Reduction in life expectancy in Brazil after COVID-19

Brazil has been heavily affected by coronavirus disease 2019 (COVID-19). In this study, we used data on reported total deaths in 2020 and in January–April 2021 to measure and compare the death toll across states. We estimate a decline in 2020 life expectancy at birth ( e 0 ) of 1.3 years, a mortality level not seen since 2014. The reduction in life expectancy at age 65 ( e 65 ) in 2020 was 0.9 years, setting Brazil back to 2012 levels. The decline was larger for males, widening by 9.1% the female–male gap in e 0 . Among states, Amazonas lost 60.4% of the improvements in e 0 since 2000. In the first 4 months of 2021, COVID-19 deaths represented 107% of the total 2020 figures. Assuming that death rates would have been equal to 2019 all-cause rates in the absence of COVID-19, COVID-19 deaths in 2021 have already reduced e 0 in 2021 by 1.8 years, which is slightly larger than the reduction estimated for 2020 under similar assumptions.