Epicenter Of COVID-19 Research Articles

To distance or to help: People's ambivalent attitude towards residents from the COVID-19 epicenter.

The COVID-19 pandemic has led to drastic changes in the world. One prominent aspect has been the transformation in interpersonal relations, especially people’s attitude towards residents from COVID epicenters. Using a 2-wave national study in mainland China during the pandemic outbreak, this study examined Chinese people’s distancing and helping intentions towards residents from Hubei Province, the epicenter of China at that time. Results suggested that individuals had an ambivalent attitude towards denizens from the epicenter. Specifically, people felt greater risk when they perceived a higher severity of the pandemic and so were more likely to distance from epicenter residents. However, individuals showed greater empathy towards epicenter residents when they felt a higher severity of the pandemic and, therefore, were more likely to help them. Group identity moderated these effects: those with a higher identification as Chinese were more inclined to help Hubei residents, but those with a lower identification as Chinese were more prone to distance from them. The findings provide important implications in understanding interpersonal relationships during the pandemic.

Healthcare Disparities and Outcomes of Cancer Patients in a Community Setting from a COVID-19 Epicenter.

There have been numerous studies demonstrating how cancer patients are at an increased risk of mortality. Within New York City, our community hospital emerged as an epicenter of the first wave of the pandemic in the spring of 2020 and serves a unique population that is predominately uninsured, of a lower income, and racially/ethnically diverse. In this single institution retrospective study, the authors seek to investigate COVID-19 diagnosis, severity and mortality in patients with an active cancer diagnosis. Demographic, clinical characteristics, treatment, SARS-CoV-2 laboratory results, and outcomes were evaluated. In our community hospital during the first wave of the COVID-19 pandemic in the United States, patients with active cancer diagnosis appear to be at increased risk for mortality (30%) and severe events (50%) due to the SARS-CoV-2 infection compared to the general population. A higher proportion of active cancer patients with Medicaid insurance, Hispanic ethnicity, other race, and male sex had complications and death from COVID-19 infection. The pandemic has highlighted the health inequities that exist in vulnerable patient populations and underserved communities such as ours.

A Perspective of the COVID-19 Pandemic in the Plastic Waste Management and Cooperatives of Waste Pickers in Brazil

Brazil is the fourth largest producer of plastic waste in the world. Among all the challenges the country had faced in the development of public policies for the banning of single-use plastics, the new coronavirus pandemic scenario determined the suspension of these laws indefinitely. In 2020, Brazil became the global epicenter of COVID-19. This scenario changed the habit and behavior of Brazilian consumers, who increased the consumption of plastics due to their importance in applications as protective material. The country also has social problems related to waste management that depend mainly on waste pickers. These workers need social visibility and protection not only to face the current health crisis but also to guarantee their income and survival. This work aims to discuss the increase in single-use plastics that are not intended for recycling and the respective environmental, economic, and social impacts for the country. We demonstrate the lack of data on waste management in Brazil and highlight the importance of the social inclusion of waste pickers for a circular economy. Especially after the change of scenario with the COVID-19 pandemic, the country must have adequate planning and improvements in waste management, recycling programs, and political intervention to raising awareness among the population and guaranteeing social rights for waste pickers.

Crime in the new U.S. epicenter of COVID-19

In the latter half of 2020, Los Angeles was dubbed by the media and academicians as the latest epicenter of COVID-19 in the United States. Using time-series analysis on Los Angeles Police Department crime data from 2017 through 2020, this paper tests the economic theory of crime, routine activities theory, social isolation theory, and structural vulnerability theory to determine whether they accurately predicted specific crime rate movements in the wake of COVID-19 in the city of Los Angeles. Economic theory of crime was supported by the data, and social isolation theory and structural vulnerability theory were partially supported. Routine activities theory was not supported. Implications for policymakers and academics are also discussed.

COVID-19 and Language Education: Lessons of a Pandemic for English Teaching

ABSTRACT In this article, I present a thought experiment highlighting some lessons of the COVID-19 pandemic for language education. I focus on two characteristics of the pandemic and the English language teaching (ELT) industry. First, during the pandemic, humans appeared to grapple with the ancient problem of killer viruses, with modern medicine initially offering little beyond basic advice; and ELT seems to deal with old problems like teaching vocabulary with little real progress in decades. Second, Asia was the epicenter of COVID-19 that later spread worldwide and caused social consequences in addition to health disasters; and the history of English as an additional language started in Asia before spreading to other places and creating sociocultural challenges. Departing from this tentative analogy, I argue that traditional ELT theory and research trends need to be revisited, and sociopolitical concerns should be considered as crucial aspects of the essence of ELT.

