ABSTRACT
The mortality of people over working age (women 55+ and men 60+) was analyzed in the context of COVID-19 pandemic in order to determine the potential for its prevention. The information from the Moscow mortality database for 2019, 2020 and 2021 (up to June 15) was used. Against the background of more correct accounting of death causes associated with SARS-CoV-2 virus infection in 2021, the contributions of mental disorders and endocrine diseases to the structure of death causes (excluding deaths from COVID-19) for people over working age are more than in 2019. The increase in mortality from diseases of these classes is largely a consequence of exogenous stress associated with a pandemic, isolation of people older 64 years and a decrease in the effectiveness of medical care. It was concluded that indirect losses from COVID-19 include avoidable mortality of elderly caused by shortcomings in organization of social assistance for them, the weak introduction of new information technologies and wearable electronic devices into the practical work of health care, small scale of public initiatives in the field of social assistance.
ABSTRACT
The elderly age and endocrine diseases are among death risk factors at contamination with new coronavirus infection. To reply the question of how the influence of these risk factors is summing up, differences were determined concerning patterns of changes in structure of mortality of endocrine system diseases, nutrition disorders and metabolic disturbances in individuals of able-bodied age and older against the background of COVID-19 pandemic. on the basis of information from the Moscow database of deaths of endocrine system diseases, nutrition disorders and metabolic disturbances, the changes in contribution of individual diseases to the death causes structure in 2019-2021 were analyzed. The groups of individuals of able-bodied age and older were compared. It was established that in both groups rate of indicating SARS-CoV-2 virus infection as concomitant disease decreased while rate of indicating concomitant diseases at death of COVID-19 increased. The group differences in changes of structure of death causes were established in 2021. The percentage of undetermined forms of diabetes and obesity in structure of death causes increased in the elderly, while in individuals of able-bodied age increased. The percentage of obesity as concomitant disease of death of COVID-19 in individuals of able-bodied age increased and did no change were detected in the elderly group. The input of poly-glandular dysfunction as consequence of old infection into mortality is five times higher among individuals of able-bodied age. On the basis of received results, assumption was made SARS-CoV-2 virus contamination ruinously affects development of pathological process under endocrine diseases regardless of age, while age affects spreading of endocrine diseases and degree of resistance to development of infectious process directly. The differences in patterns of changes of structure of death causes of population of able-bodied age and older are associated with low quality of diagnostics of death causes in individuals of elder age groups.