Excess mortality from all causes during the COVID-19 pandemic in the city of Rio de Janeiro, Brazil

Saraceni, Valéria; Cruz, Oswaldo Gonçalves; Cavalcante, João Roberto; Vieira, Fernanda Morena dos Santos Barbeiro; Cardoso, Bruno Baptista; Cruz, Débora Medeiros de Oliveira e; Aguilar, Gislani Mateus Oliveira; Durovni, Betina; Soranz, Daniel; Garcia, Márcio Henrique de Oliveira

doi:10.1590/1980-549720230013

Cited by 3 publications

(3 citation statements)

References 16 publications

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“…Brazil has been hit hard during the COVID-19 pandemic, resulting in roughly 706,000 direct and a few hundred thousand indirect deaths, including those related to diabetes mellitus, maternal mortality and other respiratory causes (Nucci et al, 2023; Orellana et al, 2022; Saraceni et al, 2023). According to a preliminary analysis on suicides in Brazil during the first pandemic months, excess suicides were almost entirely restricted to certain subgroups (Orellana & Souza, 2022), such as women and girls, the elderly and those regions that historically have the worst social indicators and access to health facilities (Baqui et al, 2020; Ferreira et al, 2023; Szwarcwald et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

Excess suicides in Brazil during the first 2 years of the COVID-19 pandemic: Gender, regional and age group inequalities

Orellana,

de Souza,

Horta

2023

Int J Soc Psychiatry

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Background: While the COVID-19 pandemic’s total impact on global mortality is uncertain, an estimated 15 million excess deaths occurred during the first two pandemic years, suggesting that a broad impact, since several causes of death showed a substantial rise. Aims: To estimate excess suicides in Brazil and evaluate differences within and between subgroups during the first 2 years of the COVID-19 pandemic. Method: Based on suicide data from the mortality information system of the Brazilian Ministry of Health, the expected number of suicides was estimated by age group, gender, 4-month periods and regions through quasi-Poisson generalized additive models. Analyses were performed in R software and RStudio. Results: Between March 2020 and February 2022, 29,295 suicides were reported in Brazil, close to what would be expected (30,116; 95% Confidence Interval (95% CI): [28,009, 32,224]), albeit in males and females aged 30 to 59 years and 60 years and over, there were excess suicides in at least one of the six 4-month periods evaluated, especially in the second pandemic year. In the Southeast region, a 28% increase was observed in women 60 years and older during the second year. In the North region, suicide increased 23% and 32% among women aged 30 to 59 years during the first and second pandemic years, respectively. The Northeast region had a 16% excess in suicides among men aged 30 to 59 years and 61% among women 60 years old and older during the second pandemic year, reaching 83% in July to October 2021. Conclusions: During the first 2 pandemic years, the pattern of suicides was not homogeneous in Brazil. There were substantial excess suicides in women aged 30 to 59 years from the North and Northeast, while among the elderly and men there was a consistent pattern in several four-month periods throughout Brazil.

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Section: Introductionmentioning

confidence: 99%

Excess suicides in Brazil during the first 2 years of the COVID-19 pandemic: Gender, regional and age group inequalities

Orellana,

de Souza,

Horta

2023

Int J Soc Psychiatry

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“…Conversely, people have also stopped seeking these services for fear of exposure to the virus. These situations caused failures in diagnosis and treatment in primary care, with the interruption of the usual patterns of health care globally 6 .…”

Section: Introductionmentioning

confidence: 99%

“…Por outro lado, as pessoas também deixaram de procurar esses serviços por medo da exposição ao vírus. Essas situações provocaram falhas no diagnóstico e tratamento na atenção primária, com a interrupção dos padrões usuais de atendimento à saúde de forma global 6 .…”

Section: Introductionunclassified

Análise da tendência nas taxas de detecção de sífilis em gestantes e de incidência de sífilis congênita no Ceará no período de 2015 a 2021

Rocha,

Araújo,

Almeida

et al. 2023

Rev. bras. epidemiol.

