<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0034-7523</journal-id>
<journal-title><![CDATA[Revista Cubana de Medicina]]></journal-title>
<abbrev-journal-title><![CDATA[Rev cubana med]]></abbrev-journal-title>
<issn>0034-7523</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias MédicasEditorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-75232021000100009</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Coronavirus 2019 y personas en situación de calle en el estado de Mato Grosso, Brasil]]></article-title>
<article-title xml:lang="en"><![CDATA[Coronavirus 2019 and people living on the streets in Mato Grosso State, Brazil]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pereira Terças-Trettel]]></surname>
<given-names><![CDATA[Ana Cláudia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Herrero da Silva]]></surname>
<given-names><![CDATA[Juliana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[de Oliveira]]></surname>
<given-names><![CDATA[Elaine Cristina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Yuri Hattori]]></surname>
<given-names><![CDATA[Thalise]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[de Oliveira Ferreira]]></surname>
<given-names><![CDATA[Dandára Thaís]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[do Nascimento]]></surname>
<given-names><![CDATA[Vagner Ferreira]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sampaio de Lemos]]></surname>
<given-names><![CDATA[Elba Regina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidade do Estado de Mato Grosso  ]]></institution>
<addr-line><![CDATA[Mato Grosso]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Prefeitura Municipal de Tangará da Serra  ]]></institution>
<addr-line><![CDATA[Mato Grosso]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Laboratório Central do Estado de Mato Grosso  ]]></institution>
<addr-line><![CDATA[Mato Grosso]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidade Federal de Mato Grosso  ]]></institution>
<addr-line><![CDATA[Mato Grosso]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Instituto Oswaldo Cruz Fundação Oswaldo Cruz ]]></institution>
<addr-line><![CDATA[Rio de Janeiro-RJ ]]></addr-line>
<country>Brasil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2021</year>
</pub-date>
<volume>60</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-75232021000100009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-75232021000100009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-75232021000100009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La expansión de Coronavirus Disease 2019 (COVID-19) en nuevos territorios representa un gran desafío para la salud pública en el mundo, especialmente para países como Brasil, debido a sus amplias extensiones territoriales y desigualdades regionales.  Objetivos:  Describir, durante la pandemia, el brote de COVID-19 en una población sin hogar en el interior de Mato Grosso, Brasil.  Métodos:  Estudio descriptivo sobre un brote de COVID-19 en el interior del estado de Mato Grosso. Los datos fueron recolectados de los registros documentales de la investigación epidemiológica municipal, en línea con el Sistema Único de Salud.  Resultados:  Del caso índice, una persona en situación de calle que fue trasladada al albergue municipal de Tangará da Serra/Mato Grosso, 47 personas infectadas por Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) fueron confirmadas por pruebas serológicas y/o moleculares: (i) en el albergue: 8 personas en situación de calle y 5 empleados; (ii) contacto con el hogar de los empleados: 3 miembros de la familia; (iii) en la unidad hospitalaria: 19 profesionales y 6 pacientes en la unidad de cuidados intensivos.  Conclusiones:  La falta de protección individual fue un factor decisivo para la infección por SARS-CoV-2 en el caso índice y se extendió en el albergue por la participación de contactos en el hogar. Además de los profesionales en el entorno hospitalario, donde el brote se produjo debido a factores estructurales, la falta de equipos de protección personal adecuados y la falta de una cuidadosa adopción de la bioseguridad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: The expansion of Coronavirus Disease 2019 (COVID-19) in new territories represents great challenge for public health in the world, especially for countries like Brazil, due to its wide territorial extensions and regional inequalities.  Objectives:  To describe, during the pandemic, the COVID-19 outbreak in homeless people in inner Mato Grosso, Brazil.  Methods:  A descriptive study on COVID-19 outbreak was carried out in inner Mato Grosso state. The data were collected from the documentary records of the municipal epidemiological investigation, in line with the Unified Health System.  Results:  From the index case, a person living on the street who was transferred to the municipal shelter in Tangará da Serra, Mato Grosso. Forty seven (47) people got infected by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) and they were confirmed by serological tests and / or molecular: (i) in the shelter: 8 homeless people and 5 employees; (ii) contact with the employees' home: 3 family members; (iii) in the hospital unit: 19 professionals and 6 patients in the intensive care unit.  Conclusions:  The lack of individual protection was a critical factor for SARS-CoV-2 infection in the index case and it spreads in the shelter due to the involvement of domestic contacts. In addition to professionals in the hospital environment, where the outbreak occurred due to structural factors, the lack of adequate personal protection equipment and the lack of careful adoption of biosecurity.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[infecciones por coronavirus]]></kwd>
<kwd lng="es"><![CDATA[epidemiología]]></kwd>
<kwd lng="es"><![CDATA[transmisión]]></kwd>
<kwd lng="es"><![CDATA[personas sin hogar]]></kwd>
<kwd lng="es"><![CDATA[vulnerabilidad en salud]]></kwd>
<kwd lng="en"><![CDATA[coronavirus infections]]></kwd>
<kwd lng="en"><![CDATA[epidemiology]]></kwd>
<kwd lng="en"><![CDATA[transmission]]></kwd>
<kwd lng="en"><![CDATA[homeless]]></kwd>
<kwd lng="en"><![CDATA[vulnerability in health]]></kwd>
</kwd-group>
</article-meta>
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<page-range>634-8</page-range></nlm-citation>
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<person-group person-group-type="author">
<name>
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<given-names><![CDATA[WJ]]></given-names>
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<given-names><![CDATA[ZY]]></given-names>
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<name>
<surname><![CDATA[Hu]]></surname>
<given-names><![CDATA[Y]]></given-names>
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<name>
<surname><![CDATA[Liang]]></surname>
<given-names><![CDATA[WH]]></given-names>
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<name>
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<given-names><![CDATA[CQ]]></given-names>
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<article-title xml:lang=""><![CDATA[Clinical Characteristics of Coronavirus Disease 2019 in China]]></article-title>
<source><![CDATA[N Engl J Med]]></source>
<year>2020</year>
<volume>382</volume>
<numero>18</numero>
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