Epidemiological and clinical characteristics of the COVID-19 epidemic in Brazil

William Marciel Souza, Lewis Fletcher Buss, Darlan da Silva Candido, Jean-Paul Carrera, Sabrina Li, Alexander E. Zarebski, Rafael Pereira, Carlos A. Prete, Andreza Aruska Souza-Santos, Kris V. Parag, Maria Carolina T. D. Belotti, Maria F. Vincenti-Gonzalez, Janey Messina, Flavia Cristina Silva Sales, Pamela dos Santos Andrade, Vítor Heloiz Nascimento, Fabio Ghilardi, Leandro Abade, Bernardo Gutierrez, Moritz U. G. Kraemer, Carlos K. V. Braga, Renato Santana Aguiar, Neal Alexander, Philippe Mayaud, Oliver J. Brady, Izabel Marcilio, Nelson Gouveia, Guangdi Li, Adriana Tami, Silvano Barbosa Oliveira, Victor Bertollo Gomes Porto, Fabiana Ganem, Walquiria Aparecida Ferreira Almeida, Francieli Fontana Sutile Tardetti Fantinato, Eduardo Marques Macário, Wanderson Kleber Oliveira, Mauricio L. Nogueira, Oliver G. Pybus, Chieh-Hsi Wu, Julio Croda (), Ester C. Sabino and Nuno Rodrigues Faria ()
Additional contact information
William Marciel Souza: Universidade de São Paulo
Lewis Fletcher Buss: Universidade de São Paulo
Darlan da Silva Candido: Universidade de São Paulo
Jean-Paul Carrera: University of Oxford
Sabrina Li: University of Oxford
Alexander E. Zarebski: University of Oxford
Carlos A. Prete: Universidade de São Paulo
Andreza Aruska Souza-Santos: University of Oxford
Kris V. Parag: Imperial College London
Maria Carolina T. D. Belotti: Universidade de São Paulo
Maria F. Vincenti-Gonzalez: University of Groningen
Janey Messina: University of Oxford
Flavia Cristina Silva Sales: Universidade de São Paulo
Pamela dos Santos Andrade: Universidade de São Paulo
Vítor Heloiz Nascimento: Universidade de São Paulo
Fabio Ghilardi: Universidade de São Paulo
Leandro Abade: University of Oxford
Bernardo Gutierrez: University of Oxford
Moritz U. G. Kraemer: University of Oxford
Carlos K. V. Braga: Institute for Applied Economic Research (IPEA)
Renato Santana Aguiar: Universidade Federal de Minas Gerais
Neal Alexander: London School of Hygiene and Tropical Medicine
Philippe Mayaud: London School of Hygiene and Tropical Medicine
Oliver J. Brady: Universidade Federal de Minas Gerais
Izabel Marcilio: Universidade de São Paulo
Nelson Gouveia: Universidade de São Paulo
Guangdi Li: Central South University
Adriana Tami: University of Groningen
Silvano Barbosa Oliveira: Brazilian Ministry of Health
Victor Bertollo Gomes Porto: Brazilian Ministry of Health
Fabiana Ganem: Brazilian Ministry of Health
Walquiria Aparecida Ferreira Almeida: Brazilian Ministry of Health
Francieli Fontana Sutile Tardetti Fantinato: Brazilian Ministry of Health
Eduardo Marques Macário: Brazilian Ministry of Health
Wanderson Kleber Oliveira: Brazilian Ministry of Health
Mauricio L. Nogueira: Faculdade de Medicina de São José do Rio Preto
Oliver G. Pybus: University of Oxford
Chieh-Hsi Wu: University of Southampton
Julio Croda: Brazilian Ministry of Health
Ester C. Sabino: Universidade de São Paulo
Nuno Rodrigues Faria: Universidade de São Paulo

Nature Human Behaviour, 2020, vol. 4, issue 8, 856-865

Abstract: Abstract The first case of COVID-19 was detected in Brazil on 25 February 2020. We report and contextualize epidemiological, demographic and clinical findings for COVID-19 cases during the first 3 months of the epidemic. By 31 May 2020, 514,200 COVID-19 cases, including 29,314 deaths, had been reported in 75.3% (4,196 of 5,570) of municipalities across all five administrative regions of Brazil. The R0 value for Brazil was estimated at 3.1 (95% Bayesian credible interval = 2.4–5.5), with a higher median but overlapping credible intervals compared with some other seriously affected countries. A positive association between higher per-capita income and COVID-19 diagnosis was identified. Furthermore, the severe acute respiratory infection cases with unknown aetiology were associated with lower per-capita income. Co-circulation of six respiratory viruses was detected but at very low levels. These findings provide a comprehensive description of the ongoing COVID-19 epidemic in Brazil and may help to guide subsequent measures to control virus transmission.

Date: 2020
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Citations: View citations in EconPapers (6)

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DOI: 10.1038/s41562-020-0928-4

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