Epidemiological Analysis of COVID-19 Cases in Native Amazonian Communities from Peru.

Cecilia Pajuelo-Reyes, Hugo J Valencia, Carla C Montenegro, Eduardo Quezada, Lizandro Gonzales, Norma Cruz, Carlos Canelo, Carla Ordinola, Jorge L Maicelo Quintana, Juan R Tejedo, Rafael Tapia-Limonchi, Stella M Chenet
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Abstract

Despite early control measures, SARS-CoV-2 reached all regions of Peru during the first wave of the pandemic, including native communities of the Peruvian Amazon. Here, we aimed to describe the epidemiological situation of COVID-19 in the Amazonas region of Peru using an open database of 11,124 COVID-19 cases reported from 19 March to 29 July 2020, including 3278 cases from native communities. A high-incidence area in northern Amazonas (Condorcanqui) reported a cumulative incidence of 63.84/1000 inhabitants with a much lower death rate (0.95%) than the national average. Our results showed at least eight significant factors for mortality, and the Native Amazonian ethnicity as a protective factor. Molecular confirmatory tests are necessary to better explain the high incidence of antibody response reported in these communities.

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秘鲁亚马逊土著社区 COVID-19 病例的流行病学分析。
尽管采取了早期控制措施,SARS-CoV-2 还是在第一波疫情中到达了秘鲁的所有地区,包括秘鲁亚马逊地区的原住民社区。在此,我们利用一个开放数据库,收集了2020年3月19日至7月29日期间报告的11124例COVID-19病例,其中包括3278例来自土著社区的病例,旨在描述COVID-19在秘鲁亚马孙地区的流行病学状况。亚马孙北部的一个高发病区(Condorcanqui)报告的累计发病率为 63.84/1000,死亡率(0.95%)远低于全国平均水平。我们的研究结果表明,至少有八个重要的致死因素,而亚马逊土著人种是一个保护因素。有必要进行分子确证测试,以更好地解释这些社区报告的高抗体反应发生率。
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