Sunday, January 09, 2022


Prime Age Mortality up 40 Percent, Majority of Deaths Not From COVID-19

The obvious but unstated point arising from the figures below is that many of the extra deaths would have been related not to COVID but to the government response to it. A big problem would seem to be (for instance) that many people bombed themselves out with drugs to enable them to cope with isolation etc. Ill-advised government policies were a major cause of deaths

Mortality among young-to-middle-age Americans went through the roof last year. The majority of the increase didn’t involve COVID-19, according to official death certificate data.

Deaths among people aged 18 to 49 increased more than 40 percent in the 12 months ending October 2021 compared to the same period in 2018–2019, before the pandemic, based on death certificate data from the Centers for Disease Control and Prevention (CDC).

That’s more than 90,000 additional deaths in this age group, of which less than 43 percent involved COVID.

The federal agency doesn’t yet have full 2021 numbers, as death certificate data usually trickle in with an 8-week lag or more.

The mortality increase was most notable for the 30–39 age group, where deaths skyrocketed by nearly 45 percent, with only a third involving COVID.

CDC data on the exact causes of those excess deaths aren’t yet available for 2021, aside from those involving COVID, pneumonia, and influenza. There were close to 6,000 excess pneumonia deaths that didn’t involve COVID-19 in the 30–39 age group in the 12 months ending October 2021. Influenza was only involved in 50 deaths in this age group, down from 550 in the same period pre-pandemic. The flu death count didn’t exclude those that also involved COVID or pneumonia, the CDC noted.

A chunk of the mortality spike could be likely explained by drug overdoses, which increased from about 72,000 in 2019 to more than 100,000 in the 12 months ending May 2021, the CDC estimated. About two-thirds of those deaths involved synthetic opioids including fentanyl that are often smuggled to the United States from China through Mexico. Overdoses involving methamphetamine or other psychostimulants also significantly increased, from fewer than 17,000 in 2019 to more than 28,000 in the 12 months ending May 2021.

For older age groups, mortality increased too. For those 50–84, it went up more than 27 percent, making for a total of more than 470,000 excess deaths. Almost four out of five of the excess deaths reportedly involved COVID.

For those 85 or older, mortality increased about 12 percent with more than 100,000 excess deaths. Given the more than 130,000 COVID-related deaths in this group, the data indicates that these people were less likely to die of a non-COVID-related cause from November 2020 to October 2021 than during the same months of 2018–2019.

Comparing 2020 to 2019, mortality increased some 24 percent for those 18–49, with less than a third of those excess deaths involving COVID. For those 50–84, it increased less than 20 percent, with over 70 percent of that involving COVID. For those even older, mortality jumped about 16 percent, with nearly 90 percent of that involving COVID.

For those under 18, mortality decreased about 0.4 percent in 2020 compared to 2019. In the 12 months ending October 2021, it decreased some 3.3 percent compared to the same period in 2018–2019.

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The Collins and Fauci Attack on Traditional Public Health

On Oct. 4, 2020, with professor Sunetra Gupta of Oxford University, we wrote the Great Barrington Declaration (GBD). Our purpose was to express our grave concerns over the inadequate protection of the vulnerable and the devastating harms of the lockdown pandemic policy adopted by much of the world; we proposed an alternative strategy of focused protection.

The key scientific fact on which the GBD was based—a more than thousand-fold higher risk of death for the old compared to the young—meant that better protection of the old would minimize COVID deaths. At the same time, opening schools and lifting lockdowns would reduce the collateral harm to the rest of the population.

The declaration received enormous support, ultimately attracting signatures from more than 50,000 scientists and medical professionals and more than 800,000 members of the public. Our hope in writing was two-fold. First, we wanted to help the public understand that—contrary to the prevailing narrative—there was no scientific consensus in favor of lockdown. In this, we succeeded.

Second, we wanted to spur a discussion among public health scientists about how to better protect the vulnerable, both those living in nursing homes (where approximately 40 percent of all COVID deaths have occurred) and those living in the community. We provided specific proposals for focused protection in the GBD and supporting documents to spur the discussion. Though some in public health did engage civilly in productive discussions with us, in this aim we had limited success.

Unbeknownst to us, our call for a more focused pandemic strategy posed a political problem for Dr. Francis Collins and Dr. Anthony Fauci. The former is a geneticist who, until Dec. 19, 2021, was the director of the U.S. National Institutes of Health (NIH); the latter is an immunologist who directs the National Institute of Allergy and Infectious Diseases (NIAID). They are the biggest funders of medical and infectious disease research worldwide.

Collins and Fauci played critical roles in designing and advocating for the pandemic lockdown strategy adopted by the United States and many other countries. In emails written four days after the Great Barrington Declaration and disclosed recently after a FOIA request, it was revealed that the two conspired to undermine the declaration. Rather than engaging in scientific discourse, they authorized “a quick and devastating published takedown” of this proposal, which they characterized as by “three fringe epidemiologists” from Harvard, Oxford, and Stanford.

Across the pond, they were joined by their close colleague, Dr. Jeremy Farrar, the head of the Wellcome Trust, one of the world’s largest nongovernmental funders of medical research. He worked with Dominic Cummings, the political strategist of UK Prime Minister Boris Johnson. Together, they orchestrated “an aggressive press campaign against those behind the Great Barrington Declaration and others opposed to blanket COVID-19 restrictions.”

