{"id":21706,"date":"2020-08-16T19:48:19","date_gmt":"2020-08-16T19:48:19","guid":{"rendered":"https:\/\/www.lifeandnews.com\/articles\/?p=21706"},"modified":"2020-08-17T22:25:55","modified_gmt":"2020-08-17T22:25:55","slug":"up-to-204691-extra-deaths-in-the-us-so-far-in-this-pandemic-year","status":"publish","type":"post","link":"https:\/\/www.lifeandnews.com\/articles\/up-to-204691-extra-deaths-in-the-us-so-far-in-this-pandemic-year\/","title":{"rendered":"Up to 204,691 extra deaths in the US so far in this pandemic year"},"content":{"rendered":"<p><a href=\"https:\/\/theconversation.com\/profiles\/ronald-d-fricker-jr-1028357\">Ronald D. Fricker Jr.<\/a>, <em><a href=\"https:\/\/theconversation.com\/institutions\/virginia-tech-1078\">Virginia Tech<\/a><\/em><\/p>\n<figure class=\"align-center zoomable\"><a href=\"https:\/\/images.theconversation.com\/files\/352589\/original\/file-20200812-18-kjesp3.png?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip\"><img src=\"https:\/\/images.theconversation.com\/files\/352589\/original\/file-20200812-18-kjesp3.png?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip\" sizes=\"(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px\" srcset=\"https:\/\/images.theconversation.com\/files\/352589\/original\/file-20200812-18-kjesp3.png?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=300&amp;fit=crop&amp;dpr=1 600w, https:\/\/images.theconversation.com\/files\/352589\/original\/file-20200812-18-kjesp3.png?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=300&amp;fit=crop&amp;dpr=2 1200w, https:\/\/images.theconversation.com\/files\/352589\/original\/file-20200812-18-kjesp3.png?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=300&amp;fit=crop&amp;dpr=3 1800w, https:\/\/images.theconversation.com\/files\/352589\/original\/file-20200812-18-kjesp3.png?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=377&amp;fit=crop&amp;dpr=1 754w, https:\/\/images.theconversation.com\/files\/352589\/original\/file-20200812-18-kjesp3.png?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=377&amp;fit=crop&amp;dpr=2 1508w, https:\/\/images.theconversation.com\/files\/352589\/original\/file-20200812-18-kjesp3.png?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=377&amp;fit=crop&amp;dpr=3 2262w\" alt=\"204,691 extra deaths in the U.S. in 2020 through end of July\" \/><\/a><figcaption>\n<span class=\"attribution\"><span class=\"source\">The Conversation<\/span>, <a class=\"license\" href=\"http:\/\/creativecommons.org\/licenses\/by-nd\/4.0\/\">CC BY-ND<\/a><\/span><\/figcaption><\/figure>\n<p>The number of deaths in the United States through July 2020 is 8% to 12% higher than it would have been if the coronavirus pandemic had never happened. That\u2019s at least 164,937 deaths above the number expected for the first seven months of the year \u2013 16,183 more than the number <a href=\"https:\/\/www.cdc.gov\/nchs\/nvss\/vsrr\/COVID19\/index.htm\">attributed to COVID-19<\/a> thus far for that period \u2013 and it could be as high as 204,691.<\/p>\n<h2>Tracking deaths<\/h2>\n<p>When someone dies, the death certificate records an immediate cause of death, along with up to three underlying conditions that \u201c<a href=\"https:\/\/www.cdc.gov\/nchs\/data\/dvs\/death11-03final-acc.pdf\">initiated the events resulting in death<\/a>.\u201d The certificate is filed with the local health department, and the details are reported to the <a href=\"https:\/\/www.cdc.gov\/nchs\/index.htm\">National Center for Health Statistics<\/a>.<\/p>\n<p>As part of the <a href=\"https:\/\/www.cdc.gov\/nchs\/nvss\/index.htm\">National Vital Statistics System<\/a>, the NCHS then uses this information in various ways, such as tabulating the <a href=\"https:\/\/www.cdc.gov\/nchs\/nvss\/leading-causes-of-death.htm\">leading causes of death<\/a> in the United States \u2013 <a href=\"https:\/\/www.cdc.gov\/nchs\/fastats\/deaths.htm\">currently heart disease<\/a>, followed by cancer. Sometime this fall, COVID-19 will <a href=\"https:\/\/theconversation.com\/how-deadly-is-covid-19-a-biostatistician-explores-the-question-142253\">likely become the third-largest cause of death<\/a> for 2020.<\/p>\n<h2>Projecting from the past<\/h2>\n<p>To calculate excess deaths requires a comparison to what would have occurred if COVID-19 had not existed. Obviously, it\u2019s not possible to observe what didn\u2019t happen, but it is possible to estimate it using historical data. The Centers for Disease Control and Prevention does this using a <a href=\"https:\/\/www.cdc.gov\/nchs\/nvss\/vsrr\/covid19\/index.htm\">statistical model<\/a>, based on the previous three years of mortality data, incorporating seasonal trends as well as adjustments for data-reporting delays.<\/p>\n<p>So, looking at what happened over the past three years, the CDC projects what might have been. By using a statistical model, they are also able to calculate the uncertainty in their estimates. That allows <a href=\"https:\/\/scholar.google.com\/citations?user=kWGF578AAAAJ&amp;hl=en&amp;oi=ao\">statisticians like me<\/a> to assess whether the observed data look unusual compared to projections.