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Analysis of hospitalizations and mortality from to febrile, infectious, and parasitic diseases during the COVID-19 pandemic in Brazil




Coronavirus infections, Visceral leishmaniasis, Leptospirosis, Malaria, Dengue


Introduction: During the COVID-19 pandemic, undifferentiated febrile illnesses are being less detected and / or confused in clinical diagnoses, which implies in late treatments and a worse prognosis. Objective: Evaluate hospitalizations and the mortality rate of undifferentiated febrile illnesses that occurred simultaneously with COVID-19 in Brazil. Method: A descriptive and quantitative analysis of the number of hospitalizations, mortality rates, expenses, and average length of hospitalizations for visceral leishmaniasis, leptospirosis, malaria and dengue were performed. The information was obtained from the Sistema de Informações Hospitalares do Sistema Único de Saúde (SIH / SUS), during the first eight months of 2020 and compared with average values from the same period from the years 2017 to 2019. Results: The number of hospitalizations for visceral leishmaniasis, leptospirosis and malaria in 2020 showed a decrease of 32.87%, 43.59%, 29.31%, while dengue an increase of 29.51% compared to the averages from 2017 to 2019. The mortality rate (2020) increased by 32.64%, 38.98%, 82.55% and 14.26% for the respective illnesses. Expenses and average length of stay fluctuated proportionally according to hospitalizations, with no important variations detected. Discussion: The possibility of underreporting, misunderstanding and late diagnoses was discussed, with a consequent increase in the mortality rate in undifferentiated febrile diseases. It is necessary for the health system to pay attention and not to neglect the undifferentiated febrile diseases already endemic to the country because of the pandemic moment. Clinical and epidemiological investigation should consider a syndromic protocol to reduce the impacts of undifferentiated febrile diseases in Brazil.


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Author Biographies

Nikolas Lisboa Coda Dias, Universidade Federal de Uberlândia

Discente do Curso de Graduação em Medicina da Universidade Federal de Uberlândia, Uberlândia, Minas Gerais, Brasil.

Álvaro A. Faccini-Martínez, Universidad de Córdoba

Médico e pesquisador, Instituto de Investigaciones Biológicas del Trópico, Universidad de Córdoba, Córdoba, Colombia.

Membro do Comitê de Medicina Tropical, Zoonoses e Medicina de Viagem, Asociación Colombiana de Infectología, Bogotá, Colombia.

Stefan Vilges de Oliveira, Universidade Federal de Uberlândia

Docente do Departamento de Saúde Coletiva da Faculdade de Medicina, Universidade Federal de Uberlândia, Uberlândia, Minas Gerais, Brasil.




Health Sciences