Excess all-cause mortality during the COVID-19 pandemic in Europe – preliminary pooled estimates from the EuroMOMO network, March to April 2020

Lasse S Vestergaard; Jens Nielsen; Lukas Richter; Daniela Schmid; Natalia Bustos; Toon Braeye; Gleb Denissov; Tatjana Veideman; Oskari Luomala; Teemu Möttönen; Anne Fouillet; Céline Caserio-Schönemann; Matthias an der Heiden; Helmut Uphoff; Theodore Lytras; Kassiani Gkolfinopoulou; Anna Paldy; Lisa Domegan; Joan O'Donnell; Francesca de’ Donato; Fiammetta Noccioli; Patrick Hoffmann; Telma Velez; Kathleen England; Liselotte van Asten; Richard A White; Ragnhild Tønnessen; Susana P da Silva; Ana P Rodrigues; Amparo Larrauri; Concepción Delgado-Sanz; Ahmed Farah; Ilias Galanis; Christoph Junker; Damir Perisa; Mary Sinnathamby; Nick Andrews; Mark O'Doherty; Diogo FP Marquess; Sharon Kennedy; Sonja J Olsen; Richard Pebody; ECDC Public Health Emergency Team for COVID-19; Tyra G Krause; Kåre Mølbak

doi:10.2807/1560-7917.ES.2020.25.26.2001214

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Excess all-cause mortality during the COVID-19 pandemic in Europe – preliminary pooled estimates from the EuroMOMO network, March to April 2020
Lasse S Vestergaard¹ , Jens Nielsen¹ , Lukas Richter² , Daniela Schmid² , Natalia Bustos³ , Toon Braeye³ , Gleb Denissov⁴ , Tatjana Veideman⁴ , Oskari Luomala⁵ , Teemu Möttönen⁵ , Anne Fouillet⁶ , Céline Caserio-Schönemann⁶ , Matthias an der Heiden⁷ , Helmut Uphoff⁸ , Theodore Lytras⁹ , Kassiani Gkolfinopoulou⁹ , Anna Paldy¹⁰ , Lisa Domegan^11,12 , Joan O'Donnell¹¹ , Francesca de’ Donato¹³ , Fiammetta Noccioli¹³ , Patrick Hoffmann¹⁴ , Telma Velez¹⁴ , Kathleen England¹⁵ , Liselotte van Asten¹⁶ , Richard A White¹⁷ , Ragnhild Tønnessen¹⁷ , Susana P da Silva¹⁸ , Ana P Rodrigues¹⁸ , Amparo Larrauri¹⁹ , Concepción Delgado-Sanz¹⁹ , Ahmed Farah²⁰ , Ilias Galanis²⁰ , Christoph Junker²¹ , Damir Perisa²² , Mary Sinnathamby²³ , Nick Andrews²³ , Mark O'Doherty²⁴ , Diogo FP Marquess²⁵ , Sharon Kennedy²⁵ , Sonja J Olsen²⁶ , Richard Pebody²⁶ , ECDC Public Health Emergency Team for COVID-19²⁷ , Tyra G Krause¹ , Kåre Mølbak^1,28
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Affiliations: ¹ Statens Serum Institut, Copenhagen, Denmark ² Austrian Agency for Health and Food Safety, Vienna, Austria ³ Sciensano, Brussels, Belgium ⁴ National Institute for Health Development, Tallinn, Estonia ⁵ Finnish National Institute for Health and Welfare, Helsinki, Finland ⁶ French Public Health Agency (Santé Publique France), Saint-Maurice, France ⁷ Robert Koch Institute, Berlin, Germany ⁸ Hessisches Landesprüfungs- und Untersuchungsamt im Gesundheitswesen, Dillenburg, Germany ⁹ National Public Health Organization, Athens, Greece ¹⁰ National Public Health Institute, Budapest, Hungary ¹¹ Health Service Executive - Health Protection Surveillance Centre, Dublin, Ireland ¹² European Programme for Intervention Epidemiology Training (EPIET), European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden. ¹³ Dipartimento Epidemiologia del S.S.R., Lazio - ASL Roma 1, Rome, Italy ¹⁴ Health Directorate Luxembourg – Division de l’inspection sanitaire, Luxembourg ¹⁵ Directorate for Health Information and Research, Ministry for Health, Malta ¹⁶ National Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands ¹⁷ Norwegian Institute of Public Health, Oslo, Norway ¹⁸ Instituto Nacional de Saúde Doutor Ricardo Jorge, Lisbon, Portugal ¹⁹ National Centre of Epidemiology, CIBER Epidemiología y Salud Pública (CIBERESP), Carlos III Health Institute, Madrid, Spain ²⁰ Public Health Agency of Sweden, Stockholm, Sweden ²¹ Federal Statistical Office, Neuchâtel, Switzerland ²² Federal Office of Public Health, Bern, Switzerland ²³ Public Health England, Colindale, United Kingdom ²⁴ Public Health Agency, Northern Ireland, United Kingdom ²⁵ Public Health Scotland, Glasgow, United Kingdom ²⁶ World Health Organization, Regional Office for Europe, Copenhagen, Denmark ²⁷ The members of the ECDC Public Health Emergency Team for COVID-19 are listed below ²⁸ Department of Veterinary and Animal Science, Faculty of Health and Medical Science, University of Copenhagen, Copenhagen, Denmark

