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

Author

Listed:
  • Pietro Perotti

    (Health Protection Agency of Pavia (ATS Pavia), 27100 Pavia, Italy)

  • Paola Bertuccio

    (Department of Public Health, Experimental and Forensic Medicine, University of Pavia, 27100 Pavia, Italy)

  • Stefano Cacitti

    (Department of Public Health, Experimental and Forensic Medicine, University of Pavia, 27100 Pavia, Italy)

  • Silvia Deandrea

    (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

    (Health Protection Agency of Pavia (ATS Pavia), 27100 Pavia, Italy)

  • Lorella Cecconami

    (Health Protection Agency of Pavia (ATS Pavia), 27100 Pavia, Italy)

  • Anna Odone

    (Department of Public Health, Experimental and Forensic Medicine, University of Pavia, 27100 Pavia, Italy)

Abstract
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.

Suggested Citation

  • Pietro Perotti & Paola Bertuccio & Stefano Cacitti & Silvia Deandrea & Lorenza Boschetti & Simona Dalle Carbonare & Stefano Marguati & Simona Migliazza & Eleonora Porzio & Simona Riboli & Ennio Cadum , 2022. "Impact of the COVID-19 Pandemic on Total and Cause-Specific Mortality in Pavia, Northern Italy," IJERPH, MDPI, vol. 19(11), pages 1-10, May.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:11:p:6498-:d:825038
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    References listed on IDEAS

    as
    1. Carlo Signorelli & Anna Odone, 2020. "Age-specific COVID-19 case-fatality rate: no evidence of changes over time," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(8), pages 1435-1436, November.
    2. Augusto Cerqua & Roberta Di Stefano & Marco Letta & Sara Miccoli, 2021. "Local mortality estimates during the COVID-19 pandemic in Italy," Journal of Population Economics, Springer;European Society for Population Economics, vol. 34(4), pages 1189-1217, October.
    3. Enrico Grande & Ugo Fedeli & Marilena Pappagallo & Roberta Crialesi & Stefano Marchetti & Giada Minelli & Ivano Iavarone & Luisa Frova & Graziano Onder & Francesco Grippo, 2022. "Variation in Cause-Specific Mortality Rates in Italy during the First Wave of the COVID-19 Pandemic: A Study Based on Nationwide Data," IJERPH, MDPI, vol. 19(2), pages 1-13, January.
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