Category: Mortality

Fact Check: Covid as a Leading Cause of Death in Children

Mary Pat Campbell

Link: https://www.covid-georgia.com/pediatric-news/fact-check-covid-is-a-leading-cause-of-death-in-children/

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Excerpt:

In the CDC ACIP meeting on June 17 to discuss childhood Covid vaccines, a table was presented showing Covid was a leading cause of death in US children as part of a slide deck on the epidemiology of Covid-19 in children and adolescents by Dr. Katherine Fleming-Dutra. The source was a pre-print written by a group of academics from the UK, including Dr. Deepti Gurdasani, who is well-known on Twitter for her strong views on Covid. I later learned that a very similar slide was also presented at the beginning of the FDA VRBPAC meeting earlier in the week.

The slide was shared on Twitter by Dr. Katelyn Jetelina (“Your Local Epidemiologist”), and retweeted by many influential people including Jerome Adams, Julia Raifman (tweet now deleted), Gregg Gonsalves, and Leana Wen. Only problem? It’s completely and utterly false. The pre-print it’s based on includes significant errors that invalidate the results. And the slide makes additional errors on top of the pre-print. It’s really disturbing that data this poor made its way into the meetings to discuss childhood Covid, and that it took me less that a few minutes to find a major flaw (and then I found many more as I looked deeper). I contacted the study’s corresponding author, Dr. Seth Flaxman, who originally said he’d get back to me on Monday, but responded early Sunday morning to get more information about the source of the Underlying Cause of Death data I used for Covid (the CDC WONDER database, Provisional Mortality Statistics, 2018-present). He later posted on Twitter to say than an updated pre-print would be available soon.

….

The second major issue with the pre-print are the time periods for the deaths. The underlying cause of death data is for a single year – 2019 (more on that later). However, the rankings of Covid deaths by age group in the pre-print include both cumulative (over 26 months) AND annualized deaths for some strange reason. That means Covid is inexplicably ranked twice for each age group.

Below is the table ranking leading causes of death for 15-19 year olds. Notice that Covid is listed both as the 4th AND the 6th leading cause of death. This is non-sensical and extremely misleading. It is completely inappropriate to compare the cumulative number of Covid deaths over 26 months to deaths from other causes over a one year period. The only way to make a fair comparison is to use an annualized number. There’s no good reason the cumulative number of Covid deaths over 26 months should be included on this list at all.

Author(s): Kelley in Georgia

Publication Date: accessed 22 Jun 2022

Publication Site: COVID-19 in Georgia

Essential Terms of the Authority Crisis

Mary Pat Campbell

Link: https://polimath.substack.com/p/essential-terms-of-the-authority

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Excerpt:

This last week, the CDC held their ACIP meeting to discuss whether or not they should recommend the COVID vaccines for children 6 months to 5 years old. While presenting on the danger of the virus for children, a slide was shown claiming that COVID presented as one of the leading causes of death for children.

Kelley, who runs covid-georgia.com, saw this slide and immediately knew it was false. She has been tracking COVID data in excruciating detail in Georgia since the beginning of the pandemic and has recently become an expert on the CDC’s pediatric death data simply because it was such a disaster and she wanted to get down to the truth of the matter.

This slide above is no small error. Not only did it count the wrong number for pediatric COVID deaths, it compared all pediatric COVID deaths in a 26-month period to annualized deaths from other causes. This is a massive data error, and yet it persisted through a supposedly rigorous data check from 11 authors and was selected by top-tier scientists for their landmark presentation to the most knowledgeable experts in the field.

Author(s): Matt Shapiro

Publication Date: 21 Jun 2022

Publication Site: Marginally Compelling at substack

2021 Milliman Variable Annuity Mortality Study

Mary Pat Campbell

Link: https://www.milliman.com/en/insight/2021-Milliman-Variable-Annuity-Mortality-Study

Excerpt:

Milliman Variable Annuity Mortality Study shows mortality increases of 11% as a result of COVID-19 pandemic

Life insurers and annuity writers are now beginning to understand the impact of the COVID-19 pandemic on their lines of business, as mortality data for the year 2020 is reported and analyzed. While the pandemic has affected different carriers in different ways, future mortality rates are a key assumption for annuity writers.

With Milliman’s acquisition of Ruark Consulting in December 2021, the industry’s leading variable annuity mortality study has been rebranded as the Milliman Variable Annuity Mortality Study. The study is based on data from 2008 through 2020, totaling $674 billion in account value as of the end of the study period, with over 1 million deaths across 19 companies.