Ignoring the call for focused protection of the vulnerable, Collins and Fauci purposely mischaracterized the GBD as a “let-it-rip” “herd immunity strategy,” even though focused protection is the very opposite of a let-it-rip strategy. It’s more appropriate to call the lockdown strategy that has been followed a “let-it-rip” strategy. Without focused protection, every age group will eventually be exposed in equal proportion, albeit at a prolonged “let-it-drip” pace compared to a do-nothing strategy.

When journalists started asking us why we wanted to “let the virus rip,” we were puzzled. Those words aren’t in the GBD, and they are contrary to the central idea of focused protection. It’s unclear whether Collins and Fauci ever read the GBD, whether they deliberately mischaracterized it, or whether their understanding of epidemiology and public health is more limited than we had thought. In any case, it was a lie.

We were also puzzled by the mischaracterization of the GBD as a “herd immunity strategy.” Herd immunity is a scientifically proven phenomenon, as fundamental in infectious disease epidemiology as gravity is in physics. Every COVID strategy leads to herd immunity, and the pandemic ends when a sufficient number of people have immunity through either COVID-recovery or a vaccine. It makes as much sense to claim that an epidemiologist is advocating for a “herd immunity strategy” as it does to claim that a pilot is advocating a “gravity strategy” when landing an airplane. The issue is how to land the plane safely, and whatever strategy the pilot uses, gravity ensures that the plane will eventually return to earth.

The fundamental goal of the GBD is to get through this terrible pandemic with the least harm to the public’s health. Health, of course, is broader than just COVID. Any reasonable evaluation of lockdowns should consider their collateral damage to patients with cancer, cardiovascular disease, diabetes, and other infectious diseases, as well as mental health and much else. Based on long-standing principles of public health, the GBD and focused protection of the high-risk population is a middle ground between devastating lockdowns and a do-nothing, let-it rip strategy.

Collins and Fauci surprisingly claimed that focused protection of the old is impossible without a vaccine. Scientists have their own specialties, but not every scientist has deep expertise in public health. The natural approach would have been to engage with epidemiologists and public health scientists for whom this is their bread and butter. Had they done so, Collins and Fauci would have learned that public health is fundamentally about focused protection.

It’s impossible to shut down society completely. Lockdowns protected young low-risk affluent work-from-home professionals, such as administrators, scientists, professors, journalists, and lawyers, while older high-risk members of the working class were exposed and died in necessarily high numbers. This failure to understand that lockdowns couldn’t protect the vulnerable led to the tragically high death counts from COVID.

We don’t know why Collins and Fauci decided to do a “takedown” rather than use their esteemed positions to build and promote vigorous scientific discussions on these critical issues, engaging scientists with different expertise and perspectives. Part of the answer may lie in another puzzle—their blindness to the devastating effects of lockdowns on other public health outcomes.

Lockdown harms have affected everyone, with an extra-heavy burden on the chronically ill; on children, for whom schools were closed; on the working class, especially those in the densely populated inner cities; and on the global poor, with tens of millions suffering from malnutrition and starvation. For example, Fauci was a major advocate for school closures. These are now widely recognized as an enormous mistake that harmed children without affecting disease spread. In the coming years, we must work hard to reverse the damage caused by our misguided pandemic strategy.

While tens of thousands of scientists and medical professionals signed the Great Barrington Declaration, why didn’t more speak up in the media? Some did, some tried but failed, while others were very cautious about doing so. When we wrote the declaration, we knew that we were putting our professional careers at risk, as well as our ability to provide for our families. That was a conscious decision on our part, and we fully sympathize with those who instead decided to focus on maintaining their important research laboratories and activities.

Scientists will naturally hesitate before putting themselves in a situation in which the NIH director, with an annual scientific research budget of $42.9 billion, wants to take them down. It may also be unwise to upset the director of NIAID, with an annual budget of $6.1 billion for infectious disease research, or the director of the Wellcome Trust, with an annual budget of $1.5 billion. Sitting atop powerful funding agencies, Collins, Fauci, and Farrar channel research dollars to nearly every infectious disease epidemiologist, immunologist, and virologist of note in the United States and UK.

Collins, Fauci, and Farrar got the pandemic strategy they advocated for, and they own the results together with other lockdown proponents. The GBD was and is inconvenient for them because it stands as clear evidence that a better, less deadly alternative was available.

We now have more than 800,000 COVID deaths in the United States, plus the collateral damage. Sweden and other Scandinavian countries—less focused on lockdowns and more focused on protecting the old—have had fewer COVID deaths per population than the United States, the UK, and most other European countries. Florida, which avoided much of the collateral lockdown harms, currently ranks 22nd best in the United States in age-adjusted COVID mortality.

In academic medicine, landing an NIH grant makes or breaks careers, so scientists have a strong incentive to stay on the right side of NIH and NIAID priorities. If we want scientists to speak freely in the future, we should avoid having the same people in charge of public health policy and medical research funding.

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Also see my other blogs. Main ones below:

http://edwatch.blogspot.com (EDUCATION WATCH)

http://antigreen.blogspot.com (GREENIE WATCH)

http://pcwatch.blogspot.com (POLITICAL CORRECTNESS WATCH)

http://australian-politics.blogspot.com/ (AUSTRALIAN POLITICS)

http://snorphty.blogspot.com/ (TONGUE-TIED)

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