COVID-19: Comorbidities

JMJ

Tradiate asked if there is information about co-morbities of COVID-19. As it happens statscan has released a report (link) in May of this year.

A key finding is that "almost 90% of people who died of COVID-19 in 2020 had a least one other comorbidity."

So what does it mean? Well that if you have one of the co-morbities, you have a higher probability of dying (not certain how much). This however does not speak to long-term issues if you suffer lung or other organ deficites.

P^3

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Released: 2021-05-14

COVID-19 continues to affect communities and families in Canada. Beyond deaths attributed to the disease itself, the pandemic could also have indirect consequences that increase or decrease the number of deaths as a result of various factors, including delayed medical procedures or increased substance use.

To understand both the direct and indirect consequences of the pandemic, it is important to measure excess mortality, which occurs when there are more deaths during a period of time than what would be expected for that period. It should be noted that, even without a pandemic, there is always some year-to-year variation in the number of people who die in a given week. This means that the number of expected deaths should fall within a certain range of values. There is evidence of excess mortality when weekly deaths are consistently higher than the expected number, but especially when they exceed the range of what would be expected over consecutive weeks.

As part of Statistics Canada's commitment to providing timely and relevant information on COVID-19 and its impact on Canadians, a new updated provisional dataset from the Canadian Vital Statistics Death Database, covering the period from January 2020 to February 2021 has been released today. Updates were also made to the provisional death estimates, which have been adjusted, where possible, to account for the incomplete nature of the counts. The provisional estimates will continue to be revised in future releases as more information is reported by provincial and territorial vital statistics agencies and as methods continue to be enhanced.

From January 2021 to early February 2021, there were 31,509 deaths in Canada. This amounts to 2.1%, or 658, more deaths than expected if there were no pandemic, after accounting for changes in the population, such as aging. While some of these excess deaths may be related to indirect effects of the pandemic or other unrelated factors, they are still largely explained by the deaths attributed directly to COVID-19.

The risk of severe outcomes due to COVID-19 varies depending on individual vulnerabilities. One of these susceptibilities is pre-existing health conditions. The Public Health Agency of Canada has advised that certain pre-existing conditions such as diabetes, chronic obstructive pulmonary disease, cancer and heart disease put individuals at higher risk of severe illness or death from COVID-19. In addition, the suggested Canadian vaccination rollout prioritizes vulnerable populations, including those with underlying conditions. The provisional data released today confirm that about 9 out of 10 Canadians who have died of COVID-19 had at least one other condition or complication, or comorbidity, reported on their medical certificate of death.

https://www150.statcan.gc.ca/n1/daily-quotidien/210514/dq210514c-eng.htm

Further Reading on comorbities from statscan

Frequency of chronic conditions reported on death certificates where death is due to COVID-19, %
	younger than 45	45 to 64	65 to 84	85 and older
Obesity	16.44	4.38	1.57	0.28
Cancer	6.85	8.89	7.41	5.12
Nervous system disorder excluding Alzheimer's	12.33	12.52	10.25	4.93
Ischemic heart disease	0.00	7.76	11.90	12.53
Diabetes	9.59	14.64	14.90	10.65
Hypertensive disease	5.48	10.76	13.44	16.15
Dementia or Alzheimer's	0.00	6.63	29.07	44.67

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