Assessing the spread of COVID-19 in Brazil: Mobility, morbidity and social vulnerability

PLoS One. 2020 Sep 18;15(9):e0238214. doi: 10.1371/journal.pone.0238214. eCollection 2020.

Abstract

Brazil detected community transmission of COVID-19 on March 13, 2020. In this study we identified which areas in the country were the most vulnerable for COVID-19, both in terms of the risk of arrival of cases, the risk of sustained transmission and their social vulnerability. Probabilistic models were used to calculate the probability of COVID-19 spread from São Paulo and Rio de Janeiro, the initial hotspots, using mobility data from the pre-epidemic period, while multivariate cluster analysis of socio-economic indices was done to identify areas with similar social vulnerability. The results consist of a series of maps of effective distance, outbreak probability, hospital capacity and social vulnerability. They show areas in the North and Northeast with high risk of COVID-19 outbreak that are also highly socially vulnerable. Later, these areas would be found the most severely affected. The maps produced were sent to health authorities to aid in their efforts to prioritize actions such as resource allocation to mitigate the effects of the pandemic. In the discussion, we address how predictions compared to the observed dynamics of the disease.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Betacoronavirus*
  • Brazil / epidemiology
  • COVID-19
  • Cluster Analysis
  • Coronavirus Infections / epidemiology
  • Coronavirus Infections / transmission*
  • Disease Outbreaks / statistics & numerical data
  • Forecasting / methods
  • Humans
  • Models, Theoretical*
  • Morbidity / trends*
  • Pandemics
  • Pneumonia, Viral / epidemiology
  • Pneumonia, Viral / transmission*
  • SARS-CoV-2
  • Socioeconomic Factors

Grants and funding

Some of the authors have scholarships: D.V is a CNPq/Brazil fellow, RML is a Fiocruz fellow. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.