[HN Gopher] There have been 7m-13m excess deaths worldwide durin...
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       There have been 7m-13m excess deaths worldwide during the pandemic
        
       Author : pranshum
       Score  : 98 points
       Date   : 2021-05-16 22:09 UTC (50 minutes ago)
        
 (HTM) web link (www.economist.com)
 (TXT) w3m dump (www.economist.com)
        
       | chmaynard wrote:
       | Rest in peace. Tragic to the people who loved them, a statistic
       | to the rest of us.
        
       | adventured wrote:
       | I found the counting approach to Covid so far to be rather
       | fascinating. With the flu in the US they guess and present that
       | number, but we're supposed to attach some meaningful value to the
       | Covid positive counts as though that actually represents anywhere
       | near the real number of Covid cases since the outbreak began.
       | It's bullshit, I'm just not sure why the establishment (media,
       | government, censors, etc) stick so tightly to the line on the
       | bogus official counts. They act like those counts actually
       | represent the outbreak properly. Perhaps in their pathological
       | quest for control (a central theme of most politicians) they need
       | a number to lean on as authoritative, to prop up their weak
       | credibility. If they can't even give you accurate outbreak
       | counts, what else can be believed (masks, no masks; 6 feet, 20
       | feet, no feet; fear the surfaces, don't fear the surfaces;
       | vaccines take years (nope: 1957 Asian flu); it has been a total
       | clown show the entire pandemic).
       | 
       | India had been seeing near 400,000 cases per day. That's an
       | entirely bogus number of course. And it's near universally agreed
       | upon that it's bogus. The question is whether it's a million, two
       | million, five million, whatever. What's actually closer to the
       | truth? That's where everybody abandons ship, I never see the news
       | media go deep into that part of it (and yet they happily report
       | the made-up flu numbers every year).
       | 
       | Part of the comedy of it, is that the supposed truth enforcers
       | are enforcing a fraud, because none of these official counts are
       | anywhere close to real, no matter which country you pick as the
       | topic.
       | 
       | Is India seeing 4,000 deaths per day, or 10,000, or 15,000? It's
       | a dramatic difference across a month of time. The best you'll get
       | out of the media is a little edge statement of: but it's
       | suspected to be under-reported. Yeah, no kidding.
       | 
       | The US has seen 33 million cases of Covid - that's the reported
       | media line in every story. Everyone knows it's bogus and doesn't
       | represent anywhere close to the number of actual infections in
       | the US and yet it's reported on as properly representing the
       | scale of the pandemic in the US. There has been so much
       | intellectual fraud in this pandemic.
        
         | tyrex2017 wrote:
         | I think those daily numbers are very helpful, because they show
         | the relative change in infections.
         | 
         | And thats a helpful (if not the only one) indicator on whether
         | there will be enough ICU beds one month from now. If not, we
         | should consider lockdowning.
        
       | winstonewert wrote:
       | What strikes me is Asia. If I'm reading this right they have
       | relatively low official Covid deaths, but off the charts excess
       | deaths. What's up with that?
        
         | bdcravens wrote:
         | The government can hide information easier than it can hide
         | bodies.
        
         | newuser00 wrote:
         | China has been lying about many things since day 1.
        
       | bytematic wrote:
       | For people who think that is low, this is with the precautions
       | taken, imagine if nobody did anything
        
       | noxer wrote:
       | The question is how much less death will there be in the years to
       | come. Especially the older people who died earlier because of
       | covid. We should see a decline in death from all kinds of
       | diseases that these people had and would have died from/with.
        
         | virtuallynathan wrote:
         | This is an effect referred to as "mortality displacement" -- it
         | tends to happen with bad flu years, heat waves, etc:
         | https://en.wikipedia.org/wiki/Mortality_displacement
        
       | HatchedLake721 wrote:
       | Please don't look at 7m-13m number and compare it to 7 billion
       | population and say oh it's only 0.1-0.2%.
       | 
       | Pretty much ever country has seen a 15-20% increase in excess
       | mortality rates (20% more people dying than averages in the
       | past), this is huge.
       | 
       | This is one of the best up to date visualizations on this topic,
       | scroll down and see breakdowns by country -
       | https://www.ft.com/content/a2901ce8-5eb7-4633-b89c-cbdf5b386...
        
         | kortilla wrote:
         | "Huge" is very relative. 20% increase of a number that is very
         | low by historical standards is still really low.
        
