Higher risk of death from COVID-19 in low-income and non-White populations of São Paulo, Brazil

INTRODUCTION: Little evidence exists on the differential health effects of COVID-19 on disadvantaged population groups. Here we characterise the differential risk of hospitalisation and death in São Paulo state, Brazil, and show how vulnerability to COVID-19 is shaped by socioeconomic inequalities.METHODS: We conducted a cross-sectional study using hospitalised severe acute respiratory infections notified from March to August 2020 in the Sistema de Monitoramento Inteligente de São Paulo database. We examined the risk of hospitalisation and death by race and socioeconomic status using multiple data sets for individual-level and spatiotemporal analyses. We explained these inequalities according to differences in daily mobility from mobile phone data, teleworking behaviour and comorbidities. RESULTS: Throughout the study period, patients living in the 40% poorest areas were more likely to die when compared with patients living in the 5% wealthiest areas (OR: 1.60, 95% CI 1.48 to 1.74) and were more likely to be hospitalised between April and July 2020 (OR: 1.08, 95% CI 1.04 to 1.12). Black and Pardo individuals were more likely to be hospitalised when compared with White individuals (OR: 1.41, 95% CI 1.37 to 1.46; OR: 1.26, 95% CI 1.23 to 1.28, respectively), and were more likely to die (OR: 1.13, 95% CI 1.07 to 1.19; 1.07, 95% CI 1.04 to 1.10, respectively) between April and July 2020. Once hospitalised, patients treated in public hospitals were more likely to die than patients in private hospitals (OR: 1.40%, 95% CI 1.34% to 1.46%). Black individuals and those with low education attainment were more likely to have one or more comorbidities, respectively (OR: 1.29, 95% CI 1.19 to 1.39; 1.36, 95% CI 1.27 to 1.45). CONCLUSIONS: Low-income and Black and Pardo communities are more likely to die with COVID-19. This is associated with differential access to quality healthcare, ability to self-isolate and the higher prevalence of comorbidities. </p

The arboreal component of a dry forest in Northeastern Brazil

The dry forests of northeastern Brazil are found near the coastal zone and on low, isolated mountains inland amid semi-arid vegetation. The floristic composition of these dry montane forests, as well as their relationship to humid forests (Atlantic forest sensu stricto) and to the deciduous thorn woodlands (Caatinga sensu stricto) of the Brazilian northeast are not yet well known. This paper sought to determine if the arboreal plants in a dry forest growing on a low mountain in the semi-arid inland region (Serra Negra, 8° 35’ - 8° 38’ S and 38° 02’ - 38° 04’ W) between the municipalities of Floresta and Inajá, state of Pernambuco have the same floristic composition and structure as that seen in other regional forests. In fifty 10 x 20 m plots all live and standing dead trees with trunk measuring > 5 cm diameter at breast height were measured. Floristic similarities between the forest studied and other regional forests were assessed using multivariate analysis. The results demonstrate that the dry forest studied can be classified into two groups that represent two major vegetational transitions: (1) a humid forest/dry forest transition; and (2) a deciduous thorn-woodland/ dry forest transition