ArticleRevista da Sociedade Brasileira de Medicina Tropical2020
Tracking excess deaths associated with the COVID-19 epidemic as an epidemiological surveillance strategy-preliminary results of the evaluation of six Brazilian capitals.
Article in Revista da Sociedade Brasileira de Medicina Tropical, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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10 citing papers in PubMed, 30 citations in OpenAlex.
- Assessing the impact of COVID-19 pandemic on all-cause mortality and child mortality in a population cohort of Iganga Mayuge HDSS in Eastern Uganda (2015-2021).Population health metrics · 2025Article
- [Impact of COVID-19 on home mortality in the city of Rio de Janeiro, Brazil: temporal and spatial analysis, 2010 to 2020].Cadernos de saude publica · 2025Article
- Impact of the COVID-19 pandemic on total, sex- and age-specific all-cause mortality in 20 countries worldwide during 2020: results from the C-MOR project.International journal of epidemiology · 2023Article
- Pandemetrics: systematically assessing, monitoring, and controlling the evolution of a pandemic.Quality & quantity · 2023Article
- Article
- Disparities in Excess Mortality Between Indigenous and Non-Indigenous Brazilians in 2020: Measuring the Effects of the COVID-19 Pandemic.Journal of racial and ethnic health disparities · 2022Article
- Estimation of all-cause excess mortality by age-specific mortality patterns for countries with incomplete vital statistics: a population-based study of the case of Peru during the first wave of the COVID-19 pandemic.Lancet regional health. Americas · 2021Article
- How many more? Under-reporting of the COVID-19 deaths in Brazil in 2020.Tropical medicine & international health : TM & IH · 2021Article
- Characterisation of the first 250,000 hospital admissions for COVID-19 in Brazil: a retrospective analysis of nationwide data.The Lancet. Respiratory medicine · 2021Article
- Excess Mortality Associated With COVID-19 by Demographic Group: Evidence From Florida and Ohio.Public health reports (Washington, D.C. : 1974)Article
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9 authors at 6 institutions in 2 countries.
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Abstract
introductionIn March 2020, the World Health Organization declared the coronavirus disease (COVID-19) outbreak a pandemic. In Brazil, 110 thousand cases and 5,901 deaths were confirmed by the end of April 2020. The scarcity of laboratory resources, the overload on the service network, and the broad clinical spectrum of the disease make it difficult to document all the deaths due to COVID-19. The aim of this study was to assess the mortality rate in Brazilian capitals with a high incidence of COVID-19.
methodsWe assessed the weekly mortality between epidemiological week 1 and 16 in 2020 and the corresponding period in 2019. We estimated the expected mortality at 95% confidence interval by projecting the mortality in 2019 to the population in 2020, using data from the National Association of Civil Registrars (ARPEN-Brasil).
resultsIn the five capitals with the highest incidence of COVID-19, we identified excess deaths during the pandemic. The age group above 60 years was severely affected, while 31% of the excess deaths occurred in the age group of 20-59 years. There was a strong correlation (r = 0.94) between excess deaths and the number of deaths confirmed by epidemiological monitoring. The epidemiological surveillance captured only 52% of all mortality associated with the COVID-19 pandemic in the cities examined.
conclusionsConsidering the simplicity of the method and its low cost, we believe that the assessment of excess mortality associated with the COVID-19 pandemic should be used as a complementary tool for regular epidemiological surveillance.
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