           | robbrown451 wrote:
           | Very low? You mean not that many people die, of any cause,
           | typically? Not sure what you are getting at here.
        
           | [deleted]
        
         | chmod600 wrote:
         | I'm not quite sure what your point is. The absolute number is
         | the number, and zooming in to make it a relative number for
         | dramatic effect doesn't change that.
         | 
         | It's kind of like zooming in to a stock market graph so the
         | spikes look bigger.
        
       | calvinmorrison wrote:
       | Out of, 7+ billion people on the planet.
        
         | calvinmorrison wrote:
         | Roughly .2 percent of the population.
        
         | [deleted]
        
         | [deleted]
        
       | rossdavidh wrote:
       | If you're talking about a 7 billion population, the deaths of
       | which will vary from year to year, this seems like a number in
       | the noise range which would be very hard to distinguish from
       | background variation.
       | 
       | If everyone of the 7b people lived 100 years, we would expect
       | about 70 million deaths a year, and we know they don't live 100
       | years on average. Any reasonable range of assumptions puts this
       | in the range of too-small-to-detect. Which doesn't mean it
       | doesn't matter or isn't important, but it does mean that this is
       | not a good method for estimating it.
        
         | MattGaiser wrote:
         | Deaths don't actually vary that much year to year.
         | Increase/decrease over time? Yes. Swing by 10 million in a
         | year? No.
         | 
         | https://ourworldindata.org/grapher/annual-number-of-deaths-b...
        
       | raphaelj wrote:
       | And that's with all the safety measures most of us have been
       | following for more than one year now.
        
         | [deleted]
        
       | 0x0 wrote:
       | "Our apologies. An error seems to have occurred. We've logged
       | this error. Contact us if this issue persists." ...
        
         | drusepth wrote:
         | The site loads fine for me, but the whole article is behind a
         | paywall anyway.
         | 
         | You might try https://outline.com/PYEgK3 which should fix both
         | problems.
        
         | Rexxar wrote:
         | "Funnily" the error appears after the page has started to
         | display correctly and doesn't appear if you block the correct
         | anti-adblock script that erase the correct page and replace the
         | content by a fake technical error message.
         | 
         | I find this behavior quite disgusting and sadly seen it on many
         | sites.
        
         | deepserket wrote:
         | pdf of the page here: https://gofile.io/d/IPEm7Z there are 3
         | graphs that aren't completely shown in the file
         | 
         | https://www.economist.com/assets/infographic/2021/covid-19-e...
         | 
         | https://www.economist.com/assets/infographic/2021/covid-19-e...
         | 
         | https://infographics.economist.com/2021/20210515_FBC103/inde...
        
         | [deleted]
        
       | khazhoux wrote:
       | This has me a bit confused: I look at the stats on cases and
       | deaths per capita across various U.S. states, including
       | California (which was very locked down, at least in theory) and
       | Florida (which was flippant towards risks of contagion), and many
       | states in between. The per capita cases+deaths are nearly
       | identical across many states with very different approaches. This
       | left me really wondering which measures were and weren't
       | necessary. Anyone seen good studies or analysis on this?
       | 
       | Legitimate question, please no political commentary.
        
         | mattnewton wrote:
         | I don't have anything to add except that California is huge and
         | very unevenly applied "lockdown" - there are many towns a where
         | businesses remained open or reopened frequently, but the big
         | cities did have large shelter in place efforts. It would be
         | interesting to compare on the municipal level if the data was
         | that granular.
        
           | teej wrote:
           | San Francisco had some of the heaviest lockdowns in the
           | country, yet 100 miles east in Modesto the mayor actively
           | defied the statewide lockdowns. California is a big state.
        
         | ceejayoz wrote:
         | I suspect there'll be decades worth of study of this. Hopefully
         | it'll help the next time.
        
         | soared wrote:
         | To really understand it you'd need to look at cultural,
         | geographic, climate, demographic, etc differences that apply to
         | transmission rates. I'd be curious to see it though, and a
         | similar one for other illnesses.
        
         | stolenmerch wrote:
         | https://twitter.com/IAmTheActualET/status/139036896599463117...
        
         | MattGaiser wrote:
         | You would need to look at everything from ages to whether the
         | lockdowns where enforced to how people lived (high or low
         | density) to how deaths were counted. It would be an interesting
         | study.
        