Author(s): Timothy Paris

Publication Date: 14 Mar 2022

Publication Site: Milliman

Accelerated Death Benefit Rider Financing Approaches

Mary Pat Campbell

Link: https://www.soa.org/sections/product-dev/product-dev-newsletter/2022/june/pm-2022-06-scholz-eaton/

Excerpt:

Living benefit riders to life insurance policies (also known as ‘combo’ or ‘hybrid’ policies) have become a core component of life insurance sales strategy. LIMRA reported that in 2020 “Combination products represented 24 percent of life insurance sales based on total premium.”[1] Concurrently, the long-term care insurance (LTCI) industry reached an inflection point when more LTCI (and chronic illness) benefits were sold through hybrid products than from standalone LTCI coverage.

On the spectrum of life and LTCI hybrid policies, the richest of these provide coverage of LTCI first through accelerating the policy’s death benefit, and then by providing extended LTCI benefits for many more years. There are a handful of individual and worksite insurers who sell these rich hybrid policies. On the other end of this spectrum are acceleration-only riders to life insurance policies. These riders provide policyholders the opportunity to receive a portion of the policy’s death benefit in advance, under certain conditions. Some of these riders do not cover qualified LTCI, but instead cover ‘chronic illness,’ which has a similar benefit trigger but is not formally LTCI.

This article outlines industry practice and consideration for pricing these acceleration-only policies. The National Association of Insurance Commissioners (NAIC) Model Regulation #620 addresses accelerated death benefit riders to life insurance policies.[2] Model Regulation #620 outlines three financing methods for accelerated death benefit riders which we describe in this article. The Interstate Insurance Product Regulation Commission (the IIPRC, or the “Compact”) adopted standards for some of these riders in the Additional Standards for Accelerated Death Benefits (IIPRC-L-08-LB-I-AD-3).[3] For companies filing chronic illness, critical illness, and terminal illness products in the Compact, these standards define—among other items—the form and actuarial submission requirements and benefit design options for accelerated death benefit riders. If a company is filing an acceleration rider for a qualified LTCI benefit, that product would be subject to the IIPRC individual LTC insurance standards.

Author(s): Stephanie Scholz and Robert Eaton

Publication Date: June 2022

Publication Site: Product Matters!, SOA

Teslas running Autopilot involved in 273 crashes reported since last year

Mary Pat Campbell

Link: https://www.washingtonpost.com/technology/2022/06/15/tesla-autopilot-crashes/

Excerpt:

Tesla vehicles running its Autopilot software have been involved in 273 reported crashes over roughly the past year, according to regulators, far more than previously known and providing concrete evidence regarding the real-world performance of its futuristic features.

The numbers, which were published by the National Highway Traffic Safety Administration for the first time Wednesday, show that Tesla vehicles made up nearly 70 percent of the 392 crashes involving advanced driver-assistance systems reported since last July, and a majority of the fatalities and serious injuries — some of which date back further than a year. Eight of the Tesla crashes took place before June 2021, according to data released by NHTSA on Wednesday morning.

Previously, NHTSA said it had probed 42 crashes potentially involving driver assistance, 35 of which included Tesla vehicles, in a more limited data set that stretched back to 2016.

Of the six fatalities listed in the data set published Wednesday, five were tied to Tesla vehicles — including a July 2021 crash involving a pedestrian in Flushing, Queens, and a fatal crash in March in Castro Valley, Calif. Some dated as far back as 2019.

Author(s): Faiz Siddiqui, Rachel Lerman and Jeremy B. Merrill

Publication Date: 15 Jun 2022

Publication Site: Washington Post

Was ‘The Staircase’ murder really about life insurance?

Mary Pat Campbell

Link: https://www.policygenius.com/life-insurance/news/staircase-michael-peterson/

Excerpt:

It’s been 21 years since novelist Michael Peterson was on trial for the murder of his wife, Kathleen, but the case is still capturing the public’s attention—most recently in an HBO Max series, “The Staircase.”

….

The case also involved the potential for a large life insurance payout. Kathleen had a $1.4 million life insurance policy, which was due to be paid to Michael in the event of her death. Prosecutors said Peterson was hoping to use the payout to address his debt [1] , including $143,000 in credit card debt.

…..

Peterson signed away any claim to the life insurance proceeds during the trial. However, because of the slayer rule, Peterson wouldn’t have been able to collect any money. Under the slayer rule, anyone suspected of murder or plotting a murder is prevented from benefiting from the dead person’s life insurance policy. Instead, Kathleen’s biological daughter, Caitlin Atwater, and her daughter’s father, Fred Atwater, received the money. [2]

In the scope of insurance fraud, life insurance murders aren’t a huge occurrence but they do happen, says Matthew J. Smith, executive director of the Coalition Against Insurance Fraud. For instance, in 2017, Joaquin Shadow Rams Sr., was convicted of killing his 15-month-old son for insurance money. Rams had taken out a $500,000 life insurance policy on the boy soon after he was born, which Smith says, should have been a red flag. 

