Clinical preventive services to reduce pandemic deaths

• Main Authors: Siddarth Agrawal, Justyna Gołębiowska, Bartłomiej Bartoszewicz, Sebastian Makuch, Grzegorz Mazur
• Format: Article
• Language: English
• Published: Elsevier 2020-12-01
• Series: Preventive Medicine Reports
• Subjects: Covid-19; Public health; Preventive medicine
• Online Access: http://www.sciencedirect.com/science/article/pii/S2211335520302072

The recent COVID-19 pandemic has highlighted inadequacies in both national and international preparedness. The outbreak has resulted in an overburdening and incapacitation of health systems worldwide, as well as numerous deaths of individuals with comorbidities.We have performed a simulation study to examine the effect of comorbidities and their prevention on the clinical outcome and mortality of patients during the COVID-19 pandemic. The data from past and present outbreaks indicate that individuals with comorbidities are significantly more susceptible to infections and yield poorer clinical outcomes. Our simulation study revealed that the prevention of morbidities like hypertension, diabetes, and cardiovascular disease bears an enormous potential to decrease the COVID-19 death toll. The accumulating evidence emphasizes our ability to reduce both the susceptibility of uninfected individuals to pathogenic factors, as well as the mortality of infected individuals during pandemics, by adopting a more comprehensive approach to disease prevention. Higher utilization of clinical preventive services is critical to reduce pandemic deaths and increase our preparedness for future outbreaks.