This dataset represents preliminary estimates of cumulative U.S. COVID-19 disease burden for the 2024-2025 period, including illnesses, outpatient visits, hospitalizations, and deaths. The weekly COVID-19-associated burden estimates are preliminary and based on continuously collected surveillance data from patients hospitalized with laboratory-confirmed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections. The data come from the Coronavirus Disease 2019 (COVID-19)-Associated Hospitalization Surveillance Network (COVID-NET), a surveillance platform that captures data from hospitals that serve about 10% of the U.S. population. Each week CDC estimates a range (i.e., lower estimate and an upper estimate) of COVID-19 -associated burden that have occurred since October 1, 2024.

Note: Data are preliminary and subject to change as more data become available. Rates for recent COVID-19-associated hospital admissions are subject to reporting delays; as new data are received each week, previous rates are updated accordingly.

References

1. Reed C, Chaves SS, Daily Kirley P, et al. Estimating influenza disease burden from population-based surveillance data in the United States. PLoS One. 2015;10(3):e0118369. https://doi.org/10.1371/journal.pone.0118369 
2. Rolfes, MA, Foppa, IM, Garg, S, et al. Annual estimates of the burden of seasonal influenza in the United States: A tool for strengthening influenza surveillance and preparedness. Influenza Other Respi Viruses. 2018; 12: 132– 137. https://doi.org/10.1111/irv.12486
3. Tokars JI, Rolfes MA, Foppa IM, Reed C. An evaluation and update of methods for estimating the number of influenza cases averted by vaccination in the United States. Vaccine. 2018;36(48):7331-7337. doi:10.1016/j.vaccine.2018.10.026 
4. Collier SA, Deng L, Adam EA, Benedict KM, Beshearse EM, Blackstock AJ, Bruce BB, Derado G, Edens C, Fullerton KE, Gargano JW, Geissler AL, Hall AJ, Havelaar AH, Hill VR, Hoekstra RM, Reddy SC, Scallan E, Stokes EK, Yoder JS, Beach MJ. Estimate of Burden and Direct Healthcare Cost of Infectious Waterborne Disease in the United States. Emerg Infect Dis. 2021 Jan;27(1):140-149. doi: 10.3201/eid2701.190676. PMID: 33350905; PMCID: PMC7774540.
5. Reed C, Kim IK, Singleton JA,  et al. Estimated influenza illnesses and hospitalizations averted by vaccination–United States, 2013-14 influenza season. MMWR Morb Mortal Wkly Rep. 2014 Dec 12;63(49):1151-4. https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6349a2.htm 
6. Reed C, Angulo FJ, Swerdlow DL, et al. Estimates of the Prevalence of Pandemic (H1N1) 2009, United States, April–July 2009. Emerg Infect Dis. 2009;15(12):2004-2007. https://dx.doi.org/10.3201/eid1512.091413  
7. Devine O, Pham H, Gunnels B, et al. Extrapolating Sentinel Surveillance Information to Estimate National COVID-19 Hospital Admission Rates: A Bayesian Modeling Approach. Influenza and Other Respiratory Viruses. https://onlinelibrary.wiley.com/doi/10.1111/irv.70026. Volume18, Issue10. October 2024.
8. https://www.cdc.gov/covid/php/covid-net/index.html">COVID-NET | COVID-19 | CDC 
9. https://www.cdc.gov/covid/hcp/clinical-care/systematic-review-process.html 
10. https://academic.oup.com/pnasnexus/article/1/3/pgac079/6604394?login=false">Excess natural-cause deaths in California by cause and setting: March 2020 through February 2021 | PNAS Nexus | Oxford Academic (oup.com)
11. Kruschke, J. K. 2011. Doing Bayesian data analysis: a tutorial with R and BUGS. Elsevier, Amsterdam, Section 3.3.5.

The World Health Organization reported 6932591 Coronavirus Deaths since the epidemic began. In addition, countries reported 766440796 Coronavirus Cases. This dataset provides - World Coronavirus Deaths- actual values, historical data, forecast, chart, statistics, economic calendar and news.