<\/p>\n<p><iframe loading=\"lazy\" id=\"LWq2f\" class=\"tc-infographic-datawrapper\" style=\"border: none;\" src=\"https:\/\/datawrapper.dwcdn.net\/LWq2f\/5\/\" width=\"100%\" height=\"400px\" frameborder=\"0\"><\/iframe><\/p>\n<p>The number of excess deaths is the difference between the model\u2019s projections and the actual observations. The Centers for Disease Control and Prevention also calculates an upper threshold for the estimated number of deaths \u2013 that helps determine when the observed number of deaths is unusually high compared to historical trends.<\/p>\n<p>Clearly visible in a graph of this data is the spike in deaths beginning in mid-March 2020 and continuing to the present. You can also see another period of excess deaths from December 2017 to January 2018, attributable to an <a href=\"https:\/\/www.cdc.gov\/flu\/about\/season\/flu-season-2017-2018.htm\">unusually virulent flu strain that year<\/a>. The magnitude of the excess deaths in 2020 makes clear that COVID-19 is much worse than influenza, even when compared to a bad flu year like 2017-18, when an estimated <a href=\"https:\/\/www.cdc.gov\/flu\/about\/burden\/past-seasons.html\">61,000 people in the U.S. died<\/a> of the illness.<\/p>\n<p><iframe loading=\"lazy\" id=\"5lVsu\" class=\"tc-infographic-datawrapper\" style=\"border: none;\" src=\"https:\/\/datawrapper.dwcdn.net\/5lVsu\/6\/\" width=\"100%\" height=\"400px\" frameborder=\"0\"><\/iframe><\/p>\n<p>The large spike in deaths in April 2020 corresponds to the coronavirus outbreak in New York and the Northeast, after which the number of excess deaths decreased regularly and substantially until July, when it started to increase again. This current uptick in excess deaths is attributable to the outbreaks in the South and West that have occurred since June.<\/p>\n<h2>The data tell the story<\/h2>\n<p>It doesn\u2019t take a sophisticated statistical model to see that the coronavirus pandemic is causing substantially more deaths than would have otherwise occurred.<\/p>\n<p>The number of deaths the CDC officially attributed to COVID-19 in the United States <a href=\"https:\/\/www.cdc.gov\/nchs\/nvss\/vsrr\/COVID19\/index.htm\">exceeded 148,754<\/a> by Aug. 1. Some people who are skeptical about aspects of the coronavirus suggest these are deaths that would have occurred anyway, perhaps because COVID-19 is particularly deadly for the elderly. Others believe that, because the pandemic has changed life so drastically, the increase in COVID-19-related deaths is probably offset by decreases from other causes. But neither of these possibilities is true.<\/p>\n<p>In fact, the number of excess deaths currently exceeds the number attributable to COVID-19 by more than 16,000 people in the U.S. What\u2019s behind that discrepancy is <a href=\"https:\/\/doi.org\/10.1001\/jama.2020.11787\">not yet clear<\/a>. COVID-19 deaths could be being undercounted, or the pandemic could also be causing increases in other types of death. It\u2019s probably some of both.<\/p>\n<p>Regardless of the reason, the COVID-19 pandemic has resulted in substantially more deaths than would have otherwise occurred \u2026 and it is not over yet.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img loading=\"lazy\" style=\"border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important; text-shadow: none !important;\" src=\"https:\/\/counter.theconversation.com\/content\/143139\/count.gif?distributor=republish-lightbox-basic\" alt=\"The Conversation\" width=\"1\" height=\"1\" \/><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https:\/\/theconversation.com\/republishing-guidelines --><\/p>\n<p><a href=\"https:\/\/theconversation.com\/profiles\/ronald-d-fricker-jr-1028357\">Ronald D. Fricker Jr.<\/a>, Professor of Statistics and Associate Dean for Faculty Affairs and Administration, <em><a href=\"https:\/\/theconversation.com\/institutions\/virginia-tech-1078\">Virginia Tech<\/a><\/em><\/p>\n<p>This article is republished from <a href=\"https:\/\/theconversation.com\">The Conversation<\/a> under a Creative Commons license. Read the <a href=\"https:\/\/theconversation.com\/up-to-204-691-extra-deaths-in-the-us-so-far-in-this-pandemic-year-143139\">original article<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ronald D. Fricker Jr., Virginia Tech The Conversation, CC BY-ND The number of deaths in the United States through July 2020 is 8% to 12% higher than it would have been if the coronavirus pandemic had never happened. That\u2019s at least 164,937 deaths above the number expected for the first seven months of the year [&hellip;]<\/p>\n","protected":false},"author":44,"featured_media":21707,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[3410],"tags":[8504,6165,8204,8502,7559,8023,7689,8509,8503,8507,8506,8510,8505,7765,8508,390,8203],"_links":{"self":[{"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/posts\/21706"}],"collection":[{"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/users\/44"}],"replies":[{"embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/comments?post=21706"}],"version-history":[{"count":2,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/posts\/21706\/revisions"}],"predecessor-version":[{"id":21723,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/posts\/21706\/revisions\/21723"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/media\/21707"}],"wp:attachment":[{"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/media?parent=21706"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/categories?post=21706"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/tags?post=21706"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}