{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,17]],"date-time":"2026-01-17T21:30:24Z","timestamp":1768685424006,"version":"3.49.0"},"reference-count":37,"publisher":"FapUNIFESP (SciELO)","issue":"suppl 2","license":[{"start":{"date-parts":[[2020,10,1]],"date-time":"2020-10-01T00:00:00Z","timestamp":1601510400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,10,1]],"date-time":"2020-10-01T00:00:00Z","timestamp":1601510400000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,10,1]],"date-time":"2020-10-01T00:00:00Z","timestamp":1601510400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ci\u00eanc. sa\u00fade coletiva"],"abstract":"<jats:p>Resumo No Brasil, a pandemia da COVID-19 tem sido severa nos estados das regi\u00f5es mais pobres, como o Nordeste. A falta de pol\u00edticas nacionais para controle da pandemia levou as autoridades estaduais e municipais a implementarem medidas de sa\u00fade p\u00fablica. O objetivo deste estudo \u00e9 mostrar o efeito dessas medidas na epidemia. A maior incid\u00eancia da COVID-19 entre os nove estados do Nordeste foi registrada em Sergipe, Para\u00edba e Cear\u00e1. O Piau\u00ed, a Para\u00edba e Cear\u00e1 foram os que mais testaram. Muitos estados apresentavam alta propor\u00e7\u00e3o de pessoas em trabalho informal. Estados com aeroportos internacionais tiveram importante papel na entrada e dissemina\u00e7\u00e3o inicial do v\u00edrus, em especial o Cear\u00e1. Todos os estados aplicaram medidas de distanciamento social, proibi\u00e7\u00e3o de eventos p\u00fablicos e fechamento de unidades de ensino. As respostas foram o aumento significativo de distanciamento social, em especial Cear\u00e1 e Pernambuco, a queda do n\u00famero de reprodu\u00e7\u00e3o (Rt) e a separa\u00e7\u00e3o da curva dos casos observados da curva dos casos esperados sem as interven\u00e7\u00f5es n\u00e3o medicamentosas em todos os estados. A pobreza, a desigualdade e as altas taxas de trabalho informal fornecem pistas do porqu\u00ea da intensidade da COVID-19 na regi\u00e3o. Por outro lado, as medidas de mitiga\u00e7\u00e3o tomadas precocemente pelos governantes amenizaram os efeitos da pandemia.<\/jats:p>","DOI":"10.1590\/1413-812320202510.2.28642020","type":"journal-article","created":{"date-parts":[[2020,10,1]],"date-time":"2020-10-01T18:51:28Z","timestamp":1601578288000},"page":"4099-4120","source":"Crossref","is-referenced-by-count":51,"title":["COVID-19 no Nordeste brasileiro: sucessos e limita\u00e7\u00f5es nas respostas dos governos dos estados"],"prefix":"10.1590","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4941-408X","authenticated-orcid":false,"given":"Ligia","family":"Kerr","sequence":"first","affiliation":[{"name":"Universidade Federal do Cear\u00e1,  Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0794-4333","authenticated-orcid":false,"given":"Carl","family":"Kendall","sequence":"additional","affiliation":[{"name":"Universidade Federal do Cear\u00e1,  Brazil; Tulane University,  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mask: Modeling the potential for face mask use by the general public to curtail the COVID-19 pandemic","volume":"5","author":"Eikenberry SE","year":"2020","journal-title":"Infect Dis Model"},{"issue":"2238","key":"ref13","doi-asserted-by":"crossref","first-page":"20200376","DOI":"10.1098\/rspa.2020.0376","article-title":"A modelling framework to assess the likely effectiveness of facemasks in combination with 'lock-down'in managing the COVID-19 pandemic","volume":"476","author":"Stutt RO","year":"2020","journal-title":"Proceedings Royal Society A"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"2423","DOI":"10.1590\/1413-81232020256.1.10502020","article-title":"Medidas de distanciamento social no controle da pandemia de COVID-19: potenciais impactos e desafios no Brasil","volume":"25","author":"Aquino EM","year":"2020","journal-title":"Cien Saude Colet"},{"key":"ref15","series-title":"Painel de Indicadores [Internet]","year":"2020"},{"key":"ref16","series-title":"COVID-19 in Brazil 2020 [Internet]","author":"Cotta W"},{"key":"ref17","series-title":"CoVida: Ci\u00eancia, Informa\u00e7\u00e3o e Solidariedade [Internet]","year":"2020"},{"key":"ref18","series-title":"Painel