The erasure of infection-associated chronic conditions: Critical interpretive synthesis of literature on healthcare for long COVID and related conditions in Brazil

Evidence is emerging that long COVID is at least as prevalent in the Global South as the Global North, but literature on long COVID healthcare in the Global South is in its infancy. Brazil is seeing significant levels of debility due to long COVID but a limited national evidence-base. long COVID sha...

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Main Authors: Flora Cornish, Brenda Sabaine, Letícia Soares, Barbara Caldas, Margareth Crisóstomo Portela, Aylene Bousquat, Emma-Louise Aveling
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Global Public Health
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Online Access:https://www.tandfonline.com/doi/10.1080/17441692.2025.2490720
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author Flora Cornish
Brenda Sabaine
Letícia Soares
Barbara Caldas
Margareth Crisóstomo Portela
Aylene Bousquat
Emma-Louise Aveling
author_facet Flora Cornish
Brenda Sabaine
Letícia Soares
Barbara Caldas
Margareth Crisóstomo Portela
Aylene Bousquat
Emma-Louise Aveling
author_sort Flora Cornish
collection DOAJ
description Evidence is emerging that long COVID is at least as prevalent in the Global South as the Global North, but literature on long COVID healthcare in the Global South is in its infancy. Brazil is seeing significant levels of debility due to long COVID but a limited national evidence-base. long COVID shares symptomatology and appropriate care with a wider category of infection-associated chronic conditions (IACCs). This article reviews literature published between 2000 and 2023 addressing healthcare for long COVID and IACCs in Brazil, in the interest of exploring challenges and opportunities for the SUS (Brazil’s universal health system) to offer appropriate long COVID healthcare. We find that long COVID and IACCs collectively are subject to erasure from Brazilian healthcare knowledge, through lack of expertise, a resource-limited health system prioritising urgent care, and the concentration of poor health in marginalised populations with limited decision-making power. A nascent intellectual will to address long COVID, and a tradition of social participation in healthcare governance present potential opportunities. We call for ignition of a global step-change in tackling healthcare for long COVID and IACCs. Global equity in long COVID healthcare requires the development and sharing of expertise regarding its universal and context-specific features.
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spelling doaj-art-dc9edd9017274f2ab4b6a8ff8590579b2025-08-20T02:24:31ZengTaylor & Francis GroupGlobal Public Health1744-16921744-17062025-12-0120110.1080/17441692.2025.2490720The erasure of infection-associated chronic conditions: Critical interpretive synthesis of literature on healthcare for long COVID and related conditions in BrazilFlora Cornish0Brenda Sabaine1Letícia Soares2Barbara Caldas3Margareth Crisóstomo Portela4Aylene Bousquat5Emma-Louise Aveling6Department of Methodology, London School of Economics & Political Science, London, UKDepartment of Methodology, London School of Economics & Political Science, London, UKPatient-Led Research Collaborative, Calabasas, CA, USADepartamento de Administração e Planejamento em Saúde, Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, BrazilDepartamento de Administração e Planejamento em Saúde, Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, BrazilDepartment of Politics, Management & Health, University of São Paulo, São Paulo, BrazilHealth Policy & Management, Harvard T.H. Chan School of Public Health, Boston, MA, USAEvidence is emerging that long COVID is at least as prevalent in the Global South as the Global North, but literature on long COVID healthcare in the Global South is in its infancy. Brazil is seeing significant levels of debility due to long COVID but a limited national evidence-base. long COVID shares symptomatology and appropriate care with a wider category of infection-associated chronic conditions (IACCs). This article reviews literature published between 2000 and 2023 addressing healthcare for long COVID and IACCs in Brazil, in the interest of exploring challenges and opportunities for the SUS (Brazil’s universal health system) to offer appropriate long COVID healthcare. We find that long COVID and IACCs collectively are subject to erasure from Brazilian healthcare knowledge, through lack of expertise, a resource-limited health system prioritising urgent care, and the concentration of poor health in marginalised populations with limited decision-making power. A nascent intellectual will to address long COVID, and a tradition of social participation in healthcare governance present potential opportunities. We call for ignition of a global step-change in tackling healthcare for long COVID and IACCs. Global equity in long COVID healthcare requires the development and sharing of expertise regarding its universal and context-specific features.https://www.tandfonline.com/doi/10.1080/17441692.2025.2490720Long COVIDBrazilglobal health equityinfection associated chronic conditionshealthcareSDG 3: Good health and wellbeing
spellingShingle Flora Cornish
Brenda Sabaine
Letícia Soares
Barbara Caldas
Margareth Crisóstomo Portela
Aylene Bousquat
Emma-Louise Aveling
The erasure of infection-associated chronic conditions: Critical interpretive synthesis of literature on healthcare for long COVID and related conditions in Brazil
Global Public Health
Long COVID
Brazil
global health equity
infection associated chronic conditions
healthcare
SDG 3: Good health and wellbeing
title The erasure of infection-associated chronic conditions: Critical interpretive synthesis of literature on healthcare for long COVID and related conditions in Brazil
title_full The erasure of infection-associated chronic conditions: Critical interpretive synthesis of literature on healthcare for long COVID and related conditions in Brazil
title_fullStr The erasure of infection-associated chronic conditions: Critical interpretive synthesis of literature on healthcare for long COVID and related conditions in Brazil
title_full_unstemmed The erasure of infection-associated chronic conditions: Critical interpretive synthesis of literature on healthcare for long COVID and related conditions in Brazil
title_short The erasure of infection-associated chronic conditions: Critical interpretive synthesis of literature on healthcare for long COVID and related conditions in Brazil
title_sort erasure of infection associated chronic conditions critical interpretive synthesis of literature on healthcare for long covid and related conditions in brazil
topic Long COVID
Brazil
global health equity
infection associated chronic conditions
healthcare
SDG 3: Good health and wellbeing
url https://www.tandfonline.com/doi/10.1080/17441692.2025.2490720
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