COVID-19 epidemic in remote areas of the French Amazon, March 2020 to May 2021: Another reality

Epelboin, Loïc; Succo, Tiphanie; Michaud, Céline; Oberlis, Margot; Bidaud, Bastien; Naudion, Pauline; Dudognon, Lise; Fernandes, Clara; Cochet, Charlène; Caspar, Cécile; Jacoud, Estelle; Teissier, Sébastien; Douine, Maylis; Rousset, Dominique; Flamand, Claude; Djossou, Félix; Nacher, Mathieu; Rousseau, Cyril; Vignier, Nicolas; Gaillet, Mélanie

doi:10.1590/0037-8682-0274-2021

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Revista da Sociedade Brasileira de Medicina Tropical

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Short Communication • Rev. Soc. Bras. Med. Trop. 55 • 2022 • https://doi.org/10.1590/0037-8682-0274-2021 copy

COVID-19 epidemic in remote areas of the French Amazon, March 2020 to May 2021: Another reality

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Background:

French Guiana (FG) is an ultra-peripheral European region in the Amazon, and the COVID-19 epidemic has had very different kinetics from both its giant neighbors, Brazil or mainland France.

Methods:

This study summarized the epidemics of COVID-19 in FG.

Results:

The tropical climate, multiethnicity, and remoteness of the population forced healthcare providers to accordingly adapt the management of the epidemic. Incidence and mortality have been lower than that in Europe and Latin America due to a combination of prevalence of the youth in the population and highly developed healthcare system.

Conclusions:

Currently, vaccine hesitancy hinders the rapid expansion of vaccine coverage.

Keywords:
French Guiana; COVID-19; SARS-CoV-2; COVID-19 vaccines; Health promotion

	Population	Cumulative number of cases	Cumulative number of deaths	Incidence rate per 100,000 population	Mortality per 100,000 population	Case fatality rate per 1,000 cases
French Guiana*	294,071*	9,200	186	3,165	20	6
Amapá**	845,731	120,403	1,892	14,237	224	16
Amazonas**	3,807,923	414,000	13,482	10,872	354	33

	Towns	Cumulated number of positive tests	Positivity rate	Cumulated incidence rate (per 100,000 inhabitants)	Cumulated mortality rate (per 100,000 inhabitants)
Cayenne and surroundings	Cayenne, Rémire-Montjoly, Matoury, Montsinery-Tonnégrande	15,922	9%	12,586	81
“Savanes”	Kourou, Tonate-Macouria, Sinnamary, Iracoubo	5,626	9%	12,306	68
West	Mana (including Javouhey), Awala-Yalimapo, Saint Laurent du Maroni	5,025	11%	8,555	61
Maroni	Apatou, Grand Santi, Papaïchton, Maripasoula	1,563	19%	4,289	19
Oyapock	Ouanary, Saint Georges de l’Oyapock, Camopi (including Trois Sauts)	1,075	21%	16,916	31
Other	Regina (including Kaw), Roura (including Cacao), Saint Elie, Saül	268	6%	5,686	0
French Guiana		29,479	10%	10,141	65

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[1] Corresponding author: Dr. Loïc Epelboin e-mail:epelboincrh@hotmail.fr