This dataset provides values for CORONAVIRUS DEATHS reported in several countries. The data includes current values, previous releases, historical highs and record lows, release frequency, reported unit and currency.

Dataset Overview

This dataset contains global COVID-19 case and death data by country, collected directly from the official World Health Organization (WHO) COVID-19 Dashboard. It provides a comprehensive view of the pandemic’s impact worldwide, covering the period up to 2025. The dataset is intended for researchers, analysts, and anyone interested in understanding the progression and global effects of COVID-19 through reliable, up-to-date information.

Source Information

• Website: WHO COVID-19 Dashboard
• Organization: World Health Organization (WHO)
• Data Coverage: Global (by country/territory)
• Time Period: Up to 2025

The World Health Organization is the United Nations agency responsible for international public health. The WHO COVID-19 Dashboard is a trusted source that aggregates official reports from countries and territories around the world, providing daily updates on cases, deaths, and other key metrics related to COVID-19.

Dataset Contents

• Country/Region: The name of the country or territory.
• Date: Reporting date.
• New Cases: Number of new confirmed COVID-19 cases.
• Cumulative Cases: Total confirmed COVID-19 cases to date.
• New Deaths: Number of new confirmed deaths due to COVID-19.
• Cumulative Deaths: Total deaths reported to date.
• Additional fields may include population, rates per 100,000, and more (see data files for details).

How to Use

This dataset can be used for: - Tracking the spread and trends of COVID-19 globally and by country - Modeling and forecasting pandemic progression - Comparative analysis of the pandemic’s impact across countries and regions - Visualization and reporting

Data Reliability

The data is sourced from the WHO, widely regarded as the most authoritative source for global health statistics. However, reporting practices and data completeness may vary by country and may be subject to revision as new information becomes available.

Acknowledgements

Special thanks to the WHO for making this data publicly available and to all those working to collect, verify, and report COVID-19 statistics.

This dataset, titled "Global COVID-19 Statistics - Jan 2025," contains the latest COVID-19 statistics collected from the Worldometer website on Jan 09, 2025. The data includes crucial metrics such as the total number of cases, deaths, recoveries, and active cases for countries around the world. The information is extracted from the comprehensive table provided by Worldometer, which is widely regarded as a reliable source for real-time coronavirus statistics. Source and Collection Date Source: Worldometer Coronavirus Page Date of Collection: Jan 09, 2025

This dataset provides values for CORONAVIRUS DEATHS reported in several countries. The data includes current values, previous releases, historical highs and record lows, release frequency, reported unit and currency.

Effective September 27, 2023, this dataset will no longer be updated. Similar data are accessible from wonder.cdc.gov.

Estimates of excess deaths can provide information about the burden of mortality potentially related to COVID-19, beyond the number of deaths that are directly attributed to COVID-19. Excess deaths are typically defined as the difference between observed numbers of deaths and expected numbers. This visualization provides weekly data on excess deaths by jurisdiction of occurrence. Counts of deaths in more recent weeks are compared with historical trends to determine whether the number of deaths is significantly higher than expected.

Estimates of excess deaths can be calculated in a variety of ways, and will vary depending on the methodology and assumptions about how many deaths are expected to occur. Estimates of excess deaths presented in this webpage were calculated using Farrington surveillance algorithms (1). For each jurisdiction, a model is used to generate a set of expected counts, and the upper bound of the 95% Confidence Intervals (95% CI) of these expected counts is used as a threshold to estimate excess deaths. Observed counts are compared to these upper bound estimates to determine whether a significant increase in deaths has occurred. Provisional counts are weighted to account for potential underreporting in the most recent weeks. However, data for the most recent week(s) are still likely to be incomplete. Only about 60% of deaths are reported within 10 days of the date of death, and there is considerable variation by jurisdiction. More detail about the methods, weighting, data, and limitations can be found in the Technical Notes.

Note: Starting April 27, 2023 updates change from daily to weekly.

