[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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Corresponding author: Maíra L S Takemoto, firstname.lastname@example.org – Rua Carlos Guadanini, 2564, Botucatu-SP, Brazil – Postal code 18610-120, +55 21 971724103
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. Evidence of such disproportionate impact is also arising on historically oppressed ethnic groups in Brazil, current worldwide pandemic epicenter . Our group is closely monitoring an overwhelming number of SARS-CoV-2-related maternal deaths in the country. 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).
Keywords: SARS-CoV-2; COVID-19; Pregnancy; Society; Poverty; Racism; Brazil.