Revista da Sociedade Brasileira de Medicina Tropical (Sep 2020)

Is it time to talk about the end of social distancing? A joinpoint analysis of COVID-19 time series in Brazilian capitals

  • Raphael Mendonça Guimarães,
  • Mônica de Avelar Figueiredo Mafra Magalhães,
  • Diego Ricardo Xavier,
  • Raphael de Freitas Saldanha,
  • Rafael de Castro Catão

DOI
https://doi.org/10.1590/0037-8682-0469-2020
Journal volume & issue
Vol. 53

Abstract

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Abstract INTRODUCTION: Monitoring coronavirus disease (COVID-19)-related infections and deaths in Brazil is controversial, with increasing pressure to ease social distance measures. However, no evidence of a sustained, widespread fall in cases exists. METHODS We used segmented (joinpoint) regression analysis to describe the behavior of COVID-19 infections in Brazilian capital cities. RESULTS All capitals showed an exponential or a near-exponential increase in cases through May. A decline in reported cases was subsequently noted in 20 cities but was only significant for 8 (29.6%) and was followed in two by a renewed increase. CONCLUSIONS Caution is warranted when considering the relaxation of restrictions.

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