Tag: COVID

Mortality Nuggets: Videos on Suicide Rate Trends, Society of Actuaries Report, and Fixing Their Graph

Mary Pat Campbell

Link:https://marypatcampbell.substack.com/p/mortality-nuggets-videos-on-suicide

Video:

Graphic:

Excerpt:

  • I highlighted a few of the cause-of-death trends. In particular, COVID (which, obviously, is biased more towards the old), and external causes of death: homicide, suicide, and accidents (which includes drug overdoses and motor vehicle accidents).
  • There are basically too many things going on in this graph, so there aren’t a lot of good choices for either me or the SOA. What I did was to pick four of the data series to highlight with data labels, as noted above (and I also slapped one data label on dementia for the oldest age group, just because). I am in the middle of a series going through how that external causes of death changed in 2020 — in particular, accidents and homicides went up, and really affected mortality for adults under age 45, plus male teens.
  • Yeah, check out heart disease and cancer (bottom of the graph). Ain’t old age great?

Author(s): Mary Pat Campbell

Publication Date: 6 Feb 2022

Publication Site: STUMP at substack

A Potential COVID Game-Changer

Mary Pat Campbell

Link:https://www.dailyposter.com/a-potential-covid-game-changer/

Excerpt:

Progressive lawmakers are calling on President Joe Biden to take advantage of the fact that the U.S. Army’s new pan-coronavirus vaccine recipe is not restricted by intellectual property restrictions and share the information with the world.

According to the Army, early research shows that the Spike Ferritin Nanoparticle (SpFn) vaccine, developed by scientists at the Walter Reed Army Institute of Research, can “provide broad protection” against COVID-19 and future variants. The SpFn vaccine must still undergo Phase 2 and 3 of human trials, but if it proves successful, distributing the new vaccine around the globe could be a game-changer in the fight against the COVID pandemic.

Author(s): WALKER BRAGMAN, ANDREW PEREZ

Publication Date: 1 Feb 2022

Publication Site: Daily Poster

Electronic Health Records in the Age of Coronavirus: The Covid Crisis Has Accelerated Real-World Adoption

Mary Pat Campbell

Link:https://www.soa.org/sections/technology/technology-newsletter/2021/october/att-2021-10-timmins/

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Excerpt:

As with most things in the world, early 2020 seems like ancient history. In late January last year, I had just finished a white paper for the SOA[1], stating confidently that Electronic Health Records, or EHRs, were not likely to have a major impact for several years amid slow adoption by executives—with significant strategic differences among stakeholders and little signs of compromise.

Then in February came COVID-19, and the urgent need to move rapidly to telemedicine for both COVID and non-COVID afflictions. Government authorities moved quickly to relax restrictions on interstate telehealth, allowing payer coverage for the transfer of sensitive material online and over mobile networks—including Facebook Messenger, Apple Facetime, and Zoom.[2] Although not permanent while a public health emergency, this created an unexpected precedent for interoperability, the Holy Grail of seamless cross-talk of health data between HIPAA-regulated IT systems.

….

Much remains unknown about the secondary effects of COVID-19, beyond respiratory failure and immune system overload. However, there is likely a significant spike in claims related to COVID-19 building within the insurance industry. It may be important for the insurance industry to monitor these secondary afflictions, at minimum through the claims process (see Figure 3), although the best digital approach to obtain that evolving health information remains unclear at this time. Genomics and epigenetic vulnerability could be a rich data area here.

If insureds would be willing (or mandated) to provide their immunization history to payors, directly or indirectly, this could be a significant asset for actuaries in evaluating this ongoing phenomenon. Claims data also can include non-prescription drug information, which could provide additional clues of COVID exposure.

Author(s): James Timmins

Publication Date: October 2021

Publication Site: Actuarial Technology Today

U.S. Has Far Higher Covid Death Rate Than Other Wealthy Countries

Mary Pat Campbell

Link:https://www.nytimes.com/interactive/2022/02/01/science/covid-deaths-united-states.html

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Excerpt:

“We’ve finally started getting to a stage where most of the population has been exposed either to a vaccine or the virus multiple times by now,” said Dr. David Dowdy, an epidemiologist at the Johns Hopkins Bloomberg School of Public Health. Referring to American and European death rates, he continued, “I think we’re now likely to start seeing things be more synchronized going forward.”

