使用尸体和葬礼数据,将赞比亚卢萨卡的COVID-19置于全球范围内
Richard J Sheppard1, Oliver J Watson1,2, Rachel Pieciak3
1MRC Centre for Global Infectious Disease Analysis, Department of Infectious Disease Epidemiology, Imperial College, London, UK.
Nature communications
|June 28, 2023
概括
在赞比亚卢萨卡,估计2020年发生了3212例过度死亡,这表明COVID-19的影响很大. 这项研究强调了在流行病期间改善低收入国家死亡率数据收集的必要性.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 传染病建模 传染病建模
背景情况:
- 报道的COVID-19病例和撒哈拉以南非洲的死亡率往往被低估,因为监测和注册的限制.
- 准确评估流行病对低收入环境的影响对于公平的公共卫生反应至关重要.
研究的目的:
- 估计2020年在赞比亚卢萨卡的过度死亡率和SARS-CoV-2传播.
- 为了将报告的低COVID-19数据与实际疾病负担相协调.
- 在资源有限的环境中,为未来的流行病准备和决策提供信息.
主要方法:
- 利用了2020年来自赞比亚卢萨卡的埋葬登记和SARS-CoV-2流行数据.
- 应用了基于动态模型的推断框架来估计过度死亡率和传播.
- 分析了与流行病前水平相比,年龄相关死亡率的增加.
主要成果:
- 据估计,与大流行前水平相比,2020年在卢萨卡观察到3212例多余死亡 (18.5%的增加).
- 死亡率模式和SARS-CoV-2患病率与已建立的COVID-19严重程度估计相一致.
- 调查结果表明,卢萨卡的COVID-19影响与全球趋势是一致的,不需要为低报告数字提供特殊解释.
结论:
- 2020年,COVID-19对卢萨卡产生了重大影响,过多的死亡率数据提供了比报告病例更准确的衡量标准.
- 解决死亡率确定障碍对于公平的流行病应对和准确的低收入国家影响评估至关重要.
- 未来的流行病规划必须包含针对低资源环境的强有力的数据收集机制.
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