Estimated number of deaths directly avoided because of COVID-19 vaccination among older adults in Colombia in 2021: an ecological, longitudinal observational study [version 3; peer review: 2 approved]

Background: Colombia’s national COVID-19 vaccination plan began in February of 2021. It gave priority to older adults, who constituted 77.7% of deaths from this illness in the year 2020. The main goal of the plan is to decrease specific mortality and the number of serious COVID-19 cases, however, th...

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Main Authors: Fernando Ruiz-Gómez, Leonardo Arregocés-Castillo, Julián Alfredo Fernández-Niño, Maylen Liseth Rojas-Botero
Format: Article
Language:English
Published: F1000 Research Ltd 2022-07-01
Series:F1000Research
Subjects:
Online Access:https://f1000research.com/articles/11-198/v3
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author Fernando Ruiz-Gómez
Leonardo Arregocés-Castillo
Julián Alfredo Fernández-Niño
Maylen Liseth Rojas-Botero
author_facet Fernando Ruiz-Gómez
Leonardo Arregocés-Castillo
Julián Alfredo Fernández-Niño
Maylen Liseth Rojas-Botero
author_sort Fernando Ruiz-Gómez
collection DOAJ
description Background: Colombia’s national COVID-19 vaccination plan began in February of 2021. It gave priority to older adults, who constituted 77.7% of deaths from this illness in the year 2020. The main goal of the plan is to decrease specific mortality and the number of serious COVID-19 cases, however, the number of deaths avoided by this strategy is unknown. The objective of this study was to estimate the number of avoided deaths in Colombia by fully vaccinating older adults against COVID-19, during the first year of the implementation of the national vaccination plan. Methods: This study took on the design of an ecological, longitudinal study. Full vaccination coverage for older adults was calculated for each epidemiological week and age group from March to December 2021, based on which the number of avoided COVID-19 deaths was estimated. A sensitivity analysis was performed taking into account variations in the vaccines’ effectiveness by age group. Results: In Colombia, over 5.3 million adults 60 years of age and older received full COVID-19 vaccinations between March and December 2021. During that same period, nearly 46,000 deaths of older adults from this cause were registered. We estimated that vaccination has avoided around 22,000 more older adults from dying from COVID-19 in Colombia, that is, 32.4% of expected deaths in 2021. According to the sensitivity analysis, the number of lives saved ranged from 19,597 to 36,507. Conclusions: Colombia’s strategy to vaccinate older adults against COVID-19 has avoided mortality for this age group from being 48.0% higher than what was observed during the study period. Even more lives have been saved when taking into account the parameters that were defined and the omission of the contribution from partial vaccinations.
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spelling doaj.art-1ce65e4721884e43a524ba2defa4b4602022-12-22T02:51:34ZengF1000 Research LtdF1000Research2046-14022022-07-0111135887Estimated number of deaths directly avoided because of COVID-19 vaccination among older adults in Colombia in 2021: an ecological, longitudinal observational study [version 3; peer review: 2 approved]Fernando Ruiz-Gómez0Leonardo Arregocés-Castillo1Julián Alfredo Fernández-Niño2Maylen Liseth Rojas-Botero3Ministerio de Salud y Protección Social, Bogota, Bogota, 110311, ColombiaMinisterio de Salud y Protección Social, Bogota, Bogota, 110311, ColombiaMinisterio de Salud y Protección Social, Bogota, Bogota, 110311, ColombiaMinisterio de Salud y Protección Social, Bogota, Bogota, 110311, ColombiaBackground: Colombia’s national COVID-19 vaccination plan began in February of 2021. It gave priority to older adults, who constituted 77.7% of deaths from this illness in the year 2020. The main goal of the plan is to decrease specific mortality and the number of serious COVID-19 cases, however, the number of deaths avoided by this strategy is unknown. The objective of this study was to estimate the number of avoided deaths in Colombia by fully vaccinating older adults against COVID-19, during the first year of the implementation of the national vaccination plan. Methods: This study took on the design of an ecological, longitudinal study. Full vaccination coverage for older adults was calculated for each epidemiological week and age group from March to December 2021, based on which the number of avoided COVID-19 deaths was estimated. A sensitivity analysis was performed taking into account variations in the vaccines’ effectiveness by age group. Results: In Colombia, over 5.3 million adults 60 years of age and older received full COVID-19 vaccinations between March and December 2021. During that same period, nearly 46,000 deaths of older adults from this cause were registered. We estimated that vaccination has avoided around 22,000 more older adults from dying from COVID-19 in Colombia, that is, 32.4% of expected deaths in 2021. According to the sensitivity analysis, the number of lives saved ranged from 19,597 to 36,507. Conclusions: Colombia’s strategy to vaccinate older adults against COVID-19 has avoided mortality for this age group from being 48.0% higher than what was observed during the study period. Even more lives have been saved when taking into account the parameters that were defined and the omission of the contribution from partial vaccinations.https://f1000research.com/articles/11-198/v3 SARS-CoV-2 COVID-19 COVID-19 Vaccines Aged Mortality Colombia.eng
spellingShingle Fernando Ruiz-Gómez
Leonardo Arregocés-Castillo
Julián Alfredo Fernández-Niño
Maylen Liseth Rojas-Botero
Estimated number of deaths directly avoided because of COVID-19 vaccination among older adults in Colombia in 2021: an ecological, longitudinal observational study [version 3; peer review: 2 approved]
F1000Research
SARS-CoV-2
COVID-19
COVID-19 Vaccines
Aged
Mortality
Colombia.
eng
title Estimated number of deaths directly avoided because of COVID-19 vaccination among older adults in Colombia in 2021: an ecological, longitudinal observational study [version 3; peer review: 2 approved]
title_full Estimated number of deaths directly avoided because of COVID-19 vaccination among older adults in Colombia in 2021: an ecological, longitudinal observational study [version 3; peer review: 2 approved]
title_fullStr Estimated number of deaths directly avoided because of COVID-19 vaccination among older adults in Colombia in 2021: an ecological, longitudinal observational study [version 3; peer review: 2 approved]
title_full_unstemmed Estimated number of deaths directly avoided because of COVID-19 vaccination among older adults in Colombia in 2021: an ecological, longitudinal observational study [version 3; peer review: 2 approved]
title_short Estimated number of deaths directly avoided because of COVID-19 vaccination among older adults in Colombia in 2021: an ecological, longitudinal observational study [version 3; peer review: 2 approved]
title_sort estimated number of deaths directly avoided because of covid 19 vaccination among older adults in colombia in 2021 an ecological longitudinal observational study version 3 peer review 2 approved
topic SARS-CoV-2
COVID-19
COVID-19 Vaccines
Aged
Mortality
Colombia.
eng
url https://f1000research.com/articles/11-198/v3
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