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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...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
YJBM
2021
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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. |
format | Online Article Text |
id | pubmed-7995934 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | YJBM |
record_format | MEDLINE/PubMed |
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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