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Mortality overview:All-cause and Covid-19 related deaths, up to ONS reporting week 36This report includes recently published data on deaths from all-causes, Covid-19 related deaths, and levels of excess deaths for Cambridgeshire, Peterborough and the five Cambridgeshire districts; Cambridge, East Cambridgeshire, Fenland, Huntingdonshire and South Cambridgeshire.Contents TOC \o "1-3" \h \z \u 1.Key points PAGEREF _Toc51237889 \h 22.Deaths from all causes and Covid-19 PAGEREF _Toc51237890 \h 33.Directly age-standardised rates (DASR) per 100,000 population, March-July 2020 PAGEREF _Toc51237891 \h 104.Excess deaths reporting PAGEREF _Toc51237892 \h 145.Author and contact details PAGEREF _Toc51237893 \h 20Key pointsAll cause and Covid-19 deaths – all settings and in care homesOne Covid-19 related death occurred in Cambridgeshire and Peterborough in ONS reporting week 36, (1 death in South Cambridgeshire). In week 35 there was also 1 death (Peterborough).There were 82 all-cause deaths in Cambridgeshire and Peterborough (down from 93 in week 35).At a district level, Cambridge (+1) and South Cambridgeshire (+1) had an increase in all-cause deaths compared to the previous week.Cambridgeshire has had 2 notifications of a Covid-19 related death in a care home since 10th August. The last notification for Peterborough was 8th July (data received by 11 September).The number of?all-cause deaths?is?below?the 2014-18 average in Cambridgeshire, Peterborough, and all of the districts except South Cambridgeshire (where figures are similar to the 5 year average) for week 36.?Numbers of?all-cause deaths in care homes?are below the 2014-18 average in Cambridgeshire and Peterborough, although numbers have increased since week 35 in both areas. Numbers have increased in Huntingdonshire and South Cambridgeshire between weeks 35 and 36, to levels that are above the 5-year average.Deaths from all causes and Covid-19Note: The deaths data that are included in this section are derived from Office for National Statistics (ONS) and the Care Quality Commission (CQC) data. They are based on deaths in the resident populations of Cambridgeshire and Peterborough Councils. ONS includes deaths as Covid-19 where Covid-19 was mentioned on the death certificate. The CQC deaths data are for care home residents only and CQC notifications rely on the statement of the care home provider that COVID-19 was suspected or confirmed. There may also be delays in death registration that impact the data. For more information, please see number of deaths occurring from all causes in Cambridgeshire and Peterborough residents, and proportion occurring in care homes, in week ending 4 September 2020 (week 36)Notes: ONS recording Week 36 relates to deaths occurring week ending 04 September, registered up to 12 September 2020Source: ONS, File name = lahbtablesweek36.xlsx, released 15 September 2020 Key points:In ONS recording Week 36 (ending Friday 4 September 2020) there were 82 deaths from all causes across Cambridgeshire (68 deaths) and Peterborough (18 deaths).In Week 36, 22% of all cause deaths occurred in a care home setting nationally. In Cambridgeshire and Peterborough combined the percentage was 21% (Cambridgeshire 22%, Peterborough 17%).Of the Cambridgeshire districts, South Cambridgeshire has the highest numbers of all-cause deaths occurring (all settings) in week 36 (19 deaths). Provisional number of deaths occurring related to Covid-19 in Cambridgeshire and Peterborough residents, and proportions occurring in care homes, in week ending 04 September 2020 (week 36)Notes: ONS recording Week 36 relates to deaths occurring week ending 04 September, registered up to 12 September 2020Source: ONS, File name = lahbtablesweek36.xlsx, released 15 September 2020 Key points:In ONS recording Week 36 (ending Friday 4 September 2020) there was 1 Covid-19 related death across Cambridgeshire and Peterborough and it occurred in a South Cambridgeshire care home.In Week 36, the percentage of Covid-19 related deaths which occurred in a care home setting was 25% nationally. Cumulative number of Covid-19 deaths occurring up to 04 September 2020, by place of deathNotes: ONS recording Week 36 relates to deaths occurring week ending 04 September, registered up to 12 September 2020Source: ONS, File name = lahbtablesweek36.xlsx, released 15 September 2020 Key points:Data show that up to ONS reporting week-ending 4 September 2020, 521 deaths occurred related to Covid-19 within Cambridgeshire & Peterborough, with 329 (63%) of the total occurring within hospitals and 161 (31%) occurring within care homes. Huntingdonshire is the Cambridgeshire district with the largest number of Covid-19 deaths registered. 