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COVID-19 second wave and clinical characteristics of cases in Uganda: A retrospective cross-sectional survey of confirmed SARS-CoV-2 cases, March–June 2021

Article scientifique 2023 Anglais

Résumé

We conducted a retrospective cross-sectional population-based survey among recovered COVID-19 cases in Uganda to establish the case presentations of the second wave SARS-CoV-2 infections. We interviewed 1,120 recovered COVID-19 cases from 10 selected districts in Uganda. We further conducted 38 key informant interviews with members of the COVID-19 District Taskforce and 19 in-depth interviews among COVID-19 survivors from March to June 2021. Among them, 62% were aged 39 years and below and 51.5% were female with 90.9% under home-based care management. Cases were more prevalent among businesspeople (25.9%), students (16.2%), farmers (16.1%), and health workers (12.4%). Being asymptomatic was found to be associated with not seeking healthcare (APR 2, P < 0.001). The mortality rate was 3.6% mostly among the elderly (6.3%) and 31.3% aged 40 years and above had comorbidities of high blood pressure, diabetes, and asthma. Being asymptomatic, or under home-based care management (HBCM), working/operating/studying at schools, and not being vaccinated were among the major drivers of the second wave of the resurgence of COVID19 in Uganda. Managing future COVID-19 waves calls for proactive efforts for improving homebased care services, ensuring strict observation of SOPs in schools, and increasing the uptake of COVID-19 vaccination.

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Walekhwa, A., Nakazibwe, B., Nantongo, M., Wafula, S., Bulafu, D., Ayugi, B., Nankabirwa, C., Nsereko, G., Nalweyiso, M., Tindyebwa, T., Mayega, R., Ekiri, A., Bagenda, D., Musenero, M., Mugisha, L. (2023). COVID-19 second wave and clinical characteristics of cases in Uganda: A retrospective cross-sectional survey of confirmed SARS-CoV-2 cases, March–June 2021. https://doi.org/10.1017/s0950268823001164

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Auteur(s)

Abel Wilson Walekhwa Brenda Nakazibwe Mary Nantongo Solomon Tsebeni Wafula Douglas Bulafu Brenda Ayugi Caroline Nankabirwa Godfrey Nsereko Martha Dorcas Nalweyiso Tonny Tindyebwa Roy William Mayega Abel B. Ekiri Danstan Bagenda Monica Musenero Lawrence Mugisha

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