         | andrei_says_ wrote:
         | Count of covid cases and deaths has been highly politicized and
         | manipulated in Florida to the point of firing people for
         | reporting them.
         | 
         | Not sure how possible it is to get accurate info in this
         | environment.
        
       | [deleted]
        
       | xiphias2 wrote:
       | From what I have seen in poorer countries, in some cases the
       | worst things have just started. I was dating a Colombian girl who
       | got a 200% APR loan from a city near her during the lockdown to
       | be able to pay her rent without a job, and hadn't even realized
       | that it's 200% APR (15%/month didn't sound that bad to her).
       | People are on the streets because the government wants to
       | increase taxes, and they are already in huge debt. Now the
       | government started to kill its own people in the daylight to stop
       | the revolution.
        
         | vitus wrote:
         | This reads like a standard payday loan, to be honest. Which is
         | to say, it's absolutely taking advantage of people who already
         | can't afford it, but it's also not a new phenomenon.
         | 
         | A standard payday loan might be 10% on a $100 advance, repaid
         | after 2 weeks (when your next paycheck comes in). That
         | translates to a 260% APR, even without considering compounding.
        
         | whimsicalism wrote:
         | > 15%/month didn't sound that bad to her
         | 
         | This is why when economists talk about consumers acting as
         | rational market participants I just laugh and shake my head.
         | 
         | Have they _met_ people?
        
           | elliekelly wrote:
           | When your options are (1) a loan at 15% while you're
           | unemployed but you get another 30-60 days of a roof over your
           | head or (2) immediate homelessness the high-interest loan
           | _is_ the rational choice.
        
           | reader_x wrote:
           | I think Daniel Kahneman and Amos Tversky already put the
           | "rational market participant" myth to bed for good.
        
             | whimsicalism wrote:
             | Definitely, for the consumer. I think the idea that
             | "rational market participant emerges when you get the
             | average of a lot of people (ie. the firm) together to make
             | a decision" still remains alive and well. There is sort of
             | a Darwinian argument there, that in the long-run only the
             | rational market participant remains in business and
             | functioning as a firm.
             | 
             | The import of behavioral econ. definitely remains
             | understated today. I am also interested in philosophical
             | thinkers, like Elizabeth Anderson or Michael Sandel, that
             | take questions like these and explore the implications that
             | they might have for how we ought to structure society.
        
           | kortilla wrote:
           | Has it occurred to you that people taking payday loans don't
           | have a lot of options?
           | 
           | This isn't someone deciding between 15% monthly and a nice 4%
           | annual personal loan. This is someone deciding between 15%
           | monthly and homelessness. Choosing the interest rate _is_
           | rational.
        
       | burlesona wrote:
       | https://archive.md/36LK9
        
       | hedora wrote:
       | The earth's population is 7.9b, so the excess deaths are 0.1% of
       | the population. COVID's mortality rate is about 0.5%, so roughly
       | 1/5 of the population has has had it (or died of other related
       | things, like starvation in developing countries due to the
       | lockdown stopping food harvests in California).
       | 
       | Currently, 1.45b doses of a vaccine have been administered, so
       | about as many people have had the vaccine (partially, at least),
       | as have had COVID.
       | 
       | Hopefully the vaccine will make to the rest of the population
       | soon. If not, we're about 20% done with COVID, world-wide.
       | 
       | https://www.nytimes.com/interactive/2021/world/covid-vaccina...
       | 
       | I'm pretty jaded at this point. My guess is that the vaccine
       | rollout stalls out in poorer countries and COVID falls out of the
       | news cycle before the majority of deaths.
        
         | breck wrote:
         | > If not, we're about 20% done with COVID, world-wide.
         | 
         | For exponential processes think of the % done on a log scale.
         | So population of USA is 320M, and ~100M had COVID, or we were
         | 94% (8/8.5) done with it before vaccine was introduced.
        
           | josh_today wrote:
           | Not questioning the numbers but genuinely curious how the
           | exponential math works in this case. Thanks
        
         | ethbr0 wrote:
         | 100% COVID / vaccination isn't the end point.
         | 
         | It's R_t < 1 for sustained amounts of time. Where the effective
         | reproduction number depends on the basic reproduction number,
         | and the number of susceptible people, which depends on the
         | number of people who have had coronavirus infections /
         | vaccinations & the durability of immunity.
         | 
         | So some amount < 100% of people infected / vaccinated will
         | create enough spreading "distance" between that coronavirus
         | won't be able to effectively reproduce, because the (limited)
         | vulnerable hosts will be too "far" apart.
        