Migration, Health and Development in India, South Asia and China: Perspectives in the COVID-19 Era

This chapter revisits the relationship between migration, health and development in the context of Global Compact for Safe, Orderly and Regular Migration (GCM) objectives interrupted by the external shock of the COVID-19 pandemic. By using recent and emerging data from global sources like the United Nations (UN), World Health Organization (WHO) and World Bank, it looks at health indicators, migration stocks and economic development parameters in select South Asian countries, including India, over the last three decades—1990–2020. These are compared against both the world totals and those for China—the East Asian country at the epicentre of COVID-19. The chapter provides background on comparative indicators of economic development in India, other major South Asian countries and China, and critically examines three issues: (a) lessons from the challenges COVID-19 posed to the GCM objective of making migration ‘safe, orderly and regular’ (SOR); (b) indicators of the relationship between migration, health and development in the context of the GCM and COVID-19; and (c) challenges emerging from the dynamic relationship between migration, health and development in the COVID-19 era.

Mental Health of Emergency Department Healthcare Workers During COVID-19 in Brooklyn, New York.

Maintaining good mental health among Emergency Department healthcare workers (ED HCW) is paramount to well-functioning healthcare. We measured mental health and COVID-19 symptoms in ED HCW at a COVID-19 epicenter. A cross-sectional, convenience sample of adult (≥18 years) ED HCW in Brooklyn, New York, USA, who were employed at ≥50% of a full-time effort, was surveyed September-December, 2020 with reference period March-May 2020. An anonymous email-distributed survey assessed gender, age, race, healthcare worker status (clinical versus non-clinical), SARS-CoV-2 testing, number of people to talk to, COVID-19-related home problems, mental health care interruption during COVID-19, loneliness, and survey date. Outcomes included symptoms of depression, psychological distress, perceived stress, post-traumatic stress disorder (PTSD), anxiety, and resilience measured using validated scales. Of 774 HCW, 247 (31.9%) responded (mean age 38.2±10.8 years; 59.4% White; 52.5% men; 80.1% clinical; 61.6% SARS-CoV-2 tested). Average mental health scores were significantly higher among clinical vs non-clinical HCW (P's<0.0001-0.019). The proportion reporting a clinically-relevant psychological distress symptom burden was higher among clinical vs non-clinical HCW (35.8% vs 13.8%, p=0.019); and suggested for depression (53.9% clinical vs 35.7% non-clinical, p=0.072); perceived stress (63.6% clinical vs 44.8% non-clinical, p=0.053); and PTSD (18.2% clinical vs 3.6% non-clinical, p=0.064). Compared to non-clinical staff, Medical Doctors and Doctors of Osteopathy reported 4.8-fold higher multivariable-adjusted odds of clinically-relevant perceived stress (95%CI 1.8-12.9, p=0.002); Emergency Medical Technicians reported 15.5-fold higher multivariable-adjusted odds of clinically-relevant PTSD (95%CI 1.6-150.4, p=0.018). Increasing age, number of COVID-19-related home problems and people to talk to, loneliness and mental health care interruption were adversely associated with mental health; being male and SARS-CoV-2 testing were beneficial. COVID-19-related mental health burden was high among ED HCW in Brooklyn. Mental health support services are essential for ED HCW.

Florida as a COVID-19 Epicenter: Exploring the Role of Institutions in the State’s Response

ABSTRACT This case study explores Florida’s emergency management response during the COVID-19 pandemic. Utilizing the Institutional Analysis and Development Framework and transboundary crisis literature, this article identifies how state attributes, institutions, multi-sector stakeholders, and their interactions may have influenced the state’s response to the pandemic. Findings from the content analyses of government policies, documents, and news reports indicate that some aspects of Florida’s response were politically motivated, inflexible, and driven by a small circle of advisors, often ignoring expert opinions and the needs of uniquely vulnerable populations. Furthermore, the findings indicate that public health departments had sidelined locally-controlled emergency management departments. This research offers insight into effective decision-making practices during the response phase of a pandemic and contributes knowledge to the literature in emergency management and public administration focusing on transboundary crises.

Spatial and Temporal Trends of SARS-CoV-2 RNA from Wastewater Treatment Plants over 6 Weeks in Cape Town, South Africa.

