Dataset Information

COVID-19 among Amazonian indigenous in Peru: mortality, incidence, and clinical characteristics.

ABSTRACT:

Background

Few studies have described the clinical characteristics of patients with COVID-19 from ethnic minority groups. Our objective was to evaluate the mortality and incidence rates, clinical characteristics and factors associated with mortality in cases with COVID-19 belonging to the Amazonian indigenous ethnic group in Peru.

Methods

We performed a retrospective cohort study including all cases from COVID-19 among Peruvian people identified as Amazonian indigenous from 07 March to 31 October 2020. We calculated the standardized mortality and incidence ratios using the indirect age-adjusted method to determine the differences between Amazonian Indigenous and the general population. In addition, we used multivariable logistic regression to determine the risk factors for death.

Results

A total of 19 018 laboratory confirmed COVID-19 cases were analyzed. Indigenous people had 3.18 (95% CI, 3.13-3.23) times the risk of infection and 0.34 (0.31-0.37) times the mortality risk of the general Peruvian population. Males had 1.29 (1.04-1.61) times the odds of death compared with females and for each year of age, the odds of mortality increased 1.03 (1.03-1.04) times. Cases with respiratory distress had 2.47 (1.96-3.10) times more likely to die. Having an immunodeficiency was 18.7 (6.12-57.00) times more likely to die.

Discussion

The Amazonian indigenous population in Peru was strongly affected by COVID-19 compared with the general Peruvian population.

SUBMITTER: Soto-Cabezas MG

PROVIDER: S-EPMC9213839 | biostudies-literature | 2022 Aug

REPOSITORIES: biostudies-literature

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Publications

COVID-19 among Amazonian indigenous in Peru: mortality, incidence, and clinical characteristics.

Soto-Cabezas M Gabriela MG Reyes Mary F MF Soriano Anderson N AN Rodríguez Jean Pierre Velásquez JPV Ibargüen Luis Ordoñez LO Martel Kevin S KS Jaime Noemi Flores NF Munayco Cesar V CV

Journal of public health (Oxford, England) 20220801 3

<h4>Background</h4>Few studies have described the clinical characteristics of patients with COVID-19 from ethnic minority groups. Our objective was to evaluate the mortality and incidence rates, clinical characteristics and factors associated with mortality in cases with COVID-19 belonging to the Amazonian indigenous ethnic group in Peru.<h4>Methods</h4>We performed a retrospective cohort study including all cases from COVID-19 among Peruvian people identified as Amazonian indigenous from 07 Mar ...[more]

PMID: 35640249

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Project description:BackgroundChronic social and health inequities faced by indigenous peoples in Brazil foretell the detrimental impact of COVID-19.MethodsWe use de-identified, publicly available data from the Ministry of Health from March/2020 - December/2021 to describe vaccination coverage, cumulative incidence, and cumulative mortality rates due to COVID-19 among indigenous peoples. We also compare vaccination coverage among indigenous peoples with that reported for older adults, who were simultaneously included as a priority group in the vaccination strategy. Finally, we compared COVID-19 incidence and mortality rates in the indigenous population with that reported for the general Brazilian population.FindingsWe found important heterogeneities in vaccination coverage across the 34 indigenous districts, and a lower overall coverage among indigenous peoples compared to older adults. We observed higher COVID-19 cumulative incidence rates among indigenous populations compared to the general Brazilian population. Although mortality rates were seemingly lower, data should be interpreted with caution due to a younger age structure and more frequent underreporting of cases and deaths among indigenous populations. After the beginning of COVID-19 vaccination program, we observed a decrease in both incidence and mortality rates among indigenous peoples in all Brazilian regions.InterpretationThe COVID-19 pandemic has had a heavy toll on vulnerable populations. Although social and geographic isolation challenges the implementation of any vaccination program for indigenous populations, prior experience suggests that the COVID-19 vaccination strategy lacked effectiveness. The absence of a coordinated strategy to reinforce the importance of the vaccine and other prevention methods, to guarantee the access to trustworthy information, and to respond with the necessary resources in extreme situations, resulted in lower COVID-19 vaccination coverage, higher incidence rates, and preventable deaths due to COVID-19 among indigenous peoples in Brazil.FundingThis work was not supported by specific funding.

Dataset Information

COVID-19 among Amazonian indigenous in Peru: mortality, incidence, and clinical characteristics.

Background

Methods

Results

Discussion

Publications

COVID-19 among Amazonian indigenous in Peru: mortality, incidence, and clinical characteristics.

Similar Datasets

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