Still, the United States faces certain steep disadvantages, ones that experts worry could cause problems during future Covid waves, and even the next pandemic. Many Americans have health problems like obesity and diabetes that increase the risk of severe Covid.

Author(s): Benjamin Mueller and Eleanor Lutz

Publication Date: 1 Feb 2022

Publication Site: NYT

Illinois data: Deaths of people 18 to 49 soar in 2020-21; most of excess not COVID-related

Mary Pat Campbell

Link: https://www.thecentersquare.com/illinois/illinois-data-deaths-of-people-18-to-49-soar-in-2020-21-most-of-excess/article_091b8228-807c-11ec-b235-239935b60883.html#new_tab

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Excerpt:

Nearly 27% more people ages 18 to 49 in Illinois have died in each of the past two years than in each of the three years prior. COVID-related deaths in that age group account for just a minority of the excess deaths.

Data the Illinois Department of Public Health provided The Center Square show 29% more fatalities in 2021 and 24% more in 2020 when compared to the average for the three years prior for those ages 18 to 49. Combined for 2020 and 2021, the total number of deaths among that demographic is 21,511.

…..

COVID-related deaths in the past two years totals about 1,700 for that age group. Subtracting the 1,700 COVID deaths from the excess death total of 4,467 leaves 2,767 excess deaths for 2020 and 2021 that are not categorized by IDPH, meaning the causes of death for the excess 2,767 are not described.

…..

While COVID-19 is listed as the third leading cause of death in Illinois for all ages in 2020, the leading cause of deaths IDPH lists for those 18 to 44 is accidents, assaults, suicides and heart disease. COVID-19 is not listed as a leading cause of death at all for ages 18 to 24. COVID-19 does show up at No. 6 for those 25 to 44, or 370 out of a total of 6,439.

Author(s): Greg Bishop

Publication Date: 28 Jan 2022

Publication Site: The Center Square

U.S. Population Mortality Observations – Updated with 2020 Experience

Mary Pat Campbell

Link:https://www.soa.org/resources/research-reports/2022/us-population-mortality/

pdf: https://www.soa.org/globalassets/assets/files/resources/research-report/2022/population-mortality-observation.pdf

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Excerpt:

The overall age-adjusted mortality rate (both sexes) from all causes of death recorded the historically highest increase of published records dating back to 1900 of 16.8% in 2020, following a 1.2% decrease in 2019. The increase eclipsed the size of recent years’ annual volatility and exceeded the 11.7% increase in
1918 that occurred during the Spanish influenza pandemic. When COVID deaths are removed, all other
CODs’ (Cause of Death) combined mortality increased by 4.9%, which was last exceeded by a 5.6% increase in 1936.

All other CODs featured in this report had increased 2020 mortality. In many instances, the single year
mortality increases were the largest for the span of this report. Heart disease and Alzheimer’s/Dementia
had 4.7% and 7.8% increases, respectively. Other physiological CODs with lower death rates had double-digit increases. Diabetes, liver and hypertension had increases of 14.9%, 16.0% and 13.3%, respectively.
The external CODs of assaults and opioid overdoses had extreme increases at ages 15-24 of 35.9% and
61.2%, respectively.

Author(s):

Jerome Holman, FSA, MAAA, RJH Integrated Solutions, LLC
Cynthia S. MacDonald, FSA, MAAA, Society of Actuaries Research Institute

Publication Date: Jan 2022

Publication Site: SOA

2021 U.S. January-June Cause-of-Death Ranking Table

Mary Pat Campbell

Link:https://marypatcampbell.substack.com/p/2021-us-january-june-cause-of-death

Graphic:

Excerpt:

I don’t recommend simply doubling the numbers from the ranking table and comparing them to the 2020 table, especially for the COVID numbers. I know that won’t work, because of the overall 2021 mortality trend we saw:

….

However, I have been making estimates and projections, and I see some really worrying numbers for the ages 15-44 grouping, especially for external causes of death: suicide, homicide, and accidents. The worrying trend is that these may extend past the time COVID mortality wanes. It looks worse for 2021 than for 2020.

I will be doing posts looking at these three large categories, starting with suicide, in upcoming posts, by more detailed demographics than just age. Some of these trends have geographic components to consider as well.