136 out of 412 (33%) Covid-19 deaths in all settings and 90 out of 255 (35%) hospital setting Covid-19 deaths in Cambridgeshire are registered as Huntingdonshire residents.All cause deaths including Covid-19 deaths (most recent 8 ONS reporting weeks) occurring in all settingsNotes: ONS recording Week 36 relates to deaths occurring week ending 04 September, registered up to 12 September 2020Source: ONS, File name = lahbtablesweek36.xlsx, released 15 September 2020 Covid-19 related deaths (most recent 8 ONS reporting weeks) occurring in all settingsNotes: ONS recording Week 36 relates to deaths occurring week ending 04 September, registered up to 12 September 2020Source: ONS, File name = lahbtablesweek36.xlsx, released 15 September 2020 Key points:Numbers of all cause deaths in week 36 have decreased in Cambridgeshire (minus 13 from 77 to 64) and increased in Peterborough (plus 2 from 16 to 18) compared to the previous week.At a district level, Cambridge (+1) and South Cambridgeshire (+1) had an increase in the number of all cause deaths between the last two reporting weeks.One Covid-19 related death occurred in Cambridgeshire and Peterborough in reporting week 36, which is the same as in week 35.All cause deaths including Covid-19 deaths occurring from ONS reporting week 1 to week 36, 2020, occurring in all settings, care homes and hospital settings for Cambridgeshire, Peterborough and the districtsCambridgeEast CambridgeshireFenlandHuntingdonshireSouth CambridgeshireCambridgeshirePeterboroughCambridgeshire & PeterboroughONS dates for referenceSource: ONS, File name = lahbtablesweek36.xlsx, released 15 September 2020 Covid-19 deaths occurring from ONS reporting week 13 to week 36, 2020, occurring in all settings, care homes and hospital settings for Cambridgeshire, Peterborough and the districtsCambridgeEast CambridgeshireFenlandHuntingdonshireSouth CambridgeshireCambridgeshirePeterboroughCambridgeshire & PeterboroughONS dates for referenceSource: ONS, File name = lahbtablesweek36.xlsx, released 15 September 2020 Key points:The peak period for Covid-19 mortality, to date, appears to have been weeks 15 or 16 overall for Cambridgeshire and Peterborough and most of the Cambridgeshire districts. The Covid-19 mortality peak for Huntingdonshire, to date, appears to have been a little later at week 18. Since the peaks, the data show an overall declining trend for all cause deaths across Cambridgeshire, Peterborough, and the Cambridgeshire districts. Numbers of all cause deaths have declined in Cambridgeshire and Peterborough in the latest week compared to the previous week (from 93 in week 35 to 82 in week 36).Since the peaks, the data show an overall declining trend for Covid-19 related deaths across Cambridgeshire, Peterborough, and the Cambridgeshire districts. There was 1 Covid-19 related death in the latest reporting week; this occurred in South Cambridgeshire.Care Quality Commission (CQC) data on deaths in care home residents reported by care home managers All cause and Covid-19 related deaths occurring in care home residents, 17 July to 11 September 2020 (most recent 8 weeks), Care Quality Commission (CQC) dataset, CambridgeshireNotes: Figures are for deaths CQC are notified of on the days specified. Figures only include deaths that were notified by 4pm on 11 September 2020, and may be an underestimate due to notification delays. Notifications of death are typically provided within 2-3 days of death, with low levels of reporting at the weekend and high levels on the first working day of the week. Figures are for deaths of care home residents that occur in care homes only. The data above, in the preceding parts of the report, are for deaths in the entire population. Dataset released 15 September 2020.Source: Care Quality Commission, Key points:The CQC were notified of 607 deaths from all causes in Cambridgeshire care homes between 10 April and 11 September 2020. 126 (21%) of these deaths were Covid-19 related (data not shown). Numbers of care home deaths related to Covid-19 in Cambridgeshire have been lower in recent weeks, and there have been 2 Covid-19 related deaths since 10 August 2020.Notifications of death are typically provided within 2-3 days of death, with low levels of reporting at the weekend and high levels on the first working day of the week.Figures only include care home residents who died in a care home.All cause and Covid-19 related deaths of care home residents, 17 July to 11 September 2020 (most recent 8 weeks), Care Quality Commission (CQC) dataset, PeterboroughNotes: Figures are for deaths CQC are notified of on the days specified. Figures only include deaths that were notified by 4pm on 11 September 2020, and may be an underestimate due to notification delays. Notifications of death are typically provided within 2-3 days of death, with low levels of reporting at the weekend and high levels on the first working day of the week. Figures are for deaths of care home residents that occur in care homes only. The data above, in the preceding parts of the report, are for deaths in the entire population. Dataset released 15 September 2020.Source: Care Quality Commission, Key points:The CQC were notified of 181 deaths from all causes in Peterborough care homes between 10 April and 11 September 2020. 