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Objective To investigate how economic development and health resource input impact infant mortality in Shanghai. Methods Data on GDP per capita, the number of health facility beds per 10,000 population, and the infant mortality rate in Shanghai from 1991 to 2020 were selected and analyzed using the vector error correction model. Results A long-term equilibrium relationship existed between infant mortality, GDP per capita, and the number of health beds per 10,000 persons, with the elasticity coefficient of infant mortality being-2. 83 (95% CI:-3. 86-1. 80) for GDP per capita and-3. 02 (95% CI: -5. 03-- 1. 01) for the number of health beds per 10,000 persons. The maximum value is reached in the 5th and 6th year respectively and has a long-term negative impact. Conclusion The improvement of infant health cannot be achieved without the two-way promotion of socio-economic and health resource investment. It is necessary to promote the effective combination of investment in health resources and economic development, improve the construction of the maternal and child healthcare service system, strengthen the leading role of the Government, and build an efficient mechanism for the investment of health resources. [ABSTRACT FROM AUTHOR]

Background: To explore changing patterns in suicides and provide suggestions for suicide prevention by reviewing all suicide deaths from 2002 to 2020 in Shanghai, China.Methods: Suicide-death data were obtained from the Shanghai Death Surveillance System and analyzed in terms of year, sex, age group, area, suicide method, and depression diagnosis. Joinpoint regression analyses were conducted to examine time trends in suicide rates.Results: The age-adjusted suicide rate was 6.15/100,000 in 2002 and 5.10/100,000 in 2020. The change in this rate was U-shaped, with a downward trend before 2009 followed by an upward trend. The rate initially decreased by 6.33% annually (95% confidence interval [95%CI]: 4.25-8.37%) but, after 2009, increased by 2.60% annually (95%CI: 1.49-3.71%). Similar trends were found for men and women, the 0-29y and 30-49y age groups, and residents of central and suburban areas, respectively. In 2020, jumping from a high place was the leading suicide method (39.54%), and 22.54% of suicide victims had a diagnosis of depression.Limitations: Suicides may be misclassified in coding (however, provided misclassification rates remain stable, this should not influence overall trends). Suicides among temporary residents were not included because of inadequate stratified population data. The finding of a higher prevalence of depression may have been impacted by a higher detection rate.Conclusions: The post-2002 decline in Shanghai suicide rates reversed in 2009, and the suicide pattern changed greatly from 2002 to 2020. With the current increasing trend in suicide rates, targeted suicide-prevention strategies featuring multi-departmental cooperation are necessary. [ABSTRACT FROM AUTHOR]

• The mortality burden of influenza has been substantial in Shanghai, especially among the elderly. • Excessive mortality associated with influenza B virus is dominated by B(Yamagata) lineage. • The evidence for sex differences in influenza-associated mortality for respiratory and circulatory diseases is limited. Few studies have explored the different lineages of influenza B viruses, which cause excessive fatalities. This study aimed to estimate age- and sex-specific excessive mortality associated with influenza subtypes/lineages in Shanghai, during 2010–2015. We used quasi-Poisson regression models to fit weekly numbers of deaths from various causes by adjusting long-term trend, seasonal trend, and absolute humidity as confounding factors. The mortality burden associated with influenza subtypes/lineages was estimated by age and sex. The average influenza-associated excessive mortality rate in deaths coded as all-cause was 27.66 (95%CI: 22.30–33.88) per 100,000 person-years. The excessive deaths from six underlying causes in people aged ≥65 years weight heavily. Compared to influenza B(Victoria) lineage, influenza B(Yamagata) lineage had more effect on the influenza-associated disease burden, particularly in patients with respiratory and circulatory diseases. There was no statistical significance of sex in the mortality burden associated with influenza. Disproportionate mortality associated with influenza B virus is dominated by B(Yamagata) lineage in Shanghai, and the evidence for sex differences in the influenza-associated mortality burden for respiratory and circulatory diseases is limited. Improving the vaccination of the elderly and strengthening laboratory-based surveillance of influenza B lineages in Shanghai are needed to reduce this influenza's disease burden. [ABSTRACT FROM AUTHOR]