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Global Health ; 16(1): 118, 2020 12 17.
Artigo em Inglês | MEDLINE | ID: mdl-33334370


BACKGROUND: Since 2016 Venezuela has seen a collapse in its economy and public health infrastructure resulting in a humanitarian crisis and massive outward migration. With the emergence of the novel coronavirus SARS-CoV-2 at the end of 2019, the public health emergency within its borders and in neighboring countries has become more severe and as increasing numbers of Venezuelans migrants return home or get stuck along migratory routes, new risks are emerging in the region. RESULTS: Despite clear state obligations to respect, protect and fulfil the rights to health and related economic, social, civil and political rights of its population, in Venezuela, co-occurring malaria and COVID-19 epidemics are propelled by a lack of public investment in health, weak governance, and violations of human rights, especially for certain underserved populations like indigenous groups. COVID-19 has put increased pressure on Venezuelan and regional actors and healthcare systems, as well as international public health agencies, to deal with a domestic and regional public health emergency. CONCLUSIONS: International aid and cooperation for Venezuela to deal with the re-emergence of malaria and the COVID-19 spread, including lifting US-enforced economic sanctions that limit Venezuela's capacity to deal with this crisis, is critical to protecting rights and health in the country and region.

/prevenção & controle , Emigração e Imigração/estatística & dados numéricos , Direitos Humanos/normas , Malária/transmissão , /epidemiologia , Recessão Econômica/estatística & dados numéricos , Direitos Humanos/tendências , Humanos , Malária/epidemiologia , Refugiados/estatística & dados numéricos , Venezuela/epidemiologia
Infect Genet Evol ; 86: 104616, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-33157300


INTRODUCTION: Venezuela and Colombia both adopted measures of containment early in response to the COVID-19 pandemic. However, Venezuela's ongoing humanitarian crisis has decimated its health care system, and forced millions of Venezuelans to flee through its porous border with Colombia. The extensive shared border, and illegal cross-border transit through improvised trails between the two countries are major challenges for public health authorities. We report the first SARS-CoV-2 genomes from Venezuela, and present a snapshot of the SARS-CoV-2 epidemiologic landscape in the Colombian-Venezuelan border region. METHODS: We sequenced and assembled viral genomes from total RNA extracted from nasopharyngeal (NP) clinical specimens using a custom reference-based analysis pipeline. Three assemblies obtained were subjected to typing using the Phylogenetic Assignment of Named Global Outbreak LINeages 'Pangolin' tool. A total of 376 publicly available SARS-CoV-2 genomes from South America were obtained from the GISAID database to perform comparative genomic analyses. Additionally, the Wuhan-1 strain was used as reference. RESULTS: We found that two of the SARS-CoV-2 genomes from Venezuela belonged to the B1 lineage, and the third to the B.1.13 lineage. We observed a point mutation in the Spike protein gene (D614G substitution), previously reported to be associated with increased infectivity, in all three Venezuelan genomes. Additionally, three mutations (R203K/G204R substitution) were present in the nucleocapsid (N) gene of one Venezuelan genome. CONCLUSIONS: Genomic sequencing demonstrates similarity between SARS-CoV-2 lineages from Venezuela and viruses collected from patients in bordering areas in Colombia and from Brazil, consistent with cross-border transit despite administrative measures including lockdowns. The presence of mutations associated with increased infectivity in the 3 Venezuelan genomes we report and Colombian SARS-CoV-2 genomes from neighboring borders areas may pose additional challenges for control of SARS-CoV-2 spread in the complex epidemiological landscape in Latin American countries. Public health authorities should carefully follow the progress of the pandemic and its impact on displaced populations within the region.

/epidemiologia , /virologia , Colômbia , Genoma Viral/genética , Humanos , Mutação/genética , Polimorfismo de Nucleotídeo Único/genética , /genética , Venezuela
Biomedica ; 40(Supl. 2): 68-72, 2020 10 30.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-33152189


Despite the positive response of Colombia's health system to the arrival of Venezuelan migrants, the new challenges that accompany the COVID-19 pandemic have triggered a closed-borders response that runs the risk of encouraging a negative view of migrants and increasing their health risks. This manuscript discusses the recommendations that could be proposed in the case of a country with limited resources such as Colombia to respond to the needs of the Venezuelan mixed migrant flows.