Author(s): Mary Pat Campbell

Publication Date: 27 Jan 2022

Publication Site: STUMP at substack

A LITERATURE REVIEW AND META-ANALYSIS
OF THE EFFECTS OF LOCKDOWNS ON
COVID-19 MORTALITY

Mary Pat Campbell

Link: https://sites.krieger.jhu.edu/iae/files/2022/01/A-Literature-Review-and-Meta-Analysis-of-the-Effects-of-Lockdowns-on-COVID-19-Mortality.pdf

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Abstract:

This systematic review and meta-analysis are designed to determine whether there is empirical
evidence to support the belief that “lockdowns” reduce COVID-19 mortality. Lockdowns are
defined as the imposition of at least one compulsory, non-pharmaceutical intervention (NPI).
NPIs are any government mandate that directly restrict peoples’ possibilities, such as policies that
limit internal movement, close schools and businesses, and ban international travel. This study
employed a systematic search and screening procedure in which 18,590 studies are identified
that could potentially address the belief posed. After three levels of screening, 34 studies
ultimately qualified. Of those 34 eligible studies, 24 qualified for inclusion in the meta-analysis.
They were separated into three groups: lockdown stringency index studies, shelter-in-placeorder (SIPO) studies, and specific NPI studies. An analysis of each of these three groups support
the conclusion that lockdowns have had little to no effect on COVID-19 mortality. More
specifically, stringency index studies find that lockdowns in Europe and the United States only
reduced COVID-19 mortality by 0.2% on average. SIPOs were also ineffective, only reducing
COVID-19 mortality by 2.9% on average. Specific NPI studies also find no broad-based evidence
of noticeable effects on COVID-19 mortality.
While this meta-analysis concludes that lockdowns have had little to no public health effects,
they have imposed enormous economic and social costs where they have been adopted. In
consequence, lockdown policies are ill-founded and should be rejected as a pandemic policy
instrument.

Author(s): Jonas Herby, Lars Jonung, and Steve H. Hanke

Publication Date: January 2022

Publication Site: Johns Hopkins Institute for Applied Economics

Top Causes of Death by Age Group, 2020: Death Rates

Mary Pat Campbell

Link: https://marypatcampbell.substack.com/p/top-causes-of-death-by-age-group-0bf?justPublished=true

Graphic:

Excerpt:

I present the rates in percentages, as opposed to the more traditional number (which is per 100,000 people per year), because I do not want people to get this confused with the raw counts of people who died. Yes, that does mean there are a lot of small numbers. For children, I even had to extend some out to 4 decimal places to get a significant figure.

In adulthood, natural causes of death tend to increase in rate with increasing age. More below.

External causes (accidents, homicides, and suicide) will have the similar rates over broad ages but drop dramatically in ranking with increasing age — as the natural causes become more likely to occur.

COVID has a similar pattern in mortality as heart disease — indeed, the heart disease death rate is approximately twice that of the COVID death rate for the entire age range from 15 to 85+ on the table.

Author(s): Mary Pat Campbell

Publication Date: 22 Jan 2022

Publication Site: STUMP at substack

The catastrophe of the Covid models

Mary Pat Campbell

Link:https://www.spiked-online.com/2022/01/21/the-catastrophe-of-the-covid-models/

Graphic:

Excerpt:

Having taken all the modelling into account, SAGE produced a table that showed in stark terms what the future held if the government stuck to ‘Plan B’. With the usual risible caveat that ‘these are not forecasts or predictions’, they showed a peak in hospitalisations of between 3,000 and 10,000 per day and a peak in deaths of between 600 and 6,000 a day. In previous waves, without any vaccines, deaths had never exceeded 1,250 a day.

The government was effectively given an ultimatum. SAGE offered Johnson a choice between the disaster that would surely unfold and a ‘Step 1’ or ‘Step 2’ lockdown, both of which had been helpfully modelled to give him a steer. ‘Step 1’ was a full lockdown as implemented last January. ‘Step 2’ allowed limited contact with other households but only outdoors.