         | elchief wrote:
         | COVID mortality rate (deaths / closed cases) is ~2.5%
         | 
         | https://www.worldometers.info/coronavirus/
        
           | virtuallynathan wrote:
           | That's the CFR, the OP is probably referring to the IFR,
           | which is likely <0.35%
        
         | ergot_vacation wrote:
         | Thanks for summing up the relevant numbers, it's helpful in
         | putting all this in context.
         | 
         | .1% isn't nothing, but it isn't really a disaster either. The
         | Black Death was 30-50% of the population in Europe. The
         | "Spanish" Flu of 1918 killed about .64% of the US population.
         | Things could still get worse of course. But barring that, and
         | considering the absolute disaster that Covid has revealed our
         | political system and interlocking health and government
         | bureaucracies to be, I think we got off lucky. If this had been
         | a "real" plague, of the kind humanity has faced repeatedly in
         | the past (and has been expected for some time now), we would
         | have been totally and utterly screwed.
         | 
         | Will this serve as a wake-up call? For the most part, probably
         | not. The best we can hope for is that some of the new thinking
         | and systems created for this situation will still be around
         | when the other shoe drops and we really, really need them.
        
           | soared wrote:
           | I feel like the more logical take is that our healthcare
           | technology, policy, etc prevented the deaths from being on a
           | scale closer to previous plagues. It may have been closer to
           | 1918 but we stopped that from happening.
        
         | jeffbee wrote:
         | Recent research claimed that the excess mortality rate among
         | people who had COVID but didn't die from it immediately was
         | elevated 6 months after their recovery, with 8 excess deaths
         | per thousand patients. So the real mortality rate may be a
         | little higher than people estimate.
         | 
         | https://www.sciencedaily.com/releases/2021/04/210422123603.h...
        
         | sneak wrote:
         | It's disheartening seeing people in the US mad at the 30%
         | vaccine hesitant there, while 6B+ at the gates have no vaccines
         | available at all.
         | 
         | The US isn't an island, and the borders are nowhere near
         | closed. The variants that grow in the other 96% of humans that
         | aren't americans will doubtlessly end up there, and will be end
         | up tending toward vaccine resistance due to selection pressure.
         | 
         | I think this is going to get much worse before it gets better.
         | The disunity of nationalistic selfishness has struck our
         | species once again.
        
           | throwaway3699 wrote:
           | You're getting downvoted but I do believe you're correct. I'm
           | a healthy 21 year old, please govt., give my vaccine to other
           | countries. I will take it if offered, but I'd prefer to give
           | it to those who really need it all things considered. Let me
           | get the vaccine when others are safe.
        
             | todfox wrote:
             | Your altruism is laudable but don't think this can't hurt
             | you. I know a healthy, athletic 25 year old who has needed
             | an inhaler every day for the last year because of her
             | moderate, non-hospitalized Covid case. Her lung damage will
             | probably not heal any further at this point.
             | 
             | I would get vaccinated ASAP.
        
             | dpeck wrote:
             | It's not going to happen. That's not the way that
             | distribution works at scale. Just like the "kids are
             | starving in $country/continent" lines that were often said
             | when I was a kid, it's horrible and I wish it wasn't true
             | but whether I clean my plate or not has little to do to
             | help their situation. Whether you personally take a vaccine
             | dose or a tax credit or whatever that you quality for, it
             | has been allocated and will not be given to anyone else.
        
             | dragonwriter wrote:
             | Your being vaccinated is important for protecting those who
             | _can't_ be vaccinated. Plus, what's most likely to drive
             | governments to exports of vaccines is hitting /exceeding
             | their own vaccination targets. The most effective way to
             | lobby for exports is to get vaccinated.
        
           | wombatmobile wrote:
           | > The disunity of nationalistic selfishness has struck our
           | species once again.
           | 
           | Let's unpack that.
           | 
           | Is what you describe a species specific phenomenon i.e.
           | biological in origin? I'm not sure how you'd determine that
           | question, if what you are talking about is "attitude to
           | vaccine inoculation to stave off pandemic spread", since that
           | behaviour is limited to one species, and is fairly recent.
           | 
           | Is what you describe a species wide phenomenon i.e.
           | biological in origin? What does the data from different
           | nationalities tell us? Does the phenomenon occur similarly in
           | all nationalities, or only some?
           | 
           | Is the phenomenon biological in nature, or might it be
           | cultural? Is it even widely held amongst individuals, or
           | might it originate from some other level of organisation e.g.
           | government, media? How would you investigate these questions?
        
