Perteklinis Lietuvos Gyventojų Mirtingumas Covid-19 Pandemijos Laikotarpiu: Priežastys Ir Pasekmės

Abstract

At present, the Covid-19 pandemic is controlled in many countries by the development of the vaccination and/or the natural immunity of the population. Unfortunately, Lithuania is on the list of the most affected countries in Europe and the world, taking into account the loss of population both from the disease caused by the SARS-CoV-2 virus and from increased mortality from other diseases. We will probably not avoid a pandemic in the future, so it is necessary to analyse why Lithuania has been less successful than neighbouring countries in overcoming the pandemic. The aim of this study is to compare the excess mortality of the population of Lithuania and other countries during the Covid-19 pandemic, and to discuss the possible causes and consequences of the exceptionally high excess mortality of the Lithuanian population. Material and methods: analysis of indicators, comparison of data. The results of the analysis show that a number of countries (Ireland, Denmark, Sweden, Norway, Malta and Germany) not only did not experience significant excess mortality, but their Covid-19 victims per one million population were also incomparably fewer than in Lithuania. In some countries (Luxembourg, Sweden, Norway, Belgium, Denmark), life expectancy increased, suggesting that improvements in public health have been possible even during the Covid-19 pandemic. It is recommended that the experience of these countries be analysed, in order to avoid disruption to public health resulting in exceptionally high excess mortality from Covid-19 and other diseases and a decline in life expectancy.

Perteklinis Mirtingumas Covid-19 Pandemijos Metu: Situacija Lietuvoje Ir Europoje

“…Lietuvos gydymo institucijų duomenys rodo, kad atsižvelgiant į mirties liudijimų santykinę dalį, kai mirtis ištiko per mažiau nei 28 dienas nuo teigiamo COVID-19 testo, pagrindinė mirties priežastis "nuo COVID-19" nurodoma nuo 0 iki 87,3 procento. Toks didelis duomenų "išsibarstymas" liudija esminius gydymo institucijų skirtumus COVID-19 mirčių diagnozavimo praktikoje, tad geriausiu atveju galime žinoti tik apytikslį (paklaidos riba -dešimtys procentų ar net kartų) COVID-19 aukų skaičių Lietuvoje [23].…”

“…Gyventojų senėjimo rodiklis Lietuvoje yra labai aukštas, o tai susiję su gyventojų prastesne sveikata ir dauginiu ligotumu. Tyrimais nustatyta, jog vidutinis mirusių nuo COVID-19 amžius Lietuvoje buvo maždaug 77,3 metų, o mirusieji vidutiniškai turėjo po 5,3 gretutines ligas [23]. Šie aspektai galėjo turėti įtakos ir Lietuvos gyventojų perteklinio mirtingumo didėjimui.…”