California saw nearly 20% more deaths since 2020, and COVID alone can’t explain it

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California saw nearly 20% more deaths since 2020, and COVID alone can’t explain it
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The state has seen the biggest rise in causes of death in drug overdoses, Alzheimer’s disease and alcohol-related conditions.

Three years after the first COVID cases were detected in the Bay Area, a vexing question persists that can no longer be explained by the terrifying arrival of a deadly novel coronavirus: Why are so many peopleSince 2020, California has recorded 130,000 more deaths than in the three previous years, a nearly 20% increase in mortality, the largest sustained spike in more than a century, and the reversal of a decades-long trend of decreasing death rates.

Nationally, Robert Anderson, chief of the Mortality Statistics Branch at the National Center for Health Statistics, is seeing much the same.“The pandemic certainly is a factor,” Anderson said, “Whether it’s the virus itself [exacerbating other health problems] or whether it’s other factors related to the pandemic, it’s hard to know for sure.”

California’s deadliest week in the past six years was the first week of 2021, when 11,908 people died in the Golden State. COVID was responsible for 4,858 of those deaths, according to the state health department. But that left an additional 7,050 people dying from other causes. Dr. Monica Gandhi, a professor of medicine at UC San Francisco, thinks the negative impacts of early lockdowns and large-scale social distancing efforts like work-from-home are an overlooked contributor to recent increases in mortality — especially in places like the Bay Area, where lockdowns were long and strict, compared to other parts of the country.

“The workforce … has declined considerably,” he said, raising a quiet concern from the field that outcomes at hospitals might not be as good now. Simply put, there are fewer health workers and more patients. “They don’t have the same resources they had before COVID.” For example, a study published last year in Nature Medicine used data from the Department of Veterans Affairs and found, compared to those who had not.

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