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Lasse S. Vestergaard
lav ssi.dk
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ECDC Public Health Emergency Team for COVID-19: Pasi Penttinen, Nick Bundle, Cornelia Adlhoch

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Citation style for this article: Vestergaard Lasse S, Nielsen Jens, Richter Lukas, Schmid Daniela, Bustos Natalia, Braeye Toon, Denissov Gleb, Veideman Tatjana, Luomala Oskari, Möttönen Teemu, Fouillet Anne, Caserio-Schönemann Céline, an der Heiden Matthias, Uphoff Helmut, Lytras Theodore, Gkolfinopoulou Kassiani, Paldy Anna, Domegan Lisa, O'Donnell Joan, de’ Donato Francesca, Noccioli Fiammetta, Hoffmann Patrick, Velez Telma, England Kathleen, van Asten Liselotte, White Richard A, Tønnessen Ragnhild, da Silva Susana P, Rodrigues Ana P, Larrauri Amparo, Delgado-Sanz Concepción, Farah Ahmed, Galanis Ilias, Junker Christoph, Perisa Damir, Sinnathamby Mary, Andrews Nick, O'Doherty Mark, Marquess Diogo FP, Kennedy Sharon, Olsen Sonja J, Pebody Richard, ECDC Public Health Emergency Team for COVID-19, Krause Tyra G, Mølbak Kåre. Excess all-cause mortality during the COVID-19 pandemic in Europe – preliminary pooled estimates from the EuroMOMO network, March to April 2020. Euro Surveill. 2020;25(26):pii=2001214. https://doi.org/10.2807/1560-7917.ES.2020.25.26.2001214 Received: 16 Jun 2020; Accepted: 02 Jul 2020

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Abstract

A remarkable excess mortality has coincided with the COVID-19 pandemic in Europe. We present preliminary pooled estimates of all-cause mortality for 24 European countries/federal states participating in the European monitoring of excess mortality for public health action (EuroMOMO) network, for the period March–April 2020. Excess mortality particularly affected ≥ 65 year olds (91% of all excess deaths), but also 45–64 (8%) and 15–44 year olds (1%). No excess mortality was observed in 0–14 year olds.