Betacoronavirus , Infecções por Coronavirus/prevenção & controle , Emigração e Imigração/legislação & jurisprudência , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Migrantes , Colômbia/epidemiologia , Infecções por Coronavirus/epidemiologia , Desinfecção das Mãos , Disparidades em Assistência à Saúde , Humanos , Pneumonia Viral/epidemiologia , Saúde Pública/legislação & jurisprudência , Política Pública , Quarentena , Venezuela/etnologia , Populações Vulneráveis
Washington; D.C.; OPS; 2020-11-16. (OPS/PHE/HEO/20-0044).
Não convencional em Espanhol | PAHO-IRIS | ID: phr-53028


La finalidad de este documento de información es presentar información actualizada sobre la respuesta que ha brindado la Oficina Sanitaria Panamericana (la Oficina) desde noviembre del 2016 hasta julio del 2020 a fin de mantener una agenda eficaz de cooperación técnica en la República Bolivariana de Venezuela y en los Estados Miembros vecinos.

Infecções por Coronavirus , Coronavirus , Infecções por Coronavirus , Transmissão de Doença Infecciosa , Pandemias , Doenças Transmissíveis , Doenças não Transmissíveis , Doença Crônica , Saúde Mental , Fatores de Risco , Acesso a Medicamentos Essenciais e Tecnologias em Saúde , Cooperação Técnica , Hipertensão , Diabetes Mellitus , Fortalecimento Institucional , Emergências , Venezuela
Washington, D.C.; OPS; 2020-11-02. (PAHO/PHE/HEO/20-0044).
Não convencional em Inglês | PAHO-IRIS | ID: phr-52969


This information document provides an update on the Pan American Sanitary Bureau’s response to maintaining an effective technical cooperation agenda in the Bolivarian Republic of Venezuela and neighboring Member States, from November 2016 to July 2020. The Bolivarian Republic of Venezuela has been facing a sociopolitical and economic situation that has negatively impacted social and health indicators. There have been intensified population movements both within the country and to other countries, particularly to Argentina, Brazil, Chile, Colombia, Costa Rica, Curaçao, Dominican Republic, Ecuador, Guyana, Mexico, Panama, Paraguay, Peru, Trinidad and Tobago, and Uruguay. Since 2017, an estimated 5.2 million Venezuelans have migrated to other countries, including an estimated 4.3 million who have gone to countries in Latin America and the Caribbean.

Infecções por Coronavirus , Coronavirus , Transmissão de Doença Infecciosa , Pandemias , Doenças não Transmissíveis , Doença Crônica , Saúde Mental , Fatores de Risco , Acesso a Medicamentos Essenciais e Tecnologias em Saúde , Cooperação Técnica , Hipertensão , Diabetes Mellitus , Fortalecimento Institucional , Emergências , Venezuela
BMC Public Health ; 20(1): 1771, 2020 Nov 23.
Artigo em Inglês | MEDLINE | ID: mdl-33228642


