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TwitterAs of May 1 2020, there were over 23 thousand more deaths in care homes in England and Wales than there were on the same date in 2019, with 12.5 thousand of these caused by Coronavirus (COVID-19) and 10.6 thousand due to other causes.
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ObjectivesTo assess excess mortality among older adults institutionalized in nursing homes within the successive waves of the COVID-19 pandemic in Catalonia (north-east Spain).DesignObservational, retrospective analysis of population-based central healthcare registries.Setting and participantsIndividuals aged >65 years admitted in any nursing home in Catalonia between January 1, 2015, and April 1, 2022.MethodsDeaths reported during the pre-pandemic period (2015–2019) were used to build a reference model for mortality trends (a Poisson model, due to the event counting nature of the variable “mortality”), adjusted by age, sex, and clinical complexity, defined according to the adjusted morbidity groups. Excess mortality was estimated by comparing the observed and model-based expected mortality during the pandemic period (2020–2022). Besides the crude excess mortality, we estimated the standardized mortality rate (SMR) as the ratio of weekly deaths’ number observed to the expected deaths’ number over the same period.ResultsThe analysis included 175,497 older adults institutionalized (mean 262 days, SD 132), yielding a total of 394,134 person-years: 288,948 person-years within the reference period (2015–2019) and 105,186 within the COVID-19 period (2020–2022). Excess number of deaths in this population was 5,403 in the first wave and 1,313, 111, −182, 498, and 329 in the successive waves. The first wave on March 2020 showed the highest SMR (2.50; 95% CI 2.45–2.56). The corresponding SMR for the 2nd to 6th waves were 1.31 (1.27–1.34), 1.03 (1.00–1.07), 0.93 (0.89–0.97), 1.13 (1.10–1.17), and 1.07 (1.04–1.09). The number of excess deaths following the first wave ranged from 1,313 (2nd wave) to −182 (4th wave). Excess mortality showed similar trends for men and women. Older adults and those with higher comorbidity burden account for higher number of deaths, albeit lower SMRs.ConclusionExcess mortality analysis suggest a higher death toll of the COVID-19 crisis in nursing homes than in other settings. Although crude mortality rates were far higher among older adults and those at higher health risk, younger individuals showed persistently higher SMR, indicating an important death toll of the COVID-19 in these groups of people.
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TwitterThe data update for February 2020 including updates for 11 indicators has been published by Public Health England (PHE).
The update for 9 indicators includes new 2018 data and refreshed data 2009 to 2017 describing mortality at end of life for clinical commissioning groups (CCGs), strategic transformation partnerships (STPs) and NHS regions:
The update for 2 indicators includes 2019 data and refreshed data 2012 – 2018 describing the availability of care home and nursing home beds for clinical commissioning groups (CCGs), strategic transformation partnerships (STPs), NHS regions, local authorities and higher administrative geographies:
The Palliative and end of life care profiles are designed to improve the availability and accessibility of information. They are intended to help local government and health services to improve care at the end of life.
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TwitterThe end of life care profiles data update for May 2019 has been published by Public Health England (PHE).
This version includes 10 updated indicators with 2017 data for clinical commissioning groups (CCGs), local authorities (LAs) and higher geographies:
The end of life care profiles are designed to improve the availability and accessibility of information around end of life care. The data is presented in an interactive tool that allows users to view and analyse it in a user-friendly format.
The profiles provide a snapshot overview of end of life care across England. They are intended to help local government and health services to improve care at the end of life.
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Mortality rate (%) based on COVID-19 tests and demographics for March 2020 to December 2020.
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TwitterThe update for September 2021 has been published by Public Health England (PHE).
The care home bed rate and nursing home bed rate indicators have been updated to include 2021 care home data for England, strategic clinical network areas, local authorities and government office regions.
The temporary resident care home deaths indicator has been revised using a new ONS data field in the mortality data set. This update is for 2019 data and includes the following geographies: England, clinical commissioning groups, sustainability and transformation partnerships, strategic clinical networks, local authorities and government office regions.
