Occupational injury mortality surveillance in the United States: An examination of census counts from two different surveillance systems, 1992-1997

2003 ◽  
Vol 45 (1) ◽  
pp. 1-13 ◽  
Author(s):  
Larry A. Layne
Author(s):  
R. Rivera ◽  
J. E. Rosenbaum ◽  
W. Quispe

1AbstractDeaths are frequently under-estimated during emergencies, times when accurate mortality estimates are crucial for pandemic response and public adherence to non-pharmaceutical interventions. This study estimates excess all-cause, pneumonia, and influenza mortality during the COVID-19 health emergency using the June 12, 2020 release of weekly mortality data from the United States (U.S.) Mortality Surveillance Survey (MSS) from September 27, 2015 to May 9, 2020, using semiparametric and conventional time-series models in 9 states with high reported COVID-19 deaths and apparently complete mortality data: California, Colorado, Florida, Illinois, Massachusetts, Michigan, New Jersey, New York, and Washington. The May 9 endpoint was chosen due to apparently increased reporting lags in provisional mortality counts. We estimated greater excess mortality than official COVID-19 mortality in the U.S. (excess mortality 95% confidence interval (CI) (80862, 107284) vs. 78834 COVID-19 deaths) and 6 states: California (excess mortality 95% CI (2891, 5873) vs. 2849 COVID-19 deaths); Illinois (95% CI (4412, 5871) vs. 3525 COVID-19 deaths); Massachusetts (95% CI (5061, 6317) vs. 5050 COVID-19 deaths); New Jersey (95% CI (12497, 15307) vs. 10465 COVID-19 deaths); and New York (95% CI (30469, 37722) vs. 26584 COVID-19 deaths). Conventional model results were consistent with semiparametric results but less precise.Official COVID-19 mortality substantially understates actual mortality, suggesting greater case-fatality rates. Mortality reporting lags appeared to worsen during the pandemic, when timeliness in surveillance systems was most crucial for improving pandemic response.


2020 ◽  
Vol 148 ◽  
Author(s):  
R. Rivera ◽  
J. E. Rosenbaum ◽  
W. Quispe

Abstract Deaths are frequently under-estimated during emergencies, times when accurate mortality estimates are crucial for emergency response. This study estimates excess all-cause, pneumonia and influenza mortality during the coronavirus disease 2019 (COVID-19) pandemic using the 11 September 2020 release of weekly mortality data from the United States (U.S.) Mortality Surveillance System (MSS) from 27 September 2015 to 9 May 2020, using semiparametric and conventional time-series models in 13 states with high reported COVID-19 deaths and apparently complete mortality data: California, Colorado, Connecticut, Florida, Illinois, Indiana, Louisiana, Massachusetts, Michigan, New Jersey, New York, Pennsylvania and Washington. We estimated greater excess mortality than official COVID-19 mortality in the U.S. (excess mortality 95% confidence interval (CI) 100 013–127 501 vs. 78 834 COVID-19 deaths) and 9 states: California (excess mortality 95% CI 3338–6344) vs. 2849 COVID-19 deaths); Connecticut (excess mortality 95% CI 3095–3952) vs. 2932 COVID-19 deaths); Illinois (95% CI 4646–6111) vs. 3525 COVID-19 deaths); Louisiana (excess mortality 95% CI 2341–3183 vs. 2267 COVID-19 deaths); Massachusetts (95% CI 5562–7201 vs. 5050 COVID-19 deaths); New Jersey (95% CI 13 170–16 058 vs. 10 465 COVID-19 deaths); New York (95% CI 32 538–39 960 vs. 26 584 COVID-19 deaths); and Pennsylvania (95% CI 5125–6560 vs. 3793 COVID-19 deaths). Conventional model results were consistent with semiparametric results but less precise. Significant excess pneumonia deaths were also found for all locations and we estimated hundreds of excess influenza deaths in New York. We find that official COVID-19 mortality substantially understates actual mortality, excess deaths cannot be explained entirely by official COVID-19 death counts. Mortality reporting lags appeared to worsen during the pandemic, when timeliness in surveillance systems was most crucial for improving pandemic response.


Author(s):  
Dawn N. Castillo ◽  
Timothy J. Pizatella ◽  
Nancy A. Stout

This chapter describes occupational injuries and their prevention. It describes in detail the causes of injuries and epidemiology of injuries. Occupational injuries are caused by acute exposure in the workplace to safety hazards, such as mechanical energy, electricity, chemicals, and ionizing radiation, or from the sudden lack of essential agents, such as oxygen or heat. This chapter describes the nature and the magnitude of occupational injuries in the United States. It provides data on risk of injuries in different occupations and industries. Finally, it discusses prevention of injuries, using a hierarchical approach to occupational injury control.


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