BACKGROUND: Guaranteeing the sexual and reproductive health and rights (SRHR) of populations living in fragile and humanitarian settings is essential and constitutes a basic human right. Compounded by the inherent vulnerabilities of women in crises, substantial complications are directly associated with increased risks of poor SRHR outcomes for displaced populations. The migration of Venezuelans, displaced due to current economic circumstances, is one of the largest in Latin America's history. This study aims to provide an overview of the sexual and reproductive health (SRH) issues affecting migrant Venezuelan women in the state of Roraima, Brazil. METHODS: Face-to-face interviews were conducted from 24 to 30 November 2019. Data collection covered various issues involving access to and use of SRH services by 405 migrant Venezuelan women aged 18-49 years. The Minimum Initial Service Package readiness assessment tools, available from the Inter-Agency Working Group on Reproductive Health in Crises, were used in the data collection. RESULTS: Most commonly, the women reported unmet family planning needs. Of these, a significant proportion reported being unable to obtain contraceptive methods, particularly long-acting reversible contraceptives, either due to the woman's inability to access them or their unavailability at healthcare centres. Although a significant proportion of women were largely satisfied with the attention received at the maternity hospital, both before and during childbirth, 24.0% of pregnant or postpartum women failed to receive any prenatal or postnatal care. CONCLUSION: Meeting the essential SRHR needs of migrant Venezuelan women in Roraima, Brazil is a challenge that has yet to be fully addressed. Given the size of this migrant population, the Brazilian healthcare system has failed to adapt sufficiently to meet their needs; however, problems with healthcare provision are similar for migrants and Brazilian citizens. Efforts need to be encouraged not only in governmental health sectors, but also with academic, non-governmental and international organisations, including a coordinated approach to ensure a comprehensive SRHR response. Given the current high risks associated with the SARS-CoV-2 pandemic, meeting the SRHR needs of migrant populations has become more critical than ever.

Saúde Materna/estatística & dados numéricos , Migrantes/estatística & dados numéricos , Brasil , Feminino , Necessidades e Demandas de Serviços de Saúde , Humanos , Gravidez , Saúde Reprodutiva , Direitos Sexuais e Reprodutivos , Saúde Sexual , Venezuela/etnologia
AIDS Rev ; 22(3): 148-150, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33118528


Venezuela has been experiencing a humanitarian emergency for much of the past decade, and its health system is widely recognized to be in a state of collapse. The political and economic crisis that gave rise to this situation has been accompanied by myriad human rights violations. With the national government's response to HIV so severely weakened by the ongoing humanitarian emergency, Venezuelan civil society organizations and international allies have stepped in to fill the void. The three prongs of their agenda have been community-led service delivery, health system monitoring, and advocacy. Our long experience in the HIV field tells us that the Venezuelan HIV community's capacity to respond to the collapse of the health system is not exceptional. HIV civil society organizations and networks of people living with HIV in countries worldwide are well-suited to help maintain health system functionality in the face of the COVID-19 pandemic, and it is imperative for the global community to capitalize on their skills.

Betacoronavirus , Infecções por Coronavirus/epidemiologia , Emergências , Infecções por HIV/epidemiologia , Pneumonia Viral/epidemiologia , Controle de Doenças Transmissíveis , Governo , Política de Saúde , Humanos , Pandemias , Fatores Socioeconômicos , Venezuela/epidemiologia
Global Health ; 16(1): 103, 2020 10 22.
Artigo em Inglês | MEDLINE | ID: mdl-33092609


The deteriorating political and economic situation in Venezuela has ramifications far beyond the Latin American country's borders as almost five million Venezuelans fled and migrated into countries in the region due to the crisis at home. The scarcity of health services, the lack of information sharing, and the absence of reliable data in Venezuela create challenges for confronting developing health emergencies and disease outbreaks. The need for accurate data is especially dire given the current COVID-19 pandemic and evolving movement of refugees. While countries and international organizations came together to form a coordinated response to Venezuela's political and humanitarian crisis, this geopolitical progress is threatened by the rapid spread of COVID-19, and the instinct for countries to focus inwards on domestic response priorities, rather than engage in regional cooperation. It is critical that the international community set aside geopolitical differences and cooperate to seek an accurate picture of the conditions on the ground to improve the welfare of Venezuelan migrants and to provide a more robust response to the current pandemic.

