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The COVID-19 disease is spreading quickly around the globe. As the COVID-19 outbreak advances, governments are warning individuals at high risk to strictly follow restrictions to control the outbreak. To date, most information about the risk factors of the COVID-19 comes from China, South Korea, and Europe. Since the first outbreaks in China, more than 50 thousand individuals died. 1 Deaths are highest in Italy, Spain, China, France, and in the US. 1 Individuals above age 60 are at higher risk of dying if infected with the novel coronavirus. 2, 3 In Italy, the country that registered nearly one-fourth of the deaths worldwide, 90% of the deaths were above age 70, and 10% above age 90. Also, individuals with diabetes, cardiovascular and respiratory diseases, and cancer are at greater risk of death by COVID-19. 3, 4

More recently, the COVID-19 disease is advancing fast towards different settings. Regions with a high burden of infectious diseases such as HIV, malaria, and dengue including Latin America and Africa are experiencing an increasing number of confirmed cases and deaths. Since the age structure and the distribution of relevant co-morbidities vary substantially by country, the risk profile for COVID-19 could be very different in some low income settings from that observed to date in China, South Korea and Europe. 5, 6