“According to Prof Walter Ricciardi, scientific adviser to Italy’s minister of health, the country’s mortality rate is far higher due to demographics – the nation has the second oldest population worldwide – and the manner in which hospitals record deaths.
‘The age of our patients in hospitals is substantially older – the median is 67, while in China it was 46,’ Prof Ricciardi says. ‘So essentially the age distribution of our patients is squeezed to an older age and this is substantial in increasing the lethality.
But Prof Ricciardi added that Italy’s death rate may also appear high because of how doctors record fatalities.
‘The way in which we code deaths in our country is very generous in the sense that all the people who die in hospitals with the coronavirus are deemed to be dying of the coronavirus.
On re-evaluation by the National Institute of Health, only 12 per cent of death certificates have shown a direct causality from coronavirus, while 88 per cent of patients who have died have at least one pre-morbidity – many had two or three,’ he says.”
For Italy:
- Mean age of patients dying for SARS-CoV-2 infection was 80 years;
- Mean number of diseases- comorbidities- was 3.3;
- Of those who died in the under 40 age group only 14 individuals out of 31,851 had no major pathologies= 0.0439%
Hardly pandemic numbers.
Italy is one of the best case studies as there is good data on their excess mortality rates over the last 10 years- what we have seen this year is not an aberration to those familiar with that data.