Mortality in France, caused for the first time by cancers and circulatory diseases, reached in 2023 a “historically low” level essentially linked to the reflux of COVID-19, but the pandemic left the traces and territorial inequalities have remained strong.
“The first two causes of death are still tumors and diseases of the circulatory system,” before the respiratory system diseases, it shows a reference work of researchers from the French Health Agency, INSERM and the Statistics Department of the Ministry of Health (DREES) published on Tuesday.
“After three years of strong mortality due to the Covid-19 pandemic and a rebirth of mortality linked to respiratory diseases in 2022”, 2023 experienced a “weaker than in 2019,” says Elise Coudin, director of CEPIDC (INSERM).
As in the vast majority of European countries, the level of mortality was “historically low” in France, but remained higher than expected if the prejugal trend would have extended until 2023. The reflux compared to 2022 is explained “to 60% due Mortality of mortality.
Every year, these scientists examine the main causes of mortality, with a little gap. In 2023, more than 637,000 deaths were recorded.
Cancer always first cause of death
Always the first murderers, in men and women, cancers have been responsible for just over a quarter of deaths (27%). Although in decline, mortality due to tumors has increased for certain cancers (pancreas, melanoma) and, in general, in women over 85 years.
In the second position, cardiovascular diseases (myocardial infarction, stroke, heart failure, etc.) resulted in a little more than a fifth of the deaths and represented the main cause of mortality in the 85 or more.
“Illuminates” in 2023, deaths caused by respiratory diseases other than COVVID (pneumonia, chronic diseases, winter flu) have returned since 2022 at a pre-cavid level. If they have decreased slightly for a year, deaths from endocrine, digestive and genitary diseases remain in an upward trend for several years.
This trend is potentially linked to “Pandemic -induced clashes (late management, difficulties in access to care, changes in behavior, even in the supply of attention)”, judge researchers, without knowing if it is “slow effects to be absorbed or structural shocks.”
Another teaching: mortality due to accidents, including falls and transport accidents, has increased even more, while the suicide rate (13.6 percent) has decreased. For the second consecutive year, mortality due to external causes (accidents, suicides, etc.) has been “significantly” higher than its prejugal tendency.
A death mortality rate almost double
Geographically, mortality is much more marked in foreign departments and regions and, to a lesser extent, in the north and east of France. “Mortality is 89% higher in Mayotte compared to the national average, 37% in Guyana and 17% in Hauts-de-France,” said Vianney Costemalle, director of the health office of the population of the DREES.
On the contrary, mortality is significantly lower in île-de-France (-15% compared to the national average). These disparities may be linked to “behavior, economic, environmental, territorial and access to attention,” summarizes Vianney Costamelle.
Mortality is also more important in rural areas due to the influence of cities and weaker in large agglomerations, especially for cardiovascular diseases and external causes.
In 2023, more than half of the deaths (53%) took place in health centers and almost a quarter at home (24%).
Source: BFM TV