Recent scientific trends have revealed that the collection and analysis of data on the occurrence and fate of SARS-CoV-2 in wastewater may serve as an early warning system for COVID-19. In South Africa, the first COVID-19 epicenter emerged in the Western Cape Province. The City of Cape Town, located in the Western Cape Province, has approximately 4 million inhabitants. This study reports on the monitoring of SARS-CoV-2 RNA in the wastewater of the City of Cape Town’s wastewater treatment plants (WWTPs) during the peak of the epidemic. During this period, the highest overall median viral RNA signal was observed in week 1 (9200 RNA copies/mL) and declined to 127 copies/mL in week 6. The overall decrease in the amount of detected viral SARS-CoV-2 RNA over the 6-week study period was associated with a declining number of newly identified COVID-19 cases in the city. The SARS-CoV-2 early warning system has now been established to detect future waves of COVID-19.

Assessment of Coagulation Tests in Hospitalized COVID19 Patients; Challenging Coagulopathies

COVID-19 has caused a worldwide illness and New York has become the epicenter of COVID-19 in the United States. During the last year, The Bronx, one of the five boroughs of New York City, had the highest prevalence per capita in New York making it the epicenter of the pandemic. During the first wave of the pandemic, almost every labratory received tremendous amount of tests, and here we examined demographic and laboratory data, as well as trajectories of laboratory results, in order to determine the relation between these laboratory parameters, in particular tests of coagulation, to illness severity and mortality. Methods: This is a retrospective study of all positive COVID cases who were admitted between 2/22/2020-4/20/2020 at Montefiore Health System (MHS), a large tertiary care center in the Bronx. Together the ambulatory and hospital networks care for 2.8 million visits a year. All adults with positive COVID tests performed by MHS and who were admitted between 2/22/2020-4/20/2020 are considered. All hospitalized COVID positive cases were queried from the electronic medical record system. Physiological, demographic (age, sex, socioeconomic status and self-reported race and/or ethnicity) and laboratory data was captured. A subset of cases were chart-reviewed for accuracy and additional information. Statistical analysis was performed using R studio. Results: Discharge from hospital and mortality were the primary measured outcomes. 7096 patients tested positive for COVID, of which 2897 had an associated inpatient admission and 845 patients were seen in the ER and then discharged. A total of 767 COVID positive patients died during hospitalization. A multivariable logistic regression analysis shows increased odds ratio for mortality by age, gender(males > females), BMI, neutrophil to lymphocyte ratio, Charlson Score, and D-Dimer. The receiver operating characteristic curve (ROC) of D-Dimer combined with age showed an area under the curve (AUC) of 0.77. The optimal cut-point, calculated using Youden’s index, for the initial D-Dimer to predict mortality was found to be 2.43ug/ml. D-Dimer trajectories between survivors and non-survivors showed a clear separation for non-survivors since admission. Conclusions: In this study we comprehensively studied demographic, physiological and laboratory parameters of COVID19+ minority patients in the Bronx, NYC, USA. This study confirms laboratory and clinical observations made by Wuhan studies of COVID19 infected patients. In particular the association of initial D-Dimer and its trajectory during hospitalization with mortality.

Brazil's COVID-19 Epicenter in Manaus: How Much of the Population Has Already Been Exposed and Are Vulnerable to SARS-CoV-2?

Is Brazil’s COVID-19 epicenter really approaching herd immunity? A recent study estimated that in October 2020 three-quarters of the population of Manaus (the capital of the largest state in the Brazilian Amazon) had contact with SARS-CoV-2. We show that 46% of the Manaus population having had contact with SARS-CoV-2 at that time is a more plausible estimate, and that Amazonia is still far from herd immunity. The second wave of COVID-19 is now evident in Manaus. We predict that the pandemic of COVID-19 will continue throughout 2021, given the duration of naturally acquired immunity of only 240 days and the slow pace of vaccination. Manaus has a large percentage of the population that is susceptible (35 to 45% as of May 17, 2021). Against this backdrop, measures to restrict urban mobility and social isolation are still necessary, such as the closure of schools and universities, since the resumption of these activities in 2020 due to the low attack rates of SARS-CoV-2 was the main trigger for the second wave in Manaus.

Electroconvulsive Therapy in the Epicenter of COVID-19: Experiences and Reflections.

