Non-COVID deaths are up a significant amount this year. What’s driving the increase?

Link: https://www.abc.net.au/news/2022-08-08/non-covid-deaths-are-up-a-significant-amount-this-year/101309930

Excerpt:

There were an additional 4,000 non-COVID deaths, or a five per cent increase, in the first four months this year, compared with the pre-pandemic average.

The director of the Mortality Data Centre at the Australian Bureau of Statistics, Lauren Moran, said among the additional 4,000 deaths, more people died of chronic diseases compared to similar periods prior to the pandemic.

“We can see that for dementia, there’s been around a 20 per cent increase this year of the total number of deaths when we compare it to prior years, and around 18 per cent higher than expected for diabetes,” she said.

Ms Moran said that while some of the increase could be put down to natural variation and increases with an ageing population, the deaths are statistically significant and confirm a trend that began late last year.

Author(s): Annie Guest

Publication Date: 8 Aug 2022

Publication Site: Australian Broadcasting Commission News

Excess mortality in England

Link: https://app.powerbi.com/view?r=eyJrIjoiYmUwNmFhMjYtNGZhYS00NDk2LWFlMTAtOTg0OGNhNmFiNGM0IiwidCI6ImVlNGUxNDk5LTRhMzUtNGIyZS1hZDQ3LTVmM2NmOWRlODY2NiIsImMiOjh9

Data download:

Graphic:

Excerpt:

The numbers of expected deaths are estimated using statistical models and based on previous 5 years’ (2015 to 2019) mortality rates. Weekly monitoring of excess mortality from all causes throughout the COVID-19 pandemic provides an objective and comparable measure of the scale of the pandemic [reference 1]. Measuring excess mortality from all causes, instead of focusing solely on mortality from COVID-19, overcomes the issues of variation in testing and differential coding of cause of death between individuals and over time [reference 1].


In the weekly reports, estimates of excess deaths are presented by week of registration at national and subnational level, for subgroups of the population (age groups, sex, deprivation groups, ethnic groups) and by cause of death and place of death.

Author(s): Office for Health Improvement and Disparities

Publication Date: accessed 10 Aug 2022

Publication Site: Public PowerBI dashboard

CMI mortality monitor – week 28 of 2022

Link: https://www.actuaries.org.uk/system/files/field/document/Mortality%20summary%20pandemic%20monitor%20Week%2028%202022%20v01%202022-07-26.pdf

Graphic:

Excerpt:

Data sources
The provisional weekly deaths are available from:
• ONS (England & Wales)
https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/datasets/wee
klyprovisionalfiguresondeathsregisteredinenglandandwales
• NRS (Scotland)
https://www.nrscotland.gov.uk/covid19stats
• NISRA (Northern Ireland)
https://www.nisra.gov.uk/statistics/death-statistics/weekly-death-registrations-northern-ireland

Author(s): Continuous Mortality Investigation

Publication Date: July 2022

Publication Site: Actuaries UK

Covid-19 Impact on the South African Life Insurance Industry: What Can we Learn?

Link: https://www.soa.org/sections/international/international-newsletter/2022/july/isn-2022-07-hoberg/

Graphic:

Excerpt:

The impact of Covid-19 in South Africa in terms of excess deaths was substantial, when considering the reported excess deaths as published by the South African Medical Research Council (SAMRC).[4] Please note that in this article we will not further consider whether all excess deaths can be directly attributed to Covid-19, however, as per the article “Correlation of Excess Natural Deaths with Other Measures of the Covid-19 Pandemic in South Africa,”[5] it is estimated that 85 percent to 95 percent of excess natural deaths are attributable to Covid-19.

Based on the SAMRC excess deaths, taking the expected plus excess deaths as Actual and expected natural deaths as per their methodology as Expected, we observe an Actual versus Expected (AvE) ratio of 116 percent in 2020, a ratio of 131 percent in 2021, and a ratio of 113 percent in 2022 up to May 1. When we look at the AvE for each wave, we can see that the 2nd wave (predominantly Beta variant) and the 3rd wave (predominantly Delta variant), had the most severe impact on the general population (see figure 2 and figure 3)

Author(s): Idelia Hoberg

Publication Date: July 2022

Publication Site: SOA International News

Missing Americans: Early Death in the United States, 1933-2021

Link: https://www.medrxiv.org/content/10.1101/2022.06.29.22277065v1.full

Graphic:

Age-specific mortality trends in the U.S. and other wealthy nations.Source: Human Mortality Database. Note: Figure shows deaths per 100K population, (A) 1933-2021 and (B) 2000-2021. Dark red line is U.S.; pink line is population-weighted average of other wealthy nations; grey lines are country-specific trends for other countries.

Excerpt:

We assessed how many U.S. deaths would have been averted each year, 1933-2021, if U.S. age-specific mortality rates had equaled those of other wealthy nations. The annual number of excess deaths in the U.S. increased steadily beginning in the late 1970s, reaching 626,353 in 2019. Excess deaths surged during the COVID-19 pandemic. In 2021, there were 1,092,293 “Missing Americans” and 25 million years of life lost due to excess mortality relative to peer nations. In 2021, half of all deaths under 65 years and 91% of the increase in under-65 mortality since 2019 would have been avoided if the U.S. had the mortality rates of its peers. Black and Native Americans made up a disproportionate share of Missing Americans, although the majority were White.

One sentence summary In 2021, 1.1 million U.S. deaths – including 1 in 2 deaths under age 65 years – would have been averted if the U.S. had the mortality rates of other wealthy nations.