Infogripe: Monitoramento de casos reportados de s\u00edndrome respirat\u00f3ria aguda grave (SRAG) hospitalizados","year":"2020"},{"key":"ref19","series-title":"Setor Regulado. Microdados [Internet]","year":"2020"},{"key":"ref20","series-title":"Google COVID-19 Community Mobility Reports 2020 [Internet]","author":"Google LLC"},{"key":"ref21","series-title":"Mapa brasileiro da COVID-19 2020 [Internet]"},{"key":"ref22","series-title":"A dictionary of social research methods","author":"Elliot M","year":"2016"},{"issue":"5","key":"ref23","doi-asserted-by":"crossref","first-page":"743","DOI":"10.1525\/aa.1954.56.5.02a00020","article-title":"Social Anthropology and the Method of Controlled Comparison","volume":"56","author":"Eggan F","year":"1954","journal-title":"American Anthropologist"},{"key":"ref24","article-title":"Assessing the nationwide impact of COVID-19 mitigation policies on the transmission rate of SARS-CoV-2 in Brazil","author":"Jorge DC","year":"2020","journal-title":"medRxiv"},{"key":"ref25","article-title":"Evaluating the burden of COVID-19 on hospital resources in Bahia, Brazil: A modelling-based analysis of 14.8 million individuals","author":"Oliveira JF","year":"2020","journal-title":"medRxiv"},{"key":"ref26","doi-asserted-by":"crossref","DOI":"10.1590\/0102-311x00070120","article-title":"COVID-19 e hospitaliza\u00e7\u00f5es por SRAG no Brasil: uma compara\u00e7\u00e3o at\u00e9 a 12\u00aa semana epidemiol\u00f3gica de 2020","volume":"36","author":"Bastos LS","year":"2020","journal-title":"Cad Sa\u00fade P\u00fablica"},{"key":"ref27","series-title":"Os circuitos dos ricos e famosos que disseminaram coronav\u00edrus no Brasil","author":"Trindade E","year":"2020"},{"key":"ref28","doi-asserted-by":"crossref","DOI":"10.1093\/eurpub\/ckaa095","article-title":"Social determinants of health and inequalities in COVID-19","author":"Burstr\u00f6m B","year":"2020","journal-title":"Eur J Public Health"},{"key":"ref29","article-title":"Race, Socioeconomic Deprivation, and Hospitalization for COVID-19 in English participants of a National Biobank","author":"Patel AP","year":"2020","journal-title":"medRxiv"},{"key":"ref30","series-title":"Pesquisa Nacional por Amostra de Domic\u00edlios Cont\u00ednua COVID-19","year":"2020"},{"key":"ref31","series-title":"Medell\u00edn controla v\u00edrus com arriscada coleta de dados em massa [Internet]","year":"2020"},{"key":"ref32","series-title":"Solicitar Aux\u00edlio Emergencial (Coronav\u00edrus - COVID 19) [Internet]","edition":"2020"},{"key":"ref33","series-title":"Ag\u00eancias da Caixa voltam a ter longas filas por problemas com aux\u00edlio emergencial","year":"2020"},{"key":"ref34","series-title":"IntegraSUS: transpar\u00eancia da sa\u00fade do Cear\u00e1 Fortaleza [Internet]","year":"2020"},{"key":"ref35","doi-asserted-by":"crossref","DOI":"10.1126\/science.abd2161","article-title":"Evolution and epidemic spread of SARS-CoV-2 in Brazil","author":"Candido DS","year":"2020","journal-title":"Science"},{"key":"ref36","doi-asserted-by":"crossref","first-page":"856","DOI":"10.1038\/s41562-020-0928-4","article-title":"Epidemiological and clinical characteristics of the early phase of the COVID-19 epidemic in Brazil","volume":"4","author":"Souza WM","year":"2020","journal-title":"Nature Humam Behav"},{"key":"ref37","series-title":"Inqu\u00e9rito soropreval\u00eancia coronav\u00edrus em Fortaleza","year":"2020"}],"container-title":["Ci\u00eancia &amp; Sa\u00fade Coletiva"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/csc\/v25s2\/1413-8123-csc-25-s2-4099.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,1,23]],"date-time":"2021-01-23T23:57:23Z","timestamp":1611446243000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S1413-81232020006804099&tlng=pt"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10]]},"references-count":37,"journal-issue":{"issue":"suppl 2","published-online":{"date-parts":[[2020,10]]}},"alternative-id":["S1413-81232020006804099"],"URL":"https:\/\/doi.org\/10.1590\/1413-812320202510.2.28642020","relation":{},"ISSN":["1678-4561","1413-8123"],"issn-type":[{"value":"1678-4561","type":"electronic"},{"value":"1413-8123","type":"print"}],"subject":[],"published":{"date-parts":[[2020,10]]}}}