Medidas de distanciamento social no controle da pandemia de COVID-19: potenciais impactos e desafios no Brasil

Ciencia e Saude Coletiva - Tập 25 Số suppl 1 - Trang 2423-2446
Estela M. L. Aquino1, Ismael Henrique Silveira1, Júlia Moreira Pescarini2, Rosana Aquino1, Jaime Almeida de Souza-Filho3, Aline dos Santos Rocha4, Andrêa Jacqueline Fortes Ferreira4, Audêncio Victor4, Camila Silveira Silva Teixeira4, Daiane Borges Machado4, Enny S. Paixão4, Flávia Jôse Oliveira Alves4, Flávia Bulegon Pilecco4, Greice Maria de Souza Menezes4, Lígia Gabrielli4, Luciana Leite4, Maria da Conceição Chagas de Almeida4, Naiá Ortelan4, Qeren Hapuk R. Ferreira Fernandes4, Renzo Flores-Ortiz4, Raquel Nunes Palmeira4, Elzo Pereira Pinto4, Érika Aragão4, Luís Eugênio Portela Fernandes de Souza4, Manoel Barral‐Netto4, Maria Glória Teixeira4, Maurício L. Barreto4, Maria Yury Ichihara4, Raíza Tourinho dos Reis Silva Lima4
1Universidade Federal da Bahia, Brazil
2FIOCRUZ, Brazil
3UFBA, Brazil
4Grupo de síntese da Rede CoVida, Brazil

Tóm tắt

Resumo A pandemia de COVID-19 tem desafiado pesquisadores e gestores a encontrar medidas de saúde pública que evitem o colapso dos sistemas de saúde e reduzam os óbitos. Esta revisão narrativa buscou sistematizar as evidências sobre o impacto das medidas de distanciamento social na epidemia de COVID-19 e discutir sua implementação no Brasil. Foram triados artigos sobre o efeito do distanciamento social na COVID-19 no PubMed, medRXiv e bioRvix, e analisados atos do poder público nos níveis federal e estadual para sumarizar as estratégias implementadas no Brasil. Os achados sugerem que o distanciamento social adotado por população é efetivo, especialmente quando combinado ao isolamento de casos e à quarentena dos contatos. Recomenda-se a implementação de medidas de distanciamento social e de políticas de proteção social para garantir a sustentabilidade dessas medidas. Para o controle da COVID-19 no Brasil, é imprescindível que essas medidas estejam aliadas ao fortalecimento do sistema de vigilância nos três níveis do SUS, que inclui a avaliação e uso de indicadores adicionais para monitorar a evolução da pandemia e o efeito das medidas de controle, a ampliação da capacidade de testagem, e divulgação ampla e transparente das notificações e de testagem desagregadas.

Từ khóa


Tài liệu tham khảo

2020

2020

2020

Mahase E, 2020, Coronavirus covid-19 has killed more people than SARS and MERS combined, despite lower case fatality rate, BMJ, 368, m641, 10.1136/bmj.m641

van Doremalen N, 2020, Aerosol and Surface Stability of SARS-CoV-2 as Compared with SARS-CoV-1, N Engl J Med, 382, 1564, 10.1056/NEJMc2004973

Ong SW, 2020, Air, Surface Environmental, and Personal Protective Equipment Contamination by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) From a Symptomatic Patient, JAMA

Wang W, 2020, Detection of SARS-CoV-2 in Different Types of Clinical Specimens, JAMA, 10.1001/jama.2020.3786

Wang Y, 2020, Unique epidemiological and clinical features of the emerging 2019 novel coronavirus pneumonia (COVID-19) implicate special control measures, J Med Virol

Huang R, 2020, A family cluster of SARS-CoV-2 infection involving 11 patients in Nanjing, China, Lancet Infect Dis

Kraemer MU, 2020, The effect of human mobility and control measures on the COVID-19 epidemic in China, Science, pii

Bai Y, 2020, Presumed Asymptomatic Carrier Transmission of COVID-19, JAMA Netw Open

Tong ZD, 2020, Potential Presymptomatic Transmission of SARS-CoV-2, Zhejiang Province, China, 2020, Emerg Infect Dis, 26, 5

Kimball A, 2020, Asymptomatic and Presymptomatic SARS-CoV-2 Infections in Residents of a Long-Term Care Skilled Nursing Facility - King County, Washington, March 2020, MMWR Morb Mortal Wkly Rep, 69, 377, 10.15585/mmwr.mm6913e1

