Objective:

describe the epidemiological situation by Covid-19 in Bolivia compared to South American countries.

Methodology:

Observational study of ecological type was conducted; with aggregated data at the departmental and national level, from the reports of the Bolivian Ministry of Health and the WHO. Absolute frequencies, percentages, and rates of incidence, mortality, lethality, and vaccination coverage are reported, broken down by country and department.

Results:

In the South American context, Bolivia ranks 6th in the number of cumulative confirmed cases (n=1,198,404); 7th in the number of deaths (n=22,383), 5th in lethality (1.9%), and 9th in vaccination coverage (52.08%) from ten countries. A decreasing trend is observed in Bolivia, between the first epidemic wave (n=144,592) to the 6th wave (n=88,859); Santa Cruz reported the most cases (n=4037,908) and Pando the lowest (n=15,081). The incidence rate was highest in Tarija and lowest in Potosí. The fatality rate was higher in the first wave (6.20%) and lower in the sixth wave (0.20%). Vaccination coverage with at least one dose was higher in Tarija (75.10%), and the lowest in Beni (57.10%).

Conclusion:

Bolivia presents a significant decrease in the total number of new cases reported, with a decrease in the mortality and lethality rate; however, full-schedule vaccination coverage and booster doses continue to be one of the lowest in South America.

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