Scotland: 2021 mortality through week 42 (NRS) 1/ Overall
Again a very high week, +252 from the 5 year average, which is 24% excess. Now 22 consecutive weeks of excess mortality, but also where i) it’s summer, and ii) the trend is still elevating.
(2020 included for reference)
1b/ Overall
For context this shows ‘winter mortality’ (weeks 27-42) of each of the last 30 years, ranked. This year 2021-22 is the worst position we’ve seen up until this time of year.
1c/ Overall
Another way to view, is annualising the weekly numbers - this would normally rise into winter, then settle down, with between 0.99% and 1.19% sadly passing away each year.
This 2021-22 period through week 42 is highest, & trending away from the others (getting worse)
2/ Excess mortality by cause (covid / non-covid)
Covid (‘death for any reason within 28 days of a positive test’) making up slightly less than half of the excess.
All covid deaths are classed as excess.
3/ Excess mortality by location of death
Excess mortality at home continues to make up the majority, as has been the case through the year, but excess mortality at hospital continues to trend up.
Small excess at care homes.
4a/ Total mortality by age
Here the trend of ‘higher excess by higher age’ is maintained, seeing a rising gap in 45-64, deviating farther from the 5 year average
4b/ Cumulative summer excess, by age group
Here the ‘staged’ growth of excess mortality is maintained, all growing. Growth slightly less rapid in the most elderly (?), but 65-74 and 45-64 sadly trending up.
5/ Excess mortality through summer
Put those together and we can see the pattern of excess
- Predominantly Others, almost half. Then respiratory, cancer, circulatory
- Non-respiratory (i.e. non-covid) is 74% of the excess
- Occurring at home
- The higher the age, higher excess.
6/ Total mortality trends versus vaccination, by age
7a/ Child mortality (<1)
Trending a little high, but (a) settling down, and (b) birth rate has been higher, so naturally this may be higher also. As ‘events / births’ the numebr is a bit high, but in the range of what has been seen in the recent past (as 2016)
7b/ Child mortality (1-14)
Continues normal (and continues to show SARS-CoV-2 as being no mortal risk to children)
8/ Mortality change versus 2020, by region
Comparing by different ways to see if any breakdown in the trends, but the upward trends seen do vary in scale across regions, but the direction and consistency is similar
9a/ Summer excess
Looking at the same periods of 2021 and 2020 versus the five year average, we see the huge difference.
2020 was quite normal, +1.4% from the 5 year average. Meanwhile in summer 2021 we are 3,000 deaths higher than the 5 year, 15% above normal.
9b/ Summer excess
In context, the below shows how much each summer (weeks 23-42) deviated from the 5 year average. The maximum is 3% - here we see *15%*.
Such a deviation is quite extraordinary.
9c/ Summer excess
We may hold that it is 'caused by covid’, which may be the case. But in holding to that thesis we need to know (a) what made everything covid so much worse than last year?, and (b) respiratory excess is only 26% of our excess mortality. 74% has another reason.
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Accounting for demographic changes (increased number of elderly, higher average age in each group), Scotland’s mortality in 2023 looks much as we would expect.
Started with a high January (“flu”) than affected older age groups, and now coming down.
85+ quite a normal year
Ages 75-84 were most hit by flu, beyond even the high of 2018. Thus showing as a high year initially, then below average but since has been running the high end of normal range.
A bit elevated, but not especially so.
Ages 65 to 74.
It’s too tricky to calculate the average age in this group (we don’t have death data by individual year), but suspect the average age is going up, hence the trend here has been gently up since 2015. That said this is a slightly high year, driven by January.
Scotland excess mortality through April 2023
Accounting for population size & age by use of ASMR, excess mortality in Scotland is +2.6% year-to-date, a bit lower than 2021, a bit higher than 2022.
What’s more thought provoking is when we step back from numbers to see the trends.
First, by cause.
Mortality was falling in Scotland, but note that abruptly changed with the pandemic & NO recovery since. The angle of increase hasn't slowed
Cancer trend remains improving, circulatory much worse than it was. Dem/Alz looks like misattribution, & C19 cured flu🙄
This is perhaps clearer when we zoom out and see longer term.
See how much mortality was improving, & that has radically changed. Gov are still attributing basically all excess to COVID + Others.
So what did the miracle 💉achieve if excess is unchanged, and C19 is the excess?
All UK nations updated their monthly excess mortality through April. For 2023 to date we see;
1) Scotland (+2.6%)
2) Wales (-0.3%)
3) England (-0.4%)
No ASMR data for N.I.
Overall UK total: +0.7%
‘Excess deaths’ shows hugely different, much higher. Why?
The chart shows monthly excess by ‘excess deaths’ and by ‘ASMR”. We see ‘excess deaths has ALWAYS measured higher than ASMR - this is not new.
The reason is that ASMR measures against the CURRENT population, and ‘excess deaths’ measures against the population 3 years ago.
What IS new is that we are now measuring ‘excess deaths’ against a population not THREE years ago, but almost four years ago.
This is entirely new, and makes ‘excess deaths' even higher. It’s caused by 2020 being dropped from the calculation
This will come back to normal in 2026.
"Beep, beep, beep..."
That's the sound of the reversing alarm, as the narrative is thrown into reverse - "They were never described as preventing transmission". (Actually they were, yet clearly they didn't - as we see from 'cases' data (PCR+) in Scotland. 👇
"But still, robust protection against hospitalisation..."
Er..... in that case Scotland's actual experience on COVID hospitalisations are impossible to explain.
🤔
We've now had equal periods without vaccines (Mar20 until rollout complete in May21) and without vaccines (May21 until now), 63 weeks of each.
We see that despite assurances, ‘acute COVID hospitalisations’ post #sacredcows are 59% higher in the 60+, and 133% higher in under 60s
What we see is;
- More people hospitalised, both <60 (19,000 versus 8,000) and in the'vulnerable' 60 and above (27,000 versus 17,000)
- NO more 'flat' periods where there are no admissions, the rate of admissions is faster than before, and incessant, no breaks
So too ICU - PHS now note "If people test COVID-19 positive on admission to hospital, it may not be the primary reason for admission, and instead an incidental finding"
No 💩 Sherlock, been saying that forever. Look at winter 2020 - 50% of ICU was “Non-COVID19 clinical diagnosis"
Scotland hospital status updated. 1. Do you need an op?
Upper endoscopy waitlist slightly down, but all other endoscopy waiting lists sharply up, and all imaging waitlists (e.g. CT, MRI) hugely up - ultrasound waitlist nearly doubled.
2. You need an op - how is the waitlist?
Chart shows number on the waiting list, and how long they have been waiting. Total continually rising, as well as the proportion waiting 6 months, 12 months, or longer.
3. How are we tackling that list?
This shows the number of operations carried out, in total and by month.
The number has been basically steady since early 2021, not recovering toward prior levels. Running around 33% lower than the pre-COVID levels.