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This is a very important issue. It means that excess death is not well-defined. I am puzzled that USA seems to have half the flu deaths per million as Europe. US has about twice the COVID-19 deaths as EU. Is this due to baselines including a lot of normal annual flu in US?
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Replying to @PienaarJm and @MLevitt_NP2013
I've posted this before, but yearly averages are thrown off by winter flu etc outbreaks. Year-to-year variations become more evident when summer-only data is used for forecasting. And then, there is the chaotic behavior of fish in a pond... youtube.com/watch?v=m7TXb7
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The difference in deaths between EU and USA may be due to Hope Simpson, not flu. USA Covid deaths split above and below the 37th parallel show that in 2021 summer, we peaked at ~3x deaths in S states vs N. in 2020 summer, deaths in S states peaked at ~5x the N states. 1/3
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I might have misunderstood the last para but don’t understand why including normal flu deaths in baseline would increase Covid deaths? Excess deaths are the deaths in excess of the expected baseline for that week which in SA includes winter peaks due to flu.
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If you only take yearly (not monthly) excess death statistics, you could use a rolling window of width=2 years to even out bumps as well. Or with monthly data one can just not artificially cut at year boundaries and just take the data as is, as a timeseries.
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'Excess death' is not well defined. I have suggested determining excess death results from 2 or more methods, from opposed viewpoints, then audit each. Methods and time periods can be chosen to benefit one's opinion/stance, but I believe Levitt's method is fair.
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