Summary The cumulative number of confirmed COVID-19 deaths among Maryland residents.

Description The MD COVID-19 - Total Confirmed Deaths Statewide data layer is a collection of the statewide confirmed COVID-19 related deaths that have been reported each day by the Vital Statistics Administration. A death is classified as confirmed if the person had a laboratory-confirmed positive COVID-19 test result. Some data on deaths may be unavailable due to the time lag between the death, typically reported by a hospital or other facility, and the submission of the complete death certificate. Probable deaths are available from the MD COVID-19 - Total Probable Deaths Statewide data layer. Update 5/27/21: The Maryland Department of Health (MDH) Vital Statistics Administration (VSA) revised the state’s COVID-19 data to include deaths that were not properly classified by medical certifiers over the past year. VSA identified these deaths as COVID-19 deaths through an information reconciliation process utilizing other sources of data. Learn more: https://health.maryland.gov/newsroom/Pages/Maryland-Department-of-Health-Vital-Statistics-Administration-issues-revision-of-COVID-19-death-data.aspx

Terms of Use The Spatial Data, and the information therein, (collectively the "Data") is provided "as is" without warranty of any kind, either expressed, implied, or statutory. The user assumes the entire risk as to quality and performance of the Data. No guarantee of accuracy is granted, nor is any responsibility for reliance thereon assumed. In no event shall the State of Maryland be liable for direct, indirect, incidental, consequential or special damages of any kind. The State of Maryland does not accept liability for any damages or misrepresentation caused by inaccuracies in the Data or as a result to changes to the Data, nor is there responsibility assumed to maintain the Data in any manner or form. The Data can be freely distributed as long as the metadata entry is not modified or deleted. Any data derived from the Data must acknowledge the State of Maryland in the metadata.

*** The County of Santa Clara Public Health Department discontinued updates to the COVID-19 data tables effective June 30, 2025. The COVID-19 data tables will be removed from the Open Data Portal on December 30, 2025. For current information on COVID-19 in Santa Clara County, please visit the Respiratory Virus Dashboard [sccphd.org/respiratoryvirusdata]. For any questions, please contact phinternet@phd.sccgov.org ***

The dataset provides information about the demographics and characteristics of deaths with COVID-19 by racial/ethnic groups among Santa Clara County residents. Source: California Reportable Disease Information Exchange. Data notes: The Other category for the race/ethnicity graph includes American Indian/Alaska Native and people who identify as multi-racial.

This table is updated every Friday.

*** The County of Santa Clara Public Health Department discontinued updates to the COVID-19 data tables effective June 30, 2025. The COVID-19 data tables will be removed from the Open Data Portal on December 30, 2025. For current information on COVID-19 in Santa Clara County, please visit the Respiratory Virus Dashboard [sccphd.org/respiratoryvirusdata]. For any questions, please contact phinternet@phd.sccgov.org ***

The dataset provides number of new and cumulative cases deaths with COVID-19 over time among Santa Clara County residents. Deaths are listed separately for patients at Long Term Care Facilities because patients in these facilities are more isolated than the general public and represent a particularly vulnerable population. Source: California Reportable Disease Information Exchange. Data Notes: Deaths are reported by the date of death. Death accounted for in the dataset do not necessarily mean that the individuals died from COVID-19.

In April 2020 Eurostat set up an exceptional data collection on total weekly deaths, in order to support the policy and research efforts related to Covid-19. With this data collection, Eurostat's target was to provide quickly statistics that show the changing situation of the total number of weekly deaths from early 2020 onwards.

The available data on the total weekly deaths are transmitted by the National Statistical Institutes to Eurostat on voluntary basis. Data are collected cross classified by sex, 5-year age-groups and NUTS3 region (NUTS2021). The age breakdown by 5-year age group is the most significant and should be considered by the reporting countries as the main option; when that is not possible, data may be provided with less granularity. Similar with the regional structure, data granularity varies with the country.

