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دراسة مستويات واتجاهات الوفيات في ضوء أهداف التنمية المستدامة 2030

العنوان بلغة أخرى: Mortality Levels and Trends in Light of the 2030 Sustainable Development Goal 2030
المصدر: السكان : بحوث ودراسات
الناشر: الجهاز المركزي المصري للتعبئة العامة والإحصاء
المؤلف الرئيسي: عبدالجليل، إيمان (مؤلف)
مؤلفين آخرين: عطية، حنان حسن حسين (م. مشارك), عبدالحميد، أميرة شاهر (م. مشارك), عبدالعاطي، سارة محمد السيد (م. مشارك)
المجلد/العدد: ع102
محكمة: نعم
الدولة: مصر
التاريخ الميلادي: 2021
الشهر: يوليو
الصفحات: 118 - 168
رقم MD: 1318473
نوع المحتوى: بحوث ومقالات
اللغة: العربية
قواعد المعلومات: EcoLink
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المستخلص: the foundation for the study of population change. The level of mortality is one of the important indicators that indicate the extent to which health services and health awareness are advanced in any society. Studying mortality trends and their causes helps to develop plans and take appropriate decisions to improve the health status of the entire population and reduce deaths that may result from external causes such as traffic accidents, work injuries, thus increasing the life expectancy at birth in the community. The study aims to Identifying the differences in mortality, causes related to deaths, monitoring mortality and health indicators in light of the 2030 Sustainable Development Goals and knowing the most important data of deaths as a result of the Covid-19 pandemic in 2020 until the date of the study during the period (2000-2019). The study is based on the data of the Birth and Death Statistics Bulletin, population estimates for different years (2000-2019), and data from the Ministry of Health and Population. Results of the study: 1- The mortality rate increased significantly in urban areas compared to rural areas during the period (2000-2019), and then decreased slightly to reach 8.3 deaths in urban areas compared to 3.9 deaths in rural areas per 1000 population in 2019. 2- A decrease in the age death rate during the period (2000 -2019) at the level of all age groups, especially the mortality rate of children under one year, where this rate decreased from 39.9 in 2000 to 15. 2 in 2019 per thousand population in the same age group. 3- The infant mortality rate decreased during the period (2000 -2019) from 31.5 in 2000 to 15.7 in 2019, which is decrease. 4- According to the place of residence the infant mortality rate increased to reached 33.6 in the rural compared to 28.9 in the urban area in 2000 per thousand live births, then the rate pattern took a change from 2005 to 2019, where these rates increased in the urban than in the rural until it reached 11.0 In rural areas, compared to 19.7 in urban areas in 2019 per thousand live births. 5- At the level of Upper Egypt governorates, the infant mortality rate in Assiut governorate reached 52.7 deaths per thousand live births (53.0 males, 52.4 females) in 2000 compared to 24.0 cases per thousand live births (23.8 for males, 24.3 for females) in 2019, which is considered the highest rate between all governorates. 6- Ismailia governorate ranked as the first among the governorates of Lower Egypt, where the infant mortality rate reached 29.2 (32.2 for males, 25.8 for females) per thousand live births in 2000, dropping to reach 14.2 (15.7 for males, 12.7 for females) per thousand live births 2019. 7- Respiratory diseases are at the top of the causes of infant mortality, as data indicate an increase in infant mortality during the period (2000 -2019) due to these diseases, reaching 25.5% of the total infant mortality (23.9% for males, 27.6% for females) in 2000 increased to 26.6% (25.6% for males, 27.9% for females) in 2019, and it is noted that female deaths due to these diseases in general were higher than males during the period (2000-2019). 8. Mortality due to diseases of the circulatory system comes in the second place, which fluctuated between rise and fall. At the total level, it amounted to 18.1% in 2000

