COVID-19 mortality surveillance in Lebanon

Abstract Since the beginning of the COVID-19 pandemic, the Epidemiological surveillance program of the Lebanese Ministry of Public Health has launched a rapid surveillance system for collecting COVID-19-related mortality data. In this study, we document the Lebanese experience of COVID-19 mortality...

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Main Authors: Linda Abou-Abbas, Zeina Nasser, Mario Baaklini, Lina Cheaito, Jeanette Karout, Hawraa Sweidan, Abbas Jouni, Nada Ghosn, Hamad Hassan
Format: Article
Language:English
Published: Nature Portfolio 2022-08-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-022-18715-6
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author Linda Abou-Abbas
Zeina Nasser
Mario Baaklini
Lina Cheaito
Jeanette Karout
Hawraa Sweidan
Abbas Jouni
Nada Ghosn
Hamad Hassan
author_facet Linda Abou-Abbas
Zeina Nasser
Mario Baaklini
Lina Cheaito
Jeanette Karout
Hawraa Sweidan
Abbas Jouni
Nada Ghosn
Hamad Hassan
author_sort Linda Abou-Abbas
collection DOAJ
description Abstract Since the beginning of the COVID-19 pandemic, the Epidemiological surveillance program of the Lebanese Ministry of Public Health has launched a rapid surveillance system for collecting COVID-19-related mortality data. In this study, we document the Lebanese experience of COVID-19 mortality surveillance and provide an analysis of the epidemiological characteristics of confirmed deaths. The implementation of the rapid COVID-19 mortality surveillance system, data sources, and data collection were described. A retrospective descriptive analysis of the epidemiological characteristics of confirmed cases occurring in Lebanon between February 20, 2020, and September 15, 2021, was performed. Epidemiological curves of Covid-19 confirmed cases and deaths as well as the geographic distribution map of mortality rates were generated. Between February 21, 2020, and September 15, 2021, a total of 8163 COVID-19-related deaths were reported with a predominance of males (60.4%). More than 60% were aged 70 years or above. Of all deaths, 84% occurred at hospitals and 16% at home. The overall cumulative mortality rate was 119.6 per 100,000. The overall case fatality ratio (CRF) was 1.3%. Of the total deaths, 82.2% had at least one underlying medical condition. The top reported COVID-19 comorbidities associated with COVID-19-related deaths are cardiovascular diseases including hypertension (59.1%), diabetes (37.2%), kidney diseases including dialysis (11%), cancer (6.7%), and lung diseases (6.3%). The CFR was 30.9% for kidney diseases, 20.2% for cancer, 20.2% for lung diseases, 18.1% for liver diseases, 14% for diabetes, and 12.2% for cardiovascular diseases. Considering the limited human and financial resources in Lebanon due to the economic and political crisis, the rapid mortality surveillance system can be considered successful. Improving this system is important and would contribute to better detection of deaths from emerging and re-emerging diseases during health crises.
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spelling doaj.art-5e6e0e58f41c434db92bff4385e2e3f32022-12-22T03:05:50ZengNature PortfolioScientific Reports2045-23222022-08-011211910.1038/s41598-022-18715-6COVID-19 mortality surveillance in LebanonLinda Abou-Abbas0Zeina Nasser1Mario Baaklini2Lina Cheaito3Jeanette Karout4Hawraa Sweidan5Abbas Jouni6Nada Ghosn7Hamad Hassan8Epidemiological Surveillance Program, Ministry of Public HealthEpidemiological Surveillance Program, Ministry of Public HealthEpidemiological Surveillance Program, Ministry of Public HealthEpidemiological Surveillance Program, Ministry of Public HealthEpidemiological Surveillance Program, Ministry of Public HealthEpidemiological Surveillance Program, Ministry of Public HealthEpidemiological Surveillance Program, Ministry of Public HealthEpidemiological Surveillance Program, Ministry of Public HealthEpidemiological Surveillance Program, Ministry of Public HealthAbstract Since the beginning of the COVID-19 pandemic, the Epidemiological surveillance program of the Lebanese Ministry of Public Health has launched a rapid surveillance system for collecting COVID-19-related mortality data. In this study, we document the Lebanese experience of COVID-19 mortality surveillance and provide an analysis of the epidemiological characteristics of confirmed deaths. The implementation of the rapid COVID-19 mortality surveillance system, data sources, and data collection were described. A retrospective descriptive analysis of the epidemiological characteristics of confirmed cases occurring in Lebanon between February 20, 2020, and September 15, 2021, was performed. Epidemiological curves of Covid-19 confirmed cases and deaths as well as the geographic distribution map of mortality rates were generated. Between February 21, 2020, and September 15, 2021, a total of 8163 COVID-19-related deaths were reported with a predominance of males (60.4%). More than 60% were aged 70 years or above. Of all deaths, 84% occurred at hospitals and 16% at home. The overall cumulative mortality rate was 119.6 per 100,000. The overall case fatality ratio (CRF) was 1.3%. Of the total deaths, 82.2% had at least one underlying medical condition. The top reported COVID-19 comorbidities associated with COVID-19-related deaths are cardiovascular diseases including hypertension (59.1%), diabetes (37.2%), kidney diseases including dialysis (11%), cancer (6.7%), and lung diseases (6.3%). The CFR was 30.9% for kidney diseases, 20.2% for cancer, 20.2% for lung diseases, 18.1% for liver diseases, 14% for diabetes, and 12.2% for cardiovascular diseases. Considering the limited human and financial resources in Lebanon due to the economic and political crisis, the rapid mortality surveillance system can be considered successful. Improving this system is important and would contribute to better detection of deaths from emerging and re-emerging diseases during health crises.https://doi.org/10.1038/s41598-022-18715-6
spellingShingle Linda Abou-Abbas
Zeina Nasser
Mario Baaklini
Lina Cheaito
Jeanette Karout
Hawraa Sweidan
Abbas Jouni
Nada Ghosn
Hamad Hassan
COVID-19 mortality surveillance in Lebanon
Scientific Reports
title COVID-19 mortality surveillance in Lebanon
title_full COVID-19 mortality surveillance in Lebanon
title_fullStr COVID-19 mortality surveillance in Lebanon
title_full_unstemmed COVID-19 mortality surveillance in Lebanon
title_short COVID-19 mortality surveillance in Lebanon
title_sort covid 19 mortality surveillance in lebanon
url https://doi.org/10.1038/s41598-022-18715-6
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