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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More from @scojw

20 Oct
Scotland: 2021 mortality through week 41 (NRS)
1/ Overall
Sadly another high week. Week 40 was revised up (+32% from 5yr), and week 41 was +23%.
Having been below normal in spring, now 21 consecutive weeks not only above the 5 year average, but ever higher above. Image
2/ Rank
With data context is always critical, and we should be clear neither this (nor indeed 2020) are anything not experienced before. 2021 to date ranks 11th in mortality rate in even the past 30 years. The key is the big rise from last summer.
(No need to mention the 90s!) Image
3/ Excess mortality by cause
‘Deaths within 28 days of a positive test’ continues to make up a notable proportion of the excess, albeit less than 50%. Those numbers - both total excess and 'with covid’ - are far higher than the corresponding period last year. Image
Read 12 tweets
14 Oct
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.
Read 8 tweets
13 Oct
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. Image
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. Image
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. Image
Read 10 tweets
6 Oct
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.
Read 8 tweets
29 Jul
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.
Read 9 tweets
1 Apr
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)
Read 8 tweets

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