34 (19%) of these deaths were Covid-19 related (data not shown).The data show that there were no Covid-19 related deaths in a care home in Peterborough in the last 8 weeks and the last notification was on 8th July (data not shown).Notifications of death are typically provided within 2-3 days of death, with low levels of reporting at the weekend and high levels on the first working day of the week.Figures only include care home residents who died in a care home.Directly age-standardised rates (DASR) per 100,000 population, March-July 2020On 28 August, ONS released data on the directly age-standardised rates (DASR) per 100,000 population for all cause deaths and Covid-19 related deaths for the March-July 2020 period. The tables are based for the deaths involving Covid-19 by local area and deprivation: deaths occurring between 1 March and 31 July 2020 dataset which can be accessed at the following ONS webpage: cause deaths and directly age-standardised rate (DARS) per 100,000 population by month, for deaths occurring 1 March – 31 July 2020Notes: Data extracted from ‘Table 2: Number of deaths and age-standardised rates, by sex, Local Authorities in England and Wales, deaths occurring between March and July 2020’. Rates are calculated using ONS 2019 mid-year population estimates. Source: ONSKey points:For Cambridgeshire, the directly aged-standardised rates per 100,000 for all cause deaths were statistically significantly lower than the national rates for March, April, June and July, (not May), as well as the 5-month combined period.For Peterborough, the directly aged-standardised rates per 100,000 for all cause deaths were statistically similar to the national rates in each of the five months between March and July, as well as the 5-month combined period.The numbers of deaths and directly age-standardised rates were highest in April but have decreased each month since for each area.At a district level, the directly aged-standardised rates per 100,000 for all cause deaths were statistically significantly lower than the national rates for the March-July combined period for all Cambridgeshire districts except Fenland (which was statistically similar).In May, the directly aged-standardised rates per 100,000 for all cause deaths were statistically significantly higher than the national average for Fenland.Numbers of deaths and directly age-standardised rates (DASR) per 100,000 for deaths from all-causes occurring 1 March – 31 July 2020Notes: Data extracted from ‘Table 2: Number of deaths and age-standardised rates, by sex, Local Authorities in England and Wales, deaths occurring between March and July 2020’. Rates are calculated using ONS 2019 mid-year population estimates. Source: ONSKey points:For the period March to July, Cambridgeshire’s directly age-standardised rates per 100,000 for all cause deaths for persons, males and females are statistically significantly lower than the national rates.For the period March to July, Peterborough’s directly age-standardised rates per 100,000 for all cause deaths for persons, males and females are statistically similar to the national rates.At a district level, Fenland: persons/males/females, East Cambridgeshire: males, and Cambridge: females, have directly age-standardised rates per 100,000 for all cause deaths that are statistically similar to the national rates. All others districts are statistically significantly lower than the national rate.Covid-19 deaths and directly age-standardised rate (DARS) per 100,000 population by month, for deaths occurring 1 March – 31 July 2020‘u’ = Low reliability. The age-standardised rate is of low quality.‘:‘ = Data not available. The age-standardised rate and its lower and upper confidence interval is unavailable.Notes: Data extracted from ‘Table 2: Number of deaths and age-standardised rates, by sex, Local Authorities in England and Wales, deaths occurring between March and July 2020’. Rates are calculated using ONS 2019 mid-year population estimates. Source: ONSKey points:For Cambridgeshire, the directly aged-standardised rates per 100,000 for Covid-19 deaths was statistically significantly lower than the national rate in March and April; it was statistically similar to the national rates in May and June. A rate was not available for July.For the 5-month period combined, the directly aged-standardised rate per 100,000 for Covid-19 deaths was statistically significantly lower than the national rate for Cambridgeshire.For Peterborough, the directly aged-standardised rates per 100,000 for Covid-19 deaths was statistically significantly lower than the national rate in April and statistically similar in May and June. A rate was not available for July.For the 5-month period combined, the directly aged-standardised rate per 100,000 for Covid-19 deaths was statistically significantly lower than the national rate for Peterborough.The numbers of Covid-19 deaths and directly age-standardised rates were higher in April but have decreased in May and further in June and July for each area.Numbers of deaths and directly age-standardised rates (DASR) for Covid-19 related deaths occurring 1 March – 31 July 2020Notes: Data extracted from ‘Table 2: Number of deaths and age-standardised rates, by sex, Local Authorities in England and Wales, deaths occurring between March and July 2020’. Rates are calculated using ONS 2019 mid-year population estimates. Source: ONSKey points:For the period March to July, Cambridgeshire’s directly age-standardised rates per 100,000 for Covid-19 deaths for persons, males and females are statistically significantly lower than the national rates.In Peterborough, the directly age-standardised rates per 100,000 for Covid-19 