Covid 19 - Mexico Status

Introduction

The Covid 19 pandemic is the largest human and health crisis in the last 90 years. As it is a new virus, there were no rapid tests, no proven drugs, and no vaccine to prevent it. Not only does it carry enormous health and physical health risks to people, but it is also associated with serious economic problems with the serious economic problems with the destruction of part of the productive plant, jobs and income, as well as social, cultural, political and security repercussions that must be understood and addressed with immediate measures through public policies and social action.

It is a growing concern in Mexican public opinion that has a direct impact on the normality of public life. The pandemic, as stated by the International Seminar on Bioethics (SIB), has made society's fragility visible, proposing that we rethink the objectives and ethics of today's societies.

Objetive

The fist step in order to solve a problem, is to understand it, and we can do this asking us the right questions and dive deep into the data.

The goal is to account for the impact the pandemic has had in Mexico and make the information available so population can be aware of the current covid 19 status of the country.

Data

The mission of the Secretariat of Health of Mexico City is to guarantee the effective right to health, without discrimination, to the inhabitants of the capital city, as well as to provide health services to those who lack social security in order for its inhabitants to have a full and dignified life.

In accordance with the Decree published in the Official Journal of the Federation on February 20, 2015, which establishes the regulation on Open Data, the General Directorate of Epidemiology, based on the applicable ordinances in this matter, makes available to the general population, the information contained in the Statistical Yearbooks of Morbidity 2015-2017, as well as information on cases associated with COVID-19 in order to facilitate access, use, reuse and redistribution of the same to all users who require it.

This database includes all daily cases associated with COVID-19 at the federal level. It has content disaggregated by sex, age, nationality, associated conditions, among others.

It is updated on a daily basis and is elaborated based on the Open Data and the Data Dictionary provided by the Federal Government. As of June 9, 2020 this dataset only contemplates cases whose municipality of residence is Mexico City or cases whose Medical Unit is the City.

The data base can be found here.

Mexico Status Summary

This part of the project corresponds to Mexico's overall situation. You can find the infection death rates and active cases plots for all the country and for each individual state.

Each State Status Summary

Covid 19, originated in China in December, 2019 and caused by the SARS-CoV-2 virus, in less than a month it had been already been classified as a "Public Health Emergency of International Concern". To date, there are close to 170 million people with confirmed infection and has caused around 3.5 million deaths worldwide.

Mexico City

The first case detected in our country occurred on February 27, 2020 at the National Institute of Respiratory Diseases, in Mexico City, in a patient with a history of having traveled to Italy; the first death occurred on March 18, 2020 at the National Institute of Respiratory Diseases, in Mexico City, in a patient with a history of having traveled to Italy.

The first death occurred on March 18. By March 24, with 475 confirmed cases, a Phase 2 "sanitary contingency" was decreed, with stricter measures of social distancing, confinement and work restriction.

The spread of the disease has so far covered all the states of the Republic, with the highest rate of cases in Mexico City, Baja California and Sinaloa.

Confirmed Cases and Deaths Infographics

Hospiatalization

One of the main reasons is that the hospital capacity has been exceeded during this health emergency of which there is a total of just 24,500 beds distributed in 92 hospitals in Mexico City to take care of Covid 19 patients in critic conditions. The hospital capacity has been in critical condition between May-October and December-February, exceeding 95% of the available beds.

The total number of cases with hospitalization on the left side, of which 33% unfortunately had a fatal outcome. Within this last quantity, the age difference between the outcomes stands out, since the average age of those who lived is 40 years while those who died is 60 years, therefore it can be said that the older the individual is, it is more likely to have a fatal outcome.

Impact by Gender

Aparently infection cases age distribution behaves slightly similar on both genders with peak infection cases at 30 and 45 years old having a bias to males. However a fatal outcome is way more probable for men, specially around 65 years old.

Risk factors, comorbidities and mortality

Taking a sample of 20% of the total data, we can see the incidence of chronic degenerative diseases that have a negative impact on those individuals who were infected with covid19. Each point represents an individual case with a fatal outcome, of which the 3 with the highest incidence are: Diabetes, hypertension and obesity. Unfortunately, in Mexico a high percentage of these diseases prevail due to bad eating habits in our society / culture: ninth place in diabetes, first in hypertension and second in obesity in the world ranking.

Confirmed Cases and Deaths by Sectors (Alcaldia)

Conclussions and Recommendations

In Mexico we have a complex situation: First, because COVID-19 infections and deaths continue, but also because of the economic and social impact of the pandemic, as well as a certain confusion in the population regarding the maintenance of effective measures to fight the infection rate. To this day, Mexico has the 14th rank in comfirmed cases worldwide, however we also have the 4rd death toll rank.

Through the pandemic with the start of the quarantine at the end of March, a gradual increase has been observed with a slight decrease in August, however, by December confirmed cases increase due to the holidays due to reunions, family meeting and cultural / religious customs of this country, being in January when we have the maximum peak of positive cases.

The average age of patients in Mexico is Mexico is only 45 years old with a predominance (58%) of the male gender. Of the confirmed active cases, 39.8% have had to be hospitalized and 5% are reported as critically ill. in critical condition. The trend of hospitalization and mortality increases with age.

The world is experiencing a crisis unprecedented in this century. Pain from illness and loss will come, we will value commitment to care at the cost of personal risk, new medications and vaccines will appear and we will overcome this phase, and we will learn much from it.

As John F. Kennedy aptly reminded us:

"The word 'crisis' written in Chinese is composed of two characters.
The first: Wei (危) represents risk, and the second: Chi (机) opportunity."