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  2. Jan 8, 2021 · It is defined as “the disease or injury that initiated the train of morbid events leading directly to death, or the circumstances of the accident or violence which produced the fatal injury” (WHO 2018, 2.17.1). This definition underpins a mechanistic conception of causality.

  3. Feb 6, 2024 · February 6, 2024. Editors' notes. New analysis reveals many excess deaths attributed to natural causes are actually uncounted COVID-19 deaths. by Boston University. Ratios of excess...

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    During January–December 2022, 244,986 deaths with COVID-19 listed as an underlying or contributing cause of death occurred among U.S. residents. The age-adjusted COVID-19 death rate was 61.3 per 100,000 persons. COVID-19–associated death rates were highest among males, older adults, and AI/AN persons. The COVID-19–associated age-adjusted death rate varied by HHS region, with the lowest rates in New England (Region 1) and highest rates in the south central United States (Region 6).

    Some demographic characteristics of COVID-19–associated deaths have remained similar since 2020; however, changes in other characteristics have occurred over time. During the first 2 years of the COVID-19 pandemic, for example, COVID-19 was listed as the underlying cause on approximately 90% of death certificates. In 2022, the percentage of deaths with COVID-19 as the underlying cause decreased to 76% (7). Changes were also observed in the setting where COVID-19 deaths are occurring. Whereas most COVID-19 deaths still occur in hospital inpatient settings, the proportion of those deaths decreased in 2022, as more deaths occurred in decedents’ homes and nursing homes or long-term care facilities.

    The findings in this report are subject to at least three limitations. First, data are provisional, and numbers and rates might change as additional information is received. Described changes in mortality trends might be underestimates. Second, timeliness of death certificate submission can vary by jurisdiction. As a result, the national or regional distribution of deaths might be affected by the distribution of deaths reported from jurisdictions reporting later, which might differ from those in the United States or in a region overall. Finally, potential exists for misclassification of certain categories of race (i.e., AI/AN and Asian) and Hispanic ethnicity reported on death certificates (8). Thus, death rates for some groups might be under- or overestimated.

    This report provides an overview of COVID-19–associated mortality in the United States in 2022 and highlights changes in the characteristics of COVID-19 deaths. These data provide updated information that advances understanding of the impacts of COVID-19 on mortality and how these have continued to shift during the course of the pandemic. These findings also help to guide public health policies and interventions intended to reduce severe COVID-19 impact by providing insight into groups that remain vulnerable to COVID-19–associated mortality.

    Corresponding author: Farida B. Ahmad, fbahmad@cdc.gov.

    1National Center for Health Statistics, CDC.

    1.World Health Organization. International statistical classification of diseases and related health problems, tenth revision (ICD–10). 2008 ed. Geneva, Switzerland: World Health Organization; 2009. https://icd.who.int/browse10/2008/en

    2.National Center for Health Statistics. National Vital Statistics System. Instruction manual, part 2a: instructions for classifying underlying and multiple causes of death, ICD-10. Hyattsville, MD: US Department of Health and Human Services, CDC, National Center for Health Statistics; 2020. https://www.cdc.gov/nchs/nvss/instruction-manuals.htm

    3.Heron M. Deaths: leading causes for 2017. Natl Vital Stat Rep 2019;68:1–77. PMID:32501203

    4.US Census Bureau. National population by characteristics: 2020–2021. Washington, DC: US Department of Commerce, US Census Bureau; 2021. https://www.census.gov/programs-surveys/popest/technical-documentation/research/evaluation-estimates/2020-evaluation-estimates/2010s-national-detail.html

    5.US Census Bureau. Methodology for the United States population estimates: vintage 2021. Washington, DC: US Department of Commerce, US Census Bureau; 2021. https://www2.census.gov/programs-surveys/popest/technical-documentation/methodology/2020-2021/methods-statement-v2021.pdf

    6.CDC. Medical examiners’ and coroners’ handbook on death registration and fetal death reporting, 2003 revision. Hyattsville, Maryland: US Department of Health and Human Services, CDC, National Center for Health Statistics; 2003. https://stacks.cdc.gov/view/cdc/6636

  4. Apr 22, 2022 · The first report provides an overview of provisional U.S. mortality data for 2021, including a comparison of death rates for all causes of death and for deaths involving COVID-19. The study found that the overall age-adjusted death rate increased by almost 1% in 2021 from 2020.

  5. Apr 15, 2021 · Weekly and total numbers of excess deaths from all causes, and from all causes other than COVID-19* above the average number expected and the upper bound of the 95% prediction interval† — United States, January 26, 2020–February 27, 2021.

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