Scotland: 2021 mortality through week 40 (NRS) 1/ Overall
Actually shocked to see the jump this week, far above the 5 year average
By some margin this was the highest mortality rate of Week 40, in all the history back to 1974.
2/ Excess mortality by cause of death
Deaths with covid remains a significant proportion, but coming dow. By far the majority of excess mortality continued to be non-covid.
3/ Excess mortality by location of death
Deaths at home the main proportion, but as with recent weeks we continue to have excess mortality in hospital (despite lower than normal admissions to hospital), and last week saw for the first time some excess mortality at care home.
4/ Total mortality by age group
Primary excess continues to be in 85+, but sharp rise in 75-84. The 65-74 age group showing smaller excess, and also 45-64 ages.
4b/ Mortality by age - Summer 2021 v’s 2020
This shows cumulative excess mortality of 2021 versus 2020. We continue to see this offset rise by age group, with 85+ sharply inflecting first, then 75-84, then 65-74 a little later etc.
Those trends worsening rather than flattening.
5/ Breakdown of excess mortality
Separating where we see excess mortality, it is
- Primarily ‘Others’, then cancer, circulatory, covid
- Occurring at home
- Higher excess, the higher the age group
6/ Child mortality
We see a huge spike in mortality in the <1 age group for Q4. Note that 2021-Q4 represents only one week (week 40). It was a very high week, tragically 9 infants recorded as passing away, but such peaks happen from time to time.😢
1-14 age group continues normal
7/ Cumulative excess summer mortality by region
Thos shows cumulative excess mortality through the summer, by region. We continue to see the trend of “increasing excess mortality” across the regions
8/ Summer
This shows excess mortality of summer 2021 versus the same period last year.
2020 was normal, even with the week 40 spike overall was +1.2% from the 5 year average).
This year we can see the trend is worse and worse. Now 13.9% above the 5 year average, mortality +2,500
8b/ Summer
To give context to HOW unusual that is, the below shows how each of the last 40 years differed from the 5 year average.
The highest is 3-4%. This summer is +14% deviation, so 3-4x more of a jump than we’ve ever seen before.
Exceptionally unusual trend now.
• • •
Missing some Tweet in this thread? You can try to
force a refresh
Scotland, PHS Weekly COVID report
Others cover this report so we don’t post much on it, but it is a really interesting resource, and thanks to PHS for bringing it together.
Wanted to put a few observations out there taken up to and including the latest report.
1/ Overall trend
‘Cases’ are heavily skewed by who is tested, but even so cases are now >50% in vaccinated population.
‘Acute covid hospital admissions’ also now >70% vaccinated, and trend *very* clear.
‘Deaths with covid’ remains >80% fully vaccinated
2/ Acute covid hospitalisation
This is key, as the main focus of the vaccine.
Below summarised the *fully* vaccinated and unvaccinated populations, and the hospital admissions from each.
Unvaccinated risk is 1 in 406, and fully vaccinated is 1 in 607.
Scotland: 2021 mortality through week 39 (NRS) 1/ Overall
Week 39 not only in excess of 5 year average, but in keeping with recent weeks it is above the max range of the last 20 years.
Now 19 consecutive weeks of above average mortality in Scotland.
2/ Excess mortality by cause
Showing now as a little more than half of the excess is covid, although that proportion coming down. Mortality classed as covid is nearly 3x higher than summer 2020.
3/ Excess mortality by location
Again this week some excess in hospital, but by far predominantly remains excess mortality at home. Through summer this has been about 1,800 deaths higher than normal.
Scotland: Mortality week 29 (NRS data)
Last few weeks have been above the average, and this week 29 sets a new high, by a small margin the highest week 29 for more than 20 years.
Mortality rank
2021 rank has moved slightly higher, but still 15th. Now higher (worse) than 2015 and 2018, which we have been below so far.
Note 2020 now ranks third, behind the dreadful 1993 and 1999 that we all remember…?
3/ Excess mortality by cause
This breaks down cause into covid and non-covid. We can see that we continue to have significant non-covid excess, and some excess as covid now creeping in.
Will come back to this.
Scotland: NRS all-cause mortality data, week 12 1. Overall
2021 continues to develop as normal year, in the range of normal mortality. We continue slightly better than 2018 in terms of overall mortality rate. Nothing unusual going on.
2. Overall
More classic style showing week be week versus normal range. We can see the entire year has been within the normal range, and the most recent 3 weeks have been below average, and near the bottom end of the range.
No alarming signal at all this year.
3. Excess mortality by cause
Mortality classified as covid is offset by lower than normal mortality in cancer, heart disease, respiratory etc. Essentially it appears we are wrongly / overly classifying other causes of death as covid (or heart dieases etc suddenly better)