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RESUMO Objetivo: Analisar a tendência na taxa de detecção de sífilis em gestantes (SG) e na taxa de incidência de sífilis congênita (SC) no estado do Ceará. Métodos: Estudo ecológico que utilizou a técnica da série temporal interrompida para analisar os dados mensais de casos de SG e SC obtidos no Departamento de Informática do Sistema Único de Saúde (DATASUS) no período de janeiro de 2015 a julho de 2021. Utilizaram-se o teste de Kernel e a estimativa de Lincoln-Petersen para analisar a significância estatística. Resultados: Em 2015, estimou-se uma taxa de detecção mensal de SG de 5,4 e de incidência de SC de 8,2 por 1 mil nascidos vivos (NV). A implantação da portaria que alterou os critérios de definição de caso de SG e de SC implicou no aumento de 4,9 na taxa de detecção de SG (p<0,0001; IC95% 3,33; 6,61) e na queda de 0,1 na taxa de incidência de SC (p<0,001; IC95% -0,2; -0,1). A pandemia de COVID-19 não impactou na taxa de detecção mensal de SG (p=0,558; IC95% 5,92; 3,22), nem na sua tendência (p=0,7397; IC95% 0,28; 0,3), mas houve aumento de 0,19 na de SC (p<0,001; IC95% 0,1; -0,31). Conclusões: Entre os anos de 2015 e junho de 2021, a tendência na taxa de detecção de SG e na taxa de incidência da SC sofreu impacto das mudanças nos critérios de definição de caso desses agravos propostas pelo Ministério da Saúde e da pandemia de COVID-19.

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Trend analysis in syphilis detection rates in pregnant women and in the incidence rate of congenital syphilis in the state of Ceará from 2015 to 2021

Rocha,

Araújo,

Almeida

et al. 2023

Rev. bras. epidemiol.

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Objective: To analyze the trend in the detection rate of Syphilis in Pregnant Women (SP) and in the incidence rate of Congenital Syphilis (CS) in the state of Ceará. Methods: This is an ecological study that used the technique of interrupted time series to analyze monthly data on cases of SP and CS obtained from the Department of Informatics of the Brazilian Unified Health System (DATASUS) from January 2015 to July 2021. The Kernel test and the Lincoln-Petersen estimate were used to analyze the statistical significance. Results: In 2015, a monthly detection rate of SP was estimated at 5.4 and a CS incidence rate of 8.2 per one thousand live births (LB). The implementation of the ordinance that changed the criteria for defining cases of SP and CS resulted in an increase of 4.9 (p<0.0001; 95%CI; 3.33; 6.61) in the detection rate of SP and a decrease of 0.1 on the incidence of CS (p<0.001; 95%CI -0.2; -0.1). The COVID-19 pandemic did not impact the monthly detection rate of SP (p=0.558; 95%CI 5.92; 3.22), nor its trend (p=0.7397; 95%CI 0.28; 0.3), but there was an increase of 0.19 in CS (p<0.001; 95%CI 0.1; -0.31). Conclusion: Between 2015 and June 2021, the trend in the detection rate of SP and in the incidence rate of CS was impacted by changes in the criteria for defining cases of these diseases proposed by the Brazilian Ministry of Health and the COVID-19 pandemic.

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Excess mortality from all causes during the COVID-19 pandemic in the city of Rio de Janeiro, Brazil

Cited by 3 publications

References 16 publications

Excess suicides in Brazil during the first 2 years of the COVID-19 pandemic: Gender, regional and age group inequalities

Excess suicides in Brazil during the first 2 years of the COVID-19 pandemic: Gender, regional and age group inequalities

Análise da tendência nas taxas de detecção de sífilis em gestantes e de incidência de sífilis congênita no Ceará no período de 2015 a 2021

Trend analysis in syphilis detection rates in pregnant women and in the incidence rate of congenital syphilis in the state of Ceará from 2015 to 2021

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