Social distancing measures to control the COVID-19 pandemic: potential impacts and challenges in Brazil.

Estela ML Aquino ORCID logo; Ismael Henrique Silveira ORCID logo; Julia Moreira Pescarini ORCID logo; Rosana Aquino ORCID logo; Jaime Almeida de Souza-Filho ORCID logo; Aline dos Santos Rocha ORCID logo; Andrea Ferreira ORCID logo; Audêncio Victor ORCID logo; Camila Teixeira ORCID logo; Daiane Borges Machado ORCID logo; +19 more... Enny Paixão ORCID logo; Flávia Jôse Oliveira Alves ORCID logo; Flávia Pilecco ORCID logo; Greice Menezes ORCID logo; Ligia Gabrielli ORCID logo; Luciana Leite ORCID logo; Maria da Conceição Chagas de Almeida ORCID logo; Naiá Ortelan ORCID logo; Qeren Hapuk R Ferreira Fernandes ORCID logo; Renzo Joel Flores Ortiz ORCID logo; Raquel Nunes Palmeira ORCID logo; Elzo Pereira Pinto Junior ORCID logo; Erika Aragão ORCID logo; Luis Eugenio Portela Fernandes de Souza ORCID logo; Manoel Barral Netto ORCID logo; Maria Glória Teixeira ORCID logo; Mauricio Lima Barreto ORCID logo; Maria Yury Ichihara ORCID logo; Raíza Tourinho dos Reis Silva Lima ORCID logo; (2020) Social distancing measures to control the COVID-19 pandemic: potential impacts and challenges in Brazil. Ciencia & saude coletiva, 25 (suppl). pp. 2423-2446. ISSN 1413-8123 DOI: 10.1590/1413-81232020256.1.10502020
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The COVID-19 pandemic has challenged researchers and policy makers to identify public safety measures forpreventing the collapse of healthcare systems and reducingdeaths. This narrative review summarizes the available evidence on the impact of social distancing measures on the epidemic and discusses the implementation of these measures in Brazil. Articles on the effect of social distancing on COVID-19 were selected from the PubMed, medRXiv and bioRvix databases. Federal and state legislation was analyzed to summarize the strategies implemented in Brazil. Social distancing measures adopted by the population appear effective, particularly when implemented in conjunction with the isolation of cases and quarantining of contacts. Therefore, social distancing measures, and social protection policies to guarantee the sustainability of these measures, should be implemented. To control COVID-19 in Brazil, it is also crucial that epidemiological monitoring is strengthened at all three levels of the Brazilian National Health System (SUS). This includes evaluating and usingsupplementary indicators to monitor the progression of the pandemic and the effect of the control measures, increasing testing capacity, and making disaggregated notificationsand testing resultstransparentand broadly available.


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