Investigating regional excess mortality during 2020 COVID-19 pandemic in selected Latin American countries.

Investigating regional excess mortality during 2020 COVID-19 pandemic in selected Latin American countries.
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调查2020年Covid-19-19年大流行期间的区域过剩死亡率在选定的拉丁美洲国家。

DOI:
10.1186/s41118-021-00139-1
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发表时间:
2021
期刊:
影响因子:
--
通讯作者:
Freire FHMA
Freire FHMA
中科院分区:
其他
文献类型:
--
作者:
Lima EEC;Vilela EA;Peralta A;Rocha M;Queiroz BL;Gonzaga MR;Piscoya-Díaz M;Martinez-Folgar K;García-Guerrero VM;Freire FHMA

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在本文中,我们衡量了2020年COVID-19大流行浪潮在受影响最严重的选定拉丁美洲国家(巴西、智利、厄瓜多尔、危地马拉、墨西哥和秘鲁)的国家和地方层面的影响。我们使用可公开获得的每月死亡率数据,以每个国家及其地区的超额死亡率来衡量大流行的影响。我们比较了2020年国家和地区层面的死亡率与近期趋势的死亡率水平,并估计了死亡率对出生时预期寿命的影响。我们的研究结果表明,从2020年4月起,每个国家的多个地区的死亡率都超过了通常的月度水平。在墨西哥和秘鲁,截至2020年下半年末,死亡率过高的情况在多个地区蔓延。在较小程度上,我们在巴西、智利和厄瓜多尔观察到了类似的模式。我们还发现,随着疫情的发展,在社会经济和卫生条件较差的地区,死亡率过高变得更加明显。这种高死亡率使这些国家的预期寿命减少了2至10年。尽管缺乏关于COVID-19死亡率的可靠信息,但超额死亡率是衡量冠状病毒大流行影响的有用指标,特别是在拉丁美洲国家的情况下,其生命登记系统仍然缺乏关于死亡原因的良好信息。在线版本包含补充材料,可通过10.1186/s41118-021-00139-1获得。
In this paper, we measure the effect of the 2020 COVID-19 pandemic wave at the national and subnational levels in selected Latin American countries that were most affected: Brazil, Chile, Ecuador, Guatemala, Mexico, and Peru. We used publicly available monthly mortality data to measure the impacts of the pandemic using excess mortality for each country and its regions. We compare the mortality, at national and regional levels, in 2020 to the mortality levels of recent trends and provide estimates of the impact of mortality on life expectancy at birth. Our findings indicate that from April 2020 on, mortality exceeded its usual monthly levels in multiple areas of each country. In Mexico and Peru, excess mortality was spreading through many areas by the end of the second half of 2020. To a lesser extent, we observed a similar pattern in Brazil, Chile, and Ecuador. We also found that as the pandemic progressed, excess mortality became more visible in areas with poorer socioeconomic and sanitary conditions. This excess mortality has reduced life expectancy across these countries by 2–10 years. Despite the lack of reliable information on COVID-19 mortality, excess mortality is a useful indicator for measuring the effects of the coronavirus pandemic, especially in the context of Latin American countries, where there is still a lack of good information on causes of death in their vital registration systems. The online version contains supplementary material available at 10.1186/s41118-021-00139-1.
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