Sanghani, Sohag MD, MPH, FAPA∗,†; Loewenstein, Kristy PhD, RN, PMHNP-BC, NPD-BC, NEA-BC∗; Andrus, Jason MD∗,†; Allan, Sean MD∗,†; Mangubat, Liezl RN, BSN∗; Bashkirov, Ignat MD∗,†; Glick, Mark MD∗,†; Linder, Howard MD, FAPA, FACLP∗,†; Petrides, Georgios MD∗,† Author Information

Local COVID-19 Epicenter in Detroit Metropolitan Area Causing Profound and Pervasive Reorganization of Clinical, Educational, Research, and Financial Programs of a Large Academic Gastroenterology Division with a GI Fellowship and Primary Medical School Affiliation.

AimTo report revolutionary reorganization of academic gastroenterology division from COVID-19 pandemic surge at metropolitan Detroit epicenter from 0 infected patients on March 9, 2020, to > 300 infected patients in hospital census in April 2020 and > 200 infected patients in April 2021.SettingGI Division, William Beaumont Hospital, Royal Oak, has 36 GI clinical faculty; performs > 23,000 endoscopies annually; fully accredited GI fellowship since 1973; employs > 400 house staff annually since 1995; tertiary academic hospital; predominantly voluntary attendings; and primary teaching hospital, Oakland-University-Medical-School.MethodsThis was a prospective study. Expert opinion. Personal experience includes Hospital GI chief > 14 years until 2020; GI fellowship program director, several hospitals > 20 years; author of > 300 publications in peer-reviewed GI journals; committee-member, Food-and-Drug-Administration-GI-Advisory Committee > 5 years; and key hospital/medical school committee memberships. Computerized PubMed literature review was performed on hospital changes and pandemic. Study was exempted/approved by Hospital IRB, April 14, 2020.ResultsDivision reorganized patient care to add clinical capacity and minimize risks to staff of contracting COVID-19 infection. Affiliated medical school changes included: changing “live” to virtual lectures; canceling medical student GI electives; exempting medical students from treating COVID-19-infected patients; and graduating medical students on time despite partly missing clinical electives. Division was reorganized by changing “live” GI lectures to virtual lectures; four GI fellows temporarily reassigned as medical attendings supervising COVID-19-infected patients; temporarily mandated intubation of COVID-19-infected patients for esophagogastroduodenoscopy; postponing elective GI endoscopies; and reducing average number of endoscopies from 100 to 4 per weekday during pandemic peak! GI clinic visits reduced by half (postponing non-urgent visits), and physical visits replaced by virtual visits. Economic pandemic impact included temporary, hospital deficit subsequently relieved by federal grants; hospital employee terminations/furloughs; and severe temporary decline in GI practitioner’s income during surge. Hospital temporarily enhanced security and gradually ameliorated facemask shortage. GI program director contacted GI fellows twice weekly to ameliorate pandemic-induced stress. Divisional parties held virtually. GI fellowship applicants interviewed virtually. Graduate medical education changes included weekly committee meetings to monitor pandemic-induced changes; program managers working from home; canceling ACGME annual fellowship survey, changing ACGME physical to virtual site visits; and changing national conventions from physical to virtual.ConclusionReports profound and pervasive GI divisional changes to maximize clinical resources devoted to COVID-19-infected patients and minimize risks of transmitting infection.

Student returnees from China's COVID-19 epicenter: Spatio-temporal movement and impact of tracing

At the initial stage of COVID-19 outbreak, tracing returnees from Wuhan – the epicenter of the disease – is a major strategy in each province of China to contain its spread. However, scholars are yet to assess the impact of tracing on individuals. Drawing upon a large-scale survey with students from four major universities in Wuhan, we investigate individual experiences with tracing activities at government and community levels and the impacts on students’ socio-psychological wellbeing. Findings indicate that tracing is likely to increase the risks of privacy infringement, verbal slur, and warning at residence; and students experience moderate-to-high levels of anxiety and fear. Improved public health measures are therefore necessary to balance the twin goals of containing disease and alleviating unintended consequences of tracing.

