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Impact of the Covid-19 Pandemic on Total and Cause-Specific Mortality in Pavia, Northern Italy

Bibliographic Data

ID15503617
AuthorsPietro Perotti (0000-0002-6596-7461, Health Protection Agency of Pavia (ATS Pavia), 27100 Pavia, Italy), Paola Bertuccio (0000-0002-2002-0127, University of Pavia, corresponding author), Stefano Cacitti (University of Pavia), Silvia Deandrea (0000-0003-1509-951X, Health Protection Agency of Pavia (ATS Pavia), 27100 Pavia, Italy), Lorenza Boschetti (Health Protection Agency of Pavia (ATS Pavia), 27100 Pavia, Italy), Simona Dalle Carbonare (Health Protection Agency of Pavia (ATS Pavia), 27100 Pavia, Italy), Stefano Marguati (Health Protection Agency of Pavia (ATS Pavia), 27100 Pavia, Italy), Simona Migliazza (Health Protection Agency of Pavia (ATS Pavia), 27100 Pavia, Italy), Eleonora Porzio (Health Protection Agency of Pavia (ATS Pavia), 27100 Pavia, Italy), Simona Riboli (Health Protection Agency of Pavia (ATS Pavia), 27100 Pavia, Italy), Ennio Cadum (0000-0003-1959-5385, Health Protection Agency of Pavia (ATS Pavia), 27100 Pavia, Italy), Lorella Cecconami (Health Protection Agency of Pavia (ATS Pavia), 27100 Pavia, Italy), Anna Odone (0000-0002-5657-9774, University of Pavia)
Year2022
Volume19
Issue11
Pages6498-6498
Publication date2022-05-26
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph19116498
PMID35682081
OpenAlexW4281622407
LanguageEN
Citations received4
References cited25

The COVID-19 pandemic had an unfavorable impact on overall mortality in Italy, with the strongest consequences in northern Italy. Scant data are available on cause-specific mortality. This study aims at investigating the impact of the pandemic on the overall and cause-specific mortality in one province in northern Italy, Pavia. We linked individual-level administrative data (i.e., death certification and population data) from the Health Protection Agency (HPA) in Pavia province between 2015 and 2020. We computed age-standardized mortality rates (Italian population 2011) by cause, sex, and calendar year, and computed the rate ratio and the corresponding 95% confidence intervals to compare rates in 2020 versus 2015-2019. The 2020 excess total mortality in Pavia was 24% in men and 25% in women, reaching rates of 1272.6/100,000 and 1304.4/100,000, respectively. Significant excesses were found for infectious and parasitic diseases, excluding COVID-19 (about +30% in both sexes); respiratory system diseases (44% in men; 30% in women); and dementia and Alzheimer's disease among men (24%). Reductions were reported for neoplasms (-14% in men); cerebrovascular diseases (-25% in men); and ischemic diseases (-13% in women), but also for transport accidents in men. COVID-19 was the third cause of death in both sexes with rates of 274.9/100,000 men (859 total deaths) and 213.9/100,000 women (758 total deaths). Excess mortality in Pavia was higher than Italy but lower than Lombardy. Increases in mortality from causes related to infectious and respiratory diseases can likely be explained by underdiagnosed deaths from COVID-19

Cause of death · Coronavirus disease 2019 (COVID-19 · Dementia · Disease · Environmental health · Infectious disease (medical specialty · Mortality rate · Pandemic · Population · Climate Change and Health Impacts · COVID-19 and healthcare impacts · COVID-19 Clinical Research Studies · Demography · Medicine · Epidemiology · Internal Medicine

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Unique citing works4
Citations per year1
Citation span2022 - 2023 (2)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 4
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