In the event, as we all know, Boris Johnson ignored the warnings and declined to implement any new restrictions on liberty. A few days later, Robert West, a nicotine-addiction specialist who is on SAGE for some reason, tweeted: ‘It is now a near certainty that the UK will be seeing a hospitalisation rate that massively exceeds the capacity of the NHS. Many thousands of people have been condemned to death by the Conservative government.’

It did not quite turn out that way. Covid-related hospitalisations in England peaked at 2,370 on 29 December and it looks like the number of deaths will peak well below 300. This is not just less than was projected under ‘Plan B’, it is less than was projected under a ‘Step 2’ lockdown. The modelling for ‘Step 2’ showed a peak of at least 3,000 hospitalisations and 500 deaths a day. SAGE had given itself an enormous margin of error. There is an order of magnitude between 600 deaths a day and 6,000 deaths a day and yet it still managed to miss the mark.

Author(s): Christopher Snowdon

Publication Date: 22 Jan 2022

Publication Site: Spiked Online

Covid-19, Endemic or Not, Will Still Make Us Poorer

Mary Pat Campbell

Link: https://www.wsj.com/articles/covid-19-endemic-or-not-will-still-make-us-poorer-11642608213

Excerpt:

Endemic Covid-19 could thus become a lasting “supply shock” that degrades how much economies can produce, similar to the surge in oil prices in the 1970s. In October, the International Monetary Fund estimated global output this year would still be 3% lower than it had projected in 2019, with Western Europe and Latin America showing much bigger hits than China and Japan, where Covid-19’s toll has been much lower.

The U.S. is an exception: Output in the last quarter of 2021 was roughly back to its pre-pandemic trend. But the economy, distorted and disrupted by Covid-19, is struggling to sustain this level of output, as the surge in inflation to 7% demonstrates.

Covid-19 might have boosted efficiency in some industries by speeding up digitization and adoption of remote work. Goldman Sachs economists estimate this delivered a 3% to 4% boost to U.S. productivity.

But some of the shift to remote operations is involuntary, and some of the rise in productivity might reflect an overworked workforce. Indeed, the pandemic has left the labor force smaller, sicker and less happy. Absences due to illness among employed workers have averaged 50% higher in the last two years. In early January, nearly 12 million people weren’t working because they were sick with Covid-19, caring for someone with coronavirus, or concerned about getting or spreading the disease, according to a regular Census Bureau survey. The figure hasn’t been below 4 million since June 2020.

In the past year, workers have reported declining satisfaction with their wages and a rising “reservation wage,” that is, how much they would have to be paid to accept a new job, according to the Federal Reserve Bank of New York. This might reflect inflation, changed expectations, or stress due to Covid-19 testing, masks and vaccine mandates, or their absence.

For employers, this makes it much harder to attract the necessary staff. Nursing homes have boosted hourly wages 14% since the start of the pandemic, yet staffing has plummeted 12%, impairing their ability to accept new patients. Such shortages impose a cost that doesn’t show up in gross domestic product.

Author(s): Greg Ip

Publication Date: 19 Jan 2022

Publication Site: WSJ

New York Is Trying To Punish Its Way to 100% Vaccine Compliance

Mary Pat Campbell

Link: https://reason.com/2021/12/15/new-york-is-trying-to-punish-its-way-to-100-vaccine-compliance/?utm_medium=email

Excerpt:

Beginning Monday, at the order of Democratic Governor Kathy Hochul, every business in the state was required by law to have every employee and customer show proof of full COVID-19 vaccination, or make everyone inside their doors over the age of 2 wear a mask.

Violators face fines of up to $1,000. Enforcement is being left to county governments, of which an estimated one-quarter—almost all run by Republicans—have indicated they will not participate in.

….

The two-shot vaccination rate for New Yorkers ages 12 and older currently stands at 81 percent. Six months ago, when Hochul’s predecessor Andrew Cuomo lifted almost all statewide COVID restrictions, he did so because the Empire State had crossed the 70 percent threshold set by the Centers for Disease Control and Prevention (CDC)—not for full vaccination of everyone over age 12, mind you, but for single shots among adults.

….

Contra Hochul, it is far from clear that even 100 percent vaccination would have prevented a third consecutive winter surge across the northeast, which currently has the highest rates of vaccination and coronavirus cases in the United States.

Author(s): Matt Welch

Publication Date: 15 Dec 2021

Publication Site: Reason