Infecções por Coronavirus/epidemiologia , Confiabilidade dos Dados , Cooperação Internacional , Pandemias , Pneumonia Viral/epidemiologia , Refugiados/estatística & dados numéricos , Humanos , Política , Socorro em Desastres , Venezuela/etnologia
Educ. med. (Ed. impr.) ; 21(4): 272-276, jul.-ago. 2020.
Artigo em Espanhol | IBECS | ID: ibc-192658


La Organización Mundial de la Salud, en fecha 11 de marzo del 2020, declara la situación de pandemia debida a la aparición de un nuevo coronavirus, síndrome respiratorio agudo severo-coronavirus 2 (SARS-CoV-2), que produce la enfermedad infecciosa por coronavirus denominada COVID-19. En Venezuela, la educación universitaria y, particularmente la educación médica por su relación estrecha con la Pandemia, se han visto severamente afectadas. En este artículo se revisa la evidencia disponible y las opiniones con respecto a la educación médica en tiempos de COVID-19. Planteamos una serie de retos que debe afrontar la universidad desde la reflexión y el planteamiento de soluciones en un contexto de incertidumbre y cambios acelerados para el futuro de la educación médica. El panorama para la educación médica en el país y a nivel global es incierto, adverso por ahora, pero el proceso evolutivo no solo ofrece ambientes adversos, sino también la posibilidad de generar procesos adaptativos, con la búsqueda y la implementación de nuevas formas de hacer la docencia, y esto último puede involucrar un giro positivo y necesario para la formación de los nuevos profesionales de la salud

On 11 March 2020 the World Health Organisation declared the Pandemic situation due to a new coronavirus, Severe Acute Respiratory Syndrome -Coronavirus 2 (SARS-CoV-2), which caused the infectious disease due to coronavirus called COVID-19. University education in Venezuela, and particularly medical education, due to its close relationship with the Pandemic, has been severely affected. A review is presented in this article on the available evidence and opinions as regards medical education in the COVID-19 era. A series of challenges are set out which the University may face from the reflection and the establishing of solutions in a context of uncertainty and accelerated changes for the future of Medical Education. The outlook for Medical Education in the country and at world level is uncertain, and although unfavourable at the moment, the evolutionary process not only offers adverse environments, but also the possibility of generating adaptive processes, and the search and implementation of new ways of teaching. This latter, may involve a positive and necessary change for the teaching of new health professionals

Humanos , Infecções por Coronavirus/epidemiologia , Pneumonia Viral/epidemiologia , Educação Médica , Venezuela , Currículo , Avaliação Educacional , Responsabilidade Social
Caracas; Observatorio Nacional de Ciencia, Tecnología e Innovación; ago. 2020. 144-167 p. (Observador del Conocimiento. Revista Especializada en Gestión Social del Conocimiento, 5, 2).
Monografia em Espanhol | LILACS, LIVECS | ID: biblio-1118165


Instalada la pandemia de la Covid-19 la gran expectativa colectiva gira en torno al retorno a la normalidad. En este ensayo se pone en entredicho el concepto de 'normalidad' en el contexto de los factores determinantes de la emergencia de los virus con altas tasas de morbilidad y mortalidad, evidenciando que el estado de 'normalidad pre-pandemia', al cual se aspira retornar, presenta indicadores socio-ambientales mucho más preocupantes y trágicos que aquellos que la mediática global nos suministra, de manera permanente y en tiempo real, sobre la Covid-19. Se presentan evidencias para argumentar que el principio sine qua non del crecimiento económico como motor determinante e insustituible del desarrollo, y más aún del modelo capitalista de desarrollo, es metabólicamente insostenible al demandar cantidades permanentemente incrementales de energía y bienes de la naturaleza en un planeta incapaz de sostener semejante pretensión. Las pandemias no son las únicas consecuencias fatales de la destrucción de la naturaleza y tampoco las más graves. Son síntomas de un modelo en crisis, que el desarrollo sustentable pretende aliviar sin avocarse al tratamiento de la patología que los origina. Por este motivo, se sostiene que es necesario construir una 'nueva normalidad', diferente a la 'normalidad pre-pandemia' por ser esta inviable, lo que implica evaluar los fundamentos del modelo. Se convoca a una impostergable reflexión, diversa e inclusiva, desde el seno de la comunidad científica, con el desprendimiento suficiente para admitir otras visiones y conocimientos que tienen mucho que aportar desde otras formas de coexistir con la naturaleza(AU)

