id author title date pages extension mime words sentences flesch summary cache txt cord-303690-8h58rmwk Michelozzi, Paola Mortality impacts of the coronavirus disease (COVID-19) outbreak by sex and age: rapid mortality surveillance system, Italy, 1 February to 18 April 2020 2020-05-14 .txt text/plain 1944 99 55 title: Mortality impacts of the coronavirus disease (COVID-19) outbreak by sex and age: rapid mortality surveillance system, Italy, 1 February to 18 April 2020 Data from the rapid mortality surveillance system in 19 major Italian cities were used to carry out a timely assessment of the health impact of the COVID-19 epidemic. Since 2004, Italy has had a rapid mortality surveillance system (SiSMG) for real-time monitoring of daily deaths in major Italian cities and allows routine evaluation of the health impact of extreme events and influenza epidemics [3, 4] . Briefly, SiSMG is based on an ad hoc daily flow of mortality data (resident population by age and sex) from local Municipal Registry Offices to the Department of Epidemiology, Lazio Regional Health Authority -ASL Roma 1 (DEPLAZIO) which manages the system on behalf of the Ministry of Health [5, 6] . Figure 2 shows excess mortality by sex and age groups among cities in the north and in the centre and south of Italy caused by the COVID-19 outbreak up until 3 April 2020. ./cache/cord-303690-8h58rmwk.txt ./txt/cord-303690-8h58rmwk.txt