Eurostat requested from the National Statistical Institutes the transmission of a back time series of weekly deaths for as many year as possible, recommending as starting point the year 2000. Shorter time series, imposed by data availability, are transmitted by some countries. A long enough time series is necessary for temporal comparisons and statistical modelling.

A note on Ireland: Data from Ireland were not included in the first phase of the weekly deaths data collection: official timely data were not available because deaths can be registered up to three months after the date of death. Because of the COVID-19 pandemic, the Central Statistics Office of Ireland began to explore experimental ways of obtaining up-to-date mortality data, finding a strong correlation between death notices published on RIP.ie and official mortality statistics. Recently, CSO Ireland started publishing a time series covering the period from October 2019 until the most recent weeks, using death notices (see CSO website). For the purpose of this release, Eurostat compared the new 2020-2021 web-scraped series with a 2016-2019 baseline established using official data. CSO is periodically assessing the quality of these data.

The purpose of Eurostat’s online tables in the folder Weekly deaths - special data collection (demomwk) is to make available to users information on the weekly number of deaths disaggregated by sex, 5 years age group and NUTS3 regions over the last 20 years, depending on the availability in each country covered in Eurostat demographic statistics data collections. In order to ensure the highest timeliness possible, data are made available as reported by the countries, and work is ongoing in order to improve data quality and user friendliness.

Starting in 2025, the weekly deaths data is collected on a quarterly basis. The database updates are expected by mid-June (release of monthly data for 1st quarter of the year), mid-September (2nd quarter), mid-December (3rd quarter), and mid-February (4th quarter).

This dataset represents preliminary estimates of cumulative U.S. RSV –associated disease burden estimates for the 2024-2025 season, including outpatient visits, hospitalizations, and deaths. Real-time estimates are preliminary and based on continuously collected surveillance data from patients hospitalized with laboratory-confirmed respiratory syncytial virus (RSV) infections. The data come from the Respiratory Syncytial Virus Hospitalization Surveillance Network (RSV-NET), a surveillance platform that captures data from hospitals that serve about 8% of the U.S. population. Each week CDC estimates a range (i.e., lower estimate and an upper estimate) of RSV-associated disease burden estimates that have occurred since October 1, 2024.

Note: Data are preliminary and subject to change as more data become available. Rates for recent RSV-associated hospital admissions are subject to reporting delays; as new data are received each week, previous rates are updated accordingly.

Note: Preliminary burden estimates are not inclusive of data from all RSV-NET sites. Due to model limitations, sites with small sample sizes can impact estimates in unpredictable ways and are excluded for the benefit of model stability. CDC is working to address model limitations and include data from all sites in final burden estimates.