Once Covid-19 pandemic established among us, the great collective expectation is about the return to normal pre-pandemic conditions. This assay questions the concept of 'normality' related to the context where high morbidity-mortality virus emerge out, showing that pre-pandemic normal conditions, have worst and overwhelming socio-environmental indicators than Covid-19 reports, daily supplied by global mass media in real time. We offer evidences that suggest that the sine qua non principle of economic growth, as indisputable driver of development, and even more, of the capitalist model, is metabolically unsustainable, due to the astonishing demands of energy and goods from nature, beyond its own capacity. Pandemics are not the only fatal consequences of ecological destruction, and by no means among the worst. They are just a symptom of the crisis of the development model, which the sustainable development pretends to relieve, ignoring the pathology that originated it. Due to this fact, we sustain that a new normal conditions is required to be created, truly different to pre-pandemic conditions, and that demands assessing the model's principles. We invite the scientific society for an urgent, inclusive and diverse reflection, willing to recognize other perspectives and knowledge, that could offer alternatives ways to coexist with nature(AU)

Desenvolvimento Econômico , Infecções por Coronavirus , Pandemias , Desenvolvimento Sustentável , Crescimento , Venezuela , Capitalismo , Determinantes Sociais da Saúde
Caracas; Observatorio Nacional de Ciencia, Tecnología e Innovación; ago.2020. 124-143 p. ilus.(Observador del Conocimiento. Revista Especializada en Gestión Social del Conocimiento, 5, 2).
Monografia em Espanhol | LILACS, LIVECS | ID: biblio-1118169


La nueva pandemia de Covid-19 nos obliga a un debate de naturaleza compleja, multi-dimensional y con factores en permanentes incertidumbres, que conduce a auto-reflexiones y redimensiones de nuestro papel, acciones y corresponsabilidades para con la sociedad y el futuro. Este ensayo aspira elevar, revalorar y configurar las reflexiones relevantes para el debate y las soluciones; considera tanto las condiciones históricas en las elaboraciones teóricas, como las razones paradigmáticas que nos ayudan a aproximarnos a los problemas y sus respuestas; reconoce el encuentro de los paradigmas de salud que el gobierno bolivariano impulsa y las estrategias, dinámicas, investigaciones, gestiones y logros al combatir y frenar la pandemia del Covid-19, que refuerza con lo que aquí denominamos "Paradigma de Salud y Ambiente para la Vida". Mediante estrategias descriptivo-reflexivas, y con gran alcance hacia el despliegue de la conceptualización y aplicación de los diez factores básicos integradores del paradigma referido, avanza en las ideas, propuestas y sueños necesarios para la consolidación de un Sistema Nacional de Salud Universal para Venezuela, al tiempo que apuntilla los requerimientos necesarios para el tránsito y la consolidación del mismo, y apuesta a propuestas concretas para el desarrollo del paradigma en sí(AU)

The new Covid-19 pandemic forces us to a debate of a complex, multi-dimensional nature and with factors in permanent uncertainties, which lead to self-reflections and re-dimensions of our role, actions and co-responsibilities towards society and the future. This essay aims to raise, re-evaluate and configure the reflections relevant to the debate and solutions; it considers both the historical conditions in the theoretical elaborations and the paradigmatic reasons that help us to approach the problems and their answers; recognizes the meeting of the health paradigms that the Bolivarian government promotes and the strategies, dynamics, investigations, efforts and achievements, in lighting and stopping the Covid-19 pandemic, which reinforces with what we call the "Paradigm of Health and Environment for Life". Through descriptive-reflective strategies, and with great scope towards the deployment of the conceptualization and application of the ten basic factors integrating the referred paradigm, it advances in the ideas, proposals and dreams necessary for the consolidation of a National Universal Health System for Venezuela, at the same time that it outlines the necessary requirements for its growth and consolidation, and sets out concrete proposals for the development of the paradigm itself(AU)

