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Excess mortality seems like the best way to track the pandemic because determining whether someone died of covid can be debatable sometimes, but there can be no
by idoh 6y ago
Excess mortality seems like the best way to track the pandemic because determining whether someone died of covid can be debatable sometimes, but there can be no debate over whether someone died.
- hinkley 6y agoI know at least one person who’s having problems exacerbated by lack of mobility. Atrophy in old people can be a big problem. I would not go so far as to support anyone claiming this is why we should be breaking quarantine, but can’t quite support racking them all up as COVID deaths either. Reality is somewhere between the two (but close to “most” than “few”)
- cma 6y agoOn the other hand there are other deaths that were reduced, like automobile accidents and just accidents and general.
- fred_is_fred 6y agoI am confused by this. Either this person is only mobile in indoor spaces for some reason or this person lives somewhere they were doing police checkpoints if you leave your house (like Bangalore). I've spent at least 2x more hours outside, walking, riding bikes, hiking, hitting golf balls, etc. There's nothing else to do but be outside. The fact that I don't have to go into the office and no longer can or want to visit breweries and restaurants has been a great boon to my health and Vitamin D intake.
- briefcomment 6y agoHm, interesting. I’m guessing it’s the lack of socialization more than a lack of movement that’s affecting people’s health.
- baumandm 6y agoChanging routines is hard. Just because people can spend time moving about outside doesn't mean they will. Just like because people can eat healthy food in appropriate amounts doesn't mean we don't have an obesity problem. For example, someone could have used to walk to work, or walk to lunch. Or just spent more time walking about an office building than their home office. Or had a routine of hitting the gym after work, but be unable to find the same motivation to work out at home.
- inglor_cz 6y ago"Or had a routine of hitting the gym after work, but be unable to find the same motivation to work out at home. " I had a routine of hitting the gym between 13.00-15.00, when it is at its emptiest. When the deadlocks came, I bought some rudimentary equipment home, but the experience sucked... Polished hardwood floors are just too slippery. Fortunately, they opened the gyms on Thursday again and I am going back to my previous routine.
- fred_is_fred 6y agoI get the motivation thing but what else is there to do on a Saturday besides go hiking or take the dog on a long walk. We’ve been through this for eight months now and people should be getting outside just for sheer boredom.
- kgermino 6y agoIt really depends. My outdoor activity levels are way down. I used to hit 2-3 miles a day just going to work, lunch, the grocery store, meetings, etc which I don’t get anymore. It’s not that I don’t have the Time to make it up, but there’s a lot of days where I only left the house because I had somewhere to go (cold, rainy, busy, etc). There’s a huge difference between “I have to walk to the store because we’re out of bread” and “I have to walk around the block because I need exercise”
- deleted 6y ago[deleted]
- jacobolus 6y agoIf you start looking at data more broken down by cause, there are huge surges in (not-confirmed-Covid) “pneumonia”, “stroke”, etc. deaths which very closely follow the distribution in place/time of confirmed Covid deaths. The pattern is very clear and obvious, and not at all what you would expect if the primary cause were just something to do with being in lockdown.
- eyelidlessness 6y agoThere are quite a few risk increases associated with general shutdown. This is one with large impact. Another large impact is mental illness, in particular presenting in suicide and substance abuse. On the other side, many other common risks are reduced: workplace injury, other transmissible ailments. If the purpose of the analysis is to determine whether the preventive measure is effective and not overwrought, an excess deaths analysis is a good one because it helps infer what the toll would be in absence of the measure. If the purpose is to attribute cause of death, it’s just a heuristic. But a useful one when other methodologies are (rightly or wrongly) suspect.
- deleted 6y ago[deleted]
- Thorrez 6y ago>If the purpose of the analysis is to determine whether the preventive measure is effective and not overwrought, an excess deaths analysis is a good one because it helps infer what the toll would be in absence of the measure. How do you know what the toll would be in the absence of the measure? Excess deaths tells us how many deaths are from virus+shutdown. I don't see how we can use this data to find out how many deaths there would be in a virus (no shutdown) scenario, or in a shutdown (no virus) scenario.
- saiya-jin 6y ago> workplace injury, other transmissible ailments. For white collar workforce, it just becomes at-home injury, whatever it is. Transmission generally might not be so greatly reduced either - there are jobs which have to go to work (like my wife who is a doctor) so whole household is exposed, there are schools/kindergardens still open in many countries (so our baby can easily bring covid from it while I haven't been sitting in the office since mid march). Using face masks and washing hands might be helping more with spread, something that was ridiculous and laughed at in western culture still 1 year ago. I was a fan of it even for regular flu as done in south east asia for a long time, but no way you could have done it here.
