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Public Health is AWOL

 Public Health is a vast enterprise, receiving hundreds of billions in funding annually. It is considered vital for maintaining the general health and welfare of the population. However, there is an ongoing pandemic-level excess mortality, affecting all age and demographic strata, which is being ignored by public health authorities. This excess mortality is visible in death certificate data from four states, which show continuing pandemic-level excess deaths in various conditions.

Death certificates are a flawed tool for data construction, but they can still provide useful information. The following conditions show clear excess mortality in every state with available data: Acute Renal Failure, Pulmonary Embolism, Hypertension (specifically Hypertensive Heart Disease), Physical Trauma Injuries, Diabetes, Protein Calorie Malnutrition, and Sepsis.

The all-cause mortality charts provide a bird's-eye view of broad trends, helping identify novel factors affecting population mortality. Each chart shows the total number of deaths per year, with different shades of grey for 2015-2019, blue for 2020, yellow for 2021, red for 2022, and purple for 2023. The number on top of each bar indicates the number of deaths in that year that fit the conditions articulated in the title of the chart.

Massachusetts All-Cause Mortality shows an increase in deaths from 2020 onwards, with a higher degree of excess mortality in 2021-2023. The average age of decedents also dropped sharply in 2021, with a greater portion of deaths above the expected total in 2021-2023.

Minnesota's overall excess mortality is more evenly spread out, but the average age of decedents is anomalous. Non-Nursing Home (NH) residents show a far higher degree of excess mortality in 2021-2023, and this trend is also seen in the mortality trends for the majority of conditions.

Nevada has a lower average age of death and a more even spread of excess mortality. Vermont has the fewest deaths overall but has one of the worst post-2020 trends of excess death. Even excluding Covid deaths, there is clear excess mortality in individual conditions.

Acute Renal Failure shows a dramatic trend of excess mortality, with over 60,000 deaths annually in the US. This trend is visible across the country, despite differences in how states document causes of death. Pulmonary Embolism also shows clear excess, with a higher incidence attributed to both Covid and Covid vaccines.

Hypertension, specifically Hypertensive Heart Disease, shows a considerable rate of escalating excess. Diabetes, another leading killer, shows a substantial increase in deaths in Massachusetts, Minnesota, Nevada, and Vermont. Protein Calorie Malnutrition, a condition associated with cancer treatment, saw a massive increase in deaths before the pandemic and continues to show excess mortality.

Sepsis charts show excess mortality in Massachusetts, Minnesota, Nevada, and Vermont. The public health establishment is ignoring these glaring signals of excess mortality, which warrant further investigation.

https://brownstone.org/articles/public-health-is-awol/

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