Evaluation of the profile and spacial distribution of COVID-19 in the Central-West region of Brazil, in the period of 2020-2022

Abstract

Objective: To assess the profile and spatial distribution of Covid-19 in the Midwest region of Brazil between 2020 and 2022. Methods: Descriptive study of Covid-19 cases and deaths and acquisition of health equipment in the pandemic. Results: There was an increase in Covid-19 in the Federal District (8959.3/2020-12838.8/2022) and Goiás (8759.2/2020-24620.2/2022); mortality decreased in all states. In general, there were more cases among women (<0.0001) and deaths among men (<0.0001). In cities with a higher population, mortality and lethality showed a decrease, as opposed to those with a lower density. In terms of the distribution of Intensive Care Unit (ICU) beds, there was greater distribution in the inland areas, and greater occupancy in the capitals (between 67.8%-82.5% vs. 58.6%-77.8% in the inland areas); over the period, the capitals and inland areas showed an increase in occupancy. Around 1,465 ICU ventilators and 1,786 Mobile Emergency Care Service (SAMU) were purchased in the region, with R$124,392,248.94 invested. R$12,696.00 and R$6,477,309.69 were spent on the distribution of medications used in the pandemic, especially chloroquine and osetalmivir. Conclusion: There were differences in the evolution of Covid-19, vulnerability in population groups and incipient and unnecessary spending on drugs with no scientific evidence, thus the need for a coordinated approach to tackle the pandemic.