References

1. Reed C, Chaves SS, Daily Kirley P, et al. Estimating influenza disease burden from population-based surveillance data in the United States. PLoS One. 2015;10(3):e0118369. https://doi.org/10.1371/journal.pone.0118369 
2. Rolfes, MA, Foppa, IM, Garg, S, et al. Annual estimates of the burden of seasonal influenza in the United States: A tool for strengthening influenza surveillance and preparedness. Influenza Other Respi Viruses. 2018; 12: 132– 137. https://doi.org/10.1111/irv.12486
3. Tokars JI, Rolfes MA, Foppa IM, Reed C. An evaluation and update of methods for estimating the number of influenza cases averted by vaccination in the United States. Vaccine. 2018;36(48):7331-7337. doi:10.1016/j.vaccine.2018.10.026 
4. Collier SA, Deng L, Adam EA, Benedict KM, Beshearse EM, Blackstock AJ, Bruce BB, Derado G, Edens C, Fullerton KE, Gargano JW, Geissler AL, Hall AJ, Havelaar AH, Hill VR, Hoekstra RM, Reddy SC, Scallan E, Stokes EK, Yoder JS, Beach MJ. Estimate of Burden and Direct Healthcare Cost of Infectious Waterborne Disease in the United States. Emerg Infect Dis. 2021 Jan;27(1):140-149. doi: 10.3201/eid2701.190676. PMID: 33350905; PMCID: PMC7774540.
5. Reed C, Kim IK, Singleton JA,  et al. Estimated influenza illnesses and hospitalizations averted by vaccination–United States, 2013-14 influenza season. MMWR Morb Mortal Wkly Rep. 2014 Dec 12;63(49):1151-4. https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6349a2.htm 
6. Reed C, Angulo FJ, Swerdlow DL, et al. Estimates of the Prevalence of Pandemic (H1N1) 2009, United States, April–July 2009. Emerg Infect Dis. 2009;15(12):2004-2007. https://dx.doi.org/10.3201/eid1512.091413  
7. Devine O, Pham H, Gunnels B, et al. Extrapolating Sentinel Surveillance Information to Estimate National COVID-19 Hospital Admission Rates: A Bayesian Modeling Approach. Influenza and Other Respiratory Viruses. https://onlinelibrary.wiley.com/doi/10.1111/irv.70026. Volume18, Issue10. October 2024.
8. https://www.cdc.gov/covid/php/covid-net/index.html">COVID-NET | COVID-19 | CDC 
9. https://www.cdc.gov/covid/hcp/clinical-care/systematic-review-process.html 
10. https://academic.oup.com/pnasnexus/article/1/3/pgac079/6604394?login=false">Excess natural-cause deaths in California by cause and setting: March 2020 through February 2021 | PNAS Nexus | Oxford Academic (oup.com)
11. Kruschke, J. K. 2011. Doing Bayesian data analysis: a tutorial with R and BUGS. Elsevier, Amsterdam, Section 3.3.5.

The monthly excess mortality indicator is based on the exceptional data collection on weekly deaths that Eurostat and the National Statistical Institutes set up, in April 2020, in order to support the policy and research efforts related to the COVID-19 pandemic. With that data collection, Eurostat's target was to provide quickly statistics assessing the changing situation of the total number of deaths on a weekly basis, from early 2020 onwards.

The National Statistical Institutes transmit available data on total weekly deaths, classified by sex, 5-year age groups and NUTS3 regions (NUTS2021) over the last 20 years, on a voluntary basis. The resulting online tables, and complementary metadata, are available in the folder Weekly deaths - special data collection (demomwk).

Starting in 2025, the weekly deaths data collected on a quarterly basis. The database updated on the 16th of June 2025 (1st quarter), on the 16 th of September 2025 (2nd quarter), and next update will be in mid-December 2025 (3rd quarter), and mid-February 2026 (4th quarter).

In December 2020, Eurostat released the European Recovery Statistical Dashboard containing also indicators tracking economic and social developments, including health. In this context, “excess mortality” offers elements for monitoring and further analysing direct and indirect effects of the COVID-19 pandemic.

The monthly excess mortality indicator draws attention to the magnitude of the crisis by providing a comprehensive comparison of additional deaths amongst the European countries and allowing for further analysis of its causes. The number of deaths from all causes is compared with the expected number of deaths during a certain period in the past (baseline period, 2016-2019).

The reasons that excess mortality may vary according to different phenomena are that the indicator is comparing the total number of deaths from all causes with the expected number of deaths during a certain period in the past (baseline). While a substantial increase largely coincides with a COVID-19 outbreak in each country, the indicator does not make a distinction between causes of death. Similarly, it does not take into account changes over time and differences between countries in terms of the size and age/sex structure of the population Statistics on excess deaths provide information about the burden of mortality potentially related to the COVID-19 pandemic, thereby covering not only deaths that are directly attributed to the virus but also those indirectly related to or even due to another reason. For example, In July 2022, several countries recorded unusually high numbers of excess deaths compared to the same month of 2020 and 2021, a situation probably connected not only to COVID-19 but also to the heatwaves that affected parts of Europe during the reference period.

In addition to confirmed deaths, excess mortality captures COVID-19 deaths that were not correctly diagnosed and reported, as well as deaths from other causes that may be attributed to the overall crisis. It also accounts for the partial absence of deaths from other causes like accidents that did not occur due, for example, to the limitations in commuting or travel during the lockdown periods.

