The ONS (‘Office of National Statistics) produces annual updates on period life expectancy in the UK – the so-called National Life Tables. The latest tables are based on the 2018 to 2020 period, and therefore are the first to pick up the impact of the COVID-19 pandemic. Given the significantly increased death rates seen in 2020, this fall in life expectancy is not unexpected. However, it is important to note that the headline figures hide a wide variety of underlying impacts at a more granular level.
Although deaths after COVID-19 vaccination have been reported to the Vaccine Adverse Events Reporting System, few studies have been conducted to evaluate mortality not associated with COVID-19 among vaccinated and unvaccinated groups.
What is added by this report?
During December 2020–July 2021, COVID-19 vaccine recipients had lower rates of non–COVID-19 mortality than did unvaccinated persons after adjusting for age, sex, race and ethnicity, and study site.
What are the implications for public health practice?
There is no increased risk for mortality among COVID-19 vaccine recipients. This finding reinforces the safety profile of currently approved COVID-19 vaccines in the United States. All persons aged ≥12 years should receive a COVID-19 vaccine.
Author(s): Stanley Xu, PhD1; Runxin Huang, MS1; Lina S. Sy, MPH1; Sungching C. Glenn, MS1; Denison S. Ryan, MPH1; Kerresa Morrissette, MPH1; David K. Shay, MD2; Gabriela Vazquez-Benitez, PhD3; Jason M. Glanz, PhD4; Nicola P. Klein, MD, PhD5; David McClure, PhD6; Elizabeth G. Liles, MD7; Eric S. Weintraub, MPH8; Hung-Fu Tseng, MPH, PhD1; Lei Qian, PhD1
In the first two weeks ending in September, the number of deaths of U.S. residents in the 25-44 age group spiked to 8,604.
The number of deaths of people in that age group was 22% higher than it was during the comparable period, and 57% higher than it was during the comparable period in 2019 — before the COVID-19 pandemic began.
In the first half of 2021, which included the January spike, the number of deaths of people in the 25-44 age group was 38% higher than in the first half of 2019.
There are about 87.4 million people in the 25-44 age group in the United States, according to the Census Bureau.
I will put a few facts in front of you, and you think it through: – The population age 85+ in the U.S. in 2020 was 6.3 million – Through July 2021, there were a little over 180K COVID deaths for that group – That’s about 3% of the age 85+ population
Do you think only 3% of the age 85+ population is vulnerable to COVID?
Pretty much all of them are “vulnerable”. The mortality rate for people age 85 (much less older) was 7.3% for females and 9.5% for males in the most recently available tables. It only goes up from there.
There is a huge difference in mortality by age for just non-pandemic years, and it’s also true for COVID.
There may be a few hardy souls with a base risk similar to the middle-aged without vaccines, but the percentage is not high.
The vaccines have been having an effect in cutting risk.
Let’s start with the data. The UK Forecasting Challenge spanned a long period of exponential growth as well as a sudden drop in cases at the end of July 3
Especially this peak was hard to predict and no forecaster really saw it coming. Red: aggregated forecast from different weeks, grey: individual participants. The second picture shows the range for which participants were 50% and 95% confident they would cover the true value
So what have we learned? – Human forecasts can be valuable to inform public health policy and can sometimes even beat computer models – Ensembles almost always perform better than individuals – Non-experts can be just as good as experts – recruiting participants is hard
Author(s): Nikos Bosse
Publication Date: Accessed 17 Oct 2021, twitter thread 15 Oct 21
Russia’s daily tolls of coronavirus infections and deaths surged to another record on Friday, a quickly mounting figure that has put a severe strain on the country’s health care system.
The government’s coronavirus task force reported 32,196 new confirmed coronavirus cases and 999 deaths in the past 24 hours.
The record for daily COVID-19 deaths in Russia has been broken repeatedly over the past few weeks, as fatalities steadily approach 1,000 in a single day. It comes amid increasing infections and a reluctance by authorities to toughen restrictions that would further cripple the economy.
The government said this week that about 43 million Russians, or just about 29% of the country’s nearly 146 million people, are fully vaccinated. Authorities have tried to speed up the pace of vaccination with lotteries, bonuses and other incentives, but widespread vaccine skepticism and conflicting signals from officials stymied the efforts.
Between 2010 and 2019, the hottest decade on record, California’s official data from death certificates attributed 599 deaths to heat exposure.
