Premature death to COVID-19 in our oldest citizens among world’s highest

A comparative study of premature deaths to COVID-19 has shown that of 20 countries, the oldest citizens in England and Wales had the highest rate.

The study by University of Manchester epidemiologists, published in the Journal of Global Health reveals 5.78% of the over-90s were lost to the disease.

In Sweden the figure was 3.82%, Italy 3.18%, Germany 2.46% and France 2.08%. In the Netherlands, the figure for the over 95s was 3.87%.

A substantial increase in deaths in care homes in England and Wales in the first three months of the pandemic – estimated by other researchers at 79% – is likely to have contributed to the figure , argue the team.

Other studies have also shown that fatality in UK care homes was 270-300 times worse than  Australia, which has a similar health care system, demographics and care home settings – implying that the different approach to COVID-19 measures, particularly at the start of the pandemic, could be a contributory factor to this high death rate.

In terms of overall COVID-19 deaths per 1,000 people, South Korea had the lowest at 0.04, but England and Wales again had the highest at 2.39.

The study also showed in some countries, the relatively young had high rates of years of lives lost (YLL)- a measure of premature death.

YLL calculations take into account the remaining life expectancy that someone would have been expected to achieve had they not died at that age.

In the United States the figure was 9 YLL per 1,000 people in the under 50s, higher than the other 19 countries in the study.

Moldova (8.49 per 1,000), Romania (7.2 per 1,000) and the Ukraine (5.72 per 1,000) – the only 3 countries in the study classified as low or middle income – had the next largest YLL in the under 50s.

The study was carried out by extracting population statistics and cumulative COVID-19 death data from the National Institute for Demographic Studies’ Demography of COVID-19 Deaths database.

Greg Williams, who led the study said: “It is widely acknowledged that the risk of mortality from COVID-19 increases with age, with the highest death rates amongst older age groups.

“As a novel disease, it is reasonable to suggest that deaths from COVID-19 occur earlier than would otherwise have happened, even for the older populations.

“But most mortality measures use an upper endpoint for defining when a death is premature, such as 70 or 75 years of age.

“We argue there is a considerable burden of premature mortality within much older age groups who have died as a result of COVID-19 too, particularly in England and Wales when compared against the other countries in our study.

 

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