In March 2020, the BMJ published a comment on the potential effects that the COVID-19 pandemic might have on older adults in low and middle-income countries (LMICs) . This predicted that older people in LMICs would account for a large share of COVID-19 mortality, since these countries contain around 70 per cent of the global population aged 60 or more and there is less access to effective health interventions than in high-income countries.
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Younger adults are now accounting for a higher share of reported COVID-19 mortality in Brazil.
Over the past weeks, the COVID-19 pandemic has reached catastrophic levels, first in Brazil, then in other parts of Latin America and now in India. What does this mean for older people?
The CIAT emergency strategy framework for managing covid-19 in long-term care facilities: the case of Brazil
Over the past year, members of the Global Platform have worked together to produce a set of emergency guidance for managing the COVID-19 pandemic in long-term care facilities. This guidance pays particular attention to the contexts of low and middle-income countries.
Goias was the second Brazilian state to start a vaccination campaign against COVID-19, and the governor (who happens to be a doctor) personally gave the first vaccine to an older person.
Several Global Platform blogs and related publications draw attention to the limited quality and availability of age-disaggregated data on COVID-19 mortality in low and middle-income countries (LMICs). Sometimes researchers have to do the best they can with questionable data, perhaps adding a caveat or two as an insurance policy. But sometimes the data are so flawed that researchers should disengage.