Dataset Information

Excess deaths from COVID-19 in Japan and 47 prefectures from January through June 2021.

ABSTRACT:

Objectives

In Japan, several studies have reported no excess all-cause deaths (the difference between the observed and expected number of deaths) during the coronavirus disease 2019 (COVID-19) pandemic in 2020. This study aimed to estimate the weekly excess deaths in Japan's 47 prefectures for 2021 until June 27.

Study design

Vital statistical data on deaths were obtained from the Ministry of Health, Labour and Welfare of Japan. For this analysis, we used data from January 2012 to June 2021.

Methods

A quasi-Poisson regression was used to estimate the expected weekly number of deaths. Excess deaths were expressed as the range of differences between the observed and expected number of all-cause deaths and the 95% upper bound of the one-sided prediction interval.

Results

Since January 2021, excess deaths were observed for the first time in the week corresponding to April 12-18 and have continued through mid-June, with the highest excess percentage occurring in the week corresponding to May 31-June 6 (excess deaths: 1431-2587; excess percentage: 5.95-10.77%). Similarly, excess deaths were observed in consecutive weeks from April to June 2021 in 18 of 47 prefectures.

Conclusions

For the first time since February 2020, when the first COVID-19 death was reported in Japan, excess deaths possibly related to COVID-19 were observed in April 2021 in Japan, during the fourth wave. This may reflect the deaths of non-infected people owing to the disruption that the pandemic has caused.

SUBMITTER: Nomura S

PROVIDER: S-EPMC8742134 | biostudies-literature |

REPOSITORIES: biostudies-literature

ACCESS DATA

Similar Datasets

Project description:Excess deaths, including all-causes mortality, were confirmed for the first time in Japan in April 2021. However, little is known about the indirect effects of COVID-19 on the number of non-COVID-19-related deaths. We then estimated the excess deaths from non-COVID-19-related causes in Japan and its 47 prefectures from January 2020 through May 2021 by place of death. Vital statistical data on deaths were obtained from the Ministry of Health, Labour and Welfare. Using quasi-Poisson regression models, we estimated the expected weekly number of deaths due to all-causes excluding COVID-19 (non-COVID-19) and due to respiratory disease, circulatory disease, malignant neoplasms, and senility. Estimates were made separately for deaths in all locations, as well as for deaths in hospitals and clinics, in nursing homes and elderly care facilities, and at home. We defined a week with excess deaths as one in which the observed number of deaths exceeded the upper bound of the two-sided 95% prediction interval. Excess death was expressed as a range of differences between the observed and expected number of deaths and the 95% upper bound of the two-sided predictive interval. The excess percentage was calculated as the number of excess deaths divided by the expected number of deaths. At the national level, excess deaths from non-COVID-19-related all-causes were observed during April 19 to May 16, 2021. The largest excess percentage was 2.73-8.58% (excess deaths 689-2161) in the week of May 3-9. Similar trends were observed for all four cause categories. The cause-of-death categories which contributed to the excesses showed heterogeneity among prefectures. When stratified by place of death, excess mortality tended to be observed in nursing homes and elderly care facilities for all categories, in hospitals and clinics for circulatory disease, and at home for respiratory disease, malignant neoplasms, and senility. A caution is necessary that for the lastest three months (March-May 2021), adjusted data were used to account for possible reporting delays.

Project description:Assessing climate change impacts on local communities is an urgent task for national and subnational governments. The impact assessment requires socioeconomic scenarios, including a long-term outlook for demographic and economic indices. In Japan, the National Institute for Environmental Studies developed the Japan Shared Socioeconomic Pathways (JPNSSPs) and presented regional population scenarios corresponding to five different storylines. However, there exists no quantitative information about changes in local economies under the population scenarios. This study examines the economic activities in Japan's 47 prefectures using statistical models and calculates changes in the major economic indices (e.g., production, capital stock, and labor population) until 2100. The economic projection is based on ten socioeconomic scenarios generated from the JPNSSP population scenarios and original productivity scenarios. The economic projection results clearly show that Japan's population aging and decline have catastrophic impacts on national and subnational economies. Even in the most optimistic scenario, assuming a massive influx of immigrants and fast productivity growth, the GDP growth rate becomes negative in the 2090s. In the most pessimistic scenario, the GDP growth rate becomes negative in 2028 and continues to decline. As a result, Japan's GDP decreases to the level of the 1970s by 2100. The improvement of productivity cannot offset the GDP shrink caused by demographic changes. Furthermore, the population aging and decline accelerate the wealth concentration in urban areas. The Theil index, calculated using the economic projection results, shows increasing trends in all the scenarios. Tokyo's presence in Japan's economy will continue to increase throughout this century. Meanwhile, Kanagawa and Saitama, which belong to the top five prefectures in terms of economic production, may lose their positions. The Tohoku region, already suffering from population decline, will face severe economic stagnation. Our findings suggest that the depressing future is inevitable unless Japan overcomes the population aging and decline.