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References

Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. , China Novel Coronavirus Investigating and Research Team. A Novel Coronavirus from Patients with Pneumonia in China, 2019. N Engl J Med. 2020;382(8):727-33. https://doi.org/10.1056/NEJMoa2001017 PMID: 31978945
World Health Organisation (WHO). Novel Coronavirus (2019-nCoV). Situation Report 1. Geneva: WHO; 2020. Available from: https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200121-sitrep-1-2019-ncov.pdf
WHO Director-General's opening remarks at the media briefing on COVID-19 - 11 March 2020. World Health Organization: Geneva; 2020. Available from: https://www.who.int/dg/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020
Bernard Stoecklin S, Rolland P, Silue Y, Mailles A, Campese C, Simondon A, et al. , Investigation Team. First cases of coronavirus disease 2019 (COVID-19) in France: surveillance, investigations and control measures, January 2020. Euro Surveill. 2020;25(6):2000094. https://doi.org/10.2807/1560-7917.ES.2020.25.6.2000094 PMID: 32070465
Spiteri G, Fielding J, Diercke M, Campese C, Enouf V, Gaymard A, et al. First cases of coronavirus disease 2019 (COVID-19) in the WHO European Region, 24 January to 21 February 2020. Euro Surveill. 2020;25(9):2000178. https://doi.org/10.2807/1560-7917.ES.2020.25.9.2000178 PMID: 32156327
Eurosurveillance editorial team. Updated rapid risk assessment from ECDC on the novel coronavirus disease 2019 (COVID-19) pandemic: increased transmission in the EU/EEA and the UK. Euro Surveill. 2020;25(10):2003121. https://doi.org/10.2807/1560-7917.ES.2020.25.10.2003121 PMID: 32183937
European Centre for Disease Prevention and Control (ECDC). COVID-19 situation update for the EU/EEA and the UK, as of 30 June 2020. Stockholm: ECDC; 30 Jun 2020. [Accessed 01 Jul 2020]. Available from: https://www.ecdc.europa.eu/en/cases-2019-ncov-eueea
Nielsen J, Mazick A, Glismann S, Mølbak K. Excess mortality related to seasonal influenza and extreme temperatures in Denmark, 1994-2010. BMC Infect Dis. 2011;11(1):350. https://doi.org/10.1186/1471-2334-11-350 PMID: 22176601
Nielsen J, Mazick A, Andrews N, Detsis M, Fenech TM, Flores VM, et al. Pooling European all-cause mortality: methodology and findings for the seasons 2008/2009 to 2010/2011. Epidemiol Infect. 2013;141(9):1996-2010. https://doi.org/10.1017/S0950268812002580 PMID: 23182146
Nielsen J, Vestergaard LS, Richter L, Schmid D, Bustos N, Asikainen T, et al. European all-cause excess and influenza-attributable mortality in the 2017/18 season: should the burden of influenza B be reconsidered? Clin Microbiol Infect. 2019;25(10):1266-76. https://doi.org/10.1016/j.cmi.2019.02.011 PMID: 30790685
Vestergaard LS, Nielsen J, Krause TG, Espenhain L, Tersago K, Bustos Sierra N, et al. Excess all-cause and influenza-attributable mortality in Europe, December 2016 to February 2017. Euro Surveill. 2017;22(14):30506. https://doi.org/10.2807/1560-7917.ES.2017.22.14.30506 PMID: 28424146
Flu News Europe. Joint ECDC-WHO/Europe weekly influenza update. Week 5, 2017. Geneva: World Health Organization; Stockholm: European Centre for Disease Control and Prevention; 2017.
Rizzo C, Bella A, Viboud C, Simonsen L, Miller MA, Rota MC, et al. Trends for influenza-related deaths during pandemic and epidemic seasons, Italy, 1969-2001. Emerg Infect Dis. 2007;13(5):694-9. https://doi.org/10.3201/eid1305.061309 PMID: 17553246
Fu L, Wang B, Yuan T, Chen X, Ao Y, Fitzpatrick T, et al. Clinical characteristics of coronavirus disease 2019 (COVID-19) in China: A systematic review and meta-analysis. J Infect. 2020;80(6):656-65. https://doi.org/10.1016/j.jinf.2020.03.041 PMID: 32283155
Michelozzi P, de’Donato F, Scortichini M, De Sario M, Noccioli F, Rossi P, et al. Mortality impacts of the coronavirus disease (COVID-19) outbreak by sex and age: rapid mortality surveillance system, Italy, 1 February to 18 April 2020. Euro Surveill. 2020;25(19):2000620. https://doi.org/10.2807/1560-7917.ES.2020.25.19.2000620 PMID: 32431289
Davoli M, de’ Donato F, De Sario M, Michelozzi P, Noccioli F, Orrù D, et al. Andamento della Mortalità Giornaliera (SiSMG) nelle città italiane in relazione all’epidemia di Covid-19. Report 1′ Febbraio – 2 Maggio 2020 (settimo rapporto). E&P Repository. Rome: Ministero della Salute. Available from: https://repo.epiprev.it/1620

Excess all-cause mortality during the COVID-19 pandemic in Europe – preliminary pooled estimates from the EuroMOMO network, March to April 2020