- scoopertrooper 6y ago> Another large impact is mental illness, in particular presenting in suicide At least one study didn't find an uptick in suicides as a result of the lockdowns. Situation may differ in America because it's run by idiots that cut off state income support and didn't commit to locking down till the situation was under control. https://www.thelancet.com/journals/lanpsy/article/PIIS2215-0366(20)30435-1/fulltext https://www.thelancet.com/journals/lanpsy/article/PIIS2215-0...
- redis_mlc 6y ago> I know at least one person who’s having problems exacerbated by lack of mobility. Atrophy in old people can be a big problem. His name is Biden. You can see it on video when he shuffles to the podium.
- vinni2 6y agoWhat about all the traffic accidents which didn’t happen due to shutdown?
- medium_burrito 6y agoShhh we don't talk about that! The car industry brings lots of jobs and is nothing but good.
- YokoZar 6y ago> What about all the traffic accidents which didn’t happen due to shutdown? That represents only a few hundred lives, it seems. Deaths per vehicle mile traveled are actually up. https://www.caranddriver.com/news/a34240145/2019-2020-traffic-deaths-coronavirus/ https://www.caranddriver.com/news/a34240145/2019-2020-traffi...
- ThomPete 6y agodomestic violense is up which hurts kids too. Millions will die of starvation around thec world because of extended lockdowns in te west and we could go on.
- viraptor 6y ago> because of extended lockdowns in te west I'd rather phrase it as "because of inadequate social support during lockdown". A few countries paying low support had money to do more. Blaming that just on long lockdown is missing all the other possible solutions. As for the effect on mortality of the lockdowns themselves, it will be interesting to look at Australia in a few months where the infections stayed relatively low, but lockdown lasted months. Especially comparing Vic to NSW.
- ThomPete 6y agoI agree but I am talking about the consequences on third world countries of a slowing economy.
- 6y ago
- DanBC 6y agoWe don't rack them all up as covid deaths. We combine excess mortality with other stats. One of the reasons excess mortality has attracted so much attention is because there are a bunch of people saying that covid just isn't killing many people and we point to the pile of corpses and ask "what happened to them then?"
- ReptileMan 6y agoThe main problem is that different people have different definitions what pile of corpses actually is. For me covid is not a big deal and it should have been ignored. And I have came to this conclusion looking at the official data. For a lot of people that are very passionate about masks and lockdowns this is incomprehensible - that I could look at the data and come to different conclusion. That is the point - for me covid isn't killing many people. It is killing tiny amount relative to the global population and it is usually people that were on the way out. Which ones again shows how difficult is to argue with someone when your basic axioms, values and definitions mismatch.
- DanBC 6y ago> and it is usually people that were on the way out. You haven't looked at the data closely enough if you believe this. Covid is killing people an average of 10 years early. Most of these people needed no assistance in their day to day life before they died. This isn't the frail, very elderly, population you think it is.
- ReptileMan 6y agoI have seen extremely strong amplification of risk by stuff like obesity, diabetes and the rest of the metabolic syndrome buddies. A lot of the dead were having chronic conditions or were already old.
- gpderetta 6y agoTurns out a lot of people have heart conditions or diabetes. Doesn't meant they were going to die.
- twelve40 6y agoAssigning blame for various components of the overall mortality is important for those who can change the policy, but for lil' old me it's very great to see at least one indisputable number (excess mortality - hard to fake the fact of death) that can be trusted to represent the magnitude of what we're dealing with in 2020, and which, yes, includes all deaths caused by (or avoided by) various policies. Everything else quickly becomes a jumbled opinionated mess which depends on how deaths are attributed and quickly loses any objectivity and meaning.
- jariel 6y agoThe problem is that due to significant and pervasive behaviour changes, other forms of mortality and altered. In some places, there are apparently many fewer people dying from the flu, because, well, we're isolated from one another! Similarly, fewer car accidents. Suicides are probably altered, as well as violence in some cases, in particular domestic violence. People forgoing treatments for any host of disease due to either fear of going to the clinic, or delayed treatments. etc..
- IronRanger 6y agoThe other factor little talked about in Europe is aged carers - usually from Eastern Europe and the FSU - rushing to return home to their families in the midst of border closures, lockdowns, and flight cancellations. This lead many residents to die of neglect, or for COVID to sweep easily through many centres if the remaining staff worked whilst symptomatic and took shifts across multiple locations. This is part of the reason why countries in EE and the FSU, as well as those with less strict lockdowns (ie. Sweden), had lower mortality rates than in places like the UK, Spain, Italy, France. It might be worth reconsidering the whole aged care model, and advancing the idea of voluntary euthanasia for the elderly.
- sam_bristow 6y agoWhat do you mean by that last paragraph? Because on first read it sounds like you're suggesting something horrifying and I hope there's a more generous interpretation I've missed.