Place of death factsheets including monthly provisional place of death statistics will be newly released for clinical commissioning groups in the Reports section of the tool. These include the percentage of deaths in hospital, home, care home, hospice and other places by age at death (all ages, 0 to 64 years, 65 to 74 years, 75 to 84 years and 85 and older) for 2019, 2020 and 2021.
The https://fingertips.phe.org.uk/profile/end-of-life" class="govuk-link">Palliative and end of life care profiles are presented in an interactive tool which aims to help local government and health services improve care at the end of life.
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TwitterBased on a comparison of coronavirus deaths in 210 countries relative to their population, Peru had the most losses to COVID-19 up until July 13, 2022. As of the same date, the virus had infected over 557.8 million people worldwide, and the number of deaths had totaled more than 6.3 million. Note, however, that COVID-19 test rates can vary per country. Additionally, big differences show up between countries when combining the number of deaths against confirmed COVID-19 cases. The source seemingly does not differentiate between "the Wuhan strain" (2019-nCOV) of COVID-19, "the Kent mutation" (B.1.1.7) that appeared in the UK in late 2020, the 2021 Delta variant (B.1.617.2) from India or the Omicron variant (B.1.1.529) from South Africa.
The difficulties of death figures
This table aims to provide a complete picture on the topic, but it very much relies on data that has become more difficult to compare. As the coronavirus pandemic developed across the world, countries already used different methods to count fatalities, and they sometimes changed them during the course of the pandemic. On April 16, for example, the Chinese city of Wuhan added a 50 percent increase in their death figures to account for community deaths. These deaths occurred outside of hospitals and went unaccounted for so far. The state of New York did something similar two days before, revising their figures with 3,700 new deaths as they started to include “assumed” coronavirus victims. The United Kingdom started counting deaths in care homes and private households on April 29, adjusting their number with about 5,000 new deaths (which were corrected lowered again by the same amount on August 18). This makes an already difficult comparison even more difficult. Belgium, for example, counts suspected coronavirus deaths in their figures, whereas other countries have not done that (yet). This means two things. First, it could have a big impact on both current as well as future figures. On April 16 already, UK health experts stated that if their numbers were corrected for community deaths like in Wuhan, the UK number would change from 205 to “above 300”. This is exactly what happened two weeks later. Second, it is difficult to pinpoint exactly which countries already have “revised” numbers (like Belgium, Wuhan or New York) and which ones do not. One work-around could be to look at (freely accessible) timelines that track the reported daily increase of deaths in certain countries. Several of these are available on our platform, such as for Belgium, Italy and Sweden. A sudden large increase might be an indicator that the domestic sources changed their methodology.
Where are these numbers coming from?
The numbers shown here were collected by Johns Hopkins University, a source that manually checks the data with domestic health authorities. For the majority of countries, this is from national authorities. In some cases, like China, the United States, Canada or Australia, city reports or other various state authorities were consulted. In this statistic, these separately reported numbers were put together. For more information or other freely accessible content, please visit our dedicated Facts and Figures page.
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Trends in the place of death by cause of death in Japan in 2001–2021.
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TwitterSummaryTotal ever COVID-19 cases and deaths at Maryland congregate living facilities.DescriptionDeprecated as of November 17, 2021.The Outbreak-Associated Cases in Congregate Living data dashboard on coronavirus.maryland.gov was redesigned on 11/17/21 to align with other outbreak reporting. Visit MD COVID-19 Congregate Outbreaks to view Outbreak-Associated Cases in Congregate Living data as reported after 11/17/21.The MD COVID-19 Congregate Cases and Deaths total Summary data layer is the cumulative total of COVID-19 cases and deaths that have occured in nursing homes, assisted living facilities, group homes of 10 or more and state and local facilities. Data are reported to MDH by local health departments, the Department of Public Safety and Correctional Services and the Department of Juvenile Services and are updated once weekly.COVID-19 is a disease caused by a respiratory virus first identified in Wuhan, Hubei Province, China in December 2019. COVID-19 is a new virus that hasn't caused illness in humans before. Worldwide, COVID-19 has resulted in thousands of infections, causing illness and in some cases death. Cases have spread to countries throughout the world, with more cases reported daily. The Maryland Department of Health reports daily on COVID-19 cases by county.