Disclaimer: As of January 2025, SPC will no longer provide updated information on COVID-19 cases and deaths. The information presented on this page is for reference only. For current epidemic and emerging disease alerts in the Pacific region, please visit: https://www.spc.int/epidemics/

Statistics from SPC's Public Health Division (PHD) on COVID-19 vaccination in Pacific Island Countries and Territories. Monitoring the impact of COVID-19 and the effectiveness of prevention and control strategies remains a public health priority. With the COVID-19 Public Health Emergency of International Concern declaration ending, some metrics have changed in frequency, source, or availability (i.e vaccination data). SPC will no longer continue to provide updated information on vaccination. The last update for this dataset was the 09 May 2023.

Find more Pacific data on PDH.stat.

This dataset contains aggregate death data at the state and county level for Pennsylvania residents. The data are displayed by county, date, death counts, averages, rates based on population. Pennsylvania statewide numbers are listed with Pennsylvania named as the county for the statewide totals. Do not add up the entire file (all rows) or counts will be duplicated.

This dataset includes the cumulative number of healthcare facility-reported fatalities for patients with lab-confirmed COVID-19 disease by reporting date, patient county of residence, and patient fatalities that occurred based on the facility county. This dataset does not include fatalities related to COVID-19 disease that did not occur at a hospital, nursing home, or adult care facility. The primary goal of publishing this dataset is to provide users with information about healthcare facility fatalities among patients with lab-confirmed COVID-19 disease.

The information in this dataset is also updated daily on the NYS COVID-19 Tracker at https://www.ny.gov/covid-19tracker. The data source for this dataset is the daily COVID-19 survey through the New York State Department of Health (NYSDOH) Health Electronic Response Data System (HERDS). Hospitals, nursing homes, and adult care facilities are required to complete this survey daily. The information from the survey is used for statewide surveillance, planning, resource allocation, and emergency response activities. Hospitals began reporting for the HERDS COVID-19 survey in March 2020, while Nursing Homes and Adult Care Facilities began reporting in April 2020. It is important to note that fatalities related to COVID-19 disease that occurred prior to the first publication dates are also included.

The county fatality numbers in this dataset are calculated by summing the number of fatalities by patient county of residence and reporting date, and patient fatalities that occurred based on the facility county, respectively. The statewide fatality numbers are calculated by summing the number of fatalities across all patient counties of residence, and across all facilities by county, by reporting date, respectively. The fatality numbers represent the cumulative number of fatalities that have been reported as of each reporting date.

The dashboard is updated each Friday.

Laboratory surveillance data: California laboratories report SARS-CoV-2 test results to CDPH through electronic laboratory reporting. Los Angeles County SARS-CoV-2 lab data has a 7-day reporting lag. Test positivity is calculated using SARS-CoV-2 lab tests that has a specimen collection date reported during a given week. Specimens for testing are collected from patients in healthcare settings and do not reflect all testing for COVID-19 in California. Test positivity for a given week is calculated by dividing the number of positive COVID-19 results by the total number of specimens tested for that virus. Weekly laboratory surveillance data are defined as Sunday through Saturday.

Hospitalization data: Data on COVID-19 and influenza hospital admissions are from Centers for Disease Control and Prevention’s (CDC) National Healthcare Safety Network (NHSN) Hospitalization dataset. The requirement to report COVID-19-associated hospitalizations was effective November 1, 2024. CDPH pulls NHSN data from the CDC on the Wednesday prior to the publication of the report. Results may differ depending on which day data are pulled. Admission rates are calculated using population estimates from the P-3: Complete State and County Projections Dataset (https://dof.ca.gov/forecasting/demographics/projections/) provided by the State of California Department of Finance. Reported weekly admission rates for the entire season use the population estimates for the year the season started. For more information on NHSN data including the protocol and data collection information, see the CDC NHSN webpage (https://www.cdc.gov/nhsn/index.html). Weekly hospitalization data are defined as Sunday through Saturday.