Author(s): Lisa Rabasca Roepe

Publication Date: accessed 18 June 2022

Publication Site: Policygenius

A Filmmaker Imagines a Japan Where the Elderly Volunteer to Die

Mary Pat Campbell

Link: https://www.nytimes.com/2022/06/17/world/asia/japan-plan75-hayakawa-chie.html?smid=url-share

Excerpt:

The premise for Chie Hayakawa’s film, “Plan 75,” is shocking: a government push to euthanize the elderly. In a rapidly aging society, some also wonder: Is the movie prescient?

TOKYO — The Japanese film director Chie Hayakawa was germinating the idea for a screenplay when she decided to test out her premise on elderly friends of her mother and other acquaintances. Her question: If the government sponsored a euthanasia program for people 75 and over, would you consent to it?

….

Close to one-third of the country’s population is 65 or older, and Japan has more centenarians per capita than any other nation. One out of five people over 65 in Japan live alone, and the country has the highest proportion of people suffering from dementia. With a rapidly declining population, the government faces potential pension shortfalls and questions about how the nation will care for its longest-living citizens.

….

Aging politicians dominate government, and the Japanese media emphasizes rosy stories about happily aging fashion gurus or retail accommodations for older customers. But for Ms. Hayakawa, it was not a stretch to imagine a world in which the oldest citizens would be cast aside in a bureaucratic process — a strain of thought she said could already be found in Japan.

Euthanasia is illegal in the country, but it occasionally arises in grisly criminal contexts. In 2016, a man killed 19 people in their sleep at a center for people with disabilities outside Tokyo, claiming that such people should be euthanized because they “have extreme difficulty living at home or being active in society.”

Author(s): Motoko Rich

Publication Date: 17 June 2022

Publication Site: NYT

Newly Released Estimates Show Traffic Fatalities Reached a 16-Year High in 2021

Mary Pat Campbell

Link: https://www.nhtsa.gov/press-releases/early-estimate-2021-traffic-fatalities

Report link: https://crashstats.nhtsa.dot.gov/Api/Public/ViewPublication/813298

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Excerpt:

The National Highway Traffic Safety Administration has released its early estimate of traffic fatalities for 2021. NHTSA projects that an estimated 42,915 people died in motor vehicle traffic crashes last year, a 10.5% increase from the 38,824 fatalities in 2020. The projection is the highest number of fatalities since 2005 and the largest annual percentage increase in the Fatality Analysis Reporting System’s history. Behind each of these numbers is a life tragically lost, and a family left behind. 

“We face a crisis on America’s roadways that we must address together,” said U.S. Transportation Secretary Pete Buttigieg. “With our National Roadway Safety Strategy and the President’s Bipartisan Infrastructure Law, we are taking critical steps to help reverse this devastating trend and save lives on our roadways.” 

The Bipartisan Infrastructure Law places a strong emphasis on improving safety and includes the new Safe Streets and Roads for All program, which opened its first round of applications just this week. The program, the first of its kind, invests up to $6 billion over five years to fund local efforts to reduce roadway crashes and fatalities. The Bipartisan Infrastructure Law now being implemented also advances Complete Streets policies and standards; requires updates to the Manual on Uniform Traffic Control Devices, which defines speeds, lane markings, traffic lights and more on most roads in the country; and sharply increases funding for the Highway Safety Improvement Program, which helps states adopt data-driven approaches to making roads safer. 

Publication Date: 17 May 2022

Publication Site: NHTSA

Childhood Mortality Trends, 1999-2021 (provisional), Ages 1-17

Mary Pat Campbell

Link: https://marypatcampbell.substack.com/p/childhood-mortality-trends-1999-2021

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Excerpt:

There was the good news from before the pandemic: the accidental death rate had come way, way down. That was mostly due to improved traffic safety. (Not reduced drug ODs, alas)

In the pandemic, both increased motor vehicle deaths and drug overdoses has pushed up the accidental death rate for teens to increase to levels seen a decade ago.

But there was a bad pre-pandemic trend: suicide rates had increased from 2007 to 2018 — increasing a total of 120% over that period. That was hideous.

It seemed to have reversed in 2019, and come down during the pandemic. The suicide trends in the pandemic really made no sense to anybody, but perhaps the increased drug ODs were actually suicides.

Homicides didn’t have a steady trend before the pandemic, but has definitely had a bad trend during the pandemic. Homicide death rates for teens increased over 50% from 2019 to 2021.

One observation: suicide and homicide death rates used to be about the same for teens in the early 2000s, and then with the bad suicide trend, suicide ranked higher. Even with the increase in homicide rates, suicide still ranks higher.