         | wyager wrote:
         | Neither mortality rate nor vaccine administration rate are
         | uniform. The mortality rate is much lower than 0.5% in e.g.
         | people under 60 years old, and people who are in high-risk
         | groups are mostly already vaccinated. The effective mortality
         | rate today is probably at least an order of magnitude lower,
         | maybe two.
        
           | MauroIksem wrote:
           | This is literally just your opinion and you have zero to base
           | this on. Stop spreading misinformation.
        
       | mfbx9da4 wrote:
       | What's that as a percentage?
        
         | bdcravens wrote:
         | somewhere in the neighborhood of 10-15% increase in deaths
        
       | tester756 wrote:
       | How strong is anti vaccine / anti mask movement in the US?
       | 
       | As I see there's very little of it "on the american side of the
       | internet", meanwhile "here" they tend to cause a lot of
       | disruption and shitton of missinformation
        
       | timmg wrote:
       | If I did the math right, that's (at most) .17% of the population.
       | In a normal year I'd guess we lose 1% of the population. I guess
       | this seems lower than I'd expect?
        
         | burnte wrote:
         | This is deaths in excess of the expected number, not total
         | deaths. Given the normal death rate, we're 10m(+-3m) over that.
        
         | HDMI_Cable wrote:
         | These are excess deaths, so 7-13m deaths on top of the 1%
         | already expected for this year.
        
         | msbarnett wrote:
         | This is excess mortality, as in "above what would be expected
         | in a normal year based on demographics".
         | 
         | So, if looking at historical trends and the current
         | demographics as compared with those trends we had a prior
         | expectation of your 1%, then what we we actually observed is
         | 1.17%.
        
           | timmg wrote:
           | Yeah, I get that. I guess I just mean that the worst pandemic
           | of the last 100 years and (so far) it's maybe 17% deaths over
           | the baseline. That feels kinda low.
        
             | msbarnett wrote:
             | 17% excess mortality (and that's assuming this 1% baseline
             | we pulled out of the air, remember) doesn't mean that the
             | pandemic is only responsible for those excess deaths - a
             | bunch of people who might have otherwise been expected to
             | get hit by a car worked from home all year, or died from
             | COVID instead, etc.
             | 
             | So the pandemic is responsible for the 17% (in this
             | scenario) uplift above baseline plus an unknown portion of
             | that baseline itself.
             | 
             | To be honest one cause, which changed a lot of behaviour
             | that rolls into the baseline, pushing the global baseline
             | up that much seems pretty impressive to me.
             | 
             | Would be also interesting to consider distribution of that
             | excess and how China fared in the excess mortality
             | department. After the early days they seemed to keep it
             | tightly under control, and they contain an enormous portion
             | of the world's population. That might suggest that excess
             | mortality elsewhere was even further above baseline and the
             | excess mortality only looks this good because 1.2 billion
             | people mostly stuck to baseline?
        
             | bdcravens wrote:
             | An extra death for every 6 deaths seems pretty substantial
             | to me, especially considering the skewed morbidity across
             | age groups.
        
             | madeofpalk wrote:
             | 17% increase seems kind of big, no?
             | 
             | If plane crashes increased 17% in a single year, it would
             | be bit. If cancer deaths increased 17% in a year, it would
             | be pretty remarkable.
        
             | umanwizard wrote:
             | Is it actually worse than the flu pandemics in the 50s and
             | 60s?
        
       | pranshum wrote:
       | Github link for all the code behind the analysis:
       | https://github.com/TheEconomist/covid-19-excess-deaths-track...
        
       | sh1mmer wrote:
       | According to the UN [1] 2019 worldwide mortality was 58m people.
       | So that's roughly a 12-22% increase assuming mortality stayed the
       | same.
       | 
       | [1]
       | https://www.un.org/en/development/desa/population/publicatio...
        
       | lifeisstillgood wrote:
       | Holy cow. This does massively underline how important the work of
       | things like COVAX are in getting equitable global access to
       | vaccines. We still need _billions_ more doses manufactured,
       | distributed and administered - it could take years and cost a
       | fortune - and we should not lose our urgency or our focus.
        
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       (page generated 2021-05-16 23:00 UTC)