- IronRanger 6y agoPeople should be able to go out on their own terms, instead of deteriorating in an aged care centre. It should be completely legal for those aged 80 and over, for example, to seek to end their life - if they decide they have lived all they want, and don't want to suffer the problems associated with old age. This also allows them to choose their time of death, and for their family to remember them in a state of relatively good health.
- jb775 6y agoThis data is BS. Firstly, it's nonsense to take "average amount of deaths" over the past few years and extrapolate it to the current year without accounting for population growth changes, and rate of population growth acceleration. Secondly, if you look at the "expected U.S. Death Rate" data[1], it shows that they expected U.S. death rates (per capita) to rapidly accelerate about 7 years ago, but the rate of deaths didn't really begin that acceleration cycle until ~2 years ago: 2017: 858.0 deaths per 100,000 predicted 2018: 868.5 deaths per 100,000 predicted 2019: 878.2 deaths per 100,000 predicted 2020: 888.0 deaths per 100,000 predicted ---------------------------------------- 2017: 731.9 actual deaths per 100,000 [2] 2018: 723.6 actual deaths per 100,000 [3] 2019: 867.8 actual deaths per 100,000 [4] 2020: Could be anywhere between 835-910 depending on the population data and total death numbers you use to calculate ---------------------------------------- Not sure why people aren't dying as fast as they initially thought (probably modern medicine, etc), but that simply means there were more old people on the verge of dying coming into 2020. So even if 2020 shows a per-capita increase in deaths, it's to be expected. [1] - https://www.macrotrends.net/countries/USA/united-states/death-rate https://www.macrotrends.net/countries/USA/united-states/deat... [2] - https://www.cdc.gov/nchs/data/nvsr/nvsr68/nvsr68_09-508.pdf https://www.cdc.gov/nchs/data/nvsr/nvsr68/nvsr68_09-508.pdf [3] - https://www.kff.org/other/state-indicator/death-rate-per-100000/?currentTimeframe=0&selectedRows=%7B%22wrapups%22:%7B%22united-states%22:%7B%7D%7D%7D&sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22asc%22%7D https://www.kff.org/other/state-indicator/death-rate-per-100... [4] - https://www.cdc.gov/nchs/fastats/deaths.htm https://www.cdc.gov/nchs/fastats/deaths.htm
- Thorrez 6y agoDid you look at the "Excess mortality using raw death counts" chart? It's very very clear that 2020 is a huge outlier. Is it possible some of their numbers are a bit off? Sure. But the size of the difference in 2020 dwarfs that.
- postingpals 6y agoI'm more inclined to believe the organisation literally called 'our world in data' as an authority for data research. Your analysis just seems incomplete and I highly doubt they would just leave something out or use bad data. Look at their formulas to get a better idea why.
- URfejk 6y agoTrue. So take a look what this guy found out: http://market-ticker.org/akcs-www?post=240767 http://market-ticker.org/akcs-www?post=240767
- oxfordmale 6y agoEspecially in the second peak, excess mortality also include patients with other underlying health conditions that couldn't, or didn't want to, access health services. In the UK cancer referrals have been at an all time low for example.
- paul_f 6y agoTo be accurate, we would also need to know the number of deaths attributed to the policies established to prevent COVID deaths and increase hospital capacity. What were the number of excess deaths from other causes - due to fewer doctor visits, fewer diagnostics, fear of going to the hospital, discharging early, etc?
- anoncake 6y agoBut what are you going to do with that information? It's important to know if someone died of Covid or because of our measures against it. Or even of Covid because of our measures against it (stress weakens the immune system + getting infected anyway).
- Viliam1234 6y ago> there can be no debate over whether someone died. Sure, but their deaths can be attributed to lockdowns. And when the vaccine is out, their deaths will probably be attributed to the vaccine. Measuring excess mortality is not going to convince a covid denialist.
- adewinter 6y agoExcess Mortality is a tool used to attribute deaths to _the pandemic_. It is helpful for answering questions like "How well is <country> handling the Pandemic?" and for comparing performance between countries and comparisons over time.
- Viliam1234 6y agoIt conflates "deaths caused by pandemic" with "deaths caused by reactions to pandemic" with "deaths caused by random things that accidentally happened during the pandemic". Imagine a parallel universe, where COVID-19 is actually just a flu, but for some reason the oppresive governments execute anyone who says so. In the parallel universe, they also have excess mortality (because of the executions) during 2020. So you cannot use the mere fact of excessive mortality to prove that we do not in fact live in this parallel universe.
- adewinter 6y ago> It conflates "deaths caused by pandemic" with "deaths caused by reactions to pandemic" with "deaths caused by random things that accidentally happened during the pandemic". It is not "conflating". That's the actual point of the exercise here. It's asking, how would things have been had there not been a pandemic? How much impact did the pandemic have on the society, in TOTAL, OVERALL.