Study on Collaborative Emission Reduction in Green-House and Pollutant Gas Due to COVID-19 Lockdown in China

In recent years, as China’s peaking carbon dioxide emissions and air pollution control projects have converged, scholars have begun to focus on the synergistic mechanisms of greenhouse gas and pollution gas reduction. In 2020, the unprecedented coronavirus pandemic, which led to severe nationwide blockade measures, unexpectedly provided a valuable opportunity to study the synergistic reduction in greenhouse gases and polluting gases. This paper uses a combination of NO2, O3, and CO2 column concentration products from different satellites and surface concentrations from ground-based stations to investigate potential correlations between these monitoring indicators in four Chinese representative cities. We found that XCO2 decreased in March to varying degrees in different cities. It was witnessed that the largest decrease in CO2, −1.12 ppm, occurred in Wuhan, i.e., the first epicenter of COVID-19. We also analyzed the effects of NO2 and O3 concentrations on changes in XCO2. First, in 2020, we used a top-down approach to obtain the conclusion that the change amplitude of NO2 concentration in Beijing, Shanghai, Guangzhou, and Wuhan were −24%, −18%, −4%, and −39%, respectively. Furthermore, the O3 concentration increments were 5%, 14%, 12%, and 14%. Second, we used a bottom-up approach to obtain the conclusion that the monthly averaged NO2 concentrations in Beijing, Shanghai, and Wuhan in March had the largest changes, changing to −39%, −40%, and −61%, respectively. The corresponding amounts of changes in monthly averaged O3 concentrations were −14%, −2%, and 9%. However, the largest amount of change in monthly averaged NO2 concentration in Guangzhou was found in December 2020, with a value of −40%. The change in O3 concentration was −12% in December. Finally, we analyzed the relationship of NO2 and O3 concentrations with XCO2. Moreover, the results show that the effect of NO2 concentration on XCO2 is positively correlated from the point of the satellite (R = 0.4912) and the point of the ground monitoring stations (R = 0.3928). Surprisingly, we found a positive (in satellite observations and R = 0.2391) and negative correlation (in ground monitoring stations and R = 0.3333) between XCO2 and the O3 concentrations. During the epidemic period, some scholars based on model analysis found that Wuhan’s carbon emissions decreased by 16.2% on average. Combined with satellite data, we estimate that Wuhan’s XCO2 fell by about 1.12 ppm in February. At last, the government should consider reducing XCO2 and NO2 concentration at the same time to make a synergistic reduction.

Abstract P261: Is Hypertension A Clinically Important Independent Risk Factor For Critical Illness In Covid-19?

Reports from major COVID-19 epicenters revealed higher morbidity and mortality rates among patients with a history of hypertension, coronary artery disease, diabetes mellitus, chronic kidney disease, and obesity. A large US study of 5,700 hospitalized patients with COVID-19 revealed an overall hypertension rate of 56%. Evidence from meta-analysis suggested that hypertension was independently associated with a significantly increased risk of critical COVID-19. The link between hypertension and COVID-19 is unclear and severity of COVID-19 illness is skewed towards the elderly population who have a higher prevalence of hypertension and number of comorbidities. A cohort of 661 positive COVID patients admitted to the Loyola hospital from 3/11/2020 to 10/12/2020 was used to validate previously published results with the composite outcome of ‘critically ill’, defined as invasive ventilation, ICU admission, or in-hospital death. The proportions of hypertension in critical COVID-19 were 77% when compared with 69% of noncritical COVID-19 patients (p 0.022), the proportion of CVD (cardiovascular heart disease) was 72% and 64% respectively (p 0.036) and diabetes was 50% and 42% respectively (p 0.029). Obesity and chronic kidney disease did not meet statistical significance as independent variables. The mean systolic pressure on admission was about the same 128 and 120 for critical ill and non critical ill respectively with p 0.864. All statistical analyses were performed using SAS 9.4 (Cary, NC). Two-sided p-values of &lt;0.05 were deemed statistically significant. Least Absolute Shrinkage and Selection Operator (LASSO) regression was used for development of predictor risk score. LASSO identified 8 variables for a multivariable model (HR, SBP, SPO2&lt;90%, Fever, LDH, Ferritin, D-dimer).In the multivariable model: SpO2 &lt;90, fever at admission, and increasing LDH were found to be statistically associated with our outcome. This multivariable model resulted in an AUC of 0.71 (95% CI: 0.67, 0.74) which was increased to 0.73 by adding age and number of comorbidities. In our study, the prevalence of hypertension was higher but age and number or comorbidities are important variables that when used in a multivariable logistic regression model increased the AUC.

How Brazil's President turned the country into a global epicenter of COVID-19.

