Week 52: mortality further up among long-term care users

Weekly mortality has been higher than expected since week 39. During the second epidemic wave (weeks 39 to 52 inclusive), altogether 6.7 thousand more deaths were recorded than would normally be expected in this period.

2020	1	3103	3277	2908 - 3645
2020	2	3365	3311	2930 - 3692
2020	3	3157	3344	2945 - 3742
2020	4	3046	3392	3008 - 3776
2020	5	3163	3407	3027 - 3788
2020	6	3194	3401	2979 - 3823
2020	7	3199	3408	2916 - 3901
2020	8	2959	3387	2851 - 3922
2020	9	3098	3352	2805 - 3898
2020	10	3106	3315	2785 - 3845
2020	11	3219	3253	2756 - 3751
2020	12	3615	3174	2711 - 3637
2020	13	4459	3104	2703 - 3505
2020	14	5084	3024	2712 - 3337
2020	15	4980	2957	2719 - 3195
2020	16	4307	2915	2711 - 3120
2020	17	3907	2869	2677 - 3060
2020	18	3379	2841	2650 - 3032
2020	19	2986	2821	2633 - 3009
2020	20	2777	2794	2626 - 2962
2020	21	2771	2770	2620 - 2920
2020	22	2729	2753	2608 - 2898
2020	23	2682	2735	2591 - 2880
2020	24	2692	2737	2600 - 2875
2020	25	2695	2725	2594 - 2855
2020	26	2661	2717	2577 - 2857
2020	27	2639	2723	2544 - 2902
2020	28	2619	2719	2515 - 2923
2020	29	2528	2720	2507 - 2934
2020	30	2673	2707	2515 - 2900
2020	31	2668	2687	2492 - 2882
2020	32	2640	2682	2483 - 2881
2020	33	3209	2669	2481 - 2857
2020	34	2855	2663	2510 - 2815
2020	35	2732	2667	2526 - 2807
2020	36	2690	2676	2549 - 2804
2020	37	2739	2698	2564 - 2832
2020	38	2720	2729	2585 - 2873
2020	39	2892	2752	2618 - 2886
2020	40	2998	2786	2628 - 2943
2020	41	3019	2807	2655 - 2960
2020	42	3219	2839	2677 - 3001
2020	43	3448	2862	2661 - 3063
2020	44	3678	2889	2683 - 3095
2020	45	3589	2902	2692 - 3111
2020	46	3572	2932	2710 - 3155
2020	47	3326	2972	2742 - 3202
2020	48	3400	3012	2762 - 3263
2020	49	3517	3037	2742 - 3332
2020	50	3601	3100	2800 - 3399
2020	51	3890	3166	2830 - 3501
2020	52	3819	3222	2871 - 3573
2021	1
2021	2
2021	3
2021	4
2021	5
2021	6
2021	7
2021	8
2021	9
2021	10
2021	11
2021	12
2021	13
2021	14
2021	15
2021	16
2021	17
2021	18
2021	19
2021	20
2021	21
2021	22
2021	23
2021	24
2021	25
2021	26
2021	27
2021	28
2021	29
2021	30
2021	31
2021	32
2021	33
2021	34
2021	35
2021	36
2021	37
2021	38
2021	39
2021	40
2021	41
2021	42
2021	43
2021	44
2021	45
2021	46
2021	47
2021	48
2021	49
2021	50
2021	51
2021	52
* Provisional figures

Mortality further up among long-term care users

Mortality rose among people receiving care under the Long-term care Act (Wlz) in week 52. There were approximately 1,700 deaths among long-term care users, including residents of nursing homes and institutions for the disabled. This means 500 excess deaths, and in relative terms 40 percent more than expected mortality in this period. Among the rest of the population, there were almost 2,100 deaths, representing a decline on week 51 by 200. Week 52 mortality in this group was at a level close to what would normally be expected for this time of year.

Among long-term care users, altogether 18.7 thousand deaths have so far been recorded over the course of the second epidemic wave (weeks 39 to 52 inclusive). This is 3.4 thousand more than the expected number for this period, an increase of more than 20 percent. Among the rest of the population, so far 29.2 thousand deaths have been recorded during the second wave, exceeding the expected number for this period by more than 10 percent (3.3 thousand).

