Analysis of Deaths Occurred in Households during the Pandemic by COVID-19 in a Brazilian Amazon Region: An Epidemiological Approach
Ana Lúcia da Silva Ferreira
Programa de Pós-Graduação em Biologia Parasitária na Amazônia, Universidade do Estado do Pará e Instituto Evandro Chagas (PPGBPA/UEPA/IEC), Belém-PA, Brazil.
Daniele Melo Sardinha *
Programa de Pós-Graduação em Epidemiologia e Vigilância em Saúde, Instituto Evandro Chagas (PPGEVS/IEC/SVS/MS), Ananindeua-PA, Brazil.
Phelipe da Silva Rodrigues
Secretaria de Saúde do Estado do Pará – SESPA, Belém-PA, Brazil.
Adriana Pimentel Veras
Secretaria de Saúde do Estado do Pará – SESPA, Belém-PA, Brazil.
Ricardo José de Paula Souza e Guimarães
Programa de Pós-Graduação em Epidemiologia e Vigilância em Saúde, Instituto Evandro Chagas (PPGEVS/IEC/SVS/MS), Ananindeua-PA, Brazil and Laboratório de Geoprocessamento do Instituto Evandro Chagas (LABGEO/IEC), Ananindeua, Pará, Brasil.
Luana Nepomuceno Gondim Costa Lima
Programa de Pós-Graduação em Biologia Parasitária na Amazônia, Universidade do Estado do Pará e Instituto Evandro Chagas (PPGBPA/UEPA/IEC), Belém-PA, Brazil and Programa de Pós-Graduação em Epidemiologia e Vigilância em Saúde, Instituto Evandro Chagas (PPGEVS/IEC/SVS/MS), Ananindeua-PA, Brazil and Seção de Bacteriologia e Micologia, Instituto Evandro Chagas (SABMI/IEC), Ananindeua-PA, Brazil.
Emilyn Costa Conceição
Programa de Pós-graduação em Pesquisa Clínica em Doenças Infecciosas do Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro-RJ, Brazil.
Paulo Cerqueira dos Santos Júnior
Universidade Federal Rural da Amazônia (UFRA). Belém-PA, Brazil.
Glauber Tadaiesky Marques
Universidade Federal Rural da Amazônia (UFRA). Belém-PA, Brazil.
Diana da Costa Lobato
Secretaria de Saúde do Estado do Pará – SESPA, Belém-PA, Brazil.
Karla Valéria Batista Lima
Programa de Pós-Graduação em Biologia Parasitária na Amazônia, Universidade do Estado do Pará e Instituto Evandro Chagas (PPGBPA/UEPA/IEC), Belém-PA, Brazil and Seção de Bacteriologia e Micologia, Instituto Evandro Chagas (SABMI/IEC), Ananindeua-PA, Brazil.
*Author to whom correspondence should be addressed.
Abstract
In the absence of an analysis of deaths at home from an epidemiological perspective, this study aims to analyze and describe the epidemiological profile of deaths at home assessed by the Death Ceremony Service (DCS) during the SARS-CoV-2 pandemic in the metropolitan region of the Brazilian Amazon, Belém do Pará. A descriptive, quantitative, secondary-based study based on the databases of the Mortality Information System (SIM), referring to the deaths that occurred from March 1 to March 27 June 2020. The variables worked were related to the profile and the causes in the death certificate. The causes of home deaths in 2019 were used to compare with 2020. In the indicated period, 1,203 deaths occurred, an increase of 454% in relation to 2019. The male gender (57.30%), the age group of 60+ (80.80%) and brown race (77.70%) were the most frequent. The main cause of death Acute myocardial infarction (15.05%) followed by COVID-19 (10.29%). During the pandemic, the majority of home deaths were not directly caused by COVID-19, however, they were influenced by it due to the need for social isolation, with the impossibility of obtaining the proper diagnosis or proper treatment, due to the impossibility of on-site care or lack of immediate response.
Keywords: COVID-19, pandemic, home deaths, epidemiology