Long-term care/retirement home CASE FATALITY RATES
Wave 1 (to Aug 17)
Wave 2 (to Feb 18)
Wave 3 (Feb 19 to date)
Note: some of deaths reported in W3 may have happened in W2 due to slow reporting in this sector.
Apr 2
Since Feb 2020
For every 1 Atlantic and Northern #Canadian in long-term care & retirement homes who DIED of #COVID19, this many people in LTC/RHs died of C19 in other regions*
BC 6X
AB 10X
SK 4X
MB 13X
ON 11X
QC 32X #Canada 14X
*adjusted for population differences
Apr 2
#COVID19#Canada long-term care & retirement home DEATHS since Feb 2020
Tables: Per capita deaths + change last 7 days, % total deaths in LTC/RH
Graphs:
-Total & per capita values (L)
-% total deaths in LTC/RH (R top)
Estimated excess deaths/100K in different age groups (all, 45+, 65+) compared to reported C19 deaths and C19 deaths estimated from seroprevalence data and current case fatality rates
Estimated excess deaths are adjusted for toxic drug deaths.
Wave 1 (to Aug 17)
Wave 2 (to Feb 18)
Wave 3 (Feb 19 to date)
Apr 2
Since Feb 2020
For every 1 Atlantic & Northern #Canadian in long-term care & retirement homes DIAGNOSED with #COVID19, this many people in LTC/RHs were DIAGNOSED in other regions*
By contrast, QC DOES report probable
C19 deaths in their reported numbers.
This goes at least some of the way toward explaining why excess deaths in ON and SK are greater than reported C19 deaths from March-Nov 14, 2020, and why this is not true in QC.
Thread on Canadian excess deaths during #COVID19, round 3.
Why do I keep posting about this?
Because I'm worried we've missed a lot of C19 deaths outside LTC and that we may see many more during the 3rd wave because of slow rollout of vaccination of older adults in community.
When did I start thinking about this?
Last year, after reading a paper from @LauraCRosella & colleagues about excess mortality during first wave in Ontario, estimated from cremation data (which is reported fast and includes place of death information).
Actually, it dates back further, to a @CIHI_ICIS report on #COVID19 deaths in congregate care in #Canada, which found that 80% of deaths in the first wave were in congregate care (long-term care, retirement homes), which in turn is twice the OECD average.
2. Added excess deaths for each province/region starting first week when 1 death/million people reported to Nov 15 (last week when we have fairly complete Canadian excess death data): CUMULATIVE
For those who don't know, "excess death" is the number of deaths MORE than what you'd expect in any given period. More than all the normal deaths that occur in the population yearly.
Concerns about possible under-reporting of #COVID19 deaths in 4 #Canadian provinces:
Ontario, Saskatchewan, Alberta, BC
This thread will be fairly long. I've assembled it to try to crowd-source insights from those knowledgeable about provincial C19 death reporting.
First, I'll start with plots of cumulative excess deaths in Canada until Nov 14 (the last date when we have fairly complete excess death reporting for most of Canada).
I've set the start date as the first week when a province or territory reached 1 reported C19 death/million pop
Here are the excess deaths/100K, for those interested.