2020	1	1210	1252	1052 - 1451	1893	2025	1780 - 2270
2020	2	1265	1272	1076 - 1468	2100	2039	1793 - 2285
2020	3	1135	1282	1086 - 1478	2022	2062	1805 - 2319
2020	4	1125	1301	1113 - 1489	1921	2091	1842 - 2339
2020	5	1098	1310	1118 - 1503	2065	2097	1853 - 2341
2020	6	1142	1309	1099 - 1519	2052	2092	1826 - 2358
2020	7	1155	1309	1069 - 1549	2044	2099	1796 - 2403
2020	8	1129	1296	1044 - 1549	1830	2091	1762 - 2419
2020	9	1195	1276	1005 - 1546	1903	2076	1756 - 2396
2020	10	1164	1260	989 - 1531	1942	2056	1752 - 2359
2020	11	1200	1229	950 - 1507	2019	2025	1741 - 2308
2020	12	1335	1191	928 - 1454	2280	1983	1714 - 2252
2020	13	1656	1156	912 - 1400	2803	1948	1715 - 2180
2020	14	2212	1120	915 - 1326	2872	1904	1709 - 2100
2020	15	2409	1091	910 - 1273	2571	1866	1709 - 2022
2020	16	2066	1075	912 - 1238	2240	1840	1691 - 1990
2020	17	1716	1055	898 - 1211	2191	1814	1663 - 1965
2020	18	1429	1048	900 - 1195	1950	1793	1643 - 1944
2020	19	1186	1038	897 - 1179	1800	1783	1631 - 1935
2020	20	1031	1029	902 - 1155	1746	1765	1615 - 1915
2020	21	1069	1015	892 - 1138	1702	1755	1615 - 1895
2020	22	1004	1007	887 - 1127	1725	1746	1602 - 1890
2020	23	909	995	886 - 1104	1773	1740	1585 - 1895
2020	24	958	997	888 - 1106	1734	1740	1592 - 1889
2020	25	912	989	879 - 1099	1783	1736	1585 - 1886
2020	26	940	985	864 - 1107	1720	1732	1585 - 1879
2020	27	931	992	850 - 1134	1708	1731	1567 - 1896
2020	28	911	998	849 - 1147	1708	1721	1552 - 1890
2020	29	900	1003	855 - 1152	1628	1717	1555 - 1879
2020	30	957	1004	854 - 1154	1716	1704	1553 - 1855
2020	31	946	997	851 - 1143	1722	1690	1540 - 1840
2020	32	904	993	846 - 1140	1736	1690	1546 - 1834
2020	33	1311	987	840 - 1134	1898	1682	1531 - 1832
2020	34	1113	980	849 - 1111	1742	1683	1553 - 1813
2020	35	995	974	860 - 1087	1737	1693	1550 - 1835
2020	36	942	973	860 - 1087	1748	1703	1562 - 1844
2020	37	942	977	865 - 1089	1797	1721	1579 - 1862
2020	38	980	989	876 - 1102	1740	1740	1594 - 1886
2020	39	1054	1001	892 - 1110	1838	1751	1606 - 1896
2020	40	1076	1015	897 - 1133	1922	1771	1632 - 1909
2020	41	1090	1028	908 - 1147	1929	1780	1638 - 1922
2020	42	1217	1042	910 - 1175	2002	1797	1663 - 1930
2020	43	1317	1054	912 - 1195	2131	1808	1650 - 1966
2020	44	1520	1068	920 - 1215	2158	1821	1662 - 1981
2020	45	1390	1074	925 - 1224	2199	1827	1664 - 1991
2020	46	1423	1086	936 - 1235	2148	1846	1678 - 2014
2020	47	1286	1102	953 - 1252	2040	1870	1684 - 2056
2020	48	1286	1121	964 - 1278	2114	1892	1702 - 2081
2020	49	1285	1135	970 - 1300	2230	1901	1683 - 2120
2020	50	1450	1163	996 - 1329	2148	1937	1721 - 2153
2020	51	1605	1193	1019 - 1368	2283	1972	1739 - 2205
2020	52	1717	1223	1035 - 1410	2080	1999	1763 - 2236
2021	1
2021	2
2021	3
2021	4
2021	5
2021	6
2021	7
2021	8
2021	9
2021	10
2021	11
2021	12
2021	13
2021	14
2021	15
2021	16
2021	17
2021	18
2021	19
2021	20
2021	21
2021	22
2021	23
2021	24
2021	25
2021	26
2021	27
2021	28
2021	29
2021	30
2021	31
2021	32
2021	33
2021	34
2021	35
2021	36
2021	37
2021	38
2021	39
2021	40
2021	41
2021	42
2021	43
2021	44
2021	45
2021	46
2021	47
2021	48
2021	49
2021	50
2021	51
2021	52
* Provisional figures

