Evidence map›Paper›PMID 34571148›Full record

ArticleInternational journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases2021

Excess mortality during the COVID-19 pandemic: a geospatial and statistical analysis in Mogadishu, Somalia.

Abdihamid Warsame, Farah Bashiir, Terri Freemantle, Chris Williams, Yolanda Vazquez, Chris Reeve, Ahmed Aweis, Mohamed Ahmed, Francesco Checchi, Abdirisak Dalmar

Abstract read
In one paragraph

Article in International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Mortality among populations affected by armed conflict in northeast Nigeria, 2016 to 2019.Proceedings of the National Academy of Sciences of the United States of America · 2023
    Article
  8. Article
  9. Article
  10. COVID-19 impacts on healthcare access in sub-Saharan Africa: an overview.The journal of venomous animals and toxins including tropical diseases · 2023
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Abdihamid WarsameFaculty of Epidemiology and Population Health, The London School of Hygiene and Tropical Medicine, London, United Kingdom. Electronic address: Abdihamid.warsame@lshtm.ac.uk.
Farah BashiirSomali Disaster Resilience Institute, Mogadishu, Somalia.
Terri FreemantleSatellite Applications Catapult, Didcot, London, United Kingdom.
Chris WilliamsSatellite Applications Catapult, Didcot, London, United Kingdom.
Yolanda VazquezSatellite Applications Catapult, Didcot, London, United Kingdom.
Chris ReeveSatellite Applications Catapult, Didcot, London, United Kingdom.
Ahmed AweisSomali Disaster Resilience Institute, Mogadishu, Somalia.
Mohamed AhmedSomali Disaster Resilience Institute, Mogadishu, Somalia.
Francesco ChecchiFaculty of Epidemiology and Population Health, The London School of Hygiene and Tropical Medicine, London, United Kingdom.
Abdirisak DalmarSomali Disaster Resilience Institute, Mogadishu, Somalia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhile the impact of the COVID-19 pandemic has been well documented in high-income countries, less is known about the health effects in Somalia, where health systems are weak and vital registration is underdeveloped.

methodsWe used remote sensing and geospatial analysis to quantify burial numbers from January 2017 to September 2020 in Mogadishu. We imputed missing grave counts using surface area data. Simple interpolation and a generalised additive mixed growth model were used to predict actual and counterfactual burial rates by cemetery and across Mogadishu during the most likely period of COVID-19 excess mortality and to compute excess burials. We undertook a qualitative survey of key informants to determine the drivers of COVID-19 excess mortality.

resultsBurial rates increased during the pandemic, averaging 1.5-fold and peaking at a 2.2-fold increase on pre-pandemic levels. When scaled to plausible range of baseline crude death rates, the excess death toll between January and September 2020 was 3200-11 800. Compared with Barakaat Cemetery Committee's burial records, our estimates were lower.

conclusionsOur study indicates considerable underestimation of the health effects of COVID-19 in Banadir and an overburdened public health system struggling to deal with the increasing severity of the epidemic in 2020.

Indexed as

COVID-19PandemicsHumansResearch DesignSARS-CoV-2SomaliaCOVID-19epidemicevaluationhumanitarianmortality

Identifiers

PMID34571148
PMCPMC8572680

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.