Majid Daneshfar
1 
, Nahid Dadashzadeh
2 , Mohammad Ahmadpour
3 , Hedieh Ragati Haghi
4, Vahid Rahmani
5 , Mehdi Frouzesh
2* , Rohollah Valizadeh
6 1 Instructor, MSc in Geriatric Nursing, Faculty Member, Medical Surgical Department, School of Nursing, Gonabad University of Medical Sciences, Gonabad, Iran and Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 Legal Medicine Research Center, Legal Medicine Organization, Tehran, Iran
3 Department of Public Health, Maragheh University of Medical Sciences, Maragheh, Iran
4 Department of Radiology, Brigham and Women’s Hospital, Boston, MA 02215, USA. School of Arts and Sciences, MCPHS University, 179 Longwood Ave, Boston, MA 02115, USA
5 Department of Operating Room, Maragheh University of Medical Sciences, Maragheh, Iran
6 Student Research Committee, Department of Epidemiology, School of Public Health, Iran University of Medical Sciences, Tehran, Iran
Abstract
COVID-19 is spreading all around the world, and is considered as the most widespread infectious disease of the century. Coronavirus transmits through respiratory droplets when in close contact with the infected person. Therefore, populous places are more likely to be the source of the novel coronavirus that is threatening the health of everyone especially the geriatric population. This study aimed to compare the transmission of coronavirus between metropolitan and non- metropolitan counties as lessons of mortality (especially in geriatric) following COVID-19 epidemic. The USAFact.org public website (https://usafacts.org/visualizations) was used to determine the transmission between metro and non- metropolitan counties. In this study, four different time periods were considered for the COVID-19 incremental trend (April 1, May 1, June 1, and July 1, 2020). The number of cases was determined per each 10,000 population. Yellow color means no case in the metropolitan county (metro). Orange color means less than 10 cases/10,000 of the population in metro. Figure and maps were used to show the objectives of the study. In metropolitan counties, the spread of COVID-19 is very fast, which is significantly different from the non-metro counties (P<0.001). The results show the sharp increasing trend of infected people in metropolitan counties. In metropolitan counties the number of infected people reached 2 420 316 cases per 10 000 populations but the number of infected people reached 231 459 cases per 10 000 populations. Over the four months period, the frequency of the light colors was decreased. According to the results, susceptible people especially the elderly should move to non- metropolitan counties during the COVID-19 pandemic to be less likely at risk.
Implication for health policy/practice/research/medical education:
For the elderly to remain healthy especially regarding renal parameters during COVID-19 pandemic, one way is moving to counties with low-population because populous counties are hazardous to them..
Please cite this paper as: Daneshfar M, Dadashzadeh N, Ahmadpour M, Ragati Haghi H, Rahmani V, Forouzesh M, et al. Lessons of mortality following COVID-19 epidemic in the United States especially in the geriatrics. J Nephropharmacol. 2021;10(1):e06. DOI: 10.34172/npj.2021.06.