Mortality among people under age 65 declining

Declining mortality was recorded in week 52 among people under the age of 65. The number of deaths in this group stood at 425, virtually equal to expected mortality. Almost 2,300 people died in the group aged 80 years and over, just as in week 51 and 400 more than expected. Among the population aged 65 to 79 years, mortality stood at almost 1,100 (i.e. almost 300 excess deaths); among the population aged under 65, mortality was almost 500 (i.e. more than 180 excess deaths).

In the first twelve weeks of the second wave (weeks 39 to 52 inclusive), there were almost 27.1 thousand more deaths than would normally be expected in this period. Excess mortality was also recorded in the group 65 to 79 years, namely 18 percent (over 2.2 thousand excess deaths). In the group under age 65, so far almost 5 percent (280) more people have died during the second wave.

2020	1	385	415	374 - 456	896	947	852 - 1041	1822	1918	1632 - 2204
2020	2	432	413	371 - 456	967	944	851 - 1038	1966	1957	1650 - 2263
2020	3	418	415	371 - 460	913	944	851 - 1038	1826	1988	1657 - 2319
2020	4	352	417	374 - 459	936	949	856 - 1043	1758	2030	1701 - 2360
2020	5	449	417	375 - 460	924	956	857 - 1056	1790	2039	1717 - 2360
2020	6	401	417	371 - 463	981	957	843 - 1071	1812	2032	1691 - 2373
2020	7	409	420	374 - 466	938	961	832 - 1091	1852	2032	1649 - 2415
2020	8	340	420	374 - 467	870	961	815 - 1108	1749	2009	1600 - 2418
2020	9	404	420	370 - 470	911	951	805 - 1096	1783	1984	1574 - 2394
2020	10	394	417	370 - 464	889	944	804 - 1085	1823	1957	1557 - 2357
2020	11	410	415	367 - 463	949	932	803 - 1062	1860	1909	1537 - 2281
2020	12	450	410	364 - 456	1079	917	796 - 1039	2086	1849	1503 - 2195
2020	13	502	407	366 - 448	1402	907	806 - 1008	2555	1791	1486 - 2097
2020	14	498	401	357 - 444	1503	889	806 - 972	3083	1735	1490 - 1981
2020	15	483	394	355 - 432	1436	876	809 - 942	3061	1688	1496 - 1880
2020	16	426	389	350 - 427	1233	867	799 - 935	2648	1660	1505 - 1815
2020	17	454	383	341 - 425	1154	857	787 - 926	2299	1630	1490 - 1769
2020	18	444	381	342 - 419	999	847	779 - 916	1936	1613	1472 - 1755
2020	19	390	380	339 - 420	914	845	777 - 912	1682	1597	1458 - 1735
2020	20	374	378	339 - 418	835	834	768 - 901	1568	1581	1460 - 1703
2020	21	369	377	335 - 419	805	832	766 - 898	1597	1560	1459 - 1661
2020	22	369	376	330 - 422	858	830	764 - 895	1502	1547	1451 - 1643
2020	23	385	378	335 - 421	836	827	767 - 887	1461	1529	1425 - 1634
2020	24	407	383	340 - 425	836	829	770 - 888	1449	1525	1431 - 1619
2020	25	375	382	341 - 423	856	827	765 - 889	1464	1514	1427 - 1601
2020	26	382	384	342 - 426	828	825	763 - 887	1451	1507	1407 - 1606
2020	27	403	385	342 - 428	809	829	764 - 894	1427	1507	1375 - 1639
2020	28	389	386	347 - 424	813	830	760 - 899	1417	1501	1352 - 1650
2020	29	372	389	351 - 426	775	830	762 - 899	1381	1499	1337 - 1661
2020	30	408	387	349 - 425	821	828	759 - 896	1444	1491	1343 - 1639
2020	31	376	383	347 - 419	842	824	752 - 896	1450	1478	1334 - 1622
2020	32	419	384	345 - 423	820	829	755 - 904	1401	1467	1318 - 1615
2020	33	463	382	345 - 418	928	826	749 - 904	1818	1459	1325 - 1592
2020	34	416	382	342 - 422	862	829	756 - 901	1577	1450	1346 - 1554
2020	35	352	384	338 - 429	863	831	761 - 900	1517	1450	1354 - 1546
2020	36	414	385	339 - 431	828	833	766 - 900	1448	1456	1373 - 1538
2020	37	394	390	343 - 437	895	839	773 - 905	1450	1466	1383 - 1548
2020	38	394	397	350 - 445	844	850	777 - 923	1482	1479	1390 - 1568
2020	39	394	396	346 - 447	880	855	785 - 924	1618	1498	1416 - 1580
2020	40	434	400	348 - 453	914	865	789 - 941	1650	1518	1416 - 1620
2020	41	378	400	354 - 447	989	868	785 - 950	1652	1537	1436 - 1638
2020	42	432	405	360 - 449	984	872	788 - 956	1803	1560	1446 - 1674
2020	43	426	406	362 - 450	1078	878	787 - 969	1944	1576	1438 - 1713
2020	44	406	403	360 - 447	1165	888	798 - 979	2107	1595	1443 - 1748
2020	45	434	403	362 - 443	1110	890	807 - 973	2045	1607	1441 - 1774
2020	46	431	408	369 - 446	1058	898	814 - 982	2083	1625	1449 - 1801
2020	47	413	411	376 - 447	1080	913	829 - 996	1833	1647	1468 - 1826
2020	48	432	414	377 - 450	1082	925	845 - 1005	1886	1673	1482 - 1863
2020	49	443	411	373 - 450	1105	933	843 - 1022	1969	1692	1481 - 1903
2020	50	458	413	374 - 451	1101	938	853 - 1023	2042	1749	1525 - 1973
2020	51	471	416	378 - 454	1177	941	848 - 1034	2242	1809	1563 - 2056
2020	52	425	415	375 - 455	1127	944	849 - 1039	2267	1865	1598 - 2132
2021	1
2021	2
2021	3
2021	4
2021	5
2021	6
2021	7
2021	8
2021	9
2021	10
2021	11
2021	12
2021	13
2021	14
2021	15
2021	16
2021	17
2021	18
2021	19
2021	20
2021	21
2021	22
2021	23
2021	24
2021	25
2021	26
2021	27
2021	28
2021	29
2021	30
2021	31
2021	32
2021	33
2021	34
2021	35
2021	36
2021	37
2021	38
2021	39
2021	40
2021	41
2021	42
2021	43
2021	44
2021	45
2021	46
2021	47
2021	48
2021	49
2021	50
2021	51
2021	52
* Provisional figures

