Epidemiología de COVID-19 en las provincias de Guayas, Azuay y Morona Santiago: Aproximación desde la epidemiología crítica, marzo – junio 2020

Abstract

Background: the COVID-19 pandemic has had a significant impact on the groups, they have responded in different ways, from compliance with national provisions such as: distancing, mandatory isolation and the use of mask. These groups and their response depend on their own characteristics, mainly socioeconomic, and this response influences the dynamics of the pandemic. General objective: To determine the ecological association between the epidemiological indicators of COVID-19 with the demographic variables, economic and geographical partners in the provinces of Azuay. Morona and Guayas in the period March-June 2020 Methodology: an ecological study was carried out, with 3 groups that correspond to a provincial level: Azuay, Guayas and Morona Santiago. The source of information was the infographics and epidemiological bulletins published by the Ministry of Public Health (MSP) and data from the Ecuadorian Institute of Statistics and Censuses (INEC), the results are presented in simple tables of frequencies and percentages. Results: the province of Guayas presented the highest indicators in number of cases and deaths, however, in the analysis of the rate of cases per 100,000 inhabitants, Morona Santiago was the most affected, in the same way, Morona Santiago presents the worst indicators of poverty and socio-economic. The highest rate of infections occurred in poor groups, residents in rural areas and with informal economic activities. Conclusion: the group from eastern Ecuador presented greater difficulties in responding to the COVID-19 pandemic compared to its counterpart in the Sierra and the Coast, but in terms of frequency of cases, Guayas stands out.