Journal article
Variation in Non-external and External Causes of Death in Peru in Relation to the COVID-19 Lockdown
The Yale journal of biology & medicine, v 94(1), pp 23-40
31 Mar 2021
PMID: 33795980
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
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.
Metrics
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Details
- Title
- Variation in Non-external and External Causes of Death in Peru in Relation to the COVID-19 Lockdown
- Creators
- Renzo J.C. Calderon-Anyosa - Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, CanadaUsama Bilal - Drexel UniversityJay S. Kaufman - Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, Canada
- Publication Details
- The Yale journal of biology & medicine, v 94(1), pp 23-40
- Series
- Focus: Preventive Medicine
- Publisher
- YJBM
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative
- Web of Science ID
- WOS:000669538200004
- Scopus ID
- 2-s2.0-85103806126
- Other Identifier
- 991019167541104721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Biology
- Medicine, Research & Experimental