Relatively high excess mortality in Noord-Brabant

Relative excess mortality has been highest in the provinces of Noord-Brabant and Zuid-Holland (both around 20.5 percent) during the second wave (weeks 39 to 52 inclusive). This was closely followed by Utrecht, Overijssel and Flevoland with around 20 percent excess mortality. So far, no real excess mortality has been recorded in Zeeland province, while excess mortality has been limited in Groningen as well.

Noord-Brabant	20.6
Zuid-Holland	20.4
Utrecht	20.1
Flevoland	20
Overijssel	19.8
Gelderland	16.7
Noord-Holland	14.8
Drenthe	11.6
Limburg	9.5
Fryslân	6.1
Groningen	2.2
Zeeland	0.9
* Provisional figures

COVID-19 mortality known up to June inclusive

The figures on (excess) mortality are based on the number of reported deaths received every day by CBS. These reports do not contain any information about the cause of death. CBS receives such information at a lager stage via death cause certificates. The cause of death is known for all deceased up to and including June 2020. According to these figures, just over 10,000 people died of COVID-19 between March and June 2020, as published by CBS on 1 October

. Excess mortality over this period is therefore entirely attributable to mortality from the novel coronavirus.

Data sources for RIVM

The National Institute for Public Health and the Environment (RIVM) receives data on confirmed COVID-19 deaths from municipal health services (GGD) around the country on a daily basis. The actual death count related to COVID-19 is likely to turn out higher because of the following reasons: possibly not all people with COVID-19 have themselves tested, there is no reporting obligation for COVID-19 and registration sometimes takes a little longer.
Up to and including June 2020, RIVM registered 6,182 COVID-19 deaths. In weeks 39 through 52, RIVM registered 4,862 COVID-19 deaths. This includes 431 deaths reported in week 52 (as at 7 January 2021). There were fewer than 200 confirmed COVID-19 deaths in the intervening period.