Humanos , Ciência , Venezuela , Saúde Ambiental , Saúde , Infecções por Coronavirus , Meio Ambiente , Sistemas Nacionais de Saúde , Pandemias , Cobertura Universal de Saúde
Caracas; Observatorio Nacional de Ciencia, Tecnología e Innovación; ago. 2020. 91-110 p. ilus, tab.(Observador del Conocimiento. Revista Especializada en Gestión Social del Conocimiento, 5, 2).
Monografia em Espanhol | LILACS, LIVECS | ID: biblio-1118176


La novedosa pandemia por coronavirus, etiquetada por la Organización Mundial de la Salud OMS, 2020) como la covid-19, se reportó por primera vez en Wuhan, China, el 31 de diciembre de 2019 y a la fecha, según estimaciones de la misma OMS (2020), en la medida en que se ha extendido a nivel planetario, ha infectado a más de 9,2 millones de personas, de las cuales se reportan más de 500.000 fallecidos y 5.2 millones de pacientes recuperados. En este estudio, aplicaremos el exponente de Hurst (1951) asociado con la estadística fractal para simular la propagación de la covid-19, considerando series temporales de fluctuaciones de nuevos casos diarios de la enfermedad, disponibles a través de un sitio web de referencia de la República Bolivariana de Venezuela, como lo es el Observatorio Nacional de Ciencia, Tecnología e Innovación (ONCTI). Se parte de la hipótesis de que la propagación de la covid-19, puede analizarse en función de las fluctuaciones del crecimiento de nuevos casos diarios de contagio. Para ello, se empleó un método de rango reescalado R/S que permitió calcular el Exponente de Hurst, parámetro estocástico cuyo valor permitió inferir sobre la presencia de correlaciones de largo alcance en la transmisión del virus entre la población. Estudiaremos los efectos de correlación en la propagación de COVID-19 en Venezuela mediante el análisis de las series temporales de nuevos casos después del decreto de Alerta dictado por el Ejecutivo Nacional que convocó a la ciudadanía a "quedarse en casa" mediante una cuarentena social obligatoria. Simularemos el comportamiento a mediano plazo (180 días) considerando las fluctuaciones de los nuevos casos de contagio diarios sobre la base de dos factores: los casos de contagio importados y los contagios comunitarios. En consecuencia, inicialmente examinaremos el origen de correlaciones con grandes fluctuaciones, y posteriormente analizaremos en base a las series de tiempo de nuevos casos diarios de la covid-19 en Venezuela, para luego establecer las correlaciones de largo alcance e inferir sobre la posible la persistencia o antipersistencia de la misma(AU)

The novel coronavirus pandemic, labeled by the World Health Organization (WHO) as Covid-19, was first reported in Wuhan, China, on December 31, 2019. To date, according to the WHO's estimates, it has infected more than 9.2 million people, of whom more than 500,000 are reported dead, and 5.2 million patients have recovered. To deepen in its study, we apply the Hurst exponent, associated with fractal statistics to simulate the spread of Covid-19, considering time series of fluctuations of new daily cases, which are available in a site reference website of the Bolivarian Republic of Venezuela, such as the National Observatory for Science, Technology, and Innovation (ONCTI). This work starts from the hypothesis that the spread of Covid-19 can be analyzed based on the fluctuations in the increase of new daily cases. For this, an R / S rescaled range method was used that allowed calculating the Hurst Exponent, a stochastic parameter whose value allowed inferring the presence of long-range correlations in the virus transmission among the population. We will study the correlation effects in the spread of COVID-19 in Venezuela by analyzing the time series of new cases after the alert decree issued by the Executive branch, which called on citizens to "stay at home" through a mandatory social quarantine. Consequently, initially, we will examine the origin of correlations with large fluctuations, followed by an analysis based on the time series of new daily cases of Covid-19 in Venezuela, in order to establish the long-range correlations and infer about the possible persistence or anti persistence of it(AU)