Citation style for this article: <a href="/search?value1=Lasse+S+Vestergaard&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Vestergaard Lasse S</a>, <a href="/search?value1=Jens+Nielsen&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Nielsen Jens</a>, <a href="/search?value1=Lukas+Richter&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Richter Lukas</a>, <a href="/search?value1=Daniela+Schmid&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Schmid Daniela</a>, <a href="/search?value1=Natalia+Bustos&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Bustos Natalia</a>, <a href="/search?value1=Toon+Braeye&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Braeye Toon</a>, <a href="/search?value1=Gleb+Denissov&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Denissov Gleb</a>, <a href="/search?value1=Tatjana+Veideman&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Veideman Tatjana</a>, <a href="/search?value1=Oskari+Luomala&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Luomala Oskari</a>, <a href="/search?value1=Teemu+M%C3%B6tt%C3%B6nen&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Möttönen Teemu</a>, <a href="/search?value1=Anne+Fouillet&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Fouillet Anne</a>, <a href="/search?value1=C%C3%A9line+Caserio-Sch%C3%B6nemann&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Caserio-Schönemann Céline</a>, <a href="/search?value1=Matthias+an+der+Heiden&option1=author&noRedirect=true" class="nonDisambigAuthorLink">an der Heiden Matthias</a>, <a href="/search?value1=Helmut+Uphoff&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Uphoff Helmut</a>, <a href="/search?value1=Theodore+Lytras&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Lytras Theodore</a>, <a href="/search?value1=Kassiani+Gkolfinopoulou&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Gkolfinopoulou Kassiani</a>, <a href="/search?value1=Anna+Paldy&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Paldy Anna</a>, <a href="/search?value1=Lisa+Domegan&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Domegan Lisa</a>, <a href="/search?value1=Joan+O%26apos%3BDonnell&option1=author&noRedirect=true" class="nonDisambigAuthorLink">O'Donnell Joan</a>, <a href="/search?value1=Francesca+de%E2%80%99+Donato&option1=author&noRedirect=true" class="nonDisambigAuthorLink">de’ Donato Francesca</a>, <a href="/search?value1=Fiammetta+Noccioli&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Noccioli Fiammetta</a>, <a href="/search?value1=Patrick+Hoffmann&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Hoffmann Patrick</a>, <a href="/search?value1=Telma+Velez&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Velez Telma</a>, <a href="/search?value1=Kathleen+England&option1=author&noRedirect=true" class="nonDisambigAuthorLink">England Kathleen</a>, <a href="/search?value1=Liselotte+van+Asten&option1=author&noRedirect=true" class="nonDisambigAuthorLink">van Asten Liselotte</a>, <a href="/search?value1=Richard+A+White&option1=author&noRedirect=true" class="nonDisambigAuthorLink">White Richard A</a>, <a href="/search?value1=Ragnhild+T%C3%B8nnessen&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Tønnessen Ragnhild</a>, <a href="/search?value1=Susana+P+da+Silva&option1=author&noRedirect=true" class="nonDisambigAuthorLink">da Silva Susana P</a>, <a href="/search?value1=Ana+P+Rodrigues&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Rodrigues Ana P</a>, <a href="/search?value1=Amparo+Larrauri&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Larrauri Amparo</a>, <a href="/search?value1=Concepci%C3%B3n+Delgado-Sanz&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Delgado-Sanz Concepción</a>, <a href="/search?value1=Ahmed+Farah&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Farah Ahmed</a>, <a href="/search?value1=Ilias+Galanis&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Galanis Ilias</a>, <a href="/search?value1=Christoph+Junker&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Junker Christoph</a>, <a href="/search?value1=Damir+Perisa&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Perisa Damir</a>, <a href="/search?value1=Mary+Sinnathamby&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Sinnathamby Mary</a>, <a href="/search?value1=Nick+Andrews&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Andrews Nick</a>, <a href="/search?value1=Mark+O%26apos%3BDoherty&option1=author&noRedirect=true" class="nonDisambigAuthorLink">O'Doherty Mark</a>, <a href="/search?value1=Diogo+FP+Marquess&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Marquess Diogo FP</a>, <a href="/search?value1=Sharon+Kennedy&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Kennedy Sharon</a>, <a href="/search?value1=Sonja+J+Olsen&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Olsen Sonja J</a>, <a href="/search?value1=Richard+Pebody&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Pebody Richard</a>, <a href="/search?value1=ECDC+Public+Health+Emergency+Team+for+COVID-19&option1=author&noRedirect=true" class="nonDisambigAuthorLink">ECDC Public Health Emergency Team for COVID-19</a>, <a href="/search?value1=Tyra+G+Krause&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Krause Tyra G</a>, <a href="/search?value1=K%C3%A5re+M%C3%B8lbak&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Mølbak Kåre</a>. Excess all-cause mortality during the COVID-19 pandemic in Europe – preliminary pooled estimates from the EuroMOMO network, March to April 2020. <a href="/content/ecdc">Euro Surveill.</a> 2020;25(26):pii=2001214. <a href="https://doi.org/10.2807/1560-7917.ES.2020.25.26.2001214" title="doi link" target="_blank">https://doi.org/10.2807/1560-7917.ES.2020.25.26.2001214</a> Received: 16 Jun 2020;   Accepted: 02 Jul 2020

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Excess all-cause mortality during the COVID-19 pandemic in Europe – preliminary pooled estimates from the EuroMOMO network, March to April 2020

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