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      Years of life lost associated with COVID-19 deaths in the United States

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          Abstract

          Background

          The mortality effects of COVID-19 are a critical aspect of the disease’s impact. Years of life lost (YLLs) can provide greater insight than the number of deaths by conveying the shortfall in life expectancy and thus the age profile of the decedents.

          Methods

          We employed data regarding COVID-19 deaths in the USA by jurisdiction, gender and age group for the period 1 February 2020 through 11 July 2020. We used actuarial life expectancy tables by gender and age to estimate YLLs.

          Results

          We estimated roughly 1.2 million YLLs due to COVID-19 deaths. The YLLs for the top six jurisdictions exceeded those for the remaining 43. On a per-capita basis, female YLLs were generally higher than male YLLs throughout the country.

          Conclusions

          Our estimates offer new insight into the effects of COVID-19. Our findings of heterogenous rates of YLLs by geography and gender highlight variation in the magnitude of the pandemic’s effects that may inform effective policy responses.

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          Most cited references16

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          Estimation of Excess Deaths Associated With the COVID-19 Pandemic in the United States, March to May 2020

          Efforts to track the severity and public health impact of coronavirus disease 2019 (COVID-19) in the United States have been hampered by state-level differences in diagnostic test availability, differing strategies for prioritization of individuals for testing, and delays between testing and reporting. Evaluating unexplained increases in deaths due to all causes or attributed to nonspecific outcomes, such as pneumonia and influenza, can provide a more complete picture of the burden of COVID-19.
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            Excess Deaths From COVID-19 and Other Causes, March-April 2020

            This study uses data from the National Center for Health Statistics to estimate excess deaths (ie, the difference between observed and expected deaths) in the US and the District of Columbia in the early weeks of the COVID-19 pandemic.
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              Characteristics of Persons Who Died with COVID-19 — United States, February 12–May 18, 2020

              During January 1, 2020-May 18, 2020, approximately 1.3 million cases of coronavirus disease 2019 (COVID-19) and 83,000 COVID-19-associated deaths were reported in the United States (1). Understanding the demographic and clinical characteristics of decedents could inform medical and public health interventions focused on preventing COVID-19-associated mortality. This report describes decedents with laboratory-confirmed infection with SARS-CoV-2, the virus that causes COVID-19, using data from 1) the standardized CDC case-report form (case-based surveillance) (https://www.cdc.gov/coronavirus/2019-ncov/php/reporting-pui.html) and 2) supplementary data (supplemental surveillance), such as underlying medical conditions and location of death, obtained through collaboration between CDC and 16 public health jurisdictions (15 states and New York City).
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                Author and article information

                Contributors
                Journal
                J Public Health (Oxf)
                J Public Health (Oxf)
                pubmed
                Journal of Public Health (Oxford, England)
                Oxford University Press
                1741-3842
                1741-3850
                07 September 2020
                : fdaa159
                Affiliations
                University of South Florida , College of Public Health , Tampa, FL 33612, USA
                University of South Florida , College of Behavioral and Community Sciences , Tampa, FL 33620, USA
                Department of Neurology , Charles University and Motol University Hospital , Prague, 150 06, Czechia
                International Clinical Research Center , St. Anne’s University Hospital , Brno, 656 91, Czechia
                Department of Politics and International Affairs , Northern Arizona University , Flagstaff, AZ 86011, USA
                Menninger Department of Psychiatry and Behavioral Sciences , Baylor College of Medicine , Houston, TX 77030, USA
                Author notes
                Address correspondence to Troy Quast, E-mail: troyquast@ 123456usf.edu
                Author information
                http://orcid.org/0000-0001-8564-3379
                Article
                fdaa159
                10.1093/pubmed/fdaa159
                7499646
                32894287
                3d0634e5-a4aa-4953-9662-ba59b39394f8
                © The Author(s) 2020. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com

                This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model ( https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model)

                This article is made available via the PMC Open Access Subset for unrestricted re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the COVID-19 pandemic or until permissions are revoked in writing. Upon expiration of these permissions, PMC is granted a perpetual license to make this article available via PMC and Europe PMC, consistent with existing copyright protections.

                History
                : 3 August 2020
                : 13 August 2020
                : 14 August 2020
                Page count
                Pages: 6
                Categories
                AcademicSubjects/MED00860
                Original Article
                Custom metadata
                PAP

                Public health
                covid-19,years of lost life,mortality
                Public health
                covid-19, years of lost life, mortality

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