Humanos , Venezuela , Quarentena , Infecções por Coronavirus , Pandemias , Estudos de Séries Temporais , Fractais
Distrito Capital; Observatorio Nacional de Ciencia, Tecnología e Innovación; ago. 2020. 8-13 p. (Observador del Conocimiento. Revista Especializada en Gestión Social del Conocimiento, 2, 2).
Monografia em Espanhol | LILACS, LIVECS | ID: biblio-1117766
Caracas; Observatorio Nacional de Ciencia, Tecnología e Innovación; ago. 2020. 32-52 p. ilus, tab.(Observador del Conocimiento. Revista Especializada en Gestión Social del Conocimiento, 5, 2).
Monografia em Espanhol | LILACS, LIVECS | ID: biblio-1118413


Se describe el comportamiento de la COVID-19 en la República Bolivariana de Venezuela durante el período febrero-junio 2020, mediante la caracterización epidemiológica según tiempo, espacio, persona y tipo de transmisión de los casos confirmados y fallecidos por esta enfermedad. Se identifican condiciones relacionadas con la mortalidad. Es un estudio descriptivo, observacional, retrospectivo que utilizó la base de datos de COVID-19 del Sistema Único de Información en Salud (SUIS) del Ministerio del Poder Popular para la Salud (MPPS). Se evidencia que después de la confirmación de los primeros casos, la incidencia se mantuvo estable hasta mediados de mayo, cuando la curva de casos confirmados presentó una inflexión abrupta, lo que se relacionó en gran medida con casos importados. La enfermedad ha afectado en su mayoría a personas del sexo masculino, menores de 40 años, con un elevado porcentaje de forma clínica asintomáticas. La letalidad registrada en el período es menos de 1% y está relacionada a la edad avanzada, presencia de comorbilidades como hipertensión arterial y/o diabetes. Se concluye que la COVID-19 ha afectado mayormente a personas menores de 40 años, con casos relacionados en su mayoría con el regreso de connacionales provenientes de países vecinos, con una proporción importante de casos asintomáticos, lo cual a su vez se encuentra asociado a la baja tasa de complicaciones y de mortalidad por esta enfermedad en Venezuela(AU)

The behavior of COVID-19 in the Bolivarian Republic of Venezuela during the period February - June 2020, is described through the epidemiological characterization according to time, space, person and type of transmission of the confirmed and deceased cases of this disease. Conditions related to mortality are identified. A descriptive, observational, retrospective study used the COVID-19 database of the Unified Health Information System (SUIS) of the Ministerio del Poder Popular para la Salud (MPPS). It is evident that after the confirmation of the first cases, the incidence remained stable until mid-May, when the curve of confirmed cases presented an abrupt inflection, which was largely related to imported cases. The disease has affected mostly male people, under 40, with a high percentage of clinically asymptomatic. The case fatality rate recorded in the period is less than 1% and is related to old age, the presence of comorbidities such as high blood pressure and / or diabetes. It is concluded that COVID-19 has mainly affected people under 40, with cases mostly related to the return of compatriots from neighboring countries, with a significant proportion of asymptomatic cases, which in turn are associated with the low rate of complications and mortality from this disease in Venezuela(AU).

Humanos , Venezuela , Incidência , Mortalidade , Infecções por Coronavirus/epidemiologia , Comorbidade
s.l; Fundación Programa de Investigación y Estudios Estratégicos;Latinoamericanos (Pinves); ago 2020. 211 p. graf.
Não convencional em Espanhol | LILACS, LIVECS | ID: biblio-1117643


El conjunto de ensayos que componen este libro han sido hechos en plena pandemia y procuran aportar a la memoria histórica latinoamericana y caribeña, además de ser un documento elaborado únicamente por mujeres, cuya sensibilidad y capacidad intelectual se unen con el fin de alertar a las lectoras y los lectores acerca de la peligrosidad del asedio contra la Revolución bolivariana, que pone en riesgo, sin duda alguna, la paz de toda la humanidad(AU)

