Author:
Sousa Tatiane C M,Moreira Natália P,Krieger Jose E.,Rosa Isabel S C,Zamudio Marcela M.,Veras Maria Amélia S M,Kemp Brigina,Barberia Lorena G.
Abstract
AbstractBackgroundThe testing of infected persons with SARS-CoV-2 is one of the cornerstones of an effective strategy deployed for pandemic control. The public health diagnostic effort is particularly important in regions with a critical transmission scenario and in vulnerable populations in these districts, such as São Paulo state, the Brazilian epicenter of the COVID-19 pandemic.MethodsWe developed an RT-PCR testing intensity effort index (RT-PCR TIEI) composed of seven indicators to assess the survelliance efforts in the São Paulo State. We used dynamic time-series cross-sectional models to analyze the association between the RT-PCR TIEI, the population living under high socioeconomic vulnerability levels, dependent on public health service (SUS), per capita income, and population density.ResultsOn average, the RT-PCR TIEI score was 21.07. In the long-run, the RT-PCR TIEI is negatively associated with socioeconomic vulnerability (p-value=0.000, 95% CI −0.887, - 0.811), with a higher proportion of the population dependent on SUS (p-value= 0.000, 95% CI −0.871, −0.805), per capita income (p-value= 0.000, 95% CI −0.849,-0.792) and with population density (p-value=0.000, 95% CI −0.853; −0.801).ConclusionTesting efforts declined as the pandemic advanced, and the the lowest RT-PCR TIEI values were found in the most socioeconomic vulnerable RHDs. Local public laboratory presence was a predictor of a higher score. Thus, the low testing RT-PCR efforts and local laboratory inequalities affected surveillance capability, especially for socioeconomic vulnerable populations.
Publisher
Cold Spring Harbor Laboratory
Reference34 articles.
1. Lessons in contact tracing from Germany
2. Contact Tracing during Coronavirus Disease Outbreak, South Korea, 2020;Emerging Infect Dis,2020
3. Centers for Disease Control and Prevention (CDC). SARS-CoV-2 Testing Strategy: Considerations for Non-Healthcare Workplaces. https://www.cdc.gov/coronavirus/2019-ncov/community/organizations/testing-non-healthcare-workplaces.html. Acessed September 23, 2020
4. World Health Organization. Public health criteria to adjust public health and social measures in the context of COVID-19. https://www.who.int/publications/i/item/public-health-criteria-to-adjust-public-health-and-social-measures-in-the-context-of-covid-19. Published May 12, 2020. Acessed August 31, 2020
5. World Health Organization. Laboratory testing strategy recommendations for COVID-19: interim guidance. https://www.who.int/publications/i/item/laboratory-testing-strategy-recommendations-for-covid-19-interim-guidance. Published March 21, 2020. Acessed August 31, 2020.
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