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TwitterThere were 667,479 deaths in the United Kingdom in 2021, compared with 689,629 in 2020. Between 2003 and 2011, the annual number of deaths in the UK fell from 612,085 to just over 552,232. Since 2011 however, the annual number of annual deaths in the United Kingdom has steadily grown, with the number recorded in 2020, the highest since 1918 when there were 715,246 deaths. Both of these spikes in the number of deaths can be attributed to infectious disease pandemics. The great influenza pandemic of 1918, which was at its height towards the end of World War One, and the COVID-19 pandemic, which caused numerous deaths in 2020. Impact of COVID-19 The weekly death figures for England and Wales highlight the tragic toll of the COVID-19 pandemic. In two weeks in April 2020, there were 22,351 and 21,997 deaths respectively, almost 12,000 excess deaths in each of those weeks. Although hospitals were the most common location of these deaths, a significant number of these deaths also took place in care homes, with 7,911 deaths taking place in care homes for the week ending April 24, 2020, far higher than usual. By the summer of 2020, the number of deaths in England and Wales reached more usual levels, before a second wave of excess deaths hit the country that Winter, and peaking in late January 2021. Although subsequent waves of COVID-19 cases resulted in far fewer deaths, the number of excess deaths remained elevated throughout 2022. Long-term life expectancy trends As of 2022 the life expectancy for men in the United Kingdom was 78.57, and almost 82.57 for women, compared with life expectancies of 75 for men and 80 for women in 2002. In historical terms, this is a major improvement in relation to the mid-eighteenth century, when the overall life expectancy was just under 39 years. Between 2011 and 2017, improvements in life expectancy in the UK did start to decline, and have gone into reverse since 2018/20. Between 2020 and 2022 for example, life expectancy for men in the UK has fallen by over 37 weeks, and by almost 23 weeks for women, when compared with the previous year.
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TwitterThe update for March 2022 has been published by the Office for Health Improvement and Disparities (OHID).
Place of death factsheets have been updated. These are available for each clinical commissioning group and include percentage of deaths in hospital, home, care home, hospice and other places by age at death (all ages, 0 to 64 years, 65 to 74 years, 74 to 84 years and 85 years and older) for 2019, 2020 and 2021 (provisional).
This update also includes the launch of the care home factsheets. These are available for each upper-tier local authority and include trends in care home deaths and data on care home bed availability by service speciality.
The https://fingertips.phe.org.uk/profile/end-of-life" class="govuk-link">palliative and end of life care profiles are presented in an interactive tool which aims to help local government and health services improve care at the end of life.
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TwitterNumber and percentage of deaths, by place of death (in hospital or non-hospital), 1991 to most recent year.
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Provisional counts of the number of deaths registered in England and Wales, by age, sex, region and Index of Multiple Deprivation (IMD), in the latest weeks for which data are available.
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Trends in the place of death by age group in Japan in 2001–2021.
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TwitterABSTRACT: We estimated excess mortality in Medicare recipients with probable and confirmed Covid-19 infections in the general community and amongst residents of long-term care (LTC) facilities. We considered 28,389,098 Medicare and dual-eligible recipients from one year before February 29, 2020 through September 30, 2020, with mortality followed through November 30th, 2020. Probable and confirmed Covid-19 diagnoses, presumably mostly symptomatic, were determined from ICD-10 codes. We developed a Risk Stratification Index (RSI) mortality model which was applied prospectively to establish baseline mortality risk. Excess deaths attributable to Covid-19 were estimated by comparing actual-to-expected deaths based on historical (2017-2019) comparisons and in closely matched concurrent (2020) cohorts with and without Covid-19. 677,100 (2.4%) beneficiaries had confirmed Covid-19 and 2,917,604 (10.3%) had probable Covid-19. 472,329 confirmed cases were community living and 204,771 were in LTC. Mortality following a probable or confirmed diagnosis in the community increased from an expected incidence of about 4.0% to actual incidence of 7.5%. In long-term care facilities, the corresponding increase was from 20.3% to 24.6%. The absolute increase was therefore similar at 3-4% in the community and in LTC residents. The percentage increase was far greater in the community (89.5%) than among patients in chronic care facilities (21.1%) who had higher baseline risk. The LTC population without probable or confirmed Covid-19 diagnoses experienced 38,932 excess deaths (34.8%) compared to historical estimates. Limitations in access to Covid-19 testing and disease under-reporting in LTC patients probably were important factors, although social isolation and disruption in usual care presumably also contributed. Remarkably, there were 31,360 (5.4%) fewer deaths than expected in community dwellers without probable or confirmed Covid-19 diagnoses. Disruptions to the healthcare system and avoided medical care were thus apparently offset by other factors, representing overall benefit. The Covid-19 pandemic had marked effects on mortality, but the effects were highly context-dependent.