Humanos , Venezuela , Infecções por Coronavirus , Pandemias , Memória
Caracas; Observatorio Nacional de Ciencia, Tecnología e Innovación; ago. 2020. 46-56 p. ilus.(Observador del Conocimiento. Revista Especializada de Gestión Social del Conocimiento, 5, 3).
Monografia em Espanhol | LILACS, LIVECS | ID: biblio-1120112


A más de cuatro meses de la pandemia que azota al planeta, existe la urgente necesidad de proyectar cómo la transmisión del nuevo SARS-CoV-2 se desarrollará en los meses venideros. En el interés de modelar el comportamiento del SARS-CoV-2 en la República Bolivariana de Venezuela, desde el Observatorio Nacional de Ciencia, Tecnología e Innovación (ONCTI), realizamos análisis estadísticos a objeto de pronosticar con base en los valores de las series de tiempo de contagios de la Covid-19 de procedencia comunitaria, la Estimación Promedio de Contagios Comunitarios. Dichos análisis han permitido evidenciar que la inédita dinámica de propagación de esta pandemia dependerá de la estacionalidad, la duración en encontrarse una vacuna de inmunidad y de los otros factores como, por ejemplo, la erradicación de procedencia de los contagios de orígenes transnacionales o importados. De allí que, utilizando datos que reflejan el comportamiento del SARS-CoV-2 durante los primeros 120 días de pandemia en la República Bolivariana de Venezuela, medimos cómo estos factores afectan la transmisión comunitaria. Para ello construimos un modelo matemático que permitió observar el comportamiento de la transmisión de SARS-CoV-2; y proyectamos qué tan recurrentes serán los brotes de SARS-CoV-2 durante las próximas 3 semanas, los cuales probablemente ocurrirán después del brote de la ola pandémica inicial(AU)

More than four months after the start of the pandemic that plagues the planet, there is an urgent need to project how the transmission of the new SARS-CoV-2 will develop in the upcoming months. Intending to model the behavior of SARS-CoV2 in the Bolivarian Republic of Venezuela, the Observatorio Nacional de Ciencia y Tecnologia (ONTIC) carried out statistical analysis to forecast based on the values of the time series of Covid-19 infections of communitarian origin, the Estimate Average of Community Contagions. These analyzes have shown that the unprecedented spread's dynamics of this pandemic will depend on seasonality, the finding of a vaccine, and other factors such as, for example, the eradication of origin of contagions of transnational or imported origin. Hence, using data that reflects the behavior of SARS-CoV2 during the first 120 days of the pandemic in the Bolivarian Republic of Venezuela, we measure how these factors affect communitarian transmission. To do this, we built a mathematical model that allowed us to observe the behavior of SARS-CoV-2 transmission, projecting how recurrent outbreaks of SARS-CoV-2 will appear over the next 3 weeks, which are likely to occur after the first wave of the pandemic(AU)

Humanos , Estudos de Séries Temporais , Infecções por Coronavirus , Síndrome Respiratória Aguda Grave , Pandemias , Erradicação de Doenças/métodos , Modelos Teóricos
Ann Glob Health ; 86(1): 69, 2020 06 29.
Artigo em Inglês | MEDLINE | ID: mdl-32676298


Several characteristics of refugee and migrant populations make them susceptible to acquire COVID-19. To fully understand the impact of COVID-19 on refugees and migrants in the Americas, it is important to consider the broader geopolitical context and appreciate the differences among migratory groups. There are three migrant groups in the Americas that are particularly susceptible to COVID-19: Central American migrants at the northern Mexico border, Venezuelans within South America, and Haitians in the Dominican Republic. Refugees and displaced migrants are the world's collective responsibility, and thus, it would be imprudent to displace their care to resource constrained developing nations.

Infecções por Coronavirus/epidemiologia , Pneumonia Viral/epidemiologia , Refugiados , Migrantes , Betacoronavirus , América Central/etnologia , Países em Desenvolvimento , República Dominicana/epidemiologia , Haiti/etnologia , Humanos , México/epidemiologia , Pandemias , América do Sul/epidemiologia , Venezuela/etnologia , Populações Vulneráveis