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Learning from the pandemic: mortality trends and seasonality of deaths in Australia in 2020.


ABSTRACT:

Aim

To assess whether the observed numbers and seasonality of deaths in Australia during 2020 differed from expected trends based on 2015-19 data.

Methods

We used provisional death data from the Australian Bureau of Statistics, stratified by state, age, sex and cause of death. We compared 2020 deaths with 2015-19 deaths using interrupted time series adjusted for time trend and seasonality. We measured the following outcomes along with 95% confidence intervals: observed/expected deaths (rate ratio: RR), change in seasonal variation in mortality (amplitude ratio: AR) and change in week of peak seasonal mortality (phase difference: PD).

Results

Overall 4% fewer deaths from all causes were registered in Australia than expected in 2020 [RR 0·96 (0·95-0·98)] with reductions across states, ages and sex strata. There were fewer deaths from respiratory illness [RR 0·79 (0·76-0·83)] and dementia [RR 0·95 (0·93-0·98)] but more from diabetes [RR 1·08 (1·04-1·13)]. Seasonal variation was reduced for deaths overall [AR 0·94 (0·92-0·95)], and for deaths due to respiratory illnesses [AR 0·78 (0·74-0·83)], dementia [AR 0.92 (0.89-0.95)] and ischaemic heart disease [0.95 (0.90-0.97)].

Conclusions

The observed reductions in respiratory and dementia deaths and the reduced seasonality in ischaemic heart disease deaths may reflect reductions in circulating respiratory (non-SARS-CoV-2) pathogens resulting from the public health measures taken in 2020. The observed increase in diabetes deaths is unexplained and merits further study.

SUBMITTER: Gregory G 

PROVIDER: S-EPMC9189967 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature

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Publications

Learning from the pandemic: mortality trends and seasonality of deaths in Australia in 2020.

Gregory Gabriel G   Zhu Lin L   Hayen Andrew A   Bell Katy J L KJL  

International journal of epidemiology 20220601 3


<h4>Aim</h4>To assess whether the observed numbers and seasonality of deaths in Australia during 2020 differed from expected trends based on 2015-19 data.<h4>Methods</h4>We used provisional death data from the Australian Bureau of Statistics, stratified by state, age, sex and cause of death. We compared 2020 deaths with 2015-19 deaths using interrupted time series adjusted for time trend and seasonality. We measured the following outcomes along with 95% confidence intervals: observed/expected de  ...[more]

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