The Impact of COVID-19 on Mortality in Spain: Monitoring Excess Mortality (MoMo) and the Surveillance of Confirmed COVID-19 Deaths

被引:15
|
作者
Leon-Gomez, Inmaculada [1 ,2 ]
Mazagatos, Clara [1 ,2 ]
Delgado-Sanz, Concepcion [1 ,2 ]
Frias, Luz [3 ]
Vega-Piris, Lorena [1 ]
Rojas-Benedicto, Ayelen [1 ,2 ]
Larrauri, Amparo [1 ,2 ]
机构
[1] Inst Hlth Carlos III, Natl Ctr Epidemiol, Madrid 28029, Spain
[2] Inst Hlth Carlos III, Consortium Biomed Res Epidemiol & Publ Hlth CIBER, Madrid 28029, Spain
[3] CIRCITER SL, Madrid 28005, Spain
来源
VIRUSES-BASEL | 2021年 / 13卷 / 12期
关键词
excess mortality; COVID-19; surveillance;
D O I
10.3390/v13122423
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
Measuring mortality has been a challenge during the COVID-19 pandemic. Here, we compared the results from the Spanish daily mortality surveillance system (MoMo) of excess mortality estimates, using a time series analysis, with those obtained for the confirmed COVID-19 deaths reported to the National Epidemiological Surveillance Network (RENAVE). The excess mortality estimated at the beginning of March 2020 was much greater than what has been observed in previous years, and clustered in a very short time. The cumulated excess mortality increased with age. In the first epidemic wave, the excess mortality estimated by MoMo was 1.5 times higher than the confirmed COVID-19 deaths reported to RENAVE, but both estimates were similar in the following pandemic waves. Estimated excess mortality and confirmed COVID-19 mortality rates were geographically distributed in a very heterogeneous way. The greatest increase in mortality that has taken place in Spain in recent years was detected early by MoMo, coinciding with the spread of the COVID-19 pandemic. MoMo is able to identify risk situations for public health in a timely manner, relying on mortality in general as an indirect indicator of various important public health problems.
引用
收藏
页数:9
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