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Mortalidad por COVID en la India: datos de la encuesta nacional y muertes en instalaciones de salud
Prabhat Jha1, Yashwant Deshmukh2, Chinmay Tumbe3
1Centre for Global Health Research, Unity Health Toronto and Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
Resumen
La India
Área de la Ciencia:
- Epidemiología
- Salud pública
- Modelado de enfermedades infecciosas
Sus antecedentes:
- El recuento oficial de muertes por COVID-19 en la India es incierto.
- Los datos precisos de mortalidad son cruciales para comprender el impacto de la pandemia.
Objetivo del estudio:
- Para estimar el exceso de mortalidad atribuido al COVID-19 en la India.
- Para comparar las estimaciones basadas en encuestas con los datos del gobierno.
Principales métodos:
- Se realizó una encuesta representativa a nivel nacional entre 0,14 millones de adultos.
- La mortalidad por COVID-19 se comparó con la mortalidad esperada por todas las causas.
- Se analizaron los datos de las instalaciones de salud gubernamentales y el registro civil.
Principales resultados:
- El COVID-19 representó el 29% de las muertes entre junio de 2020 y julio de 2021, con un total de 3,2 millones.
- El exceso de mortalidad por cualquier causa fue un 27% más alto en las instalaciones de salud y un 26% en los registros civiles.
- Las muertes estimadas por COVID-19 fueron 6-7 veces más altas que las reportadas oficialmente en septiembre de 2021.
Conclusiones:
- El número real de muertes por COVID-19 en la India está significativamente subestimado.
- Las encuestas independientes y los datos gubernamentales indican un exceso sustancial de mortalidad.
- Necesidad urgente de mejorar la vigilancia y notificación de mortalidad en la India.
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