Death certificate data: CDPH receives weekly year-to-date dynamic data on deaths occurring in California from the CDPH Center for Health Statistics and Informatics. These data are limited to deaths occurring among California residents and are analyzed to identify COVID-19-coded deaths. These deaths are not necessarily laboratory-confirmed and are an underestimate of all COVID-19-associated deaths in California. Weekly death data are defined as Sunday through Saturday.

Daily count of NYC residents who tested positive for SARS-CoV-2, who were hospitalized with COVID-19, and deaths among COVID-19 patients.

Note that this dataset currently pulls from https://raw.githubusercontent.com/nychealth/coronavirus-data/master/case-hosp-death.csv on a daily basis.

*** The County of Santa Clara Public Health Department discontinued updates to the COVID-19 data tables effective June 30, 2025. The COVID-19 data tables will be removed from the Open Data Portal on December 30, 2025. For current information on COVID-19 in Santa Clara County, please visit the Respiratory Virus Dashboard [sccphd.org/respiratoryvirusdata]. For any questions, please contact phinternet@phd.sccgov.org ***

The dataset provides information on cases among residents and staff at LTCFs, which are a critical part of the continuum of health care. LTCFs include skilled nursing, independent living, assisted living and board and care facilities. Source: California Reportable Disease Information Exchange. Data Notes: These data may represent ongoing investigations and as such may change as additional information are collected. The count of facilities is the number of facilities in each type of care that have at least one COVID-19 case.

This table was updated for the last time on May 20, 2021.

These indicators are designed to accompany the SHMI publication. COVID-19 activity is included in the SHMI if the discharge date is on or after 1 September 2021. Contextual indicators on the number of provider spells which are related to COVID-19 and on the number of provider spells as a percentage of pre-pandemic activity (January 2019 – December 2019) are produced to support the interpretation of the SHMI. The number of spells as a percentage of pre-pandemic activity indicator is being published as an official statistic in development. Official statistics in development are published in order to involve users and stakeholders in their development and as a means to build in quality at an early stage. Notes: 1. On 1st January 2025, North Middlesex University Hospital NHS Trust (trust code RAP) was acquired by Royal Free London NHS Foundation Trust (trust code RAL). This new organisation structure is reflected from this publication onwards. 2. There is a shortfall in the number of records for Northumbria Healthcare NHS Foundation Trust (trust code RTF), The Rotherham NHS Foundation Trust (trust code RFR), The Shrewsbury and Telford Hospital NHS Trust (trust code RXW), and Wirral University Teaching Hospital NHS Foundation Trust (trust code RBL). Values for these trusts are based on incomplete data and should therefore be interpreted with caution. 3. There is a high percentage of invalid diagnosis codes for Chesterfield Royal Hospital NHS Foundation Trust (trust code RFS), East Lancashire Hospitals NHS Trust (trust code RXR), Great Western Hospitals NHS Foundation Trust (trust code RN3), Harrogate and District NHS Foundation Trust (trust code RCD), Milton Keynes University Hospital NHS Foundation Trust (trust code RD8), Portsmouth Hospitals University NHS Trust (trust code RHU), Royal United Hospitals Bath NHS Foundation Trust (trust code RD1), University Hospitals Birmingham NHS Foundation Trust (trust code RRK), University Hospitals of North Midlands NHS Trust (trust code RJE), and University Hospitals Plymouth NHS Trust (trust code RK9). Values for these trusts should therefore be interpreted with caution. 4. A number of trusts are now submitting Same Day Emergency Care (SDEC) data to the Emergency Care Data Set (ECDS) rather than the Admitted Patient Care (APC) dataset. The SHMI is calculated using APC data. Removal of SDEC activity from the APC data may impact a trust’s SHMI value and may increase it. More information about this is available in the Background Quality Report. 5. Further information on data quality can be found in the SHMI background quality report, which can be downloaded from the 'Resources' section of this page.