2020, Updated rapid risk assessment from ECDC on coronavirus disease 2019 (COVID-19) pandemic: increased transmission in the EU/EEA and the UK, Euro Surveill, 25, 12

Kupferschmidt K, 2020, Can China's COVID-19 strategy work elsewhere, Science, 367, 1061, 10.1126/science.367.6482.1061

2018

2018

Wilder-Smith A, 2020, Isolation, quarantine, social distancing and community containment: pivotal role for old-style public health measures in the novel coronavirus (2019-nCoV) outbreak, J Travel Med, 27, 2, 10.1093/jtm/taaa020

Zou L, 2020, SARS-CoV-2 Viral Load in Upper Respiratory Specimens of Infected Patients, N Engl J Med, 382, 1177, 10.1056/NEJMc2001737

Ling Z, 2020, Asymptomatic SARS-CoV-2 infected patients with persistent negative CT findings, Eur J Radiol, 126, 108956, 10.1016/j.ejrad.2020.108956

Singhal T, 2020, A Review of Coronavirus Disease-2019 (COVID-19), Indian J Pediatr, 87, 281, 10.1007/s12098-020-03263-6

2020

Chinazzi M, 2020, The effect of travel restrictions on the spread of the 2019 novel coronavirus (COVID-19) outbreak, Science, pii

Spiteri G, 2020, First cases of coronavirus disease 2019 (COVID-19) in the WHO European Region, 24 January to 21 February 2020, Euro Surveill, 25, 9, 10.2807/1560-7917.ES.2020.25.9.2000178

Cohen J, 2020, Countries test tactics in 'war' against COVID-19, Science, 367, 1287, 10.1126/science.367.6484.1287

Mahase E, 2020, Covid-19: schools set to close across UK except for children of health and social care workers, BMJ, 368, m1140, 10.1136/bmj.m1140

Lee VJ, 2020, Interrupting transmission of COVID-19: lessons from containment efforts in Singapore, J Travel Med, pii, taaa039

2020, COVID-19: delay, mitigate, and communicate, Lancet Respir Med, 8, 321, 10.1016/S2213-2600(20)30128-4

2020, Updated rapid risk assessment from ECDC on the novel coronavirus disease 2019 (COVID-19) pandemic: increased transmission in the EU/EEA and the UK, Euro Surveill, 25, 10

Deshwal VK, 2020, COVID 19: A Comparative Study of Asian, European, American continent, IJSRED, 3, 2

Ferguson N, 2020

Barreto ML, 2006, Infectious diseases epidemiology, J Epidemiol Community Health, 60, 192, 10.1136/jech.2003.011593

Boldog P, 2020, Risk Assessment of Novel Coronavirus COVID-19 Outbreaks Outside China, J Clin Med, 9, 2, 10.3390/jcm9020571

Lau H, 2020, The positive impact of lockdown in Wuhan on containing the COVID-19 outbreak in China, J Travel Med, pii, taaa037, 10.1093/jtm/taaa037

Kucharski AJ, 2020, Early dynamics of transmission and control of COVID-19: a mathematical modelling study, Lancet Infect Dis, 10.1016/S1473-3099(20)30144-4

Pepe E, 2020, COVID-19 outbreak response: a first assessment of mobility changes in Italy following national lockdown, medRxiv

Flaxman S, 2020

Ganem F, 2020, The impact of early social distancing at COVID-19 Outbreak in the largest Metropolitan Area of Brazil, medRxiv

Canabarro A, 2020, Data-Driven Study of the COVID-19 Pandemic via Age-Structured Modelling and Prediction of the Health System Failure in Brazil amid Diverse Intervention Strategies, medRxiv

Hou J, 2020, Changing transmission dynamics of COVID-19 in China: a nationwide population-based piecewise mathematical modelling study, medRxiv

Yang Q, 2020, Short-term forecasts and long-term mitigation evaluations for the COVID-19 epidemic in Hubei Province, China, medRxiv

Nussbaumer-Streit B, 2020, Quarantine alone or in combination with other public health measures to control COVID-19: a rapid review, Cochrane Database Syst Rev, 4, CD013574

2020

Silva AAM, 2020, Sobre a possibilidade de interrupção da epidemia pelo coronavírus (COVID-19) com base nas melhores evidências científicas disponíveis, Rev Bras Epidemiol, 23

2020

2020

2020