Karen Cutter Profile picture
Nov 3 17 tweets 5 min read
The Actuaries Institute COVID-19 Mortality Working group has just released our new analysis of excess mortality using detailed data to 31 July 2022.
TLDR: Another huge excess in July.
#COVID19Aus #ExcessMortality
You can find the full write-up here...
actuaries.digital/2022/11/03/cov…
Note we measure excess deaths relative to pre-pandemic expectations of mortality, including allowance for continuation of mortality improvement (around 1.5-2% pa).
Our methodology also allows for changes in the size and age mix of the population.
Actual deaths (orange diamonds) in July were again very high, and well above the 95% prediction interval (blue shading).
We are measuring 16% excess for the month of July, or 2,600 additional deaths. About 1,400 of those deaths were due to COVID.
For the first 7 months of 2022, we are measuring the excess at 14%, or almost 14,000 more deaths than predicted.
Half of these are due to COVID.
Another 1,700 had COVID as a contributory cause.
Here is a breakdown into deaths from COVID, with COVID and other causes by month.
For completeness, here is the same table for 2021 and 2020.
Here's the COVID graph by week. Based on surveillance reporting, I expect the month of August will also have an average of around 300 deaths per week.
Here's influenza. An early peak, and well below the bad flu seasons of 2017 and 2019.
Deaths from other respiratory causes are lower than predicted.
Non-COVID, non-respiratory deaths. Up massively in 2022.
It is not due to cancer.
Ischaemic heart disease is a key driver.
As are "other" diseases - this is a catch-all group of everything not specifically reported on by the ABS.
While dementia deaths are up overall in the 7 months, most of this excess was in Jan/Feb.
What about beyond 31 July?
Surveillance deaths peaked in Aug, with Sept much lower and Oct lower again. We estimate excess mortality due to COVID only of 9%, 6% and 2% respectively.
Given the experience so far in 2022, we expect total excess mortality will be higher than this.
This graph shows the mortality rate for each year expressed relative to 2019, and allows for our aging population.
Noting we had a pre-pandemic trend of mortality improvement of 1.5-2% pa, the first 7 months of 2022 is well above any other year shown. Terrible.
The Working Group is currently preparing some analysis by age band/gender, and I am hoping we will be able to publish next week.
The end. Any questions?

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More from @KarenCutter4

Oct 21
Influenza in Australia in 2022.
A thread/
I'm writing this thread as, according to a friend travelling in Europe, there is a lot of sensationalist reporting about what a bad flu season we had in Australia in 2022.
This chart shows laboratory-confirmed flu cases nationally. It shows an early and high peak in 2022 compared with earlier years.

Source: www1.health.gov.au/internet/main/…
However, symptoms reported by participants in the FluTracking program were no higher than in pre-pandemic years, despite a lot of COVID circulating in Australia.
Source: www1.health.gov.au/internet/main/…
Read 9 tweets
Oct 20
The NSW Health epi report for the week ending 15 October is now out.
#COVID19Aus #COVID19NSW
You can find the full report here...
health.nsw.gov.au/Infectious/cov…
Total cases were up slightly (+1%) this week.
By age band, however, cases were up 10% in the 60+ age band
Read 9 tweets
Oct 5
Our latest analysis of excess mortality is now out, covering all cause mortality to the end of June 2022, plus COVID-19 only mortality for July-Sept.
#COVID19Aus #excessdeaths
TLDR: +11,200 excess deaths in first half of 2022 (13%)
actuaries.digital/2022/10/06/cov…
Our excess deaths are measured relative to pre-pandemic expectations of mortality.
Includes allowance for continuation of mortality improvement/decline for each cause of death.
Allows for changes in the size and age composition of the population.
Excess mortality in the month of June 2022 was again very high, almost as bad as January 2022.
Needed to change my y-axis for this one.
Read 20 tweets
Oct 5
In advance of our June excess mortality work coming out tomorrow, here is a thread on the latest COVID-19 data in Australia.
#COVID19Aus
Here's a table showing the various bits of data we know about COVID-19 deaths.
Note with the change to weekly reporting, I have needed to estimate surveillance deaths for the last day of Sept (last 3 days for Qld).
This thread might be a good read for some of my new followers, explaining how Covid deaths are recorded in Australia, concentrating on the difference between daily surveillance reports and the ABS statistics.
Read 17 tweets
Sep 19
The Ministry of Health (MoH) in Singapore released this very interesting report on excess deaths over the weekend.
moh.gov.sg/docs/libraries…
The report covers excess deaths from the start of the pandemic until 30 June 2022.
Covid deaths in Singapore and Australia per head of population have been broadly similar.
In measuring excess deaths, the MoH have used the 2019 standardised death rate as their baseline. Their measurement allows for changes in the size and age distribution of the population. Any excess represents a worse mortality RATE compared with 2019. This is good.
Read 12 tweets
Sep 15
The NSW epi report for the week ending 10 Sept is now out. Note that this is the week ending just before they switched from daily to weekly reporting, so nothing new on that front.
#Covid19Aus #Covid19NSW
You can find the full report here...
health.nsw.gov.au/Infectious/cov…
Cases are down another 29% this week. Excellent.
While PCR testing is down again (-15%), so is positivity (at 7% this week). Good.
Read 13 tweets

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