Our latest on excess deaths in Australia, covering all cause mortality to 30 April, plus excess from COVID-19 only to 31 July. #Covid19Aus
TLDR: 13% excess (+6,800 deaths) Jan-Apr 22.
8% excess (+3,500 deaths) from Covid only May-July.
Covid third leading cause of death in 2022.
Total excess mortality for the month of April 2022 estimated at 9% (+1,200 deaths).
More than half is due to doctor-certified COVID-19 deaths. Other unspecified causes and coroner-referred deaths (which include some COVID-19 deaths) also made a significant contribution.
With January at 20% excess mortality, February at 15% and March at 7%, this takes total excess mortality for the first four months of 2022 to 13% (+6,800 deaths).
Deaths were above the above the 97.5th percentile for all but one week of 2022 so far.
In the first four months of 2022 just over half of excess deaths are from doctor-certified COVID-19 (+3,600 deaths).
Doctor-certified deaths from heart disease, cerebrovascular disease, diabetes and dementia were all higher than predicted (by 5%-11%).
Doctor-certified deaths from the large catch-all category of “other diseases” were higher than predicted (+1,400 deaths).
ABS data shows that in the first 4 months of 2022, there were 714 deaths in people who were COVID-19 positive at death but where COVID-19 was not the primary cause. i.e. COVID-19 was potentially a contributory factor in around 1/4 of the excess mortality from non-COVID-19 causes
What else could be causing the non-COVID-19 excess deaths?
(Do not tell me these deaths are due to vaccines. Do not tweet graphs at me that "prove" its vaccines. Do not tweet youtube videos at me that tell me its vaccines. My blocking finger is at the ready!
Vaccine-related deaths will be the subject of a future thread).
What do we know beyond April?
Daily surveillance reports in the month of July 2022 are the highest yet recorded. In the last three months, around 4,600 deaths from or with COVID-19 have been reported (1,300 in May, 1,400 in June, 1,900 in July).
Of these 4,600 deaths, we estimate that 76% will be deaths from (not with) COVID-19.
Thus we estimate that COVID-19 deaths alone will result in excess mortality of around 8% (+3,500) for the months of May-July 2022, with overall excess mortality likely to be higher than this.
Combining our detailed excess death estimates to 30 April with our preliminary estimate of excess deaths due to COVID-19 only for May-July 2022, our conservative estimate is that Australia had experienced around 9,200 excess deaths across the pandemic by the end of July 2022.
Deaths from COVID-19 are expected to reach 7,100 for the first 7 months of 2022 (3,600 doctor-certified deaths Jan-April plus 3,500 deaths May-July).
This would put COVID-19 as the third leading cause of death, behind ischaemic heart disease and dementia.
The end. Any questions?
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Excellent summary, noting the baseline is no longer “assuming no pandemic”.
Actual weekly deaths are mostly within the 95% confidence interval. However, most weeks in June, July and August were above the prediction and this is significant in aggregate for the eight-month period.
The Mortality Working Group has today published our Research Paper covering excess mortality in 2020-2023. actuaries.asn.au/public-policy-…
It is a massive paper (100+ pages), so I'm not going to cover off all of it!
This thread gives a taster of what is included in the paper, and is aimed at those who may want to delve further into the nitty-gritty.
There are four main sections of our paper (plus an into in section 1).
Section 2 cover excess mortality for Australia. This formally documents the excess mortality blogs we published throughout 2023. For those who have been following me, the numbers will look familiar.
The Mortality Working Group of the Actuaries Institute has released their latest estimate of excess mortality for Q1 2024.
TLDR: excess mortality is 1%, noting this is measured against the new baseline. actuaries.digital/2024/07/10/exc…
Our new baseline measures 2024 mortality against 2023 (after allowing for some mortality improvement), and includes and allowance for COVID-19 deaths.
Deaths from all causes have been within the 95% confidence interval in each of the first thirteen weeks of 2024, although they have been towards the top of that range for three of the last four weeks of March.
"Australia appears to have had at least a week where no COVID-associated deaths were recorded for the first time in more than two years."
This is simply not true. The statement is based on this Fed Health graph.
Yes, it does show a 7-day average of zero deaths for the most recent data points. But this ignores the fact that the graph is compiled using date of death, and it is almost impossible for someone to die, have their death registered, and included in the Fed data within a week!
The Mortality Working Group of the Actuaries Institute has released our estimate of excess mortality for the full year 2023.
TLDR: Excess mortality for 2023 is 5% (95% CI: 3%-7%) or +8,400 deaths.
A thread/ actuaries.digital/2024/04/05/exc…
Note that our expected number of deaths (baseline) is our expectation had the pandemic not happened.
The baseline allows for changes in the age and size composition of the population over time, plus allows for pre-pandemic mortality trend to continue.
We finished the year with deaths being much higher than expected for each of the four weeks in December (as they were in November).
Australian deaths counts: surveillance vs death certificates.
For some time now I have been quizzically looking at the death surveillance reporting, thinking the numbers looked too low.
A thread/
This is because of the relationship between hospitalisations and deaths.
Normally deaths track hospital admissions quite closely, but with a little bit of a lag. But for Dec23 and Jan24, this relationship changed - deaths are lower than expected based on hospitalisations.
A few theories were floating around about why (eg. JN.1 less severe), but it also didnt make sense to me from looking at the Vic death reporting, and knowing the Vic wave was a bit earlier than the rest of Aust. Things just werent stacking up nicely.