Timeliness of provisional United States mortality data releases during the COVID-19 pandemic: delays associated with electronic death registration system and weekly mortality.
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Keyword
All-cause mortalityCovid-19
Death certificates
Excess mortality
Reporting delay
Vital statistics
Journal title
Journal of public health policyDate Published
2021-11-03Publication Volume
42Publication Issue
4Publication Begin page
536Publication End page
549
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Show full item recordAbstract
All-cause mortality counts allow public health authorities to identify populations experiencing excess deaths from pandemics, natural disasters, and other emergencies. Delays in the completeness of mortality counts may contribute to misinformation because death counts take weeks to become accurate. We estimate the timeliness of all-cause mortality releases during the COVID-19 pandemic for the dates 3 April to 5 September 2020 by estimating the number of weekly data releases of the NCHS Fluview Mortality Surveillance System until mortality comes within 99% of the counts in the 19 March 19 2021 provisional mortality data release. States' mortality counts take 5 weeks at median (interquartile range 4-7 weeks) to completion. The fastest states were Maine, New Hampshire, Vermont, New York, Utah, Idaho, and Hawaii. States that had not adopted the electronic death registration system (EDRS) were 4.8 weeks slower to achieve complete mortality counts, and each weekly death per 10^8 was associated with a 0.8 week delay. Emergency planning should improve the timeliness of mortality data by improving state vital statistics digital infrastructure.Citation
Rosenbaum JE, Stillo M, Graves N, Rivera R. Timeliness of provisional United States mortality data releases during the COVID-19 pandemic: delays associated with electronic death registration system and weekly mortality. J Public Health Policy. 2021 Dec;42(4):536-549. doi: 10.1057/s41271-021-00309-7. Epub 2021 Nov 3. PMID: 34732841; PMCID: PMC8564267.DOI
10.1057/s41271-021-00309-7ae974a485f413a2113503eed53cd6c53
10.1057/s41271-021-00309-7
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- Creative Commons
Except where otherwise noted, this item's license is described as © 2021. The Author(s), under exclusive licence to Springer Nature Limited.
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