<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1679-4974</journal-id>
<journal-title><![CDATA[Epidemiologia e Serviços de Saúde]]></journal-title>
<abbrev-journal-title><![CDATA[Epidemiol. Serv. Saúde]]></abbrev-journal-title>
<issn>1679-4974</issn>
<publisher>
<publisher-name><![CDATA[Secretaria de Vigilância em Saúde e Ambiente - Ministério da Saúde do Brasil]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1679-49742021000300317</article-id>
<article-id pub-id-type="doi">10.1590/s1679-49742021000300022</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Desigualdades sociais associadas com a letalidade por COVID-19 na cidade de Fortaleza, Ceará, 2020]]></article-title>
<article-title xml:lang="es"><![CDATA[Desigualdades sociales asociadas con la letalidad por COVID-19 en la ciudad de Fortaleza, estado de Ceará, Brasil, 2020]]></article-title>
<article-title xml:lang="en"><![CDATA[Social inequalities associated with COVID-19 case fatality rate in Fortaleza, Ceará state, Brazil, 2020]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sanhueza-Sanzana]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aguiar]]></surname>
<given-names><![CDATA[Italo Wesley Oliveira]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Almeida]]></surname>
<given-names><![CDATA[Rosa Lívia Freitas]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Kendall]]></surname>
<given-names><![CDATA[Carl]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mendes]]></surname>
<given-names><![CDATA[Aminata]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Kerr]]></surname>
<given-names><![CDATA[Ligia Regina Franco Sansigolo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidade Federal do Ceará Programa de Pós-Graduação em Saúde Pública ]]></institution>
<addr-line><![CDATA[Fortaleza CE]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade de Fortaleza Programa de Pós-Graduação em Saúde Coletiva ]]></institution>
<addr-line><![CDATA[Fortaleza CE]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Tulane University School of Public Health and Tropical Medicine ]]></institution>
<addr-line><![CDATA[Nova Orleans LA]]></addr-line>
<country>USA</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2021</year>
</pub-date>
<volume>30</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_arttext&amp;pid=S1679-49742021000300317&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_abstract&amp;pid=S1679-49742021000300317&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_pdf&amp;pid=S1679-49742021000300317&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Objetivo Analisar a associação entre as desigualdades sociais e sanitárias, condições socioeconômicas, segregação espacial e letalidade por COVID-19 em Fortaleza, Ceará, Brasil.  Métodos  Estudo ecológico de casos confirmados e óbitos por COVID-19, tendo como unidades de análise os 119 bairros de Fortaleza. Calcularam-se os indicadores de incidência, mortalidade e letalidade aparente por COVID-19, entre 1º de janeiro e 8 de junho de 2020. Indicadores socioeconômicos foram extraídos do Censo Demográfico do Brasil de 2010. Foi realizada análise espacial e calculados índice global e local de Moran.  Resultados Foram encontrados 22.830 casos confirmados, 2.333 óbitos e uma letalidade aparente de 12,7% (IC95% 11,6;13,9). Observaram--se autocorrelações espaciais significativas para letalidade aparente (I=0,35) e extrema pobreza (I=0,51), sobrepostas em diversos bairros da cidade.  Conclusão A letalidade aparente por COVID-19 está associada a piores condições socioeconômicas e de saúde, demonstrando a relação entre desigualdades sociais e desfechos de saúde em tempos de pandemia.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo  Analizar la asociación entre las desigualdades sociales y sanitarias, condiciones socioeconómicas, segregación espacial y letalidad por COVID-19 en Fortaleza, Ceará, Brasil.  Métodos  Estudio ecológico de casos y defunciones confirmadas por COVID-19, se utilizaron, como unidades de análisis, 119 barrios de Fortaleza. Se calcularon los indicadores de incidencia, mortalidad y letalidad aparente por COVID-19, entre el 1 de enero y el 8 de junio de 2020. Los indicadores socioeconómicos se extrajeron del Censo Demográfico de Brasil 2010. Se realizó un análisis espacial y calculados los índices Global y Local de Moran.  Resultados  Se encontraron 22.830 casos confirmados, 2.333 muertes y una letalidad aparente de 12,7 (IC95% 11,6;13,9). Se observaron autocorrelaciones espaciales significativas para letalidad aparente (I=0,35) y extrema pobreza (I=0,51) que se sobreponen en diversos barrios de la ciudad.  Conclusión  La letalidad por COVID-19 está asociada con peores condiciones socioeconómicas y sanitárias, demostrando la relación entre desigualdades sociales y los resultados de salud en tiempos de pandemia.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective To analyze the association among social and health inequalities, socioeconomic status, spatial segregation and Case Fatality Rate (CFR) due to COVID-19 in Fortaleza, the state capital of Ceará, Brazil.  Methods  This was an ecological study of confirmed cases and deaths due to COVID-19. The 119 neighborhoods of Fortaleza were used as units of analysis. Incidence, mortality and apparent CFR indicators due to COVID-19 were calculated between January 1 and June 8, 2020. Socioeconomic indicators were obtained from the 2010 Brazilian Demographic Census. Spatial analysis was performed and local and global Moran's indexes were calculated.  Results  There were 22,830 confirmed cases, 2,333 deaths and the apparent CFR was 12.7% (95% CI 11.6;13.9). Significant spatial autocorrelations between apparent CFR (I=0.35) and extreme poverty (I=0.51), overlapping in several neighborhoods of the city, were found.  Conclusion  The apparent CFR due to COVID-19 is associated with the worst socioeconomic and health status, which shows the relationship between social inequalities and health outcomes in times of pandemic.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[SARS-CoV-2]]></kwd>
<kwd lng="pt"><![CDATA[Fatores Socioeconômicos]]></kwd>
<kwd lng="pt"><![CDATA[Iniquidade Social]]></kwd>
<kwd lng="pt"><![CDATA[Letalidade]]></kwd>
<kwd lng="pt"><![CDATA[Mortalidade]]></kwd>
<kwd lng="pt"><![CDATA[Análise Espacial]]></kwd>
<kwd lng="es"><![CDATA[SARS-CoV-2]]></kwd>
<kwd lng="es"><![CDATA[Factores Socioeconó-micos]]></kwd>
<kwd lng="es"><![CDATA[Inequidad Social]]></kwd>
<kwd lng="es"><![CDATA[Letalidad]]></kwd>
<kwd lng="es"><![CDATA[Mortalidad]]></kwd>
<kwd lng="es"><![CDATA[Análisis Espacial]]></kwd>
<kwd lng="en"><![CDATA[SARS-CoV-2]]></kwd>
<kwd lng="en"><![CDATA[Socioeconomic Factors]]></kwd>
<kwd lng="en"><![CDATA[Social Inequity]]></kwd>
<kwd lng="en"><![CDATA[Case Fatality Rate]]></kwd>
<kwd lng="en"><![CDATA[Mortality]]></kwd>
<kwd lng="en"><![CDATA[Spatial analysis]]></kwd>
</kwd-group>
</article-meta>
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