Distribución de la COVID-19 y tuberculosis en la Región Metropolitana de Chile: diferentes enfermedades, similares desigualdades

Background: Poor living conditions promote the spread of communicable diseases. It happened with Tuberculosis (TB) and is happening with COVID-19. Due to its dynamic nature, this group of diseases must be studied in the context of the social determinants of health. Aim: To describe the epidemiolog...

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Autores principales:	Olmos,Claudio, Stuardo,Valeria
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2020
Materias:	Coronavirus Epidemiology Social Determinants of Health Tuberculosis
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000700963
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spelling	oai:scielo:S0034-988720200007009632020-10-09Distribución de la COVID-19 y tuberculosis en la Región Metropolitana de Chile: diferentes enfermedades, similares desigualdadesOlmos,ClaudioStuardo,Valeria Coronavirus Epidemiology Social Determinants of Health Tuberculosis Background: Poor living conditions promote the spread of communicable diseases. It happened with Tuberculosis (TB) and is happening with COVID-19. Due to its dynamic nature, this group of diseases must be studied in the context of the social determinants of health. Aim: To describe the epidemiological behavior of COVID-19 in response to the control strategies implemented by the Chilean Ministry of Health and its similarities with the socio-economic distribution of TB in the Metropolitan Region (MR) of Chile. Material and Methods: The 2018 Tuberculosis rates and average income of districts belonging to the MR were described, as well as the incidence rates of COVID-19. A Pearson correlation analysis was applied between the rates of both diseases, to assess similarities in the epidemiological distribution patterns. Results: The RM accounts for over 50% of the total national cases of COVID-19. After the implementation of selective quarantines, only four districts in the RM managed to control the outbreak (those with the highest incomes). In the rest, a clear increase in cases was observed. The districts with the highest increase in cases were the most disadvantaged, and those with the highest TB rates during 2018, with a correlation coefficient of 0.6. Conclusions: Control policies cannot deepen health inequalities. If vulnerable groups, as well as the factors that determine their health, are not properly identified, the consequences of the current pandemic could be even more devastating.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.148 n.7 20202020-07-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000700963es10.4067/S0034-98872020000700963
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Coronavirus Epidemiology Social Determinants of Health Tuberculosis
spellingShingle	Coronavirus Epidemiology Social Determinants of Health Tuberculosis Olmos,Claudio Stuardo,Valeria Distribución de la COVID-19 y tuberculosis en la Región Metropolitana de Chile: diferentes enfermedades, similares desigualdades
description	Background: Poor living conditions promote the spread of communicable diseases. It happened with Tuberculosis (TB) and is happening with COVID-19. Due to its dynamic nature, this group of diseases must be studied in the context of the social determinants of health. Aim: To describe the epidemiological behavior of COVID-19 in response to the control strategies implemented by the Chilean Ministry of Health and its similarities with the socio-economic distribution of TB in the Metropolitan Region (MR) of Chile. Material and Methods: The 2018 Tuberculosis rates and average income of districts belonging to the MR were described, as well as the incidence rates of COVID-19. A Pearson correlation analysis was applied between the rates of both diseases, to assess similarities in the epidemiological distribution patterns. Results: The RM accounts for over 50% of the total national cases of COVID-19. After the implementation of selective quarantines, only four districts in the RM managed to control the outbreak (those with the highest incomes). In the rest, a clear increase in cases was observed. The districts with the highest increase in cases were the most disadvantaged, and those with the highest TB rates during 2018, with a correlation coefficient of 0.6. Conclusions: Control policies cannot deepen health inequalities. If vulnerable groups, as well as the factors that determine their health, are not properly identified, the consequences of the current pandemic could be even more devastating.
author	Olmos,Claudio Stuardo,Valeria
author_facet	Olmos,Claudio Stuardo,Valeria
author_sort	Olmos,Claudio
title	Distribución de la COVID-19 y tuberculosis en la Región Metropolitana de Chile: diferentes enfermedades, similares desigualdades
title_short	Distribución de la COVID-19 y tuberculosis en la Región Metropolitana de Chile: diferentes enfermedades, similares desigualdades
title_full	Distribución de la COVID-19 y tuberculosis en la Región Metropolitana de Chile: diferentes enfermedades, similares desigualdades
title_fullStr	Distribución de la COVID-19 y tuberculosis en la Región Metropolitana de Chile: diferentes enfermedades, similares desigualdades
title_full_unstemmed	Distribución de la COVID-19 y tuberculosis en la Región Metropolitana de Chile: diferentes enfermedades, similares desigualdades
title_sort	distribución de la covid-19 y tuberculosis en la región metropolitana de chile: diferentes enfermedades, similares desigualdades
publisher	Sociedad Médica de Santiago
publishDate	2020
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000700963
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Distribución de la COVID-19 y tuberculosis en la Región Metropolitana de Chile: diferentes enfermedades, similares desigualdades

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