[Source: Clinical Infectious Diseases, full page: (LINK). Summary, edited.]
Disproportionate impact of COVID-19 among pregnant and postpartum Black Women in Brazil through structural racism lens
Debora de Souza Santos, RN, PhD, Nursing School, Universidade Estadual de Campinas (UNICAMP), Campinas, Brazil; Mariane de Oliveira Menezes, CM, MSc, Department of Gynecology and Obstetrics, Botucatu Medical School, Universidade Estadual Paulista (UNESP), Botucatu, Brazil; Carla Betina Andreucci, MD, PhD, Department of Medicine, Universidade Federal de São Carlos (UFSCAR), São Carlos, Brazil; Marcos Nakamura- Pereira, MD, PhD, Fernandes Figueira National Institute of Women, Adolescent and Child Health, Fundação Osvaldo Cruz (FIOCRUZ), Rio de Janeiro, Brazil; Roxana Knobel, MD, PhD, Department of Gynecology and Obstetrics, Universidade Federal de Santa Catarina (UFSC), Florianópolis, Brazil; Leila Katz, MD, PhD, Postgraduation Program, Instituto de Medicina Integral Prof. Fernando Figueira (IMIP), Recife, Brazil; Heloisa de Oliveira Salgado, MSc, PhD, Departament of Social Medicine, Ribeirão Preto Medical School, Universidade de São Paulo (USP), Ribeirão Preto, Brazil; Melania Maria Ramos de Amorim, MD, PhD, Postgraduation Program, Instituto de Medicina Integral; Prof. Fernando Figueira (IMIP), Recife, Brazil; Maira LS Takemoto, CNM, PhD, Department of Gynecology and Obstetrics, Botucatu Medical School, Universidade Estadual Paulista (UNESP), Botucatu, Brazil
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Accepted Manuscript
Corresponding author: Maíra L S Takemoto, maira.libertad@unesp.br – Rua Carlos Guadanini, 2564, Botucatu-SP, Brazil – Postal code 18610-120, +55 21 971724103
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Dear Editor, Tai and collaborators raised important questions about the potential biomedical factors and social determinants that play a role in the observed racial disparities on COVID-19 outcomes in the US[1]. Evidence of such disproportionate impact is also arising on historically oppressed ethnic groups in Brazil, current worldwide pandemic epicenter [2]. Our group is closely monitoring an overwhelming number of SARS-CoV-2-related maternal deaths in the country[3]. Racial disparities among childbearing women within the healthcare system have been widely described, and already pose difficult challenges to improve maternal outcomes in the country[4,5]. Thus, it was expected that Black Brazilian pregnant and postpartum women would face additional challenges during the pandemic. We searched the Brazilian Acute Respiratory Distress Syndrome Surveillance System looking for COVID-19 cases among pregnant or postpartum women with complete data on ethnicity until July 14, 2020 (n=1,860), then selecting records of White and Black women (n=669, Table 1).
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Keywords: SARS-CoV-2; COVID-19; Pregnancy; Society; Poverty; Racism; Brazil.
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