Evidence map›Paper›PMID 36536434›Full record

ArticleArchives of public health = Archives belges de sante publique2022

COVID-19 mortality in Brazil, 2020-21: consequences of the pandemic inadequate management.

Célia Landmann Szwarcwald, Cristiano Siqueira Boccolini, Wanessa da Silva de Almeida, Adauto Martins Soares Filho, Deborah Carvalho Malta

Open access · goldAbstract read
In one paragraph

Article in Archives of public health = Archives belges de sante publique, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
11.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 43 citations in OpenAlex.

  1. Article
  2. Comparison of depressive symptoms between heterosexual and sexual minority university students: network analysis.Psicologia, reflexao e critica : revista semestral do Departamento de Psicologia da UFRGS · 2026
    Article
  3. Article
  4. Observational
  5. The role of mortality surveillance in pandemic preparedness and response.Bulletin of the World Health Organization · 2025
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  6. Article
  7. Observational
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  17. Article
  18. COVID-19 Patterns in Araraquara, Brazil: A Multimodal Analysis.International journal of environmental research and public health · 2023
    Article
  19. Impact of the COVID-19 pandemic on the health situation of the Brazilian population.The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Célia Landmann SzwarcwaldInstitute of Scientific and Technological Communication and Information in Health, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil. celia.szwarcwald@icict.fiocruz.br.
Cristiano Siqueira BoccoliniInstitute of Scientific and Technological Communication and Information in Health, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil.
Wanessa da Silva de AlmeidaInstitute of Scientific and Technological Communication and Information in Health, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil.
Adauto Martins Soares FilhoFaculty of Medicine, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Deborah Carvalho MaltaSchool of Nursing, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Fundação Oswaldo Cruz · BRUniversidade Federal de Minas Gerais · BR

Funding

Bill & Melinda Gates Foundation and Nacional Council for Scientific and Technological Development (CNPq) INV 027961FIOCRUZ program to foster innovation - Knowledge generation - Coping with the COVID-19 pandemic and post-pandemic - Strategic orders VPPCB-005-FIO-20-2-23
6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic brought countless challenges to public health and highlighted the Brazilian health system vulnerabilities in facing the emergency. In this article, we analyze data on COVID-19-related deaths in 2020-21 to show the epidemic consequences in Brazil.

methodsThe Mortality Information System and the Live Birth Information System were the primary information sources. We used population estimates in 2020-21 to calculate COVID-19 specific mortality rates by age, sex, and educational level. Considering the total number of COVID-19 deaths in 2020-21, the COVID-19 proportional mortality (%) was estimated for each age group and sex. A graph of the daily number of deaths from January 2020 to December 2021 by sex was elaborated to show the temporal evolution of COVID-19 deaths in Brazil. In addition, four indicators related to COVID-19 mortality were estimated: infant mortality rate (IMR); maternal mortality ratio (MMR); number and rate of orphans due to mother's COVID-19 death; the average number of years lost.

resultsThe overall COVID-19 mortality rate was 14.8 (/10,000). The mortality rates increase with age and show a decreasing gradient with higher schooling. The rate among illiterate people was 38.8/10,000, three times higher than a college education. Male mortality was 31% higher than female mortality. COVID-19 deaths represented 19.1% of all deaths, with the highest proportions in the age group of 40-59 years. The average number of years lost due to COVID-19 was 19 years. The MMR due to COVID-19 was 35.7 per 100,000 live births (LB), representing 37.4% of the overall MMR. Regarding the number of orphans due to COVID-19, we estimated that 40,830 children under 18 lost their mothers during the epidemic, with an orphans' rate of 7.5/10,000 children aged 0-17 years. The IMR was 11.7 per 1000 LB, with 0.2 caused by COVID-19. The peak of COVID-19 deaths occurred in March 2021, reaching almost 4000 COVID-19 deaths per day, higher than the average number of deaths per day from all causes in 2019.

conclusionsThe delay in adopting public health measures necessary to control the epidemic has exacerbated the spread of the disease, resulting in several avoidable deaths.

Indexed as

COVID-19Epidemic denialMaternal mortalityMortalityNumber of years lostOrphanhoodVaccination

Identifiers

PMID36536434
PMCPMC9762984
OpenAlexW4311940390

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.