deaths for persons and males are statistically significantly lower than the national rates; for females it is statistically similar to the national average.At a district level, Cambridge has statistically similar rates of Covid-19 deaths to the national rates for persons, males and females; Huntingdonshire male and female rates and Fenland’s male and female rates are also statistically similar to the national rates.Excess deaths reporting‘Excess deaths’ refers to deaths above the weekly average for the five years 2014-18. For example, if there were an average of 10 recorded deaths in the first week of the calendar year in Peterborough over each year in the period 2014-18 and in the first week of 2020 there were 12 deaths, the excess death value would be two. ONS reporting weeks end on a Friday and include deaths registered up to the following Saturday. For example, Week 36 includes deaths which have occurred up to week ending Friday 4 September, but that have been registered up to Saturday 12 September. ONS reporting weeks in the following charts are as follows: All deaths in 2020 by week in all settings, including proportion where Covid-19 is mentioned on the death certificate in Cambridgeshire and Peterborough Cambridgeshire: Note: Week 1 is currently not displayed: Average counts were lower than expected which is being investigated.Source: File ONS_weekmort_wk36_v1.xlxs, Office for National Statistics, released 15 September – provided by Public Health EnglandPeterborough:Note: Week 1 is currently not displayed: Average counts were lower than expected which is being investigated.Source: File ONS_weekmort_wk36_v1.xlxs, Office for National Statistics, released 15 September – provided by Public Health EnglandKey points:In week 36, week ending 4 September 2020, data shows a decrease in numbers of all cause deaths compared to the previous week in Cambridgeshire, and an increase in and Peterborough.Numbers are below the 2014-18 weekly average for both Cambridgeshire and Peterborough in week 36.All deaths in 2020 by week in all settings, including proportion where Covid-19 is mentioned on the death certificate, DistrictsCambridgeEast CambridgeshireFenlandHuntingdonshireSouth CambridgeshireONS dates for referenceNote: Week 1 is currently not displayed: Average counts were lower than expected which is being investigated.Source: File ONS_weekmort_wk36_v1.xlxs, Office for National Statistics, released 15 September – provided by Public Health EnglandKey points:For week 36 (ending 4 September 2020), the number of all cause deaths are below the 2014-18 weekly average for all Cambridgeshire districts except South Cambridgeshire, for which numbers are similar to the 5-year average.Excess deaths in Care Homes All deaths in 2020 by week in a care home setting, including proportion where Covid-19 is mentioned on the death certificate in Cambridgeshire and Peterborough Cambridgeshire: Peterborough:Note: Note: Week 1 is currently not displayed: Average counts were lower than expected which is being investigated. The red bar represents Covid-19 mentioned on the death certificate, the grey bar represents the deaths that are not Covid-19 and the green bar shows the average weekly deaths 2014-18.Source: File ONS_weekmort_wk36_v1.xlxs, Office for National Statistics, released 15 September – provided by Public Health EnglandKey points:Since the peak in ONS reporting week 16, the number of all cause deaths in care homes have been declining overall in Cambridgeshire and Peterborough. For week 36, the number of deaths in care homes are below the 2014-18 weekly averages for Cambridgeshire and Peterborough.All deaths in 2020 by week in a care home setting, including proportion where Covid-19 is mentioned on the death certificate, DistrictsCambridgeEast CambridgeshireFenlandHuntingdonshireSouth CambridgeshireONS dates for referenceNote: Week 1 is currently not displayed: Average counts were lower than expected which is being investigated. The red bar represents Covid-19 mentioned on the death certificate, the grey bar represents the deaths that are not Covid-19 and the green bar shows the average weekly deaths 2014-18.Source: File ONS_weekmort_wk36_v1.xlxs, Office for National Statistics, released 15 September – provided by Public Health England Key points:For week 36, the number of care home deaths are below the 2014-18 average for Cambridge, East Cambridgeshire and Fenland. Huntingdonshire and South Cambridgeshire have seen an increase in numbers compared to week 35 and are at levels higher than the 5-yr average for week 36. Author and contact detailsProduced by the Cambridgeshire and Peterborough Public Health Intelligence TeamNicola Gowers, Senior Public Health Analyst and Saranya Palaniswamy, Public Health Analyst.Public Health Intelligence Public Health DirectorateCambridgeshire County Council and Peterborough City Council17 September 2020For further information, please e-mail the Public Health Intelligence Team at:PHI-team@.ukPHI file reference - \\ccc..uk\data\CFA Public Health\PHI\Restricted\Health Protection\COVID 19\Deaths\Covid_Summary_Reporting\Report week 36_20200915\CP Covid19 overview report_2020_09_17.docx ................
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