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Geographical coverage of SARS-CoV-2 screening and care centers in Haiti: what do national surveillance data tell us?
dc.rights.license | open | en_US |
dc.contributor.author | PRESUME, Marcmy | |
dc.contributor.author | GAUDART, Jean | |
dc.contributor.author | MICHEL, Edwige | |
dc.contributor.author | MARSEILLE, Samson | |
hal.structure.identifier | Bordeaux population health [BPH] | |
hal.structure.identifier | Global Health in the Global South [GHiGS] | |
dc.contributor.author | ALTMANN, Mathias | |
dc.date.accessioned | 2024-08-20T14:10:02Z | |
dc.date.available | 2024-08-20T14:10:02Z | |
dc.date.issued | 2024-06-28 | |
dc.identifier.issn | 1471-2458 | en_US |
dc.identifier.uri | https://oskar-bordeaux.fr/handle/20.500.12278/201202 | |
dc.description.abstractEn | Background In Haiti, reported incidence and mortality rates for COVID-19 were lower than expected. We aimed to analyze factors at communal and individual level that might lead to an underestimation of the true burden of the COVID-19 epidemic in Haiti during its first two years. Methods We analyzed national COVID-19 surveillance data from March 2020 to December 2021, to describe the epidemic using cluster detection, time series, and cartographic approach. We performed multivariate Quasi-Poisson regression models to determine socioeconomic factors associated with incidence and mortality. We performed a mixed-effect logistic regression model to determine individual factors associated with the infection. Results Among the 140 communes of Haiti, 57 (40.7%) had a COVID-19 screening center, and the incidence was six times higher in these than in those without. Only 22 (15.7%) communes had a COVID-19 care center, and the mortality was five times higher in these than in those without. All the richest communes had a COVID-19 screening center while only 30.8% of the poorest had one. And 75% of the richest communes had a COVID-19 care center while only 15.4% of the poorest had one. Having more than three healthcare workers per 1000 population in the commune was positively associated with the incidence (SIR: 3.31; IC95%: 2.50, 3.93) and the mortality (SMR: 2.73; IC95%: 2.03, 3.66). At the individual level, male gender (adjusted OR: 1.11; IC95%: 1.01, 1.22), age with a progressive increase of the risk compared to youngers, and having Haitian nationality only (adjusted OR:2.07; IC95%: 1.53, 2.82) were associated with the infection. Conclusions This study highlights the weakness of SARS-CoV-2 screening and care system in Haiti, particularly in the poorest communes, suggesting that the number of COVID-19 cases and deaths were probably greatly underestimated. | |
dc.description.sponsorship | INITIATIVE D'EXCELLENCE AIX MARSEILLE UNIVERSITE - ANR-11-IDEX-0001 | en_US |
dc.language.iso | EN | en_US |
dc.rights | Attribution 3.0 United States | * |
dc.rights.uri | http://creativecommons.org/licenses/by/3.0/us/ | * |
dc.subject.en | COVID-19 | |
dc.subject.en | Geo-epidemiology | |
dc.subject.en | Haiti | |
dc.subject.en | SARS-CoV-2 | |
dc.subject.en | Spatio-temporal analysis | |
dc.title.en | Geographical coverage of SARS-CoV-2 screening and care centers in Haiti: what do national surveillance data tell us? | |
dc.title.alternative | BMC Public Health | en_US |
dc.type | Article de revue | en_US |
dc.identifier.doi | 10.1186/s12889-024-19262-7 | en_US |
dc.subject.hal | Sciences du Vivant [q-bio]/Santé publique et épidémiologie | en_US |
dc.identifier.pubmed | 38943127 | en_US |
bordeaux.journal | BMC Public Health | en_US |
bordeaux.page | 1732 | en_US |
bordeaux.volume | 24 | en_US |
bordeaux.hal.laboratories | Bordeaux Population Health Research Center (BPH) - UMR 1219 | en_US |
bordeaux.issue | 1 | en_US |
bordeaux.institution | Université de Bordeaux | en_US |
bordeaux.institution | INSERM | en_US |
bordeaux.team | GHIGS_BPH | en_US |
bordeaux.peerReviewed | oui | en_US |
bordeaux.inpress | non | en_US |
bordeaux.identifier.funderID | Institut de Recherche pour le Développement | en_US |
hal.identifier | hal-04673865 | |
hal.version | 1 | |
hal.date.transferred | 2024-08-20T14:10:06Z | |
hal.popular | non | en_US |
hal.audience | Internationale | en_US |
hal.export | true | |
dc.rights.cc | Pas de Licence CC | en_US |
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