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Mortality and Years of Potential Life Lost Due to COVID-19 in Brazil
André Peres Barbosa de Castro1, Marina Figueiredo Moreira2, Paulo Henrique de Souza Bermejo2
1Department of Strategic Articulation of Health Surveillance, Secretariat of Health Surveillance, Ministry of Health, Brasília 70719-040, Brazil.
Insights
COVID-19 caused significant years of potential life lost (YPLL) in Brazil, disproportionately affecting men and middle-aged adults. Understanding these social impacts is crucial for prioritizing public health interventions.
Area of Science:
- Public Health
- Epidemiology
- Demography
Background:
- Brazil faced a high burden of COVID-19 cases and deaths by November 2020.
- The SARS-CoV-2 pandemic presented significant challenges to public health infrastructure and societal well-being.
Purpose of the Study:
- To describe COVID-19 deaths, mortality rates, years of potential life lost (YPLL), and excess mortality in Brazil.
- To analyze the social impact of COVID-19 mortality across different demographic groups and risk factors.
Main Methods:
- Descriptive study utilizing SARS-CoV-2 records from SIVEP-Gripe (Ministry of Health of Brazil).
- Data analysis covered the period from February 16, 2020, to January 1, 2021.
- Calculated deaths, mortality rate, YPLL, and excess mortality.
Main Results:
- 98,025 COVID-19 deaths were recorded in Brazil during the study period.
- Men constituted 60.5% of the estimated 1.2 million YPLL, indicating premature deaths.
- Individuals aged 45-64 years accounted for over 50% of total YPLL; 69.5% of deaths had risk factors, notably heart disease, diabetes, and obesity.
Conclusions:
- COVID-19's social impact, measured by YPLL, varied significantly by gender, race, and presence of risk factors.
- Indigenous populations, particularly pregnant women and mothers, experienced high average YPLL.
- YPLL and excess mortality data are vital for prioritizing public health interventions, including vaccination and resource allocation for vulnerable groups.
Abstract:
In November 2020, Brazil ranked third in the number of cases of coronavirus disease 2019 (COVID-19) and second in the number of deaths due to the disease. We carried out a descriptive study of deaths, mortality rate, years of potential life lost (YPLL) and excess mortality due to COVID-19, based on SARS-CoV-2 records in SIVEP-Gripe (Ministry of Health of Brazil) from 16 February 2020, to 1 January 2021. In this period, there were 98,025 deaths from COVID-19 in Brazil. Men accounted for 60.5% of the estimated 1.2 million YPLLs. High YPLL averages showed prematurity of deaths. The population aged 45-64 years (both sexes) represented more than 50% of all YPLLs. Risk factors were present in 69.5% of deaths, with heart disease, diabetes and obesity representing the most prevalent comorbidities in both sexes. Indigenous people had the lowest number of deaths and the highest average YPLL. However, in indigenous people, pregnant women and mothers had an average YPLL of over 35 years. The excess mortality for Brazil was estimated at 122,914 deaths (9.2%). The results show that the social impacts of YPLL due to COVID-19 are different depending on gender, race and risk factors. YPLL and excess mortality can be used to guide the prioritization of health interventions, such as prioritization of vaccination, lockdowns, or distribution of facial masks for the most vulnerable populations.
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