But a Times analysis found that the true toll is probably six times higher. An examination of mortality data from this period shows that thousands more people died on extremely hot days than would have been typical during milder weather. All told, the analysis estimates that extreme heat caused about 3,900 deaths.
California’s undercount is one of the ways it overlooks the threat posed by heat waves, even as climate change delivers them more frequently, more intensely and with deadlier consequences. Other states are moving with greater urgency to confront this public health challenge that disproportionately imperils the elderly and vulnerable.
Extreme heat did not suddenly become a threat to Californians’ lives. The Times found that state leaders have ignored years of warnings from within their own agencies that heat was becoming more dangerous. Data reviewed by The Times show heat-related hospital visits increasing in some parts of California, including Los Angeles County, for at least the last 15 years.
America is recording nearly 2,000 covid-19 deaths a day, according to a seven-day average compiled by Johns Hopkins University. That is only 40% below the country’s January peak. But the true death toll is even worse. The Economist’s excess-deaths model, which estimates the difference between the actual and the expected number of deaths recorded in a given period, suggests that America is suffering 2,800 pandemic deaths per day, with a plausible range of 900 to 3,300, compared with 1,000 (150 to 3,000) in all other high-income countries, as defined by the World Bank. Adjusting for population, the death rate is now about eight times higher in America than in the rest of the rich world.
Although there is a large gap between Black and White American life expectancies, the gap fell 48.9% between 1990-2018, mainly due to mortality declines among Black Americans. We examine age-specific mortality trends and racial gaps in life expectancy in rich and poor U.S. areas and with reference to six European countries. Inequalities in life expectancy are starker in the U.S. than in Europe. In 1990 White Americans and Europeans in rich areas had similar overall life expectancy, while life expectancy for White Americans in poor areas was lower. But since then even rich White Americans have lost ground relative to Europeans. Meanwhile, the gap in life expectancy between Black Americans and Europeans decreased by 8.3%. Black life expectancy increased more than White life expectancy in all U.S. areas, but improvements in poorer areas had the greatest impact on the racial life expectancy gap. The causes that contributed the most to Black mortality reductions included: Cancer, homicide, HIV, and causes originating in the fetal or infant period. Life expectancy for both Black and White Americans plateaued or slightly declined after 2012, but this stalling was most evident among Black Americans even prior to the COVID-19 pandemic. If improvements had continued at the 1990-2012 rate, the racial gap in life expectancy would have closed by 2036. European life expectancy also stalled after 2014. Still, the comparison with Europe suggests that mortality rates of both Black and White Americans could fall much further across all ages and in both rich and poor areas.
Author(s): Hannes Schwandt, Janet Currie, Marlies Bär, James Banks, Paola Bertoli, Aline Bütikofer, Sarah Cattan, Beatrice Zong-Ying Chao, Claudia Costa, Libertad Gonzalez, Veronica Grembi, Kristiina Huttunen, René Karadakic, Lucy Kraftman, Sonya Krutikova, Stefano Lombardi, Peter Redler, Carlos Riumallo-Herl, Ana Rodríguez-González, Kjell Salvanes, Paula Santana, Josselin Thuilliez, Eddy van Doorslaer, Tom Van Ourti, Joachim Winter, Bram Wouterse & Amelie Wuppermann
“Between 1990 and 2018,” the paper reports, “the U.S. White-Black life expectancy gap decreased from 7.0 to 3.6 years.” A black person born in the U.S. in 1990 could be expected to live to about age 69, compared to 76 for a white person. In the intervening generation, black life expectancy rose about twice as fast as white life expectancy. A black person born in 2018 could be expected to live just over age 75, compared to just under 79 for a white person.
The drivers, the authors say, are primarily “greater reductions in Black relative to White death rates due to cancer, homicide, HIV, and causes originating in the fetal or infant period.” The most pronounced reductions in black mortality are among children and adults under age 65, rather than the elderly.
“Deaths of despair” (deaths from suicide, drug overdoses, and alcohol-related disease) increased among black and white Americans, especially in the last decade, but took a larger toll on white life expectancy. That accounted for 16.2% of the narrowing of the racial gap. The linear extension of life expectancies for both races stopped after 2012, meaning that it’s hard to see much effect from ObamaCare’s health insurance expansion in the data.