Premature mortality attributable to COVID-19: potential years of life lost in 17 countries around the world, January–August 2020

Ugarte M.P. Achilleos S. Quattrocchi A. Gabel J. Kolokotroni O. Constantinou C. Nicolaou N. Rodriguez-Llanes J.M. Huang Q. Verstiuk O. Pidmurniak N. Tao J.W. Burström B. Klepac P. Erzen I. Chong M. Barron M. Hagen T.P. Kalmatayeva Z. Davletov K. Zucker I. Kaufman Z. Kereselidze M. Kandelaki L. Le Meur N. Goldsmith L. Critchley J.A. Pinilla M.A. Jaramillo G.I. Teixeira D. Goméz L.F. Lobato J. Araújo C. Cuthbertson J. Bennett C.M. Polemitis A. Charalambous A. Demetriou C.A.
December 2022 BioMed Central Ltd

BMC Public Health
2022 #22 Issue 1

Background: Understanding the impact of the burden of COVID-19 is key to successfully navigating the COVID-19 pandemic. As part of a larger investigation on COVID-19 mortality impact, this study aims to estimate the Potential Years of Life Lost (PYLL) in 17 countries and territories across the world (Australia, Brazil, Cape Verde, Colombia, Cyprus, France, Georgia, Israel, Kazakhstan, Peru, Norway, England & Wales, Scotland, Slovenia, Sweden, Ukraine, and the United States [USA]). Methods: Age- and sex-specific COVID-19 death numbers from primary national sources were collected by an international research consortium. The study period was established based on the availability of data from the inception of the pandemic to the end of August 2020. The PYLL for each country were computed using 80 years as the maximum life expectancy. Results: As of August 2020, 442,677 (range: 18–185,083) deaths attributed to COVID-19 were recorded in 17 countries which translated to 4,210,654 (range: 112–1,554,225) PYLL. The average PYLL per death was 8.7 years, with substantial variation ranging from 2.7 years in Australia to 19.3 PYLL in Ukraine. North and South American countries as well as England & Wales, Scotland and Sweden experienced the highest PYLL per 100,000 population; whereas Australia, Slovenia and Georgia experienced the lowest. Overall, males experienced higher PYLL rate and higher PYLL per death than females. In most countries, most of the PYLL were observed for people aged over 60 or 65 years, irrespective of sex. Yet, Brazil, Cape Verde, Colombia, Israel, Peru, Scotland, Ukraine, and the USA concentrated most PYLL in younger age groups. Conclusions: Our results highlight the role of PYLL as a tool to understand the impact of COVID-19 on demographic groups within and across countries, guiding preventive measures to protect these groups under the ongoing pandemic. Continuous monitoring of PYLL is therefore needed to better understand the burden of COVID-19 in terms of premature mortality.

COVID-19 , Disease burden , Pandemic , Potential years of life lost , PYLL , SARS-CoV-2

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University of Nicosia Medical School, Nicosia, Cyprus
Department of Primary Care and Population Health, University of Nicosia Medical School, Nicosia, Cyprus
Department of Basic and Clinical Sciences, University of Nicosia Medical School, Nicosia, Cyprus
European Commission Joint Research Centre, Ispra, Italy
South Carolina Center for Rural and Primary Healthcare, Department of Geography, University of South Carolina, Columbia, United States
Faculty of Medicine 2, Bogomolets National Medical University, Kyiv, Ukraine
Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden
Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden
Department Communicable Diseases, National Institute of Public Health, Ljubljana, Slovenia
Public Health School, National Institute of Public Health, Ljubljana, Slovenia
Facultad de Ingenieria, Universidad del Pacifico, Lima, Peru
Departamento de Economia, Universidad del Pacifico, Lima, Peru
Department of Health Management and Economics, University of Oslo, Oslo, Norway
Faculty of Medicine, Al Farabi Kazakh National University, Almaty, Kazakhstan
Health Research Institute, Al Farabi Kazakh National University, Almaty, Kazakhstan
Israel Center for Disease Control, Ministry of Health, Ramat Gan, Israel
National Center for Disease Control and Public Health, Tbilisi, Georgia
University of Rennes, EHESP, REPERES - EA 7449, Rennes, F-35000, France
Population Health Research Institute and Institute for Infection and Immunity, St George’s, University of London, London, United Kingdom
Population Health Research Institute, St George’s, University of London, London, United Kingdom
Faculty of Medicine, Universidad Cooperativa de Colombia, Villavicencio, Colombia
Ministry of Health and Social Security, Praia, Cape Verde
Department of Nature, Life and Environment Sciences, Jean Piaget University of Cape Verde, Praia, Cape Verde
Department of Epidemiology and Biostatistics, Institute of Collective Health (ISC), Fluminense Federal University, Niterói, Brazil
Graduate Public Health Program, Institute of Studies in Collective Health (IESC), Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
Monash University Disaster Resilience Initiative, Monash University, Melbourne, Australia
Institute for Health Transformation, Deakin University, Burwood, Australia
University of Nicosia, Nicosia, Cyprus

University of Nicosia Medical School
Department of Primary Care and Population Health
Department of Basic and Clinical Sciences
European Commission Joint Research Centre
South Carolina Center for Rural and Primary Healthcare
Faculty of Medicine 2
Department of Molecular Medicine and Surgery
Department of Global Public Health
Department Communicable Diseases
Public Health School
Facultad de Ingenieria
Departamento de Economia
Department of Health Management and Economics
Faculty of Medicine
Health Research Institute
Israel Center for Disease Control
National Center for Disease Control and Public Health
University of Rennes
Population Health Research Institute and Institute for Infection and Immunity
Population Health Research Institute
Faculty of Medicine
Ministry of Health and Social Security
Department of Nature
Department of Epidemiology and Biostatistics
Graduate Public Health Program
Monash University Disaster Resilience Initiative
Institute for Health Transformation
University of Nicosia

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