ﺗﺎﺛﯿﺮ ﺑﺤﺮان ﮐﺮوﻧﺎ ﺑﺮ روﻧﺪ ﻣﺮگ و ﻣﯿﺮ: آﯾﺎ ﻣﺴﯿﺮ ﻣﺮگ و ﻣﯿﺮ ﺗﻐﯿﯿﺮ ﮐﺮده اﺳﺖ؟

ﻣﻘﺪﻣﻪ: در ﺣﺎل ﺣﺎﺿﺮ ﮐﻮوﯾﺪ-19 ﺑﻪ ﻋﻨﻮان ﯾﮏ ﺑﯿﻤﺎری ﻧﻮﭘﺪﯾﺪ، ﻣﻬﻢﺗﺮﯾﻦ ﭼﺎﻟﺶ ﺳﻼﻣﺖ ﺟﻬﺎﻧﯽ اﺳﺖ. ﺷﺮاﯾﻂ ﺑﺤﺮاﻧﯽ ﻫﻤﻪﮔﯿﺮی اﯾﻦ ﺑﯿﻤﺎری ﻣﻤﮑﻦ اﺳﺖ ﺗﺎﺛﯿﺮات ﻣﺘﻔﺎوﺗﯽ ﺑﺮ ﻣﯿﺰان و روﻧﺪ ﻣﺮگ و ﻣﯿﺮ اﻓﺮاد ﺟﺎﻣﻌﻪ داﺷﺘﻪ ﺑﺎﺷﺪ. ﻣﻄﺎﻟﻌﻪ ﺣﺎﺿﺮ ﺑﺎ ﻫﺪف ﺗﻌﯿﯿﻦ ﺗﺎﺛﯿﺮ اﯾﻦ ﺑﯿﻤﺎری ﺑﺮ روﻧﺪ ﻣﺮگ و ﻣﯿﺮ در ﺷﻬﺮﺳﺘﺎن ﺟﻬﺮم اﻧﺠﺎم ﺷﺪ. روش ﮐﺎر: اﯾﻦ ﻣﻄﺎﻟﻌﻪ ﺑﻪ ﺻﻮرت ﺗﻮﺻﯿﻔﯽ و ﺑﺎ ﺗﺤﻠﯿﻞ دادهﻫﺎی ﮔﻮاﻫﯽ ﻓﻮت ﻃﯽ ﺳﺎل ﻫﺎی 1395 ﺗﺎ 1399 اﻧﺠﺎم ﺷﺪ. ﻣﺘﻐﯿﺮﻫﺎی ﻣﻮرد ﻣﻄﺎﻟﻌﻪ ﺑﺮاﺳﺎس ﯾﮏ ﻓﻬﺮﺳﺖ ﮐﻨﺘﺮﻟﯽ از ﻣﯿﺎن دادهﻫﺎی ﺳﯿﺴﺘﻢ ﺛﺒﺖ ﻣﺮگ ﻣﺮﮐﺰ ﺑﻬﺪاﺷﺖ و اداره ﺛﺒﺖ اﺣﻮال ﺟﻤﻊآوری ﺷﺪﻧﺪ. ﯾﺎﻓﺘﻪﻫﺎ: در ﻣﺠﻤﻮع، ﻃﯽ ﺳﺎلﻫﺎی ﻣﻮرد ﻣﻄﺎﻟﻌﻪ، 3785 ﻣﻮرد ﻣﺮگ رخ داده ﮐﻪ 2250 (59/5 درﺻﺪ) ﻣﺮگ در ﻣﺮدان و ﺑﻘﯿﻪ در زﻧﺎن ﺑﻮده اﺳﺖ. ﻣﯿﺎﻧﮕﯿﻦ ﺗﻌﺪاد ﻣﺮگ ﺳﺎﻟﯿﺎﻧﻪ ﻗﺒﻞ از ﭘﺎﻧﺪﻣﯽ ﮐﺮوﻧﺎ 701 ﻣﻮرد و ﺑﻌﺪ از آن 981 ﻣﻮرد ﺑﺎ ﺑﯿﺸﺘﺮﯾﻦ ﺗﻐﯿﯿﺮ ﻣﯿﺰان ﻣﺮگ ﻣﺮﺑﻮط ﺑﻪ ﮔﺮوه ﺳﻨﯽ ﺑﺎﻻی 70 ﺳﺎل ﺑﻮد. ﺑﯿﻤﺎریﻫﺎی ﻗﻠﺒﯽ- ﻋﺮوﻗﯽ، آﻧﻔﺎرﮐﺘﻮس ﻣﻐﺰ و ﺳﺮﻃﺎنﻫﺎ ﺑﻪ ﺗﺮﺗﯿﺐ ﺳﻪ ﻋﻠﻞ ﻋﻤﺪه ﻣﺮگ و ﻣﯿﺮ ﻗﺒﻞ از ﭘﺎﻧﺪﻣﯽ و ﺑﯿﻤﺎریﻫﺎی ﻗﻠﺒﯽ- ﻋﺮوﻗﯽ،ﮐﻮوﯾﺪ-19و ﺑﯿﻤﺎریﻫﺎی ﻋﺮوق ﻣﻐﺰی ﺑﻪ ﺗﺮﺗﯿﺐ ﺷﺎﯾﻊ ﺗﺮﯾﻦ ﻋﻠﺖ ﻣﺮگ و ﻣﯿﺮ ﺑﻌﺪ از ﺷﺮوع ﭘﺎﻧﺪﻣﯽ ﺑﻮدﻧﺪ. ﺑﻌﺪ از ﺑﺤﺮان ﮐﺮوﻧﺎ ﻣﻮارد ﻓﻮت ﻧﺎﺷﯽ از ﺗﺼﺎدﻓﺎت ﺟﺎدهای و ﺳﺮﻃﺎنﻫﺎ ﺑﻪ ﺗﺮﺗﯿﺐ 32/60 درﺻﺪ و 48/61 درﺻﺪ ﮐﺎﻫﺶ و ﺑﯿﻤﺎری ﺗﻨﻔﺴﯽ ﺷﺒﻪ آﻧﻔﻠﻮآﻧﺰا 110/25 درﺻﺪ اﻓﺰاﯾﺶ داﺷﺘﻪ اﺳﺖ. ﻧﺘﯿﺠﻪ ﮔﯿﺮی: ﻣﯿﺎﻧﮕﯿﻦ ﺗﻌﺪاد ﻣﺮگ رخ داده ﺑﻌﺪ از وﻗﻮع ﭘﺎﻧﺪﻣﯽ ﮐﻮوﯾﺪ-19در ﻣﻘﺎﯾﺴﻪ ﺑﺎ ﻗﺒﻞ از ﭘﺎﻧﺪﻣﯽ 39/9 درﺻﺪ اﻓﺰاﯾﺶ داﺷﺘﻪ اﺳﺖ. ﺑﯿﻤﺎریﻫﺎی ﻗﻠﺒﯽ- ﻋﺮوﻗﯽ ﻧﺨﺴﺘﯿﻦ و ﺷﺎﯾﻊﺗﺮﯾﻦ ﻋﻠﻞ ﻣﺮگ و ﻣﯿﺮ ﻗﺒﻞ و ﺑﻌﺪ از ﭘﺎﻧﺪﻣﯽ ﮐﺮوﻧﺎ ﺑﻮده اﺳﺖ.

impact of corona crisis on mortality: has the mortality changed its course?

background objectives: the critical conditions of the epidemic covid-19 may have different effects on the rate of mortality of other people in the community. the aim of this study was to determine the evaluation of mortality trend before and after the onset of corona crisis in jahrom county, south of iran.methods: this descriptive study was performed by secondary data analysis death certificate during 2016-2020. the studied variables were collected based on a checklist from the data of the death registration system of the health center and also mortality statistics announced by the organization for civil registration.results: in a total of 3785 deaths occurred during the study period, of which 2250 (59.5%) were in male and the rest were female. the average annual number of deaths before and after the corona epidemic was 701 and 981, respectively. cardiovascular disease, cerebral infarction, and cancer were the three leading causes of death before the onset of corona crisis, respectively, and cardiovascular disease, covid-19, and cerebrovascular disease were the most common causes of death after the onset of corona crisis, respectively. after the corona crisis, the cause of death from road accidents and cancer was reduced by 32.60% to 48.61% and the influenza-like illness was increased by 110.25%.conclusion: the average number of deaths occurred after the corona epidemic has increased by 39% compared to before the epidemic. cardiovascular diseases are the first and most common causes of death in jahrom before and after the corona epidemic.