection (0-25% coverage)/treatment (25-50% coverage) indices was also verified. In addition, clusters with significant spatial autocorrelation were identified mainly in the North and Northeast regions for mortality and incidence rates (high-high risk areas) and for offstandard faecal coliforms index. Those regions are considered the poorest in Brazil, presenting with low incomes, human agglomerations, as well as a poor basic sanitation system, which also hinder the implementation of COVID-19-preventative measures. CONCLUSIONS: A precarious basic sanitation infrastructure could potentially be associated with the high transmission of severe acute respiratory syndrome coronavirus-2 in Brazil.
  • |*COVID-19[MESH]
  • |*Sanitation[MESH]
  • |Brazil/epidemiology[MESH]
  • |Cities/epidemiology[MESH]
  • |Humans[MESH]


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