Síndrome respiratória aguda grave em indígenas e não indígenas no estado de Mato Grosso, Brasil, 2013-2020

Abstract

Introduction: Since the discovery of human transmission of the new coronavirus (SARS CoV-2), the world faces a pandemic of the disease whose said virus causes COVID-19. Faced with predominantly respiratory manifestations, the Surveillance of Severe Acute Respiratory Syndrome (SARS) in Brazil, which monitors hospitalizations and deaths from SARS caused by Influenza A and B viruses and other respiratory viruses, becomes a powerful instrument for monitoring and monitoring the new illness. Objective: To analyze and compare the sociodemographic and epidemiological profile of the occurrences of severe acute respiratory syndrome (SARS) in indigenous and non-indigenous people in the state of Mato Grosso, Brazil, between 2013 and 2020 Methodology: This is a descriptive study of SARS notifications from Mato Grosso, Brazil. The data were This is a descriptive study of SARS notifications from Mato Grosso, Brazil. Data were obtained from Severe Acute Respiratory Syndrome Surveillance systems, which are in the public domain. For the analysis of SARS occurrences in indigenous and non-indigenous people, it was decided to develop in three stages, in line with the specific objectives of the study. Results: In the period from 2013 to 2020, 26,784 SARS were reported in the state of Mato Grosso, 344 are indigenous and 20,605 are non-indigenous. In 2020, with the emergence of the new Covid-19 disease, there were 25,152 notifications. males had higher notifications in both population groups throughout the study period. For indigenous people, in the pandemic period, excluding Covid-19, the age groups that stood out were: 1 to 4 (24.0%); from 5 to 9 (14.0%) and 20 to 29 (11.0%). In the case of non indigenous people, the age group was from 30 to 39 (19.34%) and excluding Covid-19, the age group from 60 to 69 (14.54%). In 2020, 39 (15.29%) indigenous notifications were admitted to the ICU, 2,958 (15.36%) of non-indigenous people, excluding Covid-19 14 (14%) indigenous and 945 (17.32%) non-indigenous. For the deaths, 64 (25.10%) were indigenous and 1,908 (9.91%) of the deaths. For SARS etiologies, in the pre-pandemic period (22.27%). respiratory viruses in indigenous people, while non-indigenous (71.40%) SARS were specified. Between 2019 and 2020 there was a 75-fold increase, in the year 2020, in week 26, hospitalizations reached 3.62 times greater among indigenous people and 7.36 times the deaths. The ethnic group with the most notifications was the Xavante with (42%) hospitalization and (35.9%) deaths. Classification (58.4%) of notifications is Covid-19. Considerations: The notifications are made through the Health Information System of the Ministry of Health of Brazil - SINAN Influenza Web, which showed a predominance of males and the change in age groups, in addition to an increase in age groups that are directly linked to the work class. active. With the internalization of cases and, automatically, an increase in notifications, the new Covid-19 variant occurs directly. As a limitation of the study, we can highlight the frequency of notifications without information or ignored information. The present study allowed us to conclude that SARS morbidity and mortality in Mato Grosso is an important public health problem, expressed by the high rates of hospitalization and mortality, verified throughout the investigated period, mainly in relation to indigenous peoples.