Unmasking the COVID-19 pandemic prevention gains: excess mortality reversal in 2022.
COVID-19
Control measures
Harvesting effect
Health policy
Mortality displacement
Non-pharmaceutical interventions
Post-pandemic transition period
Public health interventions
Journal
Public health
ISSN: 1476-5616
Titre abrégé: Public Health
Pays: Netherlands
ID NLM: 0376507
Informations de publication
Date de publication:
Oct 2023
Oct 2023
Historique:
received:
11
03
2023
revised:
11
07
2023
accepted:
02
08
2023
medline:
25
9
2023
pubmed:
7
9
2023
entrez:
6
9
2023
Statut:
ppublish
Résumé
The purpose of this study was to assess the long-term effectiveness of COVID-19 pandemic prevention measures in saving lives after European governments began to lift restrictions. Excess mortality interrupted time series. Country-level weekly data on deaths were fitted to the Poisson mixed linear model to estimate excess deaths. Based on this estimate, the percentage of excess deaths above the baseline during the pandemic (week 11 in 2020 to week 15 in 2022) (when public health interventions were in place) and during the post-pandemic period (week 16 in 2022 to week 52 in 2022) were calculated. These results were fitted to the linear regression model to determine any potential relationship between mortality during these two periods. The model used in this study had high predictive value (adjusted R The most successful countries in terms of protective measures also experienced the highest mortality rates after restrictions were lifted. The model used in this study clearly shows a measure of bidirectional mortality displacement that is sufficiently clear to mask any impact of long COVID on overall mortality. Results from this study also seriously impact previous cost-benefit analyses of pandemic prevention measures, since, according to the current model, 12.2% (95% CI: 8.3, 16.1) of the gains achieved in pandemic containment were lost after restrictions were lifted.
Identifiants
pubmed: 37672832
pii: S0033-3506(23)00287-1
doi: 10.1016/j.puhe.2023.08.004
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
193-201Informations de copyright
Copyright © 2023 The Author(s). Published by Elsevier Ltd.. All rights reserved.