Title:
COVID -19 - BEHAVIOR OF CASES AND DEATHS ANALYZED ACCORDING SANITATION SYSTEM WASTEWATER AND WATER IN THE MUNICIPALITIES OF 4 BRAZILIAN STATES: SÃO PAULO, CEARÁ, PARANÁ AND AMAZONAS

Authors:
Zago SQGM, Sasso Junior IA, Rabelo MF, Costa FFM, Lipp SP, Paz de LimaPJ, Viana FFCF, Hara EKM, Nery TCS, Brazil

Abstract:

According to WHO, hand washing with soap and water and surface hygiene are essential in the prevention of COVID-19. Studies have shown the permanence of viral components in feces of individuals cured of the disease, presence of the virus in wastewater in several countries, evidencing the importance of basic sanitation in the fight against the disease. Objective: to analyze the relationship between the sanitation system of municipalities in four Brazilian states and the evolution of cases and deaths by COVID-19. Demographic data were obtained from IBGE 2018, health data from SNIS 2018 and the dynamics of COVID-19 cases from the state health departments. Data were analyzed in an Excel table. The period analyzed was from February 25th to May 22nd, 2020. Brazil presented in the period 330,709 cases and 21,117 deaths, with a lethality rate of 6.4%. States of Amazonas and Ceará present rates of COVID-19 cases higher in municipalities operated by non-state operators. Ceará, São Paulo and Paraná show a higher death rate per 100,000 in municipalities with the performance of state sanitation operators. In the Amazon, the proportion of cases and deaths is high, and it is concentrated in areas of model care privatized sanitation, as happens in Manaus, with lethality rate 8.69%. Municipalities in need of basic sanitation are more vulnerable to the dissemination of SARS-CoV-2. Conclusion: analyses of COVID-19 cases by sanitation models may contribute to the adoption of preventive measures in municipalities.