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Poverty affects the lethality of the covid; 75% of the deceased had studies until high school


MEXICO CITY.

The covid-19 pandemic has claimed more victims among people living in poverty, with less education or part of vulnerable groups.

According to the analysis of death certificates, 90% of those who died from the new coronavirus were housewives, retirees or pensioners, public sector employees, drivers, not employed, helpers, laborers, artisans, factory workers and people that are engaged in repair or maintenance.

In contrast, the occupations with fewer deaths are those of civil servants, managers, artists, bosses and students, which reflects that among those killed by SARS-CoV-2 there are more people who had to choose between staying at home to preserve their health or seek the necessary resources to support your family.

Schooling is also a prominent factor, since 75% of those killed by covid-19 had maximum secondary education, which is associated with low-paid jobs and poor access to health services, he explained to Excelsior Héctor Hernández Bringas, researcher at UNAM.

Covid broke vulnerable

Death certificates reveal that 85% of those who have died from the pandemic have done so in public hospitals and were pensioners, workers and workers in the public sector.

Behind the 91,895 deaths from covid-19 in the country, are the faces of the most vulnerable Mexicans.

“Those who died first or those who died first have been the poor,” said Héctor Hernández Bringas, researcher at the Regional Center for Multidisciplinary Research at UNAM.

Nine out of ten deaths from coronavirus were housewives, retirees or pensioners, public sector employees, drivers, professionals, the unemployed, helpers, laborers, artisans, factory workers and people who are dedicated to repair or maintenance.

“The truth is that in a country like Mexico not all people can, as some people can, work remotely, people with these characteristics always had or still have this difficult dilemma of deciding between staying at home to preserve their health their own and that of others and, on the other hand, keep their jobs or seek the necessary resources to support their families, ”said Hernández.

The occupations that concentrate the least deaths are those of civil servants, managers, artists, bosses and students.

“The source of information that we use are the death certificates stored in a Ssa database; They allow us to know very relevant aspects of people who have had the misfortune of dying, in this case due to covid-19 ”, he specified.

Based on this information, it was detected that 85% of all deaths occurred in public hospitals.

“In the IMSS, which precisely cares for this type of workers who are fortunate enough to enjoy a formal job, albeit poorly paid, and in the Ssa, whose hospitals are destined for the open population, that is, many of the informal workers they do not have social security ”, he indicated.

Schooling seems to be one more risk factor for dying from covid. “50% of the dead did not have, or had at most, primary school education, and if we expand the range a little more, we see that 75% had, at most, secondary school.

“Low education is normally associated with low-paid jobs and poor access to services, particularly health services; it is also related to the ability of people to be able to process the information that is offered to us and to be able to make timely and adequate decisions in relation to health care ”.

The researcher explained that the face of those killed by covid-19 in Mexico has not had significant variations with respect to the data that the Mortality by Covid-19 in Mexico study released last June Preliminary Notes for a Sociodemographic Profile.

“We already know that the prevailing mortality from covid-19 is among men or affects mainly men; although here we have seen that there are small changes over time. At the beginning of the pandemic there were two deaths of men for every woman, today we are 1.8 men for one woman, so it is a slight change, but that can give us an idea of ​​the greater incorporation of women in this issue of deaths from covid, “he said.

The latest Ssa report indicates that 63.93% of the dead are men and 36.07% are women. The ages in which the highest number of deaths from covid are registered for both sexes are between 55 and 69 years of age (23,366 men and 13,453 women); the median is 63 years.

“They are active ages, this marks a difference with respect to other countries, where the majority are senior citizens, in the case of Mexico this is not the case, although the participation of older adults in total deaths does represent, let’s say , 30-35% of all deaths ”.

Hypertension, diabetes and obesity, since the beginning of the pandemic, the main comorbidities associated with deaths from coronavirus are another trend that has remained stable, explained, for her part, Ilse Ruiz Mercado, professor of ecotechnological monitoring at the National School of Higher Studies, Mérida unit and part of the UNAM coronavirus map team.

Four out of every ten deaths (45.11%) nationwide suffered from hypertension, four out of ten (38.46%) were diabetic and two out of ten (24.09%) were obese.

However, when zooming in by state or municipality the figures may vary.

“For example, hypertension, the comorbidity with the highest percentage (45.11%); In northern states such as Sonora, Sinaloa, BC, BCS, Chihuahua, it amounts to 55%, but if we go by municipality we see that 55% is not in all of Chihuahua.

“Another entity, for example, with a lower level for hypertension, is Oaxaca, which has 40-39%, but also concentrated only in some of the municipalities.”

Only 27% of those killed by the new coronavirus did not have any comorbidity and 8% percent were at the same time diabetic, hypertensive and obese.




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