COVID-19 Drove 25% Increase in U.S. Deaths in January

The total number of U.S. deaths from all causes was about 25% higher in January than it was in January 2020, before the COVID-19 pandemic began increasing the mortality rate.

The 50 states, New York City and the District of Columbia reported 374,225 deaths to the Centers for Disease Control and Prevention for the period from Jan. 2 through Feb. 5.

That was down 10% from the total for the comparable period in 2021, when a deadly wave of COVID-19 cases swept the country, but it was up from 298,247 for the comparable period in 2020.

The figures mean that the number of U.S. excess deaths, from all causes, was about 75,000 in the first five weeks of the year, down from about 116,000 in the comparable period in 2021.

The CDC has classified 100,433 of the deaths recorded in the first five weeks of this year as being from COVID-19, and 129,027 as from COVID-19, pneumonia or influenza. The number of deaths caused by COVID-19, pneumonia or flu was 129,027 in the comparable period in 2021, and 22,423 in the comparable period in 2020.

Many jurisdictions take several weeks to send the CDC complete mortality data, and there are signs that the numbers are taking longer to flow into the provisional death reports than usual. The latest reports, for example, include data for all of February for many states, but they include no 2022 data for the District of Columbia or Puerto Rico.

The figures include deaths caused directly by COVID-19, deaths caused by the effects of the pandemic on the health care system, and deaths caused by the effects of the pandemic and pandemic-related restrictions on society as a whole.

Comparisons With Projections

Aegon executives said last month, on their conference call for the fourth quarter of 2021, that they are speculating that the U.S. might have about 300,000 COVID-19 deaths this year.

Globe Life executives have said their midpoint COVID-19 mortality assumption for 2022 is 145,000 deaths, with most of the deaths occurring in the first half of the year.

Age and Mortality

The CDC has another batch of data, broken down by age, that shows that the latest wave of COVID-19 was especially hard on U.S. residents ages 75 and older: Between Dec. 26, 2020, and Jan. 29, confirmed cases of the disease caused 134 deaths per 100,000 people ages 75 and older. That means that in just over a month, the disease killed about 1 in 750 people in that age group.

Health insurers have reported facing higher pandemic-related prevention and treatment costs during the latest wave.

Information about the effects on life insurance claims is not yet available.

For retirement specialists, the January wave raises the possibility that increased uncertainty about older clients’ life expectancy continues amid the availability of COVID-19 vaccines and vaccine booster problems.

State Numbers

State numbers show that changes in the number of deaths between January 2020 and January 2022 ranged from a decrease of 39%, in South Dakota, up to an increase of more than 40% in three Mid-Atlantic states, with a median increase of 27%.

For the five states with the biggest increases, see the gallery above.

For data for all 50 states, the District of Columbia and New York City, see the chart below.

All-Cause Mortality for the First Five Weeks of the Year

2020
2021
2022
Change: 2021 over 2020
Change: 2022 over 2020

Alabama
5,330
8,577
7,221
+61%
+35%

Alaska
475
519
429
+9%
-10%

Arizona
6,547
11,377
9,371
+74%
+43%

Arkansas
3,313
4,649
4,405
+40%
+33%

California
29,109
52,289
35,519
+80%
+22%

Colorado
4,220
4,935
5,601
+17%
+33%

Connecticut
3,242
4,171
3,978
+29%
+23%

Delaware
956
1374
1406
+44%
+47%

District of Columbia
674
854
NA
+27%
NA

Florida
21,942
28,143
26,916
+28%
+23%

Georgia
8,982
14,394
11,385
+60%
+27%

Hawaii
1,183
1,133
1,386
-4%
+17%

Idaho
1,387
1,681
1,911
+21%
+38%

Illinois
11,010
13,284
15,531
+21%
+41%

Indiana
7,047
8,923
9,019
+27%
+28%

Iowa
3,187
3,,595
3,849
+13%
+21%

Kansas
2,847
3,623
4,048
+27%
+42%

Kentucky
5,114
6,445
5,950
+26%
+16%

Louisiana
4,801
6,630
5,223
+38%
+9%

Maine
1,529
1,699
1,935
+11%
+27%

Maryland
5,109
6,750
7,028
+32%
+38%

Massachusetts
6,201
7,720
7,862
+24%
+27%

Michigan
10,025
11,577
13,182
+15%
+31%

Minnesota
4,802
5,072
5,592
+6%
+16%

Mississippi
3,165
4,921
4,486
+55%
+42%

Missouri
6,710
8,418
7,676
+25%
+14%

Montana
1,059
1,163
1,288
+10%
+22%

Nebraska
1,772
1,987
2,118
+12%
+20%

Nevada
2,791
4,063
3,902
+46%
+40%

New Hampshire
1,250
1,537
1,623
+23%
+30%

New Jersey
7,802
10,249
11,231
+31%
+44%

New Mexico
1,973
2,623
2,469
+33%
+25%

New York
10,476
14,858
13,878
+42%
+32%

New York City
5,774
7,737
8,709
+34%
+51%

North Carolina
9,865
14,507
8,450
+47%
-14%

North Dakota
748
754
572
+1%
-24%

Ohio
12,690
16,776
17,712
+32%
+40%

Oklahoma
4,210
6,098
5,683
+45%
+35%

Oregon
3,743
4,301
4,532
+15%
+21%

Pennsylvania
14,101
18,727
18,831
+33%
+34%

Rhode Island
1,049
1,432
1,321
+37%
+26%

South Carolina
5,278
8,012
5,964
+52%
+13%

South Dakota
821
992
497
+21%
-39%

Tennessee
8,021
11,058
10,545
+38%
+31%

Texas
21,441
34,068
23,455
+59%
+9%

Utah
1,993
2,482
2,490
+25%
+25%

Vermont
534
611
711
+14%
+33%

Virginia
7,404
10,188
10,246
+38%
+38%

Washington
6,042
6,802
7,406
+13%
+23%

West Virginia
2,412
3,218
1,743
+33%
-28%

Wisconsin
5,573
6,261
7,332
+12%
+32%

Wyoming
518
578
608
+12%
+17%

TOTAL
298,247
413,835
374,225

MEDIAN

+28%
+27%

Pictured: An intubated patient in a negative pressure room in the Covid-19 ICU at Freeman Hospital West in Joplin, Missouri, in August 2021. (Photo: Angus Mordant/Bloomberg)