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Utilisation of specialised palliative care services at the end-of-life: overall distribution of cancer deaths from 2013 to 2019 by healthcare region. For each place of death the healthcare region with the lowest proportion of deaths is highlighted in yellow and the highest proportion is highlighted in blue.
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Distribution, n (%), of COVID-19 tests based on demographics from March 2020 to December 2020.
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With more than 15.000 deaths for a region of 7m people, the capital city of Spain has suffered a tremendous first wave.
This dataset displays daily and total deaths for Madrid, from Madrid's community official site
Data starts at 2020-04-22, and it is updated daily in working days.
This dataset is not the official data from Spain's national health minister (Ministerio de Sanidad del reino de España). It is the official data for Madrid's local governement (Consejería de Sanidad de la comunidad de Madrid).
Both sources - National and local governements - display different number because of the different criteria used to count COVID19 as cause of death:
The death has happened and comunicated in the last 24 hours -if not the data is not counted at any day!.
The death has to be confirmed with a pcr test positive, before the person dies. Clinically diagnoses COVID19 is not enough. This is against the world health organization guidelines.
Only deaths in hospital are counted. This does not include deaths at nursing homes, or at homes.
However, Madrid local governement includes deaths with COVID19 as diagnosed cause of deaths, it includes deaths in nursuring and private homes, according to the guidelines of WHO. As a consequence, the numbers displayed here are significantly higher than the national governement data.
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TwitterSummaryDeaths at Maryland facilities where at least one confirmed case of COVID-19 is present for the reporting period.DescriptionDeprecated as of November 17, 2021.The Outbreak-Associated Cases in Congregate Living data dashboard on coronavirus.maryland.gov was redesigned on 11/17/21 to align with other outbreak reporting. Visit MD COVID-19 Congregate Outbreaks to view Outbreak-Associated Cases in Congregate Living data as reported after 11/17/21.The MD COVID-19 - Number of Deaths by Affected Congregate Facility data layer is a collection of the number of deaths in nursing homes, assisted living facilities, group homes of 10 or more and state and local facilities where at least one positive COVID-19 test result has been reported for the reporting period. Data are reported to MDH by local health departments, the Department of Public Safety and Correctional Services and the Department of Juvenile Services. To appear on the list, facilities report at least one confirmed case of COVID-19 over the prior 14 days. Facilities are removed from the list when health officials determine 14 days have passed with no new cases and no tests pending. The list provides a point-in-time picture of COVID-19 case activity among these facilities. Numbers reported for each facility listed reflect totals ever reported for deaths. Data are updated once weekly.COVID-19 is a disease caused by a respiratory virus first identified in Wuhan, Hubei Province, China in December 2019. COVID-19 is a new virus that hasn't caused illness in humans before. Worldwide, COVID-19 has resulted in thousands of infections, causing illness and in some cases death. Cases have spread to countries throughout the world, with more cases reported daily. The Maryland Department of Health reports daily on COVID-19 cases by county.
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TwitterAs of May 1 2020, there were over 23 thousand more deaths in care homes in England and Wales than there were on the same date in 2019, with 12.5 thousand of these caused by Coronavirus (COVID-19) and 10.6 thousand due to other causes.