and then decreased to reach its lowest level in 2005 to reach 5.3% and then gradually rose again to reach 17.8% in 2015, then its maximum percentage in 2019 when it reached 25.5%. 9. Deaths due to infectious and parasitic diseases reached 17.9% of the total infant deaths in 2000 but decreased to 7.3% in 2019. 10. The expectation of survival at birth rises during the period (2010- 2019) and its value was 69.5 in 2010, rising to reach 74.3 in 2020. 11. The highest death rate in most years of governorates is Assiut governorate, and the highest value of the rate was 52.7 in 2000 compared to 24.4 in 2019. 12. The most common diseases that cause death during the period (2000- 2019) are diseases of the circulatory system. The death rate as a result of these diseases reached 43.1% of the total deaths in 2000 (45.1% for females, 41.5 for males), and the percentage decreased to 37.9% in 2010, It continued to rise, reaching 54% in 2019 (55.3% for females, 52.9% for males). 13. The death rate due to tumors decreased during the period (2005 -2019), it was 39.1 per 100 thousand of the population in 2005 (44 for males, 34.1 for females), and the value continued to decline until it reached 33.6 per 100 thousand in 2019 (35.8 for males).,31.2 for females). 14. 15.4% of deaths due to tumors were in the age group (65-69 years), 14.7% of those deaths occurred in the age group (60-64 years), meaning that about one third of tumor deaths occurred in the broad age group (60-69 years). 15. According to the cause of death, the highest value of the death rate due to diseases of the circulatory system, which amounted to 311.4 per 100 thousand of the population, and the largest value of this rate among the different age groups is among the elderly groups, meaning that 18,958 per 100 thousand of the population is in the age group 85 +, meaning that each 100 thousand of the population in the 85+ category, of whom about 19,000 die, and it decreases to 11099 per 100 thousand of the population of the age group (80-84 years), and the value of the rate continues to decrease as we go to the younger age, reaching to 29 in the age group (1 -4) years, excluding newborns, where the rate reached 340 per 100 thousand of the population. 16. The maternal mortality rate increased from 30 deaths per 100,000 births in 2000 to 65 deaths per 100,000 births in 2005, the rate gradually declining from 54 deaths per 100,000 births in 2010 to 49 deaths per 100,000 births in 2015 to decrease again to 43.4 deaths per 100,000 live births in 2019. 17. The mortality rate of children under five in general is fluctuated at the level of the Republic, reaching 38.6 deaths per thousand live births in 2000, dropping to 18.7 deaths per thousand live births in 2010 and then rising to 20.4 deaths per thousand live births in 2019. 18. The mortality rate of children under five is higher among females than males, as the mortality rate of female children for those two governorates in 2019 was (18.1, 20.9) per thousand for females, respectively, compared to (19.7, 18.6) per thousand for males for the two governorates, respectively, for the same year. 19. A decrease in the neonatal mortality rate during the period (2000- 2019) at the level of the whole Republic, as it reached 16.4 deaths per thousand births in 2000, to decrease to 8.8 deaths per thousand births in 2005 and continue to decline to reach

(6.4, 6.8) cases. Deaths per thousand live births during 2010 and 2015, respectively, but it again to 7.5 deaths in 2019. 20. Neonatal mortality rates fluctuated at the level of the whole of the Republic, reaching 6.6 deaths per thousand births in 2015 compared to 7.5 deaths per thousand births in 2019, while we note the high death rates at the level of the governorates of the whole Republic. 21. The probability of death due to heart diseases, cancer, diabetes, chronic respiratory diseases or the so-called non-communicable diseases. It is noted that 27 people died in 2015 compared to the possibility of 25 people dying in 2019 due to non-communicable diseases for the whole of the Republic. 22. The number and rates of deaths as a result of road accidents fluctuated during (2005, 2019), although the rate increased at the end of the period from its beginning, where the number of deaths recorded 4,077 deaths, at a rate of 5.8 per 100 thousand of the population in 2005, to rise to 7,967 deaths at a rate of 8.8 per 100 thousand of the population. 23. Cairo Governorate ranked the first place in the number of deaths due to road accidents for the year 2019, which amounted to 1,245 deaths, followed by Giza Governorate, which ranked second with 874 deaths, and the third place for Alexandria Governorate, which recorded 672 deaths, followed by Beheira Governorate, which recorded 628 cases. 24. Decrease in the number of deaths at the beginning of the first wave of the Covid-19 virus, 39 cases deaths in the period from 12 until the end of March, it gradually increased to reach 342 deaths during the month of April, then took the shape of the curve increasing until it reached its peak in the month of June, when the deaths reached 1992 deaths, the number of cases continued at this level to reach 1850 deaths in July and then decreased during the following months to reach November, which marked the end of the first wave, where the number of deaths reached 268 deaths until the end of this stage on 21 of November. 25. The deaths due to the Covid-19 virus gradually rise again to warn of the beginning of the second wave on the twenty-second of November, reaching 970 deaths during December, and from that moment the epidemiological curve began to rise dramatically during the months following December, as The number of deaths reached 1693 deaths in January, then this number decreased to 1365 deaths in February, followed by March and April (1300, 1339) deaths respectively, and until the date of the study period, the data indicate that the mortality curve will remain high as The number of deaths reached 559 during the first days of May 2021, which indicates the severity of the second wave and also the speed of spread compared to the first wave.

26. Higher mortality rates among males than females, whether during the first or second wave of the Covid-19 vims, as it reached 56.5% for males compared to 43.5% for females during the first wave of the pandemic, while deaths among males decreased by 4.5 percentage during the second wave until Now to 52.0% for males compared to 48.0% for females. 27. with regard to comparing death rates between the first and second waves, it may be noted that since the beginning of the pandemic and the registration of the first