[Mortality of people over working age in the context of COVID-19 pandemic.]

The mortality of people over working age (women 55+ and men 60+) was analyzed in the context of COVID-19 pandemic in order to determine the potential for its prevention. The information from the Moscow mortality database for 2019, 2020 and 2021 (up to June 15) was used. Against the background of more correct accounting of death causes associated with SARS-CoV-2 virus infection in 2021, the contributions of mental disorders and endocrine diseases to the structure of death causes (excluding deaths from COVID-19) for people over working age are more than in 2019. The increase in mortality from diseases of these classes is largely a consequence of exogenous stress associated with a pandemic, isolation of people older 64 years and a decrease in the effectiveness of medical care. It was concluded that indirect losses from COVID-19 include avoidable mortality of elderly caused by shortcomings in organization of social assistance for them, the weak introduction of new information technologies and wearable electronic devices into the practical work of health care, small scale of public initiatives in the field of social assistance.