THE RELATION BETWEEN VACCINATION AGAINST COVID-19 AND MORTALITY IN BRAZIL

Carolina Dourado de Faria, Fernando Antônio Ramos Schramm Neto, Yuri de Jesus Machado
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Abstract

OBJECTIVE: The WHO classified Covid-19 as a pandemic in March 2020, immunization being the best option to prevent its spread. In Brazil, vaccination has been carried out since January 2021. This study aims to investigate if mass immunization against Covid-19 has brought mortality reduction. METHODS: An original, quantitative, and documentary research. For theoretical basis, a narrative literature review was performed. The inclusion criteria were articles published between 2020 and 2021, in English, Portuguese and Spanish. The database used was the Virtual Health Library, using the following descriptors: "Vaccination", "Efficacy", "Mortality", "Coronavirus". RESULTS: Mortality rates increased between February and April, with a peak of 12.86% deaths per million inhabitants. During this period, even though population vaccination had started, the arrival of new viral variants, alike Delta, and the lack of compliance with social isolation measures contributed so that mortality remained high. From June onwards, the Covid-19 mortality rate declined continually. This is related to the increase in vaccination, going from 12.11% at the beginning of June to 31.05% of individuals partially vaccinated at the end of September. CONCLUSION: The Covid-19 pandemic is a serious public health problem, with Brazil being one of the most affected countries. Only in mid-April, with the expansion of the distribution of immunizing agents, mortality rates started dropping. However, we cannot minimize the number of deaths, which so far reaches 500 deaths per day. Thus, it is necessary to maintain protective measures and population vaccination so that the pandemic can come to an end.
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巴西COVID-19疫苗接种与死亡率之间的关系
目的:世卫组织于2020年3月将Covid-19列为大流行,免疫接种是防止其传播的最佳选择。在巴西,自2021年1月以来开展了疫苗接种。本研究旨在调查大规模接种Covid-19疫苗是否降低了死亡率。方法:原创性、定量和文献研究。作为理论基础,本文进行了叙事性文献综述。纳入标准是在2020年至2021年间以英语、葡萄牙语和西班牙语发表的文章。使用的数据库是虚拟健康图书馆,使用以下描述符:“疫苗接种”、“效力”、“死亡率”、“冠状病毒”。结果:2 - 4月死亡率呈上升趋势,最高死亡率为12.86% /百万居民。在此期间,尽管已经开始进行人口疫苗接种,但德尔塔病毒等新病毒变种的到来,以及没有遵守社会隔离措施,导致死亡率仍然很高。6月以来,新冠肺炎死亡率持续下降。这与疫苗接种率的增加有关,从6月初的12.11%上升到9月底部分接种疫苗的31.05%。结论:新冠肺炎大流行是一个严重的公共卫生问题,巴西是受影响最严重的国家之一。只是在4月中旬,随着免疫剂分发范围的扩大,死亡率才开始下降。然而,我们不能尽量减少死亡人数,到目前为止,每天有500人死亡。因此,有必要保持保护措施和人口疫苗接种,以结束这种大流行病。
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