From the BBC:
“Does US really have world's
highest Covid death toll?”
(US deaths above global average)
The US is approaching one million
Covid deaths - the highest total officially recorded anywhere in the world. But
a new report from the World Health Organization (WHO) shows several other
countries recorded more deaths above their normal levels than the US over the
last two years. So does the US really have the highest Covid death toll, and by
what measure? There's no international standard for measuring deaths or their
causes, and countries record deaths in different ways, which makes comparison
difficult. But experts say one of the most accurate measures is how many extra
deaths are recorded in a country above the number that would have been expected
to die in an average year. Many countries publish excess death data, but some
poorer nations don't or do it far less frequently.
The WHO has published a report
calculating every country's excess death count for 2020 and 2021. This measure
takes into account deaths not directly due to Covid, but as a consequence of
the pandemic, such as people being unable to access hospitals for the care they
needed. It also accounts for poor record-keeping in some regions.
(Excess deaths)
The report concludes that,
although the US was not the worst hit country in the world by this measure, it
remained in the top five in terms of overall numbers of deaths. According to
the WHO, in 2020 and 2021 the US recorded more than 930,000 excess deaths,
behind India (4.7m), Russia (1.1m) and Indonesia (1m). The WHO's numbers are
largely consistent with statistics from the Economist which run into 2022, as
well as other excess death studies. When adjusted for population size, the US
slips down the rankings with 140 excess deaths per 100,000 people. But it
remains a long way above the global average of 96 per 100,000 - and it's also
one of the worst performing among the most developed nations.
(Excess deaths WHO)
Prabhat Jha, an epidemiologist
who worked on the WHO report, says: "The US has about a 15% undercount
using excess deaths compared to official Covid deaths - that's mostly a result
of some of the early problems that occurred with nursing home deaths being
missed." "On the whole the US isn't missing many deaths compared
with, say, India," he adds.
What about the official Covid
death numbers?
(Covid deaths per capita)
The US has recorded the most
deaths from coronavirus in the world - over 300,000 more than the next closest
country, Brazil. But the US has a larger population than many other
countries. When you look at the same top 10 countries in per capita
terms, the US is below both Brazil and Peru for recorded Covid deaths. Overall
the US ranks 18th in the world in recorded Covid deaths per capita, according
to Johns Hopkins University data. "Short term I think the per
capita confirmed death rate is a pretty good indicator" says Justin
Lessler, professor of epidemiology at the University of North Carolina. "The
US is not the highest, but it's certainly on the higher end." Experts
say it's also important to take the average age of a country's population into
account. "We should compare with countries which have similar age
structures as we know Covid has a higher fatality rate in the elderly - so we
should compare apples to apples," says Bhramar Mukherjee, professor of
epidemiology at the University of Michigan. When comparing with Spain,
UK, and France, as well as neighbouring Canada - developed countries with
similarly aged populations to the US - the US has performed worse.
Covid deaths
"A lot
of the European countries - like the UK, France and Spain - are reasonable to
compare, and they've had lower per capita death rates. It's not night and day,
but the US is on the upper end of that spectrum," says Professor Lessler.
^ While the United States does
have a lot of Covid deaths (too many) I have long said that I believe other
countries have much more (China, Russia, India, Brazil, etc.) and just aren’t
reporting them correctly. It seems I am right.
Now that we have several Covid
Vaccines and Boosters, better Covid Treatments, more Scientific Covid Data,
etc. Covid deaths should be going down even if Covid Infections go up. ^
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