3 ms·
> Excess mortality is higher now than during Covid Interesting analysis of the UK's excess mortality published in the BMJ: https://www.bmj.com/content/379/bmj.
by neuronexmachina 4y ago
> Excess mortality is higher now than during Covid
Interesting analysis of the UK's excess mortality published in the BMJ: https://www.bmj.com/content/379/bmj.o2524 https://www.bmj.com/content/379/bmj.o2524
> Surprisingly, mortality rates in 2022 for most of the 10 leading “underlying” causes of death such as heart disease, stroke, and lung and colorectal cancer have been similar to previous years, or lower than expected. An exception is the rate for “symptoms, signs, and ill defined conditions” (mostly deaths resulting from old age and frailty) which has consistently been higher than expected and also caused the most excess deaths, but not enough to explain the overall excess.4
> However, the Office for Health Improvement and Disparities’ (OHID) analysis of deaths by “any mention” on the death certificate—rather than just the “underlying cause” of death—shows a substantial excess, in particular, of deaths from cardiovascular diseases and diabetes since April,6 prompting an investigation by the Department of Health and Social Care. Growing evidence suggests that covid-19 increases the risk of cardiovascular problems even months after infection,7 which could in part be driving excess deaths. Covid-19 itself remains the sixth leading cause of death, causing 200-400 deaths weekly—a reminder that this virus remains a threat for the foreseeable future.
> Another possibility is that people may not be receiving the care they need from an NHS that was already overstretched pre-pandemic and is now coping with unprecedented backlogs of care and pressures on emergency services. This “crisis” situation has an adverse impact on all patients, but a lack of timely care can be especially life threatening for people with acute cardiovascular problems.
> ONS analysis shows about 3300 excess deaths occurred during the heatwaves experienced in England and Wales between June and August, mostly in older people.8
> ONS also notes that excess deaths can occur following periods when deaths were lower than average, ie, “mortality displacement.”5 Could some of the excess deaths since April reflect the lower ASMRs in early 2022?
I'm also curious about why there's such a difference in relative excess death rates between the US and UK. Currently in the US the weekly death rates are far below what they were in 2020-2021: https://www.cdc.gov/nchs/nvss/vsrr/covid19/excess_deaths.htm https://www.cdc.gov/nchs/nvss/vsrr/covid19/excess_deaths.htm