Age-specific mortality and immunity patterns of SARS-CoV-2

https://www.nature.com/articles/s41586-020-2918-0

Estimating the size and infection severity of the SARS-CoV-2 epidemic is made challenging by inconsistencies in available data. The number of COVID-19 deaths is often used as a key indicator for the epidemic size, but observed deaths represent only a minority of all infections1,2.

Additionally, the heterogeneous burden in nursing homes and variable reporting of deaths in elderly individuals can hamper direct comparisons across countries of the underlying level of transmission and mortality rates3. Here we use age-specific COVID-19 death data from 45 countries and the results of 22 seroprevalence studies to investigate the consistency of infection and fatality patterns across multiple countries.

We find that the age distribution of deaths in younger age groups (<65 years) is very consistent across different settings and demonstrate how this data can provide robust estimates of the share of the population that has been infected.

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They stem largely from coronavirus guidelines issued by the Centers for Disease Control and Prevention lowering the fever threshold, disqualifying even a single bout of diarrhea or vomiting and making sniffles suspect in group settings.

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