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Total Excess Mortality Surveillance for Real-Time Decision-Making in Disasters and Crises
Carlos Santos-Burgoa1, Alejandra Garcia-Meza2, Maria Jose Talayero1
1The George Washington University.
Timely reporting of disaster deaths is crucial for effective interventions. Measuring total, all-cause, excess mortality (TEM) in real-time provides critical data for targeted disaster response and identifies vulnerable populations.
Area of Science:
- Public Health
- Disaster Management
- Epidemiology
Background:
- Crises like Hurricane Maria and COVID-19 highlight delays in death toll reporting.
- These delays hinder interventions, impact communication, and erode trust in response agencies.
- Challenges include defining disaster-attributable deaths and rapid vital statistics collection.
Purpose of the Study:
- To advocate for real-time Total, All-cause, Excess Mortality (TEM) measurement.
- To establish a continuous mortality surveillance system using readily available data.
- To provide timely information for effective disaster response.
Main Methods:
- Utilizing readily available death counts.
- Integrating geographic, demographic, and socioeconomic data.
- Establishing a baseline for a continuous mortality surveillance system.
Main Results:
- Real-time TEM can be a critical tool in emergency settings.
- TEM identifies mortality spikes, geographic disparities, and disproportionate impact on vulnerable groups.
- Provides authorities with timely information for targeted responses.
Conclusions:
- Measuring total, all-cause, excess mortality (TEM) should be the global standard for disaster impact assessment.
- Real-time TEM enables a more targeted and effective disaster response.
- This approach addresses critical gaps in current disaster mortality reporting.
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