Author(s):

Jacob Bor, View ORCID ProfileAndrew C. Stokes, Julia Raifman, Atheendar Venkataramani, Mary T. Bassett, David Himmelstein, Steffie Woolhandler


doi: https://doi.org/10.1101/2022.06.29.22277065

Publication Date: 30 Jun 2022

Publication Site: MedRXiV

Millennial Massacre Part 2: Increase In Mortality for Ages 18-39 for 2020-2021 Mainly Driven by Drug Overdoses and COVID

Link: https://marypatcampbell.substack.com/p/millennial-massacre-part-2-increase

Graphic:

Excerpt:

  • About 30% of the contribution to excess mortality for young adults in 2021 came from drug overdoses.
  • The percentage contribution to excess mortality of drug ODs was not that different by age group over the 18-39 age span.
  • COVID as a contribution to excess mortality was higher for older people —- for those age 35-39, 36% of their excess mortality came from COVID in 2021. In contrast, for those age 18-24, only 17% of their excess mortality came from COVID.
  • Indeed, the youngest of the adults (age 18-24) had higher contributions from homicide (20% of excess mortality) and had comparable excess mortality contribution from motor vehicle accidents (16%) in 2021.

Author(s): Mary Pat Campbell

Publication Date: 23 Jul 2022

Publication Site: STUMP at substack

2021 Milliman Variable Annuity Mortality Study

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

The Mortality Improvement Model, MIM-2021-v2

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

Graphic:

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

The Myth of the Disease-Ridden Red States

Link: https://brownstone.org/articles/the-myth-of-the-disease-ridden-red-states/

Graphic:

Excerpt:

Another way of looking at this is to look at the Year over Year change of rates within each group. As you can see from the chart below, the percentage change remains pretty consistent among each individual grouping, with 2020 seeing the largest change rate, and 2021 seeing a small but significant change rate from 2020 (meaning overall mortality was still quite elevated relative to 2019).

In summary, when we take a historical view and higher level view while maintaining these same groupings, these stark differences in Covid-19 mortality rates do not seem to translate into overall morality rates. Why?


At the risk of this analysis turning into another pile-on pointing out the New York Time’s errors, I’d like to offer a more benign explanation. It’s one that has plagued journalists and reports throughout the pandemic. Why is it that everything is framed in Red and Blue? One simple reason: the availability of the data. Leonhardt is using data that is easily accessible and is already formatted for easy analysis.

This is what is called an availability bias. It’s essentially creating a hypothesis or completing a study based on a specific set of data, purely for no other reason than that the data is there. Just because the data is available does not mean it’s the best data to use to try to answer a question.

Author(s): Josh Stevenson

Publication Date: 3 June 2022

Publication Site: Brownstone Institute

Current Causes of Death in Children and Adolescents in the United States

Link: https://www.nejm.org/doi/full/10.1056/NEJMc2201761

Graphic:

Excerpt:

In addition, drug overdose and poisoning increased by 83.6% from 2019 to 2020 among children and adolescents, becoming the third leading cause of death in that age group. This change is largely explained by the 110.6% increase in unintentional poisonings from 2019 to 2020. The rates for other leading causes of death have remained relatively stable since the previous analysis, which suggests that changes in mortality trends among children and adolescents during the early Covid-19 pandemic were specific to firearm-related injuries and drug poisoning; Covid-19 itself resulted in 0.2 deaths per 100,000 children and adolescents in 2020.1

Although the new data are consistent with other evidence that firearm violence has increased during the Covid-19 pandemic,5 the reasons for the increase are unclear, and it cannot be assumed that firearm-related mortality will later revert to prepandemic levels. Regardless, the increasing firearm-related mortality reflects a longer-term trend and shows that we continue to fail to protect our youth from a preventable cause of death. Generational investments are being made in the prevention of firearm violence, including new funding opportunities from the CDC and the National Institutes of Health, and funding for the prevention of community violence has been proposed in federal infrastructure legislation. This funding momentum must be maintained.

Author(s):

Jason E. Goldstick, Ph.D.
Rebecca M. Cunningham, M.D.
Patrick M. Carter, M.D.
University of Michigan, Ann Arbor, MI

Publication Date: 19 May 2022

Publication Site: New England Journal of Medicine

Firearm Mortality by State

Link: https://www.cdc.gov/nchs/pressroom/sosmap/firearm_mortality/firearm.htm

Graphic:

Excerpt:

1 The number of deaths per 100,000 total population.

Source: https://wonder.cdc.gov

States are categorized from highest rate to lowest rate. Although adjusted for differences in age-distribution and population size, rankings by state do not take into account other state specific population characteristics that may affect the level of mortality. When the number of deaths is small, rankings by state may be unreliable due to instability in death rates.

Publication Date: accessed 31 May 2022

Publication Site: CDC

Drug-Overdose Deaths Reached a Record in 2021, Fueled by Fentanyl

Link: https://www.wsj.com/articles/drug-overdose-deaths-reached-a-record-in-2021-fueled-by-fentanyl-11652277600

Graphic:

Excerpt:

Drug-overdose deaths in 2021 topped 100,000 for the first time in a calendar year, federal data showed, a record high fueled by the spread of illicit forms of fentanyl throughout the country.

More than 107,000 people in the U.S. died from drug overdoses last year, preliminary Centers for Disease Control and Prevention data released Wednesday showed, roughly a 15% increase from 2020. The proliferation of the potent synthetic opioid fentanyl has been compounded by the destabilizing effects of the Covid-19 pandemic on users and people in recovery, according to health authorities and treatment providers.

The U.S. has recorded more than one million overdose deaths since 2000, and more than half of those came in the past seven years.

….

The agency has counted about 103,600 overdoses for 2021 but believes the number is several thousand higher due to suspected overdoses that haven’t yet been confirmed by local death investigators, Dr. Anderson said.

Author(s): Jon Kamp

Publication Date: 11 May 2022

Publication Site: WSJ