
@article{ref1,
title="Excess mortality from non-COVID-19 causes during the COVID-19 pandemic in Philadelphia, Pennsylvania, 2020-2021",
journal="American journal of public health",
year="2022",
author="Todd, Megan and Scheeres, Annaka",
volume="112",
number="12",
pages="1800-1803",
abstract="OBJECTIVEs. To estimate excess mortality from non-COVID-19 causes during the COVID-19 pandemic in Philadelphia, Pennsylvania, and understand disparities by race/ethnicity, age, and sex. <br><br>METHODS. We used Poisson regression models of weekly deaths using data from Pennsylvania's vital registration system (2018-2021). <br><br>RESULTS. There was significant excess mortality as a result of heart disease, homicide, diabetes, drug overdoses, traffic crashes, and falls in 2020-2021; the burden of this excess non-COVID-19 mortality fell on non-Hispanic Black Philadelphians. Among younger non-Hispanic Black men, homicide and drug overdoses were responsible for 54% and 18% of excess deaths-more than COVID-19 (17%). For younger non-Hispanic Black women, drug overdoses accounted for 51% of excess deaths, whereas COVID-19 accounted for 40%. <br><br>CONCLUSIONS. Excess mortality was not solely caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2; the causative agent of COVID-19), particularly at younger ages. Indirect pandemic mortality exacerbated prepandemic disparities by race/ethnicity. Public Health Implications. Excess mortality as a result of non-COVID-19 causes may reflect indirect pandemic mortality. National cause-of-death data lag behind local cause-of-death data; local data should be examined as an early indication of trends and disparities. Public health practitioners must center health equity in pandemic response and planning.   (Am J Public Health. 2022;112(12):1800-1803. https://doi.org/10.2105/AJPH.2022.307096).<p /> <p>Language: en</p>",
language="en",
issn="0090-0036",
doi="10.2105/AJPH.2022.307096",
url="http://dx.doi.org/10.2105/AJPH.2022.307096"
}