In this manuscript, we point out that the federal government headed by President Bolsonaro has pursued a political agenda that contributed to the spread of COVID-19, transforming the country into a major repository for SARS-CoV-2 and its variants, thus representing a risk for worldwide containment efforts. Furthermore his actions are also weakening democratic institutions, which could counter his political agenda, effectively facilitating the spread of COVID-19. Thus, the perpetuation of the COVID-19 pandemic in Brazil is due to human behaviour factors, especially high-level public decision makers.

Death Analysis of 10 Major Diseases Before and During COVID-19 Pandemic in Papua Province, Indonesia, 2020

Some of the co-morbidities that may cause death in COVID-19 patients include: hypertension, diabetes,lung disease, heart disease and malaria. People with the disease have a high death rate when they becomeinfected with COVID-19. The aim of this study is to analyze the deaths of the top 10 diseases in the PapuaProvince prior to and during the COVID-19 pandemic. The research method used in this study is a mixmethod. The research was conducted in Papua Province and Yowari Regional Hospital, Jayapura Regency,from September to November 2020. The informants were the Head of the Provincial Health Office and threeheads of the COVID-19 epicenter of the Health Office. Quantitative samples were taken from patients whodied between January 2020 and June 2020, namely 87 cases of death. A sample of 87 people was obtainedusing a total sampling technique. Data gathering techniques are secondary data and in-depth interviews. Theresults showed an increase in the number of deaths in the top 10 diseases before and during COVID-19,with an increase of 71 percent. The cause of the increase in death rates before and during the COVID-19pandemic was due to a misconception of health and illness, as well as to the behavior of people who werelate to go to health services. Death from heart failure was the main cause of death. At Yowari RegionalHospital, Jayapura Regency, people who died from the top 10 diseases before COVID-19 were aged 26-45years, i.e. 11 people (34.4 percent). Meanwhile, the majority were 46-65 years old during the COVID-19pandemic, i.e. 18 people (32.7 percent). Promotional and preventive efforts are the strategy of the localgovernment (Health Department) to reduce deaths from the top 10 diseases during the COVID-19 pandemic.

Coping Strategy, Social Support, and Psychological Distress Among University Students in Jakarta, Indonesia During the COVID-19 Pandemic.

The COVID-19 pandemic has challenged the world for a year, where a study in China showed that the disease increased psychological distress among adolescents and college students, such as anxiety about the academic setback, economic effects, and impact on their daily life. However, a further study examining the impact of the disease on the mental health of students is required. Social support is the most vital psychosocial protective resource, where effective coping can reduce stress levels and prevent individuals from experiencing more severe psychological distress. Therefore, this study investigated the coping strategy, social support, and psychological distress among university students in Jakarta who are also the epicenter of COVID-19 in Indonesia. The psychological distress and coping strategy variable were measured through the Hopkins Symptoms Checklist-25 (HSCL-25) and the COPE Brief instrument, respectively. Meanwhile, the Multidimensional Perceived Social Support-12 instrument was used to measure the social support variable. The study was disseminated via an online form and the number of research subjects included 250 students who matched the research criteria, including DKI Jakarta domicile and active students registered in the area that were confirmed to be COVID-19 positive. According to the results, coping strategies and increased social support were significantly correlated with decreased psychological distress and may serve as the basis for interventions.

COVID-19 pandemic impact on dentists in Latin America's epicenter: São-Paulo, Brazil.

The state of São Paulo, Brazil, where more than 94.000 dentists are currently registered, has become the epicenter of COVID-19 in Latin America. The aim of this cross-sectional study was to evaluate the impact of COVID-19 pandemic on dentists in this state. A semi-structured questionnaire was sent via e-mail to 93.280 dentists with active registration in the Dental Council of São Paulo (CROSP). The impact of COVID-19 pandemic was assessed through questions related to demographic, socioeconomic, dental practice characteristics and personal protective equipment (PPE) use. Ordinal logistic regression analysis was performed to investigate the association between all the variables (p<0.05). Over 8 days, 2113 responses were received. Only 26.52% of the sample reported a low-income reduction (from 0-10%), while the majority of dentists reported a more negative financial impact, 35.6% with a reduction of more than 50% of their monthly income. Dentists who worked in the private sector and at the capital had a greater financial impact when compared to those of the public sector and countryside of the state (p<0.05). Furthermore, about 83% reported not having received any specific training to control the transmission of coronavirus in the health area. This study provides evidence of the negative impact of the COVID-19 pandemic on the routine of dentists in the state of São Paulo, Brazil. Hopefully, this study will help dental and other health care professionals to better understand the consequences of disease in dental settings and strengthen preparedness throughout the dental health care system.