Author(s): Mary Pat Campbell

Publication Date: 15 June 2022

Publication Site: STUMP at substack

Recent Trends in Heat-Related Mortality in the United States: An Update through 2018

Mary Pat Campbell

Link: https://journals.ametsoc.org/view/journals/wcas/13/1/wcas-d-20-0083.1.xml

DOI: https://doi.org/10.1175/WCAS-D-20-0083.1

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Abstract:

Much research has shown a general decrease in the negative health response to extreme heat events in recent decades. With a society that is growing older, and a climate that is warming, whether this trend can continue is an open question. Using eight additional years of mortality data, we extend our previous research to explore trends in heat-related mortality across the United States. For the period 1975–2018, we examined the mortality associated with extreme-heat-event days across the 107 largest metropolitan areas. Mortality response was assessed over a cumulative 10-day lag period following events that were defined using thresholds of the excess heat factor, using a distributed-lag nonlinear model. We analyzed total mortality and subsets of age and sex. Our results show that in the past decade there is heterogeneity in the trends of heat-related human mortality. The decrease in heat vulnerability continues among those 65 and older across most of the country, which may be associated with improved messaging and increased awareness. These decreases are offset in many locations by an increase in mortality among men 45–64 (+1.3 deaths per year), particularly across parts of the southern and southwestern United States. As heat-warning messaging broadly identifies the elderly as the most vulnerable group, the results here suggest that differences in risk perception may play a role. Further, an increase in the number of heat events over the past decade across the United States may have contributed to the end of a decades-long downward trend in the estimated number of heat-related fatalities.

Author(s): Scott C. Sheridan1, P. Grady Dixon2, Adam J. Kalkstein3, and Michael J. Allen4

Publication Date: Published-online: 14 Dec 2020

Print Publication: 01 Jan 2021

Publication Site: Weather, Climate, and Society

Murder-Suicides By Pilots Are Vexing Airlines As Deaths Mount

Mary Pat Campbell

Link: https://www.ndtv.com/world-news/murder-suicides-by-pilots-are-vexing-airlines-as-deaths-mount-3074762

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Excerpt:

For decades, commercial airline travel has gotten progressively safer. But one cause of deaths has stubbornly persisted: pilots who intentionally crash in murder-suicides.


Preliminary evidence suggests the crash of a China Eastern Airlines Corp. jet in March may be the latest such tragedy, a person familiar with the investigation said. If confirmed, that would make it the fourth since 2013, bringing deaths in those crashes to 554.

So as aircraft become more reliable and pilots grow less susceptible to errors, fatalities caused by murder-suicides are becoming an increasingly large share of the total. While intentional acts traditionally aren’t included in air-crash statistics, they would be the second-largest category of deaths worldwide if they were, according to data compiled by Bloomberg. By comparison, 1,745 people died as a result of pilot error, mechanical failures or other causes on Western-built jets from 2012 through 2021.

Author(s): Alan Levin, Bloomberg

Publication Date: 17 June 2022

Publication Site: NDTV

The Mortality Improvement Model, MIM-2021-v2

Mary Pat Campbell

Link: https://www.soa.org/resources/research-reports/2021/mortality-improvement-model/

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Excerpt:

Different mortality projection methodologies are utilized by actuaries across applications and practice areas. As a result, the SOA’s Longevity Advisory Group (“Advisory Group”) developed a single framework to serve as a consistent base for practitioners in projecting mortality improvement.  The Mortality Improvement Model, MIM-2021-v2, Tools and User Guides, compose the consistent approach and are defined below.

  1. A report describing MIM-2021-v2 which summarizes the evolution of MIM-2021-v2; provides an overview of MIM-2021-v2; presents considerations for applying mortality assumptions in the model; and outlines issues the Advisory Group is currently considering for future model enhancements.
  2. A status report of the items listed in Section V of Developing a Consistent Framework for Mortality Improvement. This report advises practitioners about subsequent research and analysis conducted by the Advisory Group regarding these items.
  3. An Excel-based tool, MIM-2021-v2 Application Tool, and user guide, MIM-2021-v2 Application Tool User Guide, for practitioners to construct sets of mortality improvement rates under this framework for specific applications.
  4. An Excel-based tool, MIM-2021-v2 Data Analysis Tool, and user guide, MIM-2021-v2 Data Analysis Tool User Guide, for practitioners to analyze the historical data sets included in the MIM-2021-v2 Application Tool.

The Longevity Advisory Group is planning to update the framework annually as new data and enhancements become available. MIM-2021-v2 is the first revision since the initial release in April 2021.  This version uses the same underpinning as the initial MIM-2021 release but has been refreshed to include another year of historical U.S. population mortality data as well as more user flexibility and functionality to replicate RPEC’s MP-2021 and O2-2021 scales.  

Author(s): Longevity Advisory Group

Publication Date: June 2022, most recent update

Publication Site: Society of Actuaries