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Variation in Non-external and External Causes of Death in Peru in Relation to the COVID-19 Lockdown

Introduction: Lockdowns are designed to slow COVID-19 transmission, but they may have unanticipated relationships with other aspects of public health. Assessing the overall pattern in population health as a country implements and relaxes a lockdown is relevant, as these patterns may not necessarily...

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Autores principales: Calderon-Anyosa, Renzo J.C., Bilal, Usama, Kaufman, Jay S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: YJBM 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7995934/
https://www.ncbi.nlm.nih.gov/pubmed/33795980
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author Calderon-Anyosa, Renzo J.C.
Bilal, Usama
Kaufman, Jay S.
author_facet Calderon-Anyosa, Renzo J.C.
Bilal, Usama
Kaufman, Jay S.
author_sort Calderon-Anyosa, Renzo J.C.
collection PubMed
description Introduction: Lockdowns are designed to slow COVID-19 transmission, but they may have unanticipated relationships with other aspects of public health. Assessing the overall pattern in population health as a country implements and relaxes a lockdown is relevant, as these patterns may not necessarily be symmetric. We aimed to estimate the changing trends in cause-specific mortality in relation to the 2020 COVID-19 related lockdowns in Peru. Methods: Based on data from the Peruvian National Death Information System (SINADEF), we calculated death rates per 10 million population to assess the trends in mortality rates for non-external and external causes of death (suicides, traffic accidents, and homicides). We compared these trends to 2018-2019, before, during, and after the lockdown, stratified by sex, and adjusted by Peruvian macro-region (Lima & Callao (capital region), Coast, Highland, and Jungle). Results: Non-external deaths presented a distinctive pattern among macro-regions, with an early surge in the Jungle and a later increase in the Highland. External deaths dropped during the lockdown, however, suicides and homicides returned to previous levels in the post-lockdown period. Deaths due to traffic accidents dropped during the lockdown and returned to pre-pandemic levels by December 2020. Conclusions: We found a sudden drop in external causes of death, with suicides and homicides returning to previous levels after the lifting of the lockdown. Non-external deaths showed a differential pattern by macro-region. A close monitoring of these trends could help identify early spikes among these causes of death and take action to prevent a further increase in mortality indirectly affected by the pandemic.
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spelling pubmed-79959342021-03-31 Variation in Non-external and External Causes of Death in Peru in Relation to the COVID-19 Lockdown Calderon-Anyosa, Renzo J.C. Bilal, Usama Kaufman, Jay S. Yale J Biol Med Original Contribution Introduction: Lockdowns are designed to slow COVID-19 transmission, but they may have unanticipated relationships with other aspects of public health. Assessing the overall pattern in population health as a country implements and relaxes a lockdown is relevant, as these patterns may not necessarily be symmetric. We aimed to estimate the changing trends in cause-specific mortality in relation to the 2020 COVID-19 related lockdowns in Peru. Methods: Based on data from the Peruvian National Death Information System (SINADEF), we calculated death rates per 10 million population to assess the trends in mortality rates for non-external and external causes of death (suicides, traffic accidents, and homicides). We compared these trends to 2018-2019, before, during, and after the lockdown, stratified by sex, and adjusted by Peruvian macro-region (Lima & Callao (capital region), Coast, Highland, and Jungle). Results: Non-external deaths presented a distinctive pattern among macro-regions, with an early surge in the Jungle and a later increase in the Highland. External deaths dropped during the lockdown, however, suicides and homicides returned to previous levels in the post-lockdown period. Deaths due to traffic accidents dropped during the lockdown and returned to pre-pandemic levels by December 2020. Conclusions: We found a sudden drop in external causes of death, with suicides and homicides returning to previous levels after the lifting of the lockdown. Non-external deaths showed a differential pattern by macro-region. A close monitoring of these trends could help identify early spikes among these causes of death and take action to prevent a further increase in mortality indirectly affected by the pandemic. YJBM 2021-03-31 /pmc/articles/PMC7995934/ /pubmed/33795980 Text en Copyright ©2021, Yale Journal of Biology and Medicine https://creativecommons.org/licenses/by-nc/4.0/ This is an open access article distributed under the terms of the Creative Commons CC BY-NC license, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited. You may not use the material for commercial purposes.
spellingShingle Original Contribution
Calderon-Anyosa, Renzo J.C.
Bilal, Usama
Kaufman, Jay S.
Variation in Non-external and External Causes of Death in Peru in Relation to the COVID-19 Lockdown
title Variation in Non-external and External Causes of Death in Peru in Relation to the COVID-19 Lockdown
title_full Variation in Non-external and External Causes of Death in Peru in Relation to the COVID-19 Lockdown
title_fullStr Variation in Non-external and External Causes of Death in Peru in Relation to the COVID-19 Lockdown
title_full_unstemmed Variation in Non-external and External Causes of Death in Peru in Relation to the COVID-19 Lockdown
title_short Variation in Non-external and External Causes of Death in Peru in Relation to the COVID-19 Lockdown
title_sort variation in non-external and external causes of death in peru in relation to the covid-19 lockdown
topic Original Contribution
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7995934/
https://www.ncbi.nlm.nih.gov/pubmed/33795980
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