ArticleThe Lancet regional health. Europe2021
Excess deaths from COVID-19 and other causes by region, neighbourhood deprivation level and place of death during the first 30 weeks of the pandemic in England and Wales: A retrospective registry study.
Article in The Lancet regional health. Europe, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.
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Who cites it
33 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The collateral damage of COVID-19 to cardiovascular services: a meta-analysis.European heart journal · 2022Pooled it
- Assessing the relationship between community resilience and health outcomes: an observational local-authority level study in England.Journal of epidemiology and community health · 2026Observational
- Socioeconomic and temporal heterogeneity in SARS-CoV-2 exposure and disease in England from May 2020 to February 2023.Science advances · 2025Article
- Observational
- "I have never felt so alone and vulnerable" - A qualitative study of bereaved people's experiences of end-of-life cancer care during the Covid-19 pandemic.BMC palliative care · 2024Article
- People with long-term conditions are more adherent to protective behaviours against infectious disease.Public health in practice (Oxford, England) · 2024Article
- Excess Mortality Calculations to Assess the Impact of the COVID-19 Pandemic: Concepts and Methodological Issues.American journal of public health · 2024Article
- The impact of health inequity on spatial variation of COVID-19 transmission in England.PLoS computational biology · 2024Article
- A comparison of excess deaths by UK country and region during the first year of the COVID-19 pandemic.European journal of public health · 2024Article
- Observational
- The Epidemiology of COVID-19 Vaccine-Induced Myocarditis.Advances in medicine · 2024Review
- Evaluating Spatial, Cause-Specific and Seasonal Effects of Excess Mortality Associated with the COVID-19 Pandemic: The Case of Germany, 2020.Journal of epidemiology and global health · 2023Article
- Observational
- Has COVID-19 increased inequality in mortality by income in the Netherlands?Journal of epidemiology and community health · 2023Article
- Estimating Excess Mortality Due to Prostate, Breast, and Uterus Cancer during the COVID-19 Pandemic in Peru: A Time Series Analysis.International journal of environmental research and public health · 2023Article
- Delay in Regular Visits of Chronic Disease Patients and Its Associated Factors during the COVID-19 Pandemic.Iranian journal of medical sciences · 2023Article
- Excess cardiovascular mortality across multiple COVID-19 waves in the United States from March 2020 to March 2022.Nature cardiovascular research · 2023Article
- Did the socioeconomic inequalities in avoidable and unavoidable mortality worsen during the first year of the COVID-19 pandemic in Korea?Epidemiology and health · 2023Article
- Hospitalizations and mortality during the first year of the COVID-19 pandemic in Hong Kong, China: An observational study.The Lancet regional health. Western Pacific · 2023Article
- Article
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16 authors.
Funding
Abstract
backgroundExcess deaths during the COVID-19 pandemic compared with those expected from historical trends have been unequally distributed, both geographically and socioeconomically. Not all excess deaths have been directly related to COVID-19 infection. We investigated geographical and socioeconomic patterns in excess deaths for major groups of underlying causes during the pandemic.
methodsWeekly mortality data from 27/12/2014 to 2/10/2020 for England and Wales were obtained from the Office of National Statistics. Negative binomial regressions were used to model death counts based on pre-pandemic trends for deaths caused directly by COVID-19 (and other respiratory causes) and those caused indirectly by it (cardiovascular disease or diabetes, cancers, and all other indirect causes) over the first 30 weeks of the pandemic (7/3/2020-2/10/2020).
findingsThere were 62,321 (95% CI: 58,849 to 65,793) excess deaths in England and Wales in the first 30 weeks of the pandemic. Of these, 46,221 (95% CI: 45,439 to 47,003) were attributable to respiratory causes, including COVID-19, and 16,100 (95% CI: 13,410 to 18,790) to other causes. Rates of all-cause excess mortality ranged from 78 per 100,000 in the South West of England and in Wales to 130 per 100,000 in the West Midlands; and from 93 per 100,000 in the most affluent fifth of areas to 124 per 100,000 in the most deprived. The most deprived areas had the highest rates of death attributable to COVID-19 and other indirect deaths, but there was no socioeconomic gradient for excess deaths from cardiovascular disease/diabetes and cancer.
interpretationDuring the first 30 weeks of the COVID-19 pandemic there was significant geographic and socioeconomic variation in excess deaths for respiratory causes, but not for cardiovascular disease, diabetes and cancer. Pandemic recovery plans, including vaccination programmes, should take account of individual characteristics including health, socioeconomic status and place of residence.
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