The future of excess mortality after COVID-19

Link: https://www.swissre.com/institute/research/topics-and-risk-dialogues/health-and-longevity/covid-19-pandemic-synonymous-excess-mortality.html?utm_campaign=CPN-2181_mortality-2024_Group_GLOBAL_2024&utm_medium=Other_Organic&utm_source=LinkedIn&utm_content=Health_N/A_Publication_EN&utm_term=excessmortality

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Four years on from the outbreak of the pandemic in 2020, many countries worldwide still report elevated deaths in their populations. This impact appears generally independent of healthcare systems and population health. This trend is evident even after accounting for shifting population sizes, and the range of reporting mechanisms and death classifications that make inter-country comparisons complex. There is also likely a degree of excess mortality under-reporting.

Quantifying excess mortality has been an acute challenge since 2020 due to the exceptional mortality rates of the pandemic. Excess mortality refers to the number of deaths over and above an assumed “expected” number of deaths. The different methods of estimating expected mortality can generate very different excess mortality rates.

This represents a potential challenge for Life and Health (L&H) insurance, with potentially several years of elevated mortality claims ahead, depending on how general population trends translate into the insured population. Ongoing excess mortality can have implications for L&H insurance claims and reserves. Excess mortality that continues to exceed current expectations may affect the long-term performance of in-force life portfolios as well as the pricing of new life policies.

Author(s): By Daniel Meier, Life & Health R&D Manager, CUO L&H Reinsurance & Prachi Patkee, Life & Health R&D Analyst, CUO L&H Reinsurance & Adam Strange, Life & Health R&D Manager, CUO L&H Reinsurance

Publication Date: 16 Sept 2024

Publication Site: Swiss Re Institute

Measuring the COVID-19 Policy Response Around the World

Link: https://freopp.org/measuring-the-covid-19-policy-response-around-the-world-2e37a7a97bc8

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In the U.S., 38% of all deaths from COVID-19 have occurred in nursing homes and assisted living facilities that house only 0.6% of the U.S. population. The failure to protect this population is not only a problem in the U.S., however; a survey of international countries found similar results.

Indeed, among 22 countries reporting care home fatalities, the U.S. sits squarely in the middle in terms of the share of fatalities occurring in care homes. Among WIHI countries, Canada (80%) and Australia (75%) had the highest concentration of fatalities in nursing homes, whereas Singapore (11%) and Hungary (23%) the lowest.

While Ireland reported a care home fatality share of 56%, its true share is closer to Canada’s, because Ireland, Finland, New Zealand, and Norway do not report deaths of care home residents who die outside of long-term care facilities. In other countries, roughly one-quarter of COVID-19 deaths of care home residents occur in hospitals and other external locations.

Author(s): Avik Roy

Publication Date: 5 April 2021

Publication Site: FREOPP