May 29, 2020

Non-communicable diseases and inequalities increase risk of death among COVID-19 patients in Mexico

MedRxiv : the Preprint Server for Health Sciences
Juan Pablo Gutierrez, S. M. Bertozzi

Abstract

Background Current SARS-CoV-2 pandemic is confronting Mexico with pre-existing challenges: epidemic of non-communicable diseases (NCD) and high social inequity. Those challenges may worsen burden of COVID-19. Methods and findings Using data from national reporting of SARS-CoV-2 tested individuals, we analyzed those with a positive result to estimated odds of hospitalization, intubation and death based on pre-existing non-communicable diseases and socioeconomic indicators. We found that obesity, diabetes and hypertension increase the odds of the 3 outcomes, as well as indicators of social vulnerability. Conclusions Mexico's response to COVID-19 is stymied by a synergistic double challenge: raging NCDs and extreme social inequity. The response to the current pandemic must take both of them into account both to be effective and to ensure that the burden of COVID-19 not fall disproportionately on those who are already disadvantaged.

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Mentioned in this Paper

Obesity
A 19
Hypertensive Disease
N protein, Severe acute respiratory syndrome virus
Falls
Analysis
Rage
Cessation of Life
Coronaviridae
Hospitalization

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