High deaths in middle age

I want to go ahead and give you some other really quite disconcerting news. This is from this magazine article here. Access mortality in England after 19 pandemic implications for a second for secondary prevention and as you will see this is published on the regional lanet. cheers Europe now, of course, lanet is a name that inspires respect or it was, but when a lot of people see that it's on lanet, that's like a mate, really, um and a few years ago that's what I believed. Still, it's not my place to tell you what to think. I'll just give you some information, so here's the article on excess mortality in England after the 19 pandemic, illuminated by Regional Health Europe, that's the link.

See for yourself. This is all there now. I checked the Lancet site for this article for Lancet Regional Health Europe and I was a little worried because I found out that this fee of £4000 is the charge to publish the article for open access, so if you want to publish in this journal and you want it to be open access, which is good, it means everyone can access it, so fine, just pay £4,000 to have your work read widely by people who want it. Open access so anyone can get £4,000 and Facilite magazine now this is not uncommon, unfortunately at the moment there is this fee for open publication, uh, open access, shame, but my question is if you pay £44,000, It will probably get more people to read your article, that's saying something. of money actually, unless it's funded externally or by an institution anyway, I'll leave it with you, that's just from The Bu.

This is from the article. Many countries, including the UK, have continued to experience apparent excess, er, excess

deaths

, long after the peaks associated with the Covid-19 pandemic in 2020 and 2021, so yes, we are experiencing excess

deaths

in everyone, as we have tried to raise the alarm several times, many times, the number of estimated excess deaths in this period is considerable. We completely agree that the UK National Statistics office has estimated that 7.2% or 44,255 more deaths were recorded in the UK in 2022, so the data is fairly fair, there are now legitimate differences in the way the data is collected, of course we look.

Last week in the OECD data for the UK, which shows that for the same period it is actually 52,000, so around another 8,000 more, 9.26% more, I'm not saying there's anything strange there , it's numbers, people like Professor Norman Fenton have alerted us to the deficits. or problems with the additional data, but it is in the same range, it is a worrying number, whatever happens in this article, this persisted until 2023 with 8 88.6% or 28,000 more deaths recorded in the first 6 months of the year, so 28,000 24 more people die than we would expect in the first six months of the year according to this article, based mainly on data, but that's okay, these small differences are not really surprising in the way the data is collected and By Of course, we have this difficulty when comparing one country with another.

There are differences anyway. OECD data for that period. Well, the OECD data for the first 44 weeks of 2023 was actually 49,000 deaths, 389 deaths, 99.44%, so in the first 44 weeks of um, according to the OECD for the first 44 weeks of 2023 , there was an excess of deaths of 99.44% compared to an excess of deaths of 9.26% in 2022, so we see that in 2022 and 2023 we have an excess of deaths of the order of 9% according to the data we have now. Hopefully this subsides during the latter part of 2023, but I'm afraid I'm holding out hope for that to be the case anyway. Continuing to read this article from The Lancet, the causes of multiple excess deaths are likely to be multiple and could include direct effects of Covid-19 infection, yes, but we know there are not many now, most of these deaths are unrelated with covid.

We now know that certainly, in the current period, acute pressure on NHS services has resulted in poor outcomes. episodes of acute illness, acute pressures on the NHS being blamed here, wait and the disruption of screening and management of chronic illnesses, so screening and management of chronic illnesses being blamed, a closer look at cause , age group and sex can help quantify the relative contributions of these causes. and there were no other causes that I could see, there's the paragraph, now the question on my mind is: could there be other causes at work here apart from the acute pressures on the NHS and the detection and management of chronic diseases? any other possibility, something else changed before the data when the oec data was collected e.g. 15 from 2015 to 2019, did anything else change?, anything else we can think of that has changed, well yes, pressures acute questions about NHS detection and management of disease, but it is repeated in several countries around the world, this is an international phenomenon, as we saw in the last video, and I was a little surprised that they didn't think of any other possibilities, Anyway, we will take charge to improve health. and disparities now, this is data from June 3, 2022 to June 30, 2023, so that's what happens with 13 months or a period, so 13 months of data here now, um, when we've looked at this before , this largely comes from the office of health improvement and disparities but it is as reported it is as reported in this magazine article read it for yourself um now the excess deaths from all causes were relatively

high

er for people over 50 at 64 years uh 15%

high

er than expected, so now 50 to 64 years this is Not really the age group, the average age of death from Co, of course, is much higher than that.

This is not really a CO-related age group that is dying, and yet they are dying 15% more than expected, 11% for people ages 25 to 49 now. these are relatively young adults 11% more and also, as far as I could tell from the way the article was written, 11% more for those under 25, so what we see are young adults of ages much younger than 25 18 to 25 25 to 49 die 11% more than we would expect Slightly older adults 50 to 64 die 15% more than we would expect and, of course, these young adults do not die primarily from covid, much less around a 9% more for those over 65 years of age at this time various causes in the 30-month period cardiovascular diseases increased by 12% heart failure increased by 20% heart diseases es schic insufficient blood supply to the myocardium increased by 15% liver diseases increased 19% acute respiratory infections increased 14% diabetes increased 133% Now I think what is the office for?

Health improvements and disparities. I don't know in detail how they collect their data, but I have no reason to doubt that this is not completely accurate, so if we take for example, a poetic heart disease caused mainly by coronary artery disease, they are like a coronary crown around of the heart that supplies blood to the myocardium, the muscle that pumps the heart, and must have a patent lumen if they become blocked. become inflamed can become clogged with atheroma atherosclerosis the pathological process of atherosclerosis which can lead to a reduction in blood supply is schea which can lead to thrombus formation uh an acute coronary syndrome myocardial infarction quite well 15% more than that, but we have to do what What I have to look at is the proximal and distal cause of the disease, this is what is not being done, so any disease has a proximal cause or any death has a proximal cause, so yes , this person died of heart disease is schic, that is the immediate cause of death, but what led to the heart disease is scic what are the distal causes is the question you really have to focus on again heart failure until a 20% yes, heart failure is when the myocardium does not contract enough to generate enough cardiac output to meet the metabolic demands of the body often accompanied by congestion and venous edema.

We know what heart failure is, so that's the immediate cause of death, but what caused the heart failure? What caused heart failure? Do we have a national curiosity deficit disorder? We should ask ourselves these questions. I'm afraid it gets worse for the slightly older age group for

middle

aged adults 50-64 years cardiovascular disease 33% more than expected heart disease is scic 44% more than expected but what the hell is causing heart disease esic what is the distortion causes cerebrovascular disease up to 40% heart failure up to 39% acute respiratory infection 43% Diabetes high 33% 35% High then these older adults are dying very well all all adults are dying at a much higher rate adults of 50 to 64 years die particularly a higher rate my question is do we need to look at the proximal causes yes this is the cause of death the distal causes what led in the case of the coronary ARS that we looked at for example what led to infl inflammation which led to the potentially accelerated rate of atherosclerosis development, where is the pathology?

Well, this article can't list it all, but that's the question I'd like to have addressed. The pattern now is one of persistent excess deaths that are most prominent in relative terms in

middle

-aged and young adults. In my opinion, this is an unfolding tragedy. Fit young adults are dying at a rapid rate. Proximal causes identified. Unidentified distal causes. And no, I'm not going to read this particular article. I, I'm speaking generally, uh, you don't really read much into what's causing the immediate cause of death, the pattern now is one of persistent excessive testing, which is the most prominent.

Yes, correct, granular and timely analysis. I needed to describe such trends to inform disease prevention and management efforts in a timely manner, okay, yes, we need to do some kind of longitudinal study on this. It needs to be done now in a granular way. I guess what they mean is looking at the heart of the matter. on things like age, gender, smoking, what medication someone has taken in recent years, any variable you can think of. I don't know if you've had particular injections or not, all of these things need to be analyzed for them to be correct granular analyses. and uh, the article concludes.

I'll show it to you here. The article concludes with uh dis uh dis uh Declaration of Interest. Now remember that the causes were considered acute and chronic diseases. Lely due to NHS issues but this is this. I'm not going to bother with the names, uh, but this is straight from the article. This is a primary authentication. I think the lead author and corresponding author are fine, they do various things, um, and they report personal fees from Novo Nordisk, the Great Dane. I think it's a pharmaceutical company and Fizer doesn't say how much money comes from there to the author, but that interest is stated.

I have given you the information as accurately as possible. How long will these excessive deaths last? by 2022 2023 still 9% or more in the UK and worldwide. If you're watching this video, you're as frustrated as I am, so I'll leave it at that, thanks for watching.