Excess mortality in Europe coincides with peaks of COVID-19, influenza and respiratory syncytial virus (RSV), November 2023 to February 2024

Author:

Nørgaard Sarah K1ORCID,Nielsen Jens1,Nordholm Anne Christine1,Richter Lukas2ORCID,Chalupka Alena2ORCID,Sierra Natalia Bustos3ORCID,Braeye Toon3ORCID,Athanasiadou Maria4,Lytras Theodore5ORCID,Denissov Gleb6,Luomala Oskari7,Fouillet Anne8ORCID,Pontais Isabelle8ORCID,an der Heiden Matthias9ORCID,Zacher Benedikt9,Weigel Alina10,Foppa Ivo10,Gkolfinopoulou Kassiani11,Panagoulias Ioannis11,Paldy Anna12,Malnasi Tibor12,Domegan Lisa13ORCID,Kelly Eva13,Rotem Naama14,Rakhlin Oksana14,de'Donato Francesca K15ORCID,Di Blasi Chiara15ORCID,Hoffmann Patrick16,Velez Telma16,England Kathleen17,Calleja Neville17,van Asten Liselotte18ORCID,Jongenotter Femke18,Rodrigues Ana Paula19,Silva Susana19ORCID,Klepac Petra20,Gomez-Barroso Diana21ORCID,Gomez Inmaculada Leon21ORCID,Galanis Ilias22,Farah Ahmed22,Weitkunat Rolf23,Fehst Katarina23,Andrews Nick24,Clare Tom24ORCID,Bradley Declan T25,O'Doherty Mark G25,William Naoma26ORCID,Hamilton Mark26ORCID,Søborg Bolette1,Krause Tyra G1,Bundle Nick27ORCID,Vestergaard Lasse S1ORCID

Affiliation:

1. Department of Infectious Disease Epidemiology and Prevention, Statens Serum Institut, Copenhagen, Denmark

2. Austrian Agency for Health and Food Safety, Vienna, Austria

3. Sciensano, Brussels, Belgium

4. Health Monitoring Unit, Cyprus Ministry of Health, Nicosia, Cyprus

5. School of Medicine, European University Cyprus, Nicosia, Cyprus

6. National Institute for Health Development, Tallinn, Estonia

7. Finnish Institute for Health and Welfare (THL), Helsinki, Finland

8. Santé publique France, Saint-Maurice, France

9. Robert Koch Institute, Berlin, Germany

10. Hessisches Landesamt für Gesundheit und Pflege, Dillenburg, Germany

11. Hellenic National Public Health Organization, Athens, Greece

12. National Center for Public Health and Pharmacy, Budapest, Hungary

13. Health-Service Executive - Health Protection Surveillance Centre, Dublin, Ireland

14. Central Bureau of Statistics, Jerusalem, Israel

15. Department of Epidemiology Lazio Regional Health System - ASL Roma 1, Rome, Italy

16. Health Directorate, Luxembourg, Luxembourg

17. Directorate for Health Information and Research, Pieta, Malta

18. Centre for Infectious Disease Control Netherlands, National Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands

19. Department of Epidemiology, Instituto Nacional de Saúde Dr. Ricardo Jorge, Lisbon, Portugal

20. Communicable Diseases Centre, National Institute of Public Health, Ljubljana, Slovenia

21. National Centre of Epidemiology, CIBER Epidemiología y Salud Pública (CIBERESP), Carlos III Health Institute, Madrid, Spain

22. Public Health Agency of Sweden, Stockholm, Sweden

23. Federal Statistical Office, Neuchâtel, Switzerland

24. UK Health Security Agency, London, United Kingdom

25. Public Health Agency, Northern Ireland, United Kingdom

26. Public Health Scotland, Glasgow, United Kingdom

27. European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden

Abstract

Since the end of November 2023, the European Mortality Monitoring Network (EuroMOMO) has observed excess mortality in Europe. During weeks 48 2023–6 2024, preliminary results show a substantially increased rate of 95.3 (95% CI:  91.7–98.9) excess all-cause deaths per 100,000 person-years for all ages. This excess mortality is seen in adults aged 45 years and older, and coincides with widespread presence of COVID-19, influenza and respiratory syncytial virus (RSV) observed in many European countries during the 2023/24 winter season.

Publisher

European Centre for Disease Control and Prevention (ECDC)

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