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Letters Covid-19: excess all cause mortality

Covid-19: excess all cause mortality in domiciliary care

BMJ 2020; 370 doi: (Published 13 July 2020) Cite this as: BMJ 2020;370:m2751
  1. Judith R Glynn, professor of infectious disease epidemiology1,
  2. Katherine Fielding, professor in medical statistics and epidemiology1,
  3. Tom Shakespeare, professor of disability research2,
  4. Oona Campbell, professor of epidemiology and reproductive health1
  1. 1Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK
  2. 2Department of Clinical Research, London School of Hygiene and Tropical Medicine
  1. judith.glynn{at}

Piccininni and colleagues show the importance of using excess all cause mortality to measure the impact of covid-19.1 This approach has drawn attention to the shocking rates of covid-19 related deaths in care homes. But domiciliary care remains neglected.

In England from 10 April to 8 May, deaths of recipients of domiciliary care were 2.7 times the three year average for that period.2 From 10 April to 1 May (